237 research outputs found

    UNH Student Health Benefit Plan Identified As A Model Plan For Health Care Reform

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    Beyond the Physical Wounds: A Proactive Approach to Mental Health Recovery After a Traumatic Injury

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    Beyond the Physical Wounds: A Proactive Approach to Mental Health Recovery After a Traumatic Injury Background: Every year, millions of Americans incur a life-threatening traumatic event and are admitted to trauma centers to treat their acute physical injuries. While traumatic injury is closely associated with developing post-traumatic stress disorder (PTSD), patients are rarely evaluated for PTSD risk or educated about long-term psychological sequelae. Local Problem: The predictive value of early screening to quantify PTSD risk in trauma patients is well documented in the literature. However, in a 241-bed Level II Trauma acute care hospital, there was no protocol to evaluate the likelihood of PTSD development or provide mitigating intervention as indicated. Methods: Staff knowledge, patient screening rates, and rates of mental health referrals were evaluated to determine the effectiveness of a PTSD risk screening and intervention protocol. A pre/post survey was used to measure staff knowledge acquisition. PTSD screening and mental health referral rates were assessed using structured observations and tracking trauma registry data. Interventions: An evidence-based, de novo PTSD risk protocol with three key interventions: a two-hour evidence-based education module for trauma center staff; patient bedside screening using a PTSD risk predictor tool; and a guided, stepped-intervention approach based on risk categories. Results: Staff knowledge mean scores increased from baseline by 28%. PTSD risk screenings were administered to 95% of eligible patients, and 94% of patients classified as high-risk for PTSD development received a referral for mental health services upon discharge. Conclusions: A PTSD risk screening protocol provides a straightforward, cost-effective approach to identify PTSD-related morbidity

    What Happens Now? Coaching and Leading Following a Student-Athlete Death - A Phenomenological Study

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    College students die and sometimes these students are student-athletes. This transcendental phenomenological study described and explored the lived leadership experiences, related to the components of Transformational Leadership, of NCAA sports team coaches who led their team following an unexpected death of a student-athlete. No research to date had focused on this leadership phenomenon. Five NCAA sport team head coaches participated in semi-structured interviews to learn more about their coaching leadership experiences during this time of crisis. The study participants shared their intensely emotional and personal leadership experiences of leading and coaching their teams during a time of crisis. There were four main emergent themes with several sub-themes. These were Emotion, Leadership Challenges, Growth as a Leader and University Response and Reaction. Several sub-themes were found to support Bass and Riggio\u27s (2006) four components of the Transformational Leadership theory of Idealized Influence, Individual Consideration, Inspirational Motivation and Intellectual Stimulation. Beyond emergent themes, utilizing Coliazzi\u27s method (1978) of phenomenological analysis, the essence of experience of this coaching leadership phenomenon was created. This study confirmed Bass and Riggio\u27s (2006) components of Transformational Leadership theory as a valid framework to examine both crisis leadership and coaching leadership behaviors in sports. This study increased understanding of the phenomenon of sport team coaches leading their teams following the unexpected death of a student-athlete, while providing insights and strategies for coaches and athlete administrators to utilize in the future

    Harnessing nature's timekeeper: a history of the piezoelectric quartz crystal technological community (1880-1959)

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    In 1880, French brothers Jacques and Pierre Curie discovered the phenomenon of piezoelectricity in naturally occurring quartz crystal, sometimes referred to as 'nature's timekeeper.' By 1959, tens of millions of devices that exploited quartz crystal's piezoelectric character were being used in the technologies of radio, telephony, and electronic timekeeping. This dissertation analyzes the rapid rise of quartz crystal technology in the United States by looking at the growth of its knowledge base as reflected primarily in patents and journal articles. The major finding of this analysis is that the rise of quartz crystal technology cannot be fully understood by looking only at individuals, institutions, and technological factors. Rather, this work posits that the concept of technological community is indispensible in explaining rapid technological growth and diffusion that would otherwise seem inexplicable. In the late 1920s, and again in the early 1940s, the knowledge base of quartz crystal technology experienced exponential growth, partly due to U.S. government patronage and enlightened regulation. However, as this study shows, quartz crystal engineers, scientists, and entrepreneurs could not have mobilized as quickly and effectively as they did unless a vibrant technological community already existed. Furthermore, the United States' ability to support such a thriving community depended in part on an early 20th century American culture that displayed an unmatched enthusiasm for democratic communications media, most especially broadcast radio and universal telephone service. Archival records, professional journal articles, government reports, manufacturer catalogs, and U.S. patents have been used to document this history of the quartz crystal technological community. This dissertation contributes to the literature on technological communities and their role in facilitating technological and ecomonic growth by showing that though such communities often form spontaneously, their growth may be nurtured and stimulated through enlightened government regulation. As such, this dissertation should be of interest to scholars in the fields of history of technology, business history, management studies, and public policy.Ph.D.Committee Chair: Usselman, Steven; Committee Member: Ceccagnoli, Marco; Committee Member: Giebelhaus, August; Committee Member: Hunt, William; Committee Member: Krige, Joh

    Order of the Golden Heart: Charles Eberly, Ph.D., Ohio Kappa 1963

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    The Order of the Golden Heart is the highest honor that the Fraternity bestows on an alumnus. It is awarded to those few who give a lifetime of dedicated service to Sigma Phi Epsilon and whose contributions on the local, district, regional, or national level are truly significant. It honors men who influenced and enriched the lives of our undergraduate brothers by guiding, helping, teaching, and providing wisdom and by building a strong Fraternity and a positive fraternity experience.https://thekeep.eiu.edu/eberly_goldenheart/1000/thumbnail.jp

    Mental Health Screening After Trauma: A Concise Review

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    OBJECTIVE: To gain a better understanding of the value of mental health screening for PTSD risk in hospitalized trauma survivors. DATA SOURCES: Studies were pooled from a literature search performed on the Cumulative Index to Nursing and Allied Health Literature (CINAHL), PubMed, and the Cochrane Database of Systematic Reviews. STUDY SELECTION: Relevant studies published between 2015 and 2022 in English, excluding traumatic injuries incurred during combat. DATA EXTRACTION: Ten articles were selected for inclusion in this review. DATA SYNTHESIS: There is a significant and widespread mental health burden following traumatic injury. Early screening to quantify the risk for PTSD can guide interventions to mitigate PTSD development for a trauma survivor. Failure to screen for mental health issues after an injury may leave many individuals at risk of developing PTSD without the required care. CONCLUSION: The literature reviewed supports the need to protect mental health sequelae after traumatic injury. Mitigating sequelae was shown to be feasible with the adoption of a standardized PTSD risk screening process in trauma centers. Keywords: early intervention, post-traumatic stress disorder, PTSD, trauma, trauma center, trauma patient, traumatic injur

    Using simulation: Emergency care for patients with acute Myocardial Infarction

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    Cardiovascular disease is the leading cause of death in the United States, affecting nearly eighty million people (American Heart Association IAHAI, 2009). Included in this population are those with heart attack or myocardial infarction (MI). Coughlin (2008) estimated that about 1.2 to 1.5 million Americans will have an MI annually. For approximately thirty eight percent of these patients, it is a recurrent event

    Update: Franchising in Brazil

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    Effective advising practices: Undergraduate students\u27 perspective on the impact of academic advising at Rowan University in the Health and Exercise Science Department

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    The goal of this study was to analyze current undergraduate students\u27 perceptions of academic advising practices within the Health and Exercise Science Department (HES) at Rowan University. The department provides a rigorous and enlightening intellectual environment for the professional development, achievement and distinction of leaders in Education, Athletic Training, Public Health and Health Promotion and Fitness Management. Although there has been much research on student perceptions of academic advising, there has not been any done specific to Health and Exercise Science majors at Rowan University. Rowan University is currently undergoing massive changes during the COVID-19 crisis. With the transition to remote learning, there is an opportunity to make changes, modifications, and improvements to the current department-wide policies and procedures, including those related to academic advising practices. The results of this study will be shared with Rowan University\u27s Department of Health and Exercise Science to provide insight into the undergraduate students\u27 perceptions regarding academic advising

    Early Speech and Language Development: A Comparison of Typically Developing Children to Children with Cleft Palate.

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    Previous research has shown that parent implemented intervention is effective in increasing the speech and language development of children with cleft lip and palate. To further determine the efficacy of this intervention, this study compared the speech and language development of children with CLP, who received parent implemented intervention, with a group of younger, typically developing children, matched for vocabulary size. This study also evaluated the language differences between the mothers of both groups of children. Speech and language assessments were administered to the typically developing children and their mothers at two times to mirror the time of assessment for the children with clefts who received a three-month intervention, in a prior study. The findings revealed that both groups of children demonstrated the same amount of speech and language growth as well as the cleft group exhibiting a decrease in compensatory articulation errors
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