Cancer Survivorship: Promoting a Lifetime of Health

Abstract Introduction Cancer survivors can face post-cancer treatment effects that need addressing throughout their care trajectory. Education provided to stakeholders and patients will be beneficial in preventing fragmented care, increasing patient satisfaction, and expanding ongoing supportive clinical survivorship care. Methods An adapted Dr. Joanne Lester survivorship needs survey was given to n=7 post-cancer treatment patients within a northern California cancer patient advisory committee. The survey results were analyzed to identify common underserved chronic long-term survivorship needs. Based on the data, an evidence-based educational component was included within a booklet to enhance future survivorship care. Additional surveys were sent to stakeholders within the oncology clinic and to the committee survivors to ensure that the educational information for the booklet was accurate and supportive to patients. Results The Lester adapted survey had a 71% completion rate by the patient committee. An analysis of the survey results determined the most prevalent unaddressed symptoms after treatment including post-treatment skin issues, fatigue and depression. Overall, the results of the follow-up surveys were positive with most participants either strongly agreeing or agreeing with the evidence-based research and interventions within the booklet component. 20% of those surveyed felt that the material on skin care could be expanded further, which was addressed by incorporating additional researched information into the post-treatment skin care section. Conclusions By integrating informational literature for post-treatment patients improvements in survivorship care were made, which reduces educational deficits within an oncology clinic setting. The results from the original and follow-up surveys highlight the need for ongoing support in the cancer survivorship population. Keywords: survivorship, post-treatment, oncology, suppor

Until superheroes learn how to use their power: Exploring the triple consciousness of African American male students identified as dis/abled

As early as elementary school, African American students are labeled and passed along from teacher to teacher with negative stigma and stereotypes (Wright, 2018). This negative academic self-concept adversely affects and shapes a deficit lens rather than a strength-based perspective and may further perpetuate trauma, mirroring the disproportionate inequities within education (Banks, 2017; Wright, 2018). The purpose of this qualitative instrumental case study was to explore how African American males identified as having specific learning dis/abilities understand their triple consciousness and what particular experiences influence their post-high school decisions (Stake, 2006). The study investigated the multidimensional lived experiences of eight African American male high school seniors identified as having specific learning dis/abilities. The findings redrew the generalizations of DuBois\u27s (1903) double consciousness as a new perspective of awareness and critical consciousness for students with multidimensional identities that are interdependent of race and ability (Annamma & Morrison, 2018). The conceptual framework of triple consciousness was used to guide the study and recognize the varied lived experiences, influences, and self-awareness of an individual with multidimensional identities

AGRICULTURAL ADAPTATION TO URBANIZATION IN SOUTHEASTERN PENNSYLVANIA

Most agricultural output in the northeastern United States comes from counties that have experienced significant development. A mail survey, with 300 responses, was conducted in southeastern Pennsylvania to determine farmer adaptation to urbanization in this region. Despite development, traditional agriculture still predominates. Changes in land use were examined using multinomial logit models. Results show that change in population density and farm preservation policies have an influence, as increased population density reduced total land operated and having land in an agricultural security area increased it. Both differential assessment and agricultural security areas increased the cultivation of traditional, land extensive crops.Agricultural and Food Policy, Community/Rural/Urban Development,

LOCATIONAL EFFECTS OF URBANIZATION ON AGRICULTURE IN SOUTHEASTERN PENNSYLVANIA

Most agricultural output in the northeastern United States comes from counties that have experienced significant development. A mail survey, with 300 responses, was conducted in southeastern Pennsylvania to determine farmer adaptation to urbanization in this region. Despite development, traditional agriculture still predominates. Changes in land use were examined using multinomial logit models. Results show that changes in population density and farm preservation policies have an influence, as increased population density reduced total land operated and having land in an agricultural security area increased it. Other measures of urbanization, such as proximity to a city or inter-state highway had no statistically significant effect on farm practices. Keywords: Agricultural adaptation, rural development, off-farm income, urbanization, land useAgricultural adaptation, rural development, off-farm income, urbanization, land use, Land Economics/Use,

LAND TITLING IN PERU: IS IT FULFILLING ITS PROMISE?

The objective of this paper is to determine the impact of land titling in coastal Peru on the beneficiaries of this program. The paper examines the effects of land titling on access to credit, on-farm investment, the use of conservation techniques and the functioning of land markets.Land Economics/Use,

Developing productive dispositions towards assessment in first-year business students

Background/context: Mediating students' learning experiences through curriculum and assessment (Kift, 2015) is particularly important at a regional university with highly diverse student populations. This presentation investigates the efficacy of an approach that aims to simultaneously develop first year students' "productive dispositions" (Kilpatrick, Swafford, & Findell, 2006) towards higher education assessment and written communication skills. The initiative/practice: A first-year core subject in the Bachelor of Business became fertile ground for collaboration between the disciplinary academic and teaching and learning support academics, on account of its authentic assessment tasks, involving professionally-relevant, written-response genres. With a view to maximising student engagement and achievement, we focussed on a 'live case' marketing blog and report, and developed clear and detailed assessment task descriptions, criteria-standards rubrics, and online support resources drawing on student exemplars. Methods of evaluative data collection and analysis: A mixed methods (Cresswell, 2014) approach was used including data generated through the learning management system’s analytics pertaining to student engagement with the online support resources, student assessment performance, and student evaluation survey responses. Findings based on two internal cohorts (n ≈ 148; 236) and one external cohort (n ≈88) indicate that, across all cohorts, access to the support resources was higher for students achieving a Distinction standard or above (i.e., ≥75%) on the assessment tasks in comparison with other students. Of these higher performing students, the external cohort had the highest level of engagement with the assessment materials, in terms of the number of times the resources were accessed and length of viewing time. Students with unsatisfactory results (<50%) on assessment tasks had limited engagement with the support resources. Evaluation survey responses (n = 123; 26% response rate) show that, on average, students "agreed" (4 on a 5 point Likert scale) that the materials helped them to understand and structure their responses to the assessment tasks. In their open-ended responses, students communicated that the suite of resources provided '…very helpful examples' and '…more informative explanation of each section of the assignment' and '…helped with structure', while some thought the video recordings were too long, with one student stating '… I want the necessary information quickly'. Evidence of outcomes and effectiveness: Nearly all students to some extent "behaviourally engaged" with the support resources, however, findings suggest that higher performing students had higher levels of "cognitive engagement", evidenced by higher use and investment of time in the resources (Fredericks, Blumenfeld, & Paris, 2004). While the online provision of detailed task descriptions, rubrics and support resources enabled a "readiness environment" (Mostafa, 2015) for effective and self-paced student participation, it would seem that promoting engagement with online resources among internal students requires academics to provide more explicit cues in, and orientation to, a blended learning environment

Diurnal Oviposition of Blow Flies in Different Aged Carrion

Blow flies (Diptera: Calliphoridae) are among the first insects to oviposit (lay eggs) on carrion. The timing of blow fly oviposition is critical for determining a postmortem interval (PMI) estimation, which is the time that has passed between death and corpse discovery. The objective of this investigation is to gain more information about the timing of blow fly oviposition in relation to sunrise. Past research in our lab has shown that blow fly oviposition occurs an average of 4.75 hours after sunrise. This year’s research expanded on previous studies by placing six piglets of different ages, in a remote, wooded area one hour after sunrise. To see if there was a difference in the timing of oviposition related to the age of the carrion, three of the piglets had been thawed for 15 hours (new pigs), and the other three had been thawed for approximately 55 hours (old pigs). The piglets were checked once an hour until oviposition occurred, and it was recorded whether flies and eggs were present each hour. Egg masses were collected and reared to the third larval instar stage for identification using taxonomic keys. The timing of oviposition, in hours after sunrise, was compared between treatments and there was no significant difference found (P=.441). The research was repeated five times in the fall of 2017. The most common flies found ovipositing were Diptera: Calliphoridae, Phormia regina (Meigen) and Diptera: Calliphoridae, Lucilia coeruleiviridis (Macquart). This research has importance in both the scientific and forensic communities, as a more accurate PMI can strengthen the validity of a forensic investigation

Peer Student Mentoring for Nursing Program Persistence and Leadership Development

Mentoring relationships are used in education, practice, and administration settings to foster professional growth.  Mentoring is a valuable process, requiring intentional, committed, and purposeful interactions between two or more professionals or students. At one rural university student retention and persistence was identified by administration as problematic. In response faculty devised and implemented a program providing students the opportunity to be a mentor or be mentored given that mentoring offers occasions for students to support one another while the more experienced student engages the less experienced student. This paper explains the findings of a three year cohort descriptive mentoring study utilizing a convenience sample of admitted senior students who served as mentors for first year student mentees interested in nursing. Mentors and mentees experienced rich engagement opportunities in formal and informal meetings as faculty evaluated student persistence and leadership skills

Individual differences in pain sensitivity are associated with cognitive network functional connectivity following one night of experimental sleep disruption.

Previous work suggests that sleep disruption can contribute to poor pain modulation. Here, we used experimental sleep disruption to examine the relationship between sleep disruption-induced pain sensitivity and functional connectivity (FC) of cognitive networks contributing to pain modulation. Nineteen healthy individuals underwent two counterbalanced experimental sleep conditions for one night each: uninterrupted sleep versus sleep disruption. Following each condition, participants completed functional MRI including a simple motor task and a noxious thermal stimulation task. Pain ratings and stimulus temperatures from the latter task were combined to calculate a pain sensitivity change score following sleep disruption. This change score was used as a predictor of simple motor task FC changes using bilateral executive control networks (RECN, LECN) and the default mode network (DMN) masks as seed regions of interest (ROIs). Increased pain sensitivity after sleep disruption was positively associated with increased RECN FC to ROIs within the DMN and LECN (F(4,14) = 25.28, pFDR = 0.05). However, this pain sensitivity change score did not predict FC changes using LECN and DMN masks as seeds (pFDR &gt; 0.05). Given that only RECN FC was associated with sleep loss-induced hyperalgesia, findings suggest that cognitive networks only partially contribute to the sleep-pain dyad