Early Intervention Occupational Therapy Program Development Abroad

This program aimed to address the disparity in access to early intervention (EI) occupational therapy (OT) services which exists in certain communities abroad. This project worked with The Inspiration Center (TIC) in Belize, a community identified through needs assessment as having limited access to OT services, to expand current programming to include EI OT services, to increase understanding of the role of OT, to advocate for the OT profession within Belize, and to increase access to EI services for families with children with disability and/or developmental delay within the country. An emphasis was placed on caregiver coaching and culturally responsive approaches to improve sustainable and ethical program development. Needs assessment involved observations of OT sessions delivered to EI populations in American Samoa and Belize via telehealth, literature review, attendance of a cultural training program, and interviews with providers with experience in international service delivery. Program development included a culturally immersive service learning trip to Belize, advocacy for EI and OT, education on the role of OT, and supporting TIC for further program expansion. Program results included increased understanding of the role of OT among TIC staff, improved access to OT for EI populations, and community advocacy for the OT profession.https://soar.usa.edu/otdcapstones-spring2022/1037/thumbnail.jp

Evaluating the Trezzo range of static foam surfaces: results of a comparative study

This paper presents analysis from a 6-week prospective product evaluation of the Trezzo range of mattresses, compared to standard foam mattresses, in use on two clinical areas within Pennine Acute NHS Trust. Data were collected via distribution of three questionnaires. A patient experience questionnaire was completed by patients after using their mattress. This questionnaire elicited responses relating to patient comfort, temperature and sleep quality while using the mattress (and cushion if appropriate). The Trezzo mattress was found to be comparable to the standard NHS mattress in these domains. A staff clinical evaluation (patient) questionnaire was completed by nursing staff on behalf of patients in their care at patient admission and discharge. This questionnaire elicited responses relating to patient skin condition, and incidences of pressure ulceration. The Trezzo mattress was found to be comparable to the standard NHS mattress with respect to changes in patient skin condition during hospital stay. A second staff clinical evaluation (mattress) questionnaire was completed by nursing staff, in which the Trezzo mattress was compared against standard mattresses in the domains of aesthetics, ease of use, ergonomics and temperature control; patient moving and handling and mattress stability; and cleaning and sodium hypochlorite use. The Trezzo mattress scored substantively higher than the standard mattress on all of these domains; with differences being statistically significant in all cases

13.4.12. Control of Phragmites or Common Reed

Phragmites, or common reed, is a perennial grass often associated with wetlands. When phragmites is interspersed with open water or with other vegetation, waterbirds and small mammals find cover among the stems. Its dense root systems strengthen dikes and roads. On many sites, however, this robust emergent forms monotypic, impenetrable stands having little value for waterfowl. Ducks occasionally nest on the edges of large stands, but avoid the dense interior. Phragmites is native to North America and is found worldwide, primarily in lowland temperate regions. Phragmites can occupy upland sites with seeps, or grow in brackish or fresh water several feet deep. Large monocultures are usually associated with impounded areas and resultant stabilized water regimes. Such sites, having levees or water-control structures that keep large areas moist for long periods, create ideal situations for phragmites to become a problem. The plants are less competitive when there is variation in water levels among wet and dry seasons and years. Growth is often stunted where soil fertility is extremely high or low or where salinity is high. Phragmites usually establishes itself on dry borders of marshes, but frequently invades shallow water foraging sites by out-competing and subsequently replacing more desirable emergent plants. Because waterfowl benefit from interspersion of phragmites with other plant species and water, we do not recommend eradication of this plant from wetlands. Instead, phragmites should be controlled only to the degree necessary to achieve management objectives. By understanding the ecology and life history of phragmites, such control is more easily achieved

13.4.12. Control of Phragmites or Common Reed

Phragmites, or common reed, is a perennial grass often associated with wetlands. When phragmites is interspersed with open water or with other vegetation, waterbirds and small mammals find cover among the stems. Its dense root systems strengthen dikes and roads. On many sites, however, this robust emergent forms monotypic, impenetrable stands having little value for waterfowl. Ducks occasionally nest on the edges of large stands, but avoid the dense interior. Phragmites is native to North America and is found worldwide, primarily in lowland temperate regions. Phragmites can occupy upland sites with seeps, or grow in brackish or fresh water several feet deep. Large monocultures are usually associated with impounded areas and resultant stabilized water regimes. Such sites, having levees or water-control structures that keep large areas moist for long periods, create ideal situations for phragmites to become a problem. The plants are less competitive when there is variation in water levels among wet and dry seasons and years. Growth is often stunted where soil fertility is extremely high or low or where salinity is high. Phragmites usually establishes itself on dry borders of marshes, but frequently invades shallow water foraging sites by out-competing and subsequently replacing more desirable emergent plants. Because waterfowl benefit from interspersion of phragmites with other plant species and water, we do not recommend eradication of this plant from wetlands. Instead, phragmites should be controlled only to the degree necessary to achieve management objectives. By understanding the ecology and life history of phragmites, such control is more easily achieved

St. Francis-Xavier Mission : Kahnawake, Quebec

Architecture is a statement of the people that produced it. However, the production is not solely the design of the architect, but the actual hands that pulled the stone from the ground, carried the stone to the site and fitted the hand-chiseled pieces together. It stands as a testament to the women that found the lime and carried it in skirts full to the construction site. This Roman Catholic Church, on the Kahnawake Reservation permeated the life and soul of the community and the individual. This thesis examines the Catholic architecture, the Catholic culture and the Catholic endurance that resided, and continues to reside, in a marginalized community. Absolute conversion can only be achieved through ritualistic, highly organized and continuous bombardment. Shirley Scott, an elder in the community, once said, " We chose to adapt, rather than adopt. " As the congregation slowly diminishes, the edifice is left to stand as sculpture, testifying to an upheaval in colonial times