5,029 research outputs found

    The Impact of Cooking Groups on One Individual\u27s Transition to Independent Living

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    The goal of occupational therapy in inpatient psychiatric settings is to develop independent living skills and restore normative life roles vital for leading a fulfilling life in the least restrictive environment. In one psychiatric hospital, cooking groups are an essential intervention and environment in which to develop these skills and roles. The purpose of this qualitative case study is to describe OT cooking group programing in one inpatient psychiatric setting, understand one client’s experience with cooking groups and illustrate how her participation in these groups led to a successful transition to independent living. This study was guided by the transformative worldview and sought to challenge the stigma surrounding long-term psychiatric clients by highlighting the capability and strengths of one individual’s recovery. Retrospective data analysis was used to describe the case of one client in OT cooking groups and the impact on her transition to independent living. A total of 220 documents were analyzed from the individual’s records and were categorized into three data sources. Thematic analysis was used to compare and contrast codes across the data sources. Patterns of codes that were consistent across the data sources were refined into five themes. Patterns between cooking group and improved mood and hygiene were a significant finding, as well as helping the individual find a sense of belonging and family. Other themes illustrated specific challenges and barriers experienced by the consumer, and the role of OT cooking groups in promoting skills, supports and relational roles to overcome challenges

    Allophonic Variation in the Spanish Sibilant Fricative

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    In Spanish, the phoneme /s/ has two variants: [z] occurs in the coda when preceding a voiced consonant, and [s] occurs elsewhere. However, recent research has revealed irregular voicing patterns with regards to this phone. This dissertation examines two of these allophonic variations. It first investigates how speech rate and speech formality contribute to the gradient and variable nature of the voicing assimilation rule. Next, it explores possible intervocalic /s/ voicing in Highland Colombian Spanish. In accordance with other studies, the results showed partial voicing of coda position /s/ before voiced consonants (25%-80% voiced frication noise). Furthermore, there was scarce evidence for intervocalic /s/ voicing in the Colombian data (3%-35% voiced frication noise). Both studies led to the same conclusion; that gestural blending is a prominent and frequently occurring process in Spanish. In both cases, the vocal chords begin to vibrate in anticipation of the following sound (either a voiced consonant or vowel) before the constriction needed to produce the fricative has ended. The data revealed that there is a significant correlation between speech rate and the degree to which the adjacent segments overlap with one another. However, speech formality does not appear to be a function of the gestural overlap. In addition to the two factors tested (speech rate and speech formality), this dissertation also provides other possible factors which may affect the degree to which segments overlap such as its position within the syllable (onset versus coda) and following segment type (vowel versus consonant)

    Justifiability of Littering: An Empirical Investigation

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    The paper investigates the relationship between environmental participation and littering. Previous empirical work in the area of littering is scarce as is evidence regarding the determinants of littering behavior. We address these deficiencies, demonstrating a strong empirical link between environmental participation and reduced public littering using European Values Survey (EVS) data for 30 Western and Eastern European countries. The results suggest that membership in environmental organizations strengthens commitment to anti-littering behaviour, thereby supporting improved environmental quality.littering, environmental participation, environmental preferences, environmental outcomes

    Environmental Participation and Environmental Motivation

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    We explore whether environmental motivation affects environmental behavior by focusing on volunteering. The paper first introduces a theoretical model of volunteering in environmental organizations. In a next step, it tests the hypothesis working a large micro data set covering 32 countries from both Western and Eastern Europe using several different proxies to measure environmental motivation. As a robustness test we also explore the relationship at the macro level extending the number of countries investigated. Our results indicate a strong positive relationship between environmental motivation and individuals� voluntary engagement in environmental organizations.environmental participation, environmental motivation, environmental morale, pro-environmental attitudes, social capital

    Terminology, Technology and Design Intent of 20th Century Architectural Lighting and Establishing Criteria for Guidelines for Its Preservation

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    The advent of advanced electrical technology by the mid 20th allowed for an architectural fusion with what was once a secondary consideration for builders, ultimately culminating in lighting design as a profession. The development of electric light, and later, lighting design in America had many influences which drew from the realms of architectural design, engineering and the theatre and performing arts. The selected case studies characterize the overall progression occurring in the realm of integrated architectural lighting, as the architects utilized electric light as a building material. With a case study from the 1930s, one from the 1940s and one from the1950s, the lighting goals, early intent of the lighting design, installation and technical considerations of each are presented. As a secondary component to the case studies, their later (and more present day) renovations or restorations are evaluated for their relative success or failures in regards to the care and consideration of the original lighting schemes. In the revisiting of many of the interiors of this era, the now-fugitive lighting systems have been disregarded or replaced with less compatible, less complementary systems, thus destroying the ambience of the original space. If we are to accurately restore or renovate these unique American interiors, the process of researching, specifying and applying the original integrity through lighting must be achieved. Addressing these in further detail, the author has developed a series of criteria for guidelines for the preservation of early twentieth century lighting systems, which are a confluence of the previous mentioned historical research, in-depth case studies and an analysis of existing relevant guidelines

    The importance of stigma theory for clinical decisions related to diabetic foot amputations

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    The authors examine the unconsidered impact of social stigma theory on the shared clinical decision-making process for a patient with foot osteomyelitis and MRSA bacteremia facing the prospect of an amputation

    Immigration Legislation and Issues in the 114th Congress

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    The House and the Senate have considered immigration measures on a variety of issues in the 114th Congress. The Consolidated Appropriations Act, 2016 (P.L. 114-113) extends four immigration programs through September 30, 2016: the EB-5 immigrant investor Regional Center Pilot Program, the E-Verify employment eligibility verification system, the Conrad State program for foreign medical graduates, and the special immigrant religious worker program. P.L. 114-113 also contains provisions on the Visa Waiver Program and certain nonimmigrant visa categories. Other enacted immigration-related measures include the Border Jobs for Veterans Act of 2015 (P.L. 114-68) on border security personnel, the Adoptive Family Relief Act (P.L. 114-70) on intercountry adoption, and the National Defense Authorization Act for Fiscal Year 2016 (P.L. 114-92) on the Afghan special immigrant visa program. The House has passed several other immigration-related bills. Among them are the Northern Border Security Review Act (H.R. 455), the Preclearance Authorization Act of 2015 (H.R. 998), the Border Security Technology Accountability Act of 2015 (H.R. 1634), the Enforce the Law for Sanctuary Cities Act (H.R. 3009), and the American SAFE Act of 2015 (H.R. 4038). H.R. 998 has also been reported by the Senate Homeland Security and Governmental Affairs Committee with an amendment in the nature of a substitute. In addition, various bills on border security, interior enforcement, visa security, and asylum, among other issues, have been considered by a House or Senate committee. Border security- related measures have been reported or ordered to be reported by the House Homeland Security Committee (H.R. 399, H.R. 3583, H.R. 3586), or the Senate Homeland Security and Governmental Affairs Committee (S. 750, S. 1808, S. 1864,S. 1873). Interior enforcement provisions are included in bills ordered to be reported by the House Judiciary Committee (H.R. 1147, H.R. 1148, H.R. 1153) or reported by the House Appropriations Committee (H.R. 3128). S. 1635, as reported by the Senate Foreign Relations Committee, also contains interior enforcement- related provisions. Several of these interior enforcement bills also contain key provisions on other immigration issues. Among the other issues addressed in these bills are employment eligibility verification (H.R. 1147); visa security and naturalization (H.R. 1148); and expedited removal, asylum, parole, and unaccompanied alien children (H.R. 1153). H.R. 1149, as ordered to be reported by the House Judiciary Committee, also addresses unaccompanied alien children. This report discusses these and other immigration-related issues that have received legislative action or are of significant congressional interest in the 114th Congress. Department of Homeland Security appropriations are addressed in CRS Report R44053, Department of Homeland Security Appropriations: FY2016, and, for the most part, are not covered here

    Innovative Movement Strategies for Adolescents with Autism Spectrum Disorder: A Review of Dance and Exergaming Interventions

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    Background: Given the types of symptoms present in individuals with autism spectrum disorder (ASD), interventions should address deficits in motor control, social interactions, and emotional intelligence. Alternative interventions, such as exercise video gaming (exergaming) and dance movement therapy, may address these deficits in an engaging, age-appropriate manner, thus meeting the unique needs of adolescents with ASD. Objectives: The purpose of this paper was first, to review the current literature on ASD for innovative movement strategies feasible to address emotional, social, cognitive, and physical outcomes for adolescents ages 11-18; and second, to determine the effectiveness of these interventions. Methods: The databases used were: Pubmed, Cochrane Library, Web of Science, EMBASE, CINAHL, Psycinfo, REHABDATA, Human Kinetics Journal, and PEDro. Search terms included: autism or autism spectrum disorder; and dance, dancing or dance therapy, or exergaming, exergame, video gaming or video game. Selected articles were published in the last 10 years, written in English, and included subjects with ASD who participated in dance or exergaming interventions. After the initial screening of articles with relevant titles and abstracts, we included studies with evidence levels of 1-4. Results: Five dance therapy intervention studies showed moderate effectiveness for social and emotional outcomes such as empathy skills, emotional regulation, and negative symptoms of ASD. Four exergaming studies had moderate effectiveness for motor and physical outcomes, such as energy expenditure and perceived object control. Implications: Based on the review of dance and exergaming intervention studies, the authors recommend providing the interventions to selected clients depending on individual circumstances. Both dance and exergaming may be cost-effective and feasible in school settings. Future studies should include larger and more diverse samples with rigorous randomization procedures

    Associations between Bottle-feeding Intensity and Maternal Encouragement of Bottle-emptying

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    Objective: To explore longitudinal associations between bottle-feeding and maternal encouragement of infant bottle-emptying during the first 6 months of infancy. Design: Mothers completed questionnaires during the third trimester of pregnancy, then monthly during the first 6 months postpartum. Questionnaires assessed family demographics, maternal and infant weight status, infant feeding patterns and maternal encouragement of infant bottle-emptying. Setting: The Infant Feeding Practices Study 2, conducted by the US Centers for Disease Control and Prevention and the Food and Drug Administration. Subjects: Mothers (n 1776). Results: Repeated-measures regression was used to explore associations between bottle-feeding intensity (BFI; defined as the percentage of daily feedings that were from a bottle) and encouragement of bottle-emptying. Mothers who reported consistently high or consistently low BFI also exhibited consistently higher or lower frequency of encouraging their infants to empty the bottle (respectively) across the first 6 months of infancy, whereas mothers who reported increases in their BFI also exhibited concomitant increases in the frequency to which they encouraged their infants to finish the bottle. More frequent encouragement of bottle-emptying was also associated with feeding expressed breast milk (P\u3c0·001), and lower parity (P=0·01), pre-pregnancy BMI (P=0·002) and infant birth weight (P=0·001). Conclusions: More frequent use of bottles for infant feeding was significantly associated with more frequent encouragement of bottle-emptying. Further research using causal designs is needed to better understand whether the use of bottles promotes this controlling feeding practice or whether mothers with more controlling feeding practices opt to bottle-feed

    An exploration of complementary feeding practices, information needs and sources

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    Following complementary feeding (CF) guidelines might be challenging for mothers lacking time, resources and/or information. We aimed to explore CF practices, information needs and channels used to obtain information in parents living in areas of socioeconomic deprivation. Sixty-four parents of infants aged 4–12 months completed a short questionnaire and 21 were interviewed. Mean (SD) weaning age was 5 ± 2.5 months, foods given >7 times/week included commercial baby foods (33%) and fruits (39%) while 86% gave formula daily. The main sources of CF information were friends and family (91%), the internet (89%) and health visitors (77%). Online forums (20%), e.g., Facebook and Netmums, were used to talk to other parents because they felt that “not enough” information was given to them by health professionals. Parents felt access to practical information was limited and identified weaning classes or online video tutorials could help meet their needs. Themes identified in qualitative findings were (1) weaning practices (i.e., concerns with child’s eating; and (2) information sources and needs (i.e., trust in the National Health Service (NHS) as a reliable source, need for practical advice). In conclusion, parents are accessing information from a number of non-evidence-based sources and they express the need for more practical advice
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