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Strategic Visions - Volume 21, No. 1 (2021)
No full textFull issue of Strategic Visions - Volume 21, No. 1 (2021
ADHD and DIRAS Single Nucleotide Polymorphism as an Indicator of Prolonged Concussion Recovery
No full textThe purpose of this study was to determine the association between the presence of a single nucleotide polymorphism (SNP; rs1412005) within DIRAS2 (i.e., a gene associated with attention-deficit/hyperactivity disorder (ADHD) and prolonged recovery following a sport-related concussion. A case-control study design was implemented, where cases and controls were selected from a cohort of 117 deidentified concussed athletes. Eleven samples from this patient cohort self-reported ADHD diagnosis and were age and sex-matched to 22 participants with no self-reported ADHD diagnoses. The average recovery times were 21.50 + 13.96 days and 15.66 + 8.50 days for the case and control groups, respectively. The authors found that only 13.6% of the individuals without an ADHD diagnosis recovered in > 30 days (p = 0.044). Also, the authors found that 72.7% of the carriers of the T allele (i.e., minor allele) recovered in greater than 30 days (p = 0.213). Researchers concluded that individuals with ADHD had a higher risk of prolonged concussion recovery lasting greater than 30 days. Also, carrying the rare allele was associated with prolonged recovery, which suggests this SNP could be a potential genetic marker for both prolonged concussion recovery and the presence of ADHD
Imagining a Better Classroom: Infographics to Build Learning Communities
Get PDFInnovative new teaching techniques continue to grow, but a solid grounding in the basic elements of good teaching pedagogy and clear communication is also needed. The foundation of a classroom should be a learning community in which students and instructors alike share a safe space to learn new content, engage in activities to practice with course materials and build skills, and to evaluate progress towards course learning goals. There are some instructors who were not formally trained to teach in higher education and may use the materials that were handed down to them, but not truly know how to develop their own course from the beginning. In this article, we reimagine building a better classroom through the use of infographics. The benefit of infographics is that a picture allows the instructor to interpret the image and adjust for their teaching style and the context of the course. Key elements of good teaching include course alignment, class planning, clear communication with students and collaboration between the instructor and students. Moreover, Covid-19 has heightened awareness of the need for instructors to consider the individual student and ensure that they are set up for success in the context of the class and being a student more generally. We showcase a set of six infographics to demonstrate the use of this medium to develop a successful and enjoyable course and discuss the ways in which the infographics can guide development of an evidence-based teaching approach. 
Vision Payment Claims Analyses with Health Insurance
No full text The purpose of this study was to identify associations between insurance type and costs and to investigate specified variables’ influence on individuals’ access to adequate coverage. This was a cross sectional study, using secondary data analyses. The study was completed at The Eye Institute (TEI) East Oak Lane Campus in Philadelphia, PA. The study population was all patients seen at TEI East Oak Lane Campus, specifically patients seen at TEI clinic from January 1st, 2019, - to December 31st, 2019, whose encounter generated an insurance claim (n=68,484). The exposure was insurance type and outcomes were patient total amount, billed amount, and pay amount by patient. Data analyses were performed using SAS, version 9.4. In all statistical analyses, p-values were one-sided and considered statistically significant if 0.05 or lower. The study protocol was approved by the Institutional Review Boards of Salus University. The sample represented an older population with an average age of about 55. There was a significant association found between financial class with patient total amount (p<0.0001), billed amount(p<0.0001), and pay amount (p<0.0001). People with managed PPO pay the least, while those on Medicaid and workers compensation pay the most out of pocket. The two Philadelphia zip codes which pay the most out of pocket have two of the lowest average household incomes in the Greater Philadelphia area. Insurance type and out of pocket expenses potentially have a negative effect on patient vision health and affordability of care as well as access to care. These findings contribute to the identification of variables that influence individual’s healthcare accessibility and evidence for opportunities to improve insurance coverage.
 
