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Updated Poster Presentation Abstract (n = 58) From 2020 Combined Sections Meeting Of The American Physical Therapy Association: How Well Do Clinical Walking Measures Predict Natural Walking Behavior In Parkinson Disease?
Get PDFDeclines in the amount and intensity of natural walking behavior in people with Parkinson disease (PD) may precede declines in motor behavior, gait, and balance. Physical interventions targeting walking behavior in PD may have the greatest impact on slowing the progression of disability. Despite a lack of supporting evidence, however, clinicians may be more likely to rely on quick performance measures of walking speed, capacity, and balance to make inferences about a patient’s walking health, rather than direct measures of natural walking behavior. Our primary purpose, therefore, was to examine the extent to which clinical walking measures might predict natural walking behavior in early to mid-stage PD. Secondarily we sought to explore differences in the predictive capability of clinical measures between relatively less active and more active participants
Side View, All Souls Church, Westbrook Junior College, Mid 20th Century
No full textA side view of All Soul\u27s Church from the Westbrook Junior College campus is pictured around mid 20th century in this sepia toned photograph. Its facade is painted off-white or pale tan with a darker tan on its fascia and trim. The belfry has open portals and the tall spire has small Gothic windows on its sides.https://dune.une.edu/wchc_photos_allsouls/1004/thumbnail.jp
Comprehensive Review Of Current Endodontic Sealers
Get PDFEndodontic sealers for non-surgical root canal treatment (NSRCT) span many compositions and attributes. This comprehensive review discusses current types of endodontic sealers by their setting reaction type, composition, and properties: zinc oxide-eugenol, salicylate, fatty acid, glass ionomer, silicone, epoxy resin, tricalcium silicate, and methacrylate resin sealers. Setting time, solubility, sealing ability, antimicrobial, biocompatibility, and cytotoxicity are all aspects key to the performance of endodontic sealers. Because sealing ability is so important to successful outcomes, the relative degree of microleakage among all the relevant sealers was calculated by way of a meta-analysis of relevant literature. Compared to AH Plus, tricalcium silicate sealers show the lowest relative microleakage among the sealers assessed, followed by silicone sealers and other non-AH Plus epoxy resin sealers. Tricalcium silicate sealers also exhibit the most favorable antimicrobial effect and excellent biocompatibility. Future sealers developed should ideally combine a hermetic seal with therapeutic effects
Evaluating Leadership Development Through Experiential Learning In A Virtual Environment
Get PDFThe strategic leadership center of a senior military service college collaborated with an elite law school to provide leadership development to senior law school students. The focus was an International Strategic Crisis Negotiation Exercise set in the South China Sea. Due to an unexpected global health pandemic the course was forced online to a virtual environment. The strategic leadership center gathered data from volunteer students and their mentors to determine the impact of the virtual setting. Using four archival datasets, a program evaluation was conducted using a case study methodology to determine the effectiveness of experiential learning through simulation in a virtual environment and to gain an in-depth understanding of its impact on the development of the leadership soft skills of teamwork, communication, and negotiation techniques for senior law school students from the perspective of students and their mentors. The research study found that experiential learning through simulation in a virtual environment was highly effective and transformative. The interpretation of the ten findings is enlightening and contributes to a more complete understanding of experimental learning. The significance of the study is its contribution to leadership education, legal education, and education policies
Saint Francis Buildings (photo #4)
No full textSign advertising housing at Saint Francis Collegehttps://dune.une.edu/sfchc_photos/1006/thumbnail.jp
The Effect Of School Discipline Processes On Student Perceptions Of Personal Safety In Rural Middle Schools
Get PDFThere is a need to clearly communicate expectations and consequences of misconduct to deter students from engaging in negative behaviors that create a physically or psychologically unsafe learning environment at school. A poor school climate has been found to have a detrimental effect on student achievement. A positive learning environment can transform negative situations into positive ones and have a beneficial effect on student behavior and achievement. This study explored the effect of a proactive discipline program on students’ perceptions of their physical and psychological safety in rural middle schools. The research questions for this study asked what factors most influence students’ perceptions of their own physical and psychological safety and does the pattern of office referrals for discipline reflect students’ perceptions of their own safety? The participants of this study were 1047 grade seven students across six middle schools in a rural school district in Western Canada. Documentation was gathered from a three-year period from 2016 to 2019 and includes office referral data from the MyEducation database and the Student Learning Survey data from each school for the three academic school years.
This researcher found a pattern that indicated students at middle schools with lower numbers of office referrals felt psychologically safer. In middle schools with low numbers of office referrals students felt a high sense of belonging, more welcomed in the school, that adults treated them more fairly, they understood human rights and respected diversity, considered others in their decision making, more heard by adults in the building, respected differences and used less nicotine and alcohol products. Conversely in schools with high numbers of office referrals students felt bullied less, felt safer travelling to and from school and had lower levels of school related stress and anxiety which suggests that students in schools with higher number of office referrals feel physically safer. Office referrals are only one measure of student behavior, and additional data need to be collected to further examine these patterns. There is a need for policy reform to ensure that school wide behavior intervention systems and conflict resolution skills are taught to staff and students so that more proactive measures are taken to prevent poor behavior from occurring
McKenzie Based Approach For Screening Lumbar Spine In A Patient With A Hamstring Strain: A Case Report
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Background and Purpose: The leading cause of musculoskeletal (MSK) disorders globally is low back pain (LBP). Historically, research efforts have been focused on the pathoanatomical causes of LBP. However, recent evidence found a high prevalence of structural abnormalities in the lumbar spine using magnetic resonance imaging (MRI) in asymptomatic patients and it is common that spinal pathology is the true culprit for patients referred to physical therapy (PT) with extremity diagnoses. Therefore, research has shifted to focus on classification systems to group patients based on subjective responses to specific movement patterns. The purpose of this case report was to outline the implementation a classification system, the McKenzie Mechanical Diagnosis and Treatment (MDT) method and discuss its potential in screening for spinal involvement in lower extremity (LE) PT referrals.Case Description: The patient was a 47-year-old male referred to PT by his primary care provider with a diagnosis of a hamstring strain. He received PT twice a week consisting of education, LE strengthening, directional preference exercises, manual therapy, and a home-exercise program.Outcomes: Proper sub-group classification of posterior derangement syndrome was achieved through the McKenzie algorithm. Centralization of pain was achieved, and the patient’s pain levels decreased from 3/10 to 1/10 based on the Numeric Pain Rating Scale (NPRS). The patient improved his lumbar range of motion (ROM) and global hip strength resulting in functional improvement.Discussion: Lower extremity pain masking the presence of LBP is common. This case report demonstrated that MDT may be effective at ruling out spinal involvement in LE PT referrals by addressing this hypothesis first. In doing so, MDT prevents the waste of healthcare resources by avoiding mis-directed treatments.https://dune.une.edu/pt_studcrpres/1007/thumbnail.jp
Investigating Early Childhood Educators’ Experiences In Teaching Phonological Awareness: A Case Study
Get PDFLiteracy instruction, or teaching educators how to teach reading, is increasingly important as the effects of illiteracy impact everyone from the individual level to the societal level. The cost of illiteracy to the global economy is estimated at $1.2 trillion U.S. dollars (World Literacy Foundation, 2015). Improving literacy for all becomes a social justice concern as access to literacy opens avenues to further education and to improved physical and mental wellbeing. Over the past forty years, neurocognitive and behavioral science has demonstrated how the human brain learns to read. However, educator training programs and professional development have not kept pace with emergent science, leaving educators ill prepared to teach reading. The problem addressed in this study was the impact of professional development about the science of reading, specifically improving educators’ own understanding phonological awareness, beliefs and perceptions of reading instruction. Three research questions guided this study. Educators were asked to describe their professional development experiences in the areas of literacy and phonological awareness; to describe any changes they made to their pedagogical practices as a result of their learning; to use their observational skills and to indicate if they observed students responding to the changes the educators made to their instructional practices.
Five themes emerged from the data analysis, including a) Change, b) Collaboration, c) Confusion, d) Confidence, and e) Communication. Findings from the case study described educators’ recommendations on how to improve professional development and instructional processes. Recommendations included clear consistent communication, differentiated and tiered professional development, and time for knowledge building, collaboration and application. Providing educators with the knowledge to fill in the gaps in their understanding, the time to process, reflect, and apply the research and strategies as well as the purpose and rationale behind the professional development will aid them in making meaningful pedagogical change
Diabetes Management
Get PDFThis educational pamphlet provides information on diabetes management for young adults with type 2 diabetes. Healthy habits and environmental defaults are reviewed. Tips are provided to overcome unhealthy default behaviors through lifestyle improvements.https://dune.une.edu/an_studedres/1165/thumbnail.jp
