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Establishing a Boundaryless Institute of Higher Education through Transcendence
In a modern era defined by technological advancements and rapidly changing markets, reforming traditional organizational structures is necessary to meet changing business and educational demands. One novel approach is to create a Boundaryless Institution of Higher Education. Jack Welch, CEO/Chairperson of General Electric and “management thinker,” pioneered the boundaryless organization in the 1990s. Being boundaryless means being flexible and dynamic with an emphasis on removing boundaries, both physical and conceptual. Educational leaders pursue boundaryless organizations in search of more inclusive, adaptable, and interconnected educational experiences for students. Successful boundaryless institutions of higher education shift from traditionally rigid educational structures to more fluid and adaptable models. Fluidity and adaptability ensure the institution can quickly respond to the economic development needs of its region, employers, community, and its students. This model will empower students, and ultimately graduates, with broader skills, global awareness, and the ability to maneuver rapidly changing personal, educational, and professional environments. Removing hierarchical organizational structures to create a boundaryless organization, stakeholders must create a work environment which promotes collaboration, innovation, and agility. Creating a boundaryless organization is a long-term process that requires commitment, patience, and flexibility and is best implemented as part of a servant leadership model. A boundaryless organization requires more than a change in organizational structure; it requires a cultural shift towards openness, transparency, and collaboration, including engagement with stakeholders
Does hyperbaric oxygen therapy (HBOT) increase the effectiveness of healing of tibial stress fractures in Division 1 female college distance runners?
Literature regarding the early stages of bone healing is limited, despite medial tibial stress syndrome being one of the most common injuries in runners. For the first four weeks after diagnosis, an athlete is only recommended to rest, this study aims to understand whether hyperbaric oxygen therapy could be used while an athlete rests to improve the rate and effectiveness of bone healing. The research project proposes a hyperbaric oxygen treatment protocol designed for D1 college distance runners following the diagnosis of a stress fracture
Drinking Behaviors Versus Perceived Norms of Kentucky College Students
Accidents and unintentional injury are the number one cause of death in college-aged adults. More than 1,500 college-aged students die from alcohol-related unintentional injuries per year, including motor-vehicle crashes. Other alcohol-related problems for college students include physical assault, sexual assault, and poor academic performance. In the state of Kentucky 17% of adults report binge drinking habits, and 1 in 4 deaths are due to vehicular accidents involving alcohol consumption. This is in line with the stats for the rest of the country. The purpose of the study is to assess the drinking habits versus perceived drinking norms of students attending a regional Kentucky university. Data will be gathered using a self-reported survey known as the Drinking Behaviors vs. Perceived Norms of Kentucky College Students Survey, consisting of 8 questions asking about their drinking habits versus what they perceive the drinking habits of their peers to be, and 6 demographic questions. The data will be analyzed using frequencies, percentages, and means for demographic results and chi-square analysis comparing self-reported drinking habits and perceived drinking norms. Results will be forthcoming.
Keywords: alcohol, norms, drinking behaviors, college student
Title: Changes in Mortality Associated with Exposure to Noxious Gases in the Southeast Region of the United States from 1990 to 2020
Introduction: Recent extreme weather events have led to a speculated increase in the use of temporary combustion sources for energy, and a recent event involving the death of U.S. marines sleeping in an air-conditioned car informed the research question and speculation that accidental deaths from noxious gases are increasing in the U.S. due to an increasing trend in exposure to dangerous concentrations of noxious gases. Noxious gases, including carbon monoxide, are recognized as deadly airborne pollutants that impact the respiratory system, blood circulation, and various parts of the body.
Objective: To determine the frequency of death from exposure to noxious gases and to identify patterns or trends in mortality in the Southeastern Region of the U.S. for preventing future deaths.
Methodology: Noxious gas-related mortality data for the Southeast Region of the U.S. were were obtained from CDC WONDER using the ICD code X47, accidental poisoning by exposure to other gases and vapors. and examined with consideration of months, seasons, day of week, and years.
Results: Data from 77 months in 1999-2009 versus 77 months in 2010-2020 revealed average monthly mortality rates increased from 0.33 to 0.38 deaths per million (p\u3c0.0001). Linear regression models show significant increases (p \u3c 0.05) in spring, fall, summer mortality rates (R-square: 35%, 73%, 60%, respectively), but no change in winter rates (R-sq: 1.4%, p = 0.60).
Conclusion: The Southeast Region of the U.S. has experienced an increase in the death rate associated with accidental deaths from exposure to noxious gases since 1990 warranting further research
Exploring the Efficacy of Interpersonal Psychotherapy Via Telehealth
The COVID-19 pandemic caused abrupt changes for healthcare providers across the globe. As a result of social distancing measures and stay-at-home orders, it was necessary that providers adapted their services to continue to reach their clients/patients. Specifically for the field of mental health, practitioners quickly and extensively adapted from a face-to-face format to providing their services using various forms of technology, otherwise known as telepsychology. Although telepsychology was established prior to the COVID-19 pandemic, the rapid adjustment forced practitioners to adapt their interventions to formats in ways that had not been proven to be effective. The purpose of the current project was to explore the research establishing the clinical utility of telepsychology as a treatment modality, in addition to a therapy style known as interpersonal psychotherapy, to treat various psychological disorders. Additionally, case studies from a clinician’s perspective are presented to demonstrate the effectiveness of interpersonal psychotherapy delivered via telepsychology. Results indicate that interpersonal psychotherapy provided through telepsychology may be an efficacious treatment for psychological disorders. The limitations of this study and future directions to further establish interpersonal psychotherapy via telepsychology as an appropriate treatment method are discussed
The Fragile X Syndrome Project: Replacing the Cumulative Final with an Authentic Assessment
The Fragile X Syndrome Project is an authentic, comprehensive assessment used in an upper-level Genetics course. Students not only demonstrate their knowledge, but also practice communicating genetic information as they would in their future careers as healthcare professionals
Evaluating Change in Skill Performance Over Time and Practice Context in Introductory Fieldwork Simulation
Simulation has been recognized for its ability to develop competency-level skills and as a replacement for some introductory fieldwork (FW) hours. This study explored how occupational therapy competency-related skills developed over sequential in-person simulations across health practice contexts during Level 1 FW. Entry-to-practice occupational therapy students (N = 66) participated in six sequential, formative, Level 1 FW simulations. The first three sequential simulations (the same patient case evolves in each successive interaction) included a trained simulated patient in a community mental health context and the following three engaged a trained simulated inpatient in a physical health context. Evaluation rubric variables included selected Competencies for Occupational Therapists in Canada (2021) scaffolded to performance expectations at an introductory Level 1 FW placement level. Quantitative pre-post comparison design with secondary data analysis was analyzed using Wilcoxon signed-rank test and ordered logistic regression. Each additional simulation demonstrated significant increases in the odds of improved performance in clinical skills, clinical decision making, responding to evolving patient’s needs and priorities, identifying their own strengths and weaknesses, articulating clinical reasoning, and receiving constructive criticism. However, students’ skills in the physical health context for decision-making and responding to the patient’s needs and priorities did not demonstrate the same improvement trajectories as the mental health context. Sequential simulations are an effective modality for developing Level 1 competency related skills in different practice contexts. Depending on the competency-related practice skill and context, three or more formative unfolding simulations in that context may be needed for a significant improvement
THE EFFECTIVENESS AND FEASIBILITY OF TELEHEALTH OCCUPATIONAL PERFORMANCE COACHING WITH YOUNG ADULTS WITH INTELLECTUAL DISABILITIES: A CASE STUDY
Background: College students with intellectual disabilities (ID) experience occupational performance barriers, impeding participation. Limited evidence-based techniques are available to therapists working with this population. Telehealth Occupational Performance Coaching (OPC) has been found to be an effective treatment technique for improving occupational performance and self-determination for populations outside of college students with ID.
Purpose: The purpose of this experimental case study was to test whether participation in a telehealth OPC program for college students with ID increases occupational performance, occupational satisfaction, and self-determination.
Theoretical Framework: Self-Determination Theory and the Canadian Model of Occupational Performance and Engagement (CMOP-E) provide for the theoretical framework for this project.
Methods: This study utilizes a case-study design. Pre/Post-testing was completed with the Canadian Occupational Performance Measure and Self Determination Adult Report (SDI:AR) and post-testing with the Telehealth Usability Questionnaire (TUQ) to provide descriptive quantitative analysis; field notes, the OPC fidelity measure, and recordings of the sessions provide for fidelity and reliability.
Results: Three students initiated participation in telehealth OPC, and one completed the program in full. There were increases in targeted goals of the COPM as well as in self-determination in the participant that completed the program.
Conclusions: This study provides preliminary support for the use of Telehealth OPC in certain students with ID who attend college. Further research is needed to determine which factors determine the appropriateness of this method in certain individuals
Geopolitical Shifts in Scandinavia: Analyzing the Diplomatic Trajectories of Sweden and Finland
The geopolitical landscape of Scandinavia has witnessed significant transformations over the past century, bringing nations like Sweden and Finland to the forefront of international relations discourse. This thesis examines the evolving diplomatic strategies of these countries in response to contemporary geopolitical challenges, including the assertiveness of Russia, the rise of global powers such as China and North Korea, and the implications of Iran’s nuclear ambitions. The invasion of Ukraine by Russia in 2022 serves as a critical juncture, prompting Sweden and Finland to reevaluate their long-standing policies of neutrality and non-alignment, ultimately leading to their recent NATO membership.
Tracing the historical evolution of Sweden and Finland’s foreign policies, this study explores how these nations have adapted their diplomatic practices in light of new threats, shifting alliances, and the pressures of a multipolar world. The research delves into the legacies of World War II and the Cold War, highlighting how these historical events have shaped contemporary security narratives and regional cooperation frameworks. As members of the European Union, both countries face unique challenges in balancing EU policies with their national interests, particularly in the context of defense, diplomacy, and development.
Sweden and Finland’s foreign policy frameworks are examined through the lenses of defense, diplomacy, and development, with attention to how each nation leverages its strengths in international cooperation. Sweden’s commitment to extensive development aid and sustainable development goals contrasts with Finland’s focus on technological innovation and economic diplomacy. These distinctions reflect broader strategic imperatives as both countries navigate the complexities of their NATO integration and their roles within the EU.
This thesis addresses the pivotal question: How have the diplomatic practices and foreign policy dynamics evolved in Scandinavia, particularly in Sweden and Finland, and what are the contemporary political and regional implications? Furthermore, how might these changes shape the future political landscape in Scandinavia and influence global affairs? By analyzing key policy decisions, public sentiment shifts, and the broader regional and global implications of their NATO membership, this study contributes to a deeper understanding of the evolving geopolitical role of Scandinavia. The research aims to provide critical insights into the future of Sweden and Finland’s foreign policies, their impact on regional security dynamics, and the broader implications for global affairs
Bridging the Gap: Factors Affecting College Students’ Use of University Health Services
This thesis, titled “Bridging the Gap: Factors Affecting College Students\u27 Use of University Health Services, investigates the barriers and motivators influencing student engagement with campus health resources at Eastern Kentucky University (EKU). Given that approximately 2,000 college health centers across the U.S. serve over 20 million students, understanding why some students underutilize these services is crucial for enhancing campus health outcomes (National College Health Assessment - ACHA, 2024). Using a mixed-methods approach, the research gathered data through surveys (n = 118) and an in-depth interview with the EKU Student Health Coordinator. The study aimed to identify key factors affecting students\u27 decisions to use or avoid health services, focusing on elements such as accessibility, awareness, affordability, and perceived stigma. Results showed that while 73% of respondents had utilized the health center, significant barriers like a lack of awareness (33.3%), inconvenient hours, and a perceived lack of need (32.6%) hindered others from seeking care. Conversely, motivators for service use included affordability, convenience, and positive recommendations from peers. The research highlights a gap in awareness, with only one-third of students fully informed about the available services, suggesting potential areas for improvement. Based on these findings, the study proposes actionable recommendations such as expanding clinic hours, launching targeted awareness campaigns, and optimizing appointment systems to reduce wait times. These strategies aim to increase student utilization of health services, thereby promoting a healthier campus environment and supporting students’ academic and personal success