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    A Magazine Spring 2022

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    Drive-Through Urgent Care Centers: Could They Be the Future of Healthcare Facilities?

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    This study assessed the perception of people toward drive-through healthcare services, their willingness to use them, and the scope of services they would like to receive in a post-pandemic world. The abrupt spread of COVID-19 urged healthcare facilities to adopt new infection-control measures. Drive-through testing facilities were implemented as one of the measures to minimize physical contact between healthcare workers and test-takers. Many studies describe drive-through models’ merits, but people’s opinions about them as a permanent attachment to healthcare facilities are unclear. An online survey was distributed through snowball sampling. The survey solicited feedback from adults who lived in the United States. The survey consisted of Likert-type and multiple-choice questions and was completed by176 eligible participants. The use of drive-through pharmacies increased after the spread of COVID-19. Most people agreed drive-through healthcare services could be more convenient and safer to use. People prefer to have their vitals checked, and vaccinations received in a drive-through because of the improved infection-control matters and increased comfort; however, they are neutral about the level of privacy they have and the hygiene of drive-through healthcare settings. This study shows permanent drive-throughs offering medical services benefit people in times of crisis for the perceived infection control purposes and the improved convenience. A drive-through model can redefine the waiting experience and serve as a new safe triage system in urgent care centers. Drive-through urgent care centers can be adopted as a hybrid of telemedicine and in-person visits.</p

    Developmental differences in monitoring accuracy and cue use when estimating whole-number and fraction magnitudes

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    Magnitude understanding and metacognition are important in life and for academic achievement. In two studies, we examined children\u27s and adults\u27 metacognitive awareness of their wholenumber and fraction magnitude estimates. There were few differences between grades or numerical ranges in third through fifth graders\u27 (8-12-year-olds\u27) and adults\u27 (18-59-year-olds\u27) item-by-item confidence and familiarity judgments, even when there were differences in estimation precision. A brief experience with unfamiliar fractions did not lead to greater familiarity or confidence, likely because of participants\u27 extensive prior experiences with numbers. Monitoring accuracy was poor across grades and number types, suggesting it may be limited in number-line estimation. Additionally, participants relied on their familiarity to monitor their performance more during fraction than whole-number estimation, likely because people thought many large whole numbers were equally unfamiliar. Our data suggest people use different cues to monitor their fraction and whole-number magnitude estimation performance, yet monitoring accuracy is similar across grades and number types.</p

    Analysis of Movement Entropy during Community Dance Programs for People with Parkinson\u27s Disease and Older Adults: A Cohort Study

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    Dance therapy can improve motor skills, balance, posture, and gait in people diagnosed with Parkinson\u27s disease (PD) and healthy older adults (OA). It is not clear how specific movement patterns during dance promote these benefits. The purpose of this cohort study was to identify differences and complexity in dance movement patterns among different dance styles for PD and OA participants in community dance programs using approximate entropy (ApEn) analysis. The hypothesis was that PD participants will show greater ApEn during dance than OA participants and that the unique dance style of tango with more pronounced foot technique and sharp direction changes will show greater ApEn than smoother dance types such as foxtrot and waltz characterized by gradual changes in direction and gliding movement with rise and fall. Individuals participated in one-hour community dance classes. Movement data were captured using porTable 3D motion capture sensors attached to the arms, torso and legs. Classes were also video recorded to assist in analyzing the dance steps. Movement patterns were captured and ApEn was calculated to quantify the complexity of movements. Participants with PD had greater ApEn in right knee flexion during dance movements than left knee flexion (p = 0.02), greater ApEn of right than left hip flexion (p = 0.05), and greater left hip rotation than right (p = 0.03). There was no significant difference in ApEn of body movements (p &gt; 0.4) or mean body movements (p &gt; 0.3) at any body-segment in OA. ApEn analysis is valuable for quantifying the degree of control and predictability of dance movements and could be used as another tool to assess the movement control of dancers and aid in the development of dance therapies.</p

    Self-care behaviors and affect during the early stages of the COVID-19 pandemic

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    Objective: Self-care behaviors aimed at maintaining physical and mental health are often recommended during stressful contexts. We tested emotional predictors of self-care behaviors (healthy eating, exercise, engaging in a hobby, relaxation/meditation, time spent with a supportive person, talking online with friends/family) during the COVID-19 pandemic and their emotional consequences. We hypothesized a reciprocal within-person process whereby positive affect increases self-care behaviors (Hypothesis 1) and self-care behaviors increase positive affect while decreasing negative affect (Hypothesis 2). Method: A 10-day daily diary was completed by 289 adult participants in the United States during spring 2020 when counties in 40 out of 50 states had some form of stay-at-home orders. Results: Lagged analyses for Hypothesis 1 suggested that positive affect did not significantly predict residualized change in self-care behaviors; however, more intense negative affect predicted increased self-care behaviors from one day to the next. Concurrent analyses for Hypothesis 2 indicated most self-care behaviors were associated with more positive affect and some with less negative affect on the same day. Lagged analyses for Hypothesis 2 indicated that self-care behaviors largely did not predict residualized change in positive or negative affect from one day to the next. At the between-person level, people who experienced more positive affect engaged in more self-care behaviors across the sampling period. Conclusion: Self-care behaviors continue to have mental health benefits during stressful environments such as the COVID-19 pandemic and stay-at-home orders. Negative affect can play an adaptive role during times of stress by facilitating self-care.</p

    Kent State University Libraries Constitution Day 2022

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    https://kent-islandora.s3.us-east-2.amazonaws.com/node/17600/88523-thumbnail.jpgKent State University Libraries and the Honors College co-hosted a Constitution Day event on Friday, September 16, at 1 p.m. in University Libraries’ Harrick Garden Room. Accomplished New York attorney and Kent State alumnus Lloyd De Vos presented “Equal Justice – Under Law – For All” focusing on the U.S. Constitution’s impact on our government. Additionally, De Vos discussed his personal experience arguing a case before the Supreme Court and his views on a living Constitution. Following De Vos’ address, he and a panel of students, moderated by Professor of Political Science Christopher Banks, answered questions from the audience. The event was free and open to the public. It was held in person and broadcast virtually. De Vos is the founder and senior partner of De Vos &amp; Co. PLLC, a boutique law firm, located in New York City, that specializes in providing legal advice on international tax and business matters. As an adjunct professor of at Georgetown University Law Center, De Vos has been teaching the course Tax Treaties, as part of the Master of Laws in Taxation degree program, since 2008. Prior to this appointment, he was a visiting professor and lecturer at the McGeorge School of Law of the University of the Pacific in Sacramento, California; the University of Haifa, Israel; and the University of Edinburgh, Scotland. He has also chaired and lectured at programs and seminars sponsored by the United States Department of Commerce and the American Management Associations. De Vos was the successful plaintiff in the civil rights case Thorstenn v. Barnard, 489 U.S. 546 (1989), decided by the United States Supreme Court. He filed the case to enforce his rights under the Privileges and Immunities clause of the First Amendment to the United States Constitution. He has held several respected board positions, including serving on the Board of Visitors of Georgetown University Law Center from 2008 through 2019 as a full member and from 2019 to date as an emeritus member. De Vos serves on the Section on Taxation of the American Bar Association and the Section Committee on United States Taxation of Foreigners and Tax Treaties. He is also the author and co-author of numerous publications in the field of international taxation. An alumnus of Kent State University, De Vos earned bachelor’s degrees, ’70, in history, political science and accounting, all with cum laude honors and distinctions. He was awarded a juris doctor degree from Georgetown University in 1973 and a Master’s of Laws in Taxation degree from New York University in 1977.</p

    Uncertainty in healthcare and health decision making: Five methodological and conceptual research recommendations from an interdisciplinary team

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    Uncertainty is prevalent in various health contexts. It is imperative to understand how health-related uncertainty can impact individuals’ healthcare experiences and health decision making. The purpose of the present paper is to provide five overarching recommendations from an interdisciplinary team of experts to address gaps in the literature on health-related uncertainty. We present a case study of health-related uncertainty within the specific context of alcohol use to demonstrate these gaps and provide context for the recommendations. The five recommendations concerning health-related uncertainty include: (1) use common, consistent terminology to discuss uncertainty, (2) clarify measures of individual differences in response to uncertainty, (3) increase research on uncertainty and affect, (4) investigate the impact of the channel through which uncertainty is communicated, and (5) develop theory-driven interventions to improve uncertainty management. We conclude by reviewing health contexts in which health-related uncertainty exists and note how our recommendations complement existing reviews and data.</p

    DRD4 polymorphism associated with greater positive affect in response to negative and neutral social stimuli

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    https://kent-islandora.s3.us-east-2.amazonaws.com/node/17234/87036-thumbnail.jpgDespite the robustness of DRD4 polymorphism associations with brain-based behavioral characteristics in candidate gene research, investigations have minimally explored associations between these polymorphisms and emotional responses. In particular, the prevalent single nucleotide polymorphism (SNP) -521C/T (rs1800955) in the promoter region of DRD4 remains unexplored relative to emotions. Here, two independent samples were evaluated using different emotion elicitation tasks involving social stimuli: Study 1 (N = 120) evoked positive and negative emotional responses to validated film clips; Study 2 (N = 122) utilized Cyberball to simulate social rejection and acceptance. Across studies, C/C individuals self-reported higher mean positive affect scores using Likert scales versus T carrier individuals, selectively when presented with neutral or negative (but not positive) social stimuli. The consistent findings across these two studies supports a functional consequence of this DRD4 SNP on emotion processing during changing social contexts. Continued investigation will help clarify if a C/C genotype enhances positive emotions under negative circumstances, or if the presence of the T allele reduces positive emotions, and how rs1800955 behavioral associations might generalize across different demographics. Future studies could also reveal if this SNP interacts with other changing environmental conditions to affect emotional responses, such as social limitations during the COVID-19 pandemic.</p

    Hemodynamic response and pulse wave analysis after upper- and lower-body resistance exercise with and without blood flow restriction

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    Resistance exercise (RE) has been shown to elevate hemodynamics and pulse wave reflection. However, the effects of acute RE with blood flow restriction (BFR) on hemodynamics and pulse wave reflection are unclear. The purpose of this study was to evaluate the differences between upper- and lower-body RE with and without BFR on hemodynamics and pulse wave reflection. Twenty-three young resistance-trained individuals volunteered for the study. Hemodynamics and pulse wave reflection were assessed at rest, 10, 25, 40, and 55 min after either upper- or lower-body with or without BFR. The upper-body RE (URE) consisted of the latissimus dorsi pulldown and chest press; the lower-body RE (LRE) consisted of knee extension and knee flexion. The BFR condition consisted of four sets of 30, 15, 15, and 15 repetitions at 30% 1-repetition maximum (1RM) while the without BFR condition consisted of four sets of 8 repetitions at 70% 1RM. Heart rate, rate pressure product, and subendocardial viability ratio significantly (p &lt; 0.05) increased after all exercises. Brachial and aortic systolic blood pressure (BP) significantly (p &lt; 0.05) elevated after LRE while brachial and aortic diastolic BP significantly (p &lt; 0.05) reduced after URE. Augmentation pressure, augmentation index (AIx), AIx normalized at 75 bpm, and wasted left ventricular pressure energy significantly (p &lt; 0.05) increased after URE while transit time of reflected wave significantly (p &lt; 0.05) decreased after LRE. URE places greater stress on pulse wave reflection while LRE results in greater responses in BP. Regardless of URE or LRE, the cardiovascular responses between BFR and without BFR are similar.</p

    A Research-Practice Partnership Approach for Co-Designing a Culturally Responsive Computer Science Curriculum for Upper Elementary Students

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    Implementing computer science education in an elementary classroom is at the forefront of computing education. Nevertheless, the literature on K-12 Computer Science (CS) education offers limited guidance for developing elementary CS curricula that lead to multiple career paths through project-based learning. Particularly, more research is needed on culturally responsive elementary school computing that leverages students\u27 cultural references to create a more equitable CS education that acknowledges one\u27s identity, culture, or background in the curriculum planning. This paper offers an approach for designing culturally responsive computing for upper elementary students from a highly diverse, low socio-economic school district using a research-practice approach. The approach can be adapted for other schools that face unique diversity and curricular challenges.</p

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