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A Mindful Approach to Students With Gifts and Talents: A Classroom Action Research Study
Get PDFIn this study, we used an action research approach and quantitative and qualitative data to investigate the need for, implementation of, and outcomes of a mindfulness curriculum with 52 fourth-grade students identified as having gifts and talents. We gathered data throughout the 15-week semester of implementing a mindfulness curriculum. Regular check-ins, journaling with the four participating teacher-researchers, and creative responses from student participants were also used as data. Coming from an action research background, we were open to discovering new questions as they arose. Still, our primary question was: Will we see any measurable change in the behaviors and indicators of stress, emotional regulation, and mindfulness in our classrooms after implementing a mindfulness curriculum with our fourth-grade students? We discuss the results and the implications of our findings for future research and practice
Do Surgeons Experience Moral Dissonance When There Is Misalignment Between Evidence and Action? A Survey and Scenario-based Study
No full textBackground: Moral dissonance is the psychological discomfort associated with a mismatch between our moral values and potentially immoral actions. For instance, to limit moral dissonance, surgeons must develop a rationale that the potential for benefit from performing surgery is meaningfully greater than the inherent harm of surgery. Moral dissonance can also occur when a patient or one\u27s surgeon peers encourage surgery for a given problem, even when the evidence suggests limited or no benefit over other options. Clinicians may not realize the degree to which moral dissonance can be a source of diminished joy in practice. Uncovering potential sources of moral dissonance can help inform efforts to help clinicians enjoy their work.
Questions/purposes: In a scenario-based experiment performed in an online survey format, we exposed musculoskeletal specialists to various types of patient and practice stressors to measure their association with moral dissonance and asked: (1) What factors are associated with the level of pressure surgeons feel to act contrary to the best evidence? (2) What factors are associated with the likelihood of offering surgery?
Methods: We performed a scenario-based experiment by inviting members of the Science of Variation Group (SOVG; an international collaborative of musculoskeletal surgeons that studies variation in care) to complete an online survey with randomized elements. The use of experimental techniques such as randomization to measure factors associated with specific ratings makes participation rate less important than diversity of opinion within the sample. A total of 114 SOVG musculoskeletal surgeons participated, which represents the typical number of participants from a total of about 200 who tend to participate in at least one experiment per year. Among the 114 participants, 94% (107) were men, 49% (56) practiced in the United States, and 82% (94) supervised trainees. Participants viewed 12 scenarios of upper extremity fractures for which surgery is optional (discretionary) based on consensus and current best evidence. In addition to a representative age, the scenario included randomized patient and practice factors that we posit could be sources of moral distress based on author consensus. Patient factors included potential sources of pressure (such as The patient is convinced they want a specific treatment and will go to a different surgeon if they don\u27t get it ) or experiences of collaboration (such as The patient is collaborative and involved in decisions ). Practice factors included circumstances of financial or reputational pressure (such as The practice is putting pressure on you to generate more revenue ) and factors of limited pressure (such as Your income is not tied to revenue ). For each scenario, the participant was asked to rate both of the following statements on a scale from 0 to 100 anchored with I don\u27t feel it at all at 0, I feel it moderately at 50, and I feel it strongly at 100: (1) pressure to act contrary to best evidence and (2) likelihood of offering surgery. Additional explanatory variables included surgeon factors: gender, years in practice, region, subspecialty, supervision of trainees, and practice setting (academic/nonacademic). We sought factors associated with pressure to act contrary to evidence and likelihood of offering surgery, accounting for potential confounding variables in multilevel mixed-effects linear regression models.
Results: Accounting for potential confounding variables, greater pressure to act contrary to best evidence was moderately associated with greater patient despair (regression coefficient [RC] 6 [95% confidence interval 2 to 9]; p = 0.001) and stronger patient preference (RC 4 [95% CI 0 to 8]; p = 0.03). Lower pressure to act contrary to evidence was moderately associated with surgeon income independent of revenue (RC -6 [95% CI -9 to -4]; p \u3c 0.001) and no financial benefit to operative treatment (RC -6 [95% CI -8 to -3]; p \u3c 0.001). Marketing concerns were the only factor associated with greater likelihood of offering surgery (RC 6 [95% CI 0 to 11]; p = 0.04).
Conclusion: In this scenario-based survey experiment, patient distress and strong preferences and surgeon financial incentives were associated with greater surgeon feelings of moral dissonance when considering discretionary fracture surgery.
Clinical Relevance: To support enjoyment of the practice of musculoskeletal surgery, we recommend that surgeons, surgery practices, and surgery professional associations be intentional in both anticipating and developing strategies to ameliorate potential sources of moral dissonance in daily practice.
Competing Interests: Each author certifies that there are no funding or commercial associations (consultancies, stock ownership, equity interest, patent/licensing arrangements, etc.) that might pose a conflict of interest in connection with the submitted article related to the author or any immediate family members. All ICMJE Conflict of Interest Forms for authors and Clinical Orthopaedics and Related Research® editors and board members are on file with the publication and can be viewed on request
Vaginismus: Causes, Diagnosis, and Treatment Options
Get PDFThis paper provides a current review of the diagnosis, causes, and treatment outcomes for vaginismus. Of particular interest are predisposing factors, like a lack of sex education and a sexually restrictive upbringing, for the development of this disorder. Controversies surrounding US-based diagnostic criteria for female sexual dysfunction are also reviewed, and up-to-date and novel treatment options, like vaginal Botox injections, are described
Enforcement Activities and Profiling Techniques of Wildlife Rangers in Nigeria\u27s Lowland Forest Reserves: a Mixed-Methods Study on Wildlife Law Transgressions
Get PDFThis mixed-methods study investigates the enforcement activities and profiling techniques employed by wildlife rangers in Nigeria\u27s lowland forest reserves to address wildlife law transgressions. The research integrates enforcement strategies, socio-economic factors, community involvement, and governance structures to evaluate the effectiveness of ranger activities. Data collection was conducted in the Omo Biosphere Reserve, Gele Gele Forest Reserve, and Okomu National Park, utilizing both primary and secondary sources, including interviews with 24 wildlife rangers. Key findings reveal that unauthorized entry, possession of specific tools, and suspicious behaviors are primary indicators used by rangers to identify potential law violators. Poaching activities predominantly occur at night, with armed poachers posing significant challenges. Despite increased patrols and arrests, the study highlights the need for a more holistic approach, including community engagement, strengthened judicial systems, and technological integration, to enhance the effectiveness of conservation efforts. These findings underscore the importance of addressing socio-economic drivers and improving enforcement strategies for sustainable management of Nigeria\u27s forest reserves
“Gut Heil”: Dayton Turner’s Preservation during the First World War
Get PDFGood greetings, or Gut Heil!, was a common greeting made by German-Americans in Dayton. These German-Americans and the lives of millions of Americans on April the sixth, 1917 were forever altered because of the United States’ decision to join the war effort. As the United States entered the First World War, domestically the population felt emboldened to aid in the war effort in every way possible. The First World War brought unprecedented hysteria towards German-Americans for fear of treason and espionage upon the war effort. Eventually even legislation was passed 1 to halt anyone in the United States from interfering with the American war effort. With the true war happening thousands of miles from the United States, the war front for many citizens was actually the home front.2 In an effort to support the war effort and to create a unified patriotic nation, many Americans turned to their fellow citizens and began to question their loyalty that culminated in an anti-German hysteria. This hysteria was unprecedented from anything ever experienced within the United States. Radical displays of hysteria began to occur throughout the nation, including book burnings throughout the United States, including in Ohio, the lynching of Robert Prager, beatings, adoption of laws that restrict German language and immense pressure to abandon cultural practices associated with Germany or German-Americans
Closing Remarks and Word of Thanks by Kayla Clark and Awards Announcement by History Faculty
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Do Systems Exist?: A Conversation
Get PDF“Do Systems Exist? A conversation” is a refreshing and ambitious exploration of systems thinking, framed as a cross-disciplinary dialogue between Adam Walls, a business consultant, and John Flach, a cognitive systems theorist. The book resists the conventions of both academic textbooks and business manuals, opting instead for a conversational format that invites readers to think alongside the authors, rather than simply absorb pre-packaged conclusions.
This strength, however, may also be a limitation for some readers. Those expecting a structured framework or a step-by-step methodology for applying systems thinking in organizations may find themselves adrift in what feels more like a philosophical meander than a manual. The authors are clear that the book offers no definitive answers, and for some, this openness may come across as a lack of practical application. The charm of walking through Zurich as a metaphorical journey through complexity may not land for every reader, especially those seeking clarity amid corporate pressures.
Stylistically, the book’s informal tone is both accessible and risky. It democratizes complex ideas and makes challenging concepts approachable. Yet at times, this same tone can blur distinctions between rigor and rumination. Some transitions between topics feel abrupt, and the layering of metaphors, while often delightful, occasionally veers into the abstract. Readers unfamiliar with systems theory or cognitive science might benefit from more grounding or clearer signposting through the intellectual terrain.
That said, the book\u27s true value lies in what it provokes rather than what it prescribes. Its central premise that systems are not objective things but mental models shaped by perspective is a powerful, if unsettling, challenge to traditional thinking. This insight is illustrated not only through theory, but also via candid reflections on failed business transformations, flawed change initiatives, and the misleading simplicity of reductionist tools.
Visual contributions from Fred Voorhorst, an Industrial Design engineer, enrich the dialogue. His background informs a unique visual language that invites readers to pause, reflect, and reconsider. In this way, the book becomes an experience rather than just a read.
In sum, “Do Systems Exist?” is not for those looking for a quick fix or a consulting toolkit. It is for those willing to sit with complexity, to be challenged, and to shift their lens. It is a book for thinkers, practitioners, and leaders who understand that asking better questions is often more transformative than rushing to answers. As a critique of traditional models and a call for intellectual humility, it succeeds. As a how-to guide, it deliberately and unapologetically does not.https://corescholar.libraries.wright.edu/books/1264/thumbnail.jp
Food and Mood
Get PDFDepression and mental illnesses are on the rise in the United States alongside other chronic illnesses like obesity. Preliminary research indicates that diets of individuals and obesity can have profound roles in mental health status. Alongside the consummatory behavior of eating, drinking alcohol is associated with mental illnesses like depression and could potentially play a role in mental health and poor diet. The authors analyzed the public health county data in Ohio of adults between the years of 2016 and 2022 to investigate any differences in the population’s health rates. This study found that diet plays an influencing role in Ohioans’ mental health, as indicated through increased rates of frequent mental distress, limited access to healthy food, obesity, and excessive drinking
Seroprevalence, Risk Factors, and Diagnostic Accuracy of Brucellosis in Upper Dir District, Khyber Pakhtunkhwa, Pakistan
No full textBrucellosis is a zoonotic disease caused by the gram-negative, intracellular bacterium Brucella. Although it is endemic in Pakistan, comprehensive data on its prevalence, risk factors, and diagnostic accuracy remain limited. Therefore, this study aimed to assess these parameters in local communities of District Dir Upper, Khyber Pakhtunkhwa, Pakistan. A total of 345 individuals suspected of brucellosis were investigated. Blood samples and structured questionnaires were collected to determine prevalence and identify associated risk factors. Additionally, 50 culture-confirmed positive cases and 50 negative controls were used to evaluate the diagnostic performance of Enzyme-Linked Immunosorbent Assay (ELISA) and Serum Plate Agglutination Test (SPAT). The overall brucellosis prevalence was 17.1 % (59/345). Females had a slightly higher prevalence (17.58 %) than males (16.56 %), with the highest prevalence in individuals aged ≤ 20 years (32.5 %). Risk factors significantly associated with brucellosis included animal contact (p = 0.0075) and raw milk consumption (p \u3c 0.001). ELISA demonstrated a sensitivity of 94.0 % and specificity of 98.0 %, while SPAT showed 92.0 % and 96.0 %, respectively. Brucellosis remains a public health concern in the region, with strong associations identified between infection and exposure to animals and unpasteurized dairy products. ELISA appears to be a marginally more accurate diagnostic tool compared to SPAT. Larger-scale studies are warranted to further validate these findings and promote routine diagnostic implementation
2025 College of Liberal Arts Student Showcase Program
No full textThe program for the 2025 Wright State University College of Liberal Arts Student Showcase.https://corescholar.libraries.wright.edu/cola_showcase_2025/1001/thumbnail.jp