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Purpose: Changes in voice quality after consuming food or drink have been used as a clinical indicator of dysphagia during the clinical swallowing evaluation (CSE); however, there is conflicting evidence of its efficacy. This study investigated if dysphonia and/or voice change after swallowing are valid predictors of penetration, aspiration, or pharyngeal residue. Our approach aimed to improve current methodologies by collecting voice samples in the fluoroscopy suite, implementing rater training to improve interrater reliability and utilizing continuous measurement scales, allowing for regression analyses. Method: In this prospective study, 30 adults (aged 49–97 years) referred for a videofluoroscopic swallowing study (VFSS) were audio-recorded completing a sustained /i/ prior to VFSS and again after swallowing each bolus during the VFSS. Swallowing function was measured using the reorganized Penetration–Aspiration Scale and the Normalized Residue Ratio Scale. Following listener training, 84 voice samples were perceptually rated using the Consensus Auditory-Perceptual Evaluation of Voice (CAPE-V). Ordinal and logistic regression were used to determine whether voice quality and voice quality change after swallowing were predictors of airway invasion and pharyngeal clearance. Results: Results indicated that the presence of dysphonia at baseline during a sustained /i/ task as measured by the CAPE-V predicted airway invasion but not pharyngeal residue. Voice change after swallowing associated with vowel /i/ production as measured by the CAPE-V did not predict either dysphagia measure. Conclusion: These results indicate that voice change during a sustained /i/ after swallowing appears unrelated to airway invasion or pharyngeal residue; however, in the absence of known laryngeal pathology, dysphonia prior to a CSE should alert speech-language pathologists of a possible comorbid dysphagia.

Communication is an integral part of our everyday life. Every day, everybody creates and receives communication, and content, and receives communication, or content. Being able to do both things well is advantageous to you, professionally and personally, those you interact with, and those you work for. Part of the difficulty in communicating has to do with the various channels of communication to which you have access. Traditional channels of communication, including in-person communication and presentations, printed communication, such as letters and memos, and remote communication, by telephone or radio, have been expanded to include online, internet-based communication. Newer communication channels include e-mail, blogs, vlogs, wikis, texting, and social media: YouTube, Facebook, Twitter, Instagram, LinkedIn, and others. Business and Technical Writing for the Real World: Skills You Can Use Now presents a view of the components of modern business and technical communication. Aspects of writing using templates and styles, tools, and technology are presented in way that relates to your needs. Armed with this information, you can make decisions about communication and content that affect your personal and professional communication immediately.

This paper explores how social workers integrate personal spirituality within nursing homes, where a highly regulated, stressful environment marginalizes professional identity and challenges retention. Researchers offer new evidence of how spirituality informs professional identity, ethical practice, and continuation in the role. Twenty BSW/MSW licensed nursing home social workers (NHSWs) reported how they daily navigate the personal spirituality-at-work opportunity and challenge. Qualitative analysis of in-depth interviews resulted in three primary codes and related subcodes: Spirituality-Integrated Professional Identity (Vocational Affirmation and Value Alignment), Spirituality-Informed Practice (Intervention Asset, Relational Affinity, and Ambiguous Boundaries), and Spiritually-Sustained Career Resilience. Respondents reported how spirituality animated professional identity, informed daily role enactment, and sustained role involvement. Recommendations are provided for normalizing ethical spirituality-at-work through social work education and practical guidance in navigating the spirituality and practice space.

Since the last quarter of the twentieth century there has been growing interest in women’s contributions to the histories of science, philosophy, and literature dating back to the very beginnings of these disciplines. This volume offers a contemporary, multinational, multidisciplinary exploration of some of these "hidden figures". © 2023, The Author(s), under exclusive license to Springer Nature Switzerland AG.

Obstructive sleep apnea (OSA) is a prevalent sleep disorder that affects approximately 3–7% of males and 2–5% of females. In the United States alone, 50–70 million adults suffer from various sleep disorders. OSA is characterized by recurrent episodes of breathing cessation during sleep, thereby leading to adverse effects such as daytime sleepiness, cognitive impairment, and reduced concentration. It also contributes to an increased risk of cardiovascular conditions and adversely impacts patient overall quality of life. As a result, numerous researchers have focused on developing automated detection models to identify OSA and address these limitations effectively and accurately. This study explored the potential benefits of utilizing machine learning methods based on demographic information for diagnosing the OSA syndrome. We gathered a comprehensive dataset from the Torr Sleep Center in Corpus Christi, Texas, USA. The dataset comprises 31 features, including demographic characteristics such as race, age, sex, BMI, Epworth score, M. Friedman tongue position, snoring, and more. We devised a novel process encompassing pre-processing, data grouping, feature selection, and machine learning classification methods to achieve the research objectives. The classification methods employed in this study encompass decision tree (DT), naive Bayes (NB), k-nearest neighbor (kNN), support vector machine (SVM), linear discriminant analysis (LDA), logistic regression (LR), and subspace discriminant (Ensemble) classifiers. Through rigorous experimentation, the results indicated the superior performance of the optimized kNN and SVM classifiers for accurately classifying sleep apnea. Moreover, significant enhancements in model accuracy were observed when utilizing the selected demographic variables and employing data grouping techniques. For instance, the accuracy percentage demonstrated an approximate improvement of 4.5%, 5%, and 10% with the feature selection approach when applied to the grouped data of Caucasians, females, and individuals aged 50 or below, respectively. Furthermore, a comparison with prior studies confirmed that effective data grouping and proper feature selection yielded superior performance in OSA detection when combined with an appropriate classification method. Overall, the findings of this research highlight the importance of leveraging demographic information, employing proper feature selection techniques, and utilizing optimized classification models for accurate and efficient OSA diagnosis.

Background: The Community Research Fellows (CRF) program seeks to mobilize New Haven residents with lower incomes or from communities of color who are educated and equipped to engage as equal partners in health research at Yale University. The training program combines curriculum-based information with 'on-the-ground' experience with Yale research projects, while building relationships between CRFs and researchers. The Community Alliance for Research and Engagement launched two consecutive cohorts of the program in 2018–2020., Objectives: To assess the effect of the CRF program on participants' knowledge of the research process and confidence to engage in research and participants' satisfaction and perspectives on the program., Methods: The evaluation of the CRF program included four components: 1) Pre- and Post- Program Surveys to assess change in confidence and self-reported knowledge. 2) Curriculum Feedback Satisfaction Survey to gauge satisfaction and make program improvements after each training session. 3) Post-Program CRF Interviews to explore their CRF experiences. 4) Research Team Surveys to assess program satisfaction and areas for improvement., Results: CRFs reported increased confidence and knowledge, personal and professional growth, and interest in community-engaged research. Overall, participants were very satisfied with each training module., Conclusions: The CRF program demonstrated that community members are well-suited, well-positioned, and eager to engage in and inform public health research. CRFs bring capacity and valuable perspective to research teams. The CRF training program offers an innovative approach to address power imbalances in research and to move towards more equitable community–university partnerships for improved health outcomes.

A solar electric pump-out boat for removing human waste. The pump-out boat may include a boat hull, wherein the boat hull may include a bow, a stern, and a self-draining sole disposed therein. The pump-out boat may further include a holding tank disposed within the hull underneath the self-draining sole for collecting waste. The pump-out boat may further include a console disposed approximately center of, and on a top surface of the self-draining sole. The pump-out boat may further include a solar panel for absorbing sunlight to convert into electrical power. The pump-out boat may further include a pump disposed within the console. The pump-out boat may further include a battery connected to a motor, the pump, and the solar panel, such that the solar panel charges the battery to provide the electrical power to operate the pump and the motor.

This study extends research on adult narrative identity in two major ways. First, it focuses on Adult Third Culture Kids (ATCKs), which refer to individuals who spent a part of their early developmental years abroad. In spite of the fact that they are an important demographic to study in this rapidly globalizing world, they have tended to be neglected in the field of psychology. Second, this study incorporates the cutting-edge tools of automated language analysis to extract developmental themes from autobiographical narratives using a bottom-up exploratory approach, as well as to identify psychological patterns and processes associated with the themes. The participants (N = 350; 18–80 + years old) were recruited from an alumni office of an international school and asked to write a narrative about the impact their international experiences had on their development. The meaning extraction method (MEM) yielded four developmental themes, which were remarkably consistent with the recurring themes that emerge from past research on adult narrative identity as well as ATCKs: past focus, communion, agency, and global focus. These four developmental themes, in turn, showed theoretically coherent patterns of relations with the demographic variables, linguistic markers of psychological patterns and processes, as well as self-reports of dimensions of well-being.

Research demonstrates discriminatory and inequitable practices related to students identified with (disabilities). Inequitable practices and discrimination reveal the necessity of collaboration and advocacy as an integral part of the pedagogy of professional development for members of the IEP team. Providing pre-service (or preparing) teachers simulated experiences of individualized education program (IEP) meetings can support PSTs understanding of how ableism and racism can manifest in schools, develop skills in collaborating with families, and begin to develop advocacy practices that support students that are marginalized at the intersection of their race and ability status. This chapter focuses on how to develop materials that leverage critical theoretical frameworks, provide learning experiences that mirror teacher practice in schools, and provide authentic representations of families of color to develop PSTs collaborative and advocacy practices. © 2023 by IGI Global. All rights reserved.

The book is a handbook of cultural discourse analysis, a theory developed by Donal Carbaugh, and celebration of his work. The book features an explanation of the theory and sixteen chapters using ...

Women faculty often view academic leadership as incompatible with their work-life balance, detracting from research and teaching commitments, resulting in a loss of autonomy and an abandonment of discipline, promoting change in their relationships with colleagues, and placing an increased emphasis on budgeting, regulations and compliance (DeZure et al., 2014).  Many researchers suggest that institutional culture works against leadership development for faculty, making the transition from faculty to administrator unlikely (Barden & Curry, 2013). It is increasingly important to identify the key factors that make the difference for women faculty to assume these roles.  As such, in this study qualitative methods were employed to examine the experiences and career trajectories of 16 academic women who held tenured, fully promoted faculty positions prior to becoming administrators.  The researcher found evidence to support future recruitment and retention in higher education leadership.

Performance characteristics for interferometers that measure surface topography include the ability to resolve closely spaced surface features, referred to as topographic spatial resolution. Within well-defined limits, scalar diffraction theory and classical Fourier optics provide a software model for prediction of the resolution and spatial frequency response for interference phase-based measurements of surface topography. Analytical solutions and adaptive sampling allow for rapid simulation of both the nominal linear transfer function and an estimate of intrinsic residual nonlinearities.

Mental health practitioners often overlook initial stabilization strategies and interventions when providing evidence-informed approaches in order to get to the so-called “important” or “interesting” part of treatment. For many mental health practitioners, the “important” or “interesting” component...

Oh So Yum! Volume 1 is a little bit gourmet and a little bit every day. With recipes for non-dairy cheeses, savory entrees, sweet treats and so much more, there is something to satisfy every craving and the most discriminating palates.Whether you're new to plant-based nutrition or a seasoned veteran, you can continue to enjoy your favorite flavors while benefitting animals, the planet and your health. This book will show you how and will quickly become your most reached for resource for quick and easy, tasty and satisfying, crowd-pleasing meals.Praise for Oh So Yum!“Oh So Yum is not just the title of this wonderful book. It is exactly what this book is about—creating delicious and surprisingly easy foods that have all the taste and none of the regrets that often accompany tasty meals. The instructions are simple, and the results are spectacular.” - Neal D. Barnard, MD, FACCAdjunct Professor, George Washington University School of MedicinePresident, Physicians Committee for Responsible Medicine“Anyone who thinks plant-based eating means sacrificing foods you love, this book will quickly change your mind! Written from a clear place of passion—Lori has created the ultimate introduction and delicious guide full of many classic dishes and favorite desserts, plus lots of staple recipes to keep stocked in your fridge and use a thousand different ways!”- Natalie ThomasRecipe and Video Creator, Feasting on Fruit“Lori’s Feta cheese is FANTASTIC!!! She could start up a business selling vegan cheeses. I bet there are a lot of people looking for good alternatives – this one is the best!- Dawn Duval, Area Supervisor“Wow! Lori’s aged blue cheese is delicious. I was going to let it sit in the cellar to age a bit longer but couldn’t resist trying it with some marinated eggplant!!! Thank you again!!!!!!”- Cindy Schrank Kane, Maven of Moderation“The ricotta recipe turned out great! Very easy. I usually make a cashew ricotta but will be replacing it with this recipe because this tastes a lot more like real ricotta to me. I bet I could swap this for dairy ricotta in any stuffed/layered pasta recipe without my non-veg friends and family noticing. I made the red pepper-fennel pasta with it too and liked how easy it was to transform the ricotta into a creamy pasta sauce.”- Melissa McBerkowitz, Recipe Testing Team, USA“The gelato is absolutely delicious! I took a portion to my mother who is vegetarian and trying to reduce her dairy intake and she said if she could buy vegan ice cream like this in the shops she would be very happy!”- Caroline Christian, Recipe Testing Team, UKWhat’s inside: 50+ whole food plant-based recipes including…Fresh, cultured and aged cheeses including feta, ricotta, mozzarella and cream cheese, plus REAL aged cheeses such as Camembert and Blue cheese.Veganized versions of popular dishes including stuffed shells, spanakopita (Greek Spinach Pie) and zucchini pad Thai.Dressings, sauces, appetizers and sides such as gourmet blue cheese dressing, marinated feta, mushroom antipasto, marinated eggplant and even potato salad.Weekend fun foods including smoked portobello CrunchWrap, jackfruit caritas and pizzeria style pizza.Fabulous desserts such as cheesecake, cashew cream parfaits, chocolate peanut butter pie and gelato.

Historically business education has put greater emphasis on rational analysis and the acquisition of instrumental and technical knowledge, while paying relatively scant attention to developing business students’ soft skills such as self- and social awareness and emotional intelligence through contemplative learning. In light of the growing need for more open and diverse ways of knowing that are more holistic, emotional, and aesthetic in management education, the authors present a 2 × 2 framework of arts-based pedagogy which helps organize various arts-based practices currently used in management education. The authors also share their personal reflections on using artful practices, specifically focussing on two individual-level experiential learning activities (i.e. museum visits and e-portfolio projects) and one group-based participatory art project. The authors further discuss why creative thinking and innovative arts-based practices can open up a new possibility for filling the gaps in current management education, especially in regard to developing students’ self- and social awareness and environmental consciousness in a more creative manner.

Quantifying the factors that predict variability in speech-in-speech recognition represents a fundamental challenge in auditory science. Stimulus factors associated with energetic and informational masking (IM) modulate variability in speech-in-speech recognition, but energetic effects can be difficult to estimate in spectro-temporally dynamic speech maskers. The current experiment characterized the effects of short-term audibility and differences in target and masker location (or perceived location) on the horizontal plane for sentence recognition in two-talker speech. Thirty young adults with normal hearing (NH) participated. Speech reception thresholds and keyword recognition at a fixed signal-to-noise ratio (SNR) were measured in each spatial condition. Short-term audibility for each keyword was quantified using a glimpsing model. Results revealed that speech-in-speech recognition depended on the proportion of audible glimpses available in the target + masker keyword stimulus in each spatial condition, even across stimuli presented at a fixed global SNR. Short-term audibility requirements were greater for colocated than spatially separated speech-in-speech recognition, and keyword recognition improved more rapidly as a function of increases in target audibility with spatial separation. Results indicate that spatial cues enhance glimpsing efficiency in competing speech for young adults with NH and provide a quantitative framework for estimating IM for speech-in-speech recognition in different spatial configurations. © 2023 Acoustical Society of America.

The United States has only recently begun investing in commercial-scale offshore wind energy (OWE). Although the United States is slow to progress, it is uniquely positioned to build on the existing knowledge that coastal European countries have applied for their own energy transitions. In this study, we analyze how federal and regional plans for expanding the OWE sector in the United States brought to the surface decade-long tensions related to multi-scale governance mismatches, jurisdictional conflicts, and unclear pathways for implementing national industrial policies. Drawing upon the European experience with OWE, we employ a dynamic multi-level perspective framework enriched by socio-ecological elements to examine the United States energy transition through its most promising technology. From our framework we identify six categories of OWE developments characterized by both unique and shared elements between the United States and European coastal countries. These elements are: (1) role of local communities, (2) governance structures, (3) multi-scale government interactions, (4) regional socioeconomic structures, (5) socio-ecological impacts, and (6) relationships with existing industries. Drawing upon our analysis, we identify and conceptually map four research areas in need of further development for the United States and the research community— (1) knowledge, (2) potential, (3) adaptation, and (4) learning. These insights provide critical information to ensure that the United States expansion into offshore energy generation is characterized by elements of justice, equity, and inclusive regional economic development.