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Importance: Play is an area of difficulty for autistic children, and occupational therapy practitioners need evidence to guide interventions to improve play for this population. Ayres Sensory Integration® (ASI) intervention has not yet been studied for its impact on play outcomes.Objective: To examine the impact of ASI intervention on play types in autistic children.Design: Nonconcurrent, multiple-baseline design across subjects.Setting: Outpatient occupational therapy clinic in New England.Participants: Three autistic children, ages 5, 6, and 6 yr.Intervention: Twenty-four ASI sessions.Outcomes and Measures: Frequency of play type was coded using partial interval coding. Progress monitoring used Goal Attainment Scaling.Results: All three participants demonstrated changes in the frequency of specific types of play, but changes varied among them.Conclusions and Relevance: Findings suggest that ASI intervention may alter a child’s patterns of play.What This Article Adds: This study is the first to examine the impact of ASI on play and the third that documents the feasibility of single-subject research for studying ASI. If confirmed in future studies, ASI could become an evidence-based intervention for improving play, an important outcome for autistic children and the profession of occupational therapy.Positionality Statement: This article uses the identity-first language autistic people. This nonableist language describes their strengths and abilities and is a conscious decision. This language is favored by autistic communities and self-advocates and has been adopted by health care professionals and researchers (Bottema-Beutel et al., 2021; Kenny et al., 2016).
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This pilot study explored the use of standardized patients in the virtual classroom in efforts to increase family nurse practitioner preparedness to engage in telemedicine care delivery. Using a mixed-methods approach, we determined this innovation significantly increased students' confidence in their ability to perform a telemedicine visit while also improving their satisfaction with the virtual classroom.
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Nearly eight million American youth between the ages of 3 - 17 live with a psychiatric or behavioral health disorder. Many in grades K-12 are being unfavorably impacted in the classroom because of socioeconomic and environmental factors that include poverty, addiction, incarceration, trauma, domesti...
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Through the analysis of a hosted dinner, crane-meat, its preparation, and a lover's ultimatum the article shows that in Chichibio's novella (Decameron VI,4) there is more at play than just the lies, wit, and cunning that a Venetian cook relies on as survival mode. In fact, the roasted crane-leg stolen by the cook for his lover upends the established social and cultural order that Currado Gianfigliazzi exemplifies. Pruning away at established norms while depicting a servant who projects self-confidence, shrewdness, and the ability to adjust to contingencies, Boccaccio's tale demonstrates that Chichibio's (and his lover's) personal fulfillment rests neither on prides nor privileges, but on their ability to envision and seize what lies beyond the norms.
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This article focuses on the complex interaction between trade and the environment. The first section reviews the debate among scholars on the environmental effects of trade. Next the article examines the role of the World Trade Organization and how its decisions have impacted the environment. This is followed by a discussion of climate change and its connection to trade. Finally, the article examines multilateral efforts to govern trade and control its environmental consequences as well as to encourage sustainable development. © 2022 Elsevier Inc. All rights reserved.
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SHAPE America (2021) contends the use of physical activity used as punishment and/or behavior management as an inappropriate practice. The position statement acknowledges both the administration and withholding of physical activity as punishment, however, this paper focuses on the use of exercise as punishment (EAP) in physical education settings. While deemed inappropriate, the use of EAP is still happening today (Barney et al., 2016). The purpose of this viewpoint paper is to encourage appropriate pedagogies and practices while increasing awareness of national recommendations. Strategies for advocacy efforts are discussed.
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This study presents an original model that features the emotion of fear of COVID-19 as a direct effect on vaccination intentions. A central research question addressed in the study is what roles do the emotion of fear of contracting COVID-19 and the threat posed by uptake of the COVID-19 vaccination play in levels of vaccination intention? The study used a structural equation model (SEM) and applied the SmartPLS 3.2.6 data analysis tool for model estimation and multivariate analysis variables. A key finding is that vaccination resistance is strongest when fear of COVID-19 is lower, and vaccination threat higher. Vaccination threat appraisal and vaccination intention were found to have a negative relationship. Response costs at higher levels lessen motivation for COVID-19 vaccination. Research implications include research-based targeting of differing segments by their primary fear, either fear of COVID-19 or of the preventative vaccine.
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The use of Critical Race Theory, Photovoice, and Community-Based Participatory Research has helped uncover the root causes of issues such as systemic racism in the fields of public health and health promotion. Often, we see studies using traditional research methods to investigate potential causal factors of disparities in minoritized communities report only quantitative data. While these data are imperative for understanding the severity of disparities, quantitative-only approaches cannot address nor can they improve the critical root causes of these disparities. As a team of BIPOC graduate students in public health, we conducted a community-based participatory research project using Photovoice methodology to explore inequities in Black and Brown communities exacerbated during the COVID-19 pandemic. The participatory nature of this research revealed cumulative challenges across the social determinants of health in New Haven and Bridgeport, Connecticut. It allowed us to engage in local-level advocacy to promote health equity as our findings illuminated the need for community-led and community-engaged action. Health and racial inequities cannot be effectively addressed if public health research and programming do not collaborate with the community to build community capacity, empowerment, and trust. We describe our experiences doing community-based participatory research to investigate inequities and provide reflections on their value for public health students. As responses to health inequities and disparities become more politically polarized in the United States, it is critical for public health and health education students to use research methodologies that elevate communities that have been historically marginalized and neglected. Together, we can catalyze equitable change.
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We introduce the notion of residual intersections of modules and prove their existence. We show that projective dimension one modules have Cohen-Macaulay residual intersections, namely they satisfy the relevant Artin-Nagata property. We then establish a formula for the core of orientable modules satisfying certain homological conditions, extending previous results of Corso, Polini, and Ulrich on the core of projective one modules. Finally, we provide examples of classes of modules that satisfy our assumptions.
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An examination of the lessons learned from William James’s oration on the dedication of the Civil War Monument memorialization Colonel Robert Shaw and the Fifty-Fourth Regiment Massachusetts Infantry, an all-Black unit. The role of monuments in making visible the values of a society is explored in the context of promoting a nation’s historical narrative, in particular in their propagation of the South’s Lost Cause narrative. The genocidal violence against Armenians in the Caucasus by the Azerbaijani regime serves as the second illustration of the abuse of historical narratives. © 2022 Central European Pragmatist Forum. All rights reserved.
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With the increasing use of AI in marketing, ethical repercussions are beginning to emerge. From privacy issues, through discrimination of marginalized groups, to emergent systemic social distortions, AI is changing the marketing ethical landscape. In this paper we conduct a structured literature review of the emerging ethical issues posed by AI in the domains of marketing and consumer behavior. We identify three clusters of ethical issues (algorithm, society and existential) and map these to the marketing domains of systems, brands, and consumers. We conclude that the field of ethical marketing AI is still very much in its infancy, but such is the rate of development ethical marketing AI is likely to become an important field for academics and practitioners alike. © 2023 IEEE Computer Society. All rights reserved.
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Importance: Ayres Sensory Integration® (ASI) is commonly used with children on the autism spectrum to promote sensory processing and improved occupational performance, including play. To date, there has been no explicit effort to examine improvements in playfulness through ASI.Objective: To explore whether ASI, coupled with parent training, improves child playfulness and fathers’ support of child playfulness.Design: Single-subject A–B–BC design secondary analysis of a nonconcurrent multiple-baseline study.Setting: Occupational therapy clinic.Participants: Three father–child dyads; children were ages 3 to 6 yr, with autism spectrum disorder (ASD) and documented sensory processing concerns.Intervention: After a baseline phase, each child received at least 24 sessions of ASI, and fathers received parent training focusing on sensory processing issues and play via an online presentation.Outcomes and Measures: The Parent/Caregiver’s Support of Children’s Playfulness and the Test of Playfulness.Results: Visual analysis of the baseline phase, ASI phase, and ASI with parent training phase shows that all 3 fathers demonstrated an increase in the way they supported their child’s playfulness; however, this change was not maintained. Children’s playfulness fluctuated, reaching a peak after fathers received training, but none of the children maintained that change.Conclusions and Relevance: Additional support by the therapist is required for fathers to learn and use new strategies to promote consistent change in child playfulness during play. Pilot data can be used to inform future studies.What This Article Adds: Occupation- and family-centered frameworks may be useful in guiding practice when working with families of children with ASD.
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We report the measurement of K*0 meson at midrapidity (|y|< 1.0) in Au+Au collisions at √sNN=7.7, 11.5, 14.5, 19.6, 27, and 39 GeV collected by the STAR experiment during the Relativistic Heavy Ion Collider (RHIC) beam energy scan program. The transverse momentum spectra, yield, and average transverse momentum of K*0 are presented as functions of collision centrality and beam energy. The K*0/K yield ratios are presented for different collision centrality intervals and beam energies. The K*0/K ratio in heavy-ion collisions are observed to be smaller than that in small-system collisions (e+e and p+p). The K*0/K ratio follows a similar centrality dependence to that observed in previous RHIC and Large Hadron Collider measurements. The data favor the scenario of the dominance of hadronic rescattering over regeneration for K*0 production in the hadronic phase of the medium.
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