Physical Therapy Student Perceptions of a Global Health Service Learning Experience: A Qualitative Synthesis

Background and Purpose: In March 2019, eight physical therapy students (SPTs) from University of Puget Sound traveled to Zacapa, Guatemala to work with Hearts In Motion to deliver rehabilitation services and education for five days as part of a global health service learning experience (SLE). Throughout the SLE, students responded to journal prompts reflecting on their experiences. This analysis explores the impact of student experiences by identifying recurring themes in journal entries. Methods: Eight students provided written consent for analysis of personal journal entries. Three student reviewers completed a qualitative evaluation of journals using a constant comparative method. Reviewers used open coding to determine initial categories and axial coding to cross-link sub-textual themes. Results: Four themes emerged from the analysis: 1. Communication: Learning to communicate and build patient relationships while negotiating language and culture barriers, recognizing and addressing miscommunication, collaborating inter-professionally to provide meaningful care. 2. Clinical Development: Improving confidence with clinical skills and critical thinking, discovering resourcefulness, applying and integrating prior coursework. 3. Healthcare Disparities: Recognizing disparities in access to quality care and resources, promoting patient education in the absence of care continuity, responding to severe presentations. 4. Compassionate Empathy: Juggling reactive emotions with professionalism in response to trauma, overcoming feelings of hopelessness, desiring to make a positive impact, building human connection. Conclusion: Student reflections indicate that this SLE allowed students to recognize healthcare disparities, build clinical and communication skills in an intercultural context, and show compassion in the face of trauma and hardship. These competencies are crucial to the professional development of novice practitioners and reflective of American Physical Therapy Association core values. References: 1. Pechak C, Thompson M. International Service-Learning and Other International Volunteer Service in Physical Therapist Education Programs in the United States and Canada: An Exploratory Study. Journal of Physical Therapy Education. 2009;23(1):71- 79. 2. Smith SN, Crocker AF. Experiential learning in physical therapy education. Adv Med Educ Pract. 2017;8:427-433. doi:10.2147/AMEP.S140373 3. American Physical Therapy Association. Core Values for the Physical Therapist. http://www.apta.org/uploadedFiles/APTAorg/About_Us/Policies/Ethics/CoreValuesEndo rsement.pdf. Published February 4, 2019. Accessed September 25, 2019. 4. Haines J, Stiller C, Thompson K, Doherty D. Recent Graduates’ Perceptions of the Impact of a 1-Month International Service Learning Experience in Kenya During Their Physical Therapist Assistant Education. Journal of Physical Therapy Education. 2017;31(1):73-79. 5. McMenamin R, McGrath M, D’Eath M. Impacts of service learning on Irish healthcare students, educators, and communities. Nursing & Health Sciences. 2010;12(4):499- 506. doi:10.1111/j.1442-2018.2010.00568.x 6. Mu K, Coppard BM, Bracciano A, Doll J, Matthews A. Fostering cultural competency, clinical reasoning, and leadership through international outreach. Occup Ther Health Care. 2010;24(1):74-85. doi:10.3109/07380570903329628 7. Reynolds P. How Service-Learning Experiences Benefit Physical Therapist Students’ Professional Development: A Grounded Theory Study. Journal of Physical Therapy Education. 2005;19(1):41-54. 8. Sandoval A, Wildt-Bailey W, Roberts H. Global Health Perspectives in Physical Therapy Education: A Qualitative Report on a Service Learning Experience in Guatemala. Presented at the: Physical Therapy Research Symposium. 37; October 23, 2018. https://soundideas.pugetsound.edu/ptsymposium/37

Translating best practice into real practice: methods, results and lessons from a project to translate an English sexual health survey into four Asian languages

Background: Migrants are underrepresented in population health surveys. Offering translated survey instruments has been shown to increase migrant representation. While ‘team translation’ represents current best practice, there are relatively few published examples describing how it has been implemented. The purpose of this paper is to document the process, results and lessons from a project to translate an English-language sexual health and blood-borne virus survey into Khmer, Karen, Vietnamese and Traditional Chinese. Methods: The approach to translation was based on the TRAPD (Translation, Review, Adjudication, Pretesting, and Documentation) model. The English-language survey was sent to two accredited, independent translators. At least one bilingual person was chosen to review and compare the translations and preferred translations were selected through consensus. Agreed translations were pretested with small samples of individuals fluent in the survey language and further revisions made. Results: Of the 51 survey questions, only nine resulted in identical independent translations in at least one language. Material differences between the translations related to: (1) the translation of technical terms and medical terminology (e.g. HIV); (2) variations in dialect; and (3) differences in cultural understandings of survey concepts (e.g. committed relationships). Conclusion: Survey translation is time-consuming and costly and, as a result, deviations from TRAPD ‘best practice’ occurred. It is not possible to determine whether closer adherence to TRAPD ‘best practice’ would have improved the quality of the resulting translations. However, our study does demonstrate that even adaptations of the TRAPD method can identify issues that may not have been apparent had non-team-based or single-round translation approaches been adopted. Given the dearth of clear empirical evidence about the most accurate and feasible method of undertaking translations, we encourage future researchers to follow our example of making translation data publicly available to enhance transparency and enable critical appraisal

Are sexual health survey items understood as intended by African and Asian migrants to Australia? Methods, results and recommendations for qualitative pretesting

Introduction: More research and policy action are needed to improve migrant health in areas such as sexual health and blood-borne viruses (SHBBV). While Knowledge, Attitudes and Practice Surveys (KAPS) can inform planning, there are no SHBBV KAPS suitable for use across culturally and linguistically diverse contexts. This study pretests one instrument among people born in Sub-Saharan Africa, South-East and North-East Asia living in Australia. Methods: Employees of multicultural organisations were trained to collect data over three rounds using a hybrid qualitative pretesting method. Two researchers independently coded data. Researchers made revisions to survey items after each round. Responses to feedback questions in the final survey were analysed. Results: Sixty-two participants pretested the survey. Issues were identified in all three rounds of pretesting. Of the 77 final survey respondents who responded to a survey experience question, 21% agreed and 3% strongly agreed with the statement ‘I found it hard to understand some questions/words’. Conclusion: It is essential to pretest SHBBV surveys in migrant contexts. We offer the following pretesting guidance: (1) large samples are needed in heterogeneous populations; (2) intersectionality must be considered; (3) it may be necessary to pretest English language surveys in the participants’ first language; (4) bilingual/bicultural workers must be adequately trained to collect data; (5) results need to be interpreted in the context of other factors, including ethics and research aims; and (6) pretesting should occur over multiple rounds

Rotation Curve Fitting Model

One key piece of evidence for dark matter is the flat rotation curve problem: the disagreement between measured galactic rotation curves and their luminous mass. A novel solution to this problem is presented here. A model of relativistic frame effects on Doppler shifts due to the slightly curved frames of an emitting galaxy and the Milky Way is derived. This model predicts observed Doppler shifted spectra (in excess of the luminous mass) based only on the observed luminous matter profile and one free model parameter. Fits to the 175 galaxies reported in the SPARC database of galactic rotation profiles and accurate photometry measurements are compared between this novel model and dark matter and MOND (RAR) models. We find on the SPARC sample of 175 galaxies; that MOND-RAR has an average reduced chisquare of $\chi^2_r = 4.22$ for 175 galaxies fitted, the isothermal dark matter model has $\chi^2_r = 1.90$ for 165 galaxies fitted, and the new model we present has $\chi^2_r = 2.39$ for 172 galaxies fitted. Implications of this model are discussed.Comment: 27 pages, 9 figure

USP6 oncogene promotes Wnt signaling by deubiquitylating Frizzleds

Ubiquitin-specific protease 6 (USP6) is a deubiquitylase that is overexpressed by chromosome translocation in two human neoplasms, aneurysmal bone cyst and nodular fasciitis. The relevant substrates of this ubiquitin-specific protease are not clear. Here, we identify the Wnt receptor Frizzled (Fzd) as a key target of the USP6 oncogene. Increased expression of USP6 increases the membrane abundance of Fzd, and hence increases cellular sensitivity to Wnts. USP6 opposes the activity of the ubiquitin ligase and tumor suppressor ring finger protein 43 (RNF43). This study identifies a new mechanism for pathological Wnt pathway activation in human disease and suggests a new approach to regulate Wnt activity therapeutically

Crop Updates 2008 - Weeds

This session covers twenty nine papers from different authors: 1. BOXER® GOLD, a new pre-emergent herbicide option for WA wheat and barley growers for the control of Annual Ryegrass and Toad Rush, Craig A. Ruchs, Syngenta Crop Protection Australia Pty Ltd 2. Efficacy of Boxer Gold in the control of annual ryegrass in wheat, Dr Abul Hashem, Dr Catherine Borger, Department of Agriculture and Food, Mr Ken McKee, Field Development Manager, Syngenta Crop Protection Australia Pty Ltd 3. Alternative herbicides to avoid trifluralin resistance, Catherine Borger and Abul Hashem, Department of Agriculture and Food 4. Exiting new herbicides for ryegrass control in wheat, Peter Newman, Department of Agriculture and Food 5. Herbicide options for resistant wild radish in wheat, Peter Newman, Department of Agriculture and Food 6. A near-complete control of wild radish with three new herbicide products, Aik Cheam and Siew Lee, Department of Agriculture and Food 7. An investigation of diflufenican resistance mechanism/s in wild radish, Meagan Pearce, Dr Michael Walsh and Prof. Stephen Powles, Western Australian Herbicide Resistance Initiative, School of Plant Biology, University of WA 8. Synergistic effects of Group C and GroupF herbicides on resistant and susceptible wild radish populations, Kent Stone, Dr Michael Walsh and Prof. Stephen Powles, Western Australian Herbicide Resistance Initiative, School of Plant Biology, University of WA 9. Precept® for the management of wild radish resistant to PDS inhibiting herbicides, Mike Clarke and Andrew Loorham, Bayer Cropscience Pty Ltd, Dr Michael Walsh, WAHRI, University of Western Australia 10. Evolution of glyphosate resistance in annual ryegrass: Effects of cutting rates, Roberto Busi and Stephen B. Powles, Western Australian Herbicide Resistance Initiative, School of Plant Biology, The University of Western Australia 11. Metribuzin and other herbicides pre-sowing of lupins, Peter Newman, Department of Agriculture and Food 12. Crop topping lupins with glufosinate gives poor control of ryegrass seed set, Peter Newman, Department of Agriculture and Food 13. Brome grass has developed multiple resistance to Group B and C herbicides, Dr Abul Hashem, Dr Catherine Borger and Dr Shahab Pathan, Department of Agriculture and Food 14. Effect of sowing methods, Logran® and Metribuzin on weeds and wheat grain yield, Alexandra Douglas and Abul Hashem, Department of Agriculture and Food 15. Effect of alternative Group K herbicides on control of on-row annual ryegrass in wide row lupins, Dr Abul Hashem1, Ray Fulwood2 and Chris Roberts1, 1Department of Agriculture and Food, 2Farmer, Meckering, Western Australia 16. Control and seed production of annual ryegrass in wide row lupins within the Western Australian wheatbelt, Abul Hashem1,6, Alex Douglas1,6, Shahab Pathan1, Glen Riethmuller1,6 and 1,6Sally Peltzer, Department of Agriculture and Food, 6CRC Australian Weed Management 17. Effective weed control in wide row lupins, Glen Riethmuller, Abul Hashem and Shahab Pathan, Department of Agriculture and Food, and CRC Australian Weed Management 18. Slender iceplant control, Lorinda Hunt1, John Borger1, Meir Altman1,4 and Dr Ed Barrett-Lennard1,4, Department of Agriculture and Food, Western Australia1, University of Western Australia and Future Farm Industries CRC4 19. Chemical and non-chemical weed control – a European perspective, Glen Riethmuller, Department of Agriculture and Food 20. Mouldboard ploughing shows promise on sand, Peter Newman, Stephen Davies and Sally Peltzer, Department of Agriculture and Food 21. Weed seed head trimming, Glen Riethmuller and Abul Hashem, Department of Agriculture and Food 22. A survey of summer weed incidence and distribution across the WA wheatbelt, Pippa Michaela, Bill McLeodb, Catherine Borgerb and Alex Douglasb, aCurtin University of Technology, bDepartment of Agriculture and Food 23. Herbicide tolerance of field pea varieties, Harmohinder Dhammu and Mark Seymour, Department of Agriculture and Food 24. Herbicide tolerance of current/new wheat varieties, Dr Harmohinder Dhammu, Department of Agriculture and Food 25. Herbicide tolerance of new oat varieties, Harmohinder Dhammu, Vince Lambert and Chris Roberts, Department of Agriculture and Food 26. Herbicide tolerance of saltbush and bluebush, Lorinda Hunt1, John Borger1, Meir Altman1,4 and Dr Ed Barrett-Lennard1,4, Department of Agriculture and Food1, University of Western Australia and Future Farm Industries CRC4 27. A review of 2,4-D formulations and vapour drift, John H. Moore, Department of Agriculture and Food 28. Movement of 2,4-D butyl ester and the dose response of three formulations of 2,4-D on canola, John H. Moore, Department of Agriculture and Food 29. Pathways to registration – Improving pesticide research outcomes, Dr Rohan Rainbow, Manager Crop Protection, Grains Research and Development Corporatio

Strategies for Recruiting Migrants to Participate in a Sexual Health Survey: Methods, Results, and Lessons

In this article, we describe the approaches taken to recruit adult migrants living in Australia for a sexual health and blood-borne virus survey (paper and online) and present data detailing the outcomes of these approaches. The purpose was to offer guidance to redress the under-representation of migrants in public health research. Methods of recruitment included directly contacting people in individual/organizational networks, social media posts/advertising, promotion on websites, and face-to-face recruitment at public events/venues. Search query strings were used to provide information about an online referral source, and project officers kept records of activities and outcomes. Descriptive statistical analyses were used to determine respondent demographic characteristics, proportions recruited to complete the paper and online surveys, and sources of referral. Logistic regression analyses were run to predict online participation according to demographic characteristics. The total sample comprised 1454 African and Asian migrants, with 59% identifying as female. Most respondents (72%) were recruited to complete the paper version of the survey. Face-to-face invitations resulted in the highest number of completions. Facebook advertising did not recruit large numbers of respondents. Same-sex attraction and age (40–49 years) were statistically significant predictors of online completion. We encourage more researchers to build the evidence base on ways to produce research that reflects the needs and perspectives of minority populations who often bear the greatest burden of disease

Fecal microbiota is more stable during degradation and more diverse for ex situ cheetahs in Namibia compared to the USA

The relationships between gut microbiota and animal health are an important consideration increasingly influential in the management of wild and ex situ endangered species, such as the cheetah (Acinonyx jubatus). To better understand these relationships, fresh fecal samples are currently required as a non-invasive alternative for the gut microbiome. Unfortunately, fresh samples are challenging to collect in the wild. This study had two aims: 1) to determine the optimal collection time point for cheetah feces after deposit in their native environment of Namibia as a guide for wild cheetah fecal microbiome studies; and 2) to compare the fecal microbiota of two ex situ cheetah populations (Front Royal, VA, USA and Otjiwarongo, Namibia), which also consume different diets. We collected eight fresh fecal samples from cheetahs in Namibia and allowed them to decompose for four days, taking subsamples each day. The fresh Namibian samples (n = 8) were also used in objective two for comparison to fresh USA cheetah samples (n = 8). All samples were analyzed for bacterial community diversity and composition using 16S rRNA gene amplicon sequencing. First, over a five-day sampling period in Namibia, subsamples 1-3 days post-fresh showed no changes in bacterial diversity or composition compared to fresh subsamples. Second, fresh ex situ cheetah samples under Namibian conditions had increased bacterial taxa, more phylogenetically diverse bacterial communities, and compositionally distinct microbiomes from cheetahs managed in human care in the USA. However, when bacterial ASVs were weighted by relative abundance, both populations shared 69% of their total bacterial sequences indicating a conserved cheetah microbiota between the two populations. We also found few differences in predictive functions of the fecal microbiota between the populations, where only one disease-related pathway was higher in the USA samples. Overall, our findings suggest that in dry season conditions (no recorded rainfall) in Namibia, fecals may be usable for up to three days after defecation for microbial ecology studies. There are significant differences between ex situ Namibian and USA populations, and we suggest further investigation into the influence of diet, host demographics, and environment on the gut microbiota and health of cheetahs