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Successful action in clinical reasoning experiences contributes positively to SSE, and mastery in one area generalizes to another (eg, across the spectrum of general practice or into differentiated practice).18 Teaching and testing knowledge acquisition and psychomotor skills are often the focus of academic programs, along with less emphasis on the development and evaluation of metacognitive and reasoning skills.19 Teaching clinical reasoning is challenging for academic and clinical faculty who are responsible for preparing students to enter practice, as they may lack the knowledge, skills, and resources required for structuring and evaluating student performance in clinical reasoning.19 Developing clinical reasoning skills is challenging for students engaged in PT entry-level curricula. [...]Dr Jody Gun drum, colleague and dear friend, is credited with much more than reducing the number of commas in the manuscript and critically questioning content and intentions.

Gridded precipitation and temperature products are inherently uncertain because of myriad factors, including interpolation from a sparse observation network, measurement representativeness, and measurement errors. Generally uncertainty is not explicitly accounted for in gridded products of precipitation or temperature; if it is represented, it is often included in an ad hoc manner. A lack of quantitative uncertainty estimates for hydrometeorological forcing fields limits the application of advanced data assimilation systems and other tools in land surface and hydrologic modeling. This study develops a gridded, observation-based ensemble of precipitation and temperature at a daily increment for the period 1980–2012 for the conterminous United States, northern Mexico, and southern Canada. This allows for the estimation of precipitation and temperature uncertainty in hydrologic modeling and data assimilation through the use of the ensemble variance. Statistical verification of the ensemble indicates that it has generally good reliability and discrimination of events of various magnitudes but has a slight wet bias for high threshold events (>50 mm). The ensemblemean is similar to other widely used hydrometeorological datasets but with some important differences. The ensemble product produces a more realistic occurrence of precipitation statistics (wet day fraction), which impacts the empirical derivation of other fields used in land surface and hydrologic modeling. In terms of applications, skill in simulations of streamflow in 671 headwater basins is similar to other coarse-resolution datasets. This is the first version, and future work will address temporal correlation of precipitation anomalies, inclusion of other data streams, and examination of topographic lapse rate choices.

An aged master storyteller, Mother spins a hilarious and unbelievable yarn of her life story, from cow pastures to pirate ships to canine space travel, while her two adult sons listen with rapturous attention or exasperation. Jason Craig’s latest play, developed with actor Jessica Jelliffe and their celebrated theatre company Banana Bag & Bodice, asks what the value of a good story is, regardless of its relationship to the truth.

An aged master storyteller, Mother spins a hilarious and unbelievable yarn of her life story, from cow pastures to pirate ships to canine space travel, while her two adult sons listen with rapturous attention or exasperation. Jason Craig’s latest play, developed with actor Jessica Jelliffe and their celebrated theatre company Banana Bag & Bodice, asks what the value of a good story is, regardless of its relationship to the truth.

Although the impact of technology on learning and social interactions remains unclear, the reality is that most current college students, including graduates students, have grown up in a world immersed with technology. Today's increasingly technological world expects professionals to use technology as part of their professional activities. Engaging adult learners in higher education through assignments and activities that require use and application of technology should be part of today's educational reality. Thirty-four students, in their second year of a Doctor of Physical Therapy degree program, enrolled in a required orthopedic physical therapy course served as a sample of convenience for this descriptive study. The sample consisted of 23 female and 13 male students, mean age of 26, and ages ranged from 23 to 35 years. This descriptive study used a pretest and posttest survey to investigate student perceptions of the value of, and their confidence in, setting up and disseminating a wiki-based webpage (a \"wikipage\") as a course requirement. The webpage was meant for investigating a clinical topic, analyzing and synthesizing the findings, and making recommendations for the physical therapy management of patients with that clinical condition. Students were instructed that the completed pages would serve as an interactive resource available for both classmates and the public to view. The wikipage was faculty-controlled, with an imposed organizational structure for unified formatting across pages. Prior to the starting the assignment, 64.7% of students were unfamiliar with using wiki technology; 29.5% of students were concerned that it would be difficult to learn. After completion of the assignment, 85.3% of respondents indicated that wiki technology was easy to use and that they would continue to contribute to their wiki page. Additionally, 82.3% indicated that they would seek out and continue to use wiki technology in the future. All students (100%) agreed that learning how to use wiki technology was a useful exercise and indicated that the assignment has lasting value as the information generated could be shared with a global audience and accessed easily. Students reported taking 10-40 hours (with a median of 19 hours) to complete the assignment. This median value was approximately twice as much as was anticipated prior to the beginning of the assignment, according to the pre-assignment survey data. Students valued this type of assignment. The students' satisfaction with the global readership opportunity for the final product and their interest in engaging with the technology in the future also were success indicators for this project. This project provided a foundational online resource that can be used by future student groups to engage in the collaboration that is so often associated with these types of web-pages. The global nature of the web also presents interesting opportunities for global collaboration with students from physical therapy schools across the country and the world.

Allylic fluorides are ubiquitous scaffolds in pharmaceuticals, agrochemicals, materials chemistry, and positron emission tomography (PET) imaging. Recently, it has been shown that transition metal complexes can catalyze the formation of allylic carbon-fluoride bonds. This dissertation describes the development of a new procedure for the synthesis of enantioenriched allylic fluorides utilizing an iridium complex as the catalyst. A detailed study using both computational and laboratory experiments was conducted leading to insights about this unique mechanism of the iridium-catalyzed allylic fluorination reaction. Additionally, the allylic fluorination methodology was translated for the production of allylic [18F]fluorides for potential use as radiotracers for qualitative and quantitative assessment of disease state.

This study assessed the potential for high-temperature (?130°C) blind geothermal systems in southeastern Gabbs Valley by employing a geothermal play fairway analysis approach involving integration of geologic, geophysical, and geochemical datasets. Gabbs Valley is a complex, tectonically active basin within the Great Basin on the boundary between the transtensional central Walker Lane domain and extensional Basin and Range province. The termination of the Petrified Springs fault, a major dextral fault of the central Walker Lane, in an array of normal faults indicates that southeastern Gabbs Valley occupies a displacement transfer zone, which is a favorable structural setting for geothermal activity. The displacement transfer zone is a structurally complicated area with many faults of varying geometries, kinematics, and ages. A substantial northwest-trending gravity high within the south-central part of southeastern Gabbs Valley is produced from offsets along concealed northwest-striking dextral-normal faults that intersect strands of north-northeast-to east-northeast-striking normal faults. This area of tightly spaced faults and fault intersections is a particularly favorable structural setting within the broader-scale displacement transfer zone. Multiple lines of direct and indirect evidence suggest the presence of a relatively high-temperature (≥130°C) blind geothermal system in this area, including collocated intersecting gravity gradients, magnetic -low, low-resistivity, and 2-m temperature anomaly. Potentially related, water samples from agricultural wells ~7 km northwest of the 2-m anomaly yield geothermometers indicating subsurface fluid temperatures of 130-140°C. Six temperature gradient holes were drilled to target the extent of the shallow-temperature and geophysical anomalies to define the geothermal system in southeastern Gabbs Valley. Two wells contained high temperatures exceeding boiling with bottom-hole temperatures of 114.5°C and 124.9°C, respectively, and the remaining wells displayed elevated to background temperatures ranging from 79.2°C to 28.7°C. The observed temperature gradients for the two hottest drill holes necessitate drill-hole intercepts of convecting hydrothermal fluids. The 2-m survey is spatially and thermally consistent with the temperature-gradient holes and constrains the core of upflow at a shallow depth interval (<250m) to an area <0.5-1 km west-southwest of the hottest drill hole. The zone of inferred upwelling occupies the area corresponding to the center of the magnetic low. This project has several significant implications. The newly discovered blind geothermal system in southeastern Gabbs Valley may be capable of supporting a binary-type geothermal power plant. This detailed study provides an initial validation of the play fairway approach to geothermal exploration. It also demonstrates both the broad applicability of the play fairway exploration strategy and the large untapped potential for commercial-grade blind geothermal systems in many of the basins in the Great Basin region.

This applied dissertation was designed to provide a longitudinal evaluation, using Stufflebeam’s context, input, process, and product (CIPP) model, of an organizational change effort to minimize restraint and seclusion within a behavioral health care facility that serves at-risk and high-risk clients with intellectual, developmental, and psychiatric disabilities. The change effort was developed and implemented at Grafton Integrated Health Network, an agency in the mid-Atlantic region that provides a continuum of care to children and adults in residential, educational, and home settings. Interviews showed insight into all 4 components of the CIPP model. Data from 2003–2013 revealed a 93% decrease in restraint frequency, coupled with an 81% decrease in staff injury, a 51% decrease in client-induced injury, and a goal-mastery increase of 135%. This shows that trauma-informed, less restrictive treatment methods provided safer treatment for individuals with a variety of disabilities, and it saved the organization over $12 million in lost time expenses, turnover costs, and workers’ compensation policy costs. Implications of the change model are considered and commonalities among trauma-informed care, applied behavior analysis, and positive behavior supports are discussed.

This study examined the effect of manipulating forest floor and harvest residue inputs on nutrient availability and carbon content in the context of intensive forest management. Treatments were removal and addition of forest floor and slash, and a reference. Tree volume, litterfall, and root biomass were measured to assess aboveground productivity and soil moisture and temperature, available nitrogen and phosphorus, O-horizon, and mineral soil for below ground processes. Organic matter additions increased stand bole volume, carbon at 20-60cm, and total nitrogen in the mineral soil. Severely removing the floor and harvest residues did not result in any large differences in below or above ground productivity, soil carbon or nitrogen pools. Removing a potential nutrient pool did not severely affect stand productivity through mid-rotation but could be a concern in subsequent rotations.

The purpose of this study was to conduct a mid-cycle examination on the effects of a nonprofit organization's middle school intervention program on sixth grade math TAKS scores at a suburban middle school in Houston, Texas. This study examined the effectiveness of two of the project goals in the first year of a two-year implementation: Increased achievement for targeted cohort students and all students in the sixth grade. The program consists of six components (baseline analysis of student data, targeted collaboration among teachers and schools, performance coaching to improve teaching and learning, continuous assessment for learning, family engagement, and extra instructional time and support to meet higher standards). Although scores did not improve in the first year of implementation, this study evaluated the goal to improve student performance in middle school that leads to increased success toward college and career readiness standards in high school.