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Item Cardiovascular-Related Outcomes in U.S. Adults Exposed to Lead(MDPI, 2018-04) Obeng-Gyasi, Emmanuel; Armijos, Rodrigo X.; Weigel, M. Margaret; Filippelli, Gabriel M.; Sayegh, M. Aaron; Earth Sciences, School of ScienceCardiovascular-related clinical markers were evaluated in this cross-sectional study of United States adults (aged ≥ 20) exposed to lead via the National Health and Nutrition Examination Survey 2007–2008 and the 2009–2010 datasets. In four quartiles of exposure—0–2 μg/dL, 2–5 μg/dL, 5–10 μg/dL, and 10 μg/dL and over, clinical and anthropometric markers were evaluated—to examine how the markers manifested in the quartiles. Associations were determined via linear regression. Finally, clinical makers, and how they manifested between exposed and less-exposed occupations, were explored in addition to how duration of exposure altered these clinical markers. In regression analysis, Diastolic Blood Pressure (DBP) and high-density lipoprotein (HDL) cholesterol, were significantly associated with blood lead level (BLL). In the occupational analysis, Systolic Blood Pressure (SBP), DBP, C-reactive protein (CRP), triglycerides, low-density lipoprotein (LDL) cholesterol, high-density lipoprotein (HDL) cholesterol, showed differences between populations in the exposed and less-exposed occupations. Regarding Agriculture, Forestry & Fishing, the duration of exposure altered SBP, CRP, and LDL cholesterol. With mining, the duration of exposure altered SBP, DBP, triglycerides, and HDL cholesterol, whereas in construction, the duration in occupation altered SBP, triglycerides, and CRP. In conclusion, lead exposure has a profound effect on the cardiovascular system, with potentially adverse outcomes existing at all exposure levels.Item Parent-Perceived Effectiveness of the Occupational Performance Coaching Model: A Doctoral Capstone Project(2022-05-02) Withrow, Grace E.; Petrenchik, Terry; Department of Occupational Therapy, School of Health and Human Sciences; Frigo, MariannThe ultimate purpose of this capstone project was to identify an evidence-based method that helps to close the gap between the number of children who need therapy services and the number of children who receive them. A formal needs assessment was conducted, confirming that this gap is real and exists due to a variety of factors—lack of parent involvement, education, and in-home carryover being at the forefront. As a result, this study aimed to examine the parents’ opinions on the effectiveness of implementing a coaching model, specifically the Occupational Performance Coaching (OPC) model. A thorough literature review was conducted on this model, identifying its structure and strengths. The goal of the coaching model was to empower parents to be autonomous and confident when working with their children at home. This model was implemented with 9 participant families during a 6-week period in which in-person services were delivered to the child with both the therapist and parent present. The therapist coached the parent throughout the session, exchanging information and encouraging independent problem-solving apart from therapy. After the 6-week period, all participant families were asked to take the post-experiential survey and 8 completed it. The responses were uniformly positive and supported the premise and use of the OPC through three major themes, identified and coded using directed qualitative content analysis. These themes were program value, expectation setting, and benefits including empowerment through knowledge acquisition and skill acquisition. The project was deemed mutually beneficial by each the student and the capstone site and had an overall positive impact on the profession of occupational therapy.