Utica College

Advancements in pretrained deep learning models, including diffusion models and large language models (LLMs), have enabled generative AI to significantly impact various industries, including construction. This technology offers potential to automate tasks, optimize designs, enhance planning, and improve decision-making within the sector. However, its adoption varies due to differing levels of firm preparedness. Therefore, there is a need for a systematic understanding of organizational preparedness, barriers, and potential solutions. This paper presents a survey-based study examining construction firms’ readiness to integrate generative AI, assessing factors such as data handling, infrastructure, personnel, financial resources, and workflows. It also investigates the impact of firm size and revenue on AI readiness, identifying distinct clusters of firms with varying preparedness levels. Data from a structured survey distributed across the United States to local, regional, and national contractors were analyzed using exploratory and inferential statistics, revealing significant differences and distinct preparedness profiles among firms.

BackgroundClinical reasoning is a critical skill for physical therapy (PT) students to provide effective care. This study aimed to assess the reliability, internal consistency, and construct validity of the Arabic version of the Self-Assessment of Clinical Reflection and Reasoning (SACRR) questionnaire in physical therapy students at Majmaah University.Materials and MethodsA quasi-experimental, non-randomized design was employed, with 76 students divided into three groups: intern (n = 19), pre-clinical (n = 21), and post-clinical (n = 36). Pretest and posttest assessments were conducted. Internal consistency of the Arabic version of the SACRR was analyzed using Cronbach’s alpha coefficient. Statistical analyses were performed using SPSS 19.0.ResultsThe mean age was 22.8 ± 1.3 years, 58 (76.3%) were females, and 18 (23.7%) were males. Significant differences were found between pretest and posttest SACRR scores for Items 7–11 and 14–26 (P<0.05), with mean score increasing from 109.36 ± 11.41 to 116.95 ± 7.40 (P<0.0001). Cronbach’s alpha values indicated strong internal consistency: pretest α = 0.915 and posttest α = 0.860.ConclusionClinical exposure improved clinical reasoning skills among physical therapy students, highlighting the importance of clinical education in healthcare curricula. The Arabic version of the SACRR questionnaire demonstrated good reliability for assessing clinical reasoning skills in this population. Further studies are warranted to validate the SACRR questionnaire in diverse cultural and linguistic contexts, as well as to validate the tool across different cultures and healthcare disciplines.

Abstract Date Presented 04/03/2025 Hospitals did not incorporate acute OT as part of their improvement strategy under Medicare’s Comprehensive Care for Joint Replacement (CJR) program, despite the potential for acute OT to yield financial returns on investment. Primary Author and Speaker: Yvonne Monti

This study aims to specify relations between Conflict Resolution Strategies, adult attachment style in a sample of married couples. It also aims to find out the role of attachment styles in predicting conflict resolution strategies the sample consists of (203) males, and females, the researcher used attachment scale, conflict resolution strategies questionnaire-) Kurdek1994. The findings of the study reveal that there is a statistically significant relationship between conflict resolution strategies and all attachment styles. The results also show that there is predictive ability of the attachment styles to Conflict Resolution Strategies.

Medicare's Comprehensive Care for Joint Replacement (CJR) program rewards hospitals for reducing total Medicare spending. Despite the benefits of occupational therapy (OT) for patient outcomes and spending, little is known about how CJR affects hospital provision of acute occupational OT services. Determine whether CJR changed acute OT provision and whether higher acute OT provision was associated with CJR rewards. Cohort study with randomization. Hospitals. Patients covered by Medicare who were discharged after major joint replacement surgery (n = 1,006,938) in 722 hospitals randomly selected for treatment under CJR and 859 hospitals in the control group, before (July 2014-June 2015) and after (April 2016-December 2018) CJR in the United States. National Medicare inpatient claims data were used to examine diagnoses and per-hospitalization acute OT provision (OT costs, patient receipt of OT, and OT share of hospitalization costs). CJR files were used to determine hospital rewards (CJR dollars per discharge). CJR did not affect acute OT provision in terms of per-hospitalization OT costs, patient receipt of OT, or OT share of total hospitalization costs. Each additional dollar of OT spent by hospitals was associated with an increase of $1.99 CJR reward dollars (95% confidence interval [0.82, 3.16]). These results indicate that hospitals did not increase acute OT as part of their improvement strategy under CJR, despite the potential for acute OT to yield financial returns on investment. Plain-Language Summary: Medicare's Comprehensive Care for Joint Replacement (CJR) bundled payment program rewards hospitals for low Medicare spending from hospitalization through 90 days postdischarge. Although occupational therapy (OT) improves patient-centered care and reduces Medicare spending, it is unknown whether hospitals modified (or targeted) acute OT services when treating older patients who were hospitalized for major joint replacement surgery under CJR. We used national Medicare data to characterize the variation in hospital use of acute OT and to identify how CJR affected acute OT use by hospitals. We then examined whether acute OT use was associated with financial returns on investment by hospitals in CJR. We found that acute OT use did not change under CJR, even though higher OT use was correlated with larger financial rewards for CJR hospitals. Future research should focus on quantifying the value-added of OT on patient outcomes and Medicare spending.