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https://www.readbyqxmd.com/read/28104039/challenges-in-implementing-individual-placement-and-support-in-the-australian-mental-health-service-and-policy-context
#1
Yolande Stirling, Kate Higgins, Melissa Petrakis
Objective Although Australia's service and policy context differs from that of the US, studies have highlighted potential for individual placement and support (IPS) to support competitive employment outcomes for people with severe and persistent mental illness. The aim of the present study was to explore why the model is not yet widely available.Methods A document analysis was conducted to discern reasons for challenges in implementation of IPS practice principles within the Australian service context.Results The document analysis illustrated that although policy acknowledges the importance of increasing employment rates for people with severe and persistent mental illness, consistent measures, change indicators, direction and time frames are lacking in policy and strategy documentation...
January 20, 2017: Australian Health Review: a Publication of the Australian Hospital Association
https://www.readbyqxmd.com/read/28095813/vocational-rehabilitation-for-adults-with-psychotic-disorders-in-a-scandinavian-welfare-society
#2
Erik Falkum, Ole Klungsøyr, June Ullevoldsæter Lystad, Helen Christine Bull, Stig Evensen, Egil W Martinsen, Svein Friis, Torill Ueland
BACKGROUND: This study examined the outcomes of a vocational rehabilitation program (The Job Management Program, JUMP) for persons with psychotic disorders based on close collaboration between health and welfare services. METHODS: Participants (N = 148) with broad schizophrenia spectrum disorders (age 18-65) were recruited from six counties in Norway. Three counties were randomized to vocational rehabilitation augmented with cognitive behaviour therapy (CBT), while the remaining three counties were randomized to vocational rehabilitation augmented with cognitive remediation (CR)...
January 17, 2017: BMC Psychiatry
https://www.readbyqxmd.com/read/28095555/megasessions-for-robotic-hair-restoration
#3
Joa O Carlos Pereira, Joa O Carlos Pereira Filho, Joa O Pedro Cabrera Pereira
A robotic system can select and remove individual hair follicles from the donor area with great precision and without fatigue. This report describes the use of the robotic system in a megasession for hair restoration. Patients were instructed to cut their hair to 1.0 to 1.2 mm before surgery. The robot selected and removed 600 to 800 grafts per hour so the follicular units (FU)s could be transplanted manually to recipient sites. The robot arm consists of a sharp inner punch and a blunt outer punch which together separate FUs from the sur- rounding tissue...
November 1, 2016: Journal of Drugs in Dermatology: JDD
https://www.readbyqxmd.com/read/28079734/thoracic-epidural-anesthesia-and-prophylactic-three-times-daily-unfractionated-heparin-within-an-enhanced-recovery-after-surgery-pathway-for-colorectal-surgery
#4
Alexander B Stone, Michael C Grant, Brandyn D Lau, Deborah B Hobson, Michael B Streiff, Elliot R Haut, Christopher L Wu, Elizabeth C Wick
BACKGROUND AND OBJECTIVES: Venous thromboembolism (VTE) is a common cause of preventable harm. Perioperative thoracic epidural analgesia (TEA) presents a challenge to optimal VTE prophylaxis. Our primary aim was to characterize missed doses of VTE prophylaxis associated with epidural catheter placement and removal. Our secondary aim was to measure the effect of an enhanced recovery after surgery (ERAS) pathway on the rate of TEA-associated missed VTE prophylaxis. METHODS: We retrospectively reviewed a prospectively collected database of 1264 colorectal surgery patients at a single academic center...
January 9, 2017: Regional Anesthesia and Pain Medicine
https://www.readbyqxmd.com/read/28076689/national-organization-of-nurse-practitioner-faculties
#5
Dawn M Vanderhoef, Kathleen R Delaney
BACKGROUND: No data exist about how directors of psychiatric mental health (PMH) graduate nurse practitioner (NP) programs have dealt with moving their programs to a lifespan model. It is equally unclear as to how many programs have changed to a doctor of nursing practice (DNP) level of clinical education. OBJECTIVES: The purpose of this survey was to gather data on the state of graduate PMH NP education as they align with regulatory models. DESIGN: A brief survey was sent via e-mail to 118 program directors of PMH NP programs...
January 1, 2017: Journal of the American Psychiatric Nurses Association
https://www.readbyqxmd.com/read/28067747/readmission-and-reoperation-after-surgery-for-pelvic-organ-prolapse
#6
Erik D Hokenstad, Amy E Glasgow, Elizabeth B Habermann, John A Occhino
OBJECTIVES: We aimed to determine the rates of readmission and reoperation for patients undergoing surgery for pelvic organ prolapse (POP). METHODS: The American College of Surgeons National Surgical Quality Improvement Program Participant User File was used to select all surgeries performed for POP from 2012 through 2014. The cohort was then reviewed for unplanned readmissions and unplanned reoperations within 30 days of POP surgery. Patient and procedural factors associated with readmission or reoperation were compared using χ analyses and Student t test...
January 6, 2017: Female Pelvic Medicine & Reconstructive Surgery
https://www.readbyqxmd.com/read/28062932/prevalence-and-quality-of-individual-placement-and-support-ips-supported-employment-in-the-united-states
#7
Annalee Johnson-Kwochka, Gary R Bond, Deborah R Becker, Robert E Drake, Mary Ann Greene
The individual placement and support (IPS) model of supported employment for people with serious mental illness is an evidence-based practice. Factors including a national learning community promoting IPS and enforcement of the Supreme Court's Olmstead decision have spurred the growth of IPS nationwide. In this study we first evaluated the national prevalence and quality of IPS programs. We then evaluated the impact of learning community membership and Olmstead settlements on IPS program penetration and quality across the United States...
January 6, 2017: Administration and Policy in Mental Health
https://www.readbyqxmd.com/read/28056843/the-influence-of-day-care-centres-designed-for-people-with-dementia-on-family-caregivers-a-qualitative-study
#8
Signe Tretteteig, Solfrid Vatne, Anne Marie Mork Rokstad
BACKGROUND: Dementia is one of the most challenging age-related illnesses for family caregivers, whose care-related burden is well known. Research indicates that day care centres (DCCs) can reduce the caregiver burden and help family caregivers to cope with demands; however, the current body of knowledge is still tentative and inconsistent, and more research is recommended. The aim of this study is to provide an extended understanding of the situation of family caregivers and to examine to what extent DCCs can meet their need for support and respite...
January 5, 2017: BMC Geriatrics
https://www.readbyqxmd.com/read/28050574/a-validation-study-of-a-novel-3-dimensional-mri-modeling-technique-to-identify-the-anatomic-insertions-of-the-anterior-cruciate-ligament
#9
Catherine Hui, Yeli Pi, Vimarsha Swami, Myles Mabee, Jacob L Jaremko
BACKGROUND: Anatomic single bundle anterior cruciate ligament (ACL) reconstruction is the current gold standard in ACL reconstructive surgery. However, placement of femoral and tibial tunnels at the anatomic center of the ACL insertion sites can be difficult intraoperatively. We developed a "virtual arthroscopy" program that allows users to identify ACL insertions on preoperative knee magnetic resonance images (MRIs) and generates a 3-dimensional (3D) bone model that matches the arthroscopic view to help guide intraoperative tunnel placement...
December 2016: Orthopaedic Journal of Sports Medicine
https://www.readbyqxmd.com/read/28048892/su-f-j-116-clinical-experience-based-verification-and-improvement-of-a-4dct-program
#10
P Fogg, M West, T Aland
PURPOSE: To demonstrate the role of continuous improvement fulfilled by the Medical Physicist in clinical 4DCT and CBCT scanning. METHODS: Lung (SABR and Standard) patients' 4D respiratory motion and image data were reviewed over a 3, 6 and 12 month period following commissioning testing. By identifying trends of clinically relevant parameters and respiratory motions, variables were tested with a programmable motion phantom and assessed. Patient traces were imported to a motion phantom and 4DCT and CBCT imaging were performed...
June 2016: Medical Physics
https://www.readbyqxmd.com/read/28048025/tu-d-201-09-is-the-ms-degree-still-a-viable-option-for-clinical-medical-physics-education-and-training
#11
B Loughery, J Burmeister
PURPOSE: Recent publications have questioned the value of the MS degree and its future in medical physics education. This study investigates the residency placement rate (RPR) for CAMPEP-accredited MS programs as a metric to evaluate this degree as judged by residency programs. METHODS: By CAMPEP Standard 2.10, accredited graduate programs must present placement data on their program webpage and update it annually. We used these data to calculate the RPR of 43 programs into CAMPEP-accredited residency programs over a five year period (2010-2014)...
June 2016: Medical Physics
https://www.readbyqxmd.com/read/28047474/su-f-j-10-sliding-mode-control-of-a-sma-actuated-active-flexible-needle-for-medical-procedures
#12
T Podder
PURPOSE: In medical interventional procedures such as brachytherapy, ablative therapies and biopsy precise steering and accurate placement of needles are very important for anatomical obstacle avoidance and accurate targeting. This study presents the efficacy of a sliding mode controller for Shape Memory Alloy (SMA) actuated flexible needle for medical procedures. METHODS: Second order system dynamics of the SMA actuated active flexible needle was used for deriving the sliding mode control equations...
June 2016: Medical Physics
https://www.readbyqxmd.com/read/28047428/su-f-t-48-clinical-implementation-of-brachytherapy-planning-system-for-coms-eye-plaques
#13
C Ferreira, M Islam, S Ahmad, T De La Fuente Herman
PURPOSE: To commission the Brachytherapy Planning (BP) system (Varian, Palo Alto, CA) for the Collaborative Ocular Melanoma Study (COMS) eye plaques by evaluating dose differences against original plans from Nucletron Planning System (NPS). METHODS: NPS system is the primary planning software for COMS-plaques at our facility; however, Brachytherapy Planning 11.0.47 (Varian Medical Systems) is used for secondary check and for seed placement configurations not originally commissioned...
June 2016: Medical Physics
https://www.readbyqxmd.com/read/28046987/su-f-p-10-a-web-based-radiation-safety-relational-database-module-for-regulatory-compliance
#14
C Rosen, B Ramsay, S Konerth, D Roller, A Ramsay
PURPOSE: Maintaining compliance with Radioactive Materials Licenses is inherently a time-consuming task requiring focus and attention to detail. Staff tasked with these responsibilities, such as the Radiation Safety Officer and associated personnel must retain disparate records for eventual placement into one or more annual reports. Entering results and records in a relational database using a web browser as the interface, and storing that data in a cloud-based storage site, removes procedural barriers...
June 2016: Medical Physics
https://www.readbyqxmd.com/read/28046939/su-g-tep4-11-implementation-of-a-non-measurement-based-patient-specific-imrt-qa-program
#15
S Chen, M Guerrero, B Zhang, B Yi, S Mossahebi, K Prado, W D'Souza, K Langen
PURPOSE: To implement a comprehensive non-measurement-based verification program for patient-specific IMRT QA METHODS: Based on published guidelines, a robust IMRT QA program should assess the following components: 1) accuracy of dose calculation, 2) accuracy of data transfer from the treatment planning system (TPS) to the record-and-verify (RV) system, 3) treatment plan deliverability, and 4) accuracy of plan delivery. RESULTS: We have implemented an IMRT QA program that consist of four components: 1) an independent re-calculation of the dose distribution in the patient anatomy with a commercial secondary dose calculation program: Mobius3D (Mobius Medical Systems, Houston, TX), with dose accuracy evaluation using gamma analysis, PTV mean dose, PTV coverage to 95%, and organ-at-risk mean dose; 2) an automated in-house-developed plan comparison system that compares all relevant plan parameters such as MU, MLC position, beam iso-center position, collimator, gantry, couch, field size settings, and bolus placement, etc...
June 2016: Medical Physics
https://www.readbyqxmd.com/read/28046475/su-f-e-13-design-and-fabrication-of-gynacological-brachytherapy-shielding-non-shielding-applicators-using-indigenously-developed-3d-printing-machine
#16
S Shanmugam
PURPOSE: In this innovative work we have developed Gynecological Brachytherapy shielding & Non Shielding Applicators and compared with the commercially available applicators by using the indigenously developed 3D Printing machine. METHODS: We have successfully indigenously developed the 3D printing machine. Which contain the 3 dimensional motion platform, Heater unit, base plate, ect… To fabricate the Gynecological Brachytherapy shielding & non shielding applicators the 3D design were developed in the computer as virtual design...
June 2016: Medical Physics
https://www.readbyqxmd.com/read/28046364/su-f-p-22-will-the-low-residency-placement-rate-scare-talented-candidates-away-from-our-profession
#17
B Loughery, K Hendrickson, J Burmeister
PURPOSE: The low placement rate (∼25%) of medical physics residency match applicants is well-known to medical physics graduate students, and is beginning to be appreciated by prospective students. We examine this placement rate in detail and its potential impact on future recruitment into our profession based on survey data of both match applicants and program directors. METHODS: To evaluate and validate residency placement rates, we analyzed annual CAMPEP graduate and residency program reports and data from individual graduate program websites...
June 2016: Medical Physics
https://www.readbyqxmd.com/read/28045740/scaffolding-and-sequencing-core-concepts-to-develop-a-simulation-integrated-nursing-curriculum
#18
Alaina Herrington, Tonya Schneidereith
Integrating simulation in multiple levels of nursing programs remains a challenge for educators. Nurse educators from various degree-granting programs were surveyed to identify placement of multiple nursing concepts. The results of the survey identified concepts that could be incorporated, that is, scaffolded, into various levels of education via concept-based simulations. Categorizing concepts into multiple learner levels provides an efficient, systematic approach to incorporating concepts into simulation throughout any nursing curriculum...
December 30, 2016: Nurse Educator
https://www.readbyqxmd.com/read/28040759/novel-application-of-a-percutaneous-left-ventricular-assist-device-as-a-bridge-to-transplant-in-a-paediatric-patient-with-severe-heart-failure-due-to-viral-myocarditis
#19
Paul Perry, Elizabeth David, Broadus Atkins, Gary Raff
A 13-year obese female with suspected viral myocarditis presented with acute decompensated heart failure. Due to her body habitus, she was a poor candidate for immediate heart transplantation. A peripherally inserted left ventricular assist device (LVAD) was implanted via the right axillary artery. Following device insertion the patient experienced rapid improvement in symptoms. The LVAD provided effective left ventricular unloading for 50 days, promoting myocardial recovery and maintaining excellent patient performance status...
December 31, 2016: Interactive Cardiovascular and Thoracic Surgery
https://www.readbyqxmd.com/read/28030890/assistance-to-states-for-the-education-of-children-with-disabilities-preschool-grants-for-children-with-disabilities-final-regulations
#20
(no author information available yet)
The Secretary amends the regulations under Part B of the Individuals with Disabilities Education Act (IDEA) governing the Assistance to States for the Education of Children with Disabilities program and the Preschool Grants for Children with Disabilities program. With the goal of promoting equity under IDEA, the regulations will establish a standard methodology States must use to determine whether significant disproportionality based on race and ethnicity is occurring in the State and in its local educational agencies (LEAs); clarify that States must address significant disproportionality in the incidence, duration, and type of disciplinary actions, including suspensions and expulsions, using the same statutory remedies required to address significant disproportionality in the identification and placement of children with disabilities; clarify requirements for the review and revision of policies, practices, and procedures when significant disproportionality is found; and require that LEAs identify and address the factors contributing to significant disproportionality as part of comprehensive coordinated early intervening services (comprehensive CEIS) and allow these services for children from age 3 through grade 12, with and without disabilities...
19, 2016: Federal Register
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