The Prevalence and Characteristics of Physical Therapy Pro Bono Services Involving Doctor of Physical Therapy Students

Purpose: The offering of pro bono services has been a historical practice in a number of professions including law and medicine. Medical literature suggests pro bono services provide a vital safety net for individuals who are underinsured or uninsured. Medical students commonly participate in pro bono services, however, little is known about doctor of physical therapy (DPT) student involvement. The purpose of this study was to conduct a survey of physical therapy (PT) programs accredited or in candidacy in the United States to determine the prevalence and characteristics of pro bono services involving DPT students. Method: A 30-item electronic survey was sent to 101 individuals representing accredited or in candidacy PT programs thought to be involved with students in the delivery of PT pro bono services. Data were analyzed using SPSS. Frequency counts and percentages were used to describe prevalence and characteristics of current pro bono services. Results: The response rate was 71.3% with 72 unique institutions completing the survey. Sixty-six institutions reported student involvement in pro bono services and an additional five with plans to start services in the future. The survey yielded data related to institution demographics, general pro bono service characteristics, clinic operations, student leadership, interprofessional interactions and curricular links. Conclusions: Pro bono services involving DPT students are on the rise and the literature points to the importance of PT pro bono services as a rehabilitative safety net and as a creative pedagogy for student professional development. Provision of PT pro bono services may promote public awareness of PT while serving as a catalyst to actualize altruism and social responsibility Core Value expression in DPT students

An Exploratory Path Model of the Relationships Between Positive and Negative Adaptation to Cancer on Quality of Life Among Non-Hodgkin Lymphoma Survivors

Adaptation is an ongoing, cognitive process with continuous appraisal of the cancer experience by the survivor. This exploratory study tested a path model examining the personal (demographic, disease, and psychosocial) characteristics associated with quality of life (QOL) and whether or not adaptation to living with cancer may mediate these effects

Consensus statements regarding the multidisciplinary care of limb amputation patients in disasters or humanitarian emergencies: Report of the 2011 humanitarian action summit surgical working group on amputations following disasters or conflict

Limb amputations are frequently performed as a result of trauma inflicted during conflict or disasters. As demonstrated during the 2010 earthquake in Haiti, coordinating care of these patients in austere settings is complex. During the 2011 Humanitarian Action Summit, consensus statements were developed for international organizations providing care to limb amputation patients during disasters or humanitarian emergencies. Expanded planning is needed for a multidisciplinary surgical care team, inclusive of surgeons, anesthesiologists, rehabilitation specialists and mental health professionals. Surgical providers should approach amputation using an operative technique that optimizes limb length and prosthetic fitting. Appropriate anesthesia care involves both peri-operative and long-term pain control. Rehabilitation specialists must be involved early in treatment, ideally before amputation, and should educate the surgical team in prosthetic considerations. Mental health specialists must be included to help the patient with community reintegration. A key step in developing local health systemsis the establishment of surgical outcomes monitoring. Such monitoring can optimizepatient follow-up and foster professional accountability for the treatment of amputation patients in disaster settings and humanitarian emergencies. © Copyright Knowlton © World Association for Disaster and Emergency Medicine 2012

An Exploratory Path Model of the Relationships Between Positive and Negative Adaptation to Cancer on Quality of Life Among Non-Hodgkin Lymphoma Survivors

PURPOSE: Adaptation is an ongoing, cognitive process with continuous appraisal of the cancer experience by the survivor. This exploratory study tested a path model examining the personal (demographic, disease, and psychosocial) characteristics associated with quality of life (QOL) and whether or not adaptation to living with cancer may mediate these effects. METHODS: This study employed path analysis to estimate adaptation to cancer. A cross sectional sample of NHL survivors (N=750) was used to test the model. Eligible participants were ≥18 years, at least two years post-diagnosis, and living with or without active disease. RESULTS: 68% of the variance was accounted for in QOL. The strongest effect (−0.596) was direct by negative adaptation, approximately three times that of positive adaptation (0.193). The strongest demographic total effects on QOL were age and social support; <65 years of age had better QOL and better adaptation compared to those ≥65. Of the disease characteristics, comorbidity score had the strongest direct effect on QOL; each additional comorbidity was associated with a 0.309 standard deviation decline on QOL. There were no fully mediated effects through positive adaptation alone. Our exploratory findings support the coexistence of positive and negative adaptations perception as mediators of personal characteristics of the cancer experience. Negative adaptation can affect QOL in a positive way. Cancer survivorship is simultaneously shaped by both positive and negative adaptation with future research and implications for practice aimed at improving QOL

Best practice guidelines on surgical response in disasters and humanitarian emergencies: Report of the 2011 humanitarian action summit working group on surgical issues within the humanitarian space

The provision of surgery within humanitarian crises is complex, requiring coordination and cooperation among all stakeholders. During the 2011 Humanitarian Action Summit best practice guidelines were proposed to provide greater accountability and standardization in surgical humanitarian relief efforts. Surgical humanitarian relief planning should occur early and include team selection and preparation, appropriate disaster-specific anticipatory planning, needs assessment, and an awareness of local resources and limitations of cross-cultural project management. Accurate medical record keeping and timely follow-up is important for a transient surgical population. Integration with local health systems is essential and will help facilitate longer term surgical health system strengthening. © Copyright Chackungal © World Association for Disaster and Emergency Medicine 2012