Community professionals' management of client care : a mixed-methods systematic review

This is the final draft, after peer-review, of a manuscript published in Journal of Health Services Research & Policy. The definitive version, detailed above, is available online at www.rsmjournals.com.Peer reviewedPostprin

The precarious supply of physical therapists across Canada: exploring national trends in health human resources (1991 to 2005)

<p>Abstract</p> <p>Background</p> <p>Health Human Resource (HHR) ratios are one measure of workforce supply, and are often expressed as a ratio in the number of health professionals to a sub-set of the population. In this study, we explore national trends in HHR among physical therapists (PTs) across Canada.</p> <p>Methods</p> <p>National population data were combined with provincial databases of registered physical therapists in order to estimate the HHR ratio in 2005, and to establish trends between 1991 and 2005.</p> <p>Results</p> <p>The national HHR ratio was 4.3 PTs per 10,000 population in 1991, which increased to 5.0 by 2000. In 2005, the HHR ratios varied widely across jurisdictions; however, we estimate that the national average dropped to 4.8 PTs per 10,000. Although the trend in HHR between 1991 and 2005 suggests positive growth of 11.6%, we have found negative growth of 4.0% in the latter 5-years of this study period.</p> <p>Conclusion</p> <p>Demand for rehabilitation services is projected to escalate in the next decade. Identifying benchmarks or targets regarding the optimal number of PTs, along with other health professionals working within inter professional teams, is necessary to establish a stable supply of health providers to meet the emerging rehabilitation and mobility needs of an aging and increasingly complex Canadian population.</p

Benefits for Dominant Red Deer Hinds under a Competitive Feeding System: Food Access Behavior, Diet and Nutrient Selection

Social dominance is widely known to facilitate access to food resources in many animal species such as deer. However, research has paid little attention to dominance in ad libitum access to food because it was thought not to result in any benefit for dominant individuals. In this study we assessed if, even under ad libitum conditions, social rank may allow dominant hinds to consume the preferred components of food. Forty-four red deer hinds (Cervus elaphus) were allowed to consume ad libitum meal consisting of pellets of sunflower, lucerne and orange, and seeds of cereals, corn, cotton, and carob tree. The meal was placed only in one feeder, which reduced accessibility to a few individuals simultaneously. During seven days, feeding behavior (order of access, time to first feeding bout, total time spent feeding, and time per feeding bout) were assessed during the first hour. The relative abundance of each meal component was assessed at times 0, 1 and 5 h, as well as its nutritional composition. Social rank was positively related to the amount of time spent feeding during the 1st h (P = 0.048). Selection indices were positively correlated with energy (P = 0.018 during the 1st h and P = 0.047 from 1st to 5th) and fat (only during the 1st h; P = 0.036), but also negatively with certain minerals. Thus, dominant hinds could select high energy meal components for longer time under an ad libitum but restricted food access setting. Selection indices showed a higher selectivity when food availability was higher (1st hour respect to 1st to 5th). Finally, high and low ranking hinds had longer time per feeding bout than mid ones (P = 0.011), suggesting complex behavioral feeding tactics of low ranking social ungulates

Near Infrared Spectroscopy and Fecal Chemistry as Predictors of the Diet Composition of White-Tailed Deer

Overbrowsing by white-tailed deer (Odocoileus virginianus Zimmermann) on Anticosti Island (Canada) created a need to develop efficient methods for estimating their foraging patterns. We tested the ability of near infrared (NIR) spectra of feces and of fecal chemical properties to predict diet composition of different individuals. We first used a principal component-based discriminant analysis to sort the NIR spectra of fecal samples (n-=-102) obtained from two groups of captive deer that had been fed two different diets. The diets differed only in their relative abundance of balsam fir (Abies balsamea "L." P.Mill.) and white spruce (Picea glauca "Moench" Voss.) foliage. The calibrated model allowed us to assign 28 of 30 validation fecal samples (93.3 %) to the correct diet. In a second study, we attempted to estimate the proportion of coniferous, deciduous, herbaceous, and lichenous forages in diets of free-ranging white-tailed deer, as determined by fecal microhistology. Both NIR spectra and chemical properties of feces were used as predictors of diet composition. NIR spectra were analyzed using partial least-squares regression (PLSR), whereas fecal chemical properties were analyzed using mixed-linear regressions (MLRs). The PLSR models were robust (R2-=-0.89; ratio of prediction to deviation-=-3.2) for predicting the amount of coniferous fragments, but not for predicting the relative amounts of balsam fir, white spruce, and deciduous and lichenous fragments within feces. MLR models revealed a positive relationship (47% variance explained) between acid detergent lignin (ADL) and coniferous fragments within feces. ADL and cellulose explained 24% of variance in deciduous fecal fragments, whereas ADL alone explained 22% of variance in balsam fir fecal fragments. These results suggest that NIR spectroscopy and fecal chemical properties have several applications on Anticosti Island, such as measuring the degree of variation in diets within a given home range or determining dietary conifer intake during winter. © 2014 The Society for Range Management.The Rangeland Ecology & Management archives are made available by the Society for Range Management and the University of Arizona Libraries. Contact [email protected] for further information

Acquisition of a Complex Basketball-Dribbling Task in School Children as a Function of Bilateral Practice Order

Stoeckel T, Weigelt M, Krug J. Acquisition of a Complex Basketball-Dribbling Task in School Children as a Function of Bilateral Practice Order. Research Quarterly for Exercise and Sport. 2011;82(2):188-197.The purpose of this study was to investigate order-of-practice effects for the acquisition of a complex basketball skill in a bilateral transfer paradigm. The task required participants to dribble as fast as possible in slalom-like movements across six javelins and return to the initial position. Fifty-two right-handed school children (M age = 11.7 years) practiced this skill in eight sessions over 4 weeks under one of two training schedules: (a) with the dominant hand, before changing to their nondominant hand (D-ND group), or (b) with the nondominant hand, before changing to the dominant hand (ND-D group). All tests were conducted with the right hand or the left hand only, and a transfer test was given with both hands alternating The results of a retention test yielded significantly larger learning gains for the ND-D group as compared to the D-ND group. It is interesting that this performance advantage was independent of the respective hand tested. The same pattern of result was found in the transfer test, with significantly shorter movement times for the ND-D group with both hands alternating Such order-of-practice effects for the acquisition of complex skills can be explained with hemispheric brain asymmetries for the processing of specific task requirements