415 research outputs found

    Barriers and facilitators experienced by osteopaths in implementing a biopsychosocial (BPS) framework of care when managing people with musculoskeletal pain – a mixed methods systematic review

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    BACKGROUND: Clinical practice guidelines commonly recommend adopting a biopsychosocial (BPS) framework by practitioners managing musculoskeletal pain. However, it remains unclear how osteopaths implement a BPS framework in the management of musculoskeletal pain. Hence, the objective of this review was to systematically appraise the literature on the current practices, barriers and facilitators experienced by osteopaths in implementing a BPS framework of care when managing people with musculoskeletal pain. METHODS: The following electronic databases from January 2005 to August 2020 were searched: PubMed, CINAHL, Science Direct, Google Scholar, ProQuest Central and SCOPUS. Two independent reviewers reviewed the articles retrieved from the databases to assess for eligibility. Any studies (quantitative, qualitative and mixed methods) that investigated the use or application of the BPS approach in osteopathic practice were included in the review. The critical appraisal skills program (CASP) checklist was used to appraise the qualitative studies and the Mixed Methods Appraisal Tool (MMAT) was used to appraise quantitative or mixed methods studies. Advanced convergent meta-integration was used to synthesise data from quantitative, qualitative and mixed methods studies. RESULTS: A total of 6 studies (two quantitative, three qualitative and one mixed methods) were included in the final review. While two key concepts (current practice and embracing a BPS approach) were generated using advanced meta-integration synthesis, two concepts (barriers and enablers) were informed from qualitative only data. DISCUSSION: Our review finding showed that current osteopathic practice occurs within in the biomedical model of care. Although, osteopaths are aware of the theoretical underpinnings of the BPS model and identified the need to embrace it, various barriers exist that may prevent osteopaths from implementing the BPS model in clinical practice. Ongoing education and/or workshops may be necessary to enable osteopaths to implement a BPS approach

    Health Benefits Are Associated With Employment Status For People With Intellectual Disabilities

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    Recent studies demonstrate that people with developmental disabilities are at increased risk for preventable illnesses. In our study, we examined several variables suspected to be major contributing factors, with emphasis on job security and employment. The development of sheltered workshops was initially an attempt to promote employment opportunities for people with intellectual and developmental disabilities (IDD), though at subminimum wages. We explored whether these workshops allow for adequate community and healthcare engagement that is necessary for overall health and wellbeing. We designed a study that allowed us to statistically compare health-related data among states that eliminated sheltered workshops with those continuing this practice. These results were compared with internally available data (N=79) at Champlain Community Services (CCS), a specialized employment organization in Vermont serving people with IDD. We quantified health outcomes based on Medicaid standards which include annual wellness visits with a PCP, annual dental visits, and ensuring individuals are up to date on vaccinations. Additionally, we quantified other predictors for general wellbeing including current smoking status and body mass index (BMI). The results of our study indicated that people with IDD from states that have eliminated sheltered workshops tend to have better health outcomes with notable exemplary outcomes in consumers involved with CCS. We anticipate the results of this study will assist organizations, such as CCS, by articulating the impact of sheltered workshops on people living with IDD and receiving subminimum wage.https://scholarworks.uvm.edu/comphp_gallery/1309/thumbnail.jp

    DFT and experimental investigations on the photocatalytic activities of NiO nanobelts for removal of organic pollutants

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    NiO nanobelts synthesized using the hydrothermal method are explored for photocatalytic degradation of organic pollutants like RhB, MO, MB, and CV. The XPS analysis confirmed the formation of the stoichiometric NiO nanobelts. Few micrometer long cubic crystalline NiO nanobelts of the average thickness of ∼75 nm delivered a bandgap of 4.07 eV. The FTIR studies revealed that the mesoporous NiO nanobelts delivered stable photocatalytic activities after controlled irradiation under a xenon lamp. The kinetic studies showed the 79.1, 82.7, 76.7, and 89% degradation of MO, MB, CV, and RhB after 140 min at the rate constants (k) of 0.007, 0.008, 0.009, and 0.012 min−1, respectively. Complementary first-principles Density Functional Theory (DFT) and scavenging studies revealed the chemical picture and influence of the , and photogenerated from NiO nanobelts in the photocatalytic degradation of organic dyes. These studies corroborate the use of the NiO nanobelts in the stable and eco-friendly photocatalytic degradation activities of a wide range of organic pollutants

    Barriers and facilitators experienced by osteopaths in implementing a biopsychosocial (BPS) framework of care when managing people with musculoskeletal pain – A mixed methods systematic review protocol

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    Background: Musculoskeletal (MSK) pain conditions have a substantial influence on the quality of life. Psychosocial factors such as depression, anxiety and social isolation have been shown to play an important role in the development and management of MSK pain. Therefore, clinical practice guidelines commonly recommend adopting a biopsychosocial (BPS) framework by practitioners managing MSK pain. However, it remains unclear how osteopaths implement a BPS framework in the management of MSK pain. This protocol describes the objective and methods of a systematic review of barriers and facilitators experienced by osteopaths in implementing a BPS framework of care when managing people with MSK pain. Methods: The following electronic databases from January 2005 to March 2019 will be searched: PubMed, AMED, EMBASE, CINAHL, Cochrane Library, Physiotherapy Evidence Database (PEDro), and SCOPUS. Two independent reviewers will review the title, abstract and full-text article retrieved from the databases to assess potentially eligible studies. Any studies (quantitative, qualitative and mixed methods) that investigated the use or application of the biopsychosocial approach in osteopathic practice will be included in the review. Data synthesis for qualitative studies will be done using the GRADE‐CERQual tool. Data synthesis methods for mixed method studies will be decided after data extraction and assessment. Discussion: This systematic review will provide critical insights into the barriers and facilitators experienced by osteopaths to implement the BPS framework in their practice. This may be important and timely as a BPS framework has been recommended by various clinical practice guidelines. © 2020 Elsevier Lt

    The MINERν\nuA Data Acquisition System and Infrastructure

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    MINERν\nuA (Main INjector ExpeRiment ν\nu-A) is a new few-GeV neutrino cross section experiment that began taking data in the FNAL NuMI (Fermi National Accelerator Laboratory Neutrinos at the Main Injector) beam-line in March of 2010. MINERν\nuA employs a fine-grained scintillator detector capable of complete kinematic characterization of neutrino interactions. This paper describes the MINERν\nuA data acquisition system (DAQ) including the read-out electronics, software, and computing architecture.Comment: 34 pages, 16 figure
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