The Effect of Problem-Based Learning as a Tutoring Intervention in Athletic Training Education: Exploring the Theory Application Gap in the Board of Certification, Inc. Treatment and Rehabilitation Domain at Regional University in Texas

The purpose of this study was to explore the effects of problem-based learning (PBL) as a tutoring intervention in narrowing the theory application gap within the treatment and rehabilitation domain of Regional Universities athletic training education program (ATE). Research indicates there are theory application gaps between didactic and practical applications in nursing, physical therapy, athletic training, and teacher education programs. This theory application gap exists when a transfer of knowledge breakdown occurs in the classroom and clinical practice integration. Students at Regional University in Texas have scored well below the national average in the treatment and rehabilitation domain of the Board of Certification, Inc. national certification examination. Athletic students within the RU ATE volunteered for participation in the study and provided the sample of convenience (N=15). The sample size consisted of student cohorts from each academic level within the ATE: Level-I (N=5), Level-II (N=5), and Level-III (N=5). Students participated in the study for five-weeks during the spring of 2013. Students received an orientation to PBL during the first week followed by the PBL tutoring intervention in the subsequent weeks. This study utilized a convergent parallel mixed methods design as the methodological framework. The Elizondo-Montemayor Criterion Reference (EMCR) self-assessment for PBL was utilized as the pre and posttest quantitative tool. Descriptive analysis was performed on the EMCR followed by the Kruskal-Wallis statistical analysis to and a post-hoc Mann-Whitney U analysis. Qualitative data was collected using the transcripts from focus groups and student reflection journals. A constant comparative method of analysis was used to review data from the focus groups and reflection journals. The EMCR self-assessment PBL objectives guided the thematic coding process. Through the constant comparative method of analysis, sub-themes emerged in both the focus groups and reflection journals. The results of the study indicate a statistical significance in the pre-posttest in the PBL objects of application of knowledge, clinical reasoning, and self-directed learning. However, the average self-directed learning EMCR score rated the academic levels as “poor”. Qualitative results corroborate the self-directed learning quantitative findings, students also perceived the theory application gap within ATE as one that hinders learning

Staff Education and Training for the Maternal Cardiac Arrest

Maternal cardiac arrest is among the most frightening events that can happen on the labor and delivery unit. A maternal arrest can have catastrophic results. Staff must be vigilant, competent, and ready to handle the maternal arrest emergency at all times. A maternal cardiac arrest requires coordination among multiple disciplines and precise performance is paramount in saving not one life, but two. The purpose of the project was to establish a clinical training course for maternal arrest intended for education to improve staff knowledge during a maternal cardiac arrest. Evaluation of the knowledge and skills were through an exam, participation in a mock maternal cardiac arrest, and annual competencies for all appropriate staff. Results of the advanced cardiac life support first time exam pass rate was 92% with 100% second time pass rate. The neonatal resuscitation protocol exam pass rate was 100% on the first attempt. Total pre confidence score for RNs M 30.32, SD = 4.34, range = 15.0. Total post confidence score for RNs M = 40.14, SD = 3.24, range = 12.0. Total pre confidence scores for MDs M = 37.91, SD = 2.51, range = 9.0. Total post confidence score for MDs M = 44.37, SD = 3.20, range = 12.0. Total pre confidence score for RTs M = 33.5, SD = 3.83, range = 9.0. Post confidence score for RTs M = 41.17, SD = 2.71, range = 8.0. All scores increased in a statistically significant way p=.000. The major themes that emerged from the debriefing were angst, rush, relief. Recommendations include an annual competency and frequent, monthly checks for skills. The impact on social change is a highly trained, competent, and confident hospital staff, which is a positive change for the critical access hospital

Infertility, psychological distress, and coping strategies among women in Mali, West Africa: a mixed-methods study

Relatively little is known about infertility and its consequences in Mali, West Africa where the context and culture are different from those of previously studied settings. This study therefore aimed to specifically examine infertility induced psychological distress and coping strategies among women in Mali. A convergent mixed-methods design—correlational cross-sectional and qualitative descriptive—guided the study. Fifty-eight infertile Malian women participated: 52 completed the Psychological Evaluation Test specific for infertility and a question on general health status, and 26 were interviewed in-depth. Over 20% scored above the cut-off point for psychological distress, and 48% described their general health as poor. There was no significant difference between women with primary vs. secondary infertility. The study found that infertile women lived with marital tensions, criticism from relatives, and stigmatization from the community. They experienced sadness, loneliness, and social deprivation. Coping strategies included traditional and biomedical treatments, religious faith and practices, and self-isolation. Health care professionals should provide holistic care for infertile women to meet their physical, spiritual, psychological, and social needs.Keywords: coping; infertility; psychological distress; Mali; mixed-method

High Failure Rates of Concomitant Periprosthetic Joint Infection and Extensor Mechanism Disruption

Background Patients presenting with both chronic periprosthetic joint infection (PJI) and extensor mechanism disruption (EMD) pose a significant challenge. As there is little in the literature regarding outcomes of patients with concomitant PJI and EMD, we performed a multicenter study to evaluate the outcomes. Methods Sixty patients with concomitant diagnoses of PJI and EMD were evaluated from 5 institutions. Patient demographics, presentation type, surgical management, and outcomes including recurrent infections, final surgery, and ambulatory status were documented. Results Fifty-three of 60 patients had an attempted extensor mechanism reconstruction/repair (EMR) of which 12 (23%) were successful, averaging 3.5 (range, 2-7) intervening surgeries. Forty-one patients (77%) were considered failures with recurrence of infection as most common failure (80%); 26 ended in fusion, 10 in above knee amputation, 3 with chronic resection arthroplasty, and 2 with chronic spacers/EMD. Seven patients had no attempt at EMR but proceeded directly to fusion (n = 6) or amputation (n = 1). There was no statistical difference between groups that had success or failure of EMR in age, American Society of Anesthesiologists Physical Status Classification System, or body mass index. Conclusion Our study demonstrates that concomitant EMD and PJI is a dreaded combination with poor outcomes regardless of treatment. Eradication of infection and reconstruction of the extensor mechanism often require numerous surgeries and despite great effort often end in failure. Consideration of early fusion or amputation may be preferable in some patients to avoid the morbidity and mortality of repeated surgeries

Concert recording 2013-04-27b

[Track 01]. Fantasia di concerto / Eduardo Boccalari -- [Track 02]. Apres un reve / Gabriel Faure -- [Track 03]. Arabesque / Joseph Turrin -- [Track 04]. Gabriel\u27s oboe / Ennio Morricone ; arranged by David Werden -- [Track 05]. Believe me if all those endearing young charms / Simone Mantia ; arranged by David Werden -- [Track 06]. St. James Infirmary / Joe Primrose ; arranged by Mike Forbes

2017 American College of Rheumatology/American Association of Hip and Knee Surgeons Guideline for the Perioperative Management of Antirheumatic Medication in Patients With Rheumatic Diseases Undergoing Elective Total Hip or Total Knee Arthroplasty

Peer Reviewedhttps://deepblue.lib.umich.edu/bitstream/2027.42/137769/1/art40149.pdfhttps://deepblue.lib.umich.edu/bitstream/2027.42/137769/2/art40149_am.pd

2017 American College of Rheumatology/American Association of Hip and Knee Surgeons Guideline for the Perioperative Management of Antirheumatic Medication in Patients With Rheumatic Diseases Undergoing Elective Total Hip or Total Knee Arthroplasty

Peer Reviewedhttps://deepblue.lib.umich.edu/bitstream/2027.42/137753/1/acr23274.pdfhttps://deepblue.lib.umich.edu/bitstream/2027.42/137753/2/acr23274_am.pd

Neurodevelopment of children exposed in utero to treatment of maternal malignancy

Cancer is the second most common cause of death during the reproductive years, complicating approximately 1/1000 pregnancies. The occurrence of cancer during gestation is likely to increase as a result of a woman's tendency to delay childbearing. Improved diagnostic techniques for malignancies increases detection of cancer during pregnancy. Malignant conditions during gestation are believed to be associated with an increase in poor perinatal and fetal outcomes that are often due to maternal treatment. Physicians should weigh the benefits of treatment against the risks of fetal exposure. To date, most reports have focused on morphologic observations made very close to the time of delivery with little data collected on children's long-term neurodevelopment following in utero exposure to malignancy and treatment. Because the brain differentiates throughout pregnancy and in early postnatal life, damage may occur even after first trimester exposure. The possible delayed effects of treatment on a child's neurological, intellectual and behavioural functioning have never been systematically evaluated. The goal of this report was to summarize all related issues into one review to facilitate both practitioners' and patients' access to known data on fetal risks and safety. © 2001 Cancer Research Campaign http://www.bjcancer.co

Rescue 911 - Spiritual First Aid for God\u27s People

Tired of treating life\u27s emergencies with spiritual Band-Aids? Come and explore Jesus\u27 response to people in pain and learn to view crisis as a ministry opportunity

Preliminary separation of cottonseed oil by crystallization from solvents and the Halphen reaction

Due to the character of the original source materials and the nature of batch digitization, quality control issues may be present in this document. Please report any quality issues you encounter to [email protected], referencing the URI of the item.Not availabl