429 research outputs found

    Clinical evaluation of alignment methods using the Dioptron II

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    A clinical investigation into the significance of alignment methods as used with the Dioptron II Automated. Refractor was compared to the subjective refraction. A total of 110 eyes were tested. using two differing alignment modes: 1) instrument alignment target centered with the pupil, i.e. on the pupil axis; 2) instrument alignment target centered on the corneal light reflex, i.e. on the line of sight. Results showed no significant difference between either of the alignment methods when they were compared to the subjective refraction examination results

    Occupational Therapy in the Intensive Care Unit

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    In recent years, the number of inpatient cardiovascular surgeries has significantly increased in hospitals around America. Occupational therapists in the intensive care unit (ICU) at Mills-Peninsula Medical Center (Burlingame, California) currently lack a standard protocol for addressing physical, cognitive, and psychosocial factors in patients post cardiac surgery. Furthermore, interventions are frequently guided by professional experience and clinical reasoning instead of current evidence. The American Occupational Therapy Association’s Centennial Vision encourages occupational therapists to pursue science-driven practices and provide evidence-based interventions. In response to this vision, an extensive review of current literature was conducted and applied to develop an evidence-based clinical pathway for the occupational therapists at Mills-Peninsula Medical Center. The proposed clinical pathway includes intervention guidelines for physical recovery, early detection of cognitive impairment, and psychosocial health for patients post cardiac surgery recovering in the ICU. The clinical pathway would establish a standard of care and facilitate patients’ return to their highest level of function during post-cardiac surgery rehabilitation.https://scholar.dominican.edu/ug-student-posters/1032/thumbnail.jp

    Occupational Therapy in the Intensive Care Unit

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    In recent years, the number of inpatient cardiovascular surgeries has significantly increased in hospitals around America. Occupational therapists in the intensive care unit (ICU) at Mills-Peninsula Medical Center (Burlingame, California) lack a standard protocol for addressing physical, cognitive, and psychosocial factors in patients post cardiac surgery. Furthermore, individuals’ experience and clinical reasoning frequently guides interventions rather than current evidence. The American Occupational Therapy Association’s Centennial Vision encourages occupational therapists to pursue science-driven practices and provide evidence-based interventions. In response to this Vision, an evidence-based clinical pathway was developed for the occupational therapists at Mills-Peninsula Medical Center. The clinical pathway facilitates patients’ return to their highest level of function during post cardiac surgery rehabilitation. The proposed clinical pathway includes physical recovery, early detection of cognitive impairment, and psychosocial health for patients post cardiac surgery. The final clinical pathway was compiled into a clinical manual, entitled Clinical Pathway for Post Cardiac Surgery – Progression of Occupational Therapy in Intensive Care Unit, and adapted into a pocket guide

    The impact of instant analysis of a televised political debate.

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    Dept. of Communication Studies. Paper copy at Leddy Library: Theses & Major Papers - Basement, West Bldg. / Call Number: Thesis1988 .H453. Source: Masters Abstracts International, Volume: 40-07, page: . Thesis (M.A.)--University of Windsor (Canada), 1988

    The Sahel: A Malthusian Challenge?

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    Abstract The population of the least developed countries of the Sahel will more than triple 1 from 100 million to 340 million by 2050, and new research projects that today's extreme 2 temperatures will become the norm by mid-century. The region is characterized by poverty, National governments and the international community can do a great deal to ameliorate 8 this unfolding disaster if they put in place immediate policies and investments to help com-9 munities adapt to climate change, make family planning realistically available, and improve 10 the status of girls and women. Implementing evidence-based action now will be an order of 11 magnitude more humane and cost-effective than confronting disaster later. However, action 12 will challenge some long held development paradigms of economists, demographers, and 13 humanitarian organizations. If the crisis unfolding in the Sahel can help bridge the current 14 intellectual chasm between the economic commitment to seemingly endless growth and the 15 threat seen by some biologists and ecologists that human activity is bringing about irreversible 16 damage to the biosphere, then it may be possible also to begin to solve this same formidabl

    Use of Dried Capillary Blood Sampling for Islet Autoantibody Screening in Relatives:A Feasibility Study

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    Background: Islet autoantibody testing provides the basis for assessment of risk of progression to type 1 diabetes. We set out to determine the feasibility and acceptability of dried capillary blood spot–based screening to identify islet autoantibody–positive relatives potentially eligible for inclusion in prevention trials. Materials and Methods: Dried blood spot (DBS) and venous samples were collected from 229 relatives participating in the TrialNet Pathway to Prevention Study. Both samples were tested for glutamic acid decarboxylase, islet antigen 2, and zinc transporter 8 autoantibodies, and venous samples were additionally tested for insulin autoantibodies and islet cell antibodies. We defined multiple autoantibody positive as two or more autoantibodies in venous serum and DBS screen positive if one or more autoantibodies were detected. Participant questionnaires compared the sample collection methods. Results: Of 44 relatives who were multiple autoantibody positive in venous samples, 42 (95.5%) were DBS screen positive, and DBS accurately detected 145 of 147 autoantibody-negative relatives (98.6%). Capillary blood sampling was perceived as more painful than venous blood draw, but 60% of participants would prefer initial screening using home fingerstick with clinic visits only required if autoantibodies were found. Conclusions: Capillary blood sampling could facilitate screening for type 1 diabetes prevention studies.</p

    Performance evaluation of a floating lidar buoy in nearshore conditions

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    This work provides a signal-processing and statistical-error analysis methodology to assess key performance indicators for a floating Doppler wind lidar. The study introduces the raw-to-clean data processing chain, error assessment indicators and key performance indicators, as well as two filtering methods at post-processing level to alleviate the impact of angular motion and spatial variability of the wind flow on the performance indicators. Towards this aim, the study mainly revisits horizontal wind speed (HWS) and turbulence intensity measurements with a floating ZephIR 300 lidar buoy during a 38 day nearshore test campaign in Pont del Petroli (Barcelona). Typical day cases along with overall statistics for the whole campaign are discussed to illustrate the methodology and processing tools developed.Peer ReviewedPostprint (author's final draft
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