A model for community physiotherapy from the perspective of newly graduated physiotherapists as a guide to curriculum revision

Background. Limitations in physiotherapy curricula have been reported. Work-based experiences, especially during compulsory community service, could inform curricula. Objective. To develop a model of community service physiotherapy to guide curriculum reform. Methods. In this appreciative inquiry, trained physiotherapy students conducted tele-interviews with newly graduated physiotherapists. Twelve recently graduated community-service physiotherapists – heterogeneous in gender, mother tongue, university attended and work setting – were purposively recruited. Two coders applied Tesch’s coding technique to the transcripts; one did paper-based work and the other used AtlasTi software. Consensus was reached and a member check done. Results. Four themes identified were: (i) the essence of community physiotherapy; (ii) the collaborative nature of community physiotherapy; (iii) prerequisites for a positive practice environment; and (iv) community physiotherapy as a gateway to personal growth and professional development. Physiotherapists consult clients from varied cultural backgrounds, ages and health and disease profiles. Health education is a key intervention, but clients emphasised therapeutic touch. Team work enhances services, especially within a context of poverty, and prevents isolation. New graduates have to deal with inefficient management, lack of transport, inadequate equipment and needs resilience. They want discipline-specific supervision. Conclusion. Community physiotherapy makes specific demands, especially for novice therapists. Service-learning in authentic diverse contexts would foster professional development and cultural competence. Clinical competency should remain the backbone of the curriculum, complemented by competency in health education. Different ways of reflection would facilitate lifelong learning and growth in attributes such as resilience, which is necessary for dealing with sub-optimal practice environments

Direct Photons at RHIC

The PHENIX experiment has measured direct photons in $\sqrt{s_{NN}} = 200$ GeV Au+Au collisions and p+p collisions. The fraction of photons due to direct production in Au+Au collisions is shown as a function of $p_T$ and centrality. This measurement is compared with expectation from pQCD calculations. Other possible sources of direct photons are discussed.Comment: 7 pages, 5 figures, presented at Hot Quarks 2004, Taos, N

Differential Increase in Taurine Levels by Low-Dose Ethanol in the Dorsal and Ventral Striatum Revealed by Microdialysis With On-Line Capillary Electrophoresis

Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/66164/1/01.ALC.0000131979.78003.34.pd

Speckle Control with a remapped-pupil PIAA-coronagraph

The PIAA is a now well demonstrated high contrast technique that uses an intermediate remapping of the pupil for high contrast coronagraphy (apodization), before restoring it to recover classical imaging capabilities. This paper presents the first demonstration of complete speckle control loop with one such PIAA coronagraph. We show the presence of a complete set of remapping optics (the so-called PIAA and matching inverse PIAA) is transparent to the wavefront control algorithm. Simple focal plane based wavefront control algorithms can thus be employed, without the need to model remapping effects. Using the Subaru Coronagraphic Extreme AO (SCExAO) instrument built for the Subaru Telescope, we show that a complete PIAA-coronagraph is compatible with a simple implementation of a speckle nulling technique, and demonstrate the benefit of the PIAA for high contrast imaging at small angular separation.Comment: 6 figures, submitted to PAS

Evolution of Cu nanoclusters on Cu(100)

Abstract Using molecular dynamics simulations combined with kinetic Monte Carlo methods we have studied the evolution of copper nanoclusters on a copper (100) surface. We have developed a method for relaxing the clusters into a suitable configuration for input into the kinetic Monte Carlo method using molecular dynamics. Using kinetic Monte Carlo methods we have simulated the evolution of clusters with sizes of 22-2045 atoms at temperatures of 220-1020 K. We found that the Cu clusters on the surface will be reduced to one monolayer if given enough time to relax, and that this process shows an Arrhenius behaviour. In this paper we present the relaxation method that we developed and our observations for the evolution of the clusters

Survey of rehabilitation support for children 0-15 years in a rural part of Kenya

Abstract Purpose: Information regarding the nature, availability and distribution of rehabilitation services for children with disabilities across developing countries is scarce, and data that do exist are of variable quality. If planning and development are to progress, information about service provision is vital. The aim was to establish the scope and nature of rehabilitation support available to children with disabilities (0-15 years) and their families in rural Kenya. Method: A comprehensive sample comprising service provision in the health and special education sectors was established. Non-governmental and community-based organisations were also included. A survey of rehabilitation services was conducted through examination of service-related documentation and key informant interviews with the heads of services. Results: Rehabilitation comprised hospital-based occupational therapy, physiotherapy and orthopaedic technology; and seven special education establishments plus an education assessment resource centre. There was one non-government organisation and one community-based organisation relevant to children with disabilities. Activities focused on assessment, diagnosis and raising community awareness. Provision was challenged by inadequate staffing, resources and transport. Government funding was supplemented variously by donations and self-sufficiency initiatives. Rehabilitation approaches appeared to be informed by professional background of practitioner, rather than the needs of child. Service documentation revealed use of inconsistent recording methods. Conclusions: The data highlight the challenges of rehabilitation, demanding greater investment in personnel and their training, more material resources, improved access to the community and better recording mechanisms. Implications for Rehabilitation There needs to be greater investment in rehabilitation provision in developing countries. Consideration of community-based initiatives is required to support better access for all. In order to argue the case for improved resources, better skills and mechanisms for recording, monitoring and evaluating practice are needed

A multi-center, open-labeled, cluster-randomized study of the safety of double and triple drug community mass drug administration for lymphatic filariasis

BackgroundThe Global Programme to Eliminate Lymphatic Filariasis (GPELF) provides antifilarial medications to hundreds of millions of people annually to treat filarial infections and prevent elephantiasis. Recent trials have shown that a single-dose, triple-drug treatment (ivermectin with diethylcarbamazine and albendazole [IDA]) is superior to a two-drug combination (diethylcarbamazine plus albendazole [DA]) that is widely used in LF elimination programs. This study was performed to assess the safety of IDA and DA in a variety of endemic settings.Methods and findingsLarge community studies were conducted in five countries between October 2016 and November 2017. Two studies were performed in areas with no prior mass drug administration (MDA) for filariasis (Papua New Guinea and Indonesia), and three studies were performed in areas with persistent LF despite extensive prior MDA (India, Haiti, and Fiji). Participants were treated with a single oral dose of IDA (ivermectin, 200 μg/kg; diethylcarbamazine, 6 mg/kg; plus albendazole, a fixed dose of 400 mg) or with DA alone. Treatment assignment in each study site was randomized by locality of residence. Treatment was offered to residents who were ≥5 years of age and not pregnant. Adverse events (AEs) were assessed by medical teams with active follow-up for 2 days and passive follow-up for an additional 5 days. A total of 26,836 persons were enrolled (13,535 females and 13,300 males). A total of 12,280 participants were treated with DA, and 14,556 were treated with IDA. On day 1 or 2 after treatment, 97.4% of participants were assessed for AEs. The frequency of all AEs was similar after IDA and DA treatment (12% versus 12.1%, adjusted odds ratio for IDA versus DA 1.15, 95% CI 0.87-1.52, P = 0.316); 10.9% of participants experienced mild (grade 1) AEs, 1% experienced moderate (grade 2) AEs, and 0.1% experienced severe (grade 3) AEs. Rates of serious AEs after DA and IDA treatment were 0.04% (95% CI 0.01%-0.1%) and 0.01% (95% CI 0.00%-0.04%), respectively. Severity of AEs was not significantly different after IDA or DA. Five of six serious AEs reported occurred after DA treatment. The most common AEs reported were headache, dizziness, abdominal pain, fever, nausea, and fatigue. AE frequencies varied by country and were higher in adults and in females. AEs were more common in study participants with microfilaremia (33.4% versus 11.1%, P ConclusionsIn this study, we observed that IDA was well tolerated in LF-endemic populations. Posttreatment AE rates and severity did not differ significantly after IDA or DA treatment. Thus, results of this study suggest that IDA should be as safe as DA for use as a MDA regimen for LF elimination in areas that currently receive DA.Trial registrationClinicaltrials.gov registration number: NCT02899936

Pennsylvania Folklife Vol. 31, No. 3

• Jamison City • Domestic Architecture in Lancaster County • Conversation with Marguerite de Angeli • Who Put the Turnip on the Grave? • Pennsylfawnisch Deitsch un Pfalzer: Dialect Comparisons Old and New • John Philip Boehm: Pioneer Pennsylvania Pastor • The Search for our German Ancestors • Aldes un Neieshttps://digitalcommons.ursinus.edu/pafolklifemag/1095/thumbnail.jp

The Vector Probe in Heavy-Ion Reactions

We review essential elements in using the $J^P=1^-$ channel as a probe for hot and dense matter as produced in (ultra-) relativistic collisions of heavy nuclei. The uniqueness of the vector channel resides in the fact that it directly couples to photons, both real and virtual (dileptons), enabling the study of thermal radiation and in-medium effects on both light ($\rho, \omega, \phi$) and heavy ($\Psi, \Upsilon$) vector mesons. We emphasize the importance of interrelations between photons and dileptons, and characterize relevant energy/mass regimes through connections to Quark-Gluon-Plasma emission and chiral symmetry restoration. Based on critical analysis of our current understanding of data from fixed-target energies, we identify open key questions to be addressed.Comment: Invited Talk at the Hot Quarks 2004 Workshop, July 18-24, 2004 (Taos Valley, NM, USA), 15 pages latex incl 14 figs and iop style files, to appear in the proceeding