1,971 research outputs found

    Accounting for a Magazine Publishing Business

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    On the uses of intermediate infrared and microwave infrared in meteorological satellites Semiannual report

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    Intermediate infrared and microwave infrared applications in meteorological satellite

    Sun-Protective Clothing Worn Regularly during Early Childhood Reduces the Number of New Melanocytic Nevi: The North Queensland Sun-Safe Clothing Cluster Randomized Controlled Trial

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    Numerous pigmented moles are associated with sun exposure and melanoma risk. This cluster randomized controlled trial aimed to determine if sun-protective clothing could prevent a significant proportion of the moles developing in young children (ACTRN12617000621314; Australian New Zealand Clinical Trials Registry). Twenty-five childcare centers in Townsville (19.25◦S), Australia, were matched on shade provision and socioeconomic status. One center from each pair was randomized to the intervention arm and the other to the control arm. Children at 13 intervention centers wore study garments and legionnaire hats at childcare and received sun-protective swimwear and hats for home use, while children at the 12 control centers did not. The 1–35-month-old children (334 intervention; 210 control) were examined for moles at baseline (1999–2002) and were re-examined annually for up to 4 years. Both groups were similar at baseline. Children at intervention centers acquired fewer new moles overall (median 12.5 versus 16, p = 0.02; 0.46 versus 0.68 moles/month, p = 0.001) and fewer new moles on clothing-protected skin (6 vs. 8; p = 0.021 adjusted for confounding and cluster sampling) than controls. Intervention children had 24.3% fewer new moles overall (26.5 versus 35) and 31.6% (13 versus 19) fewer moles on clothing-protected skin than controls after 3.5 years. Sunlight’s influence on nevogenesis is mitigated when children regularly wear UPF 30-50+ clothing covering half their body, implying that increased clothing cover reduces melanoma risk. Sun-protective clothing standards should mandate reporting of the percentage of garment coverage for childrenswear

    Therapeutic recreation as an intervention for persons with dementia and agitation: An efficacy study

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    Thirty-six long term care residents with dementia and agitation were selected for participation in this eight week study. During the eight week period, the participants received two different four week therapeutic recreation interventions in a clinical crossover design. These interventions included a sensorimotor program and a traditional activity program. The effects of these two programs were evaluated in terms of the effect on strength, flexibility, overall functioning, and agitation. The analysis showed that there was a significant improvement of grip strength, flexibility, and a reduction in agitation during the sensorimotor segment of the treatment. The results of this study indicate a new direction for therapeutic recreation specialists working with older adults with dementia and agitation

    Frailty and dementia: How activities professionals can help through water-based activities

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    The medical literature defines frailty as older persons experiencing low physical activity levels, muscle weakness, slowed physical and cognitive performance, fatigue, and unlntentional weight loss.1 A person with three or more of these characteristics is considered frail. Older persons who have dementia are more likely to become disabled, to be admitted to the hospital, and to have health problems that lead to frailty. These individuals are often resistant to exercise classes and need motivation

    Predicting Outcomes of Therapeutic Recreation Interventions for Older Adults with Dementia and Behavioral Symptoms

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    The purpose of this study was to examine the ability to predict outcomes of prescribed therapeutic recreation interventions (TRIs) for the treatment of the two major categories of disturbing behaviors in institutionalized older adults with dementia. Interventions were selected based on the participant's current level of functioning, past leisure interests, and the target behavior problem identified during baseline assessment. TRIs were then prescribed to calm individuals with agitated behaviors and (or) to alert individuals with passive behaviors. Each participant received two weeks of individually prescribed therapeutic recreation and biofeedback readings were randomly taken three times during the two-week intervention period to measure physiological change. The predicted outcome was found between 79-91% of the time when treating passivity, and between 92-100% of the time for agitation. Therapeutic recreation interventions were found to be predictable and efficacious for disturbing behaviors of dementia

    Culture change and activities: Learning the lingo and making yourself invaluable

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    Cultures, by their very nature, can either embrace or resist change. Culture change can arise from an improved environment, due to inventions and other influences like regulations, or as a result of contact with other cultures. In its attempt to break away from traditional long-term care models culture change movement has created its own lingo

    Treatment Fidelity Plan for an Activity Intervention Designed for Persons with Dementia

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    The testing of psychosocial interventions in a clinical trial poses many challenges to maintaining a rigorous experimental protocol and to delivering the interventions uniformly throughout the project. These challenges directly affect the reported effectiveness of psychosocial interventions. In this article, the authors describe the treatment fidelity plan developed by an interdisciplinary research team from recreational therapy and nursing for implementing recreational activities during a clinical trial funded by the National Institute of Nursing Research. The trial tests the efficacy of activities for responding to the behavioral symptoms of dementia. The authors report treatment fidelity strategies to allow comparison of their intervention with that of other studies, to improve effect size in similar studies, and to facilitate replication and translation of this work into clinical practice

    Get your ACTivities together: New CMS regulations in long-term care.

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    Revised surveyor guidelines for ac- activities requirements in long-term care facilities became effective in June 2006. These guidelines have important programmatic, clinical, staff, and cost implications for gerontological nurses, administrators, and other facility staff. The investigative protocol used by surveyors is designed to determine whether a facility has provided a sufficient ongoing activities program that accommodates individual residents’ interests and enhances their physical, mental, and psychosocial well-being, according to each individual’s comprehensive assessment. The protocol details procedures that should be used for each resident in the sample to determine the facility’s compliance with the regulation
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