1,754 research outputs found

    Southern occupational therapies: Emerging identities, epistemologies and practices

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    Indexación: Web of Science; Scielo.For over a decade, debates in occupational therapy have extended into the profession's theoretical foundations as well as epistemological underpinnings thereof A series of proposals have emerged from around the world that aim to link the definition of occupational therapy, its knowledge and practices to contemporary social, political, cultural and economic conditions. Contributing to this is the increasing precariousness of the global social life, the economic crises of many social systems, and the deterioration of the ecological environment. The current paper critically reflects on the historical conditions that shape the institution of occupational therapy, particularly in the regions of South America and Africa. This involves a political, ethical, and epistemological rethinking of the foundations that underpin identities, knowledge and practices of occupational therapy and their effects on society. These foundations may favour processes of exclusion and ahistorical and individualist views of human occupation, as opposed to social perspectives expressed in collective occupations and human rights promoting practices. The authors propose to problematise the construction of a professional identity, knowledge and practices of occupational therapy, emphasising the need for a liberating discipline, committed to and acting alongside people and communities who are in situations of social exclusion. This implies the necessary positioning of occupational therapy within social transformation.http://ref.scielo.org/z57kz

    Perceived Effectiveness of Group Therapy in Elementary School Settings with Children Experiencing Parental Divorce

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    This research explored the perceived effectiveness of group work for children experiencing parental divorce in elementary school settings. This research collected qualitative data from eight school social workers in the state of Minnesota. The workers ranged in years of practice, licensure level and size of district. This research found that immediacy of intervention, length and time in group, closed membership and varied activities all greatly contributed to overall effectiveness. In addition, this research found noteworthy effectiveness including positive emotional and behavioral outcomes, emotional expression, increased self-esteem and identified positive supports. The findings of this research did not support the involvement of parents within the group process. Future research should explore parental and systems involvement as related to group effectiveness

    Perceived Effectiveness of Group Therapy in Elementary School Settings with Children Experiencing Parental Divorce

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    This research explored the perceived effectiveness of group work for children experiencing parental divorce in elementary school settings. This research collected qualitative data from eight school social workers in the state of Minnesota. The workers ranged in years of practice, licensure level and size of district. This research found that immediacy of intervention, length and time in group, closed membership and varied activities all greatly contributed to overall effectiveness. In addition, this research found noteworthy effectiveness including positive emotional and behavioral outcomes, emotional expression, increased self-esteem and identified positive supports. The findings of this research did not support the involvement of parents within the group process. Future research should explore parental and systems involvement as related to group effectiveness

    Study program to improve fuel cell performance by pulsing techniques Final report, quarter ending Aug. 31, 1965

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    Heavy discharge pulsing to improve fuel cell electrode performanc

    Assessing the conversion of electronic medical record data into antibiotic stewardship indicators.

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    BACKGROUND Measuring the appropriateness of antibiotic use is crucial for antibiotic stewardship (ABS) programmes to identify targets for interventions. OBJECTIVES To assess the technical feasibility of converting electronic medical record (EMR) data into ABS indicators. METHODS In this observational feasibility study covering a period of 2 years, the EMRs of patients hospitalized at a large non-university hospital network and receiving at least one dose of a systemic antibiotic were included. ABS indicators measuring steps in the process of antibiotic prescription proposed by the literature were collected and rephrased or defined more specifically to be calculable if needed. Algorithms were programmed in R to convert EMR data into ABS indicators. The indicators were visualized in an interactive dashboard and the plausibility of each output value was assessed. RESULTS In total, data from 25 337 hospitalizations from 20 723 individual patients were analysed and visualized in an interactive dashboard. Algorithms could be programmed to compute 89% (25/28) of all pre-selected indicators assessing treatment decisions automatically out of EMR data, with good data quality for 46% (13/28) of these indicators. According to the data quality observed, the most important issues were (i) missing or meaningless information on indication (e.g. 'mild infection') and (ii) data processing issues such as insufficiently categorized metadata. CONCLUSIONS The calculation of indicators assessing treatment decisions from EMRs was feasible. However, better data structure and processing within EMR systems are crucial for improving the validity of the results

    Risk factors and oral health-related quality of life: A case–control comparison between patients after a first-episode psychosis and people from general population

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    INTRODUCTION: No research is available about the oral health risk factors and oral health-related quality of life (OHRQoL) in patients diagnosed with a psychotic disorder. AIM: To compare oral health risk factors and OHRQoL in patients diagnosed with a psychotic disorder (first-episode) to people with no history of psychotic disorder. METHOD: A case-control comparison (1:2) multivariable linear regression analysis and an estimation of prevalence of impact on OHRQoL. RESULTS: Patients diagnosed with a psychotic disorder (first-episode) have lower OHRQoL with more associated risk factors. Of the patients diagnosed with a psychotic disorder (first-episode), 14.8% reported a negative impact on OHRQoL, higher than the prevalence of 1.8% found in people from the general population. DISCUSSION: The high prevalence rate of a negative impact on OHRQoL in patients diagnosed with a psychotic disorder (first-episode) shows the importance of acting at an early stage to prevent a worse outcome. IMPLICATIONS FOR PRACTICE: The findings highlight the need for oral health interventions in patients diagnosed with a psychotic disorder (first-episode). Mental health nurses, as one of the main health professionals supporting the health of patients diagnosed with a mental health disorder, can support oral health (e.g. assess oral health in somatic screening) in order to improve the OHRQoL

    Introduction to the Anti-Racism Virtual Issue of the Journal of Occupational Science

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    The anti-racism virtual issue of the Journal of Occupational Science (JOS) came about after the Editorial Board expressed its commitment to anti-racist work, publishing the position statement ‘A Pledge to Mobilize Against Racism’ (Stanley et al., 2020). In this statement, the Board promised to republish a collection of articles to call attention to racism and its impact on individuals’ doing and society. The intent is to stimulate critical reflection on the contribution occupational scientists can make to exposing and countering racism in everyday doing. As such, the anti-racism virtual issue helps meet a pressing need to recognize the power of occupation in shaping and reproducing social ideologies, attitudes, and behaviors. We, the authors, urge all occupational scientists to build on this knowledge and continue learning about racism to better understand and address how its different dimensions manifest through occupation and everyday life

    Efficient metallic spintronic emitters of ultrabroadband terahertz radiation

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    Terahertz electromagnetic radiation is extremely useful for numerous applications such as imaging and spectroscopy. Therefore, it is highly desirable to have an efficient table-top emitter covering the 1-to-30-THz window whilst being driven by a low-cost, low-power femtosecond laser oscillator. So far, all solid-state emitters solely exploit physics related to the electron charge and deliver emission spectra with substantial gaps. Here, we take advantage of the electron spin to realize a conceptually new terahertz source which relies on tailored fundamental spintronic and photonic phenomena in magnetic metal multilayers: ultrafast photo-induced spin currents, the inverse spin-Hall effect and a broadband Fabry-P\'erot resonance. Guided by an analytical model, such spintronic route offers unique possibilities for systematic optimization. We find that a 5.8-nm-thick W/CoFeB/Pt trilayer generates ultrashort pulses fully covering the 1-to-30-THz range. Our novel source outperforms laser-oscillator-driven emitters such as ZnTe(110) crystals in terms of bandwidth, terahertz-field amplitude, flexibility, scalability and cost.Comment: 18 pages, 10 figure
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