Evaluation of the effectiveness of and obstacles to a recruitment program for SPOONS

The purpose of the proposed project was to develop a Pre-professional Recruitment Plan (PRP) for the Support for and Promotion of Optimal Nutritional Status (SPOONS) at Washington Regional Medical Center (WRMC). Additionally, this project determined if the PRP led to a significant increase in the number of volunteer participants in WRMC’s SPOONS program. Finally, this research examined the attrition rate of participants related to the mandatory Tuberculosis (TB) skin test and drug screen, and extensive SPOONS training program required to volunteer at WRMC. Malnutrition is a serious medical concern among hospitalized older adults. Socialization can improve the nutritional intake of older adults and there is a need for volunteer services to provide that socialization. WRMC was in need of a larger population of University of Arkansas students to draw volunteers from for the SPOONS program, and a sustainable mechanism to do so. The Volunteer Action Center (VAC) at the University of Arkansas was recruited to partner with WRMC to recruit volunteers for the SPOONS program. Data was collected prior to the implementation of the PRP in August, 2013 to determine the initial number of SPOONS volunteers and again in December, 2013 to determine the number of volunteers after the implementation of the PRP. A convenience sample was used for this study. Demographic data was collected upon participants’ arrival at the SPOONS orientation meetings via a demographic survey. Respondents who identified themselves as having been recruited through the PRP were included in the data analysis. Descriptive statistics were used to determine if there was an increase between the number of participants before and after the implementation of the PRP. Descriptive statistics were utilized to determine the percentage of new volunteers recruited through the PRP. The percentage of PRP potential volunteers who completed the TB test and drug screening was to be calculated as well. The results of this research project contributed to the nutritional well being of hospitalized older adults at WRMC, as well as provided opportunities for University of Arkansas pre-professional students to gain clinical experience. The research results also identified if there was an issue of attrition of volunteers through WRMC’s screening process. Results of this study indicated that the number of SPOONS volunteers at WRMC did increase after the implementation of the PRP. Results also identified that there was an issue of volunteer attrition between the SPOONS training session and the completion of WRMC’s volunteer requirements. The findings and limitations of this study are discussed, in addition to recommendations for future research

Posterior dislocation of the elbow as an unusual presentation after a total hip replacement: a case report

<p>Abstract</p> <p>Introduction</p> <p>Posterior dislocation of the elbow is usually associated with trauma to the joint with a reported incidence of 3%to 6%. Chronic instability is usually symptomatic following the initial injury.</p> <p>Case presentation</p> <p>We report a case of posterior dislocation of the elbow occurring in a patient while using her arm to lift herself using a monkey pole on the second day following a total hip replacement. The dislocation was reduced under sedation in the ward. There were no signs or symptoms suggesting any joint hypermobility syndrome in the patient. Follow up 4 months following the injury revealed a complete recovery in the range of motion and a pain free elbow. There were no signs and symptoms of any instability.</p> <p>Conclusion</p> <p>This is the first time such a case is reported in the literature. It certainly demonstrates that even in the absence of instability a patient can be predisposed to low energy dislocation of the elbow.</p

Outcomes of total hip arthroplasty, as a salvage procedure, following failed internal fixation of intracapsular fractures of the femoral neck: a systematic review and meta-analysis.

AIMS: The optimal management of intracapsular fractures of the femoral neck in independently mobile patients remains open to debate. Successful fixation obviates the limitations of arthroplasty for this group of patients. However, with fixation failure rates as high as 30%, the outcome of revision surgery to salvage total hip arthroplasty (THA) must be considered. We carried out a systematic review to compare the outcomes of salvage THA and primary THA for intracapsular fractures of the femoral neck. PATIENTS AND METHODS: We performed a Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) compliant systematic review, using the PubMed, EMBASE and Cochrane libraries databases. A meta-analysis was performed where possible, and a narrative synthesis when a meta-analysis was not possible. RESULTS: Our analyses revealed a significantly increased risk of complications including deep infection, early dislocation and peri-prosthetic fracture with salvage THA when compared with primary THA for an intracapsular fracture of the femoral neck (overall risk ratio of 3.15). Functional outcomes assessment using EuroQoL (EQ)-5D were not significantly different (p = 0.3). CONCLUSION: Salvage THA carries a significantly higher risk of complications than primary THA for intracapsular fractured neck of femur. Current literature is still lacking well designed studies to provide a full answer to the question. TAKE HOME MESSAGE: Salvage THA is associated with more complications than primary THA for intracapsular neck of femur fractures

A NEW GENERATION CHEMICAL FLOODING SIMULATOR Semi-annual Report for the Period

ABSTRACT 4 SUMMARY 4 Task 1: Formulation and development of Solution Scheme

A NEW GENERATION CHEMICAL FLOODING SIMULATOR Semi-annual Report for the Period

ABSTRACT The premise of this research is that a general-purpose reservoir simulator for several improved oil recovery processes can and should be developed so that high-resolution simulations of a variety of very large and difficult problems can be achieved using stateof-the-art algorithms and computers. Such a simulator is not currently available to the industry. The goal of this proposed research is to develop a new-generation chemical flooding simulator that is capable of efficiently and accurately simulating oil reservoirs with at least a million gridblocks in less than one day on massively parallel computers. Task 1 is the formulation and development of solution scheme, Task 2 is the implementation of the chemical module, and Task 3 is validation and application. We have made significant progress on all three tasks and we are on schedule on both technical and budget. In this report, we will detail our progress on Tasks 1 through 3 for the first six months of the second year of the project. i

Simple elbow dislocations: a systematic review of the literature

Objective: To identify if functional treatment is the best available treatment for simple elbow dislocations. Search strategy: Electronic databases MEDLINE, EMBASE, LILACS, and the Cochrane Central Register of Controlled Trials. Selection criteria: Studies were eligible for inclusion if they were trials comparing different techniques for the treatment of simple elbow dislocations. Data analysis: Results were expressed as relative risk for dichotomous outcomes and weighted mean difference for continuous outcomes with 95% confidence intervals. Main results: This review has included data from two trials and three observational comparative studies. Important data were missing from three observational comparative studies and the results from these studies were extracted for this review. No difference was found between surgical treatment of the collateral ligaments and plaster immobilisation of the elbow joint. Better range of movement, less pain, better functional scores, shorter disability and shorter treatment time were seen after functional treatment versus plaster immobilisation

Functional treatment versus plaster for simple elbow dislocations (FuncSiE): a randomized trial

Background. Elbow dislocations can be classified as simple or complex. Simple dislocations are characterized by the absence of fractures, while complex dislocations are associated with fractures. After reduction of a simple dislocation, treatment options include immobilization in a static plaster for different periods of time or so-called functional treatment. Functional treatment is characterized by early active motion within the limits of pain with or without the use of a sling or hinged brace. Theoretically, functional treatment should prevent stiffness without introducing increased joint instability. The primary aim of this randomized controlled trial is to compare early functional treatment versus plaster immobilization following simple dislocations of the elbow. Methods/Design. The design of the study will be a multicenter randomized controlled trial of 100 patients who have sustained a simple elbow dislocation. After reduction of the dislocation, patients are randomized between a pressure bandage for 5-7 days and early functional treatment or a plaster in 90 degrees flexion, neutral position for pro-supination for a period of three weeks. In the functional group, treatment is started with early active motion within the limits of pain. Function, pain, and radiographic recovery will be evaluated at regular intervals over the subsequent 12 months. The primary outcome measure is the Quick Disabilities of the Arm, Shoulder, and Hand score. The secondary outcome measures are the Mayo Elbow Performance Index, Oxford elbow score, pain level at both sides, range of motion of the elbow joint at both sides, rate of secondary interventions and complication rates in both groups (secondary dislocation, instability, relaxation), health-related quality of life (Short-Form 36 and EuroQol-5D), radiographic appearance of the elbow joint (degenerative changes and heterotopic ossifications), costs, and cost-effectiveness. Discussion. The successful completion of this trial will provide evidence on the effectiveness of a functional treatment for the management of simple elbow dislocations. Trial Registration. The trial is registered at the Netherlands Trial Register (NTR2025)

Knowledge, Commitment, and Attitudes of Home Economics Faculty Toward the Use of Computers

Home Economics-Clothing, Textiles and Merchandisin