Usefulness of the ManageMed Screen (MMS) and the Screening for Self-Medication Safety Post Stroke (S5) for Assessing Medication Management Capacity for Clients Post-Stroke

Occupational therapists need to efficiently and accurately screen a client’s medication management capacity, especially for clients post-stroke. Most therapists are not aware of, nor do they utilize specific assessments for, medication management capacity. The purpose of this pilot study was to compare the results of the ManageMed Screen (MMS), the Screening for Self-Medication Safety Post Stroke (S5), and the Montreal Assessment of Cognition (MoCA) on a population of rehabilitation clients post-stroke to determine the usefulness of the medication assessment tools in clinical practice. These screens were designed for use in occupational therapy practice among other healthcare professions: the MMS was validated for the general adult population, the S5 for clients post-stroke, and the MoCA is a cognitive screen used with adult clients with a variety of diagnoses including stroke. The MoCA was used to explore the potential relationship between cognition and medication management capacity. Study participants included five clients post-stroke and three occupational therapists. Clients were screened by the occupational therapists with the MMS, S5, and MoCA, and clinicians also participated in a focus group to assess their perceived usefulness of the screens. Results demonstrated that the MMS score compared to the S5 score was not statistically significant (r=.671, p=.215). There is no established consistency between the MoCA and MMS given these five clients. The MMS score was correlated to the MoCA score and was not found to be significant at a value of .205 with p=.741. The S5 score was also correlated to the MoCA score using SPSS and was found to have a non-significant value of -.287 and p=.640. Additionally, through a focus group, clinicians deemed both the MMS and S5 as useful, but felt the MMS was a more useful screen for their clinical practice with regard to efficient and practical use with clients post-stroke in a rehabilitation setting

THE ROLE OF RISK ASSESSMENT IN MANAGING RISK

Risk and Uncertainty,

Realfast: Real-Time, Commensal Fast Transient Surveys with the Very Large Array

Radio interferometers have the ability to precisely localize and better characterize the properties of sources. This ability is having a powerful impact on the study of fast radio transients, where a few milliseconds of data is enough to pinpoint a source at cosmological distances. However, recording interferometric data at millisecond cadence produces a terabyte-per-hour data stream that strains networks, computing systems, and archives. This challenge mirrors that of other domains of science, where the science scope is limited by the computational architecture as much as the physical processes at play. Here, we present a solution to this problem in the context of radio transients: realfast, a commensal, fast transient search system at the Jansky Very Large Array. Realfast uses a novel architecture to distribute fast-sampled interferometric data to a 32-node, 64-GPU cluster for real-time imaging and transient detection. By detecting transients in situ, we can trigger the recording of data for those rare, brief instants when the event occurs and reduce the recorded data volume by a factor of 1000. This makes it possible to commensally search a data stream that would otherwise be impossible to record. This system will search for millisecond transients in more than 1000 hours of data per year, potentially localizing several Fast Radio Bursts, pulsars, and other sources of impulsive radio emission. We describe the science scope for realfast, the system design, expected outcomes, and ways real-time analysis can help in other fields of astrophysics.Comment: Accepted to ApJS Special Issue on Data; 11 pages, 4 figure

The fat and lipase content of the blood following fat feeding and during increased muscular work

Submitted in partial fulfillment of the requirements for the degree of Master of ArtsNOTESummary: 1. The fat content of the blood inoreases after a meal rich in cotton seed oil fat. 2. Cotton seed oil fat is more slowly digested than cream fat. 3. The lipase content of the blood increases after a meal of cotton seed oil fat. 4. The fat and lipase content of the blood show marked variations from the normal during musoular work and in the period of rest following work. 5. The changes in the fat and lipase occur so correlated in the various animals that they justify the conclusion that lipase is part of the mechanism controlling the distribution and utilization of fat during increased metabolism due to muscular work. 6. The variations in both fat and lipase are smaller and occur at later stages of exercise in old animals. 7. The variations in the fat content are affected by the nutritional condition of the animal and the degree of exercise. 8. The lecithin variations in the blood are parallel to the blood fat variations during work. 9. The cholesterol in the blood shows marked percentage changes during work.Includes bibliographical references (pages 64-69)

A Study Of The Life Adjustment Problems Of A Group Of Students In The Como Junior High School Fort Worth, Texas

INTRODUCTION Youth is a time of conflict# The more disturbed the environmental conditions in which the adolescent finds himself as he is struggling for self-realization, the greater will be the possibility of inadequate or undesirable development. Adolescent must progress successfully from dependence upon adult protection. toward personal decisions making for adolescents\u27 freedom of behavior. This transition, if it is to be effective, must be gradual, since the adolescent at one and the same time needs both a feeling of security and an opportunity for self-expression and self-determination. Too much and too suddenly gained liberty finds the adolescent unprepared to meet it, and thus he may become a prey to undesirable influences. Adult overprotection or domination of the teenage boy or girl during this period may lead to resentment, confusion, or arrested development. In the present society, one of the major crises of growing up occurs with the coming of puberty and throughout the period of adolescence, popularly known as the Teenage. . If the question, then, is asked, Who are teenagers? the answer may be found in this explanation given by Crow. Some teenagers are tall and some are short. Some are stout and some are slender. Some are graceful and some are awkward. Some are well dressed and well-groomed, while others are sloven and unattractive in appearance. Some are strong and healthy, and some are weak and puny. Some seem to be mature beyond their ages and others are still children. There are those among them who swing along in the full glory of adolescent strength and beauty, with chins up and dreams of conquest in their eyes. Others with timid feet and bowed heads appear to have difficulty in keeping up with the procession; as if bewildered and fearful of what is ahead

Quality of Life and Aging: Exploring the Paradox of Well-Being

During the past 50 years, quality of life is a construct that many researchers have studied. Occupational therapists and occupational therapy assistants often claim to improve the quality of their clients\u27 lives. Making note of references to quality of life in the occupational therapy literature, one could gather a list of hundreds of articles. However, in the occupational therapy context, the term quality of life rarely is defined. The words quality and life are easy enough to discern, but the meanings behind the words seem to vary with author. Sometimes, quality of life has been described in vague terms, such as well-being, or as the lack of something, such as the absence of disease or pain. In occupational therapy, quality-of-life improvements sometimes are equated to improvements in self-care or other functional skills. When working with older adults, the concept of quality of life becomes particularly problematic because society tends to promote the idea that quality of life decreases with age because people suffer from the consequences of aging. It is hoped that this article provides occupational therapists and occupational therapy assistants with information that refutes these common societal perceptions and will assist practitioners in designing interventions that are even more data meaningful and more client centered