The Atlanta Housing Authority's Olympic Legacy Program: Public Housing Projects To Mixed Income Communities

This study seeks to assess the results of the Olympic Legacy Program of the Atlanta Housing Authority. It examines the policy changes by the Housing Authority that were designed to reduce the concentration of poor people living in the City of Atlanta. It is focused on the first three public housing projects that were changed to mixed-income communities

Preliminary results of proton radiotherapy for pediatric rhabdomyosarcoma: a multi-institutional study in Japan

To evaluate preliminary results of proton radiotherapy (PRT) for pediatric patients with rhabdomyosarcoma (RMS). From 1987 to 2014, PRT was conducted as initial radiotherapy in 55 patients (35 males, 20 females, median age 5 years, range 0–19) with RMS at four institutes in Japan. Thirty‐one, 18, and six patients had embryonal, alveolar, and other RMS, respectively. One, 11, 37, and six patients were in IRSG groups I, II, III, and IV, respectively, and the COG risk group was low, intermediate, and high for nine, 39, and seven patients, respectively. The irradiation dose was 36–60 GyE (median: 50.4 GyE). The median follow‐up period was 24.5 months (range: 1.5–320.3). The 1‐ and 2‐year overall survival rates were 91.9% (95% CI: 84.3–99.5%) and 84.8% (95% CI 75.2–94.3%), respectively, and these rates were 100% and 100%, 97.1% and 90.1%, and 57.1% and 42.9% for COG low‐, intermediate‐, and high‐risk groups, respectively. There were 153 adverse events of Grade ≥3, including 141 hematologic toxicities in 48 patients (87%) and 12 radiation‐induced toxicities in nine patients (16%). Proton‐specific toxicity was not observed. PRT has the same treatment effect as photon radiotherapy with tolerable acute radiation‐induced toxicity

The Implementation of Telepharmacy in Bangka Belitung Islands Province

Telepharmacy is a telemedicine health service in the pharmaceutical sector that uses telecommunications to assist patients located far away during the Covid-19 pandemic. Furthermore, professional organizations are responsible for continuously providing information to pharmacists, ensuring they stay updated with the latest developments in the field. Mobile applications have emerged as the primary medium through which information can be accessed. Therefore, this research aimed to determine the implementation of telepharmacy in the Bangka Belitung Islands Province using observational research with a qualitative approach. The participants comprised a total of 11 individuals and the technique employed was purposive sampling. Subsequently, the collected data were subjected to analysis using the Miles and Huberman model. The results showed that the utilization of telepharmacy commenced within Bangka Belitung Islands Province and the community pharmacy service implemented the concept in the form of Drug Information Services, drug consultation or patient counseling, and prescription services through e-prescribing. Additionally, field observations highlighted the presence of services such as home delivery of medicines, patient education, and online non-cash payments. The implementation of telepharmacy within hospitals remains absent, despite the widespread adoption of digital services facilitated by the SIMRAS application. Pharmacists also ensured the administrative compliance of their colleagues through the utilization of the SIAP application. The preliminary stages of the implementation commenced in the Bangka Belitung Islands Province.

The Stability of Comorbid Psychiatric Disorders: A 7 Year Follow Up of Children with Pervasive Developmental Disorder-Not Otherwise Specified

The current study was a 7-year follow-up of 74 6–12 year old children with Pervasive Developmental Disorder-Not Otherwise Specified. We examined the rates and 7 year stability of comorbid psychiatric diagnoses as ascertained with the Diagnostic Interview Schedule for Children: Parent version at ages 6–12 and again at ages 12–20. Also, we examined childhood factors that predicted the stability of comorbid psychiatric disorders. The rate of comorbid psychiatric disorders dropped significantly from childhood (81 %) to adolescence (61 %). Higher levels of parent reported stereotyped behaviors and reduced social interest in childhood significantly predicted the stability of psychiatric comorbidity. Re-evaluation of psychiatric comorbidity should be considered in clinical practice, since several individuals shifted in comorbid diagnoses

The Effects of an Interprofessional Education Video on Dermatologists’ Understanding of the Role of the Dermatology Certified Nurse Practitioner

Dermatology-certified nurse practitioners (DCNPs) have validated knowledge of a dermatology core curriculum and have at least 3,000 hours of formal or informal dermatology training (Dermatology Nurse Practitioner Certification Board [DNPCB], n.d.a). With their standardized education and training, DCNPs are meeting the benchmarks set out by dermatologists. Subsequently, DCNPs have become the new gold standard for dermatology advanced practice registered nurses (APRNs). However, there is no mention of DCNPs by the American Academy of Dermatology (American Academy of Dermatology [AAD], 2022), and personal experience with dermatologists is that they lack knowledge about DCNPs. This lack of knowledge could create an impasse for interprofessional collaboration (IPC), as the most frequently reported barrier to meaningful collaboration between physicians and APRNs is the physician’s lack of awareness of the APRN’s role and scope of practice (Schadewaldt et al., 2013). One approach to promote IPC is interprofessional education (IPE). IPE has been shown to increase knowledge and skills related to collaboration as well as improve attitudes regarding collaboration(Guraya & Barr, 2018). This project used an original IPE video on the role, scope of practice, and collaborative benefits of the DCNP as its intervention with a descriptive pretest-posttest design. The main objective of this project was to determine if the intervention would increase dermatologists’ baseline knowledge about DCNPs as evidenced by a positive improvement score. Improvement is the posttest’s average percent of correct answers minus the pretest’s average percentage of correct answers, and this score can be positive or negative(Delucchi, 2014). Another objective of this doctoral project was to determine if dermatologists believed that the intervention improved their understanding of the DCNPs as evidenced by survey responses. Overall, the intervention was found to be effective with an improvement score of +8.3%. Also, all three participants strongly agreed that the IPE video improved their understanding of the role of the DCNP. In conclusion, IPE is a relatively inexpensive tool that was found to be effective in this project. As the number of DCNPs rise, IPE can be used to educate the dermatology workforce to promote meaningful IPC during a much-needed time

Reconceptualizing Autism Spectrum within Diagnostic and Statistical Manual, Fifth Edition: Clinicians’ Perspectives

This qualitative study examined the clinicians’ perspectives on the reconceptualization of Autism Spectrum Disorder within the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (2013), also referred to as DSM-5. Data were collected through six semi-structured interviews (n = 6) with clinical professionals who work directly with children and adolescents with Autism Spectrum Disorder (ASD), otherwise known as Pervasive Developmental Disorders (PDD). Clinical professionals included licensed independent clinical social workers, licensed clinical social workers, and licensed psychologists. Grounded theory method was used with open coding to analyze various themes and subthemes within transcribed interviews. This study examined participants’ perceptions on overall changes to ASD criterion in DSM-5, participants’ views on strengths and challenges with new ASD criterion in DSM-5, and participants’ perspectives on implications of DSM-5. The findings from this study were consistent with similar literature and research on the changes of ASD from DSM-IV to DSM-5 and provided additional information. Professionals both support and criticize changes to the ASD diagnostic criteria in DSM-5

Reconceptualizing Autism Spectrum within Diagnostic and Statistical Manual, Fifth Edition: Clinicians’ Perspectives

This qualitative study examined the clinicians’ perspectives on the reconceptualization of Autism Spectrum Disorder within the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (2013), also referred to as DSM-5. Data were collected through six semi-structured interviews (n = 6) with clinical professionals who work directly with children and adolescents with Autism Spectrum Disorder (ASD), otherwise known as Pervasive Developmental Disorders (PDD). Clinical professionals included licensed independent clinical social workers, licensed clinical social workers, and licensed psychologists. Grounded theory method was used with open coding to analyze various themes and subthemes within transcribed interviews. This study examined participants’ perceptions on overall changes to ASD criterion in DSM-5, participants’ views on strengths and challenges with new ASD criterion in DSM-5, and participants’ perspectives on implications of DSM-5. The findings from this study were consistent with similar literature and research on the changes of ASD from DSM-IV to DSM-5 and provided additional information. Professionals both support and criticize changes to the ASD diagnostic criteria in DSM-5