Transcending Chronic Illness and Disability: Virtue-Based Adaptation Model Perspective

The present study examined the replicability of Virtue-Based Adaptation Model (V-PAM). Traditional adaptation studies in the field of rehabilitation often focus on examining innate psychological disposition such as personality. In V-PAM; however, the emphasis is given to virtue, one’s pursuit of excellence and commitment after the onset of illness and disability. From this perspective, adaptation to illness and disability is viewed as a positive by-product of having endured adversities while transforming them into insightful opportunities for renewal. Thus, adaptation is not only affected by innate dispositions, but also it can be nurtured via the collaborative counseling process. Two hundred eight adults with illness and disability participated in this study to replicate the original V-PAM study. The results revealed that the main effect of virtue model in differentiating the individual’s level of adaptation is replicable. Implications of these findings for clinical work and virtue-based research are discussed

Statistics poster competitions: an opportunity to connect academics and teachers

The Australian Statistics Competition (ASC) was a national statistics poster competition that ran from 2006 to 2016. One of the aims of the ASC was to create connections between academics and teachers. In this paper, we report a study that investigated the experience of the organisers of this competition. We administered a written survey and conducted semistructured interviews with the organisers by a semi-structured protocol, with the aim of exploring the experience of the ASC organisers (the academics) in relation to connecting with teachers. We found geographical, intrinsic, organisational and personnel barriers to continuing connections between academics and teachers. We provide a list of recommendations for those involved in, or planning on starting, a similar competition

Preparing Doctoral Students to Succeed in Counselor Education Programs

Although many doctoral students in counselor education (CE) programs successfully complete their programs and obtain a doctoral degree, some students drop out for a variety of reasons (Protivnak & Foss, 2009). Given the negative consequences that accompany doctoral student attrition for non-completers and their university (Willis & Carmichael, 2011), scholars have begun to explore students’ experiences in CE doctoral programs (Hoskins & Goldberg, 2005; Protivnak & Foss, 2009). Despite the growing body of literature on students’ program experiences in CE doctoral programs, in general, little emphasis has been placed on how programs prepare students for success. In particular, to date, the literature related to how CE-sponsored programming orients students for doctoral training in CE is largely unknown. Such knowledge has the potential to shed light on student attrition and retention and further professional development issues in students. As such, this study aimed to fill this void by exploring aspects of CE doctoral student orientations and students’ perceptions of the degree to which these orientations met their needs

Factors Associated with Revision Surgery after Internal Fixation of Hip Fractures

Background: Femoral neck fractures are associated with high rates of revision surgery after management with internal fixation. Using data from the Fixation using Alternative Implants for the Treatment of Hip fractures (FAITH) trial evaluating methods of internal fixation in patients with femoral neck fractures, we investigated associations between baseline and surgical factors and the need for revision surgery to promote healing, relieve pain, treat infection or improve function over 24 months postsurgery. Additionally, we investigated factors associated with (1) hardware removal and (2) implant exchange from cancellous screws (CS) or sliding hip screw (SHS) to total hip arthroplasty, hemiarthroplasty, or another internal fixation device. Methods: We identified 15 potential factors a priori that may be associated with revision surgery, 7 with hardware removal, and 14 with implant exchange. We used multivariable Cox proportional hazards analyses in our investigation. Results: Factors associated with increased risk of revision surgery included: female sex, [hazard ratio (HR) 1.79, 95% confidence interval (CI) 1.25-2.50; P = 0.001], higher body mass index (fo

Effect of angiotensin-converting enzyme inhibitor and angiotensin receptor blocker initiation on organ support-free days in patients hospitalized with COVID-19

IMPORTANCE Overactivation of the renin-angiotensin system (RAS) may contribute to poor clinical outcomes in patients with COVID-19. Objective To determine whether angiotensin-converting enzyme (ACE) inhibitor or angiotensin receptor blocker (ARB) initiation improves outcomes in patients hospitalized for COVID-19. DESIGN, SETTING, AND PARTICIPANTS In an ongoing, adaptive platform randomized clinical trial, 721 critically ill and 58 non–critically ill hospitalized adults were randomized to receive an RAS inhibitor or control between March 16, 2021, and February 25, 2022, at 69 sites in 7 countries (final follow-up on June 1, 2022). INTERVENTIONS Patients were randomized to receive open-label initiation of an ACE inhibitor (n = 257), ARB (n = 248), ARB in combination with DMX-200 (a chemokine receptor-2 inhibitor; n = 10), or no RAS inhibitor (control; n = 264) for up to 10 days. MAIN OUTCOMES AND MEASURES The primary outcome was organ support–free days, a composite of hospital survival and days alive without cardiovascular or respiratory organ support through 21 days. The primary analysis was a bayesian cumulative logistic model. Odds ratios (ORs) greater than 1 represent improved outcomes. RESULTS On February 25, 2022, enrollment was discontinued due to safety concerns. Among 679 critically ill patients with available primary outcome data, the median age was 56 years and 239 participants (35.2%) were women. Median (IQR) organ support–free days among critically ill patients was 10 (–1 to 16) in the ACE inhibitor group (n = 231), 8 (–1 to 17) in the ARB group (n = 217), and 12 (0 to 17) in the control group (n = 231) (median adjusted odds ratios of 0.77 [95% bayesian credible interval, 0.58-1.06] for improvement for ACE inhibitor and 0.76 [95% credible interval, 0.56-1.05] for ARB compared with control). The posterior probabilities that ACE inhibitors and ARBs worsened organ support–free days compared with control were 94.9% and 95.4%, respectively. Hospital survival occurred in 166 of 231 critically ill participants (71.9%) in the ACE inhibitor group, 152 of 217 (70.0%) in the ARB group, and 182 of 231 (78.8%) in the control group (posterior probabilities that ACE inhibitor and ARB worsened hospital survival compared with control were 95.3% and 98.1%, respectively). CONCLUSIONS AND RELEVANCE In this trial, among critically ill adults with COVID-19, initiation of an ACE inhibitor or ARB did not improve, and likely worsened, clinical outcomes. TRIAL REGISTRATION ClinicalTrials.gov Identifier: NCT0273570

Cleanliness and Sanitation in Morgan Dining Hall

Infectious diseases are common among college students and their spread is exacerbated by widespread use of Morgan Dining Hall. Two methods that were examined as potential solutions were: the application of Microban, and the hiring of additional workers. Microban was found to be the more cost-effective option. There is the potential to drastically reduce the spread of infectious diseases through Microban’s ability to stop and prevent bacterial multiplication

Markers of chronic disease in offenders in a high secure correctional centre in Queensland [Conference Abstract]

This study aimed to gauge the presence of markers of chronic disease, as a basis for food and nutrition policy in correctional facilities. One hundred and twenty offenders, recruited from a Queensland Correctional Centre, provided informed consent and completed both dietary interviews and physical measurements. Mean age of the sample was 35.5 ± 12 years (range = 19–77 yrs); mean age of the total population (n = 945) was 32.8 ± 10 years (range = 19–80 yrs). Seventy-nine participants also provided fasting blood samples. The mean body mass index (BMI) was 27 ± 3.5 kg/m2; 72% having a BMI > 25 kg/m2. Thirty-three percent were classified overweight or obese using waist circumference (mean = 92 ± 10 cm). Mean blood pressure measurement was systolic = 130 ± 14 mmHg and diastolic = 73 ± 10 mmHg. Twenty-four percent were classified as hypertensive of whom three were on antihypertensive medication. Eighteen percent had elevated triglycerides, and 40% unfavourable total cholesterol to HDL ratios. Homeostatic Model Assessment (HOMA scores) were calculated from glucose and insulin. Four participants were insulin resistant, two of whom had known diabetes. Metabolic syndrome, based on waist circumference (adjusted for ethnicity), blood lipids, blood pressure and plasma glucose indicated that 25% (n = 20) were classified with metabolic syndrome. Eighty-four percent (n = 120) reported some physical activity each day, with 51 percent participating ≥two times daily. Fifty-four percent reported smoking with an additional 20% having smoked in the past. Findings suggest that waist circumference rather than weight and BMI only should be used in this group to determine weight status. The data suggest that markers of chronic disease are present and that food and nutrition policy must reflect this. Further analysis is being completed to determine relevant policy initiatives

Using the Theory of Planned Behavior to Understand Dispositional Gatekeeping Behavior Among Rehabilitation Counselor Educators

Rehabilitation counselor educators (RCEs) in programs accredited by the Council for Accreditation of Counseling and Related Educational Programs (CACREP) are mandated to assess student professional dispositions as part of the gatekeeping process. This study utilized the theory of planned behavior (TPB) to explore the factors that influence RCE dispositional gatekeeping behaviors. The study includes a sample of 52 RCEs across the United States. Results obtained using a multiple linear regression model indicate that participants generally have positive attitudes toward their role as dispositional gatekeepers and their behaviors. As hypothesized by TPB, both beliefs and perceived norms relating to dispositional gatekeeping predicted dispositional gatekeeping behaviors, with the model accounting for approximately 57% of the variance. Lastly, implications and recommendations are included as they relate to gatekeeping in master’s-level rehabilitation counseling programs

Clinical Applications of 3D Printing: Primer for Radiologists

Three-dimensional (3D) printing refers to a number of manufacturing technologies that create physical models from digital information. Radiology is poised to advance the application of 3D printing in health care because our specialty has an established history of acquiring and managing the digital information needed to create such models. The 3D Printing Task Force of the Radiology Research Alliance presents a review of the clinical applications of this burgeoning technology, with a focus on the opportunities for radiology. Topics include uses for treatment planning, medical education, and procedural simulation, as well as patient education. Challenges for creating custom implantable devices including financial and regulatory processes for clinical application are reviewed. Precedent procedures that may translate to this new technology are discussed. The task force identifies research opportunities needed to document the value of 3D printing as it relates to patient care