Strengthening Vocational Skills In Adolescents With Disabilities: A Review Of A Pediatric Occupational Therapy Workforce Program

The purpose of this capstone project was to analyze methods of occupational therapy service provision to enhance the delivery of the current workforce program at an outpatient pediatric therapy clinic. The literature review, insight from occupational therapists, and knowledge from experts informed this capstone project. The goals of this experience included: 1) to inform pediatric occupational therapists on beneficial methods, interventions, and resources for the workforce program; 2) to advocate for increased work opportunities for adolescents with disabilities in the community; and 3) to improve workforce program logistics. These three goals bridged the gaps identified in the literature and needs assessment, which revealed areas for improving and streamlining education and promoting awareness within the local community. This doctoral capstone project resulted in a workforce program guide for pediatric occupational therapists, resources for parents, adolescents, and businesses, and new partnerships with local businesses for increased workforce program opportunities. Additional sustainability measures and plans were completed during the experience

A versatile high resolution objective for imaging quantum gases

We present a high resolution objective lens made entirely from catalog singlets that has a numerical aperture of 0.36. It corrects for aberrations introduced by a glass window and has a long working distance of 35mm, making it suitable for imaging objects within a vacuum system. This offers simple high resolution imaging for many in the quantum gas community. The objective achieves a resolution of 1.3{\mu}m at the design wavelength of 780nm, and a diffraction-limited field of view of 360{\mu}m when imaging through a 5mm window. Images of a resolution target and a pinhole show quantitative agreement with the simulated lens performance. The objective is suitable for diffraction-limited imaging on the D2 line of all the alkalis by changing only the aperture diameter, retaining numerical apertures above 0.32. The design corrects for window thicknesses of up to 15mm if the singlet spacings are modified

XMM-Newton EPIC Observation of SMC SNR 0102-72.3

Results from observations of the young oxygen-rich supernova remnant SNR 0102-72.3 in the Small Magellanic Cloud during the calibration phase of the XMM-Newton Observatory are presented. Both EPIC-PN and MOS observations show a ringlike structure with a radius of ~15'' already known from Einstein, ROSAT and Chandra observations. Spectra of the entire SNR as well as parts in the eastern half were analyzed confirming shocked hot plasma in non-uniform ionization stages as the origin of the X-ray emission. The spectra differ in the northeastern and the southeastern part of the X-ray ring, showing emission line features of different strength. The temperature in the northeastern part is significantly higher than in the southeast, reflected by the lines of higher ionization stages and the harder continuum. Comparison to radio data shows the forward shock of the blast wave dominating in the northern part of the SNR, while the southern emission is most likely produced by the recently formed reverse shock in the ejecta. In the case of the overall spectrum of SNR 0102-72.3, the two-temperature non-equilibrium ionization model is more consistent with the data in comparison to the single plane-parallel shock model. The structure of SNR 0102-72.3 is complex due to variations in shock propagation leading to spatially differing X-ray spectra

Blended Learning: How do you optimise undergraduate student engagement?

Background: Blended learning is a combination of online and face-to-face learning and is increasingly of interest for use in undergraduate medical education. It has been used to teach clinical post-graduate students pharmacology but needs evaluation for its use in teaching pharmacology to undergraduate medical students, which represent a different group of students with different learning needs. Methods: An existing BSc-level module on neuropharmacology was redesigned using the Blended Learning Design Tool (BLEnDT), a tool which uses learning domains (psychomotor, cognitive and affective) to classify learning outcomes into those taught best by self-directed learning (online) or by collaborative learning (face-to-face). Two online courses were developed, one on Neurotransmitters and the other on Neurodegenerative Conditions. These were supported with face-to-face tutorials. Undergraduate students’ engagement with blended learning was explored by the means of three focus groups, the data from which were analysed thematically. Results: Five major themes emerged from the data 1) Purpose and Acceptability 2) Structure, Focus and Consolidation 3) Preparation and workload 4) Engagement with e-learning component 5) Future Medical Education. Conclusion: Blended learning was acceptable and of interest to undergraduate students learning this subject. They expressed a desire for more blended learning in their courses, but only if it was highly structured, of high quality and supported by tutorials. Students identified that the ’blend’ was beneficial rather than purely online learning

Light pollution is associated with earlier tree budburst across the United Kingdom

ArticleThe ecological impact of night-time lighting is of concern because of its well-demonstrated effects on animal behaviour. However, the potential of light pollution to change plant phenology and its corresponding knock-on effects on associated herbivores are less clear. Here, we test if artificial lighting can advance the timing of budburst in trees. We took a UK-wide 13 year dataset of spatially referenced budburst data from four deciduous tree species and matched it with both satellite imagery of night-time lighting and average spring temperature. We find that budburst occurs up to 7.5 days earlier in brighter areas, with the relationship being more pronounced for later-budding species. Excluding large urban areas from the analysis showed an even more pronounced advance of budburst, confirming that the urban ‘heat-island’ effect is not the sole cause of earlier urban budburst. Similarly, the advance in budburst across all sites is too large to be explained by increases in temperature alone. This dramatic advance of budburst illustrates the need for further experimental investigation into the impact of artificial night-time lighting on plant phenology and subsequent species interactions. As light pollution is a growing global phenomenon, the findings of this study are likely to be applicable to a wide range of species interactions across the world.R.S.-Y. was supported by a GWR-ESF Studentship awarded by the University of Exeter to R.H.f.-C. The study was also founded by a BBSRC grant to R.H.f-C

Metal artefacts severely hamper magnetic resonance imaging of the rotator cuff tendons after rotator cuff repair with titanium suture anchors

BackgroundThe rate of retear after rotator cuff surgery is 17%. Magnetic resonance imaging (MRI) scans are used for confirmative diagnosis of retear. However, because of the presence of titanium suture anchors, metal artefacts on the MRI are common. The present study evaluated the diagnostic value of MRI after rotator cuff tendon surgery with respect to assessing the integrity as well as the degeneration and atrophy of the rotator cuff tendons when titanium anchors are in place.MethodsTwenty patients who underwent revision surgery of the rotator cuff as a result of a clinically suspected retear between 2013 and 2015 were included. The MRI scans of these patients were retrospectively analyzed by four specialized shoulder surgeons and compared with intra-operative findings (gold standard). Sensitivity and interobserver agreement among the surgeons in assessing retears as well as the Goutallier and Warner classification were examined.ResultsIn 36% (range 15% to 50%) of the pre-operative MRI scans, the observers could not review the rotator cuff tendons. When the rotator cuff tendons were assessable, a diagnostic accuracy with a mean sensitivity of 0.84 (0.70 to 1.0) across the surgeons was found, with poor interobserver agreement (kappa = 0.12).ConclusionsMetal artefacts prevented accurate diagnosis from MRI scans of rotator cuff retear in 36% of the patients studied.</jats:sec

Effective Feedback to Improve Primary Care Prescribing Safety (EFIPPS) a pragmatic three-arm cluster randomised trial:designing the intervention (ClinicalTrials.gov registration NCT01602705)

Peer reviewedPublisher PD

Artificially lit surface of Earth at night increasing in radiance and extent

This is the author accepted manuscript. The final version is available from AAAS via the DOI in this record.A central aim of the “lighting revolution” (the transition to solid-state lighting technology) is decreased energy consumption. This could be undermined by a rebound effect of increased use in response to lowered cost of light. We use the first-ever calibrated satellite radiometer designed for night lights to show that from 2012 to 2016, Earth’s artificially lit outdoor area grew by 2.2% per year, with a total radiance growth of 1.8% per year. Continuously lit areas brightened at a rate of 2.2% per year. Large differences in national growth rates were observed, with lighting remaining stable or decreasing in only a few countries. These data are not consistent with global scale energy reductions but rather indicate increased light pollution, with corresponding negative consequences for flora, fauna, and human well-being.This article is based upon work from COST Action ES1204 LoNNe, supported by COST (European Cooperation in Science and Technology). The authors acknowledge the funding received by ERA-PLANET (www.era-planet.eu) funded by the EC as part of H2020 (contract no. 689443). NOAA’s participation was funded by NASA’s VIIRS science program, contract number NNH15AZ01I. ASM’s contribution was funded by ORISON project (H2020-INFRASUPP-2015-2) Cities at Night