Nationwide Acute Care Physical Therapist Practice Analysis Identifies Knowledge, Skills, and Behaviors That Reflect Acute Care Practice

Background and Purpose. Acute care physical therapists have experienced the effects of dramatic changes in health care reimbursement systems and population demographics. Acute care hospitals now serve a patient population of much older, chronically ill patients who are hospitalized for shorter periods of time in a practice environment in which physical therapy staffing resources are often inadequate. The purposes of this study were to document common experiences in the practice of acute care physical therapy and to identify differences in the perceptions of physical therapists with varying levels of experience and in various sizes of acute care facilities. Subjects and Methods. A survey questionnaire was mailed to 500 randomly selected physical therapists employed in acute care facilities. The therapists answered questions regarding the frequency of various physical therapy evaluation and treatment practices, problems encountered in delivering physical therapy services, coordination of the discharge planning process, and perceptions of staffing trends in the acute care setting. The responses of 188 physical therapists who completed the survey were compared by their experience levels and the size of the institutions in which they practiced. Results. Subjects reported that patient factors, such as medical complications and cooperation; organizational factors, such as staffing shortages and large caseloads; and health care system constraints, such as difficulty changing orders and limited time in which to work with the patient interfered with patients reaching physical therapy goals. Conclusion and Discussion. Inadequate skills for successful acute care practice and maladaptive therapist beliefs about acute care career possibilities may adversely affect physical therapist career longevity in the acute care setting

Nationwide Acute Care Physical Therapist Practice Analysis Identifies Knowledge, Skills, and Behaviors That Reflect Acute Care Practice

Background and Purpose. Acute care physical therapists have experienced the effects of dramatic changes in health care reimbursement systems and population demographics. Acute care hospitals now serve a patient population of much older, chronically ill patients who are hospitalized for shorter periods of time in a practice environment in which physical therapy staffing resources are often inadequate. The purposes of this study were to document common experiences in the practice of acute care physical therapy and to identify differences in the perceptions of physical therapists with varying levels of experience and in various sizes of acute care facilities. Subjects and Methods. A survey questionnaire was mailed to 500 randomly selected physical therapists employed in acute care facilities. The therapists answered questions regarding the frequency of various physical therapy evaluation and treatment practices, problems encountered in delivering physical therapy services, coordination of the discharge planning process, and perceptions of staffing trends in the acute care setting. The responses of 188 physical therapists who completed the survey were compared by their experience levels and the size of the institutions in which they practiced. Results. Subjects reported that patient factors, such as medical complications and cooperation; organizational factors, such as staffing shortages and large caseloads; and health care system constraints, such as difficulty changing orders and limited time in which to work with the patient interfered with patients reaching physical therapy goals. Conclusion and Discussion. Inadequate skills for successful acute care practice and maladaptive therapist beliefs about acute care career possibilities may adversely affect physical therapist career longevity in the acute care setting

Dynamic Schnyder Woods

info:eu-repo/semantics/publishe

Role of Binder and Preparation Pressure in Tubular Ceramic Membrane Processing: Design and Optimization Study Using Response Surface Methodology (RSM)

An empirical model using response surface methodology (RSM) is proposed to investigate the role of parameters, such as preparation pressure and binder contents on the porosity and flexural strength of a tubular low-cost ceramic membrane based on central compact design (CCD). Preparation pressure and binder contents are selected as input parameters to obtain controlled porosity with considerable strength of membrane. The optimum preparation pressure is found to be at 9.81 MPa with the sodium metasilicate and boric acid contents of 7.50% each providing a microfiltration range membrane. The optimization study reveals that the errors between the experimental and predicted values are below 2%. FESEM images clearly unveil a consolidated microstructure of the ceramic membrane. Acid-alkali test conveys that there is no major change in elemental composition due to the presence of binders in ceramic processing. The cost of the optimized membrane is estimated at approximately $332/m²

Demographic profile of Cervical Cancer development: a hospital based study

Introduction: The present study is an attempt to detect Human papilloma virus infection along with its genotype in cancer cervix and its relation with demographic profile. Methods: Cervical cancer cases were enrolled in between Jan’ 2010 to Dec’ 2012. One sample was collected from non cancerous area of cervix for DNA extraction and two samples were collected from cancerous area of cervix from same patient, one for DNA extraction and other one for histopathological examination to confirm our clinical diagnosis. Extracted DNA was then checked for presence of HPV DNA by PCR amplification method using MY09/11 primer. HPV genotyping was done by using specific primer for HPV16 & HPV18. The cases were compared with their corresponding socio demographic profile. Results: The study showed 88.88% cases found to be HPV positive in cancerous area compared to 7.4% number in non cancerous area. Out of which 95.83% cases to be HPV 16 and only 4.16% were to be HPV 18 in cervical cancer cases. There were other significant risk factor association of cervical cancer with early marriage in 70.36% and high parity 87% of cases. Conclusion: The human papilloma virus type 16 & 18 are the major contributing factor along with other risk factors like early marriage, illiteracy and high parity for cervical cancer in our region

Role of CYP2E1 gene polymorphisms association with hepatitis risk in Northeast India

AIM: To investigate hepatitis virus, genetic and environmental factors, and their interactions in predisposing patients to liver diseases in Northeast India