38 research outputs found

    Evolution of Occupational Therapy Practice: Life History of Janeene Sibla OTD, OTR/L

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    Objective: The purpose of this life history of Janeene Sibla was to provide current and future occupational therapist an overview of her journey as an occupational therapist in North Dakota. This life history also looks at the historical events that influenced the occupational therapy profession and Janeene. This life history was one of 31 done for a course at the University of North Dakota. Method: The project directors reached out to occupational therapists and certified occupational therapy assistants in North Dakota and Wyoming. Janeene was assigned by the project directors to the researchers. A semi-structured recorded phone interview that lasted 43 minutes took place in a private conference room at the University of North Dakota School of Medicine and Health Sciences. The recording was transcribed, coded, and themes emerged. Results: Data analysis yielded thirteen codes that were grouped into three categories. These categories were principles of OT practice, evolution of education in OT, and environmental factors that influence OT. Each category had 3-4 themes that were generated from the transcript which reflected her perspective. An assertion statement was created to represent Janeene’s journey. Conclusion: Janeene Sibla has had various roles in her career as an occupational therapist. Her dedication to client-centered care, educating the future generation of occupational therapists, and optimism for the future of the occupational therapy field is inspiring. This life history gives an overview of Janeene’s journey in the field of occupational therapy

    Why health visiting? Examining the potential public health benefits from health visiting practice within a universal service: A narrative review of the literature

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    INTRODUCTION: There is increasing international interest in universal, health promoting services for pregnancy and the first three years of life and the concept of proportionate universalism. Drawing on a narrative review of literature, this paper explores mechanisms by which such services might contribute to health improvement and reducing health inequalities. OBJECTIVES: Through a narrative review of empirical literature, to identify: DESIGN: The paper draws upon a scoping study and narrative review. REVIEW METHODS: We used three complementary approaches to search the widely dispersed literature: Our key inclusion criterion was information about health visiting practice. We included empirical papers from United Kingdom (UK) from 2004 to February 2012 and older seminal papers identified in search (3), identifying a total of 348 papers for inclusion. A thematic content analysis compared the older (up to 2003) with more recent research (2004 onwards). RESULTS: The analysis revealed health visiting practice as potentially characterized by a particular 'orientation to practice.' This embodied the values, skills and attitudes needed to deliver universal health visiting services through salutogenesis (health creation), person-centredness (human valuing) and viewing the person in situation (human ecology). Research about health visiting actions focuses on home visiting, needs assessment and parent-health visitor relationships. The detailed description of health visitors' skills, attitudes, values, and their application in practice, provides an explanation of how universal provision can potentially help to promote health and shift the social gradient of health inequalities. CONCLUSIONS: Identification of needs across an undifferentiated, universal caseload, combined with an outreach style that enhances uptake of needed services and appropriate health or parenting information, creates opportunities for parents who may otherwise have remained unaware of, or unwilling to engage with such provision. There is a lack of evaluative research about health visiting practice, service organization or universal health visiting as potential mechanisms for promoting health and reducing health inequalities. This paper offers a potential foundation for such research in future

    Accelerated surgery versus standard care in hip fracture (HIP ATTACK): an international, randomised, controlled trial

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    Residential Mobility and Children's Social Capital: Evidence from an Experiment

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    This article examines the effects of residential mobility on social connections that are likely to affect children's well-being. Copyright (c) 2003 by the Southwestern Social Science Association.

    Spatial Analysis, Interactive Visualisation and GIS-Based Dashboard for Monitoring Spatio-Temporal Changes of Hotspots of Bushfires over 100 Years in New South Wales, Australia

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    The 2019–2020 bushfire season is estimated to be one of the worst fire seasons on record in Australia, especially in New South Wales (NSW). The devastating fire season ignited a heated public debate on whether prescribed burning is an effective tool for preventing bushfires, and how the extent of bushfires has been changing over time. The objective of this study is to answer these questions, and more specifically to identify how bushfire patterns have changed in the last 100 years in NSW. To do so, we conducted a spatio-temporal analysis on prescribed burns and bushfires using a 100-year dataset of bushfires. More specifically, three research questions were developed, with each one of them addressed differently. First, generalised linear modelling was applied to assess the changes in fire patterns. Second, a correlation analysis was conducted to examine whether prescribed burns are an effective tool for reducing bushfire risk. Third, a spatio-temporal analysis was applied to the bushfire location data to explore spatio-temporal clusters of high and low values for bushfires, known as hotspots and coldspots, respectively. The study found that the frequency of bushfires has increased over time; however, it did not identify a significant trend of change in their size. Based on the results of this study for the relationship between prescribed burns and bushfires, it seems impossible to determine whether prescribed burns effectively reduce bushfire risk. Thus, further analysis with a larger amount of data is required in the future. The results of the spatio-temporal analysis showed that cold spots are propagated around metropolitan areas such as Sydney, while hotspots are concentrated in rural areas such as the North Coast and South Coast regions of NSW. The analysis found four statistical areas that have become new bushfire frequency hotspots in the 2019–2020 bushfire season. These areas combined have about 40,000 residents and at least 13,000 built dwellings. We suggest that further analysis is needed in the field to determine if there is a pattern of movement of bushfire towards metropolitan areas. To make the results of this research accessible to the public, an online interactive GIS-based dashboard was developed. The insight gained from the spatial and temporal analyses in this research is crucial to making smarter decisions on allocating resources and developing preventive or mitigating strategies
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