Effectiveness of behavioral programming and the traumatic brain injury waiver program: a caregiver\u27s perspective.

The purpose of this exploratory study is to determine the effectiveness of behavioral services offered to adults, ages sixteen to sixty-five, through the Traumatic Brain lnjury Waiver Program (TBIW). This community-based program provides the level of behavioral services previously only available to institutionalized individuals. 2l identified primary caregivers were sent a questionnaire consisting of qualitative ond quantitative questions to assess their perceptions and understanding of the services provided. Discussion focuses on a comparison of the research findings in relation to existing literature. Implications for the social work practice include the need for ongoing education and community support for individuals with Traumatic Brain Injuries (TBI), as identified by their primary caregivers

Implementing a Sheltered Science Course in an Iowa High School

English Learners (ELs) entering U.S. schools at the high school level face the enormous challenge of acquiring academic literacy as well as secondary-level content in a relatively short period of time. This difficulty is compounded by the fact that a significant number of the ELs entering at the secondary level are students with limited or interrupted formal educations as a result of family migrations, unequal schooling in their home countries, political unrest or even war. In response to this pressing need to teach language and content simultaneously, many school districts are adopting the sheltered instruction (SI) model. This paper will explore the research and literature available on the use and implementation of SI as a program model for ELs, and raise awareness of the difficulty ELs have in acquiring both content and language acquisition at the high school level, specifically with regard to science. Then, the paper will examine the implementation of a high school sheltered science course for ELs in the beginning stages of language proficiency. Initial curriculum is presented, along with a narrative discussing the successes, failures, and revisions of the design. The paper concludes with recommendations for a future sheltered course

Honoring others by accompaniment

Nurses recognize that access to healthcare for marginalized individuals prevents some from utilizing western medicine basic health services. People living in the margins can experience difficult encounters to healthcare as a system and a culture. Providers in Scott County that offer access to the marginalized are referred to as safety net services, lack individual choice, resource coordination, or a health partnership with individuals struggling in their daily lives. public Health Nurses recognize the need for intentional collaboration among providers. This project began with a Hispanic individual who had accessed all safety net providers in Scott County and still was not receiving adequate healthcare in our system. Hispanic Americans are the single fastest growing minority population in the United States. Many of these individuals will not have access to adequate health care access. Safety net providers in Scott County came together to identify strengths, assess gaps, and coordinate services to improve individuals healthcare based on their cultural needs. The concepts of caring and culture care based on Leininger\u27s theory, accompaniment, and honoríng others beliefs, values, and lifeways have guided this project to meet the needs of individuals living in the margins. The lived experiences of synthesizing and constructing these concepts into praxis have demonstrated advancing nursing practice. The outcome was an improved process for assisting individuals to receive effective care in a culturally, respectful manner. The development of the client referral form resulted in 54 clients from the mobile health unit making care decisions. Over one hundred individuals avoided unnecessary emergency room treatment through the collaboration of the Safety Net providers

The Conference on High Temperature Electronics

The status of and directions for high temperature electronics research and development were evaluated. Major objectives were to (1) identify common user needs; (2) put into perspective the directions for future work; and (3) address the problem of bringing to practical fruition the results of these efforts. More than half of the presentations dealt with materials and devices, rather than circuits and systems. Conference session titles and an example of a paper presented in each session are (1) User requirements: High temperature electronics applications in space explorations; (2) Devices: Passive components for high temperature operation; (3) Circuits and systems: Process characteristics and design methods for a 300 degree QUAD or AMP; and (4) Packaging: Presently available energy supply for high temperature environment

1987 Clinic Yearbook

The Clinic is the yearbook of the Sidney Kimmel Medical College (formerly Jefferson Medical College) at Thomas Jefferson University

1987 Clinic Yearbook

The Clinic is the yearbook of the Sidney Kimmel Medical College (formerly Jefferson Medical College) at Thomas Jefferson University

Evaluation of acceptability, safety and expulsion rate of PPIUCD

Background: The modern intrauterine contraceptive device (IUCD) is highly effective, safe, private, long acting, coitus independent, rapidly reversible, cost effective and can be used by women who are breastfeeding. This study was conducted to evaluate factors associated with acceptability, safety and expulsion rates of PPIUCD among clients in the Department of Obstetrics and Gynecology, N. S. C. B Medical College, Jabalpur.Methods: A questionnaire based prospective study was conducted between March 2016 -17 on all the clients who were counseled for PPIUCD and who fulfilled the WHO Medical Eligibility criteria. Proforma included follow up at 6 weeks post-delivery.Results: In our study 961 women accepted PPIUCD (53.3%). Majority of the cases belonged to low socioeconomic group with low literacy rates. Most acceptors counseled in antenatal period (53.1%). Majority (67.3%) of insertions were post placental and instrumental (89%). At the time of insertion most clients experienced mild pain (49.7%) & anxiety (42.5%). Amongst clients who followed up (51.1%), the most common complaint was pain (16.7%) and most common reason for removal was heavy bleeding. Continuation rate was 77.7%, spontaneous expulsion in 9.75% while voluntarily removal was done in 12.6%. At follow up 91.3% clients were satisfied with PPIUCD.Conclusions: Antenatal counseling has a very important role. Demographic factors influencing acceptance are education, socioeconomic status and family structure. PPIUCD is demonstrably safe and effective method of contraception with low expulsion rate. Awareness about the safety and efficacy of PPIUCD should be emphasized during antenatal visits