Medicine and Health Sciences Commons^™

A National Study Into The Rural And Remote Pharmacist Workforce, Janie Smith, Col White, Louise Roufeil, Craig Veitch, Lisa Pont, Bhavini Patel, Kristine Battye, Karen Luetsch, Christine Mitchell

Janie Smith

As for many health professionals, distance presents an enormous challenge to pharmacists working in rural and remote Australia. Previous studies have identified issues relating to the size of the rural and remote pharmacist workforce, and a number of national initiatives have been implemented to promote the recruitment and retention of pharmacists in rural and remote locations. The aim of this study was to explore and describe the current rural and remote pharmacy workforce, and to identify barriers and drivers influencing rural and remote pharmacy practice. A mixed-methods approach was used, which comprised a qualitative national consultation and a quantitative rural …

The Change Program: Methodology For Comparing Interactive Co-Active Coaching With A Prescriptive Lifestyle Treatment For Obesity, Don Morrow, Erin Pearson, Jennifer Irwin

Donald Morrow

Studies incorporating Motivational Interviewing via Co-Active life coaching (MI-via-CALC) have elicited positive results among obese adults; however there is a paucity of comprehensive MI-via-CALC-obesity research that includes sufficient statistical power and a validated comparison group. The purpose of this study was to compare two telephone-based interventions for obesity. University students were randomized to either a 12-week: (a) personalized MI-via-CALC program whereby a coach worked with participants to achieve goals; or (b) prescriptive education-based lifestyle treatment following the LEARN Program. This paper contains a detailed methodological account of the study with a view to informing the development of prospective coaching-based programs.

Fertility Desires Among Hiv-Infected Men And Women In Los Angeles County: Client Needs And Provider Perspectives, Sebastian Linnemayr, Deborah Mindry, Glenn Wagner, Jordan Lake, Amber Smith, Molly Quinn, Risa Hoffmann

Sebastian Linnemayr

Combination antiretroviral therapy for persons living with HIV/AIDS (PLHA) has extended life expectancy, and enabled PLHA to live productive lives that can include having children. Despite calls to address childbearing for PLHA there has been limited attention to developing safe conception programs. This research sought to assess the childbearing desires of PLHA and the experiences of health care providers serving this population. Research entailed a brief cross-sectional client survey given to HIV-infected men and women over age 18 at two Los Angeles County clinics administered over an 8-week period. Focus group discussions were conducted with providers at each clinic site. …

U.S. Policies To Enhance Older Driver Safety: A Systematic Review Of The Literature, Elizabeth Dugan

Elizabeth Dugan

The purpose of this study was to conduct a systematic review of the literature related to state policies concerning older drivers and to draw policy conclusions about what policies appear to work to reduce older driver crashes and to identify areas needed for further research. Specific policies examined in this paper concern medical reporting and medical review, license renewal processes, and driver testing. A study was included in the systematic review if it met the following criteria: published in English between 1991and January 2013; included data on human subjects aged 65 and older residing in the United States; included information …

Assessment Practices For Undergraduate Psychology: A Model Perspective, R. Landrum, Maureen Mccarthy

R. Eric Landrum

More than one million students earned a bachelor's degree in psychology over the course of the past 13 years, and the popularity of psychology as an undergraduate degree continues to grow. If the number of students majoring in psychology continues to increase at comparable rates, an additional one million psychology majors will graduate over the course of the next decade (National Center for Education Statistics, 2011). In other words, our graduates, armed with scientific reasoning skills (Halonen, Bosack, Clay, & McCarthy, 2003) will be psychologically literate citizens positioned to convey the core elements of the discipline to the larger population. …

Treating Students As Early-Career Professionals: The Ethics Of Teaching, Maureen Mccarthy, R. Landrum

R. Eric Landrum

The ethics of teaching (not to be confused with the teaching of ethics) is not typically considered a hot topic, but perhaps it should be. The practice of teaching involves careful delivery of content using pedagogically sound methods. Teaching ethically includes supervising and evaluating students carefully, navigating complex relationships, ensuring equity, and balancing academic freedom with responsibility. In each instance, educators must balance ethics, consider the role of integrity, and act in ways that are in students’ best interests. In this chapter, we reflect on the ethics of teaching with respect to honoring diversity in the classroom, how to select …

Social Determinants Of Health: A View On Theory And Measurement, John Mazzeo

John Mazzeo, Ph.D.

No abstract provided.

School Psychologists Need More Training In Providing Services To Students With Autism Spectrum Disorders (Asd), Lee Wilkinson

Lee A Wilkinson, PhD

As more and more children are being identified with ASD and placed in general education classrooms, school psychologists will play an ever increasingly important role in identification and intervention, as well as offer support, information, consultation, and recommendations to teachers, school personnel, administration, and families. Therefore, it is essential that they be knowledgeable about evidence-based assessment and intervention strategies for this population of students. Despite the limitations inherent in survey research, the data from these studies suggest that school psychologists are not adequately prepared to provide evidence-based assessment and intervention services to children with ASD. The survey research illustrates a …

Same Admissions Tools, Different Outcomes : A Critical Perspective On Predictive Validity In Three Undergraduate Medical Schools, Daniel Edwards, Tim Friedman, Jacob Pearce

Dr Daniel Edwards

Admission to medical school is one of the most highly competitive entry points in higher education. Considerable investment is made by universities to develop selection processes that aim to identify the most appropriate candidates for their medical programs. This paper explores data from three undergraduate medical schools to offer a critical perspective of predictive validity in medical admissions. This study examined 650 undergraduate medical students from three Australian universities as they progressed through the initial years of medical school (accounting for approximately 25 per cent of all commencing undergraduate medical students in Australia in 2006 and 2007). Admissions criteria (aptitude …

Prophylactic Cranial Irradiation For Patients With Limited-Stage Small-Cell Lung Cancer With Response To Chemoradiation, Patricia Tai, Avi Assouline, Kurian Joseph, Larry Stitt, Edward Yu

Edward Yu

Background Previous clinical studies have generally reported that prophylactic cranial irradiation (PCI) was given to patients with a complete response (CR) to chemotherapy and chest radiotherapy in limited-stage small-cell lung cancer (SCLC). It is not clear if those with incomplete response (IR) would benefit from PCI. Patients and Methods The Saskatchewan experience from 1981 through 2007 was reviewed. Patients were treated with chest radiotherapy and chemotherapy with or without PCI (typical doses: 2500 cGy in 10 fractions over 2 weeks, 3000 cGy in 15 fractions over 3 weeks, or 3000 cGy in 10 fractions over 2 weeks). Results There were …

Care Transitions Programs: A Review Of Hospital-Based Programs Targeted To Reduce Readmissions, Dennis Delisle, Mhsa, Pmp

Dennis Delisle, Sc.D, FACHE

No abstract provided.

Big Things Come In Bundled Packages: Implications Of Bundled Payment Systems In Health Care Reimbursement Reform, Dennis Delisle, Mhsa, Pmp

Dennis Delisle, Sc.D, FACHE

No abstract provided.

Physical Activity Among Preschoolers During Indoor And Outdoor Childcare Play Periods, Leigh Vanderloo, Patricia Tucker, Andrew Johnson, Jeffrey Holmes

Trish Tucker

Preschoolers' (n = 31) physical activity (PA) levels during indoor and outdoor childcare hours were explored using accelerometers. Participants engaged in 0.54 min/h (SD = 0.59) of moderate-to-vigorous PA (MVPA) and 14.42 min/h (SD = 6.78) of total PA (TPA) indoors compared with 5.03 min/h (SD = 4.92) of MVPA and 31.68 min/h (SD = 0.83) of TPA outdoors. Boys and girls engaged in significantly more TPA outdoors; however, only boys demonstrated a significant increase in MVPA outdoors.

Research Budget Overhaul, Chiehwen Ed Hsu

Chiehwen Ed Hsu

No abstract provided.

Medicare Payment Reform And Provider Entry And Exit, Peter Huckfeldt, Neeraj Sood, John Romley, Alessandro Malchiodi, Jose Escarce

Peter J. Huckfeldt

Objective. To understand the impacts of Medicare payment reform on the entry and exit of post-acute providers. Data Sources. Medicare Provider of Services data, Cost Reports, and Census data from 1991 through 2010. Study Design. We examined market-level changes in entry and exit after payment reforms relative to a preexisting time trend. We also compared changes in high Medicare share markets relative to lower Medicare share markets and for freestanding relative to hospital-based facilities. Data Extraction Methods. We calculated market-level entry, exit, and total stock of home health agencies, skilled nursing facilities, and inpatient rehabilitation facilities from Provider of Services …

Assessment Of Medical Students’ Learning Outcomes In Australia : Current Practice, Future Possibilities, David Wilkinson, Benedict Canny, Jacob Pearce, Hamish Coates, Daniel Edwards

Dr Daniel Edwards

All 19 medical schools in Australia examine and assess the performance of their students, but do so largely in isolation from each other. That is, most schools design, develop and deliver their own exams, against their own curriculum and standards, and students pass, fail and are graded with little external moderation or comparison. Accreditation of schools by the Australian Medical Council (AMC) provides some reassurance that assessment practices are appropriate in medical schools. However, very limited data are available for benchmarking performance against any national standard, or between medical schools in Australia. The Australian Medical Assessment Collaboration has been designed …

Behavior Problems And Social Functioning In Adolescents With Language Impairment, Courtney Karasinski

Courtney Karasinski

Adolescents with language impairment (LI) often are underidentified and may be perceived as lazy or noncompliant, rather than as individuals with LI. In this article, the author discusses two possible reasons for this underdiagnosis of LI in adolescents. First, many adolescents with LI present with comorbid behavior problems, which may be the primary concern of parents and school officials. Second, some adolescents with LI perform within age expectations on basic linguistic skills, but difficulties are apparent in higher-level linguistic tasks, including oral and written narrative comprehension and production. Given that adolescents with LI may present with comorbid behavior and academic …

The Impact Of Natural Disasters On Child Health And Investments In Rural India, Sebastian Linnemayr, Ashlesha Datar, Jenny Liu, Chad Stecher

Sebastian Linnemayr

No abstract provided.

Gifts From The Elders: Honouring The Past For A Healthier Tomorrow, Chantelle Richmond, James Fortier

Chantelle Richmond

“Gifts from the Elders” follows five Anishinaabe youth on a summer research project with their Elders, whose stories guide them on a journey back to proceeding generations that lived a healthy lifestyle off of the land. Their stories chronicle the devastating impact that environmental and cultural dispossession had on the flow of knowledge from Elders to youth, and ultimately on the health of their people. As their summer comes to an end, the youth emerge with “gifts” of knowledge and teachings from their Elders, inspiring a renewed determination to forge a hopeful and healthy future for the next generation.

Networking In Sport Management: Ideas And Activities To Enhance Student Engagement And Career Development, Alan Kornspan, Michael Duve

Alan S Kornspan

No abstract provided.

Emotional Distress In Mothers Of Preterm Hospitalized Infants: A Feasibility Trial Of Nurse-Delivered Treatment, Lisa Segre, Rebecca Chuffo-Siewert, Rebecca Brock, Michael O'Hara

Lisa S. Segre

OBJECTIVE: Mothers of preterm infants in a hospital neonatal intensive care unit (NICU) are at risk for clinically significant depression and anxiety, but for these women their own treatment is likely a secondary priority. This study evaluated the feasibility, acceptability and effectiveness of an evidence-based, nurse-delivered, on-site depression treatment: listening visits (LVs). STUDY DESIGN: Therapeutic LVs were delivered on site to 23 distressed mothers of NICU infants. The intervention was conducted by a neonatal nurse practitioner and the outcome was examined in an open-trial, pre-post evaluation. RESULT: A part-time nurse practitioner delivered six LVs to each participant within a 1-month …

Improving Discharge Education Using Pictographs, Jeungok Choi

Jeungok Choi

No abstract provided.

Structure And Dynamics Of A Primordial Catalytic Fold Generated By In Vitro Evolution, Fa-An Chao, Aleardo Morelli, John C. Haugner Iii, Lewis Churchfield, Lei Shi, Larry R. Masterson, Ritimukta Sarangi, Gianluigi Veglia, Burckhard Seelig

Larry Masterson

Using Focus Groups To Explore Health Literacy And Health Numeracy In Hispanic Adults Living In Northeast Texas, Cheryl Cooper

Cheryl Cooper