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Full-Text Articles in Medicine and Health Sciences

Comparison Of Thermal Effect With Ultrasound In Rat Calf Muscles After The Application Of Five Non-Steroidal Anti-Inflammatory Drugs, Yueh-Ling Hsieh, Chen-Chia Yang, Hui-Wen Kuo Dec 2006

Comparison Of Thermal Effect With Ultrasound In Rat Calf Muscles After The Application Of Five Non-Steroidal Anti-Inflammatory Drugs, Yueh-Ling Hsieh, Chen-Chia Yang, Hui-Wen Kuo

Rehabilitation Practice and Science

Background and Purposes: Phonophoresis has been defined as the migration of drugs through the skin under influence of ultrasound (US). The phonophoresis of nonsteroidal anti-inflammatory drugs (NSAIDs) was studied in vivo through hairless rat skin to determine the temperature changes in superficial and deep tissues in response to NSAID phonophoresis.Study Design and Objectives: To measure and compare the temperature changes in tissues in response to five NSAIDs under phonophoresis. Methods: Male Wistar rats weighing 250 to 350 g had one of five drugs; i.e., piroxicam (Feldene), indomethacin (Indocin), etofenamate (Rheumon), methylsalicylate (Salomethyl), or diclofenac (Voren) applied to one hindlimb followed …


The Nature Of Career Advice Provided To Undergraduate Allied Health Sciences Students At The University Of South Australia, Marie Williams Oct 2006

The Nature Of Career Advice Provided To Undergraduate Allied Health Sciences Students At The University Of South Australia, Marie Williams

Internet Journal of Allied Health Sciences and Practice

Purpose: The purpose of this study was to investigate the nature of career advice, especially advice concerning postgraduate research training degrees, provided to and by students in five health professional bachelor’s degree programs at the University of South Australia. In addition, differences between professional disciplines in terms of career advice and knowledge of current research activities of staff and research degree students were explored. Method: A cross-sectional survey of final year students in five disciplines within the School of Health Sciences was used in this study. Information was sought on demographics, the nature of career advice received, advice the respondent …


Perceptions Of College Students Regarding The Current Physical Therapy Profession And Professional Education Process, Victor Prati, Hao Liu Oct 2006

Perceptions Of College Students Regarding The Current Physical Therapy Profession And Professional Education Process, Victor Prati, Hao Liu

Internet Journal of Allied Health Sciences and Practice

The purpose of this study was to determine how undergraduate college students, who are potential physical therapy students, perceive physical therapy as well as the new Doctor of Physical Therapy (DPT) degree. A survey form was created by the authors and was distributed to two universities in the central Arkansas area. Seven hundred and three forms were collected. Descriptive data and Pearson Chi Square (SPSS 10.0) were used for data analysis. Students thought physical therapy was a challenging (76%), physically demanding (72%), and well-paid (79%) health profession. The most commonly recognized interventions used by physical therapists were physical exercises (93%) …


Challenges In Applying Best Evidence To Physiotherapy Practice: Part 2 – Health And Clinical Reasoning Models To Facilitate Evidence-Based Practice, Mark Jones, Karen A. Grimmer, Ian Edwards, Joy Higgs, Franziska Trede Oct 2006

Challenges In Applying Best Evidence To Physiotherapy Practice: Part 2 – Health And Clinical Reasoning Models To Facilitate Evidence-Based Practice, Mark Jones, Karen A. Grimmer, Ian Edwards, Joy Higgs, Franziska Trede

Internet Journal of Allied Health Sciences and Practice

Purpose: As the second of two papers addressing challenges in applying best evidence to physiotherapy practice (see volume 4 number 3), the purpose of this paper is to explore health and clinical reasoning models that can facilitate evidence-based practice. Summary of Key Points: The challenge and importance of using skilled clinical reasoning in applying research evidence and managing patients that fall outside the available evidence are discussed. The importance of a holistic understanding of health and illness is emphasised and three models of health and disability are considered and the concept of “hypothesis categories” is proposed to assist therapists to …


Learning By Doing: Enhancing Interprofessional Students’ Awareness Of Informed Shared Decision-Making, Rosemin Kassam, Simon P. Albon, Lesley Bainbridge, Melinda Sutto, John B. Collins Oct 2006

Learning By Doing: Enhancing Interprofessional Students’ Awareness Of Informed Shared Decision-Making, Rosemin Kassam, Simon P. Albon, Lesley Bainbridge, Melinda Sutto, John B. Collins

Internet Journal of Allied Health Sciences and Practice

Purpose: Based on a recently developed medical framework for informed shared decision-making (ISDM), three health and human service programs at the University of British Columbia conducted a combined two-stage project to: (1) develop an interprofessional ISDM-training workshop and (2) test its impact in field-placement clerkships for students in Pharmaceutical Sciences, Physical Therapy, and Occupational Therapy. Method: Sixteen senior year students from the participating disciplines were recruited to: (1) participate in a workshop to learn about ISDM, (2) observe multiple preceptor/patient encounters during their clerkships (3) record their observations in a field notebook, and (4) participate in a follow-up workshop to …


Physical Therapy Students’ Application Of A Clinical Decision-Making Model, Jeannie Wessel, Renee Williams, Beverley Cole Jul 2006

Physical Therapy Students’ Application Of A Clinical Decision-Making Model, Jeannie Wessel, Renee Williams, Beverley Cole

Internet Journal of Allied Health Sciences and Practice

Purpose: Most educational programs in the health sciences present their students with a clinical decision-making model (CDMM) to help them define and treat client problems with a client-centered approach. However, little is known about how well students apply such a model in a clinical setting. The purpose of this study was to determine whether physical therapy students used a CDMM to make clinical decisions, and how well they used it. Method: Fifty-four physical therapy students in their first full-time clinical placement were asked to write up one of their client cases explaining how they made their clinical decisions and evaluating …


An Alternative Model For First Level Clinical Education Experiences In Physical Therapy, Debra Stern, Shari Rone-Adams Jul 2006

An Alternative Model For First Level Clinical Education Experiences In Physical Therapy, Debra Stern, Shari Rone-Adams

Internet Journal of Allied Health Sciences and Practice

Purpose: As the first of two papers addressing challenges in applying best evidence to physiotherapy practice, this paper highlights the role of qualitative research and challenges researchers face in producing sound evidence for practice.Summary of Key Points: The challenge of what constitutes acceptable evidence to inform evidence-based practice is addressed in this paper with critique of the current over-reliance on quantitative methodologies that excludes a substantial body of valuable qualitative evidence to support sound practice. The current trend of relying on questionnaires to obtain psychosocial data is challenged on the basis of limitations of research design. Challenges to researchers from …


Medical Record Documentation: The Quality Of Physiotherapy Entries, Anna Phillips, Kathy Stiller, Marie Williams Jul 2006

Medical Record Documentation: The Quality Of Physiotherapy Entries, Anna Phillips, Kathy Stiller, Marie Williams

Internet Journal of Allied Health Sciences and Practice

This study evaluated the standard of in-patient medical record documentation by physiotherapists at the Royal Adelaide Hospital (RAH), Adelaide, South Australia, during 2003. The impact of patient characteristics (ie primary diagnosis and length of stay in hospital) and physiotherapist features (eg employment classification level and years of employment at the RAH) on the standard of documentation was also explored. One hundred medical records were randomly selected for review and 224 physiotherapy entries were audited. The audit tool was based on the RAH Physiotherapy Department Guidelines for Documentation, which was comprised of five sections. Each section contained several items, which were …


Challenges In Applying Best Evidence To Physiotherapy, Mark Jones, Karen Grimmer, Ian Edwards, Joy Higgs, Franziska Trede Jul 2006

Challenges In Applying Best Evidence To Physiotherapy, Mark Jones, Karen Grimmer, Ian Edwards, Joy Higgs, Franziska Trede

Internet Journal of Allied Health Sciences and Practice

Purpose: As the first of two papers addressing challenges in applying best evidence to physiotherapy practice, this paper highlights the role of qualitative research and challenges researchers face in producing sound evidence for practice.Summary of Key Points: The challenge of what constitutes acceptable evidence to inform evidence-based practice is addressed in this paper with critique of the current over-reliance on quantitative methodologies that excludes a substantial body of valuable qualitative evidence to support sound practice. The current trend of relying on questionnaires to obtain psychosocial data is challenged on the basis of limitations of research design. Challenges to researchers from …


Incorporating Patient Concerns Into Discharge Plans: Evaluation Of A Patient-Generated Checklist, Karen A. Grimmer, Lauren R. Dryden, Runthip Puntumetakul, Alexander F. Young, Michelle Guerin, Yamini Deenadayalan, John R. Moss Apr 2006

Incorporating Patient Concerns Into Discharge Plans: Evaluation Of A Patient-Generated Checklist, Karen A. Grimmer, Lauren R. Dryden, Runthip Puntumetakul, Alexander F. Young, Michelle Guerin, Yamini Deenadayalan, John R. Moss

Internet Journal of Allied Health Sciences and Practice

Background: This paper reports on the effectiveness of a checklist that assists patients to transition safely and sustainably from hospital to home. Methods: Medical wards in three tertiary public hospitals in metropolitan Adelaide provided subjects during 2004. Eligible patients were English-literate and aged at least 60 years, provided written informed consent and had an unplanned hospital admission for a new medical condition. Data was excluded post-hoc if subjects had another hospital readmission for the same condition within seven days of discharge. The study had a quasi-experimental study design in which each hospital acted as its own control. In each hospital, …


Incorporating Patient And Carer Concerns In Discharge Plans: The Development Of A Practical Patient-Centred Checklist, Karen Grimmer, John Moss, Julie Moss, Helen Kindness Jan 2006

Incorporating Patient And Carer Concerns In Discharge Plans: The Development Of A Practical Patient-Centred Checklist, Karen Grimmer, John Moss, Julie Moss, Helen Kindness

Internet Journal of Allied Health Sciences and Practice

Discharge plans should include prompts for patients and their families to identify key concerns regarding their ability to undertake practical activities of daily living post-discharge. During a six month series of post-discharge interviews, elderly recently ill patients and their carers identified concerns about managing on leaving the hospital, encompassing transport home from hospital, gaining entry to their home, having appropriate food and effective heating or cooling available immediately post-discharge, obtaining assistance in managing their home and family responsibilities, navigating around their house, accessing their General Medical Practitioner, going shopping, paying bills and regaining social contacts. Few of these concerns were …


Electronic Clinical Records For Physiotherapists, Christine Barry, Mark Jones, Karen Grimmer Jan 2006

Electronic Clinical Records For Physiotherapists, Christine Barry, Mark Jones, Karen Grimmer

Internet Journal of Allied Health Sciences and Practice

Purpose: This pilot study compared traditional (paper-based) and electronic (computerized) clinical physiotherapy records. The content of the records and the software’s user acceptability were considered. Methods: A neuro-musculoskeletal patient scenario involving two encounters (initial and follow-up) was scripted and role-played to each of three experienced physiotherapists (A, B and C). Participants assessed the patient and made traditional clinical records. After basic training in an electronic record system, they repeated the assessments and made electronic records via a laptop computer. Three experienced physiotherapists (A, D and E) each used their usual method to write a clinical report and an electronic record …