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Full-Text Articles in Medicine and Health Sciences

Review Of: Developing Cultural Competence In Physical Therapy Practice, Veronica Jackson Oct 2009

Review Of: Developing Cultural Competence In Physical Therapy Practice, Veronica Jackson

Internet Journal of Allied Health Sciences and Practice

No abstract provided.


Descriptive Analysis Of Level Of Implementation In Allied Health Educational Institutions Of Iom Recommended Core Competencies, James D. Blagg Oct 2009

Descriptive Analysis Of Level Of Implementation In Allied Health Educational Institutions Of Iom Recommended Core Competencies, James D. Blagg

Internet Journal of Allied Health Sciences and Practice

A signal report of the Institute of Medicine (IOM) in 2003 stated that profound changes were needed in how health systems are designed, and postulated that such redesign could not take place without properly preparing health care professionals to take on this task. It established a set of core competencies (competence in patient-centered care, interdisciplinary teaming, evidence-based practice, quality improvement, and informatics) that future professionals should possess. The current study was conducted to determine the extent to which these core competencies have been incorporated into curricula by colleges/schools of allied health. A survey was e-mailed to 112 institutional representatives of …


Examination Of The Inter-Rater Agreement Among Faculty Marking A Research Proposal On An Undergraduate Health Course, Shari Rone-Adams, Sandra Naylor Oct 2009

Examination Of The Inter-Rater Agreement Among Faculty Marking A Research Proposal On An Undergraduate Health Course, Shari Rone-Adams, Sandra Naylor

Internet Journal of Allied Health Sciences and Practice

Purpose: This research looked at inter-rater agreement among faculty marking a research proposal on an undergraduate health course. The purpose of this study was to investigate if there were significant differences between marks as well as the comments given on research proposals that were double marked by two faculty members, where faculty were blind to the other marker’s marks and comments. Subjects: The subjects for this study consisted of 80 final year health students who submitted a research proposal and 13 full-time and 10 part-time faculty members who double marked the proposals. Methods: Faculty pairs marked the proposals independently and …


International Students’ Perspectives Of An Introductory Course As Preparation For Entry Into A Postgraduate Physiotherapy Program, Jennifer Roberts, Rebekah Das, Saravana Kumar Oct 2009

International Students’ Perspectives Of An Introductory Course As Preparation For Entry Into A Postgraduate Physiotherapy Program, Jennifer Roberts, Rebekah Das, Saravana Kumar

Internet Journal of Allied Health Sciences and Practice

Purpose: Introductory or preparatory courses are often provided to international students in Australia as means to help them adjust to a new cultural and communication environment and a foreign educational setting. However, there is very little evaluation research on these introductory courses, especially from students’ perspectives, on their merits and demerits. Methods: This research utilised primary and secondary research methods. Firstly, a systematic review of the literature was undertaken to identify international students’ perspectives of education in Australia. Secondly, using qualitative and quantitative research methods, international postgraduate physiotherapy students’ perspectives of an introductory course at an Australian educational institution was …


Distress With Breathing In People With Lung Cancer: A Systematic Review, Elizabeth Quast, Marie Williams Oct 2009

Distress With Breathing In People With Lung Cancer: A Systematic Review, Elizabeth Quast, Marie Williams

Internet Journal of Allied Health Sciences and Practice

While the prevalence of shortness of breath has been reported to be as frequent as pain in people with lung cancer, less attention has been paid to the distress associated with this symptom (dyspnea). This systematic review of the literature was undertaken to investigate how this symptom has been assessed and whether breathlessness in people with lung cancer is distressing. Using a pre-determined search strategy and inclusion criteria, thirty-one primary studies were identified and included in this review. A variety of outcome measures have been used to assess the experience of dyspnea with domains including intensity, distress, quality of life, …


Does The Sensation Of Breathlessness Change Over Time In People With Chronic Obstructive Pulmonary Disease? A Systematic Review, Claire Mcevoy, Marie Williams Oct 2009

Does The Sensation Of Breathlessness Change Over Time In People With Chronic Obstructive Pulmonary Disease? A Systematic Review, Claire Mcevoy, Marie Williams

Internet Journal of Allied Health Sciences and Practice

The aim of this systematic review was to identify and appraise studies which tracked changes in the sensation of breathlessness, as described in terms of intensity, unpleasantness, its effect on impairment levels or quality of life, over two or more years in people with COPD. Four major databases were searched. Twelve studies were included for full analysis. These studies were a mix of observational and experimental in their design, and were found to have high methodological quality. Subjects in the studies were, overall, severely impaired at the start of the two year period, according to level of airflow restriction. Impairment …


Teaching For Cultural Competence In Non-Diverse Environments, Mary L. Romanello, Karen Holtgrefe Oct 2009

Teaching For Cultural Competence In Non-Diverse Environments, Mary L. Romanello, Karen Holtgrefe

Internet Journal of Allied Health Sciences and Practice

Purpose: The purpose of this paper is to present teaching strategies to enhance students’ cultural competence in non-diverse educational settings. Methods: Utilizing Purnell’s cultural competence model and Lattanzi’s cultural ladder the authors describe teaching strategies used to promote students’ understanding of the complex nature of culture and how the multiple layers of culture influence the healthcare professional-client relationship. Teaching strategies and subsequent student reflections are presented. Results: Students adjusted client interventions and plans of care when confronted with various cultural characteristics of their clients. Integrating cultural issues in non-diverse academic settings challenges faculty to create situations that include cultural differences. …


Prevalence And Pattern Of Symptomatic Knee Osteoarthritis In Nigeria: A Community-Based Study, Aderonke Omobonike Akinpelu, Temitope Olugbenga Alonge, Babatunde Ayo Adekanla, Adesola Christiana Odole Jul 2009

Prevalence And Pattern Of Symptomatic Knee Osteoarthritis In Nigeria: A Community-Based Study, Aderonke Omobonike Akinpelu, Temitope Olugbenga Alonge, Babatunde Ayo Adekanla, Adesola Christiana Odole

Internet Journal of Allied Health Sciences and Practice

Purpose: Osteoarthritis (OA) is a leading cause of disability, affecting 60-70% of people aged ≥60 years. Community-based prevalence estimates of OA in Nigeria are not readily available for referencing. This study investigated the prevalence and pattern of knee OA in Igbo-Ora, a rural community in Southwestern Nigeria. Methods: A total of 1044 adults (487 males, 557 females) aged ≥ 40 years in Igbo-Ora were recruited into this door-to-door survey through multi-stage cluster sampling. Knee OA was diagnosed using the American College of Rheumatology (ACR) clinical criteria. Knee OA severity was assessed using the Lequesne Algofunctional Index and interference with role …


The Relationship Between Staff Compliance With Implementing Discharge Planning Guidelines, And Stroke Patients’ Experiences Post-Discharge, Julie Luker, Karen Grimmer-Somers Jul 2009

The Relationship Between Staff Compliance With Implementing Discharge Planning Guidelines, And Stroke Patients’ Experiences Post-Discharge, Julie Luker, Karen Grimmer-Somers

Internet Journal of Allied Health Sciences and Practice

Purpose: To investigate staff compliance with discharge planning clinical guideline recommendations in an acute stroke unit, and its relationship with post-discharge experiences of stroke patients and their carers. Subjects: Fifty acute stroke patients were systematically recruited for a retrospective patient record audit of staff compliance with clinical guideline recommendations related to discharge planning. Methods: Semi-structured interviews were conducted over six months post-discharge on patients’ actual community support needs and experiences. Audit and patient experience data were integrated to seek evidence of 1) characteristics of patients receiving guideline-compliant care, 2) relationships between staff compliance with discharge planning recommendations and patient’s post-discharge …


Translation And Alternate Forms Reliability Of The Visual Analogue Scale In The Three Major Nigerian Languages, Adesola C. Odole, Aderonke O. Akinpelu Jul 2009

Translation And Alternate Forms Reliability Of The Visual Analogue Scale In The Three Major Nigerian Languages, Adesola C. Odole, Aderonke O. Akinpelu

Internet Journal of Allied Health Sciences and Practice

Purpose: Our aims were to translate the anchors on the Visual Analogue Scale (VAS) into the three major Nigerian Languages and determine the adequacy of the alternate forms reliability of the VAS in these translations. Methods: The anchors on the VAS were translated into Yoruba, Igbo, and Hausa languages by linguistic experts and taken through back translation, clinical committee review, and pre–testing. Sixty–seven Hausa, 54 Igbo, and 165 Yoruba Knee/Hip OA patients were assessed on the original and translated versions of VAS. Scores on each translated anchor of the VAS were correlated with scores on the original VAS (anchors in …


Which Assessments And Interventions Do Physiotherapists Value In The Management Of Adults With Cystic Fibrosis In Australia?, Kathy Stiller, Dianne White, Marie Williams Jul 2009

Which Assessments And Interventions Do Physiotherapists Value In The Management Of Adults With Cystic Fibrosis In Australia?, Kathy Stiller, Dianne White, Marie Williams

Internet Journal of Allied Health Sciences and Practice

Purpose: Evidence based practice involves the integration of three main components: best available research evidence, practitioner’s clinical expertise, and patient’s preferences. While the effectiveness of physiotherapy interventions for patients with cystic fibrosis (CF) has been extensively studied, no studies have explored physiotherapists’ perceptions and values concerning their management of patients with CF. The aim of this study was to document the opinions and values that CF physiotherapists in Australia have regarding their management of patients with CF. Method: A purpose-designed questionnaire addressing these issues was mailed to all 38 physiotherapists working with adults with CF on a regular/frequent basis in …


Provision Of Health Promotion Information By Physiotherapists To In-Patients In A Tertiary Hospital: A Pilot Study, Chris J. Macfarlane, Kathy Stiller Jul 2009

Provision Of Health Promotion Information By Physiotherapists To In-Patients In A Tertiary Hospital: A Pilot Study, Chris J. Macfarlane, Kathy Stiller

Internet Journal of Allied Health Sciences and Practice

Purpose: The provision of health promotion information is an important part of the management of hospitalised patients. Allied health practitioners are often involved in the provision of this information. No studies appear to have documented the rate of provision of health promotion material by physiotherapists to hospitalised patients. The aim of this pilot study was to measure the frequency with which health promotion information was provided to in-patients by physiotherapists and to evaluate patients’ perception of the effectiveness of this information. Method: Retrospective medical record audits and follow-up telephone interviews were undertaken over an 18 month period for patients who …


Fluid Replacement Knowledge And Sources Of Hydration Information Among Illinois High School Athletic Coaches: A Pilot Study, Justin R. Geijer, William A. Pitney, Jason Brandenburg Jul 2009

Fluid Replacement Knowledge And Sources Of Hydration Information Among Illinois High School Athletic Coaches: A Pilot Study, Justin R. Geijer, William A. Pitney, Jason Brandenburg

Internet Journal of Allied Health Sciences and Practice

Objective: The purpose of this study was to examine Illinois high school coaches’ knowledge of hydration and fluid replacement strategies. We also sought to identify their primary sources of fluid replacement information. Design: Descriptive Survey. Participants: 22 Coaches who were members of the Illinois High School Association were the survey respondents in this study. The mean age (±SD) of subjects was 37.4(±11.5) years with an average coaching experience of 11.4(±8.96) years. Intervention: A questionnaire was developed based upon the National Athletic Training Association’s Position Stand and the American College of Sports Medicine’s roundtable discussion of fluid replacement and hydration. The …


Depressed, Low Self-Esteem: What Can Exercise Do For You?, Eric Shamus, Gillian Cohen Apr 2009

Depressed, Low Self-Esteem: What Can Exercise Do For You?, Eric Shamus, Gillian Cohen

Internet Journal of Allied Health Sciences and Practice

The purpose of this paper is to review the current literature to examine the effects of various forms of physical activity upon mental health. A literature review was conducted to examine specific findings of the relationship between exercise (aerobic and anaerobic) and psychological well being. It was found that aerobic exercise performed at a moderate intensity produces significantly greater positive psychological outcomes than does either high intensity aerobic exercise or anaerobic exercise. Additionally, no specific differences were discovered between various methods of aerobic exercise as long as it is conducted for over 20 minutes continuously. Low impact aerobic exercise, such …


Evidence-Based Practice Approach Over Three Visits In The Management Of A Patient With Tibio-Femoral Osteoarthritis: A Case Study, Sjaan R. Gomersall, Maureen P. Mcevoy Apr 2009

Evidence-Based Practice Approach Over Three Visits In The Management Of A Patient With Tibio-Femoral Osteoarthritis: A Case Study, Sjaan R. Gomersall, Maureen P. Mcevoy

Internet Journal of Allied Health Sciences and Practice

Supervised training is essential for developing an evidence-based practice (EBP) approach for future health care clinicians. While the skills associated with asking a research question, accessing databases for best research evidence (BRE), and appraising this evidence can be taught in the classroom, the day-to-day application into patient management needs to be taught, and there is a lack of best practice models for this. This case study of a patient with osteoarthritis of the knee demonstrates over a series of three clinic visits how EBP can be used as a framework for guiding assessment and management from the perspective of a …


Guiding Principles For Chronic Disease Management For Vulnerable And Disadvantaged People: Pilot Study Findings, Karen Grimmer-Somers, Michelle Guerin, Julie Luker, Di Jones, Maria Zucco Apr 2009

Guiding Principles For Chronic Disease Management For Vulnerable And Disadvantaged People: Pilot Study Findings, Karen Grimmer-Somers, Michelle Guerin, Julie Luker, Di Jones, Maria Zucco

Internet Journal of Allied Health Sciences and Practice

Background: The need for chronic disease self-management (CDS-M) is increasing worldwide. CDS-M programs are variably effective for vulnerable and disadvantaged individuals. Objectives: The objects of this study were 1) To explore experiences of health workers leading CDS-M programs for vulnerable and disadvantaged populations, and 2) To develop guiding principles for the delivery of more effective CDS-M programs for vulnerable and disadvantaged populations. Methods: Two focus groups were undertaken, with all primary health workers, and allied health (AH) staff in a large community centre in an Australian city, who worked with vulnerable and disadvantaged individuals with chronic disease. Results: Consistent messages …


Acclimatization To Heat During Preseason Football Practices At A Division I University: A Pilot Study, Valerie W. Herzog, Timothy Ruden, Rodney A. Hansen, Molly Smith, David Berry Apr 2009

Acclimatization To Heat During Preseason Football Practices At A Division I University: A Pilot Study, Valerie W. Herzog, Timothy Ruden, Rodney A. Hansen, Molly Smith, David Berry

Internet Journal of Allied Health Sciences and Practice

Purpose: The purpose of this study was to examine core temperature (TC) and markers of dehydration during one-a-day (D1) practices compared to two-a-day (D2) practices. Methods: Twenty-five National Collegiate Athletic Association (NCAA) Division I Football Championship Subdivision (FCS) football players volunteered to participate in the study, with thirteen subjects providing data for all four practices. Each subject was measured prior to and following D1 and D2 practices and tested for body mass, core temperature, supine and standing blood pressure, and blood volume changes. Environmental temperature, humidity and barometric pressure were measured at the practice field during the last hour of …


A Systematic Review On The Effectiveness Of Mental Practice With Motor Imagery In The Neurologic Rehabilitation Of Stroke Patients, Ludmina Svetlana, Janine Margarita R. Dizon Apr 2009

A Systematic Review On The Effectiveness Of Mental Practice With Motor Imagery In The Neurologic Rehabilitation Of Stroke Patients, Ludmina Svetlana, Janine Margarita R. Dizon

Internet Journal of Allied Health Sciences and Practice

Background: Mental practice with motor imagery entails an individual to symbolically rehearse a physical activity within working memory in the absence of overt body movement. It has been proven to be useful in sports training and other skills training. However, much is yet to be determined if the same promising results may be gained when this training method is used with persons with brain lesions, like stroke patients. Objectives: The aim of the study is to investigate evidence for the effectiveness of mental practice with motor imagery in the neurological rehabilitation of stroke patients in improving their impairments and functional …


Communication Management In Amyotrophic Lateral Sclerosis: The Role Of The Speech-Language Pathologist During Disease Progression, Kathryn M. Robarge Apr 2009

Communication Management In Amyotrophic Lateral Sclerosis: The Role Of The Speech-Language Pathologist During Disease Progression, Kathryn M. Robarge

Internet Journal of Allied Health Sciences and Practice

During the progression of Amyotrophic Lateral Sclerosis (ALS), augmentative and alternative communication (AAC) devices will eventually become necessary to preserve communication between the affected individual with ALS and his or her family members and loved ones. Speech-language pathologists play a critical role in communication management and family education regarding communicative strengths and weaknesses and in determining the need for an alternative mode of communication during the later stages of disease progression. The aim of this paper is to explore the speech-language pathologist’s changing role throughout ALS progression in relationship to the impact that the disease has on speech production and …


Emotional-Social Intelligence Of Physical Therapy Students During The Initial Academic Component Of Their First Professional Year, Helene Larin, Jean Wessel, Renee Williams Apr 2009

Emotional-Social Intelligence Of Physical Therapy Students During The Initial Academic Component Of Their First Professional Year, Helene Larin, Jean Wessel, Renee Williams

Internet Journal of Allied Health Sciences and Practice

Purpose: To describe and compare the development of emotional-social intelligence (ESI) of physical therapy students from a traditional education program and a problem-based learning (PBL) program during the initial academic component of their first professional year of studies. Methods: At the beginning of their first professional year (time 1), sixty students (39 from the traditional program, 21 from the PBL program) completed the Bar-On Emotional Quotient Inventory Short (EQ-i:S) for ESI. The EQ-i:S provides a total score and five subscale scores (Intrapersonal, Interpersonal, Stress Management, Adaptability, and General Mood). Higher scores mean higher levels of ESI. The students completed the …


Blended Learning Environments, Active Participation, And Student Success, Sarah Ransdell, Sandrine Gaillard-Kenney Jan 2009

Blended Learning Environments, Active Participation, And Student Success, Sarah Ransdell, Sandrine Gaillard-Kenney

Internet Journal of Allied Health Sciences and Practice

Purpose: Online discussion within blended learning environments is essential to student success in a well-designed course. Our research briefly describes ways in which online discussion can be evaluated to predict student learning. The paper will present some online data regarding active and passive use of Web-CT-based course content as it relates to student performance. Methods: Thirty-seven RN (Registered Nurse) to BSN (Bachelor of Science in Nursing) students in a blended online and face-to-face biostatistics course participated in this research for 15 weeks. Results: Students who were engaged in active, original postings to discussion threads in response to relevant, course-based reading …


An Assessment Of Faculty Usage Of Youtube As A Teaching Resource, Sloane C. Burke, Shonna Snyder, Robin C. Rager Jan 2009

An Assessment Of Faculty Usage Of Youtube As A Teaching Resource, Sloane C. Burke, Shonna Snyder, Robin C. Rager

Internet Journal of Allied Health Sciences and Practice

Creative classroom techniques incorporating technology promote a more productive and enriched learning environment. Preparing future health educators in today’s technology-driven society requires faculty to adopt new teaching strategies which motivate and engage the new tech-savvy Web 2.0 generation. YouTube® is a popular online video-sharing web site for both scholarly and non-scholarly communication. Currently, there are no published studies on the quantitative assessment of faculty utilization of YouTube in the health education classroom. The purpose of this pilot study was to 1) determine faculty’s current and potential utilization of YouTube in their classes; 2) identify faculty perceptions of the benefits of …


Design Of Introductory Course To Improve Career Decision Making In Dental Hygiene, Angela L. Monson, Brigette R. Cooper Jan 2009

Design Of Introductory Course To Improve Career Decision Making In Dental Hygiene, Angela L. Monson, Brigette R. Cooper

Internet Journal of Allied Health Sciences and Practice

Dental Hygiene programs have a responsibility to help potential applicants determine if dental hygiene is the best career choice for them. Good fit of career promotes a satisfied workforce, along with program retention. The purpose of this study was to evaluate students’ satisfaction with an introductory course on career choice in dental hygiene and to assess the influence of the course on their perceptions of a career in this profession. Pre- and post-course surveys were distributed to 186 students enrolled in “Perspectives in Dental Hygiene” at a state university. An overall response rate of 97% (N=181) was achieved. The average …


A Health Care Education And Promotion Challenge: Hpv Vaccination, Mattie Davis-Wolfe, Nathalie Garbani, Sylvia Hay-Thompson, Susan Mayer, Carol Spencer Roane Jan 2009

A Health Care Education And Promotion Challenge: Hpv Vaccination, Mattie Davis-Wolfe, Nathalie Garbani, Sylvia Hay-Thompson, Susan Mayer, Carol Spencer Roane

Internet Journal of Allied Health Sciences and Practice

In 2008, approximately 11,000 women in the United States will be diagnosed with cervical cancer and more than 3,800 American women will die of this disease. The recent approval by the Food and Drug Administration of a human papillomavirus (HPV) vaccine that is over 90% effective in preventing new infections and precancerous cervical lesions caused by the HPV types that cause cervical cancer may possibly reduce the incidence of cervical cancer. However, a number of unresolved issues exist regarding this vaccine. This paper will explore considerations and challenges facing healthcare educators regarding the HPV vaccine in the following areas: (a) …


Case Study Of The Access To The Bacillus Calmette-Guérin Vaccine Against Tuberculosis In The United States, Dewan Raja Jan 2009

Case Study Of The Access To The Bacillus Calmette-Guérin Vaccine Against Tuberculosis In The United States, Dewan Raja

Internet Journal of Allied Health Sciences and Practice

Bacillus Calmette-Guérin (BCG) is a vaccine that is used worldwide to prevent tuberculosis. Some developed countries, such as the United States, do not routinely administer this vaccine. This article presents the case study of a family who struggled to obtain the BCG in the months before a planned trip to a country in which tuberculosis is prevalent. The application of the BCG vaccination and its availability in the United States, particularly for children, is discussed.


Age And Lateral Sleep Position: A Pilot Study, Susan Gordon, Petra G. Buettner Jan 2009

Age And Lateral Sleep Position: A Pilot Study, Susan Gordon, Petra G. Buettner

Internet Journal of Allied Health Sciences and Practice

Purpose: Previous research, undertaken using a Super 8 camera and non-continuous data, has reported that with increasing age, people are more likely to sleep in the right lateral position. It has been postulated that this is due to age related alterations in cardiovascular function. This pilot study was undertaken to determine if collection and analysis of continuous sleep data was a feasible method for further investigation of this topic and to determine the sample size required for an adequately powered study. Increased understanding of age related changes in sleep position may provide valuable information to improve sleep quality and nursing …


The Hot Seat: Challenging Critical Thinking And Problem Solving Skills In Physical Therapist Students, Bill O'Dell, Jennifer Mai, Alecia Thiele, Andrew Priest, Kathleen Salamon Jan 2009

The Hot Seat: Challenging Critical Thinking And Problem Solving Skills In Physical Therapist Students, Bill O'Dell, Jennifer Mai, Alecia Thiele, Andrew Priest, Kathleen Salamon

Internet Journal of Allied Health Sciences and Practice

Purpose: Allied health profession students must develop critical thinking and problem solving skills to be able to make clinical decisions. The purpose of this paper is to describe an educational model used in a physical therapist education program to improve students’ confidence in clinical decision-making. Methods: The faculty chose topics for each forum and invited specific clinicians to present actual clinical cases to students in small group settings. The small groups spent 30 minutes focused on each case, and then rotated to a different clinician so each had exposure to three scenarios. After presenting subjective clinical information, the clinicians asked …


Using Transformative Learning Theory To Enhance Professional Development, Susan M. Cahill, Michelle Bulanda Jan 2009

Using Transformative Learning Theory To Enhance Professional Development, Susan M. Cahill, Michelle Bulanda

Internet Journal of Allied Health Sciences and Practice

Purpose: Pediatric occupational therapy and physical therapy interventions for children with disabilities are designed to increase function and often focus on developmental skills instead of on the environmental context and promoting self-determination skills. A professional development course was developed to help therapists develop intervention strategies to meet developmental outcomes, while also promoting children's self-determination and creating opportunities for children to authentically participating in daily routines, including leisure and community play. Transformative learning theory was used as a basis to develop this course. The purpose of this article is to report on course activities and the assessment of participants' "transformation" at …