bluuebunny/crossref_metadata_2025_split huggingface dataset:
Hemorrhagic and Ischemic Outcomes After Bivalirudin Versus Unfractionated Heparin During Carotid Artery Stenting
Authors: Wayangankar Siddharth A. , Abu-Fadel Mazen S. , Aronow Herbert D. , Kennedy Kevin F. , Gupta Raghav , Yeh Robert W. , Gray William A. , Rosenfield Kenneth , Hennebry Thomas A. 
Published: March 2013

Background—
The direct thrombin inhibitor, bivalirudin, is associated with similar efficacy and superior safety in patients undergoing percutaneous coronary intervention. However, the role of direct thrombin inhibitors in carotid artery stenting is not well defined. The objective of this study was to compare the safety and effectiveness of bivalirudin and unfractionated heparin (UFH) for carotid artery stenting. We hypothesized that bivalirudin would be associated with less in-hospital postprocedure bleeding than UFH but similar rates of in-hospital and 30-day ischemic outcomes.

Methods and Results—

We compared the incidence of in-hospital hemorrhagic and in-hospital/30-day ischemic outcomes among patients in the CARE Registry who underwent carotid artery stenting between May 2005 and March 2012 using bivalirudin or UFH. Propensity score matching was used to obtain a balanced cohort of 3555 patients in each treatment group. Patients treated with bivalirudin had a significantly lower incidence of bleeding or hematoma requiring red blood cell transfusions (0.9% versus 1.5%; odds ratio, 0.57 [0.36–0.89];
P
=0.01) when compared with UFH-treated patients. The incidence of in-hospital and 30-day ischemic outcomes, including death, myocardial infarction, stroke, transient ischemic attack, and the composite outcome, death/myocardial infarction/stroke, did not differ significantly between groups.

Conclusions—
Bivalirudin was associated with lower rates of hemorrhagic outcomes compared with UFH during the index hospitalization for carotid artery stenting. In-hospital and 30-day ischemic events were similar between the 2 groups. Randomized comparisons of these agents are needed to confirm these findings.
Efficacy of Coupling Inhibitory and Facilitatory Repetitive Transcranial Magnetic Stimulation to Enhance Motor Recovery in Hemiplegic Stroke Patients
Authors: Sung Wen-Hsu , Wang Chih-Pin , Chou Chen-Liang , Chen Yi-Cheng , Chang Yue-Cune , Tsai Po-Yi 
Published: March 2013

Background and Purpose—
Although there has been extensive research on the effectiveness of repetitive transcranial magnetic stimulation (rTMS) to improve patients’ motor performance after experiencing chronic stroke, explicit findings on the coupling of different rTMS protocols are meager. We designed this sham-controlled randomized study to investigate the potential for a consecutive suppressive-facilitatory TMS protocol to improve motor outcomes after chronic stroke.

Methods—
Fifty-four chronic hemiplegic stroke patients were allocated across 4 groups to undergo 20 daily sessions of (1) 1 Hz rTMS over the contralesional primary motor cortex (M1) and then intermittent theta burst stimulation over the ipsilesional M1 (group A); (2) contralesional sham stimulation and then ipsilesional real intermittent theta burst stimulation (group B); (3) contralesional real 1 Hz rTMS and then ipsilesional sham stimulation (group C); or (4) bilateral sham-control procedures (group D). We tested cortical excitability and motor activity assessments at the baseline, postpriming rTMS, and postconsequent rTMS periods.

Results—

At post, group A showed greater muscle strength, Fugl-Meyer Assessment (FMA), Wolf Motor Function test, and reaction time improvement in comparison with group B (
P
<0.001≈0.003) and group C (
P
=0.001≈0.003). Correlation analyses in group A revealed a close relation between contralesional map area decrement and Wolf Motor Function test gain (
P
=0.005;
r
=−0.75), and also revealed ipsilesional map area increment and reaction time decrement (
P
=0.02;
r
=−0.87). We detected no such relations in the other 3 groups.

Conclusions—
Our clinical trials established an extended timeframe during which conditioning could be safely continued and produced more favorable outcomes in facilitating motor performance and ameliorating interhemispheric imbalance than those obtained from single-course rTMS modulation alone.
Observations on <i>Hippodonta</i> (Bacillariophyceae) in selected ancient lakes
Authors: PAVLOV ALEKSANDAR , LEVKOV ZLATKO , WILLIAMS DAVID M. , EDLUND MARK B. 
Published: March 2013

This study provides an evaluation of the diversity and distribution of taxa belonging to the genus Hippodonta (Bacillariophyceae) in selected ancient lakes from different geographical regions of the world. The lakes considered are: Lakes Ohrid, Prespa and Dojran fromMacedonia,Lake Tanganyika,Tanzania,Lake Turkana,KenyaandLakeBaikal, Russia. In total, there are 34 Hippodonta taxa. Of these, 21 are described as new, 20 species and one variety. The primary morphological features of each taxon are provided and formal descriptions are given for all new taxa. The distinctive characters distinguishing similar taxa are noted. The genus is most diverse inLakeBaikalwith 13 taxa, of which four are described as new species (Hippodonta acuta, H. certa, H. communis and H. pulchra).Lake Tanganyika has six taxa, all of which are described as new (H. angustata, H. avittatiformis, H. cocquytiae, H. conspicua, H. crassa and H. radiata). Lake Turkanahas only one taxon, also described as new (H. minuta). In the Macedonian old tectonic lakes, seven taxa were found in LakeOhrid, with five described as new (H. abunda, H. humboldtiana, H. latelanceolata, H. naviculiformis and H. subrostrata), five taxa were found in Lake Prespa, all of which are described as new (H. affinis, H. costulatiformis var. densistriata, H. exigua, H. media and H. rostratoides), and three known taxa were found inLakeDojran.
Integration Tutorials and Seminars: A Creative Learning Approach for Occupational Therapy Curricula
Authors: Smits Emely , Ferguson Janice 
Published: March 2013

This paper, the first of two companion papers, describes a creative learning approach. Integration Tutorials and Seminars were developed to address concerns of regional fieldwork-education coordinators and preceptors about the ability of third-year student occupational therapists to integrate and apply academic and theoretical knowledge during fieldwork. This ability can be gained through experiential learning in the academic setting and is essential for the effective transfer of academic learning into the students' fieldwork-education experiences (Dale, 1994; Fidler, 1996; McCaugherty, 1991; Neistadt, 1996). The Modified Learning Model of Svinicki and Dixon (1987) was used as a template for an academic course fostering experiential learning. An important secondary goal was to nurture student self-directedness in learning using the philosophy of the Staged Self-Directed Learning Model (Grow, 1991). Case studies were used as a vehicle for engaging and challenging the students. The philosophy, guidelines and process of the Integration Tutorials and Seminars are presented and have the potential to be adapted for occupational therapy curricula around the globe.
Impact d'un programme multi-stratégique de groupe sur le fonctionnement dans les activités de la vie domestique de personnes âgées présentant des déficits cognitifs légers
Authors: Viscogliosi Chantal , Desrosiers Johanne , Gauthier Pierre , Beauchemin Richard 
Published: March 2013

Objectif: Cette étude vise à évaluer l'impact, sur le fonctionnement dans les activités de la vie domestique (A.V.D.), d'un programme d'activités de groupe élaboré spécifiquement pour des personnes présentant des déficits cognitifs légers vivant à domicile et fréquentant un centre de jour. Méthode: Un dispositif à sujet unique de type AB a été utilisé auprès de onze personnes assignées aléatoirement au groupe expérimental (n=7) et au groupe témoin (n=4). Leur fonctionnement cognitif se situe entre le 5e et le 25e centile au Modified-Mini-Mental State Examination (3MS) correspondant au stade 3 de l'échelle de Reisberg. Le programme multi-stratégique, d'une durée de 16 semaines, offre deux rencontres hebdomadaires d'une heure trente chacune. Ce programme utilise des exercices physiques, des techniques psychomusicales, des jeux cognitifs et la pratique de tâches reliées aux A.V.D. Le fonctionnement dans les A.V.D. des sujets a été mesuré à leur domicile avec le Assessment of Motor and Process Skills (A.M.P.S.) à six reprises, avant, pendant et après le programme. Résultats: Les données de chaque sujet ont été traitées par analyse visuelle graphique. À la suite de l'application du programme, il y a davantage de participants que de sujets témoins qui ont amélioré leur fonctionnement au niveau des A.V.D. Conclusion: Les résultats de cette étude laissent supposer qu'il serait possible d'utiliser des stratégies d'adaptation à des stades précoces de déficits cognitifs.
Occupational Therapy Practice Patterns with Older Swedish Persons at Home
Authors: Lilja Margareta , Borell Lena 
Published: March 2013

This paper explores and describes occupational therapy practice patterns during two periods for 89 elderly persons living at home. Occupational therapists working in one social welfare district in Stockholm, Sweden documented and reported every occupational therapy intervention provided. The results revealed that the elderly persons who received occupational therapy services during an extended period had an age span of 30 years, with a mean age over 80 years. They had several medical problems and were living in different types of settings. Occupational therapists provided a wide range of interventions, most frequently categorised as treatment, especially related to leisure activities. Irrespective of level of care, the median of interventions per person increased or was the same over time, and 72% of the elderly persons remained at the same level of care. Enabling occupation for elderly disabled person living in their home involves constantly adjusting to the current situation since the clients' capacities, goals and environment change over time. Therefore, occupational therapists need to have a client-centred approach working in home health community services.
Clinical Utility of the Canadian Occupational Performance Measure - Swedish Version
Authors: Wressle Ewa , Marcusson Jan , Henriksson Chris 
Published: March 2013

The Canadian Occupational Performance Measure (COPM) is an individualised outcome measure intended to detect change in a client's perception of occupational performance over time. The aim of this study was to test the clinical utility of the Swedish version of the COPM. Data was collected from 27 occupational therapists in six focus groups. Emerging themes included goal-setting, preparations, limitations, interactions with clients, and impact on practice. The results indicated that the COPM is helpful in the goal-setting process and in planning treatment interventions. Therapists need knowledge about the theoretical foundation of the instrument and a personal interview technique. Problems were found using the instrument with clients who had poor insight or in acute settings. The COPM facilitated feedback on improvement over time. In summary, the COPM ensures a client-centred approach, facilitates communication within the rehabilitation team, and encourages therapists in their professional role.
Individualized Outcome Measures: A Review of the Literature
Authors: Donnelly Catherine , Carswell Anne 
Published: March 2013

The client-centred nature of occupational therapy acknowledges the individual as the central element of treatment. This philosophy, however, challenges the therapist to choose an outcome measure that is capable of reflecting this individualized perspective. Recent papers published in the rehabilitation literature have reported on the increased responsiveness of such measures over traditional self-report questionnaires. Although the need for a comprehensive review of individualized outcome measures has been identified in the literature, none exists to date. The purpose of this paper is to review six individualized outcome measures that have been identified in the rehabilitation and psychology literature. The measures include: the Canadian Occupational Performance Measure, the Assessment of Motor and Process Skills, McMaster (MAC) Toronto Arthritis, Goal Attainment Scaling, Target Complaints and the Patient Specific Functional Scale. The reliability, validity, responsiveness and clinical utility of each outcome measure was examined and critiqued. Each tool, to a varying degree, met the description of a standardized, client-centred outcome measure.
Les représentations de l’expert en habilitation des occupations par des ergothérapeutes superviseurs de stage
Authors: Brousseau Martine M. , Désormeaux-Moreau Marjorie , St-Pierre Marie-Josée 
Published: March 2013

Contexte. L’appropriation du vocabulaire rattaché aux occupations en milieu clinique est essentielle à la supervision des futurs ergothérapeutes, compte tenu du fait que la formation des ergothérapeutes repose en partie sur des compétences décrites dans le Profil de la pratique de l’ergothérapie au Canada (Association canadienne des ergothérapeutes, 2007). But. Cet article décrit comment des ergothérapeutes se représentent les compétences reliées à « l’expert en habilitation des occupations ». Méthodologie. Les données qualitatives recueillies auprès de 56 ergothérapeutes dans le cadre de huit groupes de discussion ont fait l’objet d’analyse de contenu soutenue par des comparaisons constantes. Résultats. Malgré que le vocabulaire spécifique associé à l’habilitation des occupations soit peu utilisé, les exemples rapportés dans le présent projet reflètent une pratique centrée sur le client et ses occupations. Conséquences. L’appropriation du vocabulaire associé à l’expert en habilitation des occupations se fait aisément dans des groupes de discussion, dans un contexte de collaboration université-milieu clinique.
Pre-driving evaluation of a teen with attention deficit hyperactivity disorder and autism spectrum disorder
Authors: Monahan Miriam , Classen Sherrilene , Helsel Patty V. 
Published: March 2013

Background. Vehicle crashes are the leading cause of death among teens, and those teens with attention-deficit/hyperactivity disorder and autism spectrum disorder (ADHD/ASD) may have a greater crash risk. Purpose. This case study compared the pre-driving skills of a teen with ADHD/ASD to an age- and gender-matched healthy control (HC). Method. Data were collected from performance on clinical tests and on a driving simulator. Findings. The main impairments of the teen with ADHD/ASD were the ability to shift attention, perform simple sequential tasks, integrate visual-motor responses, and coordinate motor responses, whereas the HC demonstrated intact skills in these abilities. The teen with ADHD/ASD made 44 driving errors during the drive, and the HC made 17. The teen with ADHD/ASD had more lane maintenance, visual scanning, and speeding errors compared to the HC. Implications. Teens with ADHD/ASD may have more pre-driving deficits and may require a certified driving rehabilitation specialist to assess readiness to drive, but a larger study is needed to confirm this.
Activity Programs in Personal Care Homes
Authors: Herman Mildred 
Published: March 2013

Avec le traitement moderne des maladies aigues et chroniques, nous augmentons la longévité de l'individu, i.e. le nombre de personnes, de 65 ans et plus, forme les 7.8% de la population au Canada. Une étude menée par la Société Canadienne d'Arthrite et Rhumatisme du Manitoba, dans un foyer protégé pour les vieillards, nous montre les bénéfices obtenus chez les résidents en ayant un programme spécifique d'ergothérapie. Nous observons que 90% des individus prennent part aux activités en autant qu'il leur est possible. Voici les recommandations des devoirs du moniteur en charge des activités: De travailler avec la collaboration d'une ergothérapeute diplomée afin de planifier et de coordonner toutes les activités dans le foyer. Pouvoir comprendre les vieillards et être préparé à travailler selon leurs capacités et leurs limites. Informer le personnel et les volontaires des buts du programme en vigueur. Stimuler et encourager les résidents du foyer selon des activités appropriées. Etre responsable du renouvellement et de l'entretien de l'équipement. Etre responsable vis à vis la participation des vieillards dans les activités communautaires.
Study: Attitude of Mothers of Handicapped Children
Authors: MacKinnon Joyce R. 
Published: March 2013

Cette étude a été faite en vue d'analyser l'attitude d'un point de vue réaliste, des mères d'enfants handicapés. Elle se basait sur cette hypothèse. Soit que: les mères d'enfants sevèrement handicapés physiquement, présentent une attitude plus irréaliste que les mères d'enfants handicapés légèrement. Pour cette étude nous avons utilisé un échantillon de 30 cas dont 15 présentaient un handicap léger et 15 un handicap sévère. Ces enfants furent recrutés au Centre de traitement d'enfants handicapés du district de Londres et recevaient tous des traitements d'ergothérapie. Dans un questionnaire, donné par téléphone, de 7 questions, il a été possible de mesurer l'attitude des mères dans 4 domaines. Soit: — La compréhension du handicap de l'enfant — Les relations interpersonnelles dans la famille et avec les semblables — Valeur accordée à la thérapie — Les attentes en regard des capacités de travail de l'enfant Plusieurs études ont été faites à ce sujet mais pour la plupart dans une optique clinique. Celle-ci, par contre, fut faite dans une optique statistique, malgré un assez faible échantillonnage. Le sujet était présenté de cette façon: dans lequel de ces 4 domaines les mères d'enfants très handicapés démontrent-elles une attitude irréaliste? Les mères qui répondaient affermativement étaient considérées comme ayant une attitude irréaliste. Le résultat global, compte tenu de toutes les questions, sauf une qui n'a nu être retenue, est le suivant: [Table: see text] L'analyse du résultat démontre une faible corrélation entre les degrés d'incapacité physique et l'attitude des mères. En examinant de plus près cependant, on note que 56.7% des répondants démontre une attitude irréaliste et que la plus grande proportion se recrute parmi la catégorie des handicaps légers, ce qui va à rencontre de notre hypothèse première. Un seul domaine, soit celui concernant les relations inter-personelles, offre un indice de corrélation entre une attitude réaliste et un handicap sévère. En général, on note un pourcentage un peu plus élevé attitude irréaliste que réaliste. Si cette étude correspond bien à l'attitude générale des parents, il faut la prendre en considération et travailler à donner aux parents un peu plus “d'insight” en regard de ce problème et les encourager à trouver pour leurs enfants des solutions plus pratiques qu'idéalistes.
Mothers in Occupational Therapy
Authors: Zink Tannis M. 
Published: March 2013

Tannis M. Zink is a “mother O.T.” herself with two children aged two and four. She is a graduate of the University of Manitoba (1966) and has worked in New Zealand and Canada. She is currently Director of Occupational Therapy, Children's Centre, Health Sciences Centre, Winnipeg. The author explores the current trend of therapists returning to work after entering motherhood. The factors both positive and negative of utilizing “Mother O.T.‘s” in an Occupational Therapy Department are delineated with an emphasis on those particular contributions encountered when such an O.T. is employed. Her conclusion is a resounding endorsement for employing “Mother O.T.'s” because of their added maturity, stability and responsibility. Suggestions such as “Be flexible with vacant positions restructuring the job if necessary to accomodate part-time therapists”, are offered in order to encourage such O.T.‘s to return to their profession thus alleviating our manpower shortage.
Dimensions of the Occupational Behaviour Model
Authors: Woodside Harriet 
Published: March 2013

Liz Goodwin and Harriet Woodside worked together on the in-patient psychiatric service at the McMaster University Medical Centre. Their papers were presented together at the Conference of the Canadian Association of Occupational Therapy in Toronto in June, 1975. The first paper gives a theoretical outline of the occupational behaviour model upon which the in-patient occupational therapy programme was patterned. It discusses the broad concepts used in the model, the effects of developmental gaps and institutionalization on occupational behaviour and some broad parameters of the treatment process involved in implementing the occupational behaviour model. The intent is to describe a theoretical framework for occupational therapy practice. The second paper is a personal description of one therapist's experience in implementing the occupational behaviour model. It relies on the preceding paper and suggests one way of developing the model in a patient setting. The ward programme, specifically the work and play aspects of patient scheduling, is discussed and case studies are given to illustrate the implementation of a major part of the ward programme, the work placements. Together, the papers try to suggest an over-riding philosophy of treatment which defines the unique and vital service occupational therapists can provide. They describe one way which this model can influence and give direction to treatment.
A Model for Community Integration through Leisure Planning and Activity
Authors: McKay Anne 
Published: March 2013

Cet article décrit un projet pilote dans lequel onze enfants vivant sur une base externe au département d'ergothérapie au Montreal Children's Hospital, ont été intégrés à un camp d'été au YMCA. Les objectifs de ce programme sont décrits, ainsi qu'une description du programme comme tel est inclus. L'évaluation du projet examine les résultats d'un questionnaire administré aux parents de chaque sujet avant et après l'expérience du camp ainsi qu'une discussion de certains avantages et désavantages remarqués dans le programme. Il semble qu'il y a plusieurs indications pour screening et traiter des enfants dans la communauté, et que si on offre les services de l'ergothérapie à des enfants dans leur milieu naturel peuvent être très importants et significatifs à l'enfant.
The Inglis Street Activities Centre: A Transitional Program for Psychiatric Clients
Authors: Moyer Kelly 
Published: March 2013

The Inglis Street Activity Centre was initiated in November 1975 to meet the growing need in Halifax for a structured aftercare program for the long-term psychiatric patients being discharged from the Abbie J. Lane Memorial Hospital. It is a pilot program, operated by the Abbie J. Lane staff five afternoons per week, in a large house in a residential area of the city. Inpatients who are being prepared for discharge begin attending the program while in hospital, and continue after discharge until they are able to fully integrate into the community. Clients are accepted from other agencies as well, and the program is seen as being preventive as well as a provider of aftercare. Of the 64 clients seen in the first year of operation, only seven were readmitted to hospital, and the length of hospital stay for these seven was significantly reduced. The operating expenses were minimal ($11,456 including salaries) and it is felt that this has been an effective model for assisting the long-term psychiatric client to successfully make the transition from hospital to community.