bluuebunny/crossref_metadata_2025_split huggingface dataset:
Building a Rheumatology Education Academy: Insights from Assessment of Needs During a Rheumatology Division Retreat
Authors: BERMAN JESSICA R. , AIZER JULIET , BASS ANNE R. , CATS-BARIL WILLIAM L. , PARRISH EDWARD J. , ROBBINS LAURA , SALMON JANE E. , PAGET STEPHEN A. 
Published: April 2012

Objective.To implement a rheumatology department education retreat to systematically identify and address the key factors necessary to improve medical education in our division in preparation for developing a rheumatology academy.Methods.The Hospital for Special Surgery organized a retreat for the Rheumatology Department aimed at (1) providing formal didactics and (2) assessing participants’ self-reported skills and interest in education with the goal of directing this information toward formalizing improvement. In a mixed-methods study design, faculty and fellows in the Division of Rheumatology were surveyed online pre- and post-retreat regarding various aspects of the current education program, their teaching abilities, interest and time spent in teaching, divisional resources allocated, and how education is valued.Results.Enthusiasm for teaching was high before and rose further after the retreat. Confidence in abilities was higher than expected before but fell afterward. Many noted that the lack of specific feedback on teaching skills and useful metrics to assess performance prevented the achievement of educational excellence. Most responding felt lack of time, knowledge of how to teach well, and resources prevented them from making greater commitments to educational endeavors and participating fully and effectively in the department’s teaching activities.Conclusion.While most rheumatology faculty members want to improve as teachers, they know neither where their educational strengths and weaknesses lie nor where or how to begin to change their teaching abilities. The key elements for an academy would thus be an educational environment that elevates the quality of teaching throughout the division and promotes teaching careers and education research, and raises the importance and quality of teaching to equivalence with clinical care and research.
Polymorphisms of the Genes EncodingCD40and Growth Differentiation Factor 15 and in the 9p21.3 Region in Patients with Rheumatoid Arthritis and Cardiovascular Disease
Authors: ÄRLESTIG LISBETH , RANTAPÄÄ-DAHLQVIST SOLBRITT 
Published: April 2012

Objective.Genes or gene products associated with coronary artery disease in the general population were analyzed in rheumatoid arthritis (RA) patients with atherothrombotic manifestations (ATM).Methods.A cross-sectional study of 681 individuals (498 women; 183 men) with RA (American College of Rheumatology criteria), a mean age of 60.6 ± 13.2 years, and mean disease duration of 15.5 ± 12.6 years who were consecutively recruited and followed for 6 years. The prevalence of ATM [i.e., myocardial infarction, angina pectoris with intervention, deep vein thrombosis/pulmonary embolism (DVT/PE), and/or stroke/transient ischemic attack (TIA)] was recorded. Polymorphisms were analyzed in the genes coding for growth differentiation factor 15 (GDF15)/monocyte inhibitory cytokine-1 (MIC-1; rs1058587),CD40(rs1535045 and rs3765459), and the 9p21.3 locus (rs1333049). Controls were randomly selected (n = 687; matched for age and sex).Results.The distribution of genotypes ofGDF15/MIC-1differed significantly between patients with RA and controls (chi-squared = 6.40, 2 df, p = 0.041). ATM were associated with polymorphism of theGDF15/MIC-1G allele (OR 2.21, 95% CI 1.17–4.18), and with CC genotype of the 9p21.3 locus (rs1333049; OR 1.92, 95% CI 1.15–3.19). Stroke/TIA in women was associated withGDF15/MIC-1GG genotype (OR 3.75, 95% CI 1.06–13.33), while stroke/TIA in men was associated withCD40homozygous major alleles (OR 6.48, 95% CI 1.31–32.0 and OR 2.78, 95% CI 0.78–9.91, respectively). DVT/PE was associated with polymorphism in theGDF15/MIC-1gene (rs1058587) minor allele (OR 3.53, 95% CI 1.30–9.58).Conclusion.The gene polymorphisms analyzed were associated with different ATM in RA. TheGDF15/MIC-1gene polymorphism was also associated with RAper se, suggesting a common etiology for RA and ATM.
Les stratégies éducatives des classes supérieures néerlandaises
Authors: Weenink Don 
Published: April 2012

Résumé Une enquête menée aux Pays-Bas dans l’enseignement secondaire auprès des gymnasium (qui privilégient la culture classique) et des filières internationales (filières sélectives ouvertes sur la langue anglaise et les échanges avec l’étranger) permet d’étudier les stratégies éducatives des classes supérieures néerlandaises. Trois fractions sont distinguées, les professionals , les managers et les entrepreneurs , qui se caractérisent chacune par un capital prédominant : respectivement, un capital culturel « classique », un capital « organisationnel » et un capital économique. On pourrait penser que chaque fraction envoie ses enfants vers la filière la plus à même de reproduire le capital qui lui est propre. L’enquête fait apparaître que le capital culturel « classique » ( gymnasium ) est valorisé par toutes les fractions des classes supérieures, y compris la bourgeoisie économique qui cherche désormais à convertir son capital économique en capital culturel « classique ». Le capital cosmopolite, celui des écoles internationales, apparaît comme une sorte de « second choix », privilégié par des fractions des classes supérieures plus récentes, aux origines sociales plus diverses, qui misent sur les investissements cosmopolites pour accéder à la bourgeoisie.
Ressources et lignes de clivage parmi les aides à domicile
Authors: Avril Christelle 
Published: April 2012

Résumé L’étude du travail des aides à domicile permet d’éclairer le paysage des classes populaires contemporaines et les formes d’autonomie des femmes situées au bas de la structure sociale. En mettant en œuvre un ensemble d’opérations de recherche – combinaison de plusieurs enquêtes statistiques, comparaison des données dans le temps et dans l’espace, articulation des données statistiques et ethnographiques, prise en compte des trajectoires sociales et de leur articulation avec les situations de travail et de hors-travail – l’article fait apparaître la diversité des ressources et capitaux du groupe professionnel et les lignes de clivage qui le traversent. Il invite notamment à prendre en compte les différences de diplômes et les différences de ressources économiques pour saisir les appartenances sociales de ces femmes de classes populaires. Par-delà les différences de « capital d’autochtonie », il propose également de s’intéresser au « capital de mobilité ».
Factors Affecting Test-Retest Reliability of the Southern California Postrotary Nystagmus Test
Authors: Royeen Charlotte Brasic 
Published: April 2012

Abstract
More effective clinical use of the Southern California Postrotary Nystagmus Test (SCPNT) may result if factors affecting test reliability were known. An experiment, a pilot study involving primary grade students, was designed to assess whether time of day or sex affected the test. The SCPNT was administered at a 2-week interval to 12 boys and 12 girls and subject responses were noted and compiled. Pearson Correlation Coefficients revealed high reliability for all conditions. No significant differences existed for sex or time of retest. Responses to the SCPNT revealed that it was typical for a subject to demonstrate pleasure but not typical to show alarm, threat, or loss of body balance while rotating.
A Model of Human Occupation, Part 2. Ontogenesis from the Perspective of Temporal Adaptation
Authors: Kielhofner Gary 
Published: April 2012

Abstract
This is the second in a series of four papers that discuss and present a model of human occupation. The first paper presented the structure and content of the model. This paper conceptualizes change according to the model. It introduces the systems concept of hierarchy into the model as a foundation for explaining its ontogenesis. Two facets of change are proposed. The first facet is a series of stages through which occupation is processed. The second is a description of ontogenesis through the life span from the perspective of temporal adaptation.
Mental Health Evaluations Used in Occupational Therapy
Authors: Hemphill Barbara J. 
Published: April 2012

Abstract
To teach students occupational therapy evaluation techniques (or methods) in psychiatry, evaluations currently being used in the field were identified. Three consecutive surveys were sent to occupational therapy faculty, clinical supervisors, and clinicians to ascertain which evaluation techniques were being taught, those which the students were expected to know about in their fieldwork experiences, and those which were practiced in the field. On an average, occupational therapy schools were teaching four evaluation tools. Affiliating students were expected to know about 3 of 24 evaluation tools listed in the survey, and none of the evaluation techniques were being practiced significantly by occupational therapists. Since 75 percent of the therapists reported that they developed their own evaluation tools, it was suggested that instructors be familiar with the existing evaluation tools and teach students the methodology required for developing their own evaluation tools (or instruments).
Personality Characteristics of the Published and Nonpublished Occupational Therapist
Authors: Radonsky Vivienne E. 
Published: April 2012

Abstract
In this study an attempt was made to establish whether or not there is a publishing type among occupational therapists. A group of therapists, published and nonpublished, were given the Myers-Briggs Type Indicator and then asked five additional questions. The results show that published therapists tended to be Extrovert-Intuitive-Thinking-Judging personality types. They also tended to be older, to have graduate training, and to specialize. Nonpublished therapists tended to be Introvert-Sensing-Feeling-Judging personality types. In applying these findings, students and therapists can develop an introspective view of their potential to publish.
A Study of Mentally Retarded Persons: Applied Research in Occupational Therapy
Authors: Kielhofner Gary , Takata Nancy 
Published: April 2012

Abstract
An ongoing project is described in which qualitative research was undertaken to guide development of a service program for retarded adults. Several issues concerning the need for research, the type of research, and research methodology appropriate to occupational therapy are discussed. The research activity as well as some findings and supporting data is presented to illustrate how the investigation was conducted and what kinds of information it yielded. Two subsequent discussions focus on how the findings were used to guide program development and add substantive empirical support to occupational behavior theory.
Impact of Institutionalization on the Posture of Chronic Schizophrenic Patients
Authors: Beck Mary Ann , Callahan Deborah Klayman 
Published: April 2012

Abstract
In this study the impact of institutionalization on the posture of chronic, undifferentiated schizophrenic patients was examined. The postures of a sample group of schizophrenic patients were measured: this group was then divided into those who had been continuously institutionalized and those who had been intermittently institutionalized. Patients who had been hospitalized for a longer, continuous period were found to have significantly poorer posture than those who were institutionalized for a similar period of time, but only intermittently. The authors raise questions about better understanding of posture and movement for more effective therapy programs.
Proficiency Testing of Academic and Nonacademic Preparation in Five Therapeutic Activities
Authors: Brayley Caroline R. , Hemphill Barbara J. 
Published: April 2012

Abstract
Occupational therapy pre-majors at Cleveland State University (CSU) were required to demonstrate proficiency in five craft areas before admission into the program. Proficiency examinations were constructed to determine the students’ level of knowledge in each craft area. Reliability and validity of the examinations were determined. Using these examinations, a study was conducted to compare the knowledge level of the pre-majors at CSU with that of occupational therapy students throughout the United States on the associate, baccalaureate, and entry-level master’s levels of education. The results of the study demonstrated that CSU students scored significantly higher on the examinations than both the associate and baccalaureate students, and at least as well as the entry-level master’s students.
The Relationship between Professional Productivity and Educational Level, Part 2. Results and Discussion
Authors: Rogers Joan C. , Mann William C. 
Published: April 2012

Abstract
This article concludes the two-part report of a study designed to investigate differences in professional productivity based on the level of education. Career contributions in practice, education, research, publication, professional activities, and health care policy formation were studied. The alumni of various colleges and universities were also compared to determine differences in productivity patterns. The first article reviewed the literature and the methods. The current article details and discusses the findings and offers recommendations for education and research.
A Longitudinal Study Assessing the Quality of Occupational Therapy
Authors: Kirchman Margaret M. , Loomis Barbara 
Published: April 2012

Abstract
A two-part longitudinal study of occupational therapy patients at the University of Illinois was conducted to assess the quality of treatment they received. The first part measures psychosocial objectives and changes on 7 activities of daily living items achieved by 534 patients between admission and discharge. The second part, a follow-up study, measures the same factors between discharge and follow-up on 86 of these patients who met certain criteria. This follow-up study also included measurements of health and life satisfaction.
Significant changes were shown toward independence on all activities of daily living items between admission and discharge. Only three items—dressing, toileting, and self-transfer—changed significantly between discharge and follow-up. Measurements of self-perception of health showed a positive relationship to life satisfaction. Implications for occupational therapy stressed that new methods of delivering service be considered.
An Older Population: Meeting Major Needs through Occupational Therapy
Authors: Winston Ellen Black 
Published: April 2012

Abstract
The United States has belatedly recognized the major demographic changes that have occurred over recent decades. Even more dramatic changes are anticipated between now and the year 2000, and beyond. While the 1961 and 1971 White House Conferences on Aging focused on the growing numbers of older adults, the rapid increase in older Americans up to the present and projected for the future is center stage for the 1981 White House Conference on Aging.
Need Satisfaction of Older Persons Living in the Community and in Institutions, Part 1. The Environment
Authors: Tickle Linda S. , Yerxa Elizabeth J. 
Published: April 2012

Abstract
A descriptive study was conducted that compared the need satisfaction of older persons living in the community and those living in institutions. In the first article of a two-part series, the impact of environment on the satisfaction of needs was examined. Subjects included 20 community and 21 institutionalized older persons. Using Maslow’s need hierarchy as the theoretical framework, it was found that the community environment satisfied belongingness/love and esteem needs to a greater degree than the institutional environment. No difference was found in the satisfaction of physiological, safety, and self-actualization needs between the two environments. Race, mental status, and whether a community resident lived alone or with others were variables that influenced the results. The findings emphasized the complexity of need satisfaction and supported the formulation that environment is a crucial factor in need satisfaction. In the second article, the relationship between engagement in activity and need satisfaction will be explored.
The Development of a Work-Oriented Day Center Program
Authors: Howe Margot C. , Weaver Cecile T. , Dulay Jane 
Published: April 2012

Abstract
A community-based day center for former psychiatric patients developed a new work-oriented pilot program for members who want to change and become more self-directed and independent in their living situations. After a year the pilot program was evaluated. On the basis of the evaluation recommendations, the program became a permanent and expanded part of the center’s activities. The expansion included a strong occupational therapy component and a Transitional Employment Program.
Training Program for a Myo-Electrically Controlled Prosthesis with Sensory Feedback System
Authors: Agnew Patricia J. , Shannon Gerald F. 
Published: April 2012

Abstract
A myo-electrically controlled prosthesis that incorporates a sensory feedback mechanism to provide the wearer with a sense of touch or gripping force in the prosthetic hand was developed for patients with below-elbow amputations. A training protocol was established in which patients were taught to produce myo-electric control signals and to interpret the sensory feedback. The protocol includes functional training in daily living skills. The experiences of four patients trained with these limbs are described.
Effects of a Vestibular Stimulation Program on Stereotypic Rocking Behavior
Authors: Bonadonna Penny 
Published: April 2012

Abstract
This study measures the effect of a vestibular stimulation program on the stereotypic rocking behavior of three severely mentally retarded persons within both experimental and natural settings. A multiple baseline design was used. Frequency and duration of stereotypic rocking behavior were measured by a partial-interval time sample. Results indicated a statistically significant reduction of both frequency and duration of rocking behavior directly after receiving vestibular stimulation and 1 hour after stimulation. The rocking behavior remained reduced after 6 days without the vestibular stimulation program. It was concluded that vestibular stimulation resulted in a reduction of the stereotypic rocking behavior of these subjects.
Reduction of Self-Injurious Behavior Using Sensory Integrative Techniques
Authors: Bright Tony , Bittick Kay , Fleeman Bill 
Published: April 2012

Abstract
Theoretical rationale and case study information are presented for the use of a sensory integrative approach to self-injurious behavior. The program described uses sensory integrative techniques and soft restraint to reduce face hitting in a 28-year-old, nonambulatory, profoundly retarded resident. The noncontingent application of the procedures has reduced the occurrence of self-injurious behavior during treatment periods from an average of 13.1 responses per minute to an average of 1.02 responses per minute.
A Dynamic Splint for Use After Total Wrist Arthroplasty
Authors: Johnson Barbara M. , Flynn Mary Jean Gregory , Beckenbaugh Robert D. 
Published: April 2012

Abstract
Total wrist arthroplasty has been performed at the Mayo Clinic for the past 5 years. The procedure has necessitated the development of a dynamic wrist splint for postoperative care. This article provides a step-by-step outline for construction of this splint.
Objective Evaluation of a Splint Designed to Reduce Hypertonicity
Authors: McPherson James J. 
Published: April 2012

Abstract
Snook’s spasticity reduction splint was evaluated objectively with five severely and profoundly handicapped subjects. The force of spastic wrist flexors in pounds of pull was measured on a spring-weighted scale. Findings demonstrated that the device designed for this study was useful in measuring hypertonus; splint wearing resulted in a reduction of the passive component of muscle tone and that this reduction was related to the length of time the subjects wore splints; the effects of splint wearing were not necessarily permanent. Components that contribute to the condition of hypertonicity are discussed, as well as the implications of the study findings for occupational therapists.
The Emotion Identification Group
Authors: Angel Susan Lake 
Published: April 2012

Abstract
Emotion identification is an individual’s ability to be aware of affective responses that occur during varied daily interactions. Through a review of the literature, how patients often seem unclear about the relevance of “doing” therapy to “talking/feeling” therapy is documented, and then an attempt is made to show how the occupational therapy emotion identification group can reinforce the patients’ real-life connection between doing, talking, or feeling.
The basic premises formulated for establishing a method to promote emotion identification, the group format that incorporates this method, and patient responses to the method are presented.
How occupational therapy interfaces with Gestalt therapy and therapeutic community philosophies is shown and methods are described to apply the Gestalt process of one’s getting in touch with and taking ownership for both needs and feelings in the emotion identification group and in occupational therapy task groups.
Geographic Distribution of Occupational Therapists
Authors: Langwell Kathryn M. , Wilson Stephen D. , Deane Robert T. 
Published: April 2012

Abstract
This paper reports the findings of a recent study conducted to determine whether there is an appropriate distribution of occupational therapists in the United States. A method for an analysis of requirements for occupational therapists was developed to assess whether, given requirements indicators in each county, the current distribution is appropriate. As a final stage of the analysis, three groups of counties were singled out for special attention: 1. those with no occupational therapists; 2. those with low levels of relative supply of occupational therapists; and 3. those with high levels of relative supply of occupational therapists. These groups were compared in order to determine whether differences exist in demographic characteristics and health status indicators that might be associated with differences in the supply of occupational therapists in each group of counties. Conclusions and discussion of potential policy implications were drawn from the descriptive and analytic findings.
Ladder to Professional Certification: The Career Mobility Program
Authors: Adams Nancy G. 
Published: April 2012

Abstract
The Career Mobility Program provides an opportunity for certifield occupational therapy assistants to become occupational therapists, registered. Data were compiled about the 43 therapists who completed the program durings its first 5½ years. Performance on the certification examination and the candidates’ educational and employment backgrounds were studied. The advantages and disadvantages of participating in the program were gathered via follow-up questionnaires. More than 70 percent of 26 reported career advancement.