Epilogue

Bioprinting ◽  
2021 ◽  
pp. 219-220
Author(s):  
Kenneth Douglas

The book you’ve been reading can only be a vignette, a brief description of an evolving field; life goes on. Most happily, so too has Nancy’s life. Her kidney transplant was in May 2016, and she was able to come back quickly to her old job as full-time office manager at a thriving physical therapy clinic where she’s highly esteemed by both staff and patients. She told me,...

Author(s):  
Ann Wilson

Purpose: This paper describes a self-contained model of integrated clinical experiences (ICEs) that take place during the academic portion of an entry-level physical therapist education program in a campus onsite clinic. Description of Model: Students participate in ICEs for three consecutive semesters. Students provide pro bono physical therapy services to individuals with impairments, functional limitations, or changes in physical function resulting from a variety of health conditions. In addition, students participate in an exercise/wellness program for individuals who wish to improve or maintain their current levels of fitness. The first ICE consists of second-year students observing/assisting third-year students in the onsite clinic with basic patient care skills and participation in an exercise/wellness program. Students in the second and third ICEs provide ongoing one-on-one skilled therapy for individuals with neurological or musculoskeletal diagnoses. Results: Feedback obtained from onsite clinical instructors, core academic faculty, students, and patients receiving care in the onsite clinic through group debriefings, questionnaires, and interviews is used to assess students’ readiness for full-time internships and effectiveness of the ICEs. The feedback reveals that the ICEs are meeting their intended goals. Category ratings in the “red flag” areas of the Clinical Performance Instrument (CPI) are consistently above expected levels for students completing their first full-time clinical internship. In addition, patients receiving care in the onsite clinic report a high level of satisfaction with the care provided. Conclusion/Possible Recommendations: This model provides students with an opportunity to gain clinical confidence in a realistic setting while reinforcing concepts presented in academic coursework. Providing ICEs on campus decreases reliance on clinical facilities and allows for academic program oversight of the quality of the learning experiences and early identification of students who have deficits in clinical skills and/or academic knowledge. The learning experiences provided in the onsite clinic give students a transitional experience that helps them benefit more fully from full-time internships. A potential challenge to this model is finding the space and financial resources needed to make it viable.


2020 ◽  
Vol 144 (4) ◽  
pp. 420-426 ◽  
Author(s):  
David J. Gross ◽  
W. Stephen Black-Schaffer ◽  
Robert D. Hoffman ◽  
Donald S. Karcher ◽  
Edith Lopez Estrada ◽  
...  

Context.— Disagreement exists within the pathology community about the status of the job market for pathologists. Although many agree that jobs in pathology were harder to come by earlier this decade, recent evidence suggests improvement is occurring. Objective.— To assess the state of the job market for pathologists. Design.— We analyzed data from the 2018 College of American Pathologists Practice Leader Survey. This survey contains data from 253 practice leaders on practices' hiring (and retrenchments) in 2017, the skills and level of experience being sought, success in filling those positions, and expectations for hiring in the next 3 years. Results.— Among the surveyed practice leaders, 115 (45.5%) sought to hire at least 1 pathologist in 2017, and together tried to fill 246 full-time equivalent positions that year, of which 93.5 full-time equivalents (38%) were newly created. This hiring was not limited to larger, academic-based practices, but also occurred among smaller practices and practices based in nonacademic hospitals, independent laboratories, and other settings. Although some practices retrenched (60 full-time equivalents in 2017), the net increase was a healthy 187 full-time equivalents. Practices most frequently sought pathologists who had at least 2 years of experience, but the level of experience identified with the “optimal” candidate varied by desired areas of subspecialty expertise. Practice leaders also reported expected growth in hiring, with the number of positions they hope to fill in the next 3 years exceeding those vacated by retirement. Conclusions.— Our findings support the proposition that the demand for pathologists is strong, at least at the current time.


Author(s):  
Adilla Anggraeni ◽  
Lucina Iswi Hapsari Sulistyo ◽  
Natalia Affandy

The purpose of this research is to identify the factors influencing customers' satisfaction and revisit intentions for full-service restaurants in Jakarta. The recent economic crisis is known to have had a great impact on consumer behavior with regard to restaurants. Therefore, this study is primarily focused on exploring the effects on the traditional antecedents of satisfaction and revisit intentions as full-time restaurants attempt to come up with better marketing strategies. This study involved 150 respondents who recently visited a full-service restaurant within the period of one month prior to the data collection. A confirmatory factor analysis and a reliability analysis were used to test the reliability and validity of the measurements. The hypotheses testing was conducted using a simple and multiple linear regression analysis to test the suitability of the proposed model for measuring satisfaction and revisit intentions. The results of the study showed that atmosphere has a significant influence on customer satisfaction and revisit intention. Customer satisfaction was also found as one of the most significant factors impacting revisit intention in the full-service restaurant industry. Therefore, restaurant managers can use a combination of good price and exciting atmosphere to enhance satisfaction and revisit intention. This study provides insights on full-service restaurants in Indonesia which have not received much attention in both marketing and hospitality literature.


REVISTA PLURI ◽  
2020 ◽  
Vol 1 (3) ◽  
pp. 149
Author(s):  
Pamela Barbosa Arantes ◽  
Kátia Cristina Ugolini Mugnol ◽  
Vilma Da Natividade Da Silva Santos

O presente estudo se propôs a aplicar a técnica de Indução Percutânea de Colágeno (IPC) em uma cicatriz causada por queimadura de segundo grau profundo na região anterior do braço esquerdo. Foram realizadas três sessões de IPC, com intervalo de 30 dias entre cada uma das sessões. As sessões foram realizadas em uma Clínica de Fisioterapia localizada no Hospital Santa Cruz, em São Paulo, mesmo local onde foi realizada a anamnese, aplicação da escala de Vancouver, aplicação da Escala Visual Numérica e Registro Fotográfico. Os resultados obtidos pela escala de Vancouver revelam melhora, sendo que o aspecto avaliado que mais apresentou melhora foi a flexibilidade da pele, seguido da vascularização e altura da cicatriz. Não foi possível observar melhora na pigmentação da cicatriz através da escala de Vancouver. O score total passou de 7 para 4 após a última sessão, diminuindo em 3 pontos no total (cerca de 43%). Para avaliação da pigmentação da pele foi aplicado questionário elaborado pela pesquisadora. O questionário foi respondido por oito avaliadores cegos e apresentou melhora geral entre todos os participantes de aproximadamente 36%. A Escala Visual Numérica apresentou aumento na sensibilidade da pele.Palavras-Chave: Cicatriz; Queimadura; Indução Percutânea de Colágeno; Microagulhamento; Tratamento.Abstract:The present study proposed to apply the Percutaneous Colagen Induct (PCI) in a scars caused by second degree burns in left arm. Were performed 3 sessions of PCI, with an interval of 30 days between them. The interventions were performed at Physical Therapy Clinic, located at Santa Cruz Hospital, in São Paulo, the same place where was performed the anamnesis, the application of Vancouver Scale and Visual Numerical Scale and also the photographic recording. The results obtained by using the Vancouver Scale show improvement, and the aspect it was most evident was the flexibility of the skin, followed by the vascularization and the height of the scar. The total score among participants went from 7 to 4 after the last session, decreasing by 3 points in total (about 43%). As it was not possible to observe improvement in scar pigmentation through the Vancouver Scale, a blind assessment was performed by applying a questionnaire prepared by the researcher to 8 evaluators with proven knowledge in the research area. This assessment determined that PCI resulted in improvement of this parameter in treated lesions, with approximately 36% skin whitening. To evaluate skin sensitivity we used the Visual Numerical Scale, which showed promising results also represented by increased local sensitivity. Keywords: Scar; Burn; Percutaneous Collagen Induction; Microneedling; Treatment.


Fire ◽  
2021 ◽  
Vol 4 (4) ◽  
pp. 96
Author(s):  
Mark Billings ◽  
Matthew Carroll ◽  
Travis Paveglio ◽  
Kara Whitman

As the need for wildfire adaptation for human populations in the wildland-urban interface (WUI) intensifies in the face of changes that have increased the number of wildfires that exceed 100 thousand acres, it is becoming more important to come to a better understanding of social complexity on the WUI landscape. It is just as important to further our understanding of the social characteristics of the individual human settlements that inhabit that landscape and attempt to craft strategies to improve wildfire adaptation that are commensurate with local values, management preferences, and local capabilities. The case study research presented in this article evaluates social characteristics present in a WUI community that faces extreme wildfire risk to both people and property. It explores social processes that impede the ability of community members to work together collectively to solve problems (e.g., wildfire risk) and offers an alternative perspective about the nature of residency status (i.e., full-time and non-full-time) and its role in influencing wildfire mitigation efforts. This article closes with recommendations intended to facilitate collective action and foster community development.


2017 ◽  
Vol 31 (4) ◽  
pp. 14-19
Author(s):  
Kellie Stickler ◽  
Carla Sabus ◽  
Linda Denney

2021 ◽  
pp. 235-244

Background: Infants with head tilts are most often diagnosed with torticollis and are referred to a pediatric physical therapist for evaluation and treatment. Determining if the head position is muscular or non-muscular when assessing these infants is key in making the appropriate referrals to other specialists and determining the best treatment approach. Most pediatric physical therapists treat patients with head tilts with manual therapy (i.e. massage, myofascial release, and passive/active range of motion). Many physical therapists only consider a visual etiology as a possibility after other treatment options have been exhausted and the head tilt persists. Although the incidence of torticollis has increased, based on the author’s experience, the number of cases of non-muscular etiology has also increased. There is a lack of current research on the use of prism glasses for treating head tilts in young children and infants carrying a diagnosis of torticollis, especially those presenting without any active/passive motion limitations. Traditionally, these patients undergo years of treatment without resolution of the head tilt. Case Report: A two-year-old patient initially presented with a diagnosis of torticollis with an intermittent and alternating head tilt for physical therapy. After several months of manual therapy, with little improvement in her head posture, the patient’s physical therapist referred her to a behavioral optometrist for a comprehensive vision examination and to pursue alternative treatment options. The optometric evaluation revealed ocular misalignment causing poor depth perception skills and prism glasses were prescribed full-time with the recommendation of continuing physical therapy for gross motor development. Conclusion: Prism glasses are an appropriate treatment consideration for some pediatric patients with persistent head tilts because they can provide immediate improvement in head position and depth perception. It is important to include optometrists in the multi-disciplinary team when working with patients with head tilts. Pediatric physical therapists would benefit from training on how to properly screen visual skills when evaluating children with head tilts. With such training, an appropriate optometric referral could be initiated early on in treatment.


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