scholarly journals Facilitators and Barriers for Using Outcome Measuring Tools in Physical Therapy Practice

2021 ◽  
Vol 15 (6) ◽  
pp. 2126-2129
Author(s):  
Rahat Ayub ◽  
Somia Sabeeh Awan ◽  
Muhamamd Rizwan ◽  
Rabia Majeed ◽  
Rabia Jawa ◽  
...  

Objective: The study was conducted toascertain the percentage of physiotherapist who were utilizing the outcome measures during the treatment of patients and to find the factors which were potentiating the physiotherapists in implementing the outcome measuring tools in the treatment of their patients. On the other hand, such factors were also looked into which were considered as obstacles by the physiotherapists in the use of the tools. Methodology: The estimated study population size was 242. Data was collected through e-mail as well as through one-on-one meeting with the physiotherapists by using a standard questionnaire (appendix I) and was analyzed through SPSS version 20. Results: It was found that 78 percent of the study participants were using the outcome measures in the assessments of the patients and for finding the progression in their condition. The feeling of the patient about the keen involvement of the physiotherapist in his treatment, enhanced communication between two of them and increased efficiency of examination were the major facilitators which urged the physiotherapists to use outcome measures in their practice. The most frequent barriers seen were the duration required by physiotherapist to analyze the score and duration of patient to complete it. Conclusion: The main facilitators are increased communication between physiotherapist and patient and enhanced the efficacy of assessment. Alternatively, the main barriers restricting the usage of outcome measures are reported to be the inability to complete the various assessment tools due to the lack of time on the part of the patient as well as the physical therapist. Key words: Outcome measures, Outcomes measuring tools, Facilitators, Barriers, Physical therapist, Physiotherapist

2015 ◽  
Vol 95 (4) ◽  
pp. 579-587 ◽  
Author(s):  
Kathryn M. Sibley ◽  
Nancy M. Salbach

Background and PurposeKnowledge translation (KT) is an emerging discipline with a focus on implementing health evidence in decision making and clinical practice. Knowledge translation theories provide conceptual frameworks that can direct research focused on optimizing best practice. The objective of this case report is to describe one prominent KT theory—the knowledge-to-action (KTA) framework—and how it was applied to research on balance and gait assessment in physical therapist practice.Case DescriptionValid and reliable assessment tools are recommended to evaluate balance and gait function, but gaps in physical therapy practices are known. The KTA framework's 2-pronged approach (knowledge creation phase and action cycle) guided research questions exploring current practices in balance and gait assessment and factors influencing practice in Ontario, Canada, with the goal of developing and evaluating targeted KT interventions.OutcomesResults showed the rate at which therapists use standardized balance and gait tools was less than optimal and identified both knowledge-to-practice gaps and individual and organizational barriers to implementing best assessment practices. These findings highlighted the need for synthesis of evidence to address those gaps prior to the development of potential intervention strategies.DiscussionThe comprehensive KTA framework was useful in guiding the direction of these ongoing research programs. In both cases, the sequence of the individual KTA steps was modified to improve the efficiency of intervention development, there was a need to go back and forth between the 2 phases of the KTA framework, and additional behavior change and barrier assessment theories were consulted. Continued research is needed to explicitly evaluate the efficacy of applying KT theory to best practice in health care.


2018 ◽  
Vol 5 (2) ◽  
pp. 79-90
Author(s):  
Muhammad Imam Muarif ◽  
Dadan Irwan

ABSTRACT   Electronic mail or commonly called e-mail is a mailing service that uses computer network for sending and receiving mail. On the other hand, e-mail mostly used as one of the supporting media for any communication activities. Therefore the purpose of this research is applying auto backup email system on mail server at Unisma Bekasi software laboratory.  Mail server used is Zimbra open source with Ubuntu Linux 14.04 operating system. To support the necessary elements, the bind9 system is used for naming the domain name that provides addressing on the server system. By having cronjob feature on Webmin, it makes a solution automatically command for auto backup which is combined with scrip. User account capacity and mailbox on mail server Zimbra can accommodate bigger mail compared to other servers such as qmail or postfix.     Key words: mail server, open source, zimbra, cron job, auto backup.        ABSTRAK   Surat elektronik atau biasa disebut e-mail adalah suatu layanan surat menyurat yang menggunakan media jaringan komputer dalam mengirim dan menerima surat. Penggunaan e-mail sendiri lebih banyak dipakai sebagai salah satu media pendukung dari setiap kegiatan komunikasi. Tujuan dari penelitian  ini adalah menerapkan sistem auto backup email pada mail server pada laboratorium software Universitas Islam 45. Mail server yang digunakan adalah zimbra open source dengan sistem operasi Linux Ubuntu 14.04. Untuk mendukung unsur-unsur yang diperlukan, penamaan nama domain menggunakan sistem bind9 yang menyediakan pengalamatan pada sistem server. Dengan adanya fitur cron job pada webmin, menjadikan solusi untuk melakukan sebuah perintah otomatis dalam melakukan auto backup yang dikombinasikan dengan script. Kapasitas user account dan mail box pada mail server zimbra dapat menampung lebih banyak dibandingkan mail server lainnya, seperti qmail atau postfix.   Kata kunci: mail server, open source, zimbra, cron job, auto backup.


2014 ◽  
Vol 8 ◽  
pp. 33-50 ◽  
Author(s):  
Lina Šumskaitė

Vilniaus universiteto Lyčių studijų centrasDidlaukio g. 47, VilniusTel. (8-5) 244 24 43El. paštas: [email protected]  Straipsnyje nagrinėjami autorės 2011–2013 m. atlikti 30 pusiau struktūruotų interviu su 23–44 m. vyrais, turinčiais mažamečių vaikų. Straipsnio tikslas yra panagrinėti norminio vyriškumo kuriamus galios santykius tyrimo dalyvių tėvystės praktikose. Tyrimo dalyvių patirčiai analizuoti pasitelkiami R. W. Connell hegemoninio, T. Coleso mozaikinio vyriškumo sampratos ir istoriškai šalyje susiformavę tėvystės modeliai.Tyrimo analizė atskleidė, kad Lietuvos visuomenėje dominuojančios vyriškumo sampratos pasireiškia tiriamųjų tėvystės praktikose. Vieno norminio vyriškumo bruožo neatitikimas kelia nepasitikėjimą savimi ir skatina vyrus pabrėžti kitus norminio vyriškumo bruožus tėvystės praktikose arba permąstyti visuomenėje vyraujančias vyriškumo normas ir ieškoti alternatyvių būdų, kad užsitikrintų pasitikėjimą savimi būdami vyrai ir tėvai.Pagrindiniai žodžiai: norminis vyriškumas, hegemoninis vyriškumas, galios santykiai, tėvystės praktikos.Normative Masculinities in Fathering Practices Lina Šumskaitė Summary In the article, there are analysed 30 semi-structured interviews conducted by the author in 2011–2013 with men aged 23–44 and having small children. The aim of the study was to analyse power relations in fathering practices created by normative masculinity. The study participants’ experiences are analysed by using R. W. Connell’s concept of hegemonic masculinity and T. Coles’ concept of mosaic masculinity as well as the fatherhood models historically formed in the country. The survey has revealed that the normative masculinity conceptions prevailing in Lithuanian society are manifested out in the study participants’ fathering practices. Non-compliance to one feature of normative masculinity undermines their confidence in themselves and encourages men to highlight the other features of normative masculinity in fathering or to rethink the prevailing norms of masculinity and to search for alternative ways to secure confidence in themselves as men and fathers. Key words: normative masculinity, hegemonic masculinity, power relations, fathering


2019 ◽  
Vol 4 (6) ◽  
pp. 1482-1488
Author(s):  
Jennifer J. Thistle

Purpose Previous research with children with and without disabilities has demonstrated that visual–perceptual factors can influence the speech of locating a target on an array. Adults without disabilities often facilitate the learning and use of a child's augmentative and alternative communication system. The current research examined how the presence of symbol background color influenced the speed with which adults without disabilities located target line drawings in 2 studies. Method Both studies used a between-subjects design. In the 1st study, 30 adults (ages 18–29 years) located targets in a 16-symbol array. In the 2nd study, 30 adults (ages 18–34 years) located targets in a 60-symbol array. There were 3 conditions in each study: symbol background color, symbol background white with a black border, and symbol background white with a color border. Results In the 1st study, reaction times across groups were not significantly different. In the 2nd study, participants in the symbol background color condition were significantly faster than participants in the other conditions, and participants in the symbol background white with black border were significantly slower than participants in the other conditions. Conclusion Communication partners may benefit from the presence of background color, especially when supporting children using displays with many symbols.


Author(s):  
Stefan Scherbaum ◽  
Simon Frisch ◽  
Maja Dshemuchadse

Abstract. Folk wisdom tells us that additional time to make a decision helps us to refrain from the first impulse to take the bird in the hand. However, the question why the time to decide plays an important role is still unanswered. Here we distinguish two explanations, one based on a bias in value accumulation that has to be overcome with time, the other based on cognitive control processes that need time to set in. In an intertemporal decision task, we use mouse tracking to study participants’ responses to options’ values and delays which were presented sequentially. We find that the information about options’ delays does indeed lead to an immediate bias that is controlled afterwards, matching the prediction of control processes needed to counter initial impulses. Hence, by using a dynamic measure, we provide insight into the processes underlying short-term oriented choices in intertemporal decision making.


2018 ◽  
Vol 8 (4) ◽  
pp. 65-69
Author(s):  
Mao Nguyen Van ◽  
Dong Tran Nam

Background: Pigmented tumour of the skin is one of the common tumour in human including the benign pigmented tumours (more common) called Nevi tumours and the malignant one called melanoma which was less frequent but the most poor in prognosis. In addition, the others not belonging to these group had the same clinical appearance, so the application of histopathology and immunohistochemistry for the definitive diagnosis was indespensible. Objectives: 1. To describe the macroscopic features of the pigmented tumoral-like lesions; 2. To classify the histopathologic types of the pigmented cell tumours and the other pigmented tumours of the skin. Materials and Method: Cross-sectional research on 55 patients diagnosed as pigmented tumoral lesions by clinician, then all definitively diagnosed by histopathology combining the immunohistochemistry in difficult cases. Results: There was no difference in gender, the disease was discovered most common in adult, especially with the age over 51 years old (58.1%). the most region located was in the face accounting for 60%, following the trunk and limbs (14.6%, 12.8% respectively). All 3 malignant melanomas happened in foot. The most common color of the lesions was black (65.4%), the other ones were rose, grey and blue. Histopathology and immunohisthochemistry showed that the true pigmented cell tumours were 52.6% encompassing benign ones (Nevi tumour) (41.8%), melanoma (5.4%) and lentigo (5.4%). 47.4% was not the true pigmented cell tumour including pigmented basocellular carcinoma (36.4%) and the others less common as histiofibromas, acanthoma and papilloma. Conclusion: the pigmented tumoral-like lesions of the skin could be the true pigmented cell tumours and the others, so the application of the histopathology and the immunohistochemistry after the clinical discovery helps to determine and classify the disease definitely and for the best orientation of treatment as well. Key words: skin tumour, benign pigmented tumour (Nevi), malignant pigmented tumour (melanoma), pigmented basocellular carcinoma


Proceedings ◽  
2021 ◽  
Vol 77 (1) ◽  
pp. 15
Author(s):  
Hernan Mondani ◽  
Amir Rostami ◽  
Tina Askanius ◽  
Jerzy Sarnecki ◽  
Christofer Edling

This presentation summarizes a register-based study on women who have been identified as belonging to three violent extremist milieus in Sweden: violent Islamic, violent far-right, and violent far-left extremism. We studied the women in these milieus along a number of analytical dimensions, ranging from demographic and educational to criminal background and network relationships, and compared them to three reference groups: (i) non-extremist biological sisters to female extremists in the study population; (ii) men in the respective extremist milieus; and (iii) female members of other antagonistic milieus such as organized crime. Our results showed that there are both similarities and differences between groups. In some cases, like age and region of birth, there are commonalities between violent far-right and violent far-left women. Regarding region of birth and migration background, women affiliated to violent far-right and violent far-left extremism are predominantly born in Sweden. Women affiliated to violent Islamic extremism tend to be born in Sweden to a greater extent than men in the same milieu, but to a much lesser degree than women in the violent far-right and violent far-left. When it comes to education, women in the violent Islamic milieu are closer to women in violent far-right extremism. Women in violent far-left extremism perform best at school, with consistently higher grades. The average score of women in violent far-left extremism is identical to that of their sisters, and women in violent far-left extremism perform on average substantially better than men in the same milieu. Women in violent Islamic extremism, in contrast, perform on average similarly to men in violent far-left extremism, and they perform better than their biological sisters. Regarding labor market attachment, violent Islamic extremists have the weakest attachment and the highest dependency upon financial assistance as well as a low employment share (36 percent in 2016), but also a relatively high share of individuals with a high number of unemployment days, suggesting that women in violent Islamic extremism experience higher social exclusion. We find the highest employment share among women in violent far-left extremism, where 89 percent are gainfully employed in 2016 (80 percent for at least three of the last five years) and about a 20 percent unemployment share. Men in violent far-left extremism have an employment share around 10 percent below that of the women in far-left extremism for 2016. The highest fractions of individuals that have not been in contact with the health system due to mental disorders are among violent Islamic extremism, with the women’s fraction at 84 percent, compared to their non-extremist sisters and men in the same milieu that are just above 79 percent. Women in violent far-left extremism have the highest share of in-patient major mental disorders among the extremist milieus (3 percent), higher than men in the same milieu (less than 1 percent) as well as than women and their sisters in the other categories. During the period 2007–2016, 68 percent of individuals in the extremist milieus are covered by the register of suspected individuals. The coverage is substantially higher for men, 72 percent than for women, 43 percent. Compared to their sisters, women in all three milieus are criminally active to a much higher extent. However, women in all three milieus are less criminally active than women in other antagonistic milieus, among whom 67 percent have been suspected at least once. In all three milieus, the share of men with a criminal record is about twice as large as that of women. As far as the gender aspect is concerned, we know that extremist milieus generally have a conservative view of the role of women in society. In our results, this is reflected in the low rates of crime in women compared to men, and relatively marginal positions in the co-offending networks. The fact that women in violent far-left extremism have stronger positions in their networks than the other women in the study population is expected, given that the ideology of this milieu allows for greater equality. This means that women in violent far-left extremism participate more often than, e.g., women in violent far-right extremism, in political actions where violence is common. This pattern of gender roles and criminal involvement also holds concerning women in violent Islamic extremism. This milieu has a more traditional view of the role of women than views among even violent far-right extremists. Women in violent Islamic extremism are less involved in crime and, in particular, violent crime.


1970 ◽  
Vol 34 (3) ◽  
pp. 425-434 ◽  
Author(s):  
PK Malaker ◽  
IH Mian

The efficacy of seed treatment and foliar spray with fungicides in controlling black point incidence of wheat seeds was evaluated in the field. Two seed treating fungicides, namely Vitavax-200 and Homai-80WP were used @ 0.25% of dry seed weight and foliar spray with Tilt-250EC (0.05%) was applied in six different schedules. Untreated and unsprayed controls were also maintained. Seed treatment with either Vitavax-200 or Homai-80WP significantly increased plant population and grain yield, but none of them was found effective in reducing black point incidence. On the other hand, foliar sprays with Tilt-250EC under all the spray schedules except spraying at 70 and 90 DAS significantly minimized the disease severity over unsprayed control. Among the different spray schedules, spraying at 30, 40, 50, 60, 70, 80, and 90 DAS appeared to be most effective, which was similar to spraying at 30, 45, 60, 75, and 90 DAS in reducing black point incidence and increasing grain yield. Economic analysis on yield advantage showed that the highest additional gross margin of Tk. 6120/ha with BCR 2.57 was obtained from five sprays applied at 30, 45, 60, 75, and 90 DAS. Key Words: Seed treatment, foliar spray, black point, wheat. DOI: 10.3329/bjar.v34i3.3968 Bangladesh J. Agril. Res. 34(3) : 425-434, September 2009


Sign in / Sign up

Export Citation Format

Share Document