Biomedical subjects

T A Conine

Publications and source records attributed to T A Conine.

9 recordsLinked to original sources

PubMed1991

Effectiveness: a neglected dimension in the assessment of rehabilitation devices and equipment.

Effectiveness is a term used by research methodologists when referring to the attributes of a new health care intervention (e.g. device, medication, or procedure) which if lacking may result in its rejection despite its efficacy and efficiency. Administrators and consumers increasingly require evidence to ensure that a proposed new product or manoeuvre not only 'works' (efficacy, efficiency) but is 'practical' (effective). Yet, effectiveness data are rarely described in research literature or adequately measured. Common effectiveness qualities that might be considered in the formal evaluation of new rehabilitation devices and equipment are cost, convenience to the user ('user-friendliness'), and compliance with the local standards. This article identifies some of the most important variables related to these attributes and suggests strategies for appropriate data collection and analysis. A comparison of two products evaluated in an institutional setting is used to illustrate the suggested method.

Cost-Benefit Analysis↗

PubMed1979

Physical therapists' knowledge of sexuality of adults with spinal cord injury.

Helping the adult with spinal cord injury to adjust to sexual limitations is an important and neglected part of his rehabilitation. Health professionals of all fields have been perceived to be deficient in their knowledge of the sexuality of the adult with spinal cord injury. A test with 40 statements reflecting myths, misconceptions, and truths about the effect of spinal cord injury on sexual function was administered to 30 physical therapists responsible for rehabilitating these adults. At least 28 of the 40 items were missed by 10 percent or more of the therapists. Experience and participation in educational programs appeared to contribute to the respondents' knowledge, as reflected by the test, but only experience was a statistically significant variable.

Attitude↗

PubMed1979

An assessment of occupational therapists' roles and attitudes toward sexual rehabilitation of the disabled.

Sexual adjustment is believed to be a fundamental aspect of the medical and psychosocial rehabilitation of the disabled and chronically ill. A sample of 26 occupational therapists involved in adult rehabilitation services were given a list of specific tasks identified in the literature to be related to medical (physical) aspects of sexual rehabilitation. The results indicated that a small percentage of occupational therapists participate in these tasks. The majority believed that the tasks were important in occupational therapy but that their preparation to perform the tasks was inadequate. The subjects, as a group, held positive attitudes toward sexual rehabilitation and considered it a legitimate aspect of health care for which an appropriate content should be integrated into the basic curricula in occupational therapy.

Activities of Daily Living↗

PubMed1979

Outcomes of teacher preparation in allied health sciences.

Formal preparation of allied health instructors for responsibilities of teaching and educational leadership has been encouraged through substantial federal grants, institutional funds and university programming. A review of the literature reveals very little regarding formal measurements of outcomes in terms of career progress of the graduates their professional activities and their level of satisfaction with the educational content and preparation as a teacher. This study focuses on the achievements and opinions of 106 graduates of a master's degree teacher preparation program. Graduates were found to be employed in positions commensurate with their preparation, and rewarded by their employers with career advancement, salary increases and promotions. The graduates believed that they had gained the skills needed. They also identified the strengths and weaknesses of the program. Implications of the findings are discussed.

Career Mobility↗

PubMed1977

Empathy: can it be learned and retained?

The effects of a one-semester course aimed at empathic discrimination and communication was measured 18 months after its completion. An experimental group of physical therapy students who had participated in the course and a control group who had not were given the Allied Health Professions Empathy Discrimination index and the Cartoon Listening Test. The results indicate that students who participated in the course were better able to respond empathically. Formal preparation in communication skills as described was both effective and lasting.

Empathy↗

PubMed1976

Listening in the helping relationship.

Physical therapists have been reported to spend nearly one-quarter of their time with patients in listening or talking. Listening is an important tool for observation and a valuable information gathering medium. Interference with effective listening occurs when 1) the listener is unwilling to listen, 2) the listener attends only to what he wishes to hear, 3) the listener's thoughts wander, and 4) a language difference exists. Guidelines are provided for control of these problems within the context of physical therapy.

Attitude↗

PubMedDate not supplied

Assessment of an infra-red non-contact sensor for routine skin temperature monitoring: a preliminary study.

The accuracy and reproducibility of a new non-contact sensor for monitoring skin temperature was examined. Thirty measurements taken by the device were compared with those taken by a commonly used thermocouple contact sensor. The result was a very high correlation coefficient (r = 0.9999). This accuracy was achieved with the probe held at an angle of 90 degrees 1 cm from the skin. Changes in angle and distance were found to contribute to measurement error. Little difference was found between 39 pairs of measurements taken of the left and right sides of subjects. However, intra-subject variability was noted with respect to the dermotomal segmental fields. Inter-tester reliability analysis resulted in a correlation of r = 0.937 involving two independent testers and 26 pairs of measurements. These preliminary data will be used for power calculations to study further the device which we found to be simple to operate, portable, and practical for routine clinical use. This sensor may have applications in the diagnosis of nerve and vascular disorders and in prospective monitoring of skin conditions such as bony areas at risk of pressure ulcers.

Body Temperature↗

PubMedDate not supplied

Bacterial contamination potential of sterile, prefilled humidifiers and nebulizer reservoirs.

Contaminated respiratory therapy equipment may be responsible for the spread of pathogens to hospital patients. This study focused on the potential for contamination of prefilled, sterile, disposable water and saline systems for humidification and nebulization. Gas and liquid samples from 48 prepacked oxygen humidifier/cannula and 26 prepacked nebulization setups were taken at the initial application of devices and at 8, 24, 48, and 72 hour intervals, totaling 386 cultures. All samples from the humidifier units were found to be pathogen-free for up to 3 days. A total of six or 3.84% of the nebulizer samples showed contamination with Enterobacter cloacae after 8 to 24 hours of operation. It was concluded that the potential for contamination of the humidifiers is low for up to 72 hours, but the nebulizer units should be changed after 24 hours even though their contamination rate is markedly lower than that of conventional nondisposable units.

Antisepsis↗

PubMedDate not supplied

Work sampling: a tool in management.

"Work sampling" was used to determine the productivity of the employees of a small occupational therapy department and the nature and extent of the activities in which they were involved. Twelve general categories of activities were identified--peak loads occurred on Wednesday each week between 9:10 to 11:30 a.m., and daily between 1:40 to 3:20 p.m. It was found that the therapists spent more of their working hours productively compared to an aide's productive time. "Work sampling" is a convenient and inexpensive technique that may be used by small or large departments to justify staff size, hours of work, and assignments on the basis of activities and productivity.

Allied Health Personnel↗