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PubMed1992

The career status of deaf women. A comparative look.

Discrepancies in labor force, occupation, and earnings outcomes were observed between men and women in a follow-up study of 4,900 deaf high school graduates who had responded to annual surveys conducted from 1982 to 1989. Reasons for the disparities were sought by further examination of the postsecondary programs undertaken, degrees earned, labor force activities, jobs held, and socioeconomic status. Despite efforts to expand career awareness and postsecondary programs for deaf people, deaf women continue to pursue a relatively narrow range of programs, leading to stereotypical female careers. Moreover, when women earn less than a bachelor's degree, they experience high underemployment and unemployment relative to deaf men and hearing peers. Without concerted intervention, this condition may be exacerbated as the labor market demands that workers be more professionally and technically trained in career areas where deaf females are yet underrepresented.

Adult↗
PubMed2006

Kinematical analysis of the snatch in elite male junior weightlifters of different weight categories.

The purpose of this study was to analyze the differences in the technical pattern of the snatch in elite junior weightlifters of different weight categories. The sample was a group of 33 men weightlifters from different weight categories. The comparative study included 2 groups, taking into account weight categories. Group A included 17 weightlifters from the lightest categories, 56 and 62 kg; group B included 16 weightlifters from the heaviest categories, 85 and 105 kg. Three-dimensional photogrammetry technique was utilized. Regarding group differences, we can conclude that lifters belonging to heavier categories are more efficient, as they manage to have longer barbell propulsion trajectories, which allows them to exert actions on the barbell for a longer period, especially in the initial lifting phase. They attain greater barbell vertical velocity (p = 0.029), a longer vertical bar trajectory normalized on first pull (p = 0.011), and a greater, although limited, bar height loss on the catch (p = 0.008). Besides, intergroup differences evidence that heavier category lifters observe a different temporal organization of the movement based on a longer first pull (p = 0.000), a shorter transition (p = 0.030), and a longer turnover (p = 0.049). No significant differences were found in the analyzed angular parameters during the first and second pull. We believe the intergroup differences found not to be determining enough to consider a technical model adapted to the characteristics of each body weight category. This confirms that a successful lift is multifactor based and individual dependent. Given its transcendence, this evidence should be taken into account in the technical training of young lifters.

Adolescent↗
PubMed2004

Nucleic acid amplification technology for the diagnosis of genital herpes infection.

Nucleic acid amplification technologies are well-characterized methods for the rapid and sensitive diagnosis of a wide variety of infectious diseases. Herpes simplex virus amplification is no exception, demonstrating as much as a ninefold enhancement in sensitivity over viral culture in some settings. Currently, there are no US Food and Drug Administration-approved systems for herpes simplex virus amplification; hence, most laboratories utilize in-house-developed PCR-based systems. Unfortunately, the utilization of herpes simplex virus amplification has been confined to the investigations of suspected herpes simplex virus encephalitis, largely due to cost and the need for appropriately trained technical staff. Recent methodological advances will help to render herpes simplex virus nucleic acid amplification technologies more applicable to routine practice. However, the use of nucleic acid amplification technologies for the diagnosis of genital herpes infection remains highly controversial.

DNA, Viral↗
PubMedDate not supplied

Professional socialization: students becoming nurses.

Usually colleges are evaluated by the quality of the knowledge and technical training offered to the students. Little attention is given to the acquisition of the values, behaviors and attitudes necessary to assume their professional role. This exploratory study aims to increase understanding of the professional socialization process that occurs at nursing schools and the results obtained through the socialization of professional values and standards. The educational experience of nursing students involves more than a body of scientific knowledge and the acquisition of abilities to provide care to patients. Questionnaires were filled out by 278 students of two public Nursing Schools in São Paulo state, 164 in school A and 114 in school B. The results indicated that some professional values, norms and behaviors are influenced by College years, studying at a College of Nursing during four years leads to a difference in values, norms and professional behavior.

Adolescent↗
PubMed1991

A study of operator effects on ultrasonic measures of fat depth and longissimus muscle area in cattle, sheep and pigs.

Use of real-time ultrasonography in meat animal improvement programs has increased largely as a result of the perceived accuracy of such instruments in measuring longissimus muscle area (LMA) and fat depth (BF). The objective of this study was to examine operator effects for ultrasonic determination of BF and LMA in market-weight cattle, sheep and pigs. The day prior to slaughter, five persons scanned 45 pigs, 32 sheep and 18 cattle at the last rib using an A-mode Ithaco Model 731AM101 body composition meter (ABF) and a Johnson and Johnson Ultrasound 210DX B-mode scanner fitted with a 3.0 MHz probe. All operators measured their own B-mode recordings (OBF, OLMA); an independent, experienced technician also obtained measurements from all recordings (TBF, TLMA). Species x machine x operator interaction effects were detected (P less than .001) for ultrasonic BF. Within-species analyses also revealed that the machine x operator interaction was important (P less than .001) for all species. Analyses of ABF, OBF, TBF, OLMA and TLMA detected species x operator interactions (P less than .001) for all traits except TLMA (P less than .20). Assuming a random model with animal, operator and residual effects, variance components were estimated by maximum likelihood for each species. Repeatabilities, calculated as the intraclass correlation among animals for BF and LMA scanned and interpreted by different operators, were .13, .21 and .51 (OBF) and .28, .15 and .29 (OLMA) for cattle, sheep and pigs, respectively, indicating the importance of operator effects. Repeatabilities of TBF were .90, .42 and .68 and of TLMA were .19, .55 and .65 for cattle, sheep and pigs, respectively, indicating the importance of image interpretation in determining operator effects associated with use of the 210DX B-mode scanner. Technical training standards must, therefore, be established for operators of such equipment.

Adipose Tissue↗
PubMedDate not supplied

An interactive program for the analysis of ENG tracings.

An interactive program for clinical and research evaluation of vestibular nystagmus has been developed. Because of the interactive structure of the program, the clinician can make immediate decisions on the interpretation of controversial aspects of the nystagmogram; therefore even the more irregular and noisy ENG tracings, frequently obtained from pathological subjects, can be easily processed. In this way, speed and accuracy of computer processing are coupled with intelligent activity and critical judgement of the clinical evaluation. The program can be implemented on a general purpose minicomputer and no specific technical training is required for its use. The structure of the program and the operations performed by main subsystems are discussed in detail. Examples of ENG tracings processed with the program are reported.

Computers↗
PubMed1979

Training for biomedical engineering in India.

There are biomedical engineers in India and a demand for their services, but there is an absence of trained technical staff to apply the subject within the hospitals. The current situation of the medical electronics aspect of biomedical engineering within Industry, the Hospitals and Educational Institutions is described and some of the problems identified. The particular problems of the growth of a complex technical subject within a developing country are also considered.

Biomedical Engineering↗
PubMed1996

Method for treating and processing whole chick embryos for autoradiography, immunocytochemistry and other techniques.

A method is presented for in situ treatment of whole chick embryos with drugs and immunocytochemical and fixative reagents that resembles conditions "in ovo." The chick embryo is placed in a "shell-less" culture system where it is contained by an agar ring allowing for treatment in vivo. The conceptus (embryo+membranes) is then mounted on a microporous membrane and inserted into a filter device connected to a three-way stopcock that permits fluids to be changed using syringes. The embryo is then processed in toto or after embedding and sectioning for light or electron microscopy. The proposed handling system decreases technical artifacts and changes in the topographic microanatomy produced by conventional manipulation of chick embryos. This method is useful also for directly observing and recording changes in the embryo during drug treatments and allows processing with dangerous reagents without their direct contact with the operator. It is simple, inexpensive and requires only minimal technical training.

Animals↗
PubMed2004

Evaluation of hearing loss in infants and young children.

The identification, assessment, and management of hearing impairment in the pediatric population can be a challenging endeavor. Nevertheless, newer technology, improved techniques, and the cooperative efforts of various professional organizations and their constituencies have made significant strides toward achieving this goal. As more precise objective technologies are introduced, there will be a tendency to rely more heavily on their application. Both IA and OAEs have already made significant impact in pediatric practices because of their ease and simplicity. Within a short period of time, trained technical staff can become proficient in their usage and test interpretation. Their application in conjunction with basic audiometry can provide a global picture of auditory status (Table 2). However, it is critical to recall that the basic building block of auditory assessment is the audiogram, a true measure of behavioral threshold sensitivity. Therefore, when test results suggest hearing impairment, appropriate audiological referral to the will ensure continuity of services and provision of rehabilitative measures. It is equally essential for primary care providers to understand the therapeutic needs of their patients and to manage and coordinate the medical aspects of the infant or child when hearing loss is suspected.

Acoustic Impedance Tests↗
PubMedDate not supplied

Occupational therapy's link to vocational reeducation, 1910-1925.

The development of occupational therapy is rooted in early 20th century medical reform. During the early 1910s, several members of the medical profession, human service workers, and the larger American society were increasingly disturbed by medical practices that did not consider the individual's personal experience of disability. Occupational therapy was developed, in part, out of this desire to provide persons with treatment that helped them to function in their communities despite their disability. Early occupational therapy leaders envisioned the fledgling profession as a societal service capable of assisting persons with disabilities to return to both work and community life. Vocational reeducation was initially considered to be an integral component of occupational therapy in the years from 1910 to 1920. However, the profession's early link to vocational reduction was challenged by vocational technical trainers during World War I. To prevent occupational therapy from being subsumed by vocational technical training, the early occupational therapy leaders implemented several strategies: adoption of physician prescription for all occupational therapy services, delivery of occupational therapy services primarily within hospital settings, and dissociation from vocational reeducation services. Reasons accounting for why the early occupational therapy leaders abandoned their initial commitment to vocational reeducation are explored. Suggestions about how this decision has affected present-day practice are also offered.

Persons with Disabilities↗
PubMed1989

Comparison of job expectations fulfillment of BS and entry-level PharmD graduates in hospital and community practice.

Job expectations are an important link between work and subsequent employee mental and physical well-being. Schools and colleges play an important role in the development of job expectations. This role gives them the responsibility of not only technically training students but also instilling in them realistic job previews and career expectations. Failure to do so places the graduate in a state of conflict between the reality of work in his/her chosen career and his/her preconceived expectations regarding the work. This state represents a potential source of job-related stress. BS and entry level PharmD training programs represent two approaches to pharmaceutical education in a practice environment which remains essentially the same for graduates of both programs. As such, there is the potential for a mismatch of job expectations resulting from one or both of the degree types. The present study investigated the following research questions: (i) to what extent are job expectations being fulfilled for pharmacists in hospital and community pharmacy; and (ii) in community and hospital practice, does the fulfillment of job expectations of BS and entry level PharmD graduates differ? Questionnaires were mailed to randomly selected 1980 to 1986 graduates of seven schools or colleges of pharmacy to elicit responses regarding fulfillment of job expectations in their present community or hospital pharmacy positions. The response rate was 48 percent. The subsequent data revealed that pharmacists generally felt that their job expectations were being fulfilled. No differences in overall fulfillment of job expectations were found between BS and entry level PharmD graduates in either community or hospital pharmacy practice.(ABSTRACT TRUNCATED AT 250 WORDS)

Attitude of Health Personnel↗
PubMed1988

Controlling workers' compensation costs.

Providers should try to prevent as many losses as possible through inservices on proper lifting techniques, placing wet-floor signs while mopping, etc. The losses which can't be prevented must be controlled. Implement easy-to-understand, yet effective, policies and procedures, making the injured employees and insurance carrier accountable. Stop relying exclusively on those traditionally relied upon to provide risk management services. Brokers/agents seldom have the technical training in all aspects of insurance or the knowledge of the day-to-day operations of an employer. Insurance companies are more concerned about their costs than how ineffective claims handling and inadvertent over-reserving affects a facility's day-to-day operations and premiums. If an employer is large enough, it should hire someone in-house or subcontract risk management services if the service company proves that it knows how to implement and monitor a cost-effective risk management program. Taking the old adage, "you have to spend money to make money," one step further: "you have to spend a little money to save lots of money."

Cost Control↗
PubMedDate not supplied

Across the water and down the ladder: occupational health in the global economy.

As the world economy becomes more integrated, and as industrial production expands in poor nations, workers in these nations face a range of occupational health and safety hazards. This article discusses the political economy of occupational health in developing nations by reference to multinational companies, free trade zones, free trade agreements, and the export of hazards. It reviews the special circumstances of occupational safety and health in developing nations and presents data on morbidity and mortality related to workplace exposures in these nations. Finally, it discusses approaches to improving workplace safety in developing nations, including policy initiatives, both mandated and voluntary, and public health initiatives, including training, technical assistance, collaborative research, and advocacy.

Developing Countries↗
PubMed1999

[Aesthetic surgery update].

Aesthetic surgery has its origin in plastic surgery. It has considerably developed to such a point that the number of procedures performed at the present time is well over the reconstructive procedures. After having emphasized the importance of patient's motivation and the high level of specific technical training of the plastic surgeon, the most common procedures are illustrated. Their major advantages and pitfalls are outlined.

Blepharoplasty↗
PubMed2000

[Overview of sleep medicine and sleep respiratory disorders centers in Japan].

Sleep medicine in Japan evolved gradually, beginning with sleep research being conducted in the late 1960's exclusively on the university basis. Japan Sleep Society was founded in 1977 mainly by psychiatrists. Recently public awareness regarding sleep related breathing disorders has been raised as a result of a media campaign in Japan. However, the medical service system is unable to appropriately meet the needs of caring for sleep-disordered patients due to insufficient reimbursement and the lack of well-trained technical personnel. So far only several sleep centers existed in Japan. To make sleep be included in the mainstream of the health care system, the educational system and throughout society, many tasks remains to be done by healthcare professionals and government.

Academic Medical Centers↗
PubMed2000

The natural history of cervical cryosurgical healing. The minimal effect of debridement of the cervical eschar [see comment].

BACKGROUND: Cryosurgery is a favored treatment method for cervical intraepithelial neoplasia (CIN) among family physicians, in part because it is inexpensive and requires the least technical training and skill. Although cervical cryosurgery has been used for more than 30 years, the natural history of the postprocedure process has never been described. The primary purpose of our study was to describe the natural history of the healing process after cervical cryosurgery. A secondary purpose was to determine the effect of mechanical debridement of the cervical eschar on the symptoms of healing. METHODS: We conducted a prospective multicentered trial in which women who had a histologic ally documented CIN lesion underwent cervical cryosurgery. Forty-six women were randomized to undergo eschar debridement at 48 hours after cryosurgey, and 38 women received standard care. All women were followed up and given preweighed sanitary pads for hydrorrhea (watery discharge) collection and a diary to record the severity and number of days of odor, pain, cramping, and hydrorrhea that were experienced. RESULTS: The average total amount of hydrorrhea or discharge was 288 g, which required using an average of 41 sanitary pads during a period of 12.4 days. The duration of odor was 8.9 days, and the pain and cramping experienced after cryosurgery lasted 4.7 days. Women who were obese had greater hydrorrhea and pad usage than nonobese women. Debridement of the cervical eschar did not significantly change the signs and symptoms of healing after cryosurgery. CONCLUSIONS: There are significant symptoms patients experience after cryosurgery that are not ameliorated by debridement. The expectations of the cryosurgical healing process should be disclosed to women before the procedure.

Adult↗
PubMedDate not supplied

Impact of an electronic medical record system on community-based primary care practices.

BACKGROUND: Although primary care physicians are increasingly interested in adopting electronic medical record (EMR) systems, few use such systems in practice. This study explores the organizational impact of an EMR system on community-based practices that have overcome the initial barriers and are experienced EMR users. METHODS: Five primary care practices that are members of a national research network participated in this study. Using qualitative methods, including semistructured interviews and observations, we assessed the impact of an EMR system on the work lives of various user groups. RESULTS: Physicians and staff indicated that the EMR system has changed not only how they manage patient records but also how they communicate with each other, provide patient care services, and perform job responsibilities. The EMR is also perceived by its users to have an impact on practice costs. Although in most practices physicians and staff were unaware of actual expenses and cost savings associated with the EMR, those in practices that have eliminated duplicate paper-based systems believe they have realized cost savings. CONCLUSIONS: Several important themes emerged. The organizational context in which the system is implemented is important. Effective leadership, the presence of a system champion, availability of technical training and support, and adequate resources are essential elements to the success of the EMR.

Community Health Services↗
PubMed2000

Safe drinking water production in rural areas: a comparison between developed and less developed countries.

At the fundamental level, there are remarkable parallels between developed and less developed countries in problems of providing safe drinking water in rural areas, but of course, they differ greatly in degree and in the opportunities for resolution. Small water supplies frequently encounter difficulty accessing sufficient quantities of drinking water for all domestic uses. If the water must be treated for safety reasons, then treatment facilities and trained operating personnel and finances are always in short supply. Ideally, each solution should be sustainable within its own cultural, political and economic context, and preferably with local personnel and financial resources. Otherwise, the water supply will be continuously dependent on outside resources and thus will not be able to control its destiny, and its future will be questionable. The history of success in this regard has been inconsistent, particularly in less developed but also in some developed countries. The traditional and ideal solution in developing countries has been central water treatment and a piped distribution network, however, results have had a mixed history primarily due to high initial costs and operation and maintenance, inadequate access to training, management and finance sufficient to support a fairly complex system for the long term. These complete systems are also slow to be implemented so waterborne disease continues in the interim. Thus, non-traditional, creative, cost-effective practical solutions that can be more rapidly implemented are needed. Some of these options could involve: small package central treatment coupled with non piped distribution, e.g. community supplied bottled water; decentralized treatment for the home using basic filtration and/or disinfection; higher levels of technology to deal with chemical contaminants e.g. natural fluoride or arsenic. These technological options coupled with training, technical support and other essential elements like community commitment provide opportunities that should be explored both for rural small communities and in rapidly growing periurban areas in developing countries.

Developed Countries↗