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Professional certification procedures: a developmental forecast for the year 2000.

This paper presents the technique of future forecasting through the development of a scenario based on the process of certification. The paper focuses on the demands of consumer groups. influence of world events, actions taken by Government, and developments within medicine, nursing and occupational therapy through the presentation of a scenario which spans the years 1983-2000. No claim is made that the contents of the scenario will become reality. Rather, the technique is presented as another tool that could be used by the profession in the development of future plans and policies.

Canada↗

Muriel Driver Memorial Lecture 1981: the mists of time.

In honour of the fiftieth anniversary of the first "Convention" held by the Canadian Association of Occupational Therapists (CAOT) in 1931, a brief history of the founding of the CAOT and the early development of the profession in Canada is presented. The early beginnings and activities of the CAOT are traced from its conception during World War 1, through its formation in 1926 to its "coming of age" in 1966. Significant events in the growth of the Association and the practice of occupational therapy in Canada, and the Canadian influence on occupational therapy in Great Britain are outlined. Some issues relevant to yesterday and today are suggested.

Canada↗

Computerized placement in dentistry: the Minnesota experience.

In response to identified manpower information and service requirements, the Minnesota Dental Association, the board of dentistry, and the University of Minnesota School of Dentistry established the Dental Information Service Center in 1972. One major effort of the center was to develop a computerized placement service for dentistry in the state. This service was recently subjected to a user evaluation. Of 1,030 delivered questionnaires, 431 were returned in response to a single mailing. The respondents included 216 employers and 215 employees, including dentists seeking positions. Dental employers generally found the system to be their most successful strategy in the search for employees; from the perspective of employees, other sources such as personal contact competed with the computerized system as the most successful source of information. Evidence from this evaluation indicates that the computerized placement experience in Minnesota has been quite positive. Dentists have relied on the service somewhat more heavily than other dental occupational groups, possibly because alternate sources of information traditionally have not served the health professions. Overall satisfaction ran quite high, and an overwhelming majority of the respondents thought that the service should be continued and expanded to either a regional or a national level.

Dentistry↗

A comparison of entrance and graduation requirements for the Au.D. with other first professional degrees.

Over the past several years there has been increasing reference to the Doctor of Audiology degree (Au.D.) as a "first professional degree." Currently, first professional degrees are awarded in the fields of chiropractic, dentistry, law, medicine, optometry, osteopathic medicine, pharmacy, podiatry, theology, and veterinary medicine. General entrance requirements, clinical experiences, and graduation requirements for the Au.D. degree were compared to the health-care professions awarding first professional degrees. Comparisons were also made to the professions of pharmacy, psychology and speech-language pathology. For all first professional degree occupations, unique entrance and competency examination processes have been developed. The four-year postbachelor's Au.D. degree model is similar in length to first professional degree programs, although most of the other occupations provide the opportunity to specialize after graduation. For the factors examined in this study, including entrance requirements, entrance examinations, program length, graduation requirements, and certification requirements, the Au.D. continues to be more similar to the nonprofessional degree models of psychology and speech-language pathology. The comparison with first professional degree programs yields information for possible further evolution of the education of audiologists.

Audiology↗

From Ellis Island to assisted living: meeting the needs of older adults from diverse cultures.

Among the rapidly increasing population of older adults, the minority elderly have also been increasing in numbers and are projected to grow at a more rapid rate than the white population well into the next century (American Association of Retired Persons, 1989). This factor, together with the existence of substantial ethnic diversity among both white and minority elders, mandates that our profession examine how we address the associated needs of all older adults who receive occupational therapy services in order to promote optimal performance and quality of life. Rationales for providers to increase personal awareness of these factors as basic contextual determinants in providing services are offered. The inclusion of cultural and ethnic considerations in all interventions with older adults as critical components in the provision of quality service is given, together with suggestions for methods of implementation.

Aged↗

[Incidence of hypertension and ischemic heart disease with temporary disability among workers exposed to vibration].

The article reveals the pathologic changes in man caused by vibration and detects morbidity with temporary disability (MTD), hypertension disease (HD), and ischemic heart disease (IHD) in vibration-related professions in ore extraction, metallurgic industries, etc. The morbidity data used are established on vascular tension, neuro-humoral regulation and lipid metabolism changes, and the results obtained are given in comparison with the nation-wide computerized MTD-data for 1982-1986 and those for the Communication branch. Considerably high HD and IHD incidencies have been revealed in vibration-related professions and compared to the sample branch. Computerized systems' possibilities are evaluated in MTD occupational risk-factors assessment.

Bulgaria↗

[Subjective assessment of stress and monotony in manufacturing workers in the food and flavorings industries].

Data are given on the results from studies of the subjective evaluation of stress and monotony of work with basic professions in the production of chocolate products, waffles and pastry. The evaluation of the occupational monotony and stress points out to certain age differences. All women workers (save those above 50 years) estimate their work as moderately monotonous. The women workers up to 25 years old go through the monotony of work with decreased vigilance, boredom and psychic satiety, which is due to the incomplete adaptation to the work performed, their attitude towards it and the aspiration towards more qualified work. The psychic stress in the younger is a result from the experience of the monotony and reiteration, and in the remaining groups--from the high imposed speed and emotional unsteadiness.

Adult↗

Hypersensitivity in aseptic loosening of total hip replacements. The role of constituents of bone cement.

Aseptic loosening is seen in a significant proportion of cemented total hip replacements (THR). In a small subgroup of patients who suffer early loosening polyethylene debris is unlikely to be responsible. We recently reported one case of allergic contact dermatitis to N,N-dimethylparatoluidine (DMT), an accelerator used in bone cement. We have therefore investigated this using skin-patch tests to a variety of substances including metals, polyethylene and the separated individual components of Simplex cement. We studied 70 patients, 15 with aseptic loosening less than two years after THR, 25 with satisfactory long-term cemented fixation, five with infected loosening of cemented THRs and 25 awaiting hip arthroplasty. We found seven positive reactions to DMT, all of them in patients with the rapid onset of aseptic loosening. Allergy to DMT is recognized in the dental profession in respect of the 'denture sore mouth' syndrome, and could also be an occupational hazard since some industrial glues contain DMT. Our results suggest the need for awareness of possible previous dental or occupational exposure of the constituents of bone cement. We recommend the use of skin-patch testing in high-risk cases.

Aged↗

Strategic planning: positioning occupational therapy to be proactive in the new health care paradigm.

Strategic planning can be a powerful tool for occupational therapists seeking to position themselves to be leaders in the rapidly changing health care environment. The philosophical base and values of occupational therapy are consistent with those embraced by the emerging health care paradigm. However, occupational therapy staff at Victoria Hospital, an acute care university-affiliated health care institution, identified obstacles to seizing the opportunities offered by this shift in health care. In reviewing the literature, it was discovered that these obstacles were not unique to one particular facility, but were in fact common issues faced by the profession. The strategic planning process described in this paper provided a framework for addressing the identified barriers and positioning occupational therapists to play a proactive role in the evolving health care paradigm.

Hospitals, Teaching↗