A simulation model for training in group process.
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This case history details one company's success in using coding software to handle the requirements of the new ambulatory patient group (APG) system following the implementation of this complex new payment mechanism for outpatient care. Providers and payers are looking to coding software for help in billing and paying for outpatient services. Since the APG system "consolidates," "packages," and "discounts" a facility's payment for outpatient services, the new coding software helps ensure adequate reimbursement.
It has been studied with the Zielken questionnaire the modification of second year medical students mental health symptomatology after two different group activities. The results showed that subjects who participate in any groups improved significantly when compared those of the sensitization treatment groups with those with control groups results indicates that sensitization groups subjects grew better than controls for the perception of professional difficulties. Internal locus of control for mood disturbances diminished more in control groups.
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According to feature integration theory, conjunction search is conducted via a serial self-terminating search. However, effects attributed to search processes operating on the entire display may actually reflect search restricted to elements defined by a single feature. In experiment 1 this question is addressed in a reaction-time (RT) paradigm by varying distractor ratios within an array of fixed size. For trials in which the target was present in the array, RT functions were roughly symmetric, the shortest RTs being for extreme distractor ratios, and the longest RTs being for arrays in which there were an equal number of each distractor type. This result is superficially consistent with Zohary and Hochstein's interpretation that subjects search for only one distractor type and are able to switch search strategy from trial to trial. However, negative-trial data from experiment 1 case doubt on this interpretation. In experiment 2 the possible role of 'pop out' and of distractor grouping in visual conjunction search is investigated. Results of experiment 2 suggest that grouping may play a more important role than does distractor ratio, and point to the importance of the spatial layout of the target and of the distractor elements in visual conjunction search. Results of experiment 2 also provide clear evidence that groups of spatially adjacent homogeneous elements may be processed as a unit.
Geriatric rehabilitation includes medical treatment, physical therapy, and therapy in both the psycho-social field and the activities of daily living (ADL). Its objective is to return the individual to independent functioning. This may be achieved through art therapy, which enables verbal and non-verbal communication; the expression of personal feelings; and physical, sensorimotor, and cognitive therapy. Group work with hospitalized elderly people is general limited, and art therapy using clay is particularly so. Yet it can stimulate feelings of fellowship and evoke a sense of cooperation and support. This article reviews group work with clay as an additional form of therapy with a group of 8 patients with Cerebrovascular Accident (CVA), or stroke, and femur neck fractures. The objective of the therapy was to combine bilateral sensorimotor activities of the upper limbs with social interaction directed towards future leisure-time activity. The subject of the clay work was "the home," which is central in the life of the elderly person. The article describes initial group activity with two groups of patients. Analysis of the activity was through retrospective observation--examining videotapes, photographs, and questionnaires at the end of each session.
This ex-post facto study examined the burden experience of people caring for a stroke survivor. It was hypothesized there would be less caregiver burden in those caregivers who participated in a stroke club (experimental) than those who did not (control). The CADET was used to evaluate functional status of the stroke survivor. The Physical Caregiving Responsibility Inventory measured the degree of difficulty performing caregiving experiences, and the Geriatric Depression Scale determined caregiver depression. Advanced educational status, high income and moderate physical disabilities are related to reduced feelings of burden in the thirty-eight caregiver-survivor dyads studied.
A standard sink filter pump attached to a special glass adaptor, holding pipettes, enables groups of specimens to be fixed and dehydrated for electron microscopy with speed and safety.
As a part of any curriculum reorganization, new instructional methods are also tested. When the University of Turku sociology of medicine course was found to need renovation, its goals and objectives, content and instructional methods were closely examined and modified, in order to strengthen institutional and multiprofessional relations and reinforce sociocultural issues in doctors' competence with the patient. This paper discuss this change, emphasizing teaching and learning methodology.
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As biomedical technologies proliferate, it is incumbent upon the scientific community to monitor, validate, and encourage adoption of worthwhile procedures, drugs, and devices across the interface from research to practice. As the largest U.S. sponsor of biomedical research, the National Institutes of Health (NIH) formally established the Consensus Development Program and the Office of Medical Applications of Research (OMAR), in order to foster and improve the translation of biomedical research results into knowledge useful in the practice of medicine and public health. Individual technology assessments are conducted through a succession of consensus development conferences, which convene expert biomedical scientists, practicing clinicians, and public representatives in an effort to assess safety and efficacy, and to recommend clinical application of important medical technologies. The Consensus Development Program has evolved through three distinct stages. The "first generation," from 1977-82, initiated the experimental, untested concept of consensus development; the "second generation" (1982-84) stressed formulation of the code of standard operating principles enunciated above; and the ongoing "third generation" is testing the utility of formal data synthesis to augment assessments. OMAR is experimenting with an explicit, normative and analytic approach to aid technology assessments. Real-time microcomputer-based decision models are created to help the panel explore the implications of the data. This paper describes and discusses decision analysis and its potential applicability to medical technology assessment and consensus development. It explores OMAR's experience in testing the model during several consensus development conferences, as well as plans and projections for future investigation and implementation.