Developing an entrustable professional activity for providing health education and consultation in occupational therapy and examining its validity.

Background: Entrustable Professional Activities (EPA)-based assessment is easily and intuitively used in evaluating the learning outcomes of competency-based medical education (CBME). This study aimed to develop an EPA for occupational therapy focused on providing health education and consultation (TP-EPA3) and examine its validity.

Methods: Nineteen occupational therapists who had completed online training on the EQual rubric evaluation participated in this study.

Integrating land cover, point source pollution, and watershed hydrologic processes data to understand the distribution of microplastics in riverbed sediments.

Microplastics are emerging contaminants ubiquitously distributed in the environment, with rivers acting as their main mode of transport in surface freshwater systems. However, the relative importance of hydrologic processes and source-related variables for benthic microplastic distribution in river sediments is not well understood. We therefore sampled and characterized microplastics in river sediments across the Meramec River watershed (eastern Missouri, United States) and applied a hydrologic modeling approach to estimate the relative importance of river discharge, river sediment load, land cover, and point source pollution sites to understand how these environmental factors affect microplastic distribution in benthic sediments.

A Pilot Study of Two Different Constraint-Induced Movement Therapy Interventions in Children With Hemiplegic Cerebral Palsy After Botulinum Toxin Injection During Preschool Education.

To establish a pilot study on applying two low dose (40 h) constraint-induced movement therapy (CIMT) interventions in children with hemiplegic cerebral palsy (CP) after botulinum toxin (BoNT-A) injection during preschool education. Five children with spastic CP (mean age: 5.31 years; Gross Motor Function Classification System level I and II) undergoing regular BoNT-A injections and rehabilitation programs were included.

Assessing the potential of riparian reforestation to facilitate watershed climate adaptation.

Transformations of forested areas to agricultural and urban uses are known to degrade freshwater ecosystems, in part, because of increased surface runoff and soil erosion. Changes in climate are expected to exacerbate these impacts, particularly through increases and intensification of precipitation events during various times of the year. While decreases in greenhouse gas emissions are ultimately necessary to minimize changes in climate, best management practices (BMPs), such as reforestation, can serve as watershed climate adaptation strategies to mitigate the impacts of changes in air temperature and precipitation.

A rare complication of functional endoscopic sinus surgery: maxillary atelectasis-induced spontaneous enophthalmos.

Background: The first case report of spontaneous enophthalmos due to maxillary atelectasis as a late complication of FESS is presented.

Methods: Chart review of a 24-year-old male who developed a left progressive enophthalmos within three months post bilateral functional endoscopic sinus surgery.

Results: The preoperative computed tomography showed a normal left maxillary sinus.

Vestibular evoked myogenic potentials in acute low-tone sensorineural hearing loss.

Objective/hypothesis: It was the authors' premise that the vestibular evoked myogenic potential (VEMP) test may be used to differentiate acute low-tone hearing loss (ALHL) from Meniere's disease with low-tone HL.

Study Design: Prospective study.

Methods: From January 2000 to December 2002, consecutive 12 patients with ALHL and another 12 patients with definite Meniere's disease with low-tone HL were enrolled in this study.

Herpes zoster laryngis with prelaryngeal skin erythema.

A 74-year-old man came to our hospital with complete left vocal cord paralysis and erythema of the prelaryngeal skin. The patient also had mucosal swelling and erosions in the left arytenoid cartilage, aryepiglottic fold, and pyriform sinus. Herpetic vesicles developed over the prelaryngeal erythema 4 days after admission.