Effects of an educational compact intervention in self-care - a mixed methods study with postgraduate trainees in primary care.

Background: Multiple studies indicate that residents in family medicine (FM) are exposed to considerable stress and are particularly affected by burnout syndrome. Aim of the study was to specify the effects of a so-called "compact intervention" (i.e.

Community engagement and the importance of partnerships within the Great Lakes Areas of Concern program: A mixed-methods case study.

The Great Lakes Areas of Concern (AOC) program was created through amendments to the Great Lakes Water Quality Agreement (GLWQA) in 1987 to restore contaminated sites using an ecosystem-based approach. This program represents one of the first instances of ecosystem-based management (EBM) in the Great Lakes region with a specific focus on the inclusion of the public and local stakeholders in the process. Despite official language incorporating EBM in the AOC program, implementation of these practices has not been consistent across AOCs given differences in local arrangements of Public Advisory Councils (PACs), approaches to community engagement, and environmental problems.

Evaluation of Capping Materials to Reduce Zinc Flux from Sediments in a Former Mining Pit Lake.

Wilson Mine is a former vanadium mine site located in the Ouachita Mountains near Hot Springs, Arkansas. The site, which drains via two streams to Lake Catherine, has undergone extensive reclamation to significantly reduce groundwater and surface water contact with mine spoils. One of the streams passes through a former mine pit forming East Wilson Pond, and flux from pit lake sediments can result in elevated metal, that is, zinc (Zn), concentrations in overlying water.

How to strengthen basic competencies in self-care - a pre-post interventional study with postgraduate trainees in family medicine in Germany.

: Self-care includes taking care of our psychosocial health. Many experts agree that self-care should be included in training for Family Medicine (FM) residents, though it is unclear to what extent and by what means. The aim of this study was to evaluate competencies of FM residents in self-care and changes in knowledge, skills and attitudes after an educational compact intervention.

Mental health of postgraduate trainees in primary care: a cross-sectional study.

Background: General Practitioners (GPs) are increasingly affected by stress-related complaints and burnout. Although many studies have addressed this issue, little is known about the stress burden and burnout rates of postgraduate trainees specialising in General Practice (GP). This cross-sectional study was performed to explore the prevalence and risk of depression, stress and burnout in a large cohort of GP trainees.

Laboratory and Field-Based Assessment of the Effects of Sediment Capping Materials on Zinc Flux, Bioavailability, and Toxicity.

A former mining site has been the subject of extensive remediation and restoration, with a significant focus on disconnecting mine spoils from groundwater and managing the quantity and quality of runoff. A remaining task is ensuring concentrations of zinc (Zn) in the stream outflow of a pit lake are reduced below water quality standards. The efficacy of multiple capping materials for decreasing Zn dissolution from sediments was conducted under natural and reasonable worst-case conditions (pH = 5.

Metal Toxicity During Short-Term Sediment Resuspension and Redeposition in a Tropical Reservoir.

Billings Complex is the largest water-storage reservoir in São Paulo, Brazil, and has been contaminated since the 1960s. Periodically, Billings sediments are subjected to currents causing resuspension and subsequent release of metals. A short-term (4-h) resuspension was simulated using sediment flux exposure chambers (SeFECs) to better understand the fate, bioavailability, and transport of iron (Fe), manganese (Mn), and zinc (Zn) during these events, as well as possible organism toxicity.

OmpR regulation of the uropathogenic Escherichia coli fimB gene in an acidic/high osmolality environment.

Uropathogenic Escherichia coli (UPEC) causes more than 90 % of all human urinary tract infections through type 1 piliated UPEC cells binding to bladder epithelial cells. The FimB and FimE site-specific recombinases orient the fimS element containing the fimA structural gene promoter. Regulation of fimB and fimE depends on environmental pH and osmolality.

Clinical evaluation of Guido robotic walker.

The Guido is a robotic walker that provides navigation and obstacle-avoidance assistance. Engineering tests have found that the device performs adequately and presents no hazard to the user. The performance of the Guido was compared with a low-tech mobility aid, the Assistive Mobility Device (AMD) developed at the Atlanta Department of Veterans Affairs Medical Center, in trials involving older adults with visual impairments.

New mutations in protein kinase Cgamma associated with spinocerebellar ataxia type 14.

Autosomal dominant cerebellar ataxias (ADCA) are a heterogeneous group of neurological disorders. Point mutations in the gene encoding protein kinase Cgamma (PRKCG) are responsible for spinocerebellar ataxia 14 (SCA14). We screened for mutations in the PRKCG gene, in a large series of 284 ADCA index cases, mostly French (n=204) and German (n=48), in whom CAG repeat expansions in the known SCA genes were previously excluded.

Durability, value, and reliability of selected electric powered wheelchairs.

Objective: To compare the durability, value, and reliability of selected electric powered wheelchairs (EPWs), purchased in 1998.

Design: Engineering standards tests of quality and performance.

Setting: A rehabilitation engineering center.

Evaluation of selected electric-powered wheelchairs using the ANSI/RESNA standards.

Objectives: To compare the performance characteristics of different electric-powered wheelchairs (EPWs) and to evaluate the effectiveness of the American National Standards Institute/Rehabilitation Engineering and Assistive Technology Society of North America (ANSI/RESNA) wheelchair standards.

Design: Five types of EPWs were selected. Three wheelchairs of each type were tested according to the ANSI/RESNA wheelchair standards.

Intelligent walkers for the elderly: performance and safety testing of VA-PAMAID robotic walker.

A walker that could help navigate and avoid collisions with obstacles could help reduce health costs and increase the quality of care and independence of thousands of people. This study evaluated the safety and performance of the Veterans Affairs Personal Adaptive Mobility Aid (VA-PAMAID). We performed engineering tests on the VA-PAMAID to determine safety factors, including stability, energy consumption, fatigue life, and sensor and control malfunctions.

Comparison of fatigue life for 3 types of manual wheelchairs.

Objectives: To examine 3 types of manual wheelchairs-ultralight wheelchairs (UWs), lightweight wheelchairs (LWs), and depot wheelchairs (DWs)-and to compare the fatigue life between the wheelchair types.

Design: A database of different manual wheelchairs tested according to the International Organization for Standardization (ISO). Fatigue life was determined by using standards that define methods accepted internationally using double-drum and curb-drop testing equipment.

Wheelchair armrest strength testing.

There are about 1.4 million manual wheelchair users, 100,000 electric-powered wheelchair users, and 60,000 electric-powered scooter users. The current study was undertaken to determine if the fasteners of a clamp-type armrest receiver were prone to failure.

Evaluation of a pushrim-activated, power-assisted wheelchair.

Objective: To evaluate a novel pushrim-activated, power-assisted wheelchair (PAPAW) for compliance with wheelchair standards, metabolic energy cost during propulsion, and ergonomics during selected activities of daily living (ADLs).

Design: A 3-phase study, the second and third of which were repeated-measures designs.

Setting: A rehabilitation engineering center within a Veterans Affairs medical center.

Displacement between the seating surface and hybrid test dummy during transitions with a variable configuration wheelchair: a technical note.

Changing seating posture can extend the amount of time a person can safely remain seated without damaging tissue or becoming fatigued. The Excelsior is an electrically powered wheelchair that utilizes sit-to-stand (STS) and sit-to-recline (STR) motions to aid in pressure relief. The motion of the wheelchair seating system must closely follow anatomical paths or ulcers may develop from the resulting shear forces.

User assessment of manual wheelchair ride comfort and ergonomics.

Objective: To examine wheelchair-user perceived ride comfort during propulsion and to compare the ride comfort of ultralight and lightweight manual wheelchairs. An ultralight wheelchair is defined as having a high degree of adjustability, whereas a lightweight wheelchair has minimal adjustability.

Design And Participants: Repeated measures design of a sample of 30 community-dwelling manual wheelchair users evaluating 7 different manual wheelchairs over an activities of daily living course.

Augmentation of the 100 kg ISO wheelchair test dummy to accommodate higher mass: a technical note.

Most of the 22 approved or developing ISO standards rely on a wheelchair test dummy, a specialized device described in ISO 7176-11. The purpose of this study was to develop a means for modifying the design of the ISO 7176-11 test dummy to be suitable for testing with higher masses. The changes are based upon published data for obese individuals.

Fatigue-life of two manual wheelchair cross-brace designs.

Objective: To compare the durability of two designs of cross-braces for folding manual wheelchairs and to determine the nature of wheelchair cross-brace failures.

Design: Fatigue testing of two folding wheelchair cross-brace designs (one with a rectangular cross-section and the other with a circular cross-section). A total of 20 cross-brace pairs were tested.

Evaluation of selected ultralight manual wheelchairs using ANSI/RESNA standards.

Objectives: To provide data for clinicians and wheelchair users to compare the durability, strength, stability, and cost effectiveness of four different ultralight wheelchair models, and to compare the results of this study with those published for lightweight wheelchairs.

Design: Standards testing and cost-effectiveness analysis of four wheelchair models from different manufacturers (12 wheelchairs total).

Results: There were significant differences (p< or =.