Singletonjohnsen7427

Although international medical graduates (IMGs) make up a substantial part of the Australian rural general practice workforce, most research on factors associated with rural practice has focused on Australian medical graduates (AMGs). This study aimed to determine whether there were differences between IMGs and AMGs in terms of these factors. Registrars in training and recent fellows (Fellowship of the Royal Australian College of General Practitioners/Fellowship of the Australian College of Rural and Remote Medicine) who participated in training in rural and regional Australia were surveyed about practice models and rural practice. Almost two-thirds of participants were practicing or intending to practice in rural areas, with no difference between AMGs and IMGs. None of the variables associated with rural practice for AMGs was found to be associated with rural practice in IMGs in univariate binary regression analysis. Two key variables that are strongly associated with rural medical practice in the current literature, namely rural background and rural exposure, were not significant predictors of rural practice among IMGs. Due to the significant number of IMGs in regional training programs, any future incentives designed to improve rural recruitment and retention need to address factors relevant to IMGs.ObjectiveLong specialist out-patient waitlists are common in public health facilities, but not all patients require consultation with a medical specialist. Studies of single allied health primary contact services have shown they provide timely, appropriate care and reduce demand on medical specialist out-patient waitlists. This study evaluated the collective benefits across multiple allied health primary contact services and models to determine their clinical effectiveness, safety, timeliness of care and impact on medical specialist out-patient waitlists.MethodUsing a prospective observational study design, data were collected and analysed for patients attending 47 allied health primary contact services in Queensland public hospitals over a 2-year period. Outcomes reported are global status, adverse events, wait times and impact on medical specialist out-patient waitlists.ResultsIn all, 10634 patients were managed in and discharged from the allied health services. Most adult patients (80%) who attended at leay contact services as a viable option to increase specialist out-patient capacity. Service model characteristics that maximise impact on medical specialist out-patient waitlist management are highlighted to inform resource allocation.This article presents a novel electromyography (EMG)-driven exoneuromusculoskeleton that integrates the neuromuscular electrical stimulation (NMES), soft pneumatic muscle, and exoskeleton techniques, for self-help upper limb training after stroke. check details The developed system can assist the elbow, wrist, and fingers to perform sequential arm reaching and withdrawing tasks under voluntary effort control through EMG, with a lightweight, compact, and low-power requirement design. The pressure/torque transmission properties of the designed musculoskeletons were quantified, and the assistive capability of the developed system was evaluated on patients with chronic stroke (n = 10). The designed musculoskeletons exerted sufficient mechanical torque to support joint extension for stroke survivors. Compared with the limb performance when no assistance was provided, the limb performance (measured as the range of motion in joint extension) significantly improved when mechanical torque and NMES were provided (p  less then  0.05). A pilot trial was conducted on patients with chronic stroke (n = 15) to investigate the feasibility of using the developed system in self-help training and the rehabilitation effects of the system. All the participants completed the self-help device-assisted training with minimal professional assistance. After a 20-session training, significant improvements were noted in the voluntary motor function and release of muscle spasticity at the elbow, wrist, and fingers, as indicated by the clinical scores (p  less then  0.05). The EMG parameters (p  less then  0.05) indicated that the muscular coordination of the entire upper limb improved significantly after training. The results suggested that the developed system can effectively support self-help upper limb rehabilitation after stroke. ClinicalTrials.gov Register Number NCT03752775.

Clubhouses have demonstrated significant positive psychosocial outcomes, in addition to more enduring resiliencies for persons with histories of severe persistent mental illness (SPMI). However, there is a paucity of research investigating the recovery processes impacted by community-based interventions like clubhouse for SPMI. Research into metacognition and its relation to recovery trajectories in SPMI creates a compelling cognitive and intersubjective framework within which to understand the recovery impacts of the clubhouse intervention model of social practice.

The present article examines significant areas of conceptual overlap between the clubhouse model of social practice, metacognition, and intersubjective recovery processes. A preliminary research project investigating the metacognitive impacts of community-based interventions for SPMI is presented.

An overview of the theoretical and practical relevance of the clubhouse community-based treatment model of social practice to metacognitive recovery processes is presented through a discussion of the resilience observed in clubhouse settings as it relates to the enhancement of intersubjectivity.

The clubhouse model of social practice is a unique therapeutic modality with outcomes that can be readily investigated and explained through metacognitive processes relevant to recovery in SPMI. (PsycInfo Database Record (c) 2020 APA, all rights reserved).

The clubhouse model of social practice is a unique therapeutic modality with outcomes that can be readily investigated and explained through metacognitive processes relevant to recovery in SPMI. (PsycInfo Database Record (c) 2020 APA, all rights reserved).