Butlerskipper6281

Individual Placement and Support (IPS) has demonstrated effectiveness in achieving competitive employment for people with severe mental illness. Yet limited efforts have been made to synthesize the literature pertaining to the experiences and perspectives of key stakeholders regarding IPS, which could be helpful for occupational therapists, given their role in vocational rehabilitation.

To synthesize qualitative literature to understand how stakeholders (including occupational therapists) experience and perceive IPS and consider the implications for future occupational therapy practice and research.

A scoping review methodology guided our review. We conducted an electronic search of qualitative and mixed-method studies on IPS.

Twenty-six articles were retrieved. SLF1081851 supplier Most studies sought clients' perspectives (

= 15), followed by practitioners (mostly employment specialists;

= 10) and only one with employers.

There is a need for research targeting practitioners and employers which will help improve the nature of the collaboration between mental health teams, vocational teams, and employers.

There is a need for research targeting practitioners and employers which will help improve the nature of the collaboration between mental health teams, vocational teams, and employers.Even though abdominal aortic aneurysm (AAA) and coronary heart disease (CHD) are both related to atherosclerosis, there could be important differences in risk factors. Based on Malmö Diet and Cancer Cohort, the incidence of AAA and CHD was followed prospectively. Cox regression was used to calculate the association of each factor with AAA and CHD and hazards ratio were compared using a modified Lunn-McNeil method; 447 participants developed AAA and 3129 developed CHD. After multivariate adjustments, smoking, antihypertensive medications, lipid-lowing medications, systolic and diastolic blood pressures, apolipoprotein (Apo) A1 (inversely), ApoB, ApoB/ApoA1 ratio, total leukocyte count, neutrophil count, and neutrophil to lymphocyte ratio were associated with the risks of both AAA and CHD. When comparing risk factor profiles for the 2 diseases, smoking, diastolic blood pressure, ApoA1, and ApoB/ApoA1 ratio had stronger associations with risk of AAA than with risk of CHD, while diabetes and unmarried status showed increased risk of CHD, but not of AAA (all P values for equal association less then .01). The results from this big population study confirm that the risk factor profiles for AAA and CHD show not only many similarities but also several important differences.

Information about factors related to better adherence to continuous glucose monitoring (CGM) sensor adherence is quite limited.

Forty-six participants with type 1 diabetes using continuous subcutaneous insulin infusion (CSII) without CGM were recruited. The participants' characteristics and diabetes-related quality of life (QOL) were evaluated at baseline and one year after starting to use CGM. Participants wearing the sensor for ≥60% of the time were considered as adherent.

The mean age of the 46 participants was 44.1 ± 15.0 years old and the mean glycohemoglobin (HbA1c) was 7.7 ± 1.0%; 60.9% of the participants were classified as adherent. The duration of using CSII was longer in the adherent group, and the degree of diabetic retinopathy was significantly different. There were no significant differences in age, frequency of self-monitoring of blood glucose, or Hypoglycemia Fear Survey (HFS-B for behavior, HFS-W for worry) score at baseline between the adherent and nonadherent groups. The Problem Areas in Diabetes (PAID) score at baseline was significantly higher and the total CSII-QOL score at baseline was significantly lower in the adherent group. The usage of dual-wave bolus was significantly increased in the adherent group (34.6%-61.5%,

 = .016), but not in the nonadherent group (33.3%-33.3%,

 > .999). The HbA1c level showed a significant improvement in the adherent group (7.8%-7.3%,

 < .001), but not in the nonadherent group (7.5%-7.2%,

 = .102).

Higher adherence to CGM sensors may be associated with a heavier emotional burden of diabetes and a worse QOL in relation to CSII at baseline.

Higher adherence to CGM sensors may be associated with a heavier emotional burden of diabetes and a worse QOL in relation to CSII at baseline.

Occupational therapists who facilitate work-related transitions after hand injury require robust evidence to inform practice.

To identify the occupational therapist's contribution to facilitate work-related transitions for persons with hand injuries and identify gaps in existing knowledge.

A systematic search was conducted from 2008 to 2018 to identify articles and doctoral theses published across 14 databases. Data was analysed descriptively.

In total, 15 studies from 16 countries (14 high and 2 upper-middle income) were identified. Four strategies to facilitate work-related transitions were identified. Clear differences were evident across country groupings.

The paucity of research limits evidence-based practice, especially in low- and middle-income countries, which indicates the need for further research.

The paucity of research limits evidence-based practice, especially in low- and middle-income countries, which indicates the need for further research.As the Vineland Scales are among the most relevant, well-developed, and popular measures of adaptive behavior available for use, this study evaluated the factor structure and dimensionality of the Vineland-3 Comprehensive Interview Form. Drawing data from 2,560 participants in the norming sample, exploratory and confirmatory factor analyses were completed across two independent samples from four age-groups ranging from preschool-age children to adults. Results from exploratory factor analysis revealed evidence for a unidimensional model across age-groups, but results from confirmatory factor analysis indicated that multidimensional models were better fitting than unidimensional models for each age-group. Discussion focuses on whether the Vineland-3 Comprehensive Interview Form is truly a unidimensional or multidimensional measure.