Research utilization models: frameworks for implementing evidence-based occupational therapy practice

Evidence-based practice is an important step in the professional evolution of occupational therapy and also provides the means for state-of-the-art innovative clinical service for clients. An essential step in incorporating innovations and developments into clinical practice is through research utilization. Nine models of research utilization developed in the literature are reviewed and critiqued. These are: (1) the Conduct and Utilization of Research in Nursing (CURN) Project; (2) the Stetler-Marram Model; (3) the University of North Carolina Approach; (4) the Innovation Diffusion Process Model; (5) Killeen's Matrix of Research Activity; (6) the Iowa Model of Research In Practice; (7) the Western Interstate Commission for Higher Education In Nursing Project; (8) the Nursing Child Assessment Satellite Training Project; and (9) the Linkage Model. Research utilization models provide a framework for collaboration and the necessary conditions for research utilization activities to be successful. Copyright © 1999 Whurr Publishers Ltd.     

Histological and quantitative effects of sublethal cyanide exposure on oocyte development in rainbow trout

Sexually maturing female rainbow trout were exposed in the laboratory to 0.01 mg/L and 0.02 mg/L hydrogen cyanide (HCN) for 20 days at 10 ±0.5C. Histological sections of ovaries from these fish indicated abnormal cytoplasmic features among oocytes during their early development. Oocytes exposed to cyanide during late development exhibited altered patterns of secondary yolk deposition. Quantitative observations similarly confirm delays in secondary yolk deposition. Exposure of females to 0.02 mg/L HCN during early summer ovarian growth resulted in delayed secondary yolk deposition among 93% of the oocytes when compared with controls. When fish were exposed during mid-summer, the effects were evident at both concentrations with approximately 60% of the oocytes failing to reach the secondary yolk deposition stage at the completion of the experiment. This was further substantiated by potential growth studies which indicated a complete absence of oocytes in the final stages of secondary yolk deposition at both cyanide concentrations as compared with controls which contained 27%. The high frequency of atresia at both concentrations suggested that oocytes unable to produce secondary yolk were resorbed by the ovary through a unique form of atresia. It is also suggested that levels of cyanide as low as 0.01 mg/L have a critical effect upon the process of secondary yolk deposition within the ovary and thus significantly reduce the number of viable eggs.     

Pharmacy residency training in academic medical centers.

PURPOSE: A survey of U.S. academic medical centers (AMCs) was conducted to identify the most important and challenging issues in pharmacy residency training. METHODS: A questionnaire addressing program characteristics and residency training concerns was sent electronically to pharmacy directors at 130 AMCs that are members or associate members of the University HealthSystem Consortium (UHC). Residency coordinators for both pharmacy practice and specialized programs were asked to complete the questionnaire, with input from other pharmacists involved in the residency program. Respondents were asked to rate the importance and degree of challenge for all issues on a 5-point Likert scale, where 1 = least important or least challenging and 5 = most important or most challenging. RESULTS: Responses were received from hospitals representing over 60% of all residency positions offered by UHC member hospitals. Recruitment was rated the most important issue (mean importance score, 4.8) facing residency programs in AMCs, but with over 85% of budgeted positions filled, programs appear to be successful in overcoming this concern. The most challenging issue (mean challenge score, 4.2) was compliance with the evaluation and documentation elements of the ASHP Residency Learning System (RLS), a system often used to meet requirements for pharmacy practice residency accreditation. The completion of resident research requirements was ranked as both an important and a challenging issue (mean importance score, 4.5; mean challenge score, 3.9). CONCLUSION: A survey of AMCs showed that they offered a wide variety of pharmacy residency programs and filled most budgeted resident positions. Resident recruitment, the RLS, and research requirements are the most important and challenging residency concerns facing the respondents.     

Annual Meeting Scientific Program August 7-10, 2003

Abstract

Gabrielle Weiss and Lily T. Hechtman, Hyperactive Children Grown Up: Empirical Findings and Theoretical Considerations. New York: Guilford Press, 1986, 367 pp., ISBN 0-89862-66 1-7, $32.50 (US)     

Multiphoton microscopy for pre-clinical evaluation of flow-diverter stents for treating aneurysms

BackgroundConventional histological analyses are the gold standard for the study of aneurysms and vascular pathologies in pre-clinical research. Over the past decade, in vivo and ex vivo imaging using multiphoton microscopy have emerged as powerful pre-clinical tools for detailed tissue analyses that can assess morphology, the extracellular matrix (ECM), cell density and vascularisation. Multiphoton microscopy allows for deeper tissue penetration with minor phototoxicity.ObjectiveThe present study aimed to demonstrate the current status of multimodality imaging, including multiphoton microscopy, for detailed analyses of neo-endothelialisation and ECM evolution after flow-diverter stent (FDS) treatment in an experimental rabbit model of aneurysms.MethodsMultiphoton microscopy tools for assessing autofluorescence and second harmonic generation (SHG) signals from biological tissues were used to evaluate the endovascular treatment of intracranial aneurysms in an animal model of aneurysms (pig, rabbit). Results from multiphoton microscopy were compared to those from standard histology, electronic and bright field microscopy.ConclusionsThe present study describes novel evaluation modes based on multiphoton microscopy for visualising tissue morphology (e.g., collagen, elastin, and cells) to qualify and quantify the extent of neo-intimal formation of covered arteries and device integration into the arterial wall using a rabbit model of intracranial aneurysms treated with FDS.     

Development of the PedsQL? sickle cell disease module items: qualitative methods

Purpose  

The objective of this qualitative study was to develop the items and support the content validity of the PedsQL™ Sickle Cell Disease Module for pediatric patients with sickle cell disease (SCD).