Effects of a problem‐solving counseling program to facilitate intensified walking on Koreans with type 2 diabetes

Aim: This study aimed to evaluate the immediate and long‐term effects of a 12 week problem‐solving (PS) counseling program to facilitate intensified walking with machinery monitoring on persons with type 2 diabetes mellitus in Korea. Methods: The study used a quasi‐experimental design. The participants were 57 patients with diabetes from three endocrinology or internal medicine clinics in an urban city of South Korea. Moderate‐intensity walking and PS counseling were recommended to both groups. The difference between the two groups was whether the intensity of the exercise was monitored by an ambulatory heart rate monitor (experimental group) or was self‐regulated (comparison group). Those programs were evaluated in relation to BMI, glycemic control (blood glucose level, glycosylated hemoglobin [HbA1c]), a vascular complication index (total cholesterol, high‐density lipoprotein cholesterol, low‐density lipoprotein cholesterol, triglycerides, tissue plasminogen activator [t‐PA], plasminogen activator inhibitor‐1 [PAI‐1], Parma Cardiovascular Risk Index), and coping strategies at 3 and 6 months. Results: The experimental group members showed dramatic decreases in their glucose and HbA1c levels at 3 months. The values of t‐PA decreased significantly at baseline, compared to at 3 months. The levels of PAI‐1 continuously declined and the Parma Cardiovascular Risk Index score did not change significantly from baseline to at 3 months, but showed significant effects at 6 months. Conclusion: A combined program of intensified walking, using a heart rate monitor, with PS counseling is more helpful to prevent complications than self‐regulated exercise for persons with type 2 diabetes in Korea.     

Educating for Community-Based Practice: A Collaborative Strategy

SUMMARY

This paper describes creative instruction strategies that prepare students for community-based practice. These educational innovations are designed to prepare graduates to understand occupation-based service delivery in community settings, to develop community-built programs that are responsive to community needs, and to understand how to both secure funding for and market occupational therapy services in the community. The process and products of collaboration between instructors in an administration and a community-based practice course are described. Outcome data from students and community partners are presented. Strategies for successful community partnerships and recommendations for continued development of these educational approaches are presented based on these data.     

Status of the development of a vaccine against Mycoplasma bovis

Mycoplasma bovis is an important pathogen of cattle and, despite numerous efforts an effective vaccine for control of the disease it causes remains elusive. Although we now know more about the biology of this pathogen, information is lacking about appropriate protective antigens, the type of immune response that confers protection and adjuvants selection. The use of conserved recombinant proteins, selected using in silico approaches, as components of a vaccine may be a better choice over bacterin-based vaccines due to the limited protection afforded by them and adverse reactions caused by them. More studies are needed on the characterization of host-pathogen interactions and to elucidate M. bovis products modulating these interactions. These products could be the basis for development of vaccines to control M. bovis infections in dairy farms and feedlots.     

Preventive Psychiatric Admission for Patients With Borderline Personality Disorder: A Pilot Study

PURPOSE. The purpose of this study was to establish the preliminary effects of preventive psychiatric admission of patients with severe borderline personality disorder (BPD) on the rate of agreement over treatment, patient service use, and patient views on the intervention. DESIGN AND METHODS. A retrospective pre-post test design with quantitative measures and qualitative interviews was used. FINDINGS. Agreement over treatment increased substantially and significantly, and services use decreased substantially, yet not significantly. Patients were highly content with the intervention. PRACTICE IMPLICATIONS. Preliminary results indicate that preventive admissions may be easy to use and cost effective with severe BPD patients in mainstream psychiatric services, but more research into the intervention is needed.     

Postmodern Social Work in Interdisciplinary Contexts

Abstract

This paper describes a university-based, maternal child health, interdisciplinary training project designed to assist health professionals in working with neurodevelopmentally at-risk children and their families. It discusses a role for social work educators and practitioners that brings to the table varied, conceptual questions that are intertwined with more traditional social work intervention in a postmodern approach to interdisciplinary teaming. A case example illustrates the integration of these two approaches and the inquiries that social work can initiate to facilitate “making space” both between the team and family and between members of the team in a dynamic, postmodern, interdisciplinary context.     

关于中医院校研究生文献查找途径的调查

以浙江中医药大学高年级研究生60人为研究对象，进行问卷调查，调查其知晓利用文献查找途径的情况，对调查结果进行统计分析，找出医学专业研究生在文献查找途径中存在的问题，最后针对存在的问题提出切实可行的建议。     

《护理学基础》教学中临岗-实训-协岗-顶岗模式教学效果分析

目的:分析《护理学基础》教学中临岗—实训—协岗—顶岗模式的教学效果,供护理教育者参考和借鉴。方法:在《护理学基础》教学中引入临岗—实训—协岗—顶岗教学模式,通过秩和检验比较243名患者满意度和32家教学医院(174人)用人满意度。结果:传统教学模式和临岗—实训—协岗—顶岗教学模式教学效果存在差异(P<0.05)。结论:该模式能提高学生的专业认知、专业认同,以及教学医院和患者的满意度。