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PubMedDate not supplied

African American community health advisors trained as research partners: recruitment and training.

The African American community has played an influential role in generating change. Grass-roots organizations and concerned individuals can be included in programs designed to increase cancer awareness and cancer early detection practices to ultimately eliminate cancer disparities. The utilization of a formalized Community Health Advisors program can be an infrastructure by which effective cancer prevention and control programs can be conducted in underserved African American communities. The purpose of this article is to outline the steps necessary to develop an infrastructure for recruitment and training of grass-root African Americans to serve as Community Health Advisors trained as Research Partners.

Black or African American↗
PubMed1975

A survey of interests in teacher training of health science faculty. Interests in teacher training.

In excess of 1000 members of the faculty at the University of Illinois Medical Center completed and returned an 'Educational Needs Inventory'. In general, respondents displayed a willingness to pursue several educational topics, through short-term seminars and workshops, an interest that was unrelated to present time commitments. Questionnaire results also documented that nearly 50% of the faculty had educational training in the past and perceived this training as valuable and useful to people in instructional roles.

Attitude↗
PubMed1997

Value-adding in the rural training stream: a release program for hospital-based rural training stream registrars.

This paper describes a release program developed in 1995 for year I hospital based GP registrars in the Rural Training Stream of the Royal Australian College of General Practitioners Training Program in South Australia. Background, objectives, content and organisation, and evaluation are described. The 1996 program that developed from this pilot is also described.

Australia↗
PubMed1985

Acid-base and electrolyte balance after exhausting exercise in endurance-trained and sprint-trained subjects.

High ability to perform strenuous exercise of short duration is accompanied by a large lactate formation in the exercising muscles, but the disturbances in extracellular acid-base and electrolyte balance might be attenuated compared to subjects with less ability to perform intense exercise. To study this, oxygen deficit, changes in arterial blood acid-base status and plasma electrolytes were studied in six-endurance trained (ET) and six sprint-trained (ST) subjects who exercised on a treadmill at a speed which led to exhaustion within 1 min. During exercise the ET and ST subjects developed an oxygen deficit of 41 and 56 ml oxygen units kg-1 respectively, whereas peak blood lactate concentration post exercise averaged 12.5 and 16.7 mmol l-1. Blood pH followed lactate concentration closely, reaching nadir values of 7.175 and 7.065 for ET and ST subjects respectively. Respiratory compensation and changes in blood bicarbonate and standard base deficit (SBD) concentrations for a given lactate concentration were the same for the two groups, amounting to a change in PCO2 of 0.12 kPa, in bicarbonate concentration of 1.09 mmol l-1 and in SBD of 1.44 mmol l-1 mM-1 change in blood lactate concentration. During exercise the increase in haematocrit, from to 43 to 45% for the ET subjects and from 46 to 50% for the ST subjects, was accompanied by almost parallel relative changes in plasma chloride and sodium concentrations. Whereas haematocrit continued to increase post exercise and followed blood lactate concentration closely, plasma sodium and chloride concentrations decreased to pre-exercise values within 9 min of recovery. The anion gap increased significantly more than blood lactate concentration. Thus, ST subjects were capable of accumulating more lactate in blood compared with ET subjects, but at the expense of a lower pH, since the buffer capacity seemed to be the same for the two groups. The acidosis, which was larger than could be accounted for by lactic acid, was associated with an inexplicably large anion gap.

Acid-Base Equilibrium↗
PubMed1993

Failure to find increased TEM at rest and during exercise in aerobically trained and resistance trained subjects.

This study examined the metabolic response to a 763-kcal mixed meal at rest and during 30 min of exercise at 50% maximal oxygen consumption (VO2max) in 8 aerobically trained (AT), 8 resistance trained (RT), and 8 untrained (UT) subjects. Oxygen consumption (VO2) was measured minute by minute during 30 min of exercise by indirect calorimetry on 2 nonconsecutive days (postabsorptive exercise, PA; and postprandial exercise, PP). Total VO2 consumed and total caloric expenditure during the PA and PP conditions were similar for the three groups, indicating that prior food intake did not affect energy expenditure during exercise. Consequently, TEM during exercise did not differ significantly among the groups. Respiratory exchange ratio (R) differed significantly only during the PA condition, with the AT group exhibiting significantly lower R values compared to the RT group, and significantly lower R values compared to the UT group. These data suggest that the consumption of a meal 30 min prior to exercise does not increase TEM during exercise in AT, RT, and UT subjects.

Adolescent↗
PubMed2005

Contemporary UK paramedical training and education. How do we train? How should we educate?

OBJECTIVE: To develop an understanding of the current system and future development of training and education within a large UK ambulance trust, based upon the experiences, beliefs, and opinions of stakeholders. METHODS: This was a qualitative naturalistic inquiry using an interpretative constructivist approach for 44 interviews with a range of ambulance staff. Stakeholder views on training and education were analysed and compared using the constant comparison method. RESULTS: Key emergent themes included: issues around prescribed programme entry levels and methods; the desire for a higher education curriculum with a balance between theory and practice; valid and reliable assessment methods; development of a supportive mentorship framework; an emphasis on self directed professional development with a focus on deskilling issues; and development of interprofessional collaborative links. CONCLUSION: This thematic review suggests that this UK ambulance service is in a transition stage, with significant organisational, professional, and cultural challenges. The dichotomies, boundaries, and development issues are part of the development of an emerging profession for which it is essential that the educational agenda is addressed.

Attitude of Health Personnel↗
PubMed1981

Efficiency of trained subjects differing in maximal oxygen uptake and type of training.

This study was undertaken to examine the relationship between energy expenditure and work rate on a bicycle ergometer in five sprinters and five distance runners who differed in maximal oxygen uptake (VO2max) and type of training. Each subject performed at work rates of 30, 60, 90, 120, and 150 watts (W). The relationship between energy expenditure and work rates was most accurately described by a quadratic curve for both groups: for sprinters, energy expenditure (kJ) = 11.57 + 0.1812 (W) + 0.00046 (W)2; for distance runners, energy expenditure (kJ) = 11.74 + 0.1386 (W) + 0.00060 (W)2. Delta efficiency (delta work accomplished divided by delta energy expended X 100%) decreased as work rate increased. Statistical analyses revealed no significant differences between groups in delta efficiency at the same work rate (P greater than 0.25) or at the same relative work rate (P greater than 0.75). These results suggest that differences in VO2max and/or type of training have little or no causal effect on the decrease in delta efficiency with increasing work rate. The observed decrease in delta efficiency may be due to increases in metabolism not directly related to the performance of the external work or to an increasing amount of unmeasured work as work rate increases on a bicycle ergometer.

Adult↗
PubMed1981

Training in short-term psychotherapy. Research can be superb clinical training.

Experiences in Norway since about 1970, are described in combined research and training on short-term dynamic psychotherapy. Research methodology and results are not discussed. Initiated by the Norwegian Research Council for Science and the Humanities, Sifneos was invited as research leader and supervisor in a study of STAPP carried out by a selection of highly motivated doctors participating in patient selection, training in short-term dynamic principles, activities, and research. The initial patient interview took place in front of the research group. Therapeutic activities were registrated on audiotapes and presented to the group members, each one being supervisor or supervisee alternately. The project has promoted knowledge and skill in short-term therapy and interest in research and the author stresses the fruitful interaction of both.

Humans↗
PubMed1990

Training and postgraduate training in psychosomatics and psychotherapy in the Federal Republic of Germany today.

The training of medical and psychological students at the universities is completely separated. The postgraduate training to become a psychosomaticist, psychotherapist, or psychoanalyst again joins the colleagues of the two branches separated since Descartes and W. Wundt. The curricula and the quantitative result, i.e. the numbers of physicians and psychologists in the FRG, will be described here.

Cross-Cultural Comparison↗
PubMed1978

The design of a training program for adolescent medicine. Thoughts of fellows in training.

Program design for training in Adolescent Medicine is still in an evolutionary state. Postgraduate fellows and program directors have different perceptions with regard to the importance of various components of the ideal training program. Fellows indicate a higher priority for problems associated with the female reproductive system than do their mentors. Inpatient experience received lesser emphasis by the Fellows. Adolescent Medicine as a subspecialty discipline is discouraged.

Adolescent↗
PubMedDate not supplied

Comparison of isometric muscle training and electrical stimulation supplementing isometric muscle training in the recovery after major knee ligament surgery. A preliminary report.

Eight patients undergoing reconstruction of the anterior cruciate ligament were randomly allocated into two groups. The control group received a standard plaster cast and isometric muscle training. The stimulated group received a standard plaster cast, isometric training, and percutaneous electrical stimulation during the recovery period. The patients were examined clinically and with repeated muscle biopsies before surgery, 1 week after surgery, and 5 weeks after surgery at the time of removal of the cast. The electrically stimulated group had better muscle function from a clinical point of view and their succinate dehydrogenase activities were significantly higher than those in the control group. Electrical stimulation thus could prevent the fall in oxidative enzyme activity which was noted in the control group. The results suggest that percutaneous electrical stimulation may be a way of preventing muscle atrophy after major knee ligament surgery in athletes.

Adult↗
PubMed1991

Long term psychotherapy training in residency: influences on therapy and training.

The authors discuss the changing role of psychotherapy training and the impact of rotations on long term psychotherapy in psychiatric residency. A conceptual model for a long term psychotherapy program for residents is presented, and a case example illustrates the influence of changes in setting, supervisors and in the resident-therapist's way of thinking have on the process of psychotherapy. The educational value of long term patient contact and the opportunity to use apparent obstacles in residency training as catalysts for growth and the opportunity to learn about psychotherapy are emphasized.

Adult↗
PubMed1993

Parent training and social skills training for children with attention-deficit hyperactivity disorder: how can they be combined for greater effectiveness?

Attention-deficit hyperactive disorder (ADHD) is a chronic and treatment-refractory syndrome affecting academic, social and emotional adjustment in children. Stimulant medication is the treatment of choice and is often paired with psychosocial treatment. However, no single treatment modality alleviates the symptoms or improves the negative peer status of these children in their social ecology over the long term. This article reviews two psychosocial treatments used for ADHD, parent training and social skills training and suggests ways that these two components may be combined for greater effectiveness by encouraging the parent to: 1. learn more about the importance of developing social competence and positive peer status; 2. use incidental teaching and self-evaluation strategies; 3. become strategic organizers of the child's social life; and 4. become case managers to facilitate more consistency between the significant adults in the child's social environment.

Attention Deficit Disorder with Hyperactivity↗
PubMed2003

Methods for a randomized trial of weight-supported treadmill training versus conventional training for walking during inpatient rehabilitation after incomplete traumatic spinal cord injury.

The authors describe the rationale and methodology for the first prospective, multicenter, randomized clinical trial (RCT) of a task-oriented walking intervention for subjects during early rehabilitation for an acute traumatic spinal cord injury (SCI). The experimental strategy, body weight-supported treadmill training (BWSTT), allows physical therapists to systematically train patients to walk on a treadmill at increasing speeds typical of community ambulation with increasing weight hearing. The therapists provide verbal and tactile cues to facilitate the kinematic, kinetic, and temporal features of walking. Subjects were randomly assigned to a conventional therapy program for mobility versus the same intensity and duration of a combination of BWSTT and over-ground locomotor retraining. Subjects had an incomplete SCI (American Spinal Injury Association grades B, C, and D) from C-4 to T-10 (upper motoneuron group) or from T-11 to L-3 (lower motoneuron group). Within 8 weeks of a SCI, 146 subjects were entered for 12 weeks of intervention. The 2 single-blinded primary outcome measures are the level of independence for ambulation and, for those who are able to walk, the maximal speed for walking 50 feet, tested 6 and 12 months after randomization. The trial's methodology offers a model for the feasibility of translating neuroscientific experiments into a RCT to develop evidence-based rehabilitation practices.

Exercise Test↗
PubMed2000

Using distance training to deliver first aid training.

The St John Ambulance organization in Alberta issues over 100,000 first aid certificates each year (an 80% market share). The success of the organization is attributed to a province-wide infrastructure of volunteer public first aid providers and over 2000 volunteer instructors in industry and other spheres. In 1998 St John Ambulance piloted the use of CD-ROMs for teaching, producing two courses. One was a first aid course and the other was a babysitter course. The experience of the pilot programmes will allow the digital material to be transferred to our Website. Once this is done people around the world will be able to receive the self-paced learning components. Hands-on evaluation of skills, however, is mandatory to certification. Mass training where certification is required therefore requires a mixture of distance learning and hands-on testing, reinforcing the need for trained evaluators to be available to the population.

Alberta↗
PubMed2003

Effect of explosive resistance training on titin and myosin heavy chain isoforms in trained subjects.

The purpose of this investigation was to evaluate changes in myosin heavy chain (MyHC) and titin isoforms after using various loads during explosive jump squat training. Twenty-four male athletic subjects were recruited for this study. Two experimental groups performed 8-weeks of jump squats using either 30% (n = 9) or 80% (n = 9) of their previously determined 1 repetition maximum. A third group served as controls (n = 6). Muscle biopsies were obtained before and after 8 weeks from vastus lateralis. The analysis of titin within these subjects confirmed that human skeletal muscle contains 2 isoforms of titin. There was no significant group x time interaction for MyHC or titin isoform expression. The data from this investigation indicates that a relatively short period of explosive resistance training results in negligible changes in the expression of MyHC or titin isoforms.

Adult↗
PubMed1997

Multiple peer use of pivotal response training to increase social behaviors of classmates with autism: results from trained and untrained peers.

Two children with autism and 8 typical peers participated in a study designed to replicate an earlier finding of successful social-skills intervention for children with autism using peer-implemented pivotal response training (PRT) and to assess the effects of using multiple peer trainers on generalization of treatment effects. During training, peers were taught PRT strategies using didactic instruction, modeling, role playing, and feedback. After treatment, children with autism engaged in increased levels of social behavior.

Autistic Disorder↗