text:
What does standard rehabilitation practice after total hip replacement in the UK entail? results of a mixed methods study
Rehabilitation, physical therapy and occupational health
There is evidence of prolonged poor function in patients following total hip replacement (THR). Studies of progressive resistance training (PRT) interventions to improve function are often compared to 'standard' practice which is not well defined. This study aimed to investigate 'standard' rehabilitation care in the UK after total hip replacement (THR) as well as determine whether PRT was part of 'standard' care.
After ethical approval, questionnaire item development about rehabilitation practice was guided by a focus group interview (after informed consent) with physiotherapists (n = 4; >5 years post-qualification) who regularly treated THR patients. An online questionnaire investigating the exercises prescribed and rehabilitation practice following THR was developed and sent to physiotherapists working in hospitals in the UK. The survey was performed from January to May 2011. The survey results were analysed (frequency (%) of responses) focusing on the exercises the physiotherapists considered important, as well as their use of PRT in prescribed regimes.
106 responses were obtained from physiotherapists in the UK. The survey respondents considered that the most important muscles to target in all phases of rehabilitation were the hip abductors (62.2%), followed by the quadriceps (16.9%), and other muscles (21%). Exercise type prescribed revealed no consensus, with weight bearing (42%), functional (45%) and Bed-based/Bridging/Postural exercises (13%) favoured. 83.7% were able to define the basis of progressive resistance training (PRT), but only 33% prescribed it.
Standard physiotherapy rehabilitation in the UK after THR is variable, and appears to rarely include PRT. This may be a factor in prolonged poor function in some patients after this common operation.
Total hip replacement (THR) is one of the most widely performed procedures in orthopaedic practice and with the increasing age of the population; the number of persons who require such surgery is on the rise,
Considerable technical efforts have been made towards optimising THR; for example, there are over 100 varieties of hip prostheses, multiple bearing couples, and several surgical approaches. However, the actual health gain for many of these innovations is small in terms of patient function and quality of life,
Since the evidence suggests patients who score poorly on subjectively assessed functional outcome measures 2 years post-operatively after THR are five times more likely to require assistance with ADLs compared to those who have good function,
Prior to surgery, there is a general deficit in muscular strength along the affected limb as compared to the contra-lateral (healthy) side in patients with unilateral hip osteoarthritis (OA), and muscles such as the abductors, vastii, rectus femoris and psoas show marked atrophy,
The most commonly used rehabilitation regimes for older people are based on functional types of exercises which do not involve external loading and have not been shown to prevent further muscle atrophy after THR
PRT in rehabilitation following THR has been shown to significantly enhance muscle strength and function,
After local NHS Research Ethics Committee approval, a focus group interview was convened. A heterogenous sample of physiotherapy participants were purposively sampled using the following criteria: 1) a minimum of 5 years experience post-qualification, 2) experience of treating patients following THR and 3) working in either the inpatient, outpatient and community environment with patients following THR. The participants were accessed through physiotherapy management leads that provided a suitable list and the above criterion were used to approach potential candidates. Of the four physiotherapists subsequently recruited, two worked in the hospital setting, one worked in the community and the other was outpatient based.
After informed consent, the focus group was conducted by the first author (TO; main moderator) with a co-author (AR) acting as a co-moderator and scribe. A number of topic areas were discussed with the group with the questions posed based on a preliminary review of the literature from which a number of gaps appeared
The focus group lasted a total of 90 minutes. The results of the meeting were transcribed (summary provided in Table
These items reflected rehabilitation practice in the pre-operative, immediate post-operative and continuing rehabilitation phases, as defined by the physiotherapy focus group (Table
106 responses were received from physiotherapists who supervise rehabilitation of THR patients in the UK. Of these, 85% worked in the NHS and 15% in the private sector. 104 out of 106 physiotherapists (98.1%) who responded were Band 5 and above (average of 5 years post-qualification experience), and 94% of all respondents worked in centres performing greater than 100 THR operations per year, Table
Preoperative phase
The majority of the respondents (67.9%) saw patients in the preoperative period; mainly in the pre-assessment clinic (36.1%) or arthroplasty education seminars (33.3%), with general outpatients (8.3%), inpatient ward review and home visits (22.2%) making up the remainder. The advice given preoperatively consisted of a trust booklet (39%), verbal advice (7%), a video/CD (2%), or a combination of these (25%). The hip abductors were considered to be the most important muscle group to target during rehabilitation (62.2%), followed by the quadriceps (16.9%) and others such as the hip flexors, extensors, spinal, and core muscles (21%), Table
Immediate postoperative phase
The length of stay after THR was reported to range between 1 and >5 days with a stay of 4 days eliciting the most frequent response (57.5%). 86.6% (n = 92) of the physiotherapists who responded to the survey tend to mobilise the patients themselves on day 1 with the remainder mobilised by physiotherapy assistants and nurses. Patients were reviewed at least once a day 36.6% of the time (n = 37) with twice daily reviews performed by a majority of physiotherapists surveyed (52.5% n = 53). 85% of all respondents used a combination of weight bearing, bed, and functional exercises. 83.7% of respondents knew what PRT entailed, but only 33% routinely included it in the exercises prescribed following THR, Table
Continuing rehabilitation
A total of 48 (45.3%) respondents saw patients on an outpatient basis weeks/months after discharge whilst 58 (54.7%) respondents did not. 48% of the physiotherapists involved in this phase of rehabilitation thought weak hip abductors were the most common reason for referral as opposed to poor balance (34%), recurrent dislocation (13%) and frequent falls (5%). The exercises prescribed during this period consisted of functional (62.1%), weight bearing (17.7%) and bed exercises (6.9%), with the use of PRT not evident in the responses obtained. The discharge criteria and number of times patients were reviewed in this phase of rehabilitation are described in Table
Despite 83.7% of the survey respondents being able to ascertain what PRT entailed, only 33% routinely built it into their prescribed rehabilitation programs. 48% of the survey respondents who treated THR patients in the outpatient setting reported that weak hip abductors accounted for the majority of referrals in the 'continuing rehabilitation' phase, with poor balance accounting for 34%, and prescriptions given were mainly of functional, weight bearing and bed exercises. The reasons for referral reflect a lack of muscle strength which is consistent with the established findings after THR as already described
This is the first study in the published literature that attempts to quantify the standard practice for physiotherapy rehabilitation following THR surgery in the UK. Recent systematic reviews have looked at programmes and interventions to improve functional outcome in this group of patients,
In the preoperative phase of rehabilitation, 67.9% of the U.K. physiotherapists surveyed had contact with patients in a variety of settings. Preoperative counselling and education reduces unrealistic expectations regarding pain as well as improves patient satisfaction,
Due to the current financial pressures the NHS is under with staffing levels and patient throughput,
The orthopaedic surgeons' role in the rehabilitation recommendations is mainly determined by the integrity of the implants used. Recent literature suggests that early full weight bearing with cementless implants may have no significant impact on primary stability and bony ingrowth
From the 7th annual report of the NJR in 2010,
The use of the focus group to determine the questionnaire items for the survey further validates the findings obtained. This survey aimed to determine 'standard' practice and the 4 physiotherapists used in the focus group were from a mixture of backgrounds but all treated THR patients regularly. Since no questionnaire existed to achieve the aim of this study, the focus group ensured that the items obtained helped clarify any underlying assumptions of personal or traditional practice such as frequency of times patients need to be seen, exercises that should be prescribed, etc. Sources of information and experience as well perspectives and viewpoints of the professional group to be studied are also better integrated using this method of qualitative research
A limitation of this study is the fact that no analysis of regional variations in practice was performed. This was in part due to an effort to anonymise the data obtained so as to preserve the confidentiality of respondents as required by the ethics committee. An effort was also made not to identify areas which may have huge disparity in service provision from the norm. Further information may also have been gleaned from content analysis of the preoperative advice and instructions given to patients in the form of booklets, videos and CDs. Such an undertaking was not feasible in this instance but perhaps can be part of a future study to further clarify what standard THR rehabilitation regimes entail.
THR surgery is an increasingly common operation for hip osteoarthritis. This survey demonstrates that physiotherapy practice in the UK rarely includes progressive resistance exercise; and this may be a factor in prolonged poor function in some patients. Future research should focus on the issues restricting implementation of suitable PRT regimes to improve functional outcome.
Competing interests
The authors declare that they have no competing interests.
Authors' contributions
TO was responsible for study design, facilitation of the focus group, administration of the survey, interpretation of the study results and manuscript preparation. AR, JH and JJ were involved in convening the focus group as well as interpreting the data collected and administration of the questionnaire. JGA conceived the study and in conjunction with PM and AL, was involved in overall supervision of the study, and review of manuscript drafts. All authors read and approved the final manuscript.
We would like to thank Allison Tardivel and Stormont Murray for their participation in the physiotherapy focus group. We would also like to extend our gratitude to the community physiotherapy departments of Anglesey, Caernarfon (Luned Price) and Blaeunau Ffestiniog (Peter Bodde); all of Betsi Cadwaladr University Health Board, for their assistance in piloting the questionnaire. Special thanks to Professor Jo Rycroft-Malone for her help in reviewing the manuscript.
The operation of the century: total hip replacement
Quality of life outcomes in revision vs primary total hip arthroplasty: a prospective cohort study
Preoperative gait adaptations persist one year after surgery in clinically well-functioning total hip replacement patients
Functional recovery of noncemented total hip arthroplasty
Healthcare technology and technology assessment
Patient preoperative expectations of total hip replacement in European orthopedic centers
A minimal-incision technique in total hip arthroplasty does not improve early postoperative outcomes. A prospective, randomized, controlled trial
Timing of total joint replacement affects clinical outcomes among patients with osteoarthritis of the hip or knee
Persisting muscle atrophy two years after replacement of the hip
Changes in musculoskeletal structure and function with prolonged bed rest
Outcomes of total hip arthroplasty: a study of patients one year postsurgery
Muscular recovery around the hip joint after total hip arthroplasty
Quadriceps muscle wasting persists 5 months after total hip arthroplasty for osteoarthritis of the hip: a pilot study
American college of sports medicine position stand. Quantity and quality of exercise for developing and maintaining cardiorespiratory, musculoskeletal, and neuromotor fitness in apparently healthy adults: guidance for prescribing exercise
Resistance training induces qualitative changes in muscle morphology, muscle architecture, and muscle function in elderly postoperative patients
Ergometer cycling after hip or knee replacement surgery: a randomized controlled trial
Hydrotherapy after total hip arthroplasty: a follow-up study
An appraisal of rehabilitation regimes used for improving functional outcome after total hip replacement surgery
Effectiveness of physiotherapy exercise following hip arthroplasty for osteoarthritis: a systematic review of clinical trials
Rehabilitation after total hip arthroplasty: a systematic review of controlled trials on physical exercise programs
Methods of data collection in qualitative research: interviews and focus groups
Pre-operative interventions (non-surgical and non-pharmacological) for patients with hip or knee osteoarthritis awaiting joint replacement surgery–a systematic review and meta-analysis
The Observer
Immediate weight bearing after uncemented total hip arthroplasty with an anteverted stem. A prospective randomized comparison using radiostereometry
Doing qualitative research in dentistry and dental education
Pre-publication history
The pre-publication history for this paper can be accessed here:


text: Talon Trooper Printings/Rarity: Cost: CMC: 3 Card Type: Creature — Bird Scout Power/Toughness: 2/3 Oracle Text: Flying Flavor Text: "The volcanic winds make a maze of the skies of Jund. If we mean to invade, we must first learn their invisible paths." Retrieved from "http://mtg.wikia.com/wiki/Talon_Trooper?oldid=52442" Ad blocker interference detected! Wikia is a free-to-use site that makes money from advertising. We have a modified experience for viewers using ad blockers Wikia is not accessible if you've made further modifications. Remove the custom ad blocker rule(s) and the page will load as expected. Categories: Alara Reborn Common Cards CMC: 3 White Blue Creature Bird Scout White/Blue Multicolored Flying

subset: commoncrawl


text:
It only takes a minute to get started. Fill out our uncomplicated sign up form and login to the site.
This step is elective but will seriously raise your chances of having members look at your profile. Write a little about yourself, your pasttimes and attach any nice photographs of yourself.
Use our website's advanced search to spot members who satisfy your criteria. Or just flip through listings and spot people that appear interesting.
Found someone who you like the look of? Send a message to them or just a wink and see if anything develops. With a little luck you'll be on your way to discovering your soulmate.
It only takes a few minutes


text:
Leading up to his final game, Coach Bill Curry seemed to be searching for meaning for this season that had not produced the results he expected at the beginning of the year.
"It's probably a natural thing to wonder right now, what are we learning from this experience, especially our student-athletes. It is this: we never stop working," Curry said last week as the Panther's prepared for their final game against Maine. "We never concede to injuries or circumstances that we are not going to be a great football program. We know that we will. We hope that it's this Saturday."
"I think it should have happened much faster. The responsibility for that falls on all of us, but mostly me, but that doesn't mean that we get discouraged or let up or give up. Some people give up along the way, and that's ok. I understand that. But our players haven't, and even when we are in the most difficult circumstances in games, this team has continued to fight. This group of men is going to Maine intent on winning."
This message of persistence was repeated by starting center Michael Davis when he was asked what he would miss most about Coach Curry.
"One of the things I'm going to miss most about Coach Curry is just his attitude, which is being positive all the time and being someone who truly, truly never quits," said Davis. "There's a lot of people that say a lot of things, but they don't necessarily practice what they preach, and to be around Coach Curry every single day – he's a man with true integrity. I believe that's become rare now-a-days. I'm going to miss that a lot. He's somebody that I can always look to, he's always got a positive attitude, he's taught me so many things as a football player, and helped me become a better man while I've been here at Georgia State."
Unfortunately, persistence didn't pay off as Georgia State fell at Maine, 51-7, wrapping-up a 1-10 season, the last for retiring head coach Bill Curry.
"I haven't really focused on the fact that this is the last hurrah; I'll think about later," said Curry after the game. "Right now, I'm just extremely disappointed that we couldn't end the season with our best effort."
Georgia State's lone score came on a 22-yard touchdown pass from Ben McLane to Danny Williams late in the first half.
Highlights of the game included McLane passing for 154 yards, Travis Evans rushing for 77 yards on 17 carries, and Albert Wilson's three receptions for 75 yards.
In the locker room after the game, Curry told his Panthers, "I want each of you to know that I love you, and I admire all the effort you have put in. We all know in this room that we are a better football team than we showed at any time this year. The next step is to become a great football team, and I know you will."
The previous night, the men's basketball had enjoyed the kind of national stage that in the recent history of Georgia State had only been matched by the inaugural football team's trip to Alabama in 2010. The Panther's experience against the Duke Blue Devils, while a loss on the scoreboard, was a stark contrast to the loss suffered by the football team.
"I am really proud of our guys," commented head coach Ron Hunter after the game. "They came in and played really hard. I was anxious to see what kind of team we had and after tonight, I truly do think we are going to have a very good team."
Georgia State, playing its first game ever at Cameron Indoor Stadium, got off to a quick start after Duke won the tip. R.J. Hunter quickly got a steal that led to a fast break lay-up to give the Panthers a 2-0 lead.
The Blue Devils followed with an 8-0 run to take an 8-2 at the first media timeout. Junior Denny Burguillos, a surprise addition to the starting lineup that had been hinted at by Athletic Director Cheryl Levick before the game, picked up two quick fouls in the first 2:22 forcing Coach Hunter to use three big men in the first half and continued to sub with James Vincent and T.J. Shipes throughout the second half.
Georgia State responded as Vincent's lay-up in the paint cut Duke's lead to 17-15 with 7:48 remaining in the first half. Duke then pulled away with a 15-7 run to open up a 32-22 lead at halftime.
Duke held Georgia State to 32 percent shooting in the first half, including just 1-of-8 from three-point range.
Trailing by 22 with 13:19 remaining in the game, Georgia State made a run to cut the deficit to 55-40 with 9:02 remaining. Duke responded with a pair of three-pointers pushed the lead back to 21.
A free throw by Devonta White cut the deficit to 14 with 3:41 to play, but that is as close as GSU would get as the Blue Devils pulled away and won the game 74-55.
The Panthers were held to 37.3 percent shooting, but knocked down 4-of-6 from three-point range in the second half, while Duke shot 11-of-24 from three-point range and 51.1 percent for the game.
"Duke is well deserving of its No. 8 ranking and are going to give a lot of teams trouble this season" Hunter said. "Although I obviously wanted to win, the exposure and tests that we went through tonight made it a successful trip."
So, as a young, enthused basketball team gets ready for it's next game at BYU, and a season of promise coming off of the second-most successful year in the program's history, the football program is left to rebuild its staff, and its psyche, coming off the worst record in it's three-year existence.


text:
First, as you may know, an anonymous donor in Durham has offered to pay the additional security costs associated with President Obama's campaign stop there today. This donation would be in excess of FEC limits on campaign donations.
This morning, AFP-NH filed a Right to Know request with Durham Town Administrator, Todd Selig, asking that he release the details of the anonymous donation right away so that the people of Durham will know who is funding their government.
CLICK HERE to read more.
Secondly, please plan to be at the Statehouse this Wednesday at 12:30PM as we unveil our 2012 Anti-tax Pledge!
AFP-NH will host a FREE lunch this Wednesday, June 27th at 12:30PM in Room 210 of the Legislative Office Building as we launch our 2012 Anti-Tax Pledge effort.
As you know our Honorary Chairman, Tom Thomson, is the leading anti-tax advocate in the state. His anti-tax pledges are legendary and provide YOU with an opportunity to hold your elected officials accountable.
We hope you will join us this Wednesday as Tom unveils his 2012 Anti-Tax Pledge in Room 210 of the Legislative Office Building.
Gubernatorial candidates Ovide Lamontagne and Kevin Smith will be in attendance. All candidates for office are invited to attend and sign the pledge.
Please plan to join us this Wednesday for a free lunch as we kick-off Tom's 2012 Anti-Tax Pledge!
Corey R. Lewandowski
State Director
Americans for Prosperity New Hampshire
P.S. Please CLICK HERE to visit our website and donate to our efforts.


text:
Thread ufficioso di Mortal Kombat X.
La versione PC liscia si dice sia stata un port abbastanza disastroso (probabilmente a causa degli High Voltage) senza nessuna speranza per la versione XL, ma ecco che....
Il port sarà realizzato a sto giro dai Q-Loc, che dovrebbero essere meglio dell'High Voltage .Mortal Kombat XL for PC will be available for purchase Oct. 4, 2016. Originally developed by NetherRealm Studios, Mortal Kombat XL is adapted for PC by Qloc.
Additionally on that day, current owners of Mortal Kombat X on PC will be able to download the latest patch for free, giving players access to all of the latest balance updates as well as the enhanced online experience, that was available in the recent beta test for the game.
Mortal Kombat XL offers the ultimate Mortal Kombat X experience that includes the main game and all content featured in upcoming Kombat Pack 2:
Brand new playable characters the Xenomorph from Alien, Leatherface from The Texas Chainsaw Massacre horror film series, Triborg and BoRai Cho
Apocalypse Skin Pack
Previously released content including playable Goro, Brazil Skin Pack, Kold War Skin Pack and Kold War Scorpion Skin
Also included with Mortal Kombat XL are previously released downloadable content from the original Kombat Pack:
Playable characters Predator, Jason Voorhees, Tremor and Tanya, with each accompanied by three themed skins
Samurai Skin Pack
Genere: picchiaduro a incontri
- 15 Aprile 2015 (Vanilla | PS4\XOne\PC)
- 4 Marzo 2016 (Komplete "XL" | PS4\XOne)
- 4 Ottobre 2016 ("XL" | PC -Steam-)
versioni X360 e PS3 cancellate
Launch Trailer versione "XL" - Komplete con tutti i DLC inclusi -
Story Trailer base (2015)


text:
Browse by
Coupon Codes
Top Coupons
Free Shipping Coupons
Travel Coupons
Clothing and Apparel
Long Sleeve T-shirts Coupons
Long Sleeve T-shirts Coupons
Thanks for visiting coupontopay.com for Online Long Sleeve T-shirts Coupons in 2017: CouponToPay carries exclusive collection of 3 coupons for Long Sleeve T-shirts including promotions and 43 stores from this category to optimize your shopping expense. Apply the Long Sleeve T-shirts Coupon Code, also referred as promo code or promotional code to your purchase during checkout with availability and take advantage of this online shopping service. Check back for regular updates on Long Sleeve T-shirts Coupons at CouponToPay or subscribe for instant alert to your inbox and do not spend full price anymore. Chat with us for instant support for any specific requirement.
show less
show more
Long Sleeve T-shirts Coupons for July 2017
Wide collection of Custom Unisex T-Shirts
view more Allied Shirts coupons
more +
find huge selection of Short Sleeve T-Shirts and Long Sleeve T-Shirts with extremely low prices at alliedshirts.com.
Huge Selection of Design T-Shirts for Guys, Gals and Kids
view more Shirt Punch coupons
more +
Shop for Limited Edition T-Shirt Designs, Pop Culture Tees, Pullover Hoodies, Stickers, Long Sleeve T-Shirts, Short Sleeve T-Shirts and more with less prices at Shirtpunch.com.
Find high-quality, ultra comfortable clothing and accessories
view more Crazy Shirts coupons
more +
Shop for T-Shirts, Long Sleeve T-Shirts, Polo Shirts, Pima Cotton Shirts, Pants and Shorts, Swim Gear, Hats and more by using Crazy Shirts Promo Codes.
About Us
Contact Us
Terms of Use
Privacy Policy
© 2017 CouponToPay.com


text:
If an item you ordered from TextbookRush does not meet your expectations due to an error on our part, simply fill out a return request and then return it by mail within 30 days of ordering it for a full refund of item cost.
Learn more about our returns policy
Description: From the editor of the popularAnnotated Pride and Prejudicecomes an annotated edition of Jane Austenrs"sPersuasionthat makes the beloved novel an even more satisfying and fulfilling read. Here is the complete text ofPersuasionwith hundreds of annotations on facing pages, including: Explanations of historical context Citations from Austenrs"s life, letters, and other writings Definitions and clarifications Literary comments and analysis Plentiful maps and illustrations An introduction, a bibliography, and a detailed chronology of events Packed with all kinds of illuminating information-from what Bath and Lyme looked like at the time to how "bathing machines" at seaside resorts were used to how Wentworth could have made a fortune from the Napoleonic Wars-David M. Shapardrs"s delightfully entertaining edition brings Austenrs"s novel of second chances vividly to life.
Limited time offer:
Get the first one free! (?)
All the information you need in one place! Each Study Brief is a summary of one specific subject; facts, figures, and explanations to help you learn faster.
List price: $18.95Copyright year: 2010Publisher: Knopf Doubleday Publishing GroupPublication date: 10/5/2010Binding: PaperbackPages: 544Size: 5.00" wide x 8.00" long x 1.25" tall Weight: 1.100Language: English
Jane Austen's life is striking for the contrast between the great works she wrote in secret and the outward appearance of being quite dull and ordinary. Austen was born in the small English town of Steventon in Hampshire, and educated at home by her clergyman father. She was deeply devoted to her family. For a short time, the Austens lived in the resort city of Bath, but when her father died, they returned to Steventon, where Austen lived until her death at the age of 41. Austen was drawn to literature early, she began writing novels that satirized both the writers and the manners of the 1790's. Her sharp sense of humor and keen eye for the ridiculous in human behavior gave her works lasting appeal. She is at her best in such books as Pride and Prejudice (1813), Mansfield Park (1814), and Emma (1816), in which she examines and often ridicules the behavior of small groups of middle-class characters. Austen relies heavily on conversations among her characters to reveal their personalities, and at times her novels read almost like plays. Several of them have, in fact, been made into films.
*A minimum purchase of $35 is required. Shipping is provided via FedEx SmartPost®
and FedEx Express Saver®. Average delivery time is 1 – 5 business days, but
is not guaranteed in that timeframe. Also allow 1 - 2 days for processing. Free shipping is eligible only in the continental United States and excludes
Hawaii, Alaska and Puerto Rico. FedEx service marks used by permission."Marketplace"
orders are not eligible for free or discounted shipping.
Learn more about the TextbookRush


text: Overall the Bella Blvd 4.5 pound paper and sticker kit is amazing. The variety of paper adds to it's many uses. Being a beginner the stickers were very useful and gave me ideas for page themes. They were also easy to use. I would recommend this product to anyone who scrapebooks at any level.


text:
Qualified undergraduate students in Eugene Lang College of Liberal Arts (seniors only) may register for the Introduction and Advanced Substance Abuse courses in the CMHSAC curriculum subject to the normal restrictions and with permission from course instructors.
There are no separate eligibility requirements for admission to the CMHSAC. Any student admitted to the
General MA program in psychology is eligible for the CMHSAC. However, students must apply separately for the CMHSAC, which can only be done after a student has been admitted to and registered for courses in the Master of Arts Program in Psychology.
Application to the CMHSAC requires submission of the CMHSAC enrollment form, submitted by the start of the second semester in the general MA program, although there is no formal deadline for enrolling. Students may take any number of required courses before submitting a formal application, but they will not be permitted to apply for fieldwork placement and cannot register for the required Ethics course until they have formally enrolled in the concentration. Students are typically given the CMHSAC enrollment form during the first few weeks of the Introduction to Substance Abuse Counseling Course and the forms are then given to the student advisors by Dr. Talley. Students who wish to participate in fieldwork are strongly encouraged to complete the CMHSAC enrollment form by the end of the first semester as they will then be eligible to begin fieldwork during the second semester of the MA Program under the supervision of Dr. Talley.
Qualified undergraduate students studying psychology at the Eugene Lang College, The New School for LIberal Arts (Seniors only) may register for the Introduction and Advanced Substance Abuse courses in the CMHSAC curriculum subject to the normal restrictions. Students in the accelerated Lang BA/MA Program are also strongly encouraged to apply to the CMHSAC.
The CMHSAC was created to meet a number of curricular and programmatic needs in the psychology department at the New School for Social Research (NSSR). Specifically, it is a program that was designed to be particularly attractive and beneficial to:
It is extremely important that students confer with the student advisors prior to registering for any of the courses offered in the CMHSAC. Please see the
CMHSAC Student Handbook (PDF) for recommended course sequences. Visit
the New School's registrar website for additional information regarding the registration process.
See the latest
fee schedule. The New School reserves the right to alter this schedule of fees without notice.
Please see the
CMHSAC Student Handbook (PDF) for further details.
It is important to reiterate and emphasize the fact that electing to pursue a CMHSAC degree does not in any way preclude a student from applying for admission to the doctoral program. CMHSAC students who wish to apply to the doctoral program are subject to the same admission
requirements that apply to those enrolled in the general MA program. These requirements include a satisfactory grade point average; successfully passing both an MA-level Research Methods course and the Assessment of Individual Differences course; and completing the
elementary statistics requirement. There are some caveats, however:
The CMHSAC Master's Degree Program by itself does not satisfy all of the
CASAC requirements. There are also requirements for work experience and
supervised practical experience that must be met either before, during,
or after CASAC exam. However, the CASAC education and training
requirements (and hence, eligibility for a CASAC-T certificate and
sitting for the CASAC exam) can be easily met by taking, in addition to
the required CMHSAC courses, Adult Psychopathology, the 1-credit Seminar
on Professional Issues and Ethics, and the online Child Abuse Reporting
training. It should be noted that a master's degree in psychology is
considered the equivalent of 4,000 hours of work experience.
Consequently, the required amount of work experience for CMHSAC
graduates is only one year, rather than the customary three years of
full-time paid work. For more information on the CASAC requirements,
please consult the
CMHSAC Student Handbook (PDF) or visit the
OASAS website.
General Admission Contact
The New School for Social Research
Office of Admission
79 Fifth Avenue, 5th FloorNew York, NY 10003
212.229.5600 or 800.523.5411
Department of Psychology
The New School for Social Research
80 Fifth Avenue, 7th floor
New York, NY 10011
Tel: 212.229.5727 ext. 3119 or 3223 (for Clinical Psychology)
Fax: 212.989.0846
Department Co-Chairs
Emanuele Castano (Cognitive, Social and Developmental Psychology)
Howard Steele (Clinical Psychology)
Department Secretary
Janiera Warren
Clinical Secretary
Nichelle Horlacher
Director of Clinical Student Affairs
Trisha Toelstedt
Assistant Director of the New School Psychotherapy Program
Christine Anderson
Student Advisors
Advisor Office Schedule
Martin Fagin
Kelsey Armusewicz
Sophia Williams
Department of Psychology Handbook (PDF)
Psychology Lab Descriptions Handbook (PDF)
Clinical Psychology Peer Ombuds
Peer Ombuds Information Guide (PDF)


text:
Joanna Jepson
Joanna Jepson (born 1976) is a Church of England priest. She is most notable for instigating a legal challenge to the late abortion of a 28-week-old fetus in 2001. The reasons given for the termination were associated with the fetus having a cleft lip and palate – grounds which Jepson argued did not constitute "a serious handicap" under the terms of the 1967 UK Abortion Act.[1]
Jepson, who was born with a jaw deformity herself, and whose brother is disabled, argued that the abortion was an "unlawful killing". However, in 2005 a judicial review concluded that the doctors carrying out the abortion had "acted in good faith", and would not face prosecution.[1]
Jepson was born with a development jaw deformity – her top jaw stuck out by eight millimetres and her lower jaw hung down into her neck. This resulted in a deformed appearance which she herself described made her look "like a chipmunk".[2] She was forced to wait until her late teens before she could have reconstructive surgery, as it was necessary to wait until her facial and jaw bones had stopped growing.
Between 1991 and 1993 she underwent corrective operations to correct her jaw defect. These operations involved removing bone from her upper jaw, breaking and resetting her lower jaw, and a sliding genioplasty. The process was highly traumatic and involved Intensive Care treatment in hospital, a lengthy period of swelling, and having her jaw wired.[2]
Jepson believes that this gave her an insight into human nature – she was bullied because of her appearance at school, but became part of "the pretty, popular crowd"[2] at university, after her reconstructive surgery. Her feelings about this change, as well as those brought up by the attitudes of other people she met after surgery,[2] influenced her interest in a much-publicised trial following the abortion of a fetus in December 2001.
The case[edit]
The abortion of the 28-week-old fetus was carried out in December 2001 in Herefordshire by doctors who cannot be named for legal reasons. Under the terms of the 1967 UK Abortion Act, abortions after 24 weeks (such as this one) should only be carried out if "there is a substantial risk that if the child was born it would suffer from such physical or mental abnormalities as to be seriously handicapped".[3]
Jepson argued that a cleft palate or lip did not meet this definition – citing the fact that she herself had more serious facial deformities, and that many people born with cleft palates have had perfectly satisfactory corrective operations. As a consequence, she considered this a case of 'unlawful killing', and mounted a legal challenge. Between 1995 and late 2003, 26 abortions on fetuses with cleft palates took place in the United Kingdom, two of which are believed to have taken place after 24 weeks.[2]
Additionally, there is no legal definition of "seriously handicapped" – it is left to the discretion of medical personnel. Mrs. Jepson believes that applying the above reasoning to her own situation, "the law is saying there are good reasons why I should not be alive".[2]
The result of the legal challenge was that Jepson's complaint was not upheld, the Crown Prosecution Service stating that the doctors involved acted in good faith and would not face criminal charges.[1]
A spokesperson for the pro-choice group Abortion Rights stated that they welcomed the decision. Cleft palate can lead to severe disability and the doctors are believed to have acted on those grounds.[1] A ProLife Alliance spokesperson expressed concern at the verdict, commenting on the "eugenic mentality in medicine in the UK".[1]
Jepson said that "People only see the negative side of disability".[2] She also expressed her difficulty dealing with the fact that pregnant mothers in the UK are screened for Down syndrome – a condition which Jepson's brother has. Diagnosis of Down syndrome in the fetus is one of the most common reason given for abortion of fetuses in the UK,[4] and it is feared that screening for this will lead to more abortions.
Jepson expressed a desire to raise the profile of the issues associated with the case, and to see a tightening of the law so that "abortions do not take place for trivial reasons and women are not traumatised".[2]
Role at London College of Fashion[edit]
In 2006, Jepson was appointed Chaplain at The London College of Fashion, as the institution celebrated its centenary. She stated that she was looking forward to meeting the challenges associated with the role, such as the ethical and political issues associated with fashion, and its "hedonistic image".[5]
She voiced her amazement that, in view of the fashion industry's impact on society, the involvement of the Church had been so little. "It is just as important to work in a cultural community as a parish community".[5]
Make Me A Christian[edit]
In August 2008, Jepson took part in a television series for Channel 4 entitled Make Me A Christian, in which a panel of four Christian leaders, including Jepson, attempted to mentor volunteers who were exploring conversion to Christianity.
After being shown the final cut, Jepson took unsuccessful legal action to have her scenes removed from the programme, on the grounds that the footage had been cut in a sensationalist manner to emphasise issues of sexuality and to present only a fundamentalist version of Christianity.
Calling the final cut "sensational, irresponsible and contrived", Jepson complained "There was clearly an agenda behind making the programme designed to make Christians look obsessed with people's sex lives and intent on imposing Christian behaviour on everyone else. Christian behaviour is only possible after a spiritual transformation. We were encouraged to take part on the understanding that we were dealing with a group of people who genuinely wanted to embrace Christianity. But that was clearly not the case".[6]
- A Lot Like Eve: Fashion, Faith and Fig-Leaves: A Memoir (2015)[7]
- ^ a b c d e "'No charges in late abortion case'". BBC News, England, Hereford/Worcs. 16 March 2005. Retrieved 24 May 2007.
- ^ a b c d e f g h "'The law is saying there are reasons why I shouldn't be alive. I look at my life and think: That's rubbish'". The Daily Telegraph. London. Retrieved 24 May 2007.
- ^ "'Education for choice: More about UK abortion law'". Education For Choice, UK. Retrieved 29 May 2007.
- ^ "'Down Syndrome and Abortion'". Life Issues Institute, UK. Retrieved 29 May 2007.
- ^ a b "'Curate fashions a catwalk pulpit'". BBC News, England, Merseyside. 17 July 2006. Retrieved 24 May 2007.
- ^ Wynne-Jones, Jonathan (16 August 2008). "Channel Four vicar says her show makes Christianity look sex-obsessed". The Daily Telegraph. London. Retrieved 6 May 2010.
- ^ A Lot Like Eve: Fashion, Faith and Fig-Leaves: A Memoir. Amazon.com (2015-02-26). Retrieved on 2015-02-26.
External links[edit]
- The Reverend Joanna Jepson's Official Website
- "Archived Copy of Joanna Jepson webpage". jjepson.org. Archived from the original on 24 April 2006. Archived Copy of Joanna Jepson webpage
- Should abortion details be public? an interview with Joanna Jepson


text:
As fall semester continued for the DMBA, four students took off to Philadelphia to represent the program at the 2016 Net Impact conference. From planes, trains and busses, the students participating in the conference made their way to the conference in hopes of networking and learning from some of the biggest influencers in social impact, sustainability, and corporate social responsibility. With keynotes speakers ranging from entrepreneurs to co-founders and CEOs, the students were given a taste of current industry practices starting from the first night of attendance.
As a part of the conference, two students also represented CCA and the DMBA at the net impact chapter leader breakout session. At this session, Ximena Sarango (C8) and Meg Luce (C8) were able to meet along with MBA students from all over the country to discuss the practices that were vital to support a successful net impact chapter. Chapter leaders from Net Impact's professional chapters were present as well, and gave great insight as to how to continue involvement with net impact beyond graduation. Being able to hear different perspectives from different schools provided insight to the DMBA chapter that would have otherwise not have been possible. Within this session, the students were also able to see the effect that design thinking is beginning to have even within the most traditional of MBA programs. While the DMBA chapter is quite finely trained in facilitating and creating design sprints, there were many programs present who are just starting to incorporate these practices into their curriculum. With being somewhat of the resident "experts" in design thinking, the DMBA students were able to share the experiences of all of the events that they had put on, and were able to relay insights and advice to these other MBA students who wanted to learn more.
Justine Keller (C9) and Marcie Chin (C8) were also able to take advantage of the great numbers of speaking opportunities that the conference provided. From key subjects such as incorporating social responsibility into existing companies, to the best practices of how to facilitate design sprint, each session provided new perspectives and viewpoints on subjects that are consistent within the DMBA every day. And as each student returned to their perspective city, they took with them the knowledge that they were able to gain from this conference, and the knowledge that the opportunity that social impact provides is not only for business, but for all stakeholders touched by that business.


text:
The LinkedIn endorsement feature is less than six months old, but it has quickly become one of the most popular aspects of the social network for professionals.
Since launch, over a billion endorsements have been bestowed upon 58 million of LinkedIn's 200 million user base. That is a pretty decent adoption rate for a new social network feature.
Users like to hand out endorsements for a few important networking reasons:
- They recognize another user for a job well done
- They get the giver back in front of the recipient which always helps in sales and job searches
- There is generally a reciprocal aspect to endorsements. I would say a majority of endorsements handed out are usually rewarded with an endorsement in return.
Obviously, Users like to receive endorsements because they help position the user as more of an industry thought leader and add a little more topical cred when a potential client, employer or recruiter is checking out the user's profile looking for prospects or vendors.
To celebrate the billionth endorsement, LinkedIn created this fun infographic. It illustrates a number of factoids about the billion endorsements and what kinds of endorsements are popular on the network.
Enjoy the graphic and feel free to head on over to my LinkedIn profile and hand out a few more endorsements if you are in the giving mood 🙂


text: RT Video/DVD DB /z-wcorg/ DS http://worldcat.org ID 33322284 LA English closed captioning for the hearing impaired; French subtitled. T1 Panther A1 Hardison, Kadeem., Woodbine, Bokeem., Baker, Joe Don., Vance, Courtney B., Chong, Marcus., Turner, Tyrin., Russo, James., Nefertiti., Walsh, M. Emmet., Van Peebles, Melvin,, Van Peebles, Mario., PolyGram Film Productions B.V., PolyGram Video (Firm), PB PolyGram Video PP New York YR 1995 AB In Oakland, California, 1968, The Black Panthers led by Huey Newton and Bobby Seale have armed themselves and are ready to fight for freedom. To the people, they're heroes, but to the FBI they're Public Enemy Number One. Now the Feds will do everything they can--on the right or wrong side of the law--to bring them down.


text:
DJ Funkmaster Flex
Tat Wza
- April 28, 2017
Offers in-app purchases
( 1,848)
America's Greatest DJ, DJ FunkFlex brings you daily mixes, MC instrumentals from the biggest producers, breaking news, exclusive exciting content and you will have the ability to interact with FunkFlex direct. That you don't want to miss!!!!
What happened I have it on my Note 3 and it used to work fine. I've uninstalled and reinstalled 2x and still nothing will play. Needed those Classic LOX mixes bruh, Fix It!!!
Bx Always fresh to death the best DJ period BX stand up
Legend Still turning the tables like if he was still in the tunnel
This app sucks! Nothing works! S8
Don't work ..
App is horrible
What's New
This app has been updated with:
▪ Bug Fixes
▪ Performance Improvements
▪ Improved Notifications
A professional DJ controller for Android to mix Deezer, SoundCloud and your mp3
The world's #1 DJ app: remix songs, make music & record amazing mixes on the go.


text:
Sapphire Princess to Hawaii: Sapphire Princess Cruise Review by Martha Faith
Overall Member Rating
Sapphire Princess to Hawaii
Destination: Hawaii
Embarkation: Los Angeles
Published 01/02/12
Cabin review: BAC628 Balcony
Our cabin C628BA was in a great location for our needs. In case of an emergency we would use the stairs which were within a few steps from our cabin. This is a comfort to me while sailing. Due to a past illness, my husband cannot walk fast or manage stairs quickly. Carib is on deck 10. Higher would present a real problem in case of an emergency. This cabin is also located close to the rear elevators. A real plus for us. The Sapphire elevators in the rear of the ship are in a large square rather than a line (similar to the atrium style). This is an outstanding design. You are not running from one side of the ship to the other trying to catch an elevator. Zip right up to the Horizon for breakfast if that was our choice. Zip right down to deck 7 the promenade deck for activities. As far as other items inside the cabin ... there were a few minor items I made note of and will only share here. The two chairs provided had a few stains. There were a few nicks in the wood decor of one chair and desk. The light switches on the bedside lamps are loose from ware. This type of switch doesn't last long. I know this from a lamp at home with a similar switch. We have experienced other ship's lights that suffer from this problem. It is a poor design. Perhaps a better alternative would be to have lamps that turn off by a toggle switch on the wall. The bathroom was very very clean. Although this ship I believe was built in 2004 this area has held up well. Perhaps our cabin steward is to thank for this. There was no fan that I could find to ventilate the bathroom after a shower. Even without a fan, there is not one sign of mold! The rugs were clean. The pillows could definitely use a good upgrading. I requested an extra for both my husband and myself. One was like a flat rubber pancake. The other two were much softer. I'm not sure how to solve keeping pillows sanitary with so much use and provide support and comfort. There must be something out there. Our mattress too was a little stiff. I have an occasional mild discomfort with my hips. Although we had an "egg crate" topper provided, my hips hurt a great deal during this sailing. Now that we are home to the comfort of our own bed the pain is gone. I always request the egg crate topper. I learned to make this request after our first sailing. Until this trip I have not experienced such discomfort every night. The balcony cabins are on the small side. There is a little dancing you need to do to get around one another. The balcony offers a wonderful escape and added space. I prefer a mini suit for the additional space it provides. The bathroom does have enough room although the shower is cozy. We found the storage quite adequate with room to spare. Enough storage to put all of our things away keeping our cabin uncluttered. We were perfectly comfortable in our cabin. Oh, the internet in our cabin on this trip worked well. Slow as usual when out to sea with a pretty reliable connection. These are my notes of our personal experiences in answer to the CC's question in this section. Not meant to be criticisms. We can't imagine the magnitude of work and expense that goes into keeping these ships in top shape ... safe and a draw to the pleasures of sailing the world. We had a fantastic trip to the Hawaiian islands and hope to sail the Pacific again.Read All Balcony (BA) Reviews >>
Port and Shore Excursions
Read Cruise Critic's Sapphire Princess Review >>
Great destination! Unfortunat...
Best vacation ever!
Food not good but a nice time ...
Tips for enjoying this cruise
A wonderful cruise, but save u...
Disappointing Cruise
Great cruise!!
Nice but nothing particularly ...
Bland food and unpleasant staf...
Sponsored Links


text: Induction of programmed lysis in Streptomyces lividans culture by the inhibitors of eukaryotic type serine/threonine protein kinasesO. B. Bekker, D. A. Mavletova, I. K. Lyubimova, T. A. Mironcheva, A. A. Shtil', V. N. DanilenkoMicrobiology2012Programmed death (PD) of the mycelium of Streptomyces lividans, namely, its delayed lysis in response to treatment with indolylmaleimide derivatives, which inhibit actinobacterial serine/threonine protein kinases (STPK), is described. Delayed lysis of mycelial cell was accompanied by DNA damage similar to PD in differentiating S. lividans mycelium.… (More)


text:
Aseptic Packaging Market in the APAC Region 2015-2019
About Aseptic Packaging Aseptic packaging involves the filling of sterilized perishable items in pre-sterilized packages made of rigid and flexible plastics, metal, and other materials in a sterile environment. Aseptic packages ensure ESL for the contents inside them and maintain the original texture, aroma, and other functional characteristics of the contents. Though packages are generally sterilized using thermal processing methods, which involve the application of hot water, steam-air mixture, and microwave energy, they can also be sterilized using chemical reagents and radiation treatment. The items inside are sterilized using UHT treatment and do not need any additives for preservation. TechNavio's analysts forecast the Aseptic Packaging market in the APAC region will grow at a CAGR of 11.35 percent over the period 2014-2019. Covered in this Report Based on the application type, the Aseptic Packaging market in the APAC region can be divided into four segments: Milk, Beverages, Dairy Products, and Other Products. The key end-users are the Dairy sector, F&B sector, and the Pharmaceutical and Healthcare sector. TechNavio's report, the Aseptic Packaging Market in the APAC region 2015-2019, has been prepared based on an in-depth market analysis with inputs from industry experts. The report covers the market landscape in the APAC region and its growth prospects in the coming years. It also includes a discussion of the key vendors operating in this market. Key Vendors • Amcor • Bemis Company • E.I. du Pont de Nemours and Company • Tetra Laval International Other Prominent Vendors • China Capak Packaging • DS Smith • Ecolean • Elopak • Goglio • Graham Packaging • Greatview Aseptic Packaging • Printpack • Robert Bosch • Scholle Packaging • Sealed Air • SIG Combibloc Key Market Driver • Lack of Proper Cold-chain Facilities • For a full, detailed list, view our report Key Market Challenge • High Capital Expenditure for Vendors • For a full, detailed list, view our report Key Market Trend • Enhanced Production Capacity of Vendors • For a full, detailed list, view our report Key Questions Answered in this Report • What will the market size be in 2019 and what will the growth rate be? • What are the key market trends? • What is driving this market? • What are the challenges to market growth? • Who are the key vendors in this market space? • What are the market opportunities and threats faced by the key vendors? • What are the strengths and weaknesses of the key vendors?


text:
Expand your stamp collection with this Boogie Heart Metal Design Stamp with an impression size of 3mm. This funky heart adds a bit of whimsy and swirl to your project.
ImpressArt Stamps
Designed by artists for artists, ImpressArt metal stamps will make a lasting impression on your jewelry. These professional quality stamps are manufactured to the highest standard for durability and alignment. Designs are precision-cut from carbon tool steel, hardened to last project after project.
We are an official ImpressArt dealer.