Jennifer R. Guthrie, MPAS, PA-C

  • Assistant Professor
  • Director of Experiential Education, Physician Assistant Program
  • College of Pharmacy and Health Sciences, Butler University, Indianapolis, Indiana

https://www.schneckmed.org/find-a-provider/providers/jennifer-r-guthrie,-pa/

A comparisonofprelubricated h ydroph ilicand non-h ydroph ilicpolyvinylch loride cath eters forureth ralcath eteriz ation blood pressure pregnancy purchase 40mg furosemide with visa. M ulti-centre study ofintraureth ralvalve-pumpcath eterinwomenwith a h ypocontractile or acontractile bladder heart attack 3964 purchase furosemide no prescription. N osocomialcath eter-associated bacteriuria:A clinicaltrialcomparingtwo closed urinary drainage systems heart attack 5 stents buy furosemide 40 mg cheap. A study to determine wh eth erth e use ofa pre-connecturinary cath etersystem reduces th e incidence ofnosocomialurinary tract infections blood pressure medication used for headaches generic furosemide 40mg free shipping. Preventionofbacteriuria duringurinary cath eteriz ationofpatients inanintensive care unit:Evaluationofth e ureofix500closed drainage system. A neconomicmodelto assess th e costand benefits ofth e routine use ofsilveralloy coated urinary cath eters to reduce th e risk ofurinary tractinfections incath eteriz ed patients. Th e potentialclinicaland economicbenefits ofsilveralloy urinary cath eters inpreventing urinary tractinfection. A pilotstudy onpreventionofcath eter-related urinary tractinfections with fluoroquinolones. A pilotrandomiz ed double-blind placebo-controlled trialonth e use ofantibiotics onurinary cath eter removalto reduce th e rate ofurinary tractinfection:Th e pitfalls ofciprofloxacin. A ntibioticproph ylaxis inpatients with urinary retentionundergoingtransureteral prostatectomy. Prospective randomiz ed openstudy betweenciprofloxacinand a combinationof sulfadiaz ine and trimeth oprim inantibioticproph ylaxis inconnectionwith transureth ralprostatectomy. Preventionofcath eter-associated gram-negative bacilluria with norfloxacinby selective decontaminationofth e boweland h igh urinary concentration. A sh ortantibioticcourse giveninconjunctionwith and aftercath eterremovalconsecutive to transureth ralprostatic resection. Effectofcranberry extractonbacteriuria and pyuria inpersons with neurogenicbladdersecondary to spinalcord injury. C anantibioticuse duringroutine replacementoflong-term urinary cath eterprevent bacteriuria Effectofcranberry juice onbacteriuria inch ildrenwith neurogenicbladderreceivingintermittent cath eteriz ation. C omparisonofth e efficacy of"trisdine"and kanamycin-colistinbladderinstillations inreducingbacteriuria duringintermittentcath eterisationofpatients with acute spinalcord trauma. Bladderinstillations oftrisdine compared with cath eterintroducerforreductionofbacteriuria duringintermittent cath eterisationofpatients with acute spinalcord trauma. Th e use ofintermittentch lorh exidine bladderirrigationinth e preventionofpost-prostatectomy infective complications. Bladderirrigationwith ch lorh exidine forth e preventionofurinary infectionaftertransureth ral operations:A prospective controlled study. Bladderirrigationwith povidone-iodine inpreventionofurinary-tractinfections associated with intermittentureth ral cath eterisation. Bacteriuria inclosed bladderdrainage versus continuous irrigationinpatients undergoingintracavitary radium for treatmentofgynecologiccancer. H ibitane bladderirrigationinth e preventionofcath eter-associated urinary infection. Instillationof3% h ydrogenperoxide ordistilled vinegarinureth ralcath eterdrainage bagto decrease cath eter-associated bacteriuria. EvaluationofH 2O 2 proph ylaxis ofbacteriuria inpatients with long-term indwellingfoley cath eters:A randomiz ed controlled study. Does th e additionofdisinfectantto urine drainage bags preventinfectionin cath eterised patients Decreased incidence ofbacteriuria associated with periodicinstillations ofh ydrogenperoxide into th e ureth ralcath eterdrainage bag. W aterorantisepticforperiureth ralcleaningbefore uninary cath eteriz ation:A randomiz ed controlled trial. A comparisonofth e effectofch lorh exidine antisepsis,soapand antibiotics onbacteriuria,perinealcoloniz ationand environmental contaminationinspinally injured patients. A comparisonoftwo regimes ofcath eterisationinth e proph ylaxis ofurinary tractinfectioningynaecologicalpatients. Incidence ofurinary tractinfections inpatients with sh ort-term indwellingureth ralcath eters:A comparisonbetweena 3-day urinary drainage bagch ange and no ch ange regimens. Increasingth e wearingtime ofvinylurinary drainage bags by decontaminationwith bleach. L ubricated ureth ralcath eters with lidocaine versus gentamycinforcleanintermittent cath eteriz ation. Intermittentcath eteriz ationwith a prelubricated cath eterinspinalcord injured patients: A prospective randomiz ed crossoverstudy. A microbiologicalcomparisonofa povidone-iodine lubricatinggeland a controlas cath eterlubricants. ImpactofStatL ock securingdevice onsymptomaticcath eter-related urinary tract infection:A prospective,randomiz ed,multicenterclinicaltrial. Bacterialinterference forpreventionofurinary tractinfection:A prospective,randomiz ed, placebo-controlled,double-blind pilottrial. C linicalinfectious diseases:anofficialpublicationofth e Infectious Diseases Society ofA merica. A prospective,randomiz ed trialcomparingimmediate versus delayed cath eterremovalfollowing h ysterectomy. C omparisonof1 and 3 daystransureth eralfoley cath eteriz ationaftervaginalplasticsurgery. C linicaland economicconsequences ofvolume-ortime-dependentintermittentcath eteriz ationinpatients with spinal cord lesions and neuropath icbladder(structured abstract). Postoperative cath eteriz ationand proph ylacticantimicrobials inch ildrenwith h ypospadias. Evaluationofaseptictech niques and ch lorh exidine onth e rate ofcath eter-associated urinary-tractinfection. Preventionofurinary tractinfectioninspinalcord-injured patients:Safety and efficacy ofa weekly oralcyclicantibiotic (W O C A)programme with a 2 yearfollow-up-anobservationalprospective study. Prospective study onth e appearance ofantibody-coated bacteria inpatients with anindwellingurinary cath eter. Proph ylacticmeth enamine h ippurate ornitrofurantoininpatients with anindwellingurinary cath eter. Th e value ofkanamycin-colistinbladderinstillations inreducingbacteriuria duringintermittentcath eterisationofpatients with acute spinalcord injury. N eomycin-polymyxinproph ylaxis ofurinary-tractinfectionassociated with indwellingcath eters. Preventionofurinary tractinfectionby instillationofch lorh exidine into urinary drainage bags. Th e role ofmeataldisinfectioninpreventingcath eter-related bacteriuria inanintensive care unit:A pilotstudy inturkey. A ntisepticcath etergeland urinary tractinfectionaftersh ort-term postoperative cath eteriz ationinwomen. C omparisonofa microbicidalpovidone-iodine geland a placebo gelas cath eterlubricants. Th e use ofpolymixinB as a ureth rallubricantto reduce th e post-instrumentalincidence ofbacteriuria infemales. A comparisonoftwo meth ods ofcath etercleansingand storage used with cleanintermittentcath eteriz ation. Extended use ofindwellingurinary cath eters inpostoperative h ipfracture patients. Th e effectofintroducinga policy forcath etercare onth e cath eterinfectionrate ina smallh ospital. A ltered patterns ofposttransplanturinary tractinfections associated with perioperative antibiotics and curtailed cath eteriz ation. A comparisonoftwo meth ods ofsterile ureth ralcath eterisationinspinalcord injured adults.

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A combination of measures designed to minimize the transmission of respiratory pathogens via droplet or airborne routes in healthcare settings blood pressure spikes purchase furosemide 40 mg overnight delivery. The components of Respiratory Hygiene/Cough Etiquette are 1) covering the mouth and nose during coughing and sneezing prehypertension bp order furosemide 100mg free shipping, 2) using tissues to contain respiratory secretions with prompt disposal into a notouch receptacle blood pressure medication images discount furosemide master card, 3) offering a surgical mask to persons who are coughing to decrease contamination of the surrounding environment heart attack hospital stay buy furosemide 40mg fast delivery, and 4) turning the head away from others and maintaining spatial separation, ideally >3 feet, when coughing. These measures are targeted to all patients with symptoms of respiratory infection and their accompanying family members or friends beginning at the point of initial encounter with a healthcare setting. The shared perceptions of workers and management regarding the expectations of safety in the work environment. The process of containing an infectious agent either at the portal of exit from the body or within a confined space. The term is applied most frequently to containment of infectious agents transmitted by the respiratory route but could apply to other routes of transmission. Respiratory Hygiene/Cough Etiquette that encourages individuals to cover your cough and/or wear a mask is a source control measure. A group of infection prevention practices that apply to all patients, regardless of suspected or confirmed diagnosis or presumed infection status. Standard Precautions is a combination and expansion of 780 1102 Universal Precautions and Body Substance Isolation. Standard Precautions is based on the principle that all blood, body fluids, secretions, excretions except sweat, nonintact skin, and mucous membranes may contain transmissible infectious agents. Standard Precautions includes hand hygiene, and depending on the anticipated exposure, use of gloves, gown, mask, eye protection, or face shield. A device worn over the mouth and nose by operating room personnel during surgical procedures to protect both surgical patients and operating room personnel from transfer of microorganisms and body fluids. Surgical masks also are used to protect healthcare personnel from contact with large infectious droplets (>5 m in size). According to draft guidance issued by the Food and Drug Administration on May 15, 2003, surgical masks are evaluated using standardized testing procedures for fluid resistance, bacterial filtration efficiency, differential pressure (air exchange), and flammability in order to mitigate the risks to health associated with the use of surgical masks. These specifications apply to any masks that are labeled surgical, laser, isolation, or dental or medical procedure ( Surgical masks do not protect against inhalation of small particles or droplet nuclei and should not be confused with particulate respirators that are recommended for protection against selected airborne infectious agents. Comparison of evidence of treatment effects in randomized and nonrandomized studies. A systematic review of quasiexperimental study designs in the fields of infection control and antibiotic resistance. Foundations of the severe acute respiratory syndrome preparedness and response plan for healthcare facilities. Guidelines for preventing the transmission of Mycobacterium tuberculosis in health-care settings, 2005. Guidelines for preventing opportunistic infections among hematopoietic stem cell transplant recipients. Society for Healthcare Epidemiology of America/Association for Professionals in Infection Control/Infectious Diseases Society of America. Recommendations for Preventing Transmission of Infections Among Chronic Hemodialysis Patients. Infection control recommendations for patients with cystic fibrosis: microbiology, important pathogens, and infection control practices to prevent patient-to-patient transmission. Eradication of endemic methicillin-resistant Staphylococcus aureus infections from a neonatal intensive care unit. Epidemiological analysis defining concurrent outbreaks of Serratia marcescens and methicillin-resistant Staphylococcus aureus in a neonatal intensive-care unit. Epidemiology and successful control of a large outbreak due to Klebsiella pneumoniae producing extendedspectrum beta-lactamases. The role of "colonization pressure" in the spread of vancomycin-resistant enterococci: an important infection control variable. Prolonged nosocomial outbreak of hepatitis A arising from an alcoholic with pneumonia. An outbreak of Pseudomonas aeruginosa pneumonia and bloodstream infection associated with intermittent otitis externa in a healthcare worker. Outbreak of extended-spectrum beta-lactamase-producing Klebsiella pneumoniae in a neonatal intensive care unit linked to artificial nails. Spread of methicillin-resistant Staphylococcus aureus in a hospital after exposure to a health care worker with chronic sinusitis. Effects of influenza vaccination of health-care workers on mortality of elderly people in longterm care: a randomised controlled trial. Outbreaks of pertussis associated with hospitals-Kentucky, Pennsylvania, and Oregon, 2003. Pseudomonas surgicalsite infections linked to a healthcare worker with onychomycosis. Excretion of serotype G1 rotavirus strains by asymptomatic staff: a possible source of nosocomial infection. A hospital-acquired outbreak of methicillin-resistant Staphylococcus aureus infection initiated by a surgeon carrier. Containment of pertussis in the regional pediatric hospital during the Greater Cincinnati epidemic of 1993. Tuberculosis among adult visitors of children with suspected tuberculosis and employees at a childrens hospital. Nosocomial respiratory syncytial virus infections: prevention and control in bone marrow transplant patients. Community respiratory virus infections among hospitalized adult bone marrow transplant recipients. Hospital transmission of community-acquired methicillin-resistant Staphylococcus aureus among postpartum women. Patients endogenous flora as the source of "nosocomial" Enterobacter in cardiac surgery. Epidemiology of endemic Pseudomonas aeruginosa: why infection control efforts have failed. Factors that predict preexisting colonization with antibiotic-resistant gram-negative bacilli in patients admitted to a pediatric intensive care unit. Infection in prolonged pediatric critical illness: A prospective four-year study based on knowledge of the carrier state. The role of the intestinal tract as a reservoir and source for transmission of nosocomial pathogens. Risk of community-acquired pneumococcal bacteremia in patients with diabetes: a population-based case-control study. Diabetes mellitus and bacteraemia: a comparative study between diabetic and non-diabetic patients. The importance of bacterial sepsis in intensive care unit patients with acquired immunodeficiency syndrome: implications for future care in the age of increasing antiretroviral resistance. Investigation of healthcare-associated transmission of Mycobacterium tuberculosis among patients with malignancies at three hospitals and at a residential facility. A review of risk factors for catheterrelated bloodstream infection caused by percutaneously inserted, noncuffed central venous catheters: implications for preventive strategies. Rate, risk factors, and outcomes of nosocomial primary bloodstream infection in pediatric intensive care unit patients. Outbreak of scabies in Norwegian nursing homes and home care patients: control and prevention. Reduction in the incidence of Clostridium difficile-associated diarrhea in an acute care hospital and a skilled nursing facility following replacement of electronic thermometers with single-use disposables. Nosocomial hepatitis B virus infection associated with reusable fingerstick blood sampling devices-Ohio and New York City, 1996. Hepatitis C in a ward for cystic fibrosis and diabetic patients: possible transmission by springloaded finger-stick devices for self-monitoring of capillary blood glucose. Transmission of hepatitis B virus among persons undergoing blood glucose monitoring in long-term-care facilities-Mississippi, North Carolina, and Los Angeles County, California, 2003-2004. Multiresistant Pseudomonas aeruginosa outbreak in a pediatric oncology ward related to bath toys. Transmission of a highly drugresistant strain (strain W1) of Mycobacterium tuberculosis. An outbreak of multidrug-resistant Pseudomonas aeruginosa infection associated with contamination of bronchoscopes and an endoscope washer-disinfector.

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Gender the psychological and sociological representations of ones biological sex heart attack quizzes buy furosemide 100mg on line. Intersex Born with either an absence or some combination of male and female reproductive organs understanding prehypertension generic 40mg furosemide visa, sex hormones arteria rectalis inferior cheap generic furosemide uk, or sex chromosomes prehypertension while pregnant buy furosemide 100 mg visa. Masochism Receiving pain from another person to experience pleasure for ones self. Monozygotic twins Twins conceived from a single ovum and a single sperm, therefore genetically identical. Safer-sex practices Doing anything that may decrease the probability of sexual assault, sexually transmitted infections, or unwanted pregnancy; this may include using condoms, honesty, and communication. Sexual consent Permission that is voluntary, conscious, and able to be withdrawn at any time. Sexual fluidity Personal sexual attributes changing due to psychosocial circumstances. Sexual literacy the lifelong pursuit of accurate human sexuality knowledge, and recognition of its various multicultural, historical, and societal contexts; the ability to critically evaluate sources and discern empirical evidence from unreliable and inaccurate information; the acknowledgment of humans as sexual beings; and an appreciation of sexualitys contribution to enhancing ones well-being and pleasure in life. Survey method One method of research that uses a predetermined and methodical list of questions, systematically given to samples of individuals, to predict behaviors within the population. Transgender A person whose gender identity or gender role does not correspond with his/her birth sex. Sexual semantics: the meanings of sex, virginity, and abstinence for university students. Transgender health in Massachusetts: Results from a household probability sample of adults. The assessment of sensory detection thresholds on the perineum and breast compared with control body sites. Canadian and American sex therapists perceptions of normal and abnormal ejaculatory latencies: How long should intercourse last Sexual fantasies about ones partner versus someone else: Gender differences in incidence and frequency. A comparative study of female masturbators and nonmasturbators, Journal of Sex Education and Therapy, 17, 99-102. Animals mix it up too: the distribution of selffertilization among hermaphroditic animals. Gender differences in heterosexual college students\ conceptualizations and indicators of sexual consent: implications for contemporary sexual assault prevention education. Consensus statement on management of intersex disorders, Pediatrics, 118, 148-162. Presented at the annual meeting of the Southwestern Psychological Association in San Antonio, Texas. Oral sex: Behaviours and feelings of Canadian young women and implications for sex education. An examination of some basic sexual concepts: the evidence of human hermaphroditism. Clinical characteristics of patients with gender identity disorder at a Japanese gender identity disorder clinic. Sexual behaviors and situational characteristics of most recent malepartnered sexual event among gay and bisexually identified men in the United States. Sexual practices and the duration of last heterosexual encounter: Findings from the Australian longitudinal study of health and relationships. High schoolers masturbatory practices: Their relationship to sexual intercourse and personal characteristics. The development of sex role stereotypes in the third year: Relationships to gender labeling, gender identity, sex-types toy preference, and family characteristics. Presented to the Asia Pacic Transgender Network Development Conference, Bangkok, Thailand. A global survey of sexual behaviours, Journal of Family and Reproductive Health, 3, 39-49. Don Lucas is a Professor of Psychology and Coordinator of the Psychology Department at Northwest Vista College in San Antonio, Texas. His teaching over the past three decades has earned him a number of accolades, including the Minnie Stevens Piper Professor Award. As a Human Sexuality Educator and a mother of a spirited 6-year-old daughter, she is passionate about promoting sexual literacy for all ages. Creative Commons License the Psychology of Human Sexuality by Don Lucas and Jennifer Fox is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4. Permissions beyond the scope of this license may be available in our Licensing Agreement. Senior V ice P residentand ChiefofStaff The Menninger Clinic; P rofessor and Executive V ice Chair Menninger Departm entofP sy chiatry and BehavioralSciences Bay lor College ofMedicine; Im m ediate P astP resident Am erican P sy chiatric Association P ersonality and relationaldisorders are com m only encountered in outpatientm ental health practice. T hese sm allchanges are lik e the sm all steps of an iterative evolutionary process. But m ay be the place we started with a diagnosis is lik e an evolutionary box cany on. Identity:Experience ofoneselfas unique,with clear boundaries between selfand others;stability ofself-esteem and accuracy ofself-appraisal;capacity for,and ability to regulate,a range ofem otionalexperience. Self-direction:P ursuitofcoherentand m eaningfulshort-term and life goals;utilization ofconstructive and prosocialinternal standards ofbehavior;ability to self-reflectproductively. Em pathy:Com prehension and appreciation ofothers experiences and m otivations;tolerance ofdiffering perspectives;understanding the effects ofown behavior on others. Intim acy:Depth and duration ofconnection with others; desire and capacity for closeness;m utuality ofregard reflected in interpersonalbehavior. Criterion A: (Lev elofIm pairm entin Pers onality Functioning) Moderate or greater im pairm entin personality functioning,m anifestby characteristic difficulties in two or m ore of the following four areas: 1. The im pairm ents in personality functioning and personality traitexpression are relatively inflexible and pervasive across a broad range of personaland social situations. The im pairm ents in personality functioning and the individuals personality traitexpression are relatively stable across tim e with onsets thatcan be traced back to atleastadolescence or early adulthood. The im pairm ents in personality functioning and the individuals personality traitexpression are notbetter explained by another m entaldisorder. The im pairm ents in personality functioning and the individuals personality trait expression are notsolely attributable to the phy siologicaleffects of a substance or another m edicalcondition. The im pairm ents in personality functioning and the individuals personality trait expression are notbetter understood as norm alfor an individuals developm ental stage or socio-culturalenvironm ent. Cognitive & perceptualdy sregulation Exam ple Bord erline Personality Disord er Bord erline Personality Disord er T y picalfeatures of Borderline P ersonality Disorder are instability of self-im age,personalgoals, interpersonalrelationships,and affects, accom panied by im pulsivity,risk tak ing,and/or hostility. Characteristic difficulties are apparentin identity,self-direction,em pathy,and/or intim acy, as described below,along with specific m aladaptive traits in the dom ain of Negative Affectivity,and also Antagonism and/or Disinhibition. Bord erline Personality Disord er(continued) Criterion A: Moderate or greater im pairm entin personality functioning,m anifestby characteristic difficulties in two or m ore of the following four areas: 1. Id entity: Mark edly im poverished,poorly developed,or unstable self-im age,often associated with excessive self-criticism;chronic feelings ofem ptiness;dissociative states under stress. Em pathy: Com prom ised ability to recognize the feelings and needs ofothers associated with interpersonalhy persensitivity. Intim ac y: Intense,unstable,and conflicted close relationships, m ark ed by m istrust,neediness,and anxious preoccupation with realor im agined abandonm ent;close relationships often viewed in extrem es ofidealization and devaluation and alternating between over-involvem entand withdrawal. Bord erline Personality Disord er(continued) Criterion B: Four or m ore of the following seven pathological personality traits (including atleastone of the following:#5 Im pulsivity,#6 Risk tak ing,or #7 H ostility): 1. Em otionallab ility (an aspectofNegative Affec tivity): U nstable em otionalexperiences and frequentm ood changes; em otions thatare easily aroused,intense,and/or outof proportion to events and circum stances.

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The multidirectional functional reach provides a unique opportunity to measure reach in alternate directions as forward reach does not predict 1 ability to perform backward or lateral reach and therefore fall risk may not be accurately captured with a reaching test in only one direction heart attack from stress buy furosemide 40 mg without a prescription. Decreased strength of psychometric properties for backward and lateral reach may indicate that forward reach (as per the functional reach) may be a more effective use of time Overall Comments: Students Students should be Comments should learn exposed to tool hypertension 2014 ppt order discount furosemide online. Overall Comments: Students should Students should be Comments Entry-Level Criteria learn to exposed to tool blood pressure 5 year old discount furosemide american express. Variability regarding scoring method is necessary in order to ensure consistency of its use heart attack and water order furosemide canada. Overall Comments: Many studies do not specify number of participants in each H&Y stage but report the mean H&Y stage. The majority of evidence supporting the use of this measure is for persons in H&Y Stages 2-3. It is a useful tool for identifying changes in quality of life over time as the disease progresses. Sense of coherence is a sensitive measure for changes in subjects with Parkinson s disease during 1 year. Quality of life in early Parkinsons disease treated with levodopa/carbidopa/entacapone. Intrajejunal levodopa infusion in Parkinsons disease: a pilot multicenter study of effects on nonmotor symptoms and quality of life. Assessing quality of life in Parkinsons Disease: Can a short form questionnaire be useful X excellent psychometric data supporting its use in persons with Parkinsons disease. A review of health-related quality-of-life concepts and measures for Parkinsons disease. Evaluation of a measurement strategy for Parkinsons disease: assessing patient health-related quality of life. Measuring participation in individuals with Parkinson disease: relationships with disease severity, quality of life, and mobility. Healthrelated quality of life in Parkinsons disease: A study of outpatient clinic attenders. Distribution-based criteria for change in health-related quality of life in Parkinsons disease. Proxy reports in Parkinsons disease: caregiver and patient self-reports of quality of life and physical activity. Age Ageing 1995;24: 505-509 Jenkinson C, Fitzpatrick R, Peto V, Greenhall R, Hyman N. Exploring outcome measures for exercise intervention in people with Parkinsons disease. Health related quality of life in Parkinsons disease a systematic review of disease specific instruments. Doubleblind, placebo-controlled study of Entacapone in Levodopa-treated patients with stable Parkinson disease. The development and validation of a short measure of functioning and well being for individuals with Parkinsons disease. Exercise for people in earlyor min-stage Parkinson disease: a 16-month randomized controlled trial. Self-management rehabilitation and health-related quality of life in Parkinsons disease: a randomized controlled trial. A single study provides evidence for excellent inter-rater reliability and adequate internal consistency in 2/3 subsections and in the total score. Overall Comments: Cost $110-150 (9 hole peg test wooden: $60Rolyan plastic $80) Established norms like the 9 hole peg test. Normative data was established on factory workers who performed manual tasks for their occupation. Students should Students should be Comments Entry-Level Criteria learn to exposed to tool. An alternative clinical postural stability test for patients with Parkinsons disease. Testing balance and fall risk in persons with Parkinson disease, an argument for ecologically valid testing. Clinical tests for the evaluation of postural instability in patients with parkinsons disease. Weaknesses: Assessments are done at one time point therefore may not reflect the rest of day. The assessment is also confined to an observer rating of motor disability during specified tasks and may not capture disability related to other tasks. The various types of dyskinesias may present at different times of day and/or may depend on medication cycle. X X sensitivity to changes over time, do not suggest recommendations for teaching in an educational setting. Better psychometric properties have been found with the Unified Dyskinesia Rating. Good correlation with the Becks Depression Inventory and the MiniMental State Examination Students Students should be Comments should learn exposed to tool. Impact of treadmill exercise on efficacy expectations, physical activity, and stroke recovery. Perceptions and performance of function and physical activity in assisted living communities. Reliability and validity of the self-efficacy for exercise and outcome expectations for exercise scales with minority older adults. Do attitudes toward exercise vary with differences in mobility and disability status A controlled trial of an educational programme for people with Parkinsons disease. Effectiveness of multidisciplinary interventions to improve the quality of life for people with Parkinsons disease: A systematic review. A 12-Item Short-Form Health Survey: Construction of scales and preliminary tests of reliability and validity. Psychometrics: Tool was published in a revised manual in 2000 and new normative data was published in 2009. Overall Comments: Clinical Utility: Access to tool is somewhat limited due to registration process required with a fee applied to acquire training manual and for specific uses. Survey administered as a questionnaire and can be selfadministered or completed through examiner interview. At this time, there is inadequate evidence involving subjects Parkinson Disease to recommend use in research. Relationships between disability, quality of life and prevalence of nonmotor symptoms in Parkinsons disease. Health-related quality-of-life scales in Parkinsons disease: Critique and recommendations. Assessment of fall-related self-efficacy and activity avoidance in people with Parkinsons disease. The trial was stopped when (1) the subjects foot touched the ground or stance leg, (2) the arms swung away from their hips, or (3) reached a maximal time of 30 seconds. Follow up studies after Jacobs (Mak, 2009,2010) failed to identify 10 seconds as an accurate cut-off to discriminate fallers from non-fallers. A majority of studies examining this measure in veteran and older adults, over 60 years, revealed good to excellent psychometric properties. Comparison of the Saint Louis University Mental Status Examination and the Mini-Mental State Examination for detecting 2 dementia and mild neurocognitive disorder-A pilot study. The Saint Louis University Mental Status Examination, the Mini-Mental State Examination, and the Montreal Cognitive Assessment in detection of cognitive impairment.