A prospective study was performed in order to examine the relationship of internal hip rotation to groin pain in Australian Rules Football players. 101 subjects were tested using a plurimeter placed on the lateral aspect of the tibia whilst lying prone on a plinth. Subjects were tested twice at an interval of six weeks and episodes of groin pain that occurred between the first and second testing dates were recorded. This study may have implications for the treatment and prevention of groin injuries in the athletic population and in particular Australian Rules Football players. This minor thesis was written by post-graduate students as part of the requirements of the Master of Health Science (Osteopathy) program.

Background and objectives: Current research on respiratory diseases is mainly focused on the effects of drug treatments, however much less work has looked into the use of manual treatments of patients with symptoms of respiratory dysfunction. Studies currently being conducted through Victoria University are attempting to investigate whether manual treatments, such as HVLA and Lymphatic Pump techniques have an effect on lung function. There has however been no research into the effect of Muscle Energy Technique (MET) on measurable respiratory function even though it is such a widely used technique. This study aims to identify whether MET leads to a measurable change in ventilatory function in asymptomatic individuals. Conclusion: Thoracic MET performed on asymptomatic volunteers had no significant effect on FVC or FEV measurements immediately post, 10 minutes post or 20 minutes post-intervention. This minor thesis was written by post-graduate students as part of the requirements of the Master of Health Science (Osteopathy) program.

Background: Edge Light Pupil Cycle Time (ELPCT) is a light reflex of the eye, which is controlled via the automatic nervous system. Studies have shown ELPCT to be a measurable constant, unaffected by visual acuity, refractive error, eye colour, pupil size or gender. Recent studies have shown that high-velocity manipulation of the upper cervical spine causes an immediate decrease in ELPCT on the same side as the manipulation. This change is presumed to me mediated in part by alterations in the autonomic tone following mauipulative intervention, therefore suggesting that unilateral manipulation produces an immdeiate unilateral change in the autonomic nervous system. Objective: To investigate the lasting effects (up to 1 hour) of C1-2 high velocity low amplitude manipulation upon ELPCT. Design: A two group blind, randomized study, with a control group. Conclusion: This suggests that ELPCT, which is mediated by the autonomic nervous system, can be directly influenced by high-velocity manipulation to the atlanto-axial joint and these changes occur on the same side as the manipulation (i.e. unilateral manipulation produces unilateral physiological change). Over a one-hour time frame these changes are still significant at 20-minutes post-manipulation but only slightly evident at one-hour post manipulation. This minor thesis was written by a post-graduate student as part of the requirements of the Master of Health Science (Osteopathy) program.

Background: High velocity low amplitude (HVLA) thrust techniques are commonly used by manual therapists. One of the primary goals of these techniques is to increase the range of motion within spinal segments. Still, there is much contention about the outcomes of the audible release or cavitation associated with these techniques. This study is to investigate the effect that HVLA thrust techniques has on total cervical ROM asymmetries with and without cavitation. Conclusion: HVLA thrust technique to the AA joint with cavitation produced a significant amelioration in total cervical rotation asymmetry immediately post-manipulation. A significant amelioration in toal cervical rotation asymmetries was not found when HVLA failed to produce a cavitation. The reduction in the asymmetry immediately post-manipulation had reduced or returned to the pre-manipulation level at 30 minutes post-manipulation. This minor thesis was written by a post-graduate student as part of the requirements of the Master of Health Science (Osteopathy) program.

Background and objectives: People with psoriatic arthritis seek complementary medical treatment, such as osteopathy, as a sole form of treatment, or as a complement to conventional treatment. The aim of this case series design was to determine the effects of osteopathic treatment on the symptoms, and health related quality of life (HRQOL) in people with psoriatic arthritis. The results demonstrate that osteopathic treatments are capable of producing symptomatic relief and improvements in HRQOL. The limited number of participants in the study limits generalization of the findings, but gives impetus to further research in this area. This minor thesis was written by post-graduate students as part of the requirements of the Master of Health Science (Osteopathy) program.

Tennis is a popular racquet sport played at various ability levels. It can be played from early childhood through to an elderly age. The aim of this study was to determine the injuries obtained by Victorian Institute of Sport, Australian Institute of Sport and Grade 1 or State Grade pennant players in the 15-25 year age group, over a 6-month period from February-July 2005. This study also sought to determine the medical care participants sought for their injuries and the impact of the injury in terms of time lost from play. The study investigated injury patterns in players attempting to enter a world-class standard of tennis. From this study it was concluded that upper extremity injuries were the most common region injured. The wrist is the most common specific location of a tennis injury. Overuse injuries, especially sprains and strains are the most common type of perceived injury in this population. Players who are injured spend less time cross training than non-injured players. Remedial/Massage Therapists is the most common health professional sought by the young sub-elite player. It is hoped that data obtained from this study may be useful in constructing strength/conditioning programs to help potentially reduce the number of injuries and effect of injuries in the sub-elite junior tennis player. This minor thesis was written by a post-graduate student as part of the requirements of the Master of Health Science (Osteopathy) program.

Made available in DSpace on 2016-08-18T17:27:38Z (GMT). No. of bitstreams: 1 Monica Andrea Miranda Aragao.pdf: 1476090 bytes, checksum: e7c1e10799ea316f7e1279c254f268a5 (MD5) Previous issue date: 2014-09-12 / The nurses of the Family Health Strategy should build with families in a cooperative relationship - professional / family, based on a theoretical grounding, allied the technological and scientific knowledge with observation skills, communication and intuition. Aimed to with this work understanding the practice of nurses of the Family Health Strategy in family care. This is a descriptive study with a qualitative approach, done in eight basic health units, with nurses of the Family Health Strategy. The semi-structured interview was used. The data collection survey was conducted in the period February to May 2014, with analysis of data from the thematic analysis. After analytical-reflective process of interviews, emerged 640 (six hundred and forty) nucleus of meaning, which have been grouped into seventeen (17) provisional themes and 03 (three) final themes: knowing the families served; featuring your work process in the family health strategy; and taking care of the family on the family health strategy. These themes reflect that nurses know the characteristics of families served, a fact that helps the family in the care process. Featuring the work process in the strategy as a reflection of the guidelines recommended by the Ministry of Health, but with little effectiveness in caring for families served. Conceptualize the family as a group of people united by kinship or not, who perceive themselves as a family, that have common objectives and mutually care if. The family care despite believing that exceeded the model and focusing on individuals who can take care of the family as the context of health and disease, do not have the methodologies for assessment and intervention of families do not know and do not use this for care tools, focus is the individual in the family; reported that family care is not put into practice due to structural problems, such as lack of car for home visits, view this as a major tool for approaching families. Show that they feel frustrated and distressed for not realizing their professional value and recognition of their work on strategy. It is concluded that formal care practiced by nurses to families, requires a reflection on what is actually working toward families, adopting methodological strategies for the effective planning of actions directed to the care of families. / O enfermeiro da Estratégia Saúde da Família deve construir com as famílias um relacionamento cooperativo profissional/família, aliando os conhecimentos científicos e tecnológicos às habilidades de observação, comunicação e intuição. Objetivou-se com este trabalho compreender como os enfermeiros da Estratégia Saúde da Família percebem seu cuidado familiar. Trata-se de um estudo descritivo, com abordagem qualitativa, feito em oito unidades básicas de saúde, com oito enfermeiros da Estratégia Saúde da Família. Foi utilizada a entrevista semi-estruturada. A coleta de dados foi realizada no período de fevereiro a maio de 2014, com análise dos dados a partir da Análise Temática. Após processo analítico-reflexivo das entrevistas, emergiram 640 (seiscentos e quarenta) núcleos de sentido, que foram agrupados em 17 (dezessete) temas provisórios e 03 (três) temas definitivos: conhecendo as famílias atendidas; caracterizando seu processo de trabalho na Estratégia Saúde da Família; e cuidando da família na Estratégia Saúde da Família. Estes temas refletem que os enfermeiros conhecem as características das famílias atendidas, fato que auxilia no processo do cuidado. Interpretam o seu processo de trabalho na estratégia como um reflexo das diretrizes preconizadas pelo Ministério da Saúde, porém com pouca efetividade no cuidado às famílias atendidas. Conceituam família como um grupo de pessoas unidas por laços de parentesco ou não, que se percebem como família, que possuem objetivos comuns, e que se cuidam mutuamente. Apesar de acreditarem que ultrapassaram o modelo centrado no indivíduo e que conseguem cuidar da família como contexto de saúde e doença, não apresentam as metodologias aplicadas para avaliação e intervenção das famílias, não conhecem e não utilizam ferramentas paras esse cuidado, o foco é o indivíduo na família; relatam que o cuidado à família não é colocado em prática devido às dificuldades estruturais, como a falta de carro para visita domiciliar, esta vista como uma das principais ferramentas para abordagem às famílias. Evidenciam que sentem-se frustrados e angustiados por não perceberem seu valor profissional e reconhecimento de seu trabalho na estratégia. Conclui-se que o cuidado formal praticado pelo enfermeiro às famílias, necessita de uma reflexão acerca do que é realmente o trabalho voltado para as famílias, com adoção de estratégias metodológicas para o efetivo planejamento de ações direcionadas para o cuidado às famílias.

Syftet med studien har varit att genom en kvalitativ intervjuundersökning skapa förståelse för nyanlända vuxnas etableringssvårigheter på arbetsmarknaden och i det svenska samhället, samt granska hur fritidssektorn kan komma att agera som stöd i denna integrationsprocess. Med utgångspunkt i Prismas förberedelseprojekt Prisma Arbetsmarknad - en arbetsintegrerande fritidssektor, har fyra deltagare intervjuats där dem delat med sig av sina erfarenheter, upplevelser och åsikter om sina första år i Sverige som nyanländ, utifrån följande frågeställning: Vilka uppfattningar har nyanlända vuxna om Projektet Prismas metoder för att stötta deras integration till arbetslivet och hur upplever de att samhället överlag bidragit till deras integrationsprocess? Studien baseras på tidigare forskning som behandlar nyanländas etableringsproblematik, samt tre sociologiska teorier. De teorier som används är Pierre Bourdieus kapital- och fältteori, Randall Collins teori om interaktionsritualer och emotionell energi, samt Jürgen Habermas teori om system och livsvärld.  Resultatet visar på att informanterna upplevde sin första tid i Sverige som väldigt påfrestande, där deras vardag präglas av en låg sysselsättningsgrad eller ingen sysselsättning. Brist på sociala interaktioner visade sig ha negativa effekter på individens mentala hälsa. Genom deltagande i projekt Prisma Arbetsmarknad sysselsätts nyanlända och deras livsvärld stärks genom interaktionsritualer som ökar deras emotionella energi och även handlingsutrymme och förmåga. Detta bidrar till att deras sociala kapital utökas genom fler kontakter men också förmågan att ta kontakt.

The history of day care licensing standards in Texas was traced from the beginnings in voluntary welfare organizations to the 1976 revisions. The jurisdictional foundations of day care licensing was presented in a summary of the related legislation passed in Texas during the years from 1848 to 1975. Categories of licensing requirements in the different sets of standards promulgated in Texas were compared. The attempt was made to derive a contextual milieu of social, political and educational factors which influenced Texas day care legislation and the development of licensing standards. It was recommended that funds are essential to adequate enforcement of licensing standards. In addition, to facilitate acculturation of day care licensing, consultation and training efforts should expand proportionately to the expansion of day care. The fact that issues related to specific requirements surfaced repeatedly in the different decades studied, a need for carefully controlled research to validate the individual requirements was indicated.

L’insuffisance cardiaque (IC) est une maladie chronique dont les symptômes sévères peuvent mener à des hospitalisations répétées. Pour gérer ces symptômes, le plan de traitement implique plusieurs auto-soins, par exemple une diète limitée en sel et en liquide, ce qui est parfois difficile à respecter. Le but de la présente étude pilote randomisée à deux groupes (n = 16 / groupe) était d’évaluer la faisabilité, l’acceptabilité et l’efficacité préliminaire d’une intervention infirmière favorisant la pratique des auto-soins des patients atteints d’IC. L’intervention est basée sur la théorie de l’autodétermination (TAD) qui promeut l’autonomie dans la pratique des auto-soins. L’autodétermination est favorisée par le sentiment de compétence perçue, d’autonomie et d’affiliation. Pour soutenir le besoin d’affiliation, un aidant principal participe à l’intervention qui consiste en cinq entrevues chez le groupe d’intervention (GI) dont deux durant l’hospitalisation et trois par un appel téléphonique suite au congé. Les interventions découlant de cette théorie incluent par exemple de proposer des choix plutôt que d’imposer des restrictions, d’éviter la critique, de favoriser l’empathie et le renforcement positif. Les entrevues ont servi également à guider les aidants principaux pour qu’ils soutiennent à leur tour l’autodétermination de leur parent atteint d’IC. Les résultats soutiennent la faisabilité et l’acceptabilité de l’intervention évaluée dans la présente étude et permettent d’améliorer la pratique des auto-soins avec des résultats favorables pour la majorité des hypothèses évaluées. Ces résultats prometteurs permettront de guider la pratique clinique et offrent des pistes de recherches futures. / Heart failure (HF) is a chronic disease with severe symptoms that may lead to repeated hospitalizations. To manage these symptoms, the treatment plan involves several self-cares, such low-salt diet and fluid restriction, which is sometimes difficult to achieve. The purpose of this randomized pilot study of two groups (n = 16 / group) was to assess the feasibility, acceptability and preliminary effectiveness of a nursing intervention aimed at improving the self-care practice in HF patient’s. The intervention is based on self-determination theory (SDT) which promotes autonomy in self-care practice. Seldetermination is enhanced by individual’s perceived competence, autonomy and relatedness. To sustain affiliation need, a primary caregiver participates in the intervention, which consists of five interviews with the experimental group (EG), two during hospitalization and three by a telephone follow-up after discharge. Interventions based on this theory include offering choice rather than imposing restrictions, avoiding criticism, encouraging empathy and positive reinforcement. The interviews were also used to guide the primary caregivers so they could themselves support their HF relatives’ with self-determination. The results support the feasibility and acceptability of the intervention evaluated in this study and help improve self-care practice with positive results for the majority of the hypotheses tested. These promising results will guide clinical nursing practice and provide avenues for future research.