Statement of context: Job Club is a National Mental Health Blueprint programme funded by the Ministry of Health in Singapore, to provide supported employment for people recovering from psychiatric conditions. Critical reflection on practice: Professional staff such as occupational therapists were re-designated as vocational specialists in this programme. Between financial years 2009 and 2014, a total of 1449 job placements were carried out. Fifty-six per cent of all job placements lasted more than two months and 47% of them lasted more than three months. From 2012, the service was integrated with an existing occupational therapy psychiatric rehabilitation service, resulting in an improved job placement rate from 19% to 63%. Linear regression analyses found that only prior vocational training predicted job tenure. Implications for practice: Overall, occupational therapists found that our training in activity analyses enabled us to conduct job task analyses, employer education as well as worksite support and modifications competently.

Recently, bone marrow endothelial cells (BMECs) were found to play an important role in regulating bone homeostasis. However, few studies utilized BMECs to treat bone metabolic diseases including osteoporosis. Here, we reported bioinspired nanovesicles (BNVs) prepared from human induced pluripotent stem cells-derived endothelial cells under hypoxia culture through an extrusion approach. Abundant membrane C-X-C motif chemokine receptor 4 conferred these BNVs bone-targeting ability and the endothelial homology facilitated the BMEC tropism. Due to their unique endogenous miRNA cargos, these BNVs re-educated BMECs to secret cytokines favoring osteogenesis and anti-inflammation. Owing to the conversion of secretory phenotype, the osteogenic differentiation of bone mesenchymal stem cells was facilitated, and the M1-macrophage-dominant pro-inflammatory microenvironment was ameliorated in osteoporotic bones. Taken together, this study proposed BMEC-targeting nanovesicles treating osteoporosis via converting the skeletal endothelium-associated secretory phenotype.

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Different surfactants (lecithin, Tween‐20, and Tween‐80) were added in composite film during the preparation. Flavor, antimicrobial activity, and physical properties of ginger essential oil ‐gelatin film were investigated, in order to study the effect of surfactants on the properties of film. The flavor of GEO was not detected in the film prepared with Tween‐20 and film prepared with Tween‐80, and these two films exhibited stronger antimicrobial activity; film prepared with lecithin possessed higher value in thickness, elongation at break, water solubility, Δ E and opacity, lower value in water vapor property, and tensile strength; attenuated total reflectance‐Fourier transform infrared spectrum results suggested, Tween‐20 and Tween‐80 enhanced the strength of covalent bond, and lecithin weakened the strength of hydrogen bond; and the result of scanning electron microscope showed that Tween‐20 and Tween‐80 improved the dispersion of oil droplets in film. Therefore, this study suggested that surfactants had an influence on the physical properties and molecular structure of a resulting film; in addition, Tween‐20 and Tween‐80 could reduce the flavor of GEO in film, improving the antimicrobial activity of film.