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https://www.readbyqxmd.com/read/28550784/high-resolution-analyses-reveal-structural-diversity-patterns-of-microbial-communities-in-chromite-ore-processing-residue-copr-contaminated-soils
#1
Xiaobo Min, Yangyang Wang, Liyuan Chai, Zhihui Yang, Qi Liao
To explore how heavy metal contamination in Chromite Ore Processing Residue (COPR) disposal sites determine the dissimilarities of indigenous microbial communities, 16S rRNA gene MiSeq sequencing and advanced statistical methods were applied. 13 soil samples were collected from three COPR disposal sites in Mouding of southwestern, Shangnan of northwestern and Yima of central China. The results of analyses of variance (ANOVA), similarities (ANOSIM), and non-metric multidimensional scaling (NMDS) showed that the structural diversity of the microbial communities in the samples with high total chromium (Cr) content (more than 300 mg kg(-1); High group) were significantly lesser than in the Low group (less than 90 mg kg(-1)) regardless of their geographical distribution...
May 21, 2017: Chemosphere
https://www.readbyqxmd.com/read/28544493/-it-s-a-fight-to-get-anything-you-need-accessing-care-in-the-community-from-the-perspectives-of-people-with-multimorbidity
#2
Julia W Ho, Kerry Kuluski, Jennifer Im
BACKGROUND: There is a growing interest in redesigning health-care systems to better manage the increasing numbers of people with multimorbidity. Knowing how patients experience health-care delivery and what they need from the health-care system are critical pieces of evidence that can be used to guide health system reforms. OBJECTIVE: The purpose of this study was to understand the challenges patients with multimorbidity face in accessing care in the community, and the implications for patients and their families...
May 24, 2017: Health Expectations: An International Journal of Public Participation in Health Care and Health Policy
https://www.readbyqxmd.com/read/28532170/an-in-depth-understanding-of-the-impact-of-the-environment-on-participation-among-people-with-spinal-cord-injury
#3
Feng-Hang Chang, Cheng-Han Liu, Hsin-Ping Hung
PURPOSE: To identify environmental factors associated with participation and gain an in-depth understanding of relationships between environmental factors and participation among people with spinal cord injury. METHOD: Six focus groups (n= 30) with individuals with spinal cord injury were conducted. Two independent coders thematically analyzed the transcribed data. RESULTS: Twenty environmental factors were identified, all of which were classified into eight categories: built environment; natural environment; assistive technology; transportation; information and technology access; economics; social support and social attitudes; and systems, services and policies...
May 22, 2017: Disability and Rehabilitation
https://www.readbyqxmd.com/read/28527832/-we-are-all-there-for-the-same-purpose-support-for-an-integrated-community-exercise-program-for-older-adults-with-hf-and-copd
#4
Laura Desveaux, Samantha Harrison, Annemarie Lee, Sunita Mathur, Roger Goldstein, Dina Brooks
BACKGROUND: Despite well-established improvements following rehabilitation, functional gains often diminish following discharge. OBJECTIVE: To explore the attitudes of older adults with HF and COPD, who have completed rehabilitation, toward community-based exercise maintenance. METHODS: Semi-structured interviews were conducted with 11 individuals with HF or COPD. RESULTS: Deductive thematic analysis uncovered three themes: 1) transitioning to community exercise is challenging, highlighting participants' struggle with unstructured maintenance and a lack of appropriate programs; 2) a structured, group-based program tailored to functional ability facilitates adherence, describing participants views on the importance of routine, and accountability; and 3) "We are all there for the same purpose" - participant support for integrated exercise, including the benefit of multiple perspectives and sustainability...
May 17, 2017: Heart & Lung: the Journal of Critical Care
https://www.readbyqxmd.com/read/28527644/conceptual-structure-of-health-related-quality-of-life-for-persons-with-traumatic-brain-injury-confirmatory-factor-analysis-of-the-tbi-qol
#5
Mark Sherer, Julia Maria Paul Poritz, David Tulsky, Pamela Kisala, Luis Leon-Novelo, Esther Ngan
OBJECTIVE: To determine the factor structure of the Traumatic Brain Injury - Quality of Life (TBI-QOL) measurement system. DESIGN: Observational. SETTING: 3 TBI Model Systems rehabilitation centers in the US PARTICIPANTS: and Methods: 20 TBI-QOL item banks were administered to a sample of 504 community-dwelling adults with traumatic brain injury (TBI) as part of a study of TBI classification. A subsample of n=200 participants was randomly selected for exploratory factor analyses (EFA), while data from the remaining 304 participants were used for the confirmatory factor analysis (CFA)...
May 17, 2017: Archives of Physical Medicine and Rehabilitation
https://www.readbyqxmd.com/read/28527508/social-media-and-web-presence-for-patients-and-professionals-evolving-trends-and-implications-for-practice
#6
REVIEW
Jose E Barreto, Curtis L Whitehair
The use of social media has become very instinctive to many. It has become part of a daily routine. Enhanced communication, liberated expressions of self, becoming updated with all the trends and news, and marketing promotion are only some of the reasons why most people use social media. Health care providers including physicians should take advantage of these platforms for professional purposes. Social media extends far beyond the famous platforms such as Facebook, Twitter, Pinterest, and Instagram, used mostly for social connections...
May 2017: PM & R: the Journal of Injury, Function, and Rehabilitation
https://www.readbyqxmd.com/read/28525311/telerehabilitation-of-patients-with-injuries-of-the-lower-extremities
#7
Andriy I Tsvyakh, Andriy J Hospodarskyy
INTRODUCTION: Timely access to orthopedic rehabilitation is an important problem for the Ukrainian healthcare system. The international orthopedic community aims to achieve the best possible outcome for patient care by modifying rehabilitation methods and using telemedicine technology. The theme of this article is to discuss the integration of telemedicine technology in the rehabilitation of patients with injuries of the lower extremities. MATERIALS AND METHODS: Consecutive patients were recruited over a 2-year period...
May 19, 2017: Telemedicine Journal and E-health: the Official Journal of the American Telemedicine Association
https://www.readbyqxmd.com/read/28524384/patient-reported-dietetic-care-post-hospital-for-free-living-patients-a-canadian-malnutrition-task-force-study
#8
H Keller, H Payette, M Laporte, P Bernier, J Allard, D Duerksen, L Gramlich, K Jeejeebhoy
BACKGROUND: Transitions out of hospital can influence recovery. Ideally, malnourished patients should be followed by someone with nutrition expertise, specifically a dietitian, post discharge from hospital. Predictors of dietetic care post discharge are currently unknown. The present study aimed to determine the patient factors independently associated with 30-days post hospital discharge dietetic care for free-living patients who transitioned to the community. METHODOLOGY: Nine hundred and twenty-two medical or surgical adult patients were recruited in 16 acute care hospitals in eight Canadian provinces on admission...
May 19, 2017: Journal of Human Nutrition and Dietetics: the Official Journal of the British Dietetic Association
https://www.readbyqxmd.com/read/28521582/long-term-performance-of-instrumental-activities-of-daily-living-iadl-in-young-and-middle-aged-stroke-survivors-results-from-sahlsis-outcome
#9
Charlotte Blomgren, Katarina Jood, Christina Jern, Lukas Holmegaard, Petra Redfors, Christian Blomstrand, Lisbeth Claesson
BACKGROUND: Although stroke prevalence is increasing and large proportions of stroke survivors are expected to live many years after stroke onset, research on the long-term consequences of stroke for instrumental activities of daily living (IADL) is limited. AIM: To explore performance of IADL seven years post-stroke onset and identify predictors of long-term IADL performance based on commonly employed acute measures and demographic characteristics in young and middle-aged stroke survivors...
May 19, 2017: Scandinavian Journal of Occupational Therapy
https://www.readbyqxmd.com/read/28521554/social-factors-predictive-of-social-integration-for-adults-with-brain-injury
#10
Elisabeth Batchos, Amanda Easton, Christopher Haak, Nicole Ditchman
INTRODUCTION: Individuals with acquired brain injury (ABI) may not only struggle with physical and cognitive impairments, but may also face challenges reintegrating into the community socially. Research has demonstrated that following ABI, individuals' social networks tend to dwindle, support may decline, and isolation increases. This study examined factors impacting social integration in a community-based sample of 102 individuals with ABI. METHODS: Potential predictors included emotional support, instrumental support, problem solving confidence, and approach-avoidance style (AAS) of problem solving, while controlling for age, gender, education, and time since injury...
May 18, 2017: Disability and Rehabilitation
https://www.readbyqxmd.com/read/28521182/should-nonsmokers-be-excluded-from-early-lung-cancer-screening-with-low-dose-spiral-computed-tomography-community-based-practice-in-shanghai
#11
Xiaoyang Luo, Shanbo Zheng, Quan Liu, Shengping Wang, Yuan Li, Lei Shen, Guodong Li, Wentao Li, Yanping Zhao, Huilin Xu, Jing Wang, Xiaohua Liu, Yunjian Pan, Hong Hu, Yihua Sun, Haiyan Yang, Su Xu, Haiquan Chen
OBJECTIVE: We investigated the efficacy of early lung cancer screening with low-dose spiral computed tomography(LDCT) in both smokers and nonsmokers based on the current situation of community health service, with integration of superior resources of medical institutions at all levels in Shanghai. METHODS: From August 2013 to August 2014, we screened 11,332 (male 7144; female 4188) high-risk individuals in selected communities of Minhang, Shanghai City, for early diagnosis of lung cancer with LDCT combined with multidisciplinary comprehensive treatment pattern including minimally invasive surgery, exploring the medical service network covering prevention, diagnosis, treatment, rehabilitation, and follow-up...
May 15, 2017: Translational Oncology
https://www.readbyqxmd.com/read/28518079/a-method-for-quantifying-upper-limb-performance-in-daily-life-using-accelerometers
#12
Catherine E Lang, Kimberly J Waddell, Joseph W Klaesner, Marghuretta D Bland
A key reason for referral to rehabilitation services after stroke and other neurological conditions is to improve one's ability to function in daily life. It has become important to measure a person's activities in daily life, and not just measure their capacity for activity in the structured environment of a clinic or laboratory. A wearable sensor that is now enabling measurement of daily movement is the accelerometer. Accelerometers are commercially-available devices resembling large wrist watches that can be worn throughout the day...
April 21, 2017: Journal of Visualized Experiments: JoVE
https://www.readbyqxmd.com/read/28516312/macroinvertebrate-taxonomic-and-functional-trait-compositions-within-lotic-habitats-affected-by-river-restoration-practices
#13
J C White, M J Hill, M A Bickerton, P J Wood
The widespread degradation of lotic ecosystems has prompted extensive river restoration efforts globally, but many studies have reported modest ecological responses to rehabilitation practices. The functional properties of biotic communities are rarely examined within post-project appraisals, which would provide more ecological information underpinning ecosystem responses to restoration practices and potentially pinpoint project limitations. This study examines macroinvertebrate community responses to three projects which aimed to physically restore channel morphologies...
May 17, 2017: Environmental Management
https://www.readbyqxmd.com/read/28514873/unpacking-community-mobility-a-preliminary-study-into-the-embodied-experiences-of-stroke-survivors
#14
Christa S Nanninga, Louise Meijering, Klaas Postema, Marleen C Schönherr, Ant T Lettinga
PURPOSE: To enrich the discussion on mobility in stroke rehabilitation by translating theoretical repertoires of mobility from the context of geography to rehabilitation. METHOD: Qualitative research methodology was applied, and included in-depth interviews with stroke survivors. RESULTS: This study revealed: (a) social and material differences in clinical, private and public places; (b) ambivalences and shifting tensions in bodily, family and community life; (c) differences in access to resources to be used for mobility...
May 17, 2017: Disability and Rehabilitation
https://www.readbyqxmd.com/read/28511495/barriers-encountered-by-accredited-social-health-activists-asha-in-arthritis-rehabilitation-a-qualitative-study
#15
Sidhiprada Mohapatra, Girish Nandakumar, Senthil Kumaran Dharmaraj
INTRODUCTION: Healthy behaviour through education of individuals with arthritis is the mainstay of long term management. Time and access constraints restrict medical professionals from active involvement in arthritis education in the community. Reaching the community through the Accredited Social Health Activists (ASHAs) is the plan of action operational in India. Hence, the factors encountered by ASHAs while delivering arthritis education programs need to be studied. AIM: The aim of the study was to explore the experiences of ASHAs while delivering arthritis education program...
March 2017: Journal of Clinical and Diagnostic Research: JCDR
https://www.readbyqxmd.com/read/28508698/negative-impact-of-litigation-procedures-on-patient-outcomes-four-years-after-severe-traumatic-brain-injury-results-from-the-paris-traumatic-brain-injury-study
#16
Eléonore Bayen, Claire Jourdan, Idir Ghout, Pascale Pradat-Diehl, Emmanuelle Darnoux, Gaëlle Nelson, Claire Vallat-Azouvi, James Charenton, Philippe Aegerter, Alexis Ruet, Philippe Azouvi
PURPOSE: To analyze the effect of litigation procedures on long-term outcomes in severe traumatic brain injury. MATERIALS AND METHODS: Prospective observational follow-up of an inception cohort including 504 adults with severe traumatic brain injury recruited in 2005-2007 in the Parisian area, France, with initial, one- and four-year outcomes measures. RESULTS: Four years after the traumatic brain injury, 147 patients, out of 257 who survived the acute phase, were assessed...
May 16, 2017: Disability and Rehabilitation
https://www.readbyqxmd.com/read/28503911/community-football-teams-for-people-with-intellectual-disabilities-in-secure-settings-they-take-you-off-the-ward-it-was-like-a-nice-day-and-then-you-get-like-medals-at-the-end
#17
Nicholas Andrew Hudson, Jennifer Hella Mrozik, Rose White, Kristian Northend, Steve Moore, Katherine Lister, Kelly Rayner
BACKGROUND: People with learning disabilities (LD) are particularly vulnerable to mental health and behavioural difficulties, and it has been shown that regular exercise can improve psychosocial well-being as well as physical fitness. This research aims to explore the experiences of men with LD detained in secure settings who have engaged in community football training programmes and identify the benefits of such provision. METHOD: Interviews were conducted with eight patients in a forensic LD service, discussing their experiences of participating in community football...
May 15, 2017: Journal of Applied Research in Intellectual Disabilities: JARID
https://www.readbyqxmd.com/read/28503067/interdisciplinary-collaboration-in-reablement-a-qualitative-study
#18
Arvid Birkeland, Hanne Tuntland, Oddvar Førland, Frode Fadnes Jakobsen, Eva Langeland
BACKGROUND: In-depth knowledge regarding interdisciplinary collaboration, a key feature in reablement, is scarce. OBJECTIVE: To elucidate how the interdisciplinary collaboration in reablement worked in a Norwegian context. SAMPLE AND METHODS: Seven focus group interviews were conducted with 33 health care providers working in interdisciplinary reablement teams in seven municipalities across the country. The focus group interviews were transcribed and an hermeneutical analysis was conducted...
2017: Journal of Multidisciplinary Healthcare
https://www.readbyqxmd.com/read/28499003/national-institutes-of-health-research-plan-on-rehabilitation-nih-medical-rehabilitation-coordinating-committee
#19
Ann O'Mara, Julia H Rowland, Thomas N Greenwell, Cheri L Wiggs, Jerome Fleg, Lyndon Joseph, Joan McGowan, James S Panagis, Charles Washabaugh, Grace C Y Peng, Rosalina Bray, Alison N Cernich, Theresa H Cruz, Sue Marden, Mary Ellen Michel, Ralph Nitkin, Louis Quatrano, Catherine Y Spong, Lana Shekim, Teresa L Z Jones, Denise Juliano-Bult, David M Panchinson, Daofen Chen, Lyn Jakeman, Ann Knebel, Lois A Tully, Leighton Chan, Diane Damiano, Biao Tian, Pamela McInnes, Partap Khalsa, Eve Reider, David Shurtleff, William Elwood, Rachel Ballard, Abby G Ershow, Lisa Begg
One in five Americans experiences disability that affects their daily function because of impairments in mobility, cognitive function, sensory impairment, or communication impairment. The need for rehabilitation strategies to optimize function and reduce disability is a clear priority for research to address this public health challenge. The National Institutes of Health (NIH) recently published a Research Plan on Rehabilitation that provides a set of priorities to guide the field over the next 5 years. The plan was developed with input from multiple Institutes and Centers within the NIH, the National Advisory Board for Medical Rehabilitation Research, and the public...
April 1, 2017: Physical Therapy
https://www.readbyqxmd.com/read/28497928/effects-of-dual-and-complex-task-on-walking-ability-of-ambulatory-individuals-with-spinal-cord-injury
#20
Kitiyawadee Srisim, Thiwabhorn Thaweewannakij, Preeda Arrayawichanon, Pipatana Amatachaya, Lugkana Mato, Sugalya Amatachaya
BACKGROUND: Attempting to perform dual- and complex-tasks obviously reduces the walking ability of individuals with impaired cognitive functions. However, there is no clear evidence describing the effects of dual- and complex-tasks on the walking ability of ambulatory individuals with a spinal cord injury (SCI) who have intact cognitive functions, but suffer from various degrees of sensorimotor deterioration. AIM: To primarily investigate the effects of dual- and complex-task on the walking ability of ambulatory subjects with SCI as compared to healthy individuals...
May 12, 2017: European Journal of Physical and Rehabilitation Medicine
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