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https://www.readbyqxmd.com/read/29457535/examining-driving-and-participation-5-years-after-traumatic-brain-injury
#1
Kimberly S Erler, Shannon B Juengst, Diane L Smith, Therese M O'Neil-Pirozzi, Thomas A Novack, Jennifer A Bogner, Jamie Kaminski, Joseph T Giacino, Gale G Whiteneck
Participation is often considered a primary goal of traumatic brain injury (TBI) rehabilitation, but little is known about the influence of driving on participation after TBI. The objective of this study was to examine the independent contribution of driving status to participation at 5 years post TBI, after controlling for demographic, psychosocial, and functional factors. Participants ( N = 2,456) were community-dwelling individuals with moderate to severe TBI, age 18 to 65 at time of injury, and enrolled in the TBI Model Systems (TBIMS) National Database (NDB)...
February 1, 2018: OTJR: Occupation, Participation and Health
https://www.readbyqxmd.com/read/29456337/evaluation-of-predictive-factors-influencing-community-reintegration-in-adult-patients-with-stroke
#2
Olajide Ayinla Olawale, Jibrin Sammani Usman, Kayode Israel Oke, Oladunni Caroline Osundiya
Objectives: Patients with stroke are faced with gait, balance, and fall difficulties which could impact on their community reintegration. In Nigeria, community reintegration after stroke has been understudied. The objective of this study was to evaluate the predictors of community reintegration in adult patients with stroke. Materials and Methods: Participants were 91 adult patients with stroke. Gait variables, balance self-efficacy, community balance/mobility, and fall self-efficacy were assessed using Rivermead Mobility Index, Activities-specific Balance Confidence Scale, Community Balance and Mobility Scale, and Falls Efficacy Scale-International respectively...
January 2018: Journal of Neurosciences in Rural Practice
https://www.readbyqxmd.com/read/29449290/community-based-rehabilitation-training-after-stroke-results-of-a-pilot-randomised-controlled-trial-retrain-investigating-acceptability-and-feasibility
#3
Sarah G Dean, Leon Poltawski, Anne Forster, Rod S Taylor, Anne Spencer, Martin James, Rhoda Allison, Shirley Stevens, Meriel Norris, Anthony I Shepherd, Paolo Landa, Richard M Pulsford, Laura Hollands, Raff Calitri
OBJECTIVES: To assess acceptability and feasibility of trial processes and the Rehabilitation Training (ReTrain) intervention including an assessment of intervention fidelity. DESIGN: A two-group, assessor-blinded, randomised controlled trial with parallel mixed methods process and economic evaluations. SETTING: Community settings across two sites in Devon. PARTICIPANTS: Eligible participants were: 18 years old or over, with a diagnosis of stroke and with self-reported mobility issues, no contraindications to physical activity, discharged from National Health Service or any other formal rehabilitation programme at least 1 month before, willing to be randomised to either control or ReTrain and attend the training venue, possessing cognitive capacity and communication ability sufficient to participate...
February 15, 2018: BMJ Open
https://www.readbyqxmd.com/read/29448162/cognitive-motor-dual-task-interference-modulates-mediolateral-dynamic-stability-during-gait-in-post-stroke-individuals
#4
R Tisserand, S Armand, G Allali, A Schnider, S Baillieul
Gait asymmetry and dynamic balance impairments observed in post-stroke individuals increase their risk of fall. Moreover, walking while performing a cognitive task (i.e. dual-task) disturbs the control of balance in post-stroke individuals. Here we investigated the mediolateral dynamic stability in twenty-two community-dwelling participants (12 post-strokes and 10 healthy controls) while walking in single-task (normal gait) and four different dual-tasks (cognitive-motor interference). Positions of the extrapolated center of mass and mediolateral widths of both margin of stability and base of support were extracted from 35 marker trajectories...
February 12, 2018: Human Movement Science
https://www.readbyqxmd.com/read/29444613/characteristics-and-outcomes-of-patients-with-intellectual-disability-admitted-to-a-specialist-inpatient-rehabilitation-service
#5
J Devapriam, H Fosker, V Chester, S Gangadharan, A Hiremath, R T Alexander
Rehabilitation services for people with mental illnesses have been extensively researched. However, services with similar aims and specifications for patients with intellectual disabilities (IDs) have had little focus. This study describes the characteristics and outcomes of 21 patients admitted to a specialist ID rehabilitation service over an 8-year time frame. Rather that solely accepting 'step-down' referrals, some patients were referred from community settings. During the study, 20 patients were discharged, 80% to lower levels of service restriction, while 14...
January 1, 2018: Journal of Intellectual Disabilities: JOID
https://www.readbyqxmd.com/read/29444084/attributional-style-and-depressive-symptoms-in-a-male-prison-sample
#6
Danny J O'Sullivan, Maura E O'Sullivan, Brendan D O'Connell, Ken O'Reilly, Kiran M Sarma
The reformulated learned helplessness model proposes that people who tend to make internal, stable, and global attributions in response to uncontrollable aversive events are more likely to develop depression. The present study sought to investigate the nature of the relationship between attributional style and depression in a male prison sample. One hundred and one adult male prisoners from four medium security prisons in Ireland completed the Attributional Style Questionnaire and measures of depression (BDI-II) and anxiety (BAI)...
2018: PloS One
https://www.readbyqxmd.com/read/29439380/community-service-coordination-for-minority-clients-with-disabilities-10-step-guidelines
#7
Jeong Han Kim, Lara A Barbir, Emily M Elder, Abigail K Vo, Brian T McMahon, Tamala Taylor, Krysta Johnson
Although many resources are available to rehabilitation counselors to utilizing community resources for minority clients with disabilities, guidelines specific to service allocation are not easily available. The purpose of this article is to provide rehabilitation counselors with a simple, modifiable service allocation template for this purpose. A 10-step referral making process with real-world examples is presented. Special attention is given to ways in which counselors can appropriately allocate and monitor services when working with minority clients, followed by a case study demonstrating how the model may be applied...
2018: Work: a Journal of Prevention, Assessment, and Rehabilitation
https://www.readbyqxmd.com/read/29437580/the-epidemiology-of-childhood-blindness-and-severe-visual-impairment-in-indonesia
#8
Mohammad Muhit, Tasneem Karim, Johurul Islam, Denny Hardianto, Habibah Setyawati Muhiddin, Setia A Purwanta, Suhardjo Suhardjo, Doni Widyandana, Gulam Khandaker
BACKGROUND: The magnitude of blindness among children in Indonesia is unknown. In this study, we aimed to define the magnitude and aetiology of childhood blindness in two parts of Indonesia. METHOD: Children aged 0-15 years, identified through key informant method and from special schools and community-based rehabilitation programme in Sumba and Yogyakarta, were assessed following WHO protocol and definitions for ophthalmological assessment and classification of visual impairment and blindness among children...
February 6, 2018: British Journal of Ophthalmology
https://www.readbyqxmd.com/read/29436796/predictive-value-of-braden-risk-factors-in-pressure-ulcers-of-outpatients-with-spinal-cord-injury
#9
Fariba Sadeghi Fazel, Nazi Derakhshanrad, Mir Saeed Yekaninejad, Fardis Vosoughi, Asal Derakhshanrad, Hooshang Saberi
Pressure Ulcers (PUs) remain among the most common complications after traumatic spinal cord Injuries (SCIs). The main goal of risk factor assessment with different tools has been to provisionally estimate the chance of developing pressure ulcers in patients with Spinal Cord Injury (SCI). Braden tool has been of good predictive value and most commonly employed in hospital communities for risk assessment of pressure sore development. The objective of this study was to determine the Braden risk factors as well as the prevalence of pressure injuries in SCI patients...
January 2018: Acta Medica Iranica
https://www.readbyqxmd.com/read/29436253/promoting-activity-independence-and-stability-in-early-dementia-and-mild-cognitive-impairment-praised-development-of-an-intervention-for-people-with-mild-cognitive-impairment-and-dementia
#10
Vicky Booth, Rowan H Harwood, Victoria Hood-Moore, Trevor Bramley, Jennie E Hancox, Kate Robertson, Judith Hall, Veronika Van Der Wardt, Pip A Logan
This series of articles for rehabilitation in practice aims to cover a knowledge element of the rehabilitation medicine curriculum. Nevertheless, they are intended to be of interest to a multidisciplinary audience. The competency addressed in this article is an understanding of how to develop an intervention for people with mild cognitive impairment and dementia to promote their independence, stability, and physical activity. INTRODUCTION: Older adults with dementia are at a high risk of falls...
February 1, 2018: Clinical Rehabilitation
https://www.readbyqxmd.com/read/29434567/turn-around-freezing-community-living-turning-behavior-in-people-with-parkinson-s-disease
#11
Martina Mancini, Aner Weiss, Talia Herman, Jeffrey M Hausdorff
Difficulty in turning while walking is common among patients with Parkinson's disease (PD). This difficulty often leads to significant disability, falls, and loss of function; moreover, turning is a common trigger for freezing of gait (FoG). We hypothesized that the quantity and quality of turning mobility while walking during daily life would be different among subjects with PD with and without FoG. Here, we investigated, for the first time, the turning quality during daily life as it relates to FoG in people with PD using a single inertial sensor...
2018: Frontiers in Neurology
https://www.readbyqxmd.com/read/29432115/the-pediatric-smartshoe-wearable-sensor-system-for-ambulatory-monitoring-of-physical-activity-and-gait
#12
Nagaraj Hegde, Ting Zhang, Gitendra Uswatte, Edward Taub, Joydip Barman, Staci McKay, Andrea Taylor, David M Morris, Angi Griffin, Edward S Sazonov
Cerebral palsy (CP) is a group of nonprogressive neuro-developmental conditions occurring in early childhood that causes movement disorders and physical disability. Measuring activity levels and gait patterns is an important aspect of CP rehabilitation programs. Traditionally, such programs utilize commercially available laboratory systems, which cannot to be utilized in community living. In this study, a novel, shoe-based, wearable sensor system (pediatric SmartShoe) was tested on 11 healthy children and 10 children with CP to validate its use for monitoring of physical activity and gait...
February 2018: IEEE Transactions on Neural Systems and Rehabilitation Engineering
https://www.readbyqxmd.com/read/29430516/a-qualitative-exploration-of-social-support-during-treatment-for-severe-alcohol-use-disorder-and-recovery
#13
Alyssa T Brooks, Miriam Magaña Lòpez, Alexandra Ranucci, Michael Krumlauf, Gwenyth R Wallen
Introduction: Severe alcohol use disorder (AUD) affects multiple aspects of an individual's life as well as their loved ones' lives. Perceived social support has the potential to help or hinder recovery efforts. Methods: In this analysis we seek to understand the changes of social networks among individuals with severe AUD (n=33) throughout their recovery process and the potential relationship between the quality and nature of those networks and sustained sobriety as they transition from an inpatient research facility providing rehabilitation treatment back to the community...
December 2017: Addictive Behaviors Reports
https://www.readbyqxmd.com/read/29428859/decoupled-water-sediment-interactions-restrict-the-phosphorus-buffer-mechanism-in-agricultural-streams
#14
Gabriele Weigelhofer, José Pedro Ramião, Beate Pitzl, Elisabeth Bondar-Kunze, Joanna O'Keeffe
Our study aimed to explore the effects of agriculture on the phosphorus buffer capacity of 11 headwater streams in Austria. We used phosphorus adsorption curves and re-suspension experiments to determine both, the potential of the sediments to act as phosphorus source or sink and the actual phosphorus exchange between water and sediments. Additionally, we determined the alkaline phosphatase activity (APA) in epilithic and epipsammic biofilms as indicator for the phosphorus demand of the benthic and hyporheic community...
February 8, 2018: Science of the Total Environment
https://www.readbyqxmd.com/read/29428121/evaluation-and-socio-occupational-intervention-in-bipolar-and-schizophrenic-patients-within-a-multimodal-intervention-program-prisma
#15
Ana M Díaz Zuluaga, Kelly Duica, Carlos Ruiz Galeano, Cristian Vargas, Yuli Agudelo Berruecos, Sigifredo Ospina, Carlos López-Jaramillo
BACKGROUND: Functional improvement in bipolar and schizophrenic patients is one of the main aims of treatment. Nevertheless, there is no evidence about the effect of socio-occupational intervention within a multimodal intervention (MI) programme. OBJECTIVE: To describe the socio-occupational profile and to evaluate the functional effect of a MI in bipolar I and schizophrenic patients. METHODS: A prospective, longitudinal, therapeutic-comparative study was performed including 302 subjects (104 schizophrenic and 198 Bipolar Disorder I [BDI] patients), who were randomised into two groups, multimodal (psychiatry, psychology, medicine, occupational therapy, neuropsychology, and family therapy), or traditional intervention (psychiatry and medicine only)...
January 2018: Revista Colombiana de Psiquiatría
https://www.readbyqxmd.com/read/29426302/the-relationship-of-undernutrition-psychosocial-factors-and-developmental-outcomes-of-children-in-extreme-poverty-in-ethiopia
#16
Berhanu Nigussie Worku, Teklu Gemechu Abessa, Mekitie Wondafrash, Marleen Vanvuchelen, Liesbeth Bruckers, Patrick Kolsteren, Marita Granitzer
BACKGROUND: Extreme poverty is severe deprivation of basic needs and services. Children living in extreme poverty may lack adequate parental care and face increased developmental and health risks. However, there is a paucity of literature on the combined influences of undernutrition and psychosocial factors (such as limited play materials, playground, playtime, interactions of children with their peers and mother-child interaction) on children's developmental outcomes. The main objective of this study was, therefore, to ascertain the association of developmental outcomes and psychosocial factors after controlling nutritional indices...
February 9, 2018: BMC Pediatrics
https://www.readbyqxmd.com/read/29423311/life-after-personalized-adaptive-locomotor-training-a-qualitative-follow-up-study
#17
Hardeep Singh, Jaya Sam, Mary C Verrier, Heather M Flett, B Catharine Craven, Kristin E Musselman
Study Design: Qualitative follow-up study. Objectives: Intensive locomotor training can improve physical and psychological functioning for individuals with spinal cord injury. Few studies have examined long-term effects of locomotor training. Specifically, there is a lack of qualitative follow-up that provide insight into participants' perceptions of the effects of locomotor training on level of function and daily life. This study aimed to gain insight into participants' perceptions of intensive locomotor training and whether participation influenced the level of function and community living 1-2 years after training...
2018: Spinal Cord Series and Cases
https://www.readbyqxmd.com/read/29415660/transmission-dynamics-for-methicilin-resistant-staphalococous-areus-with-injection-drug-user
#18
Rebekah Wagner, Folashade B Agusto
BACKGROUND: Methicillin-resistant Staphylococcus aureus (MRSA) is a bacterial pathogen resistance to antibiotics including methicillin. The resistance first emerged in 1960 in a healthcare setting only after two years of using methicillin as a viable treatment for methicillin-susceptible Staphylococcus aureus. MRSA leads to infections in different parts of the body including the skin, bloodstream, lungs, or the urinary tract. METHODS: A deterministic model for methicillin-resistant Staphylococcus aureus (MRSA) with injection drug users is designed...
February 7, 2018: BMC Infectious Diseases
https://www.readbyqxmd.com/read/29412167/effectiveness-of-client-centred-tune-ups-on-community-reintegration-mobility-and-quality-of-life-after-stroke-a-randomized-controlled-trial
#19
Brenda Brouwer, Dianne Bryant, S Jayne Garland
OBJECTIVE: To explore the effectiveness of a two week client-centred rehabilitation intervention (tune-up) delivered 6 months post-inpatient discharge on community reintegration at one-year in people with stroke. DESIGN: A multi-centre randomized controlled trial with two groups: an intervention and a control having the same exposure to assessment. SETTING: Three research laboratories. PARTICIPANTS: Participants with hemiparetic stroke were recruited from inpatient rehabilitation units at time of discharge (N=103)...
February 2, 2018: Archives of Physical Medicine and Rehabilitation
https://www.readbyqxmd.com/read/29411700/how-will-telemedicine-change-clinical-practice-in-chronic-obstructive-pulmonary-disease
#20
Michele Vitacca, Alessandra Montini, Laura Comini
Within telehealth there are a number of domains relevant to pulmonary care: telemonitoring, teleassistance, telerehabilitation, teleconsultation and second opinion calls. In the last decade, several studies focusing on the effects of various telemanagement programs for patients with chronic obstructive pulmonary disease (COPD) have been published but with contradictory findings. From the literature, the best telemonitoring outcomes come from programs dedicated to aged and very sick patients, frequent exacerbators with multimorbidity and limited community support; programs using third-generation telemonitoring systems providing constant analytical and decisionmaking support (24 h/day, 7 days/week); countries where strong community links are not available; and zones where telemonitoring and rehabilitation can be delivered directly to the patient's location...
January 2018: Therapeutic Advances in Respiratory Disease
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