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https://www.readbyqxmd.com/read/28898390/comprehensive-geriatric-assessment-for-older-adults-admitted-to-hospital
#1
REVIEW
Graham Ellis, Mike Gardner, Apostolos Tsiachristas, Peter Langhorne, Orlaith Burke, Rowan H Harwood, Simon P Conroy, Tilo Kircher, Dominique Somme, Ingvild Saltvedt, Heidi Wald, Desmond O'Neill, David Robinson, Sasha Shepperd
BACKGROUND: Comprehensive geriatric assessment (CGA) is a multi-dimensional, multi-disciplinary diagnostic and therapeutic process conducted to determine the medical, mental, and functional problems of older people with frailty so that a co-ordinated and integrated plan for treatment and follow-up can be developed. This is an update of a previously published Cochrane review. OBJECTIVES: We sought to critically appraise and summarise current evidence on the effectiveness and resource use of CGA for older adults admitted to hospital, and to use these data to estimate its cost-effectiveness...
September 12, 2017: Cochrane Database of Systematic Reviews
https://www.readbyqxmd.com/read/28827259/interventions-by-healthcare-professionals-to-improve-management-of-physical-long-term-conditions-in-adults-who-are-homeless-a-systematic-review-protocol
#2
Peter Hanlon, Lynsey Yeoman, Regina Esiovwa, Lauren Gibson, Andrea E Williamson, Frances S Mair, Richard Lowrie
INTRODUCTION: People experiencing homelessness are at increased risk of, and have poorer outcomes from, a range of physical long-term conditions (LTCs). It is increasingly recognised that interventions targeting people who are homeless should be tailored to the specific needs of this population. This systematic review aims to identify, describe and appraise trials of interventions that aim to manage physical LTCs in homeless adults and are delivered by healthcare professionals. METHODS AND ANALYSIS: Seven electronic databases (Medline, EMBASE, Cochrane Central Register of Controlled Trials, Assia, Scopus, PsycINFO and CINAHL) will be searched from 1960 (or inception) to October 2016 and supplemented by forward citation searching, handsearching of reference lists and searching grey literature...
August 21, 2017: BMJ Open
https://www.readbyqxmd.com/read/28821569/elevated-temperature-and-acclimation-time-affect-metabolic-performance-in-the-heavily-exploited-nile-perch-of-lake-victoria
#3
Elizabeth A Nyboer, Lauren J Chapman
Increasing water temperatures due to anthropogenic climate change are predicted to negatively impact the aerobic metabolic performance of aquatic ectotherms. Specifically, it has been hypothesized that thermal increases result in reductions in aerobic scope (AS), which lead to decreases in energy available for essential fitness and performance functions. Consequences of warming are anticipated to be especially severe for warm-adapted tropical species as they are thought to have narrow thermal windows and limited plasticity for coping with elevated temperatures...
August 18, 2017: Journal of Experimental Biology
https://www.readbyqxmd.com/read/28760149/collaborative-goal-setting-with-elderly-patients-with-chronic-disease-or-multimorbidity-a-systematic-review
#4
Neeltje P C A Vermunt, Mirjam Harmsen, Gert P Westert, Marcel G M Olde Rikkert, Marjan J Faber
BACKGROUND: It is challenging to use shared decision-making with patients who have a chronic health condition or, especially, multimorbidity. A patient-goal-oriented approach can thus be beneficial. This study aims to identify and evaluate studies on the effects of interventions that support collaborative goal setting or health priority setting compared to usual care for elderly people with a chronic health condition or multimorbidity. METHODS: This systematic review was based on EPOC, PRISMA and MOOSE guidelines...
July 31, 2017: BMC Geriatrics
https://www.readbyqxmd.com/read/28750849/heterogeneity-in-application-design-and-analysis-characteristics-was-found-for-controlled-before-after-cba-and-interrupted-time-series-its-studies-included-in-cochrane-reviews
#5
Stephanie Polus, Dawid Pieper, Jacob Burns, Atle Fretheim, Craig Ramsay, Julian Pt Higgins, Tim Mathes, Lisa M Pfadenhauer, Eva A Rehfuess
OBJECTIVE: To examine the application, design and analysis characteristics of controlled before-after (CBA) and interrupted time series (ITS) studies and their use in Cochrane reviews. STUDY DESIGN AND SETTING: We searched the Cochrane library for reviews including these study designs from May 2012 - March 2015 and purposively selected, where available, two reviews each across ten pre-specified intervention types. We randomly selected two CBA and two ITS studies from each review...
July 24, 2017: Journal of Clinical Epidemiology
https://www.readbyqxmd.com/read/28735722/-is-the-introduction-of-clinical-management-programs-for-patients-with-chronic-obstructive-pulmonary-disease-useful-comparison-of-the-effectiveness-of-two-interventions-on-the-clinical-progress-and-care-received
#6
Ingrid Solanes, Ignasi Bolíbar, Maria Antònia Llauger, Meritxell Peiro, Pepi Valverde, Mar Fraga, Casimira Medrano, Teresa Bigorra, Montserrat Freixas, Iskra Ligüerre, Maria Antònia Pou, Leandra Domínguez, Carles Valero, Judit Solà, Jordi Giner, Vicente Plaza
OBJECTIVE: To evaluate the effectiveness of two management programs on patients with chronic obstructive pulmonary disease (COPD). DESIGN: A study with a quasi-experimental design was used to evaluate the effectiveness of two interventions (I1, I2) for the care of patients with COPD after a mean follow-up of 31.2months. SETTING: Primary Care Centres in two Barcelona Health Areas and their referral hospitals. PARTICIPANTS: Patients with COPD selected by simple random sampling using any disease code corresponding to COPD...
July 20, 2017: Atencion Primaria
https://www.readbyqxmd.com/read/28707404/sustained-versus-standard-inflations-during-neonatal-resuscitation-to-prevent-mortality-and-improve-respiratory-outcomes
#7
REVIEW
Matteo Bruschettini, Colm Pf O'Donnell, Peter G Davis, Colin J Morley, Lorenzo Moja, Simona Zappettini, Maria Grazia Calevo
BACKGROUND: At birth, infants' lungs are fluid-filled. For newborns to have a successful transition, this fluid must be replaced by air to enable effective breathing. Some infants are judged to have inadequate breathing at birth and are resuscitated with positive pressure ventilation (PPV). Giving prolonged (sustained) inflations at the start of PPV may help clear lung fluid and establish gas volume within the lungs. OBJECTIVES: To assess the efficacy of an initial sustained (> 1 second duration) lung inflation versus standard inflations (≤ 1 second) in newly born infants receiving resuscitation with intermittent PPV...
July 14, 2017: Cochrane Database of Systematic Reviews
https://www.readbyqxmd.com/read/28679491/effectiveness-of-adaptive-e-learning-environments-on-knowledge-competence-and-behavior-in-health-professionals-and-students-protocol-for-a-systematic-review-and-meta-analysis
#8
Guillaume Fontaine, Sylvie Cossette, Marc-André Maheu-Cadotte, Tanya Mailhot, Marie-France Deschênes, Gabrielle Mathieu-Dupuis
BACKGROUND: Adaptive e-learning environments (AEEs) can provide tailored instruction by adapting content, navigation, presentation, multimedia, and tools to each user's navigation behavior, individual objectives, knowledge, and preferences. AEEs can have various levels of complexity, ranging from systems using a simple adaptive functionality to systems using artificial intelligence. While AEEs are promising, their effectiveness for the education of health professionals and health professions students remains unclear...
July 5, 2017: JMIR Research Protocols
https://www.readbyqxmd.com/read/28651296/early-discharge-hospital-at-home
#9
REVIEW
Daniela C Gonçalves-Bradley, Steve Iliffe, Helen A Doll, Joanna Broad, John Gladman, Peter Langhorne, Suzanne H Richards, Sasha Shepperd
BACKGROUND: Early discharge hospital at home is a service that provides active treatment by healthcare professionals in the patient's home for a condition that otherwise would require acute hospital inpatient care. This is an update of a Cochrane review. OBJECTIVES: To determine the effectiveness and cost of managing patients with early discharge hospital at home compared with inpatient hospital care. SEARCH METHODS: We searched the following databases to 9 January 2017: the Cochrane Effective Practice and Organisation of Care Group (EPOC) register, Cochrane Central Register of Controlled Trials (CENTRAL), MEDLINE, Embase, CINAHL, and EconLit...
June 26, 2017: Cochrane Database of Systematic Reviews
https://www.readbyqxmd.com/read/28638496/effect-of-early-follow-up-after-hospital-discharge-on-outcomes-in-patients-with-heart-failure-or-chronic-obstructive-pulmonary-disease-a-systematic-review
#10
(no author information available yet)
BACKGROUND: Transitions in care can increase patients' vulnerability to adverse events. In particular, patients admitted for heart failure or chronic obstructive pulmonary disorder (COPD) have high rates of readmission and return emergency department visits. Heart failure patients have the highest 30-day readmission rates in Canada, and COPD patients comprise the highest volume of readmissions. Combined, these two conditions account for the largest number of emergency department returns...
2017: Ontario Health Technology Assessment Series
https://www.readbyqxmd.com/read/28611001/improvement-of-endothelial-progenitor-outgrowth-cell-epoc-mediated-vascularization-in-gelatin-based-hydrogels-through-pore-size-manipulation
#11
Jiayin Fu, Christian Wiraja, Hamizan B Muhammad, Chenjie Xu, Dong-An Wang
In addition to chemical compositions, physical properties of scaffolds, such as pore size, can also influence vascularization within the scaffolds. A larger pore has been shown to improve host vascular tissue invasion into scaffolds. However, the influence of pore sizes on vascularization by endothelial cells directly encapsulated in hydrogels remains unknown. In this study, micro-cavitary hydrogels with different pore sizes were created in gelatin-methacrylate hydrogels with dissolvable gelatin microspheres (MS) varying in sizes...
June 10, 2017: Acta Biomaterialia
https://www.readbyqxmd.com/read/28585855/our-great-forgotten-chronic-respiratory-sufferers
#12
María Luisa Bordejé Laguna
Lung’s own properties make that nutritional support, besides covering the requirements can modulate its infl ammatory response. Lung tissue has a low glucose stock. Fatty acids are the main energy producer of type II pneumocytes, which use them in order to form phospholipids, essential for surfactant whose creation and release decrease in acute lung injury (ALI). Glutamine is a good substratum for endocrine cells and type II pneumocytes. Due to high nutritional risk, it is important its assessments in disorders as COPD and acute respiratory distress syndrome (ADRS)...
May 8, 2017: Nutrición Hospitalaria: Organo Oficial de la Sociedad Española de Nutrición Parenteral y Enteral
https://www.readbyqxmd.com/read/28558252/the-effect-of-exercise-intensity-and-excess-postexercise-oxygen-consumption-on-postprandial-blood-lipids-in-physically-inactive-men
#13
Laurel A Littlefield, Zacharias Papadakis, Katie M Rogers, José Moncada-Jiménez, J Kyle Taylor, Peter W Grandjean
Reductions in postprandial lipemia have been observed following aerobic exercise of sufficient energy expenditure. Increased excess postexercise oxygen consumption (EPOC) has been documented when comparing high- versus low-intensity exercise. The contribution of EPOC energy expenditure to alterations in postprandial lipemia has not been determined. The purpose of this study was to evaluate the effects of low- and high-intensity exercise on postprandial lipemia in healthy, sedentary, overweight and obese men (age, 43 ± 10 years; peak oxygen consumption, 31...
May 30, 2017: Applied Physiology, Nutrition, and Metabolism, Physiologie Appliquée, Nutrition et Métabolisme
https://www.readbyqxmd.com/read/28553489/electrochemical-promotion-of-catalysis-over-pd-nanoparticles-for-co2-reduction
#14
Fan Cai, Dunfeng Gao, Hu Zhou, Guoxiong Wang, Ting He, Huimin Gong, Shu Miao, Fan Yang, Jianguo Wang, Xinhe Bao
Electrochemical promotion of catalysis (EPOC) has been shown to accelerate the rate of many heterogeneous catalytic reactions; however, it has rarely been reported in low-temperature aqueous electrochemical reactions. Herein, we report a significant EPOC effect for the CO2 reduction to generate formate over Pd nanoparticles (NPs) in a 1 M KHCO3 aqueous solution. By applying a negative potential over differently-sized Pd NPs, the rate of formate production is greatly improved as compared to that at an open-circuit voltage, with a rate enhancement ratio ranging from 10 to 143...
April 1, 2017: Chemical Science
https://www.readbyqxmd.com/read/28526095/improving-hospital-based-end-of-life-care-processes-and-outcomes-a-systematic-review-of-research-output-quality-and-effectiveness
#15
Amy Waller, Natalie Dodd, Martin H N Tattersall, Balakrishnan Nair, Rob Sanson-Fisher
BACKGROUND: As in other areas of health delivery, there is a need to ensure that end-of-life care is guided by patient centred research. A systematic review was undertaken to examine the quantity and quality of data-based research aimed at improving the (a) processes and (b) outcomes associated with delivering end-of-life care in hospital settings. METHODS: Medline, EMBASE and Cochrane databases were searched between 1995 and 2015 for data-based papers. Eligible papers were classified as descriptive, measurement or intervention studies...
May 19, 2017: BMC Palliative Care
https://www.readbyqxmd.com/read/28503139/a-pilot-study-on-the-effects-of-transcranial-direct-current-stimulation-on-brain-rhythms-and-entropy-during-self-paced-finger-movement-using-the-epoc-helmet
#16
Florian C A A Bodranghien, Margot Langlois Mahe, Serge Clément, Mario U Manto
Transcranial direct current stimulation (tDCS) of the cerebellum is emerging as a novel non-invasive tool to modulate the activity of the cerebellar circuitry. In a single blinded study, we applied anodal tDCS (atDCS) of the cerebellum to assess its effects on brain entropy and brain rhythms during self-paced sequential finger movements in a group of healthy volunteers. Although wearable electroencephalogram (EEG) systems cannot compete with traditional clinical/laboratory set-ups in terms of accuracy and channel density, they have now reached a sufficient maturity to envision daily life applications...
2017: Frontiers in Human Neuroscience
https://www.readbyqxmd.com/read/28497557/acquiring-research-grade-erps-on-a-shoestring-budget-a-comparison-of-a-modified-emotiv-and-commercial-synamps-eeg-system
#17
Michael P Barham, Gillian M Clark, Melissa J Hayden, Peter G Enticott, Russell Conduit, Jarrad A G Lum
This study compared the performance of a low-cost wireless EEG system to a research-grade EEG system on an auditory oddball task designed to elicit N200 and P300 ERP components. Participants were 15 healthy adults (6 female) aged between 19 and 40 (M = 28.56; SD = 6.38). An auditory oddball task was presented comprising 1,200 presentations of a standard tone interspersed by 300 trials comprising a deviant tone. EEG was simultaneously recorded from a modified Emotiv EPOC and a NeuroScan SynAmps RT EEG system...
May 12, 2017: Psychophysiology
https://www.readbyqxmd.com/read/28488137/acute-effects-of-high-intensity-interval-training-and-moderate-intensity-continuous-training-sessions-on-cardiorespiratory-parameters-in-healthy-young-men
#18
Gustavo Zaccaria Schaun, Cristine Lima Alberton, Diego Oliveira Ribeiro, Stephanie Santana Pinto
PURPOSE: The aim of the present study was to compare the energy expenditure (EE) during and after two treadmill protocols, high-intensity interval training (HIIT) and moderate continuous training (CONT), in young adult men. METHODS: The sample was comprised by 26 physically active men aged between 18 and 35 years engaged in aerobic training programs. They were divided into two groups: HIIT (n = 14) which performed eight 20 s bouts at 130% of the velocity associated with the maximal oxygen consumption on a treadmill with 10 s of passive rest, or CONT (n = 12) which performed 30 min running on a treadmill at a submaximal velocity equivalent to 90-95% of the heart rate associated with the anaerobic threshold...
May 9, 2017: European Journal of Applied Physiology
https://www.readbyqxmd.com/read/28416890/relationship-between-perceived-exertion-during-exercise-and-subsequent-recovery-measurements
#19
T N Mann, R P Lamberts, A Nummela, M I Lambert
The return towards resting homeostasis in the post-exercise period has the potential to represent the internal training load of the preceding exercise bout. However, the relative potential of metabolic and autonomic recovery measurements in this role has not previously been established. Therefore the aim of this study was to investigate which of 4 recovery measurements was most closely associated with Borg's Rating of Perceived Exertion (RPE), a measurement widely acknowledged as an integrated measurement of the homeostatic stress of an exercise bout...
March 2017: Biology of Sport
https://www.readbyqxmd.com/read/28398944/alpine-skiing-as-winter-time-high-intensity-training
#20
Thomas Leonhard Stöggl, Christoph Schwarzl, Edith E Müller, Masaru Nagasaki, Julia Stöggl, Martin Schönfelder, Josef Niebauer
INTRODUCTION: To counteract the winter activity deficit, we set out to analyze cardiorespiratory and metabolic responses of two high-intensity training (HIT) protocols during alpine skiing (AS), cross-country skiing (XCS), and indoor cycling (IC) and the effects of sex, age, and fitness level in this comparison. METHODS: Nineteen healthy subjects (two age and fitness groups, both sexes) performed AS, XCS, and IC with measurements of oxygen uptake (V˙O2), energy expenditure (EE), HR, lactate, blood glucose and rate of perceived exertion, determined during 4 min of continuous HIT (HITc: 90% HRmax for XCS and IC or short turn skiing during AS) or 10-min intermittent HIT [HITint: 5 × 1 min high intensity (>90% HRmax or short turn skiing), 1 min active recovery]...
September 2017: Medicine and Science in Sports and Exercise
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