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https://www.readbyqxmd.com/read/29909569/economic-burden-of-stroke-a-systematic-review-on-post-stroke-care
#1
S Rajsic, H Gothe, H H Borba, G Sroczynski, J Vujicic, T Toell, Uwe Siebert
OBJECTIVES: Stroke is a leading cause for disability and morbidity associated with increased economic burden due to treatment and post-stroke care (PSC). The aim of our study is to provide information on resource consumption for PSC, to identify relevant cost drivers, and to discuss potential information gaps. METHODS: A systematic literature review on economic studies reporting PSC-associated data was performed in PubMed/MEDLINE, Scopus/Elsevier and Cochrane databases, Google Scholar and gray literature ranging from January 2000 to August 2016...
June 16, 2018: European Journal of Health Economics: HEPAC: Health Economics in Prevention and Care
https://www.readbyqxmd.com/read/29873159/-i-kind-of-figured-it-out-the-views-and-experiences-of-people-with-traumatic-brain-injury-tbi-in-using-social-media-self-determination-for-participation-and-inclusion-online
#2
Melissa Brunner, Stuart Palmer, Leanne Togher, Bronwyn Hemsley
BACKGROUND: Social media can support people with communication disability to access information, social participation and support. However, little is known about the experiences of people with traumatic brain injury (TBI) who use social media to determine their needs in relation to social media use. AIMS: To determine the views and experiences of adults with TBI and cognitive-communication disability on using social media, specifically: (1) the nature of their social media experience; (2) barriers and facilitators to successful use; and (3) strategies that enabled their use of social media...
June 5, 2018: International Journal of Language & Communication Disorders
https://www.readbyqxmd.com/read/29850849/drivers-of-variability-in-90-day-cost-for-primary-single-level-microdiscectomy
#3
Silky Chotai, Ahilan Sivaganesan, Scott L Parker, John A Sielatycki, Kristin R Archer, Hui Nian, Eric Stephens, Oran S Aaronson, Matthew J McGirt, Clinton J Devin
BACKGROUND: The healthcare reimbursement models are rapidly transitioning to pay-per-performance episode of care payment models. These models, if designed well, must account for the variability in the cost of index surgeries during the global period. OBJECTIVE: To analyze the variability in 90-d cost and determine the drivers of the variability in total 90-d cost associated with single-level microdiscectomy. METHODS: A total of 203 patients undergoing primary microdiscectomy for degenerative lumbar conditions were included in the study...
May 30, 2018: Neurosurgery
https://www.readbyqxmd.com/read/29843281/a-dynamic-model-of-a-device-with-a-parallel-serial-structure-to-support-the-human-lower-limb
#4
M Ostaszewski, Z Gosiewski
BACKGROUND: Support systems designed for human lower limbs are usually characterized by a serial kinematic structure taking into account only one lower limb. To overcome the mobility range limitations, a new structure of the exoskeleton is proposed in this paper. OBJECTIVE: The design process of the dynamic model for the support structure characterized by a parallel-serial mechanism is presented in the paper. The structure works as an exoskeleton and is designed to assist motion of the human lower limb in the process of rehabilitation...
May 14, 2018: Technology and Health Care: Official Journal of the European Society for Engineering and Medicine
https://www.readbyqxmd.com/read/29803093/profiling-biomarkers-of-traumatic-axonal-injury-from-mouse-to-man
#5
REVIEW
Susruta Manivannan, Milan Makwana, Aminul Islam Ahmed, Malik Zaben
Traumatic brain injury (TBI) poses a major public health problem on a global scale. Its burden results from high mortality and significant morbidity in survivors. This stems, in part, from an ongoing inadequacy in diagnostic and prognostic indicators despite significant technological advances. Traumatic axonal injury (TAI) is a key driver of the ongoing pathological process following TBI, causing chronic neurological deficits and disability. The science underpinning biomarkers of TAI has been a subject of many reviews in recent literature...
May 18, 2018: Clinical Neurology and Neurosurgery
https://www.readbyqxmd.com/read/29793039/antimicrobial-resistance-in-the-context-of-the-syrian-conflict-drivers-before-and-after-the-onset-of-conflict-and-key-recommendations
#6
REVIEW
Aula Abbara, Timothy M Rawson, Nabil Karah, Wael El-Amin, James Hatcher, Bachir Tajaldin, Osman Dar, Omar Dewachi, Ghassan Abu Sitta, Bernt Eric Uhlin, Annie Sparrow
Current evidence describing antimicrobial resistance (AMR) in the context of the Syrian conflict is of poor quality and sparse in nature. In this paper we explore and report the major drivers of AMR that were present in Syria pre-conflict and those that have emerged since its onset in March 2011. Drivers which existed before the conflict included a lack of enforcement of existing legislation to regulate over the counter antibiotics and notification of communicable diseases. This contributed to a number of drivers of AMR after the onset of conflict which were also compounded by the exodus of trained staff, the increase in overcrowding and unsanitary conditions, the increase in injuries and economic sanctions limiting the availability of required laboratory medical materials and equipment...
May 21, 2018: International Journal of Infectious Diseases: IJID
https://www.readbyqxmd.com/read/29786816/examination-of-morbidity-and-mortality-of-cases-according-to-intra-vehicle-position-and-accident-mechanism
#7
Orhan Meral, Ekin Özgür Aktaş, Murat Ersel
BACKGROUND: Traffic accidents are still an important public health issue in our country and intra-vehicle accidents cause substantial morbidity and mortality. In this study, we aimed to investigate the effect of seating position on morbidity and mortality in traffic accidents. METHODS: Patients who were admitted to the Emergency Department, Faculty of Medicine, Ege University between May 1, 2014 and November 30, 2014 due to injuries in motor vehicles and who signed informed consent were included...
May 2018: Ulusal Travma Ve Acil Cerrahi Dergisi, Turkish Journal of Trauma & Emergency Surgery: TJTES
https://www.readbyqxmd.com/read/29783227/-theoretical-and-methodological-bases-for-formation-of-future-drivers-readiness-to-application-of-physical-rehabilitation-technologies
#8
Anatoliy V Yemets, Viktoriya I Donchenko, Eugenia O Scrinick
OBJECTIVE: Introduction: Experimental work is aimed at introducing theoretical and methodological foundations for the professional training of the future doctor. The aim: Identify the dynamics of quantitative and qualitative indicators of the readiness of a specialist in medicine. PATIENTS AND METHODS: Materials and methods: The article presents the course and results of the experimental work of the conditions of forming the readiness of future specialists in medicine...
2018: Wiadomości Lekarskie: Organ Polskiego Towarzystwa Lekarskiego
https://www.readbyqxmd.com/read/29772950/systems-thinking-for-assistive-technology-a-commentary-on-the-great-summit
#9
Malcolm MacLachlan, Marcia Scherer
The area of assistive technology has a long history of technological ingenuity and innovation. In order to ensure that the benefits of assistive technology are equitably distributed across the population and life course, it is necessary to adopt a systemic approach to the area. We describe examples of systems thinking and non-systems thinking across 10 Ps. These Ps are People (or users, as the primary beneficiaries of assistive technology), Policy, Products, Personnel, Provision (as key strategic drivers at systems level); and Procurement, Place, Pace, Promotion and Partnership (as key situational factors for systems)...
May 17, 2018: Disability and Rehabilitation. Assistive Technology
https://www.readbyqxmd.com/read/29772607/mechanisms-and-drivers-of-social-inequality-in-phase-ii-cardiac-rehabilitation-attendance-a-convergent-mixed-methods-study
#10
Maria Pedersen, Dorthe Overgaard, Ingelise Andersen, Marie Baastrup, Ingrid Egerod
AIM: To explore the extent to which the qualitative and quantitative data converge and explain mechanisms and drivers of social inequality in cardiac rehabilitation attendance. BACKGROUND: Social inequality in cardiac rehabilitation attendance has been a recognized problem for many years. However, to date the mechanisms driving these inequalities are still not fully understood. DESIGN: The study was designed as a convergent mixed methods study...
May 17, 2018: Journal of Advanced Nursing
https://www.readbyqxmd.com/read/29757066/reliability-and-clinical-feasibility-of-measuring-dual-task-gait-in-the-inpatient-rehabilitation-setting-following-traumatic-brain-injury
#11
Lauren Rachal, Chad Swank, Elaine Trudelle-Jackson, Simon Driver
BACKGROUND: To prepare patients with traumatic brain injury (TBI) for discharge from inpatient rehabilitation, physical therapists may incorporate dual-task gait activities. Reliability of common dual-task measures for people with TBI in inpatient rehabilitation is undetermined. Our purpose was to assess inter-rater and intra-rater reliability and clinical feasibility of dual-task measures [Walking While Talking Test (WWTT), Modified Walking and Remembering Task (mWART), Timed Up and Go-cognitive (TUG-COG)] in inpatient rehabilitation for patients with TBI...
May 14, 2018: Physiotherapy Theory and Practice
https://www.readbyqxmd.com/read/29740569/kinetic-analysis-of-downward-step-posture-according-to-the-foothold-heights-and-visual-information-blockage-in-cargo-truck
#12
Seung-Hyun Hyun, Che-Cheong Ryew
The study was undertaken to compare and analyze kinetic variables during downward foot-on according to the foothold heights under interrupted-visual information on 25-t cargo truck. Skilled adult male drivers (n=10) engaged in cargo truck driving over 1 year participated in the experiment. The results obtained from cinematographic and ground reaction force data during downward foot-on as follows; First, leg stiffness, peak vertical force (PVF) and loading rate showed significant difference as an increase of foothold heights, that is, interrupted-visual information showed greater impulse force than as was not...
April 2018: Journal of Exercise Rehabilitation
https://www.readbyqxmd.com/read/29701494/change-in-body-mass-index-within-the-first-year-post-injury-a-va-traumatic-brain-injury-tbi-model-systems-study
#13
Racine Marcus Brown, Xinyu Tang, Laura E Dreer, Simon Driver, Mary Jo Pugh, Aaron M Martin, Tamara McKenzie-Hartman, Timothy Shea, Marc A Silva, Risa Nakase-Richardson
OBJECTIVE: To describe change in body mass index (BMI) and weight classification 1-year post- traumatic brain injury (TBI) among Veterans and service members. DESIGN: Prospective observational cohort study. SETTING: VA Polytrauma Rehabilitation Centers. PARTICIPANTS: Veterans and service members (N = 84) enrolled in VA Traumatic Brain Injury Model Systems (VA TBIMS) study with BMI scores at enrollment and 1-year post-injury...
April 27, 2018: Brain Injury: [BI]
https://www.readbyqxmd.com/read/29649827/effects-of-driving-skill-training-on-safe-driving-in-older-adults-with-mild-cognitive-impairment
#14
Hiroyuki Shimada, Ryo Hotta, Hyuma Makizako, Takehiko Doi, Kota Tsutsumimoto, Sho Nakakubo, Keitaro Makino
BACKGROUND: Driving cessation is strongly associated with adverse health outcomes in the older adults. Although there were numerous documentations of driving rehabilitation in disabled adults, the effects of interventions on safe driving were not clear in older adults with cognitive impairment who had low driving skills. OBJECTIVE: This randomized controlled trial was designed to determine whether a safe driving skill program consisting of classroom and on-road training could enhance driving performance of older drivers with cognitive impairment in Japan...
April 12, 2018: Gerontology
https://www.readbyqxmd.com/read/29622692/predicting-risk-of-unplanned-hospital-readmission-in-survivors-of-critical-illness-a-population-level-cohort-study
#15
Nazir I Lone, Robert Lee, Lisa Salisbury, Eddie Donaghy, Pamela Ramsay, Janice Rattray, Timothy S Walsh
BACKGROUND: Intensive care unit (ICU) survivors experience high levels of morbidity after hospital discharge and are at high risk of unplanned hospital readmission. Identifying those at highest risk before hospital discharge may allow targeting of novel risk reduction strategies. We aimed to identify risk factors for unplanned 90-day readmission, develop a risk prediction model and assess its performance to screen for ICU survivors at highest readmission risk. METHODS: Population cohort study linking registry data for patients discharged from general ICUs in Scotland (2005-2013)...
April 5, 2018: Thorax
https://www.readbyqxmd.com/read/29534234/cost-effectiveness-of-hydrotherapy-versus-land-based-therapy-in-patients-with-musculoskeletal-disorders-in-singapore
#16
Monica Teng, Hui Jun Zhou, Liang Lin, Pang Hung Lim, Doreen Yeo, Suzanne Goh, Soon Yin Tjan, Boon Peng Lim
Background: The study evaluated the cost-effectiveness of hydrotherapy versus land-based therapy in patients with musculoskeletal disorders (MSDs) in Singapore. Methods: A decision-analytic model was constructed to compare the cost-effectiveness of hydrotherapy to land-based therapy over 3 months from societal perspective. Target population comprised patients with low back pain (LBP), osteoarthritis (OA), rheumatoid arthritis (RA), total hip replacement (THR) and total knee replacement (TKR)...
March 9, 2018: Journal of Public Health
https://www.readbyqxmd.com/read/29516853/the-feasibility-of-early-pulmonary-rehabilitation-and-activity-after-copd-exacerbations-external-pilot-randomised-controlled-trial-qualitative-case-study-and-exploratory-economic-evaluation
#17
Matthew Cox, Catherine O'Connor, Katie Biggs, Daniel Hind, Oscar Bortolami, Matthew Franklin, Barbara Collins, Stephen Walters, Allan Wailoo, Julie Channell, Paul Albert, Ursula Freeman, Stephen Bourke, Michael Steiner, Jon Miles, Tom O'Brien, David McWilliams, Terry Schofield, John O'Reilly, Rodney Hughes
BACKGROUND: Chronic obstructive pulmonary disease (COPD) affects > 3 million people in the UK. Acute exacerbations of COPD (AECOPD) are the second most common reason for emergency hospital admission in the UK. Pulmonary rehabilitation is usual care for stable COPD but there is little evidence for early pulmonary rehabilitation (EPR) following AECOPD, either in hospital or immediately post discharge. OBJECTIVE: To assess the feasibility of recruiting patients, collecting data and delivering EPR to patients with AECOPD to evaluate EPR compared with usual care...
March 2018: Health Technology Assessment: HTA
https://www.readbyqxmd.com/read/29488407/predicting-fitness-to-drive-following-stroke-using-the-occupational-therapy-driver-off-road-assessment-battery
#18
Carolyn A Unsworth, Anne Baker, Natasha Lannin, Priscilla Harries, Janene Strahan, Matthew Browne
INTRODUCTION: It is difficult to determine if, or when, individuals with stroke are ready to undergo on-road fitness-to-drive assessment. The Occupational Therapy - Driver Off Road Assessment Battery was developed to determine client suitability to resume driving. The predictive validity of the Battery needs to be verified for people with stroke. AIM: Examine the predictive validity of the Occupational Therapy - Driver Off Road Assessment Battery for on-road performance among people with stroke...
February 28, 2018: Disability and Rehabilitation
https://www.readbyqxmd.com/read/29415670/the-alabama-vip-older-driver-study-rationale-and-design-examining-the-relationship-between-vision-impairment-and-driving-using-naturalistic-driving-techniques
#19
Cynthia Owsley, Gerald McGwin, Jonathan F Antin, Joanne M Wood, Jennifer Elgin
BACKGROUND: Older drivers aged ≥70 years old have among the highest rates of motor vehicle collisions (MVC) compared to other age groups. Driving is a highly visual task, and older adults have a high prevalence of vision impairment compared to other ages. Most studies addressing visual risk factors for MVCs by older drivers utilize vehicle accident reports as the primary outcome, an approach with several methodological limitations. Naturalistic driving research methods overcome these challenges and involve installing a high-tech, unobtrusive data acquisition system (DAS) in an older driver's own vehicle...
February 7, 2018: BMC Ophthalmology
https://www.readbyqxmd.com/read/29378586/south-african-primary-health-care-allied-health-clinical-practice-guidelines-the-big-picture
#20
J M Dizon, K A Grimmer, S Machingaidze, Q A Louw, H Parker
BACKGROUND: Good quality clinical practice guidelines (CPGs) are a vehicle to implementing evidence into allied health (AH) care. This paper reports on the current 'state of play' of CPGs in a lower-to-middle-income country (South Africa), where primary healthcare (PHC) AH activities face significant challenges in terms of ensuring quality service delivery in the face of huge PHC need. METHODS: A qualitative study was conducted, using semi-structured interviews with purposively-sampled individuals involved in AH PHC CPGs in South Africa...
January 29, 2018: BMC Health Services Research
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