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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
#1
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
#2
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
https://www.readbyqxmd.com/read/29349881/speech-and-language-therapists-perspectives-of-therapeutic-alliance-construction-and-maintenance-in-aphasia-rehabilitation-post-stroke
#3
Michelle Lawton, Karen Sage, Gillian Haddock, Paul Conroy, Laura Serrant
BACKGROUND: Therapeutic alliance refers to the interactional and relational processes operating during therapeutic interventions. It has been shown to be a strong determinant of treatment efficacy in psychotherapy, and evidence is emerging from a range of healthcare and medical disciplines to suggest that the construct of therapeutic alliance may in fact be a variable component of treatment outcome, engagement and satisfaction. Although this construct appears to be highly relevant to aphasia rehabilitation, no research to date has attempted to explore this phenomenon and thus consider its potential utility as a mechanism for change...
January 18, 2018: International Journal of Language & Communication Disorders
https://www.readbyqxmd.com/read/29334804/characterizing-on-road-driving-performance-in-individuals-with-traumatic-brain-injury-who-pass-or-fail-an-on-road-driving-assessment
#4
Renerus J Stolwyk, Judith L Charlton, Pamela E Ross, Michel Bédard, Shawn Marshall, Sylvain Gagnon, James R Gooden, Jennie L Ponsford
OBJECTIVE: To characterise on-road driving performance in individuals with traumatic brain injury who fail on-road driving assessment, compared with both those who pass assessment and healthy controls, and the injury and cognitive factors associated with driving performance. STUDY DESIGN: Cross-sectional. METHODS: Forty eight participants with traumatic brain injury (Age M = 40.50 SD = 14.62, 77% male, post-traumatic amnesia days M = 28...
January 15, 2018: Disability and Rehabilitation
https://www.readbyqxmd.com/read/29334331/transport-mobility-5%C3%A2-years-after-stroke-in-an-urban-setting
#5
Hanna C Persson, Helena Selander
Background People after stroke may have residual problems with mobility that can affect their independence and mode of transport. However, there is limited knowledge about transport mobility several years after stroke. Objective The objective was to survey the outdoor mobility and transportation in an urban setting five years post-stroke. Method This cross-sectional study was based on a mail survey focusing on long-term consequences after stroke. The survey comprises a set of self-evaluated questionnaires and was sent to 457 persons, of whom 281 responded (61...
January 15, 2018: Topics in Stroke Rehabilitation
https://www.readbyqxmd.com/read/29288252/characteristics-of-persons-with-spinal-cord-injury-who-drive-in-malaysia-and-its-barriers-a-cross-sectional-study
#6
Richard Chee Houw Lee, Nazirah Hasnan, Julia Patrick Engkasan
STUDY DESIGN: Cross sectional study. OBJECTIVES: To determine the prevalence, characteristics of and barriers to driving among persons with a spinal cord injury (SCI). SETTING: SCI Rehabilitation Clinic, University Malaya Medical Centre (UMMC). METHODS: This is a questionnaire-based study on persons with SCI who attended the UMMC SCI Rehabilitation Clinic between June 2015 and November 2016. The questionnaire comprised demographic data, clinical characteristics, driving variables, Spinal Cord Independence Measure III, WHOQOL-BREF, and Craig Handicap Assessment and Reporting Technique Short Form...
December 29, 2017: Spinal Cord
https://www.readbyqxmd.com/read/29275883/health-care-use-and-associated-time-and-out-of-pocket-expenditures-for-patients-with-cardiovascular-disease-in-a-publicly-funded-health-care-system
#7
Saba Ali, Mahshid Moghei, Murray Krahn, Caroline Chessex, Sherry L Grace
BACKGROUND: The objectives of this study were to describe (1) health care use and associated patient time and out of pocket (OOP) costs over 2 years after a cardiac diagnosis, (2) the sociodemographic and clinical drivers of these costs, and (3) patient costs related to cardiac rehabilitation (CR) participation. METHODS: Secondary analysis was conducted in an observational prospective CR program evaluation cohort in Ontario, which has a publicly funded health care system...
January 2018: Canadian Journal of Cardiology
https://www.readbyqxmd.com/read/29223321/is-there-value-in-retrospective-90-day-bundle-payment-models-for-shoulder-arthroplasty-procedures
#8
Susan M Odum, Nady Hamid, Bryce A Van Doren, Leo R Spector
BACKGROUND: The Centers for Medicare & Medicaid Services Bundled Payments for Care Improvement (BPCI) initiative was implemented as part of the Affordable Care Act. We implemented a retrospective payment model 2 for a 90-day total shoulder arthroplasty (TSA) episode to assess the value of TSA BPCI at our private practice. METHODS: Expenditures and postacute event rates of 132 fee-for-service (FFS) patients who underwent a TSA operation between 2009 and 2012 were compared with 333 BPCI patients who had a TSA operation in 2015...
December 7, 2017: Journal of Shoulder and Elbow Surgery
https://www.readbyqxmd.com/read/29199920/consumers-understanding-and-expectations-of-a-community-based-recovery-oriented-mental-health-rehabilitation-unit-a-pragmatic-grounded-theory-analysis
#9
Stephen Parker, Frances Dark, Ellie Newman, Dominic Hanley, William McKinlay, Carla Meurk
AIMS: Incorporating consumer perspectives into mental health services design is important in working to deliver recovery-oriented care. One of the challenges faced in mental health rehabilitation services is limited consumer engagement with the available support. Listening to consumers' expectations of mental health services, and what they hope to achieve, provides an opportunity to examine the alignment between existing services and the priorities and preferences of the people who use them...
December 4, 2017: Epidemiology and Psychiatric Sciences
https://www.readbyqxmd.com/read/29182082/stiffness-customization-and-patterning-for-property-modulation-of-silicone-based-soft-pneumatic-actuators
#10
Yi Sun, Hong Kai Yap, Xinquan Liang, Jin Guo, Peng Qi, Marcelo H Ang, Chen-Hua Yeow
Soft pneumatic actuators (SPAs), as novel types of motion drivers for robotic devices, excel in many applications, such as rehabilitation and biomimicry, which demand compliance and softness. To further expand their scope of utilization, the SPAs should be customizable to meet the distinctive requirements of different applications. This article proposes a novel perspective on the SPA working mechanism based on stiffness distribution and then presents a versatile method called stiffness customization and patterning (SCP) for SPA body stiffness layout as a novel attempt to customize SPAs with distinctive properties...
September 2017: Soft Robotics
https://www.readbyqxmd.com/read/29106861/laryngotracheal-reconstruction-and-swallowing-a-review
#11
REVIEW
Jennifer F Ha, Lynn Driver, David A Zopf
OBJECTIVES: Significant advances in laryngotracheal reconstruction over the last few decades have revolutionised the management of paediatric patients with complex congenital or acquired airway stenosis. The primary aim of laryngotracheal reconstruction has focused primarily on airway and surgery specific outcomes, often at the expense of voice, as well as swallowing function, which are all intricately related. There is currently a paucity of data on swallowing outcome. The goal of this paper is to review and discuss the existing research on the impact of laryngotracheal on swallowing...
November 2017: International Journal of Pediatric Otorhinolaryngology
https://www.readbyqxmd.com/read/29056647/ethical-challenges-for-patient-access-to-physical-therapy-views-of-staff-members-from-three-publicly-funded-outpatient-physical-therapy-departments
#12
Maude Laliberté, Bryn Williams-Jones, Debbie E Feldman, Matthew Hunt
Demographic change and changing population needs are important drivers of increased demand for rehabilitation. These developments place significant stress on access to physical therapy services, as current resources are insufficient to meet the growing demand. This situation presents ethical challenges for physical therapists and others involved in managing wait lists and prioritizing access to services. The purpose of this study is to explore how outpatient physical therapy department (OPD) staff experience ethical issues relating to access to physical therapy services...
2017: Narrative Inquiry in Bioethics
https://www.readbyqxmd.com/read/29043947/outpatient-continuing-care-after-residential-substance-use-disorder-treatment-in-the-u-s-veterans-health-administration-facilitators-and-challenges
#13
Anna D Rubinsky, Laura S Ellerbe, Shalini Gupta, Tyler E Phelps, Thomas Bowe, Jennifer L Burden, Alex H S Harris
BACKGROUND: In the U.S. Veterans Health Administration (VHA), residential treatment programs are an important part of the continuum of care for patients with substance use disorders (SUDs). Outpatient continuing care after residential treatment helps maintain early recovery and treatment gains. Knowing more about the drivers of variation in continuing care practices and performance across residential programs might inform quality improvement efforts. METHODS: We operationalized measures of continuing care and calculated these metrics for each of VHA's 63 SUD Residential Rehabilitation Treatment Programs (SUD RRTPs) and 34 Mental Health Residential Rehabilitation Treatment Programs (MH RRTPs) with a SUD track in fiscal year 2012...
October 18, 2017: Substance Abuse
https://www.readbyqxmd.com/read/29042813/rehabilitation-management-of-low-back-pain-it-s-time-to-pull-it-all-together
#14
Yannick Tousignant-Laflamme, Marc Olivier Martel, Anand B Joshi, Chad E Cook
In the past, rehabilitation research initiatives for low back pain (LBP) have targeted outcome enhancement through personalized treatment approaches, namely through classification systems (CS). Although the use of CS has enhanced outcomes, common management practices have not changed, the prevalence of LBP is still high, and only selected patients meet the CS profile, namely those with a nociceptive context. Similarly, although practice guidelines propose some level of organization and occasionally a timeline of care provision, each mainly provides best practice for isolated treatment approaches...
2017: Journal of Pain Research
https://www.readbyqxmd.com/read/29035007/large-soil-organic-carbon-increase-due-to-improved-agronomic-management-in-the-north-china-plain-from-1980s-to-2010s
#15
Daorui Han, Martin Wiesmeier, Richard T Conant, Anna Kühnel, Zhigang Sun, Ingrid Kögel-Knabner, Ruixing Hou, Peifei Cong, Rubiao Liang, Zhu Ouyang
Agricultural soils are widely recognized to be capable of carbon sequestration that contributes to mitigating CO2 emissions. To better understand soil organic carbon (SOC) stock dynamics and its driving and controlling factors corresponding with a period of rapid agronomic evolution from the 1980s to the 2010s in the North China Plain (NCP), we collected data from two region-wide soil sampling campaigns (in the 1980s and 2010s) and conducted an analysis of the controlling factors using the random forest model...
September 7, 2017: Global Change Biology
https://www.readbyqxmd.com/read/29031542/complications-and-30-day-readmission-rates-after-craniotomy-craniectomy-a-single-institutional-study-of-243-consecutive-patients
#16
Aladine A Elsamadicy, Amanda Sergesketter, Owoicho Adogwa, Michael Ongele, Oren N Gottfried
Early hospital readmission has become a proxy for quality of care and contributes significantly to high health care costs in the United States, with more than $20 billion health care dollars are spent on 30-day readmission annually. Cranial neurosurgical procedures (i.e., craniotomy, craniectomy) are associated with high readmission rates; however, studies examining readmission after cranial procedures are limited and relatively unknown. The aim of this study is to identify the drivers of 30-day unplanned readmission in consecutive patients undergoing craniotomies and craniectomies...
October 11, 2017: Journal of Clinical Neuroscience: Official Journal of the Neurosurgical Society of Australasia
https://www.readbyqxmd.com/read/29022422/investigating-cognitive-ability-and-self-reported-driving-performance-of-post-stroke-adults-in-a-driving-simulator
#17
Alison Blane, Torbjörn Falkmer, Hoe C Lee, Tania Dukic Willstrand
Background Safe driving is a complex activity that requires calibration. This means the driver can accurately assess the level of task demand required for task completion and can accurately evaluate their driving capability. There is much debate on the calibration ability of post-stroke drivers. Objectives The aim of this study was to assess the cognition, self-rated performance, and estimation of task demand in a driving simulator with post-stroke drivers and controls. Methods A between-groups study design was employed, which included a post-stroke driver group and a group of similarly aged older control drivers...
October 12, 2017: Topics in Stroke Rehabilitation
https://www.readbyqxmd.com/read/28872426/enhancing-quality-practice-for-prevention-and-diagnosis-of-urinary-tract-infection-during-inpatient-spinal-cord-rehabilitation
#18
Seyed Mohammad Alavinia, Maryam Omidvar, Farnoosh Farahani, Mark Bayley, Joana Zee, Beverley Catharine Craven
OBJECTIVES: To reduce the incidence of Urinary Tract Infection (UTI) in subacute SCI individuals admitted for tertiary inpatient rehabilitation. DESIGN: A quality improvement team was assembled to improve UTI prevention/diagnosis. To plan data collection, UTI-related factors were mapped in an Ishikawa (fishbone) driver diagram. Data including patient demographics, presence and frequency of signs and/or symptoms of UTI and antibiotic initiation from August to December 2015 were recorded...
November 2017: Journal of Spinal Cord Medicine
https://www.readbyqxmd.com/read/28845700/investigating-the-driving-performance-of-drivers-with-and-without-autism-spectrum-disorders-under-complex-driving-conditions
#19
Derserri Yan Ting Chee, Hoe Chung Yeung Lee, Ann-Helen Patomella, Torbjörn Falkmer
PURPOSE: The aim of this study was to investigate the driving performance of drivers with autism spectrum disorders under complex driving conditions. METHOD: Seventeen drivers with autism spectrum disorders and 18 typically developed drivers participated in a driving simulator trial. Prior to the assessment, participants completed the Driving Behaviour Questionnaire and measurements of cognitive and visual-motor ability. The driving simulation involved driving in an urban area with dense traffic and unpredictable events...
August 28, 2017: Disability and Rehabilitation
https://www.readbyqxmd.com/read/28832865/drivers-of-payment-variation-in-90-day-coronary-artery-bypass-grafting-episodes
#20
Vinay Guduguntla, John D Syrjamaki, Chad Ellimoottil, David C Miller, Richard L Prager, Edward C Norton, Patricia Theurer, Donald S Likosky, James M Dupree
Importance: Coronary artery bypass grafting (CABG) is scheduled to become a mandatory Medicare bundled payment program in January 2018. A contemporary understanding of 90-day CABG episode payments and their drivers is necessary to inform health policy, hospital strategy, and clinical quality improvement activities. Furthermore, insight into current CABG payments and their variation is important for understanding the potential effects of bundled payment models in cardiac care. Objective: To examine CABG payment variation and its drivers...
August 23, 2017: JAMA Surgery
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