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Driver rehabilitation

Jose Ramón Caeiro, Agustí Bartra, Manuel Mesa-Ramos, Íñigo Etxebarría, Jorge Montejo, Pedro Carpintero, Francesc Sorio, Sonia Gatell, Andrea Farré, Laura Canals
The purpose of this study was to estimate the burden of osteoporotic fractures beyond the hospitalization period covering up to the first year after the fracture. This was a prospective, 12-month, observational study including patients aged ≥65 years hospitalized due to a first low-trauma hip fracture, in six Spanish regions. Health resource utilization (HRU), quality of life (QoL) and autonomy were collected and total costs calculated. Four hundred and eighty seven patients (mean ± SD age 83 ± 7 years, 77 % women) were included...
October 14, 2016: Calcified Tissue International
David B Salisbury, Thomas D Parsons, Kimberley R Monden, Zina Trost, Simon J Driver
Purpose/Objective: To investigate the feasibility of brain-computer interface (BCI) with patients on an inpatient spinal cord injury (SCI) unit. Research Method/Design: This study included 25 participants aged 18-64 who sustained traumatic or nontraumatic SCI and did not have severe cognitive or psychiatric impairment. Participants completed a variety of screening measures related to cognition, psychological disposition, pain, and technology experience/interest. The Emotiv electroencephalography system was used in conjunction with a cube rotation and manipulation game presented on a laptop computer...
September 29, 2016: Rehabilitation Psychology
Fiona Barker, Simon de Lusignan, Deborah Cooke
BACKGROUND: The consequences of poorly managed hearing loss can be ameliorated with hearing aid use but rates of use are sub-optimal. The impact of audiologist behaviour on subsequent use, particularly over the long term, is unknown. PURPOSE: This study aimed to describe the role of the behaviour change wheel in developing an intervention to introduce and embed particular clinical behaviours into adult hearing aid fitting consultations, within the framework of the Medical Research Council guidance on complex interventions...
September 28, 2016: Annals of Behavioral Medicine: a Publication of the Society of Behavioral Medicine
Christina Driver, Bridie Kean, Florin Oprescu, Geoff P Lovell
PURPOSE: To systematically review and analyze the literature exploring the knowledge, behaviors, attitudes, and beliefs of physiotherapists towards the use of psychological interventions in their practice. METHODS: A systematic search was conducted, of articles published between January 1996 and February 2016, using selected electronic databases followed by crosschecking of reference and citation lists. Articles were selected on the basis of the research reported relating to knowledge, behaviors, attitudes or beliefs of physiotherapists towards using a number of different psychological interventions...
September 16, 2016: Disability and Rehabilitation
Supreeth S Rudrappa, Daniel J Wilkinson, Paul L Greenhaff, Kenneth Smith, Iskandar Idris, Philip J Atherton
The ever increasing burden of an aging population and pandemic of metabolic syndrome worldwide demands further understanding of the modifiable risk factors in reducing disability and morbidity associated with these conditions. Disuse skeletal muscle atrophy (sometimes referred to as "simple" atrophy) and insulin resistance are "non-pathological" events resulting from sedentary behavior and periods of enforced immobilization e.g., due to fractures or elective orthopedic surgery. Yet, the processes and drivers regulating disuse atrophy and insulin resistance and the associated molecular events remain unclear-especially in humans...
2016: Frontiers in Physiology
Maud Ranchet, Emmanuel Broussolle, Laurence Paire-Ficout
BACKGROUND/AIMS: (1) To investigate how specific executive functions change over 2 years in drivers with Parkinson's disease (PD) compared to controls, using both neuropsychological and driving simulator tasks; and (2) to explore the association between the decline of specific executive functions and changes in driving habits in PD. METHODS: Sixteen PD patients and 21 controls underwent neuropsychological testing twice and performed tasks on a driving simulator, with an interval of approximately 2 years...
September 2, 2016: European Neurology
Alex R Bowers
Driving is an important rehabilitation goal for patients with homonymous field defects (HFDs); however, whether or not people with HFDs should be permitted to drive is not clear. Over the last 15 years, there has been a marked increase in the number of studies evaluating the effects of HFDs on driving performance. This review of the literature provides a much-needed summary for practitioners and researchers, addressing the following topics: regulations pertaining to driving with HFDs, self-reported driving difficulties, pass rates in on-road tests, the effects of HFDs on lane position and steering stability, the effects of HFDs on scanning and detection of potential hazards, screening for potential fitness to drive, evaluating practical fitness to drive and the efficacy of interventions to improve driving of persons with HFDs...
September 2016: Clinical & Experimental Optometry: Journal of the Australian Optometrical Association
Francis J Burdon, Marta Reyes, Alfredo C Alder, Adriano Joss, Christoph Ort, Katja Räsänen, Jukka Jokela, Rik I L Eggen, Christian Stamm
Human land uses and population growth represent major global threats to biodiversity and ecosystem services. Understanding how biological communities respond to multiple drivers of human-induced environmental change is fundamental for conserving ecosystems and remediating degraded habitats. Here, we used a replicated 'real-world experiment' to study the responses of invertebrate communities to wastewater perturbations across a land-use intensity gradient in 12 Swiss streams. We used different taxonomy and trait-based community descriptors to establish the most sensitive indicators detecting impacts and to help elucidate potential causal mechanisms of change...
June 2016: Ecology and Evolution
Sherrilene Classen, Liliana Alvarez, Peter J M Ferreira, Chien H Chen, Carly K Meyer, Amy G Nywening
UNLABELLED: The Fitness-to-Drive Screening Measure(©) (FTDS) is a valid and reliable screening tool that identifies at-risk older drivers. Although 12,300 Canadians have used the FTDS in the last 2 years, the resources/recommendations targeted the U.S. CONTEXT: The objective of this article is to identify the FTDS resources/recommendations appropriate for Canadian users and the barriers that Canadian stakeholders experience when promoting older driver fitness. Twenty stakeholders from three provinces (eight occupational therapists, three certified driver rehabilitation specialists, four physicians, and five members of advocacy organizations) participated in semi-structured interviews...
April 2016: OTJR: Occupation, Participation and Health
Signe Hald Andersen
This article tests whether an alcohol treatment program for drunk drivers in Denmark increased the stability of their relationships with spouses or cohabiting partners. The treatment program, implemented in 1990, allowed a group of offenders to avoid prison and participate in a rehabilitation program. I use it here as a natural experiment, exploiting a rich administrative dataset to show that the program marginally increases offenders' relationship stability. I also test whether increased relationship stability observed among the treated offenders results from their pardon from prison or from their participation in the rehabilitation program...
May 2016: Annals of the American Academy of Political and Social Science
Coles E L'Hommedieu, James J Gera, Gerald Rupp, Jeffery W Salin, John S Cox, Paul J Duwelius
BACKGROUND: Controversy exists as to which surgical approach is best for total hip arthroplasty (THA). Previous studies suggested that the tissue-sparing anterior approach should result in a more rapid recovery requiring fewer postacute services, ultimately decreasing overall episodic cost. The purpose of this cross-sectional study was to determine if any significant differences exist between the anterior vs posterior approaches on postacute care service utilization, readmissions, or episodic cost...
September 2016: Journal of Arthroplasty
S Marshall, D P Reidlinger, A Young, E Isenring
BACKGROUND: To improve perceived value of nutrition support and patient outcomes, the present study aimed to determine the nutrition and food-related roles, experiences and support needs of female family carers of community-dwelling malnourished older adults admitted to rehabilitation units in rural New South Wales, Australia, both during admission and following discharge. METHODS: Four female family carers of malnourished rehabilitation patients aged ≥65 years were interviewed during their care-recipients' rehabilitation admission and again at 2 weeks post-discharge...
July 14, 2016: Journal of Human Nutrition and Dietetics: the Official Journal of the British Dietetic Association
Phyllis Liang, Louise Gustafsson, Jacki Liddle, Jennifer Fleming
PURPOSE: Family members often assume the role of driver for individuals who are not driving post-acquired brain injury (ABI). Given that return to driving can be unpredictable and uncertain, the impact of driving disruption on family members may vary at different stages post-injury. This study aims to understand the needs and experiences of family members over time during driving disruption following an ABI. METHOD: A qualitative prospective longitudinal research design was used with semi-structured interviews at recruitment to study, 3 and 6 months later...
June 27, 2016: Disability and Rehabilitation
Anwar Zaman, Randi Dubiel, Simon Driver, Monica Bennett, Vincent Diggs, Librada Callender
OBJECTIVE: To determine degree of adherence to guidelines for seizure prophylaxis following traumatic brain injury (TBI). SETTING: Tertiary care level 1 trauma center and affiliated inpatient rehabilitation facility. PARTICIPANTS: A total of 173 individuals with TBI who required inpatient rehabilitation from January 1, 2007, to December 31, 2013. DESIGN: Retrospective medical record review. MAIN MEASURES: Overutilization rate of prophylactic antiepileptic drugs (AEDs); failure to stop rate of AED utilization upon admission to and during inpatient rehabilitation; and duration of overutilization...
June 17, 2016: Journal of Head Trauma Rehabilitation
Jock R Mackenzie, Norman C Duke, Apanie L Wood
Climate change with human direct pressures represent significant threats to the resilience of shoreline habitats like mangroves. A rapid, whole-of-system assessment strategy is needed to evaluate such threats, better linking innovative remote sensing with essential on-ground evaluations. Using the Shoreline Video Assessment Method, we surveyed around 190km of the mostly mangrove-fringed (78%) coastline of Kien Giang Province, Vietnam. The aim was to identify anthropogenic drivers of degradation, establishing baseline for specific rehabilitation and protection strategies...
August 30, 2016: Marine Pollution Bulletin
Srdjan Sladojević, Marko Arsenović, Tatjana Lončar-Turukalo, Miroslava Sladojević, Dubravko Ćulibrk
The burden of chronic disease and associated disability present a major threat to financial sustainability of healthcare delivery systems. The need for cost-effective early diagnosis and disease prevention is evident driving the development of personalized home health solutions. The proposed solution presents an easy to use ECG monitoring system. The core hardware component is a biosensor dongle with sensing probes at one end, and micro USB interface at the other end, offering reliable and unobtrusive sensing, preprocessing and storage...
2016: Studies in Health Technology and Informatics
Simon Driver, Anne Woolsey
OBJECTIVE: To investigate the effectiveness of a physical activity intervention for use within a comprehensive outpatient rehabilitation program for individuals with brain injury. DESIGN: Quasi-experimental comparison group design with 3-month follow-up. SETTING: Comprehensive outpatient rehabilitation clinic that is a transitional setting between acute inpatient rehabilitation and community dwelling. PARTICIPANTS: Individuals (N=47) with a brain injury were enrolled into either the intervention (n=22; 8 women, 14 men; mean age, 48...
September 2016: Archives of Physical Medicine and Rehabilitation
Jung Soo Lee, Yeo Hyung Kim, Jae Sung Yun, Sang Eun Jung, Choong Sik Chae, Min Jae Chung
OBJECTIVE: To investigate the clinical characteristics of patients involved in road traffic accidents according to the New Injury Severity Score (NISS). METHODS: In this study, medical records of 1,048 patients admitted at three hospitals located in different regions between January and December 2014 were retrospectively reviewed. Only patients who received inpatient treatments covered by automobile insurance during the period were included. Accidents were classified as pedestrian, driver, passenger, motorcycle, or bicycle; and the severity of injury was assessed by the NISS...
April 2016: Annals of Rehabilitation Medicine
Lara A Kimmel, Anne E Holland, Natasha Lannin, Elton R Edwards, Richard S Page, Andrew Bucknill, Raphael Hau, Belinda J Gabbe
Objective The aim of the present study was to investigate the perceptions of consultant surgeons, allied health clinicians and rehabilitation consultants regarding discharge destination decision making from the acute hospital following trauma.Methods A qualitative study was performed using individual in-depth interviews of clinicians in Victoria (Australia) between April 2013 and September 2014. Thematic analysis was used to derive important themes. Case studies provided quantitative information to enhance the information gained via interviews...
May 5, 2016: Australian Health Review: a Publication of the Australian Hospital Association
Helen Michelle Lawton, Gillian Haddock, Paul Conroy, Karen Sage
OBJECTIVE: To synthesise qualitative studies exploring patients' and professionals' perspectives and experiences of developing and maintaining therapeutic alliances in stroke rehabilitation. DATA SOURCE: A systematic literature search was conducted using the following electronic databases: PsychInfo, CINAHL, EMBASE, Medline, AMED, ASSIA, ComDisDome from inception to May 2014. This was supplemented by hand searching, reference tracking, generic web searching and e-mail contact with experts...
April 29, 2016: Archives of Physical Medicine and Rehabilitation
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