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https://www.readbyqxmd.com/read/27749704/a-patient-centered-transitional-care-case-management-program-taking-case-management-to-the-streets-and-beyond
#1
Derenda Lovelace, Diane Hancock, Sabrina S Hughes, Phyllis R Wyche, Claire Jenkins, Cindy Logan
BACKGROUND: In 2011, the Hunter Holmes McGuire Veterans Administration Medical Center (VAMC) in Richmond, VA, had a cumulative readmission rate and emergency department (ED) revisits for discharged Veterans of 1 in 5. In 2012, a transitional care program (TCP) was implemented to improve care coordination and outcomes among Veterans, with an emphasis on geriatric patients with chronic disease. This TCP was created with an interdisciplinary approach using intensive case management interventions, with a goal of reducing Veteran ED and hospital revisits by 30%...
November 2016: Professional Case Management
https://www.readbyqxmd.com/read/27688152/a-modelling-tool-for-capacity-planning-in-acute-and-community-stroke-services
#2
Thomas Monks, David Worthington, Michael Allen, Martin Pitt, Ken Stein, Martin A James
BACKGROUND: Mathematical capacity planning methods that can take account of variations in patient complexity, admission rates and delayed discharges have long been available, but their implementation in complex pathways such as stroke care remains limited. Instead simple average based estimates are commonplace. These methods often substantially underestimate capacity requirements. We analyse the capacity requirements for acute and community stroke services in a pathway with over 630 admissions per year...
September 29, 2016: BMC Health Services Research
https://www.readbyqxmd.com/read/26821911/field-evaluation-of-a-pfhrp-2-pldh-rapid-diagnostic-test-and-light-microscopy-for-diagnosis-and-screening-of-falciparum-malaria-during-the-peak-seasonal-transmission-in-an-endemic-area-in-yemen
#3
Lina M Q Alareqi, Mohammed A K Mahdy, Yee-Ling Lau, Mun-Yik Fong, Rashad Abdul-Ghani, Arwa A Ali, Fei-Wen Cheong, Rehab Tawfek, Rohela Mahmud
BACKGROUND: Malaria is a public health threat in Yemen, with 149,451 cases being reported in 2013. Of these, Plasmodium falciparum represents 99%. Prompt diagnosis by light microscopy (LM) and rapid diagnostic tests (RTDs) is a key element in the national strategy of malaria control. The heterogeneous epidemiology of malaria in the country necessitates the field evaluation of the current diagnostic strategies, especially RDTs. Thus, the present study aimed to evaluate LM and an RDT, combining both P...
2016: Malaria Journal
https://www.readbyqxmd.com/read/26292062/perceptions-of-the-us-national-tobacco-quitline-among-adolescents-and-adults-a-qualitative-study-2012-2013
#4
MULTICENTER STUDY
Erika A Waters, Amy McQueen, Charlene A Caburnay, Sonia Boyum, Vetta L Sanders Thompson, Kimberly A Kaphingst, Matthew W Kreuter
INTRODUCTION: Tobacco quitlines are critical components of comprehensive tobacco control programs. However, use of the US National Tobacco Quitline (1-800-QUIT-NOW) is low. Promoting quitlines on cigarette warning labels may increase call volume and smoking cessation rates but only if smokers are aware of, and receptive to, quitline services. METHODS: We conducted qualitative interviews with a diverse subset (n = 159) of adolescent (14-17 y) and adult (≥18 y) participants of a larger quantitative survey about graphic cigarette warning labels (N = 1,590)...
2015: Preventing Chronic Disease
https://www.readbyqxmd.com/read/26161458/framing-new-pathways-in-transformative-exercise-for-individuals-with-existing-and-newly-acquired-disability
#5
James Rimmer, Byron Lai
PURPOSE: This paper describes a continuum of customized exercise options for people with an existing and newly acquired disability or diagnosis referred to as the Transformative Exercise Framework. BACKGROUND: The period directly after rehabilitation is a critical juncture where many individuals return to life with high rates of sedentary behavior. After rehabilitation discharge, people with newly acquired disability or diagnoses often never make the transition into usage of community-based exercise services that are tailored, safe and effective...
July 10, 2015: Disability and Rehabilitation
https://www.readbyqxmd.com/read/25886822/the-community-in-reach-and-care-transition-ciract-clinical-and-cost-effectiveness-study-study-protocol-for-a-randomised-controlled-trial
#6
RANDOMIZED CONTROLLED TRIAL
Alison Watson, Lisa Charlesworth, Ruth Jacob, Denise Kendrick, Philippa Logan, Fiona Marshall, Alan Montgomery, Tracey Sach, Wei Tan, Maria Walker, Justin Waring, Diane Whitham, Opinder Sahota
BACKGROUND: Older people represent a significant proportion of patients admitted to hospital. Their care compared to younger patients is more challenging, length of stay is longer, risk of hospital-acquired problems higher and the risk of being re-admitted within 28 days greater. This study aims to compare a Community In-Reach and Care Transition (CIRACT) service with Traditional Hospital Based rehabilitation (THB-Rehab) provided to the older person. The CIRACT service differs from the THB-rehab service in that they are able to provide more intensive hospital rehabilitation, visiting patients daily, and are able to continue with the patient's rehabilitation following discharge allowing a seamless, integrated discharge working alongside community providers...
February 8, 2015: Trials
https://www.readbyqxmd.com/read/25778558/the-community-in-reach-and-care-transition-ciract-clinical-and-cost-effectiveness-study-study-protocol-for-a-randomised-controlled-trial
#7
Alison Watson, Lisa Charlesworth, Ruth Jacob, Denise Kendrick, Philippa Logan, Fiona Marshall, Alan Montgomery, Tracey Sach, Wei Tan, Maria Walker, Justin Waring, Diane Whitham, Opinder Sahota
BACKGROUND: Older people represent a significant proportion of patients admitted to hospital. Their care compared to younger patients is more challenging, length of stay is longer, risk of hospital-acquired problems higher and the risk of being re-admitted within 28 days greater. This study aims to compare a Community In-Reach and Care Transition (CIRACT) service with Traditional Hospital Based rehabilitation (THB-Rehab) provided to the older person. The CIRACT service differs from the THB-rehab service in that they are able to provide more intensive hospital rehabilitation, visiting patients daily, and are able to continue with the patient's rehabilitation following discharge allowing a seamless, integrated discharge working alongside community providers...
December 2015: Trials
https://www.readbyqxmd.com/read/25701101/does-self-efficacy-mediate-functional-change-in-older-adults-participating-in-an-exercise-program-after-hip-fracture-a-randomized-controlled-trial
#8
RANDOMIZED CONTROLLED TRIAL
Feng-Hang Chang, Nancy K Latham, Pengsheng Ni, Alan M Jette
OBJECTIVES: To examine whether self-efficacy mediated the effect of the Home-based Post-Hip Fracture Rehabilitation program on activity limitations in older adults after hip fracture and whether the mediating effect was different between sex and age groups. DESIGN: Randomized controlled trial. SETTING: Community. PARTICIPANTS: Participants with hip fracture (N=232; mean age ± SD, 79±9.4y) were randomly assigned to intervention (n=120, 51...
June 2015: Archives of Physical Medicine and Rehabilitation
https://www.readbyqxmd.com/read/25295031/aerobic-methanotrophic-communities-at-the-red-sea-brine-seawater-interface
#9
Rehab Z Abdallah, Mustafa Adel, Amged Ouf, Ahmed Sayed, Mohamed A Ghazy, Intikhab Alam, Magbubah Essack, Feras F Lafi, Vladimir B Bajic, Hamza El-Dorry, Rania Siam
The central rift of the Red Sea contains 25 brine pools with different physicochemical conditions, dictating the diversity and abundance of the microbial community. Three of these pools, the Atlantis II, Kebrit and Discovery Deeps, are uniquely characterized by a high concentration of hydrocarbons. The brine-seawater interface, described as an anoxic-oxic (brine-seawater) boundary, is characterized by a high methane concentration, thus favoring aerobic methane oxidation. The current study analyzed the aerobic free-living methane-oxidizing bacterial communities that potentially contribute to methane oxidation at the brine-seawater interfaces of the three aforementioned brine pools, using metagenomic pyrosequencing, 16S rRNA pyrotags and pmoA library constructs...
2014: Frontiers in Microbiology
https://www.readbyqxmd.com/read/24615555/early-report-on-the-effectiveness-of-a-recovery-model-oriented-therapeutic-community-for-individuals-with-complex-and-persistent-recovery-challenges
#10
Sharon Young, Lisa Schactman, Matt Snyder
This study summarizes the results of a 10 year longitudinal study of individual recovery progress within a residential program based upon therapeutic community principles and a Seven Domains Enhanced Recovery Model that emerged from a grounded theory analysis of real life recovery experiences (Young and Ensing, Psychiatr Rehab J 22:219-231, 1999). The four primary hypotheses of the study predicted significant and moderately sized effect sizes on a holistic set of measures, corresponding to the Enhanced Recovery Model...
September 2014: Psychiatric Quarterly
https://www.readbyqxmd.com/read/19477072/a-prospective-sequential-analysis-of-the-fear-avoidance-model-of-pain
#11
Timothy H Wideman, Heather Adams, Michael J L Sullivan
The primary purpose of this study was to analyze the sequential relationships proposed by the fear-avoidance model of pain [Vlaeyen JWS et al. The role of fear of movement/(re)injury in pain disability. J Occup Rehab 1995;5:235-52]. Specifically, this study evaluated whether early change in catastrophizing predicted late change in fear of movement, and whether these factors influenced post-treatment return-to-work. Secondary analyses tested relationships between (1) early change in catastrophizing, late change in depression, and disability; and (2) early change in catastrophizing, late change in pain severity, and disability...
September 2009: Pain
https://www.readbyqxmd.com/read/15118942/exercise-and-volunteer-work-contexts-for-ad-language-and-memory-interventions
#12
Nidhi Mahendra, Sharon M Arkin
This article describes two novel contexts for language and memory stimulation in individuals with Alzheimer's disease (AD): student-supervised physical exercise and partnered volunteering at community agencies. Information presented is based on 5 years of the authors' experiences at the University of Arizona supervising student-administered interventions with mildly to moderately affected home-dwelling AD patients in the Volunteers in Partnership and Elder Rehab programs. The authors report significant mood and fitness improvements by program participants, as measured on direct testing as well as by caregiver perceptions regarding the relative benefits of the four program components...
May 2004: Seminars in Speech and Language
https://www.readbyqxmd.com/read/12927946/effects-of-four-years-of-exercise-language-and-social-interventions-on-alzheimer-discourse
#13
Nidhi Mahendra, Sharon Arkin
UNLABELLED: This article describes a comprehensive cognitive-linguistic intervention program for mild to moderate Alzheimer's disease (AD) patients that provided communication skills practice in the context of health-enhancing and esteem-building community-based activities: physical fitness training and supervised volunteer work. The interventions were administered by undergraduate students who completed academic work, received faculty supervision, and earned three credits for one semester of participation...
September 2003: Journal of Communication Disorders
https://www.readbyqxmd.com/read/12375216/-sgb-ix-magna-charta-of-a-functional-participation-philosophy
#14
B Steinke, W Heine
Further development of needs-based, efficient health care structures in particular for people with chronic illness, and in conjunction with them, is the paramount objective of SGB IX, book 9 of the German social code. To achieve this it is necessary to define treatment sequences across sectoral boundaries in health care, and to establish cooperation between community-practice physicians, hospitals, rehab and long-term care facilities, cost carriers, and people with disabilities. In this context, the article discusses the current rank of rehabilitation and participation, points out the underlying conflicting issues and interests, and posits the preventive-integrative rehabilitation paradigm at the very centre of health protection networking...
October 2002: Die Rehabilitation
https://www.readbyqxmd.com/read/11773643/rehab-rounds-training-professionals-in-use-of-positive-methods-for-community-integration-of-persons-with-developmental-disabilities
#15
Gary W LaVigna, LeeAnn Christian, Robert Paul Liberman, Enrique Camacho, Thomas J Willis
Mainstream psychiatry has all but ignored the clinical needs of persons with developmental disabilities. With some notable exceptions, individuals in this group have been served in the community by behaviorally oriented psychologists or relegated to long-term institutional care. However, effective interventions are available, beginning with a functional analysis of the antecedents and consequences of targeted problem behaviors. Procedures for building adaptive coping and functional skills or compensating for their deficiency have been developed that are based on skills training, wraparound supports for employment and community living, stimulus control, and contingencies of reinforcement...
January 2002: Psychiatric Services: a Journal of the American Psychiatric Association
https://www.readbyqxmd.com/read/11684737/improving-recreational-residential-and-vocational-outcomes-for-patients-with-schizophrenia
#16
MULTICENTER STUDY
V Roder, P Zorn, D Müller, H D Brenner
As Roder and colleagues propose, we have seen three eras in the development and refinement of social skills training for individuals with schizophrenia. In the 1960s, skills training relied on the use of operant conditioning, as exemplified by the token economy. Reinforcement contingencies succeeded in activating patients with negative symptoms and in improving their social behavior. Contemporary psychiatric rehabilitation can profit from the identification and use of reinforcers to motivate anergic individuals who lack insight to participate actively in community-based programs...
November 2001: Psychiatric Services: a Journal of the American Psychiatric Association
https://www.readbyqxmd.com/read/11576814/cardiac-rehabilitation-for-community-based-patients-with-myocardial-infarction-factors-predicting-discharge-recommendation-and-participation
#17
K Barber, M Stommel, J Kroll, M Holmes-Rovner, B McIntosh
Although there is substantial evidence that cardiac rehabilitation is beneficial for post myocardial infarction (MI) patients, such programs are currently under utilized. This study examined systematic criteria predicting physician referral to and patients' participation in cardiac rehabilitation programs. Patients discharged for MI were interviewed in-hospital and at 6-12 weeks post discharge to determine referral, participation, and completion. Stepwise logistic regression analyzed factors associated with rehabilitation...
October 2001: Journal of Clinical Epidemiology
https://www.readbyqxmd.com/read/11331790/dissemination-of-educational-classes-for-families-of-adults-with-schizophrenia
#18
C S Amenson, R P Liberman
Despite the well-documented efficacy of psychoeducational and behavioral approaches in family interventions for persons with serious mental illness (1), clinicians have rarely included these methods in their professional repertoires (2). Journal publications, books, continuing education courses, and advocacy by the National Alliance for the Mentally Ill and its local affiliates have induced few professionals to provide family psychoeducation. Mental health professionals adopt new services primarily for the same reason that employees of any firm change their work practices-namely, because the authority structure and contingencies of reinforcement that impinge on their daily activities are altered in a direction favoring change...
May 2001: Psychiatric Services: a Journal of the American Psychiatric Association
https://www.readbyqxmd.com/read/10970911/rehab-rounds-outcomes-of-patients-with-schizophrenia-in-a-family-style-residential-community-based-program-in-italy
#19
M Guazzelli, L Palagini, L Giuntoli, P Pietrini
No abstract text is available yet for this article.
September 2000: Psychiatric Services: a Journal of the American Psychiatric Association
https://www.readbyqxmd.com/read/10875948/a-hybrid-supported-employment-program-for-persons-with-schizophrenia-in-japan
#20
T R Fuller, M Oka, K Otsuka, N Yokoyama, R P Liberman, S I Niwa
INTRODUCTION BY THE COLUMN EDITORS: Because the mental health system in Japan has emphasized hospital-based treatment (1), patients with schizophrenia often remain institutionalized for long periods, even after their symptoms have stabilized. In addition, the introduction of modern community-based methods of treatment and rehabilitation was delayed by an antipsychiatry movement in the 1970s and the ascendance of a reductionistic biological approach to services (2). Lack of adequate outpatient services and community residential care in Japan has been a serious obstacle to destigmatization of mental disorders and has contributed to the heavy burden and stress experienced by families of mentally ill persons (3)...
July 2000: Psychiatric Services: a Journal of the American Psychiatric Association
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