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Senior wellness programs

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https://www.readbyqxmd.com/read/27899681/performance-against-welcoa-s-worksite-health-promotion-benchmarks-across-years-among-selected-us-organizations
#1
GracieLee M Weaver, Brandon N Mendenhall, David Hunnicutt, Ryan Picarella, Brittanie Leffelman, Michael Perko, Daniel L Bibeau
PURPOSE: The purpose of this study was to quantify the performance of organizations' worksite health promotion (WHP) activities against the benchmarking criteria included in the Well Workplace Checklist (WWC). DESIGN: The Wellness Council of America (WELCOA) developed a tool to assess WHP with its 100-item WWC, which represents WELCOA's 7 performance benchmarks. SETTING: Workplaces. PARTICIPANTS: This study includes a convenience sample of organizations who completed the checklist from 2008 to 2015...
November 29, 2016: American Journal of Health Promotion: AJHP
https://www.readbyqxmd.com/read/27886972/the-resident-run-minor-surgery-clinic-a-pilot-study-to-safely-increase-operative-autonomy
#2
REVIEW
Brandon M Wojcik, Zhi Ven Fong, Madhukar S Patel, David C Chang, Emil Petrusa, John T Mullen, Roy Phitayakorn
OBJECTIVE: General surgery training has evolved to align with changes in work hour restrictions, supervision regulations, and reimbursement practices. This has culminated in a lack of operative autonomy, leaving residents feeling inadequately prepared to perform surgery independently when beginning fellowship or practice. A resident-run minor surgery clinic increases junior resident autonomy, but its effects on patient outcomes have not been formally established. This pilot study evaluated the safety of implementing a resident-run minor surgery clinic within a university-based general surgery training program...
November 2016: Journal of Surgical Education
https://www.readbyqxmd.com/read/27862182/evaluation-of-an-exercise-program-for-older-adults-in-a-residential-environment
#3
Juh Hyun Shin
PURPOSE: The aim of this study was to examine the effectiveness of an older-adult exercise program in a senior-living complex campus. DESIGN: A longitudinal one-group design was used. METHODS: To supply residents with tools to maintain or improve general quality of life, balance, endurance, depression, and functional mobility, the Wellness and Fitness Center at the research setting provided a wide assortment of user-friendly equipment with many options...
November 5, 2016: Rehabilitation Nursing: the Official Journal of the Association of Rehabilitation Nurses
https://www.readbyqxmd.com/read/27843821/geriatric-health-policy-in-india-the-need-for-scaling-up-implementation
#4
REVIEW
N Sherin Susan Paul, Mathew Asirvatham
In an anticipation of the rising geriatric population in India, the Central government constituted the National Policy for Older Persons in 1999 to promote the health and welfare of senior citizens in India. A major strategy of this policy is to encourage families to take care of their older family members. The policy also encourages voluntary organizations to supplement the care provided by the family and provide care and protection to vulnerable elderly people. The implementation of this policy, particularly in the rural areas, has been negligible and calls for a scaling-up of programs to address the physical, psychological, and social needs of the poor...
April 2016: Journal of Family Medicine and Primary Care
https://www.readbyqxmd.com/read/27825914/differences-in-resident-perceptions-by-postgraduate-year-of-duty-hour-policies-an-analysis-from-the-flexibility-in-duty-hour-requirement-for-surgical-trainees-first-trial
#5
Anthony D Yang, Jeanette W Chung, Allison R Dahlke, Thomas Biester, Christopher M Quinn, Richard S Matulewicz, David D Odell, Rachel R Kelz, Judy Shea, Frank Lewis, Karl Y Bilimoria
BACKGROUND: In the Flexibility in Duty Hour Requirements for Surgical Trainees (FIRST) Trial, there were several differences in residents' perceptions of aspects of their education, well-being, and patient care that differed between standard and flexible duty hour policies. Our objective was to assess whether these perceptions differed by level of training. STUDY DESIGN: A survey assessed residents participating in the FIRST Trial's perceptions of the effect of duty hour policies on aspects of patient safety, continuity of care, resident education, clinical training, and resident well-being...
November 4, 2016: Journal of the American College of Surgeons
https://www.readbyqxmd.com/read/27806514/barriers-and-facilitators-to-clinical-education-from-the-perspective-of-junior-and-senior-nursing-students
#6
Masoumeh Esmaeilivand, Mansour Ghafourifard, Mohammad Mehdi Mohammadi, Parvin Taghizadeh, Khadijeh Chalechale, Azam Sharifi
INTRODUCTION: Clinical education is an essential component of nursing education programs. Identification of factors which affects clinical education would help in improvement of the quality of clinical education. The aim of this study was to determine the barriers and facilitators to clinical education from the perspective of junior and senior nursing students in Kermanshah University of Medical sciences. MATERIALS & METHODS: In this cross-sectional study, 169 nursing students were selected by convenience sampling method...
July 21, 2016: Global Journal of Health Science
https://www.readbyqxmd.com/read/27793621/operative-autonomy-among-senior-surgical-trainees-during-infra-inguinal-bypass-operations-is-not-associated-with-worse-long-term-patient-outcomes
#7
Erin K Greenleaf, Faisal Aziz, Christopher S Hollenbeak
BACKGROUND: In an era of rapidly evolving surgical training, intra-operative teaching remains paramount to the education of surgical trainees. The impact of surgical trainees' level of expertise on outcomes after infra-inguinal bypass surgery, a technically demanding operation, remains unknown. The purpose of this study was to explore the effects of surgical residents' experience on outcomes after infra-inguinal bypass surgery. METHODS: Using the American College of Surgeons National Surgical Quality Improvement Program (ACS-NSQIP) database, we identified patients who underwent infra-inguinal bypass from 2005-2012...
October 25, 2016: Annals of Vascular Surgery
https://www.readbyqxmd.com/read/27756836/effects-of-a-multicomponent-exercise-program-in-institutionalized-elders-with-alzheimer-s-disease
#8
Arnaldina Sampaio, Elisa A Marques, Jorge Mota, Joana Carvalho
This study examined the effect of a Multicomponent Training (MT) intervention on cognitive function, functional fitness and anthropometric variables in institutionalized patients with Alzheimer's disease (AD). Thirty-seven institutionalized elders (84.05 ± 5.58 years) clinically diagnosed with AD (mild and moderate stages) were divided into two groups: Experimental Group (EG, n = 19) and Control Group (CG, n = 18). The EG participated in a six-month supervised MT program (aerobic, muscular resistance, flexibility and postural exercises) of 45-55 minutes/session, twice/week...
October 18, 2016: Dementia
https://www.readbyqxmd.com/read/27708675/uptake-of-the-medscheck-annual-medication-review-service-in-ontario-community-pharmacies-between-2007-and-2013
#9
Lisa Dolovich, Giulia Consiglio, Linda MacKeigan, Lusine Abrahamyan, Petros Pechlivanoglou, Valeria E Rac, Nedzad Pojskic, Elizabeth A Bojarski, Jiandong Su, Murray Krahn, Suzanne M Cadarette
BACKGROUND: MedsCheck Annual (MCA) is an Ontario government-funded medication review service for individuals taking 3 or more prescription medications for chronic conditions. METHODS: This cohort study analyzed linked administrative claims data from April 1, 2007, to March 31, 2013. Trends in MCA claims and recipient characteristics were examined. RESULTS: A total of 1,498,440 Ontarians (55% seniors, 55% female) received an MCA. One-third (36%) had 2 or more MCAs within 6 years...
September 2016: Canadian Pharmacists Journal: CPJ, Revue des Pharmaciens du Canada: RPC
https://www.readbyqxmd.com/read/27704483/slackline-training-balancing-over-narrow-nylon-ribbons-and-balance-performance-a-meta-analytical-review
#10
Lars Donath, Ralf Roth, Lukas Zahner, Oliver Faude
BACKGROUND: Adequate static and dynamic balance performance is an important prerequisite during daily and sporting life. Various traditional and innovative balance training concepts have been suggested to improve postural control or neuromuscular fall risk profiles over recent years. Whether slackline training (balancing over narrow nylon ribbons) serves as an appropriate training strategy to improve static and dynamic balance performance is as yet unclear. OBJECTIVE: The aim was to examine the occurrence and magnitude of effects of slackline training compared with an inactive control condition on static and dynamic balance performance parameters in children, adults and seniors...
October 4, 2016: Sports Medicine
https://www.readbyqxmd.com/read/27671037/assessing-outcomes-of-enhanced-chronic-disease-care-through-patient-education-and-a-value-based-formulary-study-access-study-protocol-for-a-2%C3%A3-2-factorial-randomized-trial
#11
David J T Campbell, Marcello Tonelli, Brenda Hemmelgarn, Chad Mitchell, Ross Tsuyuki, Noah Ivers, Tavis Campbell, Raj Pannu, Eric Verkerke, Scott Klarenbach, Kathryn King-Shier, Peter Faris, Derek Exner, Vikas Chaubey, Braden Manns
BACKGROUND: Chronic diseases result in significant morbidity and costs. Although medications and lifestyle changes are effective for improving outcomes in chronic diseases, many patients do not receive these treatments, in part because of financial barriers, patient and provider-level knowledge gaps, and low patient motivation. The Assessing outcomes of enhanced chronic disease care through patient education and a value-based formulary study (ACCESS) will determine the impact of two interventions: (1) a value-based formulary which eliminates copayment for high-value preventive medications; and (2) a comprehensive self-management support program aimed at promoting health behavior change and medication adherence, combined with relay of information on medication use to healthcare providers, on cardiovascular events and/or mortality in low-income seniors with elevated cardiovascular risk...
September 26, 2016: Implementation Science: IS
https://www.readbyqxmd.com/read/27663081/finding-value-in-surgical-didactics-longitudinal-resident-feedback-from-case-based-and-traditional-lectures-in-an-orthopaedic-residency
#12
Jonathan C Barnwell, Jason J Halvorson, Robert D Teasdall, Eben A Carroll
OBJECTIVE: To evaluate orthopedic resident perceptions of a didactic curriculum presented in traditional and case-based formats. DESIGN: Prospective cohort study using anonymous web-based survey after each conference evaluating resident perceptions of faculty participation, didactic delivery, content, and overall conference value. Conferences were structured as primarily case-based or traditional lecture. Logistic analysis was performed to determine factors predictive of rating a conference as valuable time spent...
September 20, 2016: Journal of Surgical Education
https://www.readbyqxmd.com/read/27646394/-knowledge-and-implementation-of-the-s3-guideline-on-delirium-management-in-germany
#13
T Saller, V V Dossow, K Hofmann-Kiefer
BACKGROUND: Delirium is a common complication in critical care. The syndrome is often underestimated due to its potentially no less dangerous course as a hypoactive delirium. Therefore, current guidelines ask for a structured, regular and routine screening in all intensive care units. If delirium is diagnosed, symptomatic therapy should be initiated promptly. OBJECTIVES: The aim of the current study was to evaluate recent German anesthetists' strategies regarding delirium care compared to the German guidelines for sedation and delirium in intensive care...
October 2016: Der Anaesthesist
https://www.readbyqxmd.com/read/27631751/implementing-an-evidence-based-fall-prevention-intervention-in-community-senior-centers
#14
Fuzhong Li, Peter Harmer, Kathleen Fitzgerald
OBJECTIVES: To evaluate the impact of implementing an evidence-based fall prevention intervention in community senior centers. METHODS: We used a single-group design to evaluate the Tai Ji Quan: Moving for Better Balance (TJQMBB) program's adoption, population reach, implementation, effectiveness, and maintenance among 36 senior centers in 4 Oregon counties between 2012 and 2016. The primary outcome measure, as part of the effectiveness evaluation, was number of falls as ascertained by self-report...
November 2016: American Journal of Public Health
https://www.readbyqxmd.com/read/27620930/marijuana-alcohol-and-drug-impaired-driving-among-emerging-adults-changes-from-high-school-to-one-year-post-high-school
#15
Kaigang Li, Bruce Simons-Morton, Benjamin Gee, Ralph Hingson
INTRODUCTION: Driving while impaired (DWI) increases the risk of a motor vehicle crash by impairing performance. Few studies have examined the prevalence and predictors of marijuana, alcohol, and drug-specific DWI among emerging adults. METHODS: The data from wave 3 (W3, high school seniors, 2012, N=2407) and wave 4 (W4, one year after high school, N=2178) of the NEXT Generation Health Study with a nationally representative cohort. W4 DWI (≥1day of past 30days) was specified for alcohol-specific, marijuana-specific, alcohol/marijuana-combined, illicit drug-related DWI...
September 2016: Journal of Safety Research
https://www.readbyqxmd.com/read/27607314/what-do-stakeholders-need-to-implement-shared-decision-making-in-routine-cancer-care-a-qualitative-needs-assessment
#16
Evamaria Müller, Pola Hahlweg, Isabelle Scholl
BACKGROUND: Shared decision making (SDM) is particularly relevant in oncology, where complex treatment options with varying side effects may lead to meaningful changes in the patient's quality of life. For several years, health policies have called for the implementation of SDM, but SDM remains poorly implemented in routine clinical practice. Implementation science has highlighted the importance of assessing stakeholders' needs to inform the development of implementation programs. Thus, the aim of the present study was to assess different stakeholders' needs regarding the implementation of SDM in routine care...
September 8, 2016: Acta Oncologica
https://www.readbyqxmd.com/read/27575639/building-resilient-communities-a-facilitated-discussion
#17
Ron Bowles, Gregory S Anderson, Colleen Vaughan
The Building Resilient Communities Workshop was hosted and organized by the Justice Institute of British Columbia, with the support of Emergency Management British Columbia and the Canadian Safety and Security Program, Defence Research and Development Canada, Centre for Security Science. Thirty-four participants from multiple levels of government, senior practitioners, policy makers, academia, community members, and a variety of agencies disseminated knowledge and developed concrete strategies and priority actions areas for supporting ongoing and emerging initiatives in community and disaster resilience planning...
July 2016: Journal of Emergency Management: JEM
https://www.readbyqxmd.com/read/27562878/third-places-for-health-promotion-with-older-adults-using-the-consolidated-framework-for-implementation-research-to-enhance-program-implementation-and-evaluation
#18
Mary E Northridge, Susan S Kum, Bibhas Chakraborty, Ariel Port Greenblatt, Stephen E Marshall, Hua Wang, Carol Kunzel, Sara S Metcalf
This study extends the concept of third places to include community sites where older adults gather, often for meals or companionship. The Consolidated Framework for Implementation Research guided program implementation and evaluation. Depending upon health promotion program needs, the physical infrastructure of a site is important, but a supportive director (champion) can often overcome identified deficits. Senior centers may be locally classified into four types based upon eligibility requirements of residents in affiliated housing and services offered...
October 2016: Journal of Urban Health: Bulletin of the New York Academy of Medicine
https://www.readbyqxmd.com/read/27511957/a-novel-exercise-initiative-for-seniors-to-improve-balance-and-physical-function
#19
Myrla Sales, Remco Polman, Keith D Hill, Pazit Levinger
OBJECTIVE: To investigate the feasibility, effectiveness, and short-term effects of an exercise intervention using a novel exercise park in improving seniors' balance, physical function, and quality of life. METHOD: Randomized controlled trial with pre- and post-intervention design (baseline and 18-week intervention) was used. Outcome measures included measures of balance, strength, and function, as well as quality of life and fear of falling. MANCOVA was used to assess differences between groups (control and exercise intervention) over time...
August 9, 2016: Journal of Aging and Health
https://www.readbyqxmd.com/read/27499363/a-workshop-on-leadership-for-senior-md-phd-students
#20
Catherine B Meador, Bobak Parang, Melissa A Musser, Rachana Haliyur, David A Owens, Terence S Dermody
Leadership skills are essential for a successful career as a physician-scientist, yet many MD-PhD training programs do not offer formal training in leadership. The Vanderbilt Medical Scientist Training Program (MSTP) previously established a 2-day leadership workshop that has been held biennially since 2006 for students in the first and second years of the graduate school portion of combined MD and PhD training (G1/G2 students). Workshop attendees have consistently rated this workshop as a highly effective experience...
2016: Medical Education Online
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