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https://www.readbyqxmd.com/read/29220628/autobiographical-narration-as-a-tool-for-the-empowerment-of-older-adults-subjective-and-psychological-wellbeing-in-nursing-homes
#1
Federica Biassoni, Giada Cassina, Stefania Balzarotti
OBJECTIVES: Conceiving narration as a resource to promote older people's wellbeing, the present work aimed to implement a narrative-based intervention to empower the subjective and psychological wellbeing of older adults living in nursing homes. METHODS: Twenty-one nursing-home residents took part in a narrative training experience consisting of three weekly interview sessions. During each interview, a psychologist helped the participants to construct an autobiographical narrative about their present life in the nursing home based on a Deconstruction-Reconstruction technique...
September 20, 2017: Clinical Gerontologist
https://www.readbyqxmd.com/read/29218448/how-does-spa-treatment-affect-cardiovascular-function-and-vascular-endothelium-in-patients-with-generalized-osteoarthritis-a-pilot-study-through-plasma-asymmetric-di-methyl-arginine-adma-and-l-arginine-adma-ratio
#2
Fatih Karaarslan, Kagan Ozkuk, Serap Seringec Karabulut, Seldag Bekpinar, Mufit Zeki Karagulle, Nergis Erdogan
The study aims to investigate the effect of spa treatment on vascular endothelium and clinical symptoms of generalized osteoarthritis. Forty generalized osteoarthritis (GOA) patients referred to a government spa hospital, and 40 GOA patients followed on university hospital locomotor system disease ambulatory clinics were included as study and control groups, respectively. Study group received spa treatment including thermal water baths, physical therapy modalities, and exercises. Control group was followed with home exercises for 15 days...
December 7, 2017: International Journal of Biometeorology
https://www.readbyqxmd.com/read/29218401/using-multimedia-information-and-communication-technology-ict-to-provide-added-value-to-reminiscence-therapy-for-people-with-dementia-lessons-learned-from-three-field-studies
#3
REVIEW
Alexander Bejan, Ramazan Gündogdu, Katherina Butz, Nadine Müller, Christophe Kunze, Peter König
BACKGROUND: In the care of people with dementia (PwD), occupational therapies and activities aiming at maintaining the quality of life of PwD, such as reminiscence therapy (RT), are taking on a more and more important role. Information and communication technology (ICT) has the potential to improve and to facilitate RT by facilitating access to and selection of biographical information and related contents or by providing novel multimodal interaction forms to trigger memories; however, interactive multimedia technology is barely used in practice...
December 7, 2017: Zeitschrift Für Gerontologie und Geriatrie
https://www.readbyqxmd.com/read/29216008/adherence-to-growth-hormone-therapy-in-children-and-its-potential-barriers
#4
Shahrzad Mohseni, Zahra Heydari, Mostafa Qorbani, Mania Radfar
BACKGROUND: One of the main concerns in chronic diseases such as growth hormone (GH) deficiency is adherence to the treatment, which significantly affects treatment outcomes. METHODS: This cross-sectional study was conducted among 169 GH recipient children (2-12 years) and teens (13-19 years) referred to a GH distributing teaching pharmacy. The eight-item Morisky Medication Adherence Scale (MMAS) and auto-compliance method were used for the assessment of patients' adherence to GH...
December 7, 2017: Journal of Pediatric Endocrinology & Metabolism: JPEM
https://www.readbyqxmd.com/read/29215316/endothelial-progenitor-cells-for-cellular-angiogenesis-and-repair-lessons-learned-from-experimental-animal-models
#5
Khawaja Husnain Haider, Salim Aziz, Mateq Ali Al-Reshidi
Stem/progenitor cell-based therapy has been extensively studied for angiomyogenic repair of the ischemic heart by regeneration of the damaged myocytes and neovascularization of the ischemic tissue through biological bypassing. Given their inherent ability to assume functionally competent endothelial phenotype and release of broad array of proangiogenic cytokines, endothelial progenitor cells (EPCs)-based therapy is deemed as most appropriate for vaculogenesis in the ischemic heart. Emulating the natural repair process that encompasses mobilization and homing-in of the bone marrow and peripheral blood EPCs, their reparability has been extensively studied in the animal models of myocardial ischemia with encouraging results...
December 7, 2017: Regenerative Medicine
https://www.readbyqxmd.com/read/29210877/music-intervention-with-reminiscence-therapy-and-reality-orientation-for-elderly-people-with-alzheimer-disease-living-in-a-nursing-home-a-pilot-study
#6
María Dolores Onieva-Zafra, Laura Hernández-Garcia, María Teresa Gonzalez-Del-Valle, María Laura Parra-Fernández, Elia Fernandez-Martinez
The purpose of this study was to investigate the effect of an 8-week nursing intervention consisting of 2 weekly sessions of music and reminiscence therapy together with the application of reality orientation techniques. Our expectation at the onset of the study was that listening to music that was familiar and connected with the memory of past events would, due to the music's emotional impact, stimulate memory associations, leading, in turn, to a positive effect on depression and anxiety in people living with dementia...
January 2018: Holistic Nursing Practice
https://www.readbyqxmd.com/read/29209545/difficult-to-treat-focal-stiff-person-syndrome-of-the-left-upper-extremity
#7
Nathan E Esplin, John W Stelzer, Timothy B Legare, Sayed K Ali
Background: Stiff person syndrome (SPS) is a rare neurologic disorder characterized by muscle rigidity. It is a disorder of reduced GABA activity leading to increased muscle tone and often painful spasms. It generally presents in the axial musculature but rarely can involve only one limb, typically a lower extremity. In rare cases it can be paraneoplastic which generally resolves on treatment of the underlying neoplasm. Case Report: A 46-year-old male with a history of Hodgkin's Lymphoma in remission presented with left upper extremity pain secondary to a diagnosis of Stiff Person Syndrome limited to his left upper extremity...
2017: Case Reports in Neurological Medicine
https://www.readbyqxmd.com/read/29208795/in-vitro-assessment-of-influence-of-various-bleaching-protocols-on-the-strength-of-ceramic-orthodontic-brackets-bonded-to-bleached-tooth-surface-a-comparative-study
#8
Divya Iska, Raghu Devanna, Madhvi Singh, Rajkiran Chitumalla, Sai C Bala Balasubramanian, Manish Goutam
INTRODUCTION: Esthetics is one of the common issues because of which patients consult dental orthodontic treatment. Two ways of tooth bleaching are available these days, which includes in-office bleach and home bleach. Various bleaching protocols are available these days for treating the tooth surfaces. Hence, we planned the present study for investigating the impact of various intracoronal bleaching protocols on shear bond strength of ceramic brackets bonded to tooth surface after bleaching...
December 1, 2017: Journal of Contemporary Dental Practice
https://www.readbyqxmd.com/read/29206708/use-of-a-telehealth-system-to-enhance-a-home-exercise-program-for-a-person-with-parkinson-disease-a-case-report
#9
Charlotte A Chatto, Paul T York, Catherine P Slade, Scott M Hasson
BACKGROUND AND PURPOSE: This case addresses feasibility of a home-based telehealth system to enhance home exercise program (HEP) adherence for a patient with Parkinson disease (PD). We describe START-System for Technology-Augmented Rehabilitation and Training-and discuss outcomes after integrating START into the HEP component of an established therapy protocol, Lee Silverman Voice Technique BIG (LSVT BIG). CASE DESCRIPTION: The participant was a 67-year-old woman with PD at Hoehn and Yahr Stage II...
December 1, 2017: Journal of Neurologic Physical Therapy: JNPT
https://www.readbyqxmd.com/read/29205994/allergic-rhinitis
#10
Jura Numminen
There have been no major changes in the pharmacological treatment of allergic rhinitis in recent years. Treatment is symptomatic and tailored individually, taking into account the type and severity of symptoms. Few new products have entered the market, and treatment is still largely based on antihistamines and nasally administered glucocorticoids. However, the general strategies for treating allergic rhinitis have developed over the last decade due to the introduction of the Finnish National Allergy Program...
2017: Duodecim; Lääketieteellinen Aikakauskirja
https://www.readbyqxmd.com/read/29205734/clinical-correlates-of-hypoglycaemia-over-4-years-in-people-with-type-2-diabetes-starting-insulin-an-analysis-from-the-credit-study
#11
Philip Home, Francoise Calvi-Gries, Lawrence Blonde, Valerie Pilorget, Joseph Berlingieri, Nick Freemantle
AIM: To identify factors associated with documented symptomatic and severe hypoglycaemia over 4 years in people with type 2 diabetes starting insulin therapy. MATERIALS AND METHODS: CREDIT, a prospective international observational study, collected data over 4 years on people starting any insulin in 314 centers; 2729 and 2271 people had hypoglycaemia data during the last 6 months of years 1 and 4. Multivariable logistic regression was used to select characteristics associated with documented symptomatic hypoglycaemia, and the model tested against severe hypoglycaemia...
December 5, 2017: Diabetes, Obesity & Metabolism
https://www.readbyqxmd.com/read/29204796/identifying-effective-components-of-child-maltreatment-interventions-a-meta-analysis
#12
REVIEW
Claudia E van der Put, Mark Assink, Jeanne Gubbels, Noëlle F Boekhout van Solinge
There is a lack of knowledge about specific components that make interventions effective in preventing or reducing child maltreatment. The aim of the present meta-analysis was to increase this knowledge by summarizing findings on effects of interventions for child maltreatment and by examining potential moderators of this effect, such as intervention components and study characteristics. Identifying effective components is essential for developing or improving child maltreatment interventions. A literature search yielded 121 independent studies (N = 39,044) examining the effects of interventions for preventing or reducing child maltreatment...
December 4, 2017: Clinical Child and Family Psychology Review
https://www.readbyqxmd.com/read/29204710/chemotherapy-related-neuropathic-symptom-management-a-randomized-trial-of-an-automated-symptom-monitoring-system-paired-with-nurse-practitioner-follow-up
#13
Noah Allan Kolb, Albert Gordon Smith, John Robinson Singleton, Susan L Beck, Diantha Howard, Kim Dittus, Summer Karafiath, Kathi Mooney
PURPOSE: The purpose of this study was to evaluate a new care model to reduce chemotherapy-induced neuropathic symptoms. Neuropathic symptom usual care was prospectively compared to an automated symptom-monitoring and coaching system, SymptomCare@Home (SCH), which included nurse practitioner follow-up triggered by moderate to severe symptoms. METHODS: Patients beginning chemotherapy were randomized to usual care (UC) or to the SCH intervention. This sub-analysis included only taxane/platin therapies...
December 5, 2017: Supportive Care in Cancer: Official Journal of the Multinational Association of Supportive Care in Cancer
https://www.readbyqxmd.com/read/29204497/decreased-risk-of-knee-buckling-with-adductor-canal-block-versus-femoral-nerve-block-in-total-knee-arthroplasty-a-retrospective-cohort-study
#14
Ryan R Thacher, Thomas R Hickernell, Matthew J Grosso, Roshan Shah, Herbert J Cooper, Robert Maniker, Anthony Robin Brown, Jeffrey Geller
Background: Femoral nerve (FNB) and adductor canal blocks (ACB) are used in the setting of total knee arthroplasty (TKA), but neither has been demonstrated to be clearly superior. Although dynamometer studies have shown ACBs spare perioperative quadriceps function when compared to FNBs, ACBs have been widely adopted in orthopaedic surgery without significant evidence that they decrease the risk of perioperative falls. Methods: All patients who received single-shot FNB (129 patients) or ACB (150 patients) at our institution for unilateral primary TKA from April 2014 to September 2015 were retrospectively reviewed for perioperative falls or near-falls during physical therapy and inpatient care...
December 2017: Arthroplasty Today
https://www.readbyqxmd.com/read/29204496/comparison-of-postarthroplasty-functional-outcomes-in-skilled-nursing-facilities-among-medicare-and-managed-care-beneficiaries
#15
Brandon A Haghverdian, David J Wright, Ran Schwarzkopf
Background: After home health care, the skilled nursing facility (SNF) is the most commonly used postacute care modality, among Medicare beneficiaries, after total joint arthroplasty. Prior studies demonstrated that a loss in postsurgical ambulatory gains is incurred in the interval between hospital discharge and arrival at the SNF. The aim of this present study is to determine the consequences of that loss in function, as well as compare SNF-related outcomes in patients with Medicare vs Managed Care (MC) insurance...
December 2017: Arthroplasty Today
https://www.readbyqxmd.com/read/29204367/protein-and-fat-meal-content-increase-insulin-requirement-in-children-with-type-1-diabetes-role-of-duration-of-diabetes
#16
M van der Hoogt, J C van Dyk, R C Dolman, M Pieters
Background and objective: Hyperglycaemia remains a challenge in type 1 diabetes since current regimes used to determine meal insulin requirements prove to be ineffective. This is particularly problematic for meals containing high amounts of protein and fat. We aimed to determine the post-prandial glycaemic response and total insulin need for mixed meals, using sensor-augmented insulin pumps in children with type 1 diabetes. Methods: Twenty-two children with type 1 diabetes, aged 4-17 years on insulin pump therapy completed this home-based, cross-over, randomised controlled trial...
December 2017: Journal of Clinical & Translational Endocrinology
https://www.readbyqxmd.com/read/29202886/rhythm-and-rate-control-of-atrial-fibrillation-in-the-emergency-department-a-large-community-based-observational-study
#17
Cameron J Gilbert, Paul Angaran, Zana Mariano, Theresa Aves, Paul Dorian
OBJECTIVE: Atrial fibrillation (AF) is the most common arrhythmia presentation to the emergency department (ED) and frequently results in admission to the hospital. Although rarely life-threatening and not usually an emergent condition, AF places a large burden on our health-care system. The objective of this study was to describe the practices of ED physicians in the management of AF in a large urban Canadian city. METHODS: From January 1, 2010 to December 31, 2010, patients with a primary diagnosis of AF were identified across 10 EDs in Toronto, Canada (N=2,609)...
December 5, 2017: CJEM
https://www.readbyqxmd.com/read/29202782/studying-de-implementation-in-health-an-analysis-of-funded-research-grants
#18
Wynne E Norton, Amy E Kennedy, David A Chambers
BACKGROUND: Studying de-implementation-defined herein as reducing or stopping the use of a health service or practice provided to patients by healthcare practitioners and systems-has gained traction in recent years. De-implementing ineffective, unproven, harmful, overused, inappropriate, and/or low-value health services and practices is important for mitigating patient harm, improving processes of care, and reducing healthcare costs. A better understanding of the state-of-the-science is needed to guide future objectives and funding initiatives...
December 4, 2017: Implementation Science: IS
https://www.readbyqxmd.com/read/29202481/bone-marrow-drives-central-nervous-system-regeneration-after-radiation-injury
#19
Jorg Dietrich, Ninib Baryawno, Naema Nayyar, Yannis K Valtis, Betty Yang, Ina Ly, Antoine Besnard, Nicolas Severe, Karin U Gustafsson, Ovidiu C Andronesi, Tracy T Batchelor, Amar Sahay, David T Scadden
Nervous system injury is a frequent result of cancer therapy involving cranial irradiation, leaving patients with marked memory and other neurobehavioral disabilities. Here, we report an unanticipated link between bone marrow and brain in the setting of radiation injury. Specifically, we demonstrate that bone marrow-derived monocytes and macrophages are essential for structural and functional repair mechanisms, including regeneration of cerebral white matter and improvement in neurocognitive function. Using a granulocyte-colony stimulating factor (G-CSF) receptor knockout mouse model in combination with bone marrow cell transplantation, MRI, and neurocognitive functional assessments, we demonstrate that bone marrow-derived G-CSF-responsive cells home to the injured brain and are critical for altering neural progenitor cells and brain repair...
December 4, 2017: Journal of Clinical Investigation
https://www.readbyqxmd.com/read/29202097/targeted-community-based-interventions-improved-malaria-management-competencies-in-rural-ghana
#20
Isabella A Quakyi, George O Adjei, David J Sullivan, Judith K Stephens, Amos Laar, Vivian N Ama Aubyn, Richmond Owusu, Kwame S Sakyi, Nathaniel Coleman, Francis D Krampa, Linda Vanotoo, Julliette Tuakli, Bernard B Bortei, Edward Essuman, Felix Sorvor, Isaac A Boateng, Constance Bart-Plange, Ebenezer A Addison, Peter Winch, Andrew A Adjei
Background: Malaria is one of the most challenging public health concerns in the developing world. To address its impact in endemic regions, several interventions are implemented by stakeholders. The Affordable Medicine Facility-malaria (AMFm) is an example of such interventions. Its activities include communication interventions to enhance the knowledge of caregivers of children under five years, licensed chemical sellers (LCS) and prescribers on malaria management with artemisinin-based combination therapy (ACT)...
2017: Global Health Research and Policy
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