keyword
https://read.qxmd.com/read/38525747/diffusion-mri-fiber-tractography-and-benzodiazepine-spect-imaging-for-assessing-neural-damage-to-the-language-centers-in-an-elderly-patient-after-successful-reperfusion-therapy
#1
Tatsushi Mutoh, Yasuyuki Yoshida, Yasuko Tatewaki, Hongkun Chin, Ryota Tochinai, Junta Moroi, Tatsuya Ishikawa
BACKGROUND: Intravenous thrombolysis and mechanical thrombectomy are the first-line reperfusion therapies for acute ischemic stroke. Here, we describe the utility of diffusion magnetic resonance imaging (MRI) fiber tractography and 123 I-iomazenil benzodiazepine receptor single-photon emission computed tomography to estimate the prognosis of post-stroke aphasia after successful reperfusion therapy. CASE REPORT: An 81-year-old man was admitted to the hospital approximately 3...
March 1, 2024: Geriatrics
https://read.qxmd.com/read/38517238/-the-dual-competence-profile-a-support-of-collaboration-between-practice-and-science-a-qualitative-descriptive-study
#2
JOURNAL ARTICLE
Raphaela Ulmann, Andrea Claudia Hausheer, Angela Jochum, Antje Koller, Samuel Krattenmacher, Ariane Rickenbacher, Felix Kruse, Myrta Kohler
The dual competence profile: A support of collaboration between practice and science. A qualitative descriptive study Abstract. Background: To ensure orientation towards needs existing in the realm of practice, the dual competence profile is mandatory at universities of applied sciences (UAS): in addition to academic qualifications, entrenchment in professional practice is demanded. However, it is unclear how needs, attitudes, and expectation of clinical practice regarding the interface between UAS and practice looks like...
March 22, 2024: Pflege
https://read.qxmd.com/read/38515780/evidence-based-rehabilitation-medicine-definition-foundation-practice-and-development
#3
REVIEW
Jinlong Zhang, Chengqi He
To determine the definition, foundation, practice, and development of evidence-based rehabilitation medicine (EBRM) and point out the development direction for EBRM. Retrieve the database of PubMed, Cochrane Library, Embase, China national knowledge infrastructure (CNKI), Wanfang, and China science and technology journal database (CSTJ). The search was conducted from the establishment of the database to June 2023. The key words are "rehabilitation medicine and evidence based" in Chinese and English. After reading the abstract or full text of the literature, a summary analysis is conducted to determine the definition, foundation, practice, and development of EBRM...
February 2024: Med Rev (2021)
https://read.qxmd.com/read/38515254/evaluation-of-malnutrition-knowledge-among-nursing-staff-in-the-czech-republic-a-cross-sectional-psychometric-study
#4
JOURNAL ARTICLE
Vit Blanar, Jan Pospichal, Doris Eglseer, Zuzana Kala Grofová, Silva Bauer
Construct : The Knowledge of Malnutrition - Geriatric 2.0' (KoM-G 2.0) instrument was designed to quantify nursing staff malnutrition knowledge in inpatient medical and rehabilitation care facilities, as well as home health care. It has been used to assess grasp of current clinical practice guidelines and proficiency in addressing issues related to malnutrition. It provides insight into familiarity with and capacity to tackle issues pertaining to malnutrition in clinical practice. Furthermore, it has been used assess the effectiveness of educational interventions aimed at improving nursing professionals knowledge and awareness of malnutrition...
March 21, 2024: Teaching and Learning in Medicine
https://read.qxmd.com/read/38513534/-a-strong-reason-why-i-enjoy-coming-to-work-clinician-acceptability-of-a-palliative-and-supportive-care-intervention-pact-for-older-adults-with-acute-myeloid-leukemia-and-their-care-partners
#5
JOURNAL ARTICLE
Ayomide Okanlawon Bankole, Natasha Renee Burse, Victoria Crowder, Ya-Ning Chan, Rachel Hirschey, Ahrang Jung, Kelly R Tan, Susan Coppola, Mackenzi Pergolotti, Daniel R Richardson, Ashley Leak Bryant
INTRODUCTION: Studies about clinician acceptability of integrative palliative care interventions in the inpatient and outpatient cancer settings are limited. In this study, we examined clinician acceptability of a NIH-funded interdisciplinary PAlliative and Supportive Care inTervention (PACT) for older adults with acute myeloid leukemia (AML) and their care partners that transcends both inpatient and outpatient settings. MATERIALS AND METHODS: Data was collected using semi-structured interviews with clinicians who were directly involved in PACT...
March 20, 2024: Journal of Geriatric Oncology
https://read.qxmd.com/read/38505372/investigating-length-of-stay-patterns-and-its-predictors-in-the-south-wales-trauma-network
#6
JOURNAL ARTICLE
Zihao Wang, Bahman Rostami-Tabar, Jane Haider, Mohamed Naim, Javvad Haider
BACKGROUND: Length of stay (LOS) is frequently employed as a performance metric for trauma care. Following the establishment of the trauma network worldwide, the assessment and prediction of LOS in different levels of trauma centres have been extensively studied. However, assessing the total patient length of stay from a whole trauma network perspective is unclear. The objective of this study was to systematically analyse the overall Length of Stay (LOS) pattern within the SWTN before its establishment and in the immediate time after its foundation and, secondly, to assess the association between relevant impact factors and LOS...
2024: Adv Rehabil Sci Pract
https://read.qxmd.com/read/38499040/-legally-improved-access-to-geriatric-rehabilitation-prerequisites-and-weaknesses
#7
JOURNAL ARTICLE
Petra Benzinger, Michael Jamour, Stefan Grund, Jürgen M Bauer
Geriatric rehabilitation is a cornerstone of the German healthcare system to maintain the functional capacity of older patients and prevent the need for long-term care. Until recently, access to geriatric rehabilitation was largely limited to post-acute care. With the introduction of new legislation, patients aged 70 and over can be referred to geriatric rehabilitation by practitioners. However, in order to prescribe geriatric rehabilitation, physicians must document relevant diagnoses supported by the results of a series of functional or cognitive assessments...
March 18, 2024: Deutsche Medizinische Wochenschrift
https://read.qxmd.com/read/38497673/validation-of-the-de-morton-mobility-index-demmi-among-acute-stroke-patients-aged-%C3%A2-65-years-a-register-study
#8
JOURNAL ARTICLE
Andrea Huber Jezek, Solvejg Gram Henneberg Pedersen, Anne Thorsted, Mette Merete Pedersen, Lau Caspar Thygesen
PURPOSE: To validate the de Morton Mobility Index ( DEMMI) in older (≥65 years) patients with acute stroke in a hospital setting within the first week after stroke onset. MATERIALS AND METHODS: In the Danish National Database of Geriatrics, we identified 4,176 patients with acute stroke (≥65 years). Floor and ceiling effects of DEMMI were investigated. Furthermore, convergent validity was investigated by correlations between DEMMI and the Barthel Index using Spearman's rho...
March 18, 2024: Disability and Rehabilitation
https://read.qxmd.com/read/38495917/adjuvant-vitamin-d-injection-in-elderly-patients-before-intertrochanteric-fracture-surgery-a-randomised-controlled-trial
#9
JOURNAL ARTICLE
Mehrdad Rabiee Rad, Ghazal Ghasempour Dabaghi, Alireza Afshari Safavi, Pooya Moshkdar, Hossein Akbariaghdam
BACKGROUND: There are multiple recommended protocols for Vitamin D (VitD) supplementation in elderly; however, only a few studies achieved to examine the role of VitD supplements before intertrochanteric fracture surgery on mortality and complications after surgery. METHODS: This single-center block-randomized double-blinded trial was conducted on 80 patients with intertrochanteric fractures and a sufficient level of 25 (OH) VitD. The intervention group received an intramuscular 300,000 IU VitD ampule before surgery...
2024: Geriatric Orthopaedic Surgery & Rehabilitation
https://read.qxmd.com/read/38488134/examining-associations-between-baseline-health-related-quality-of-life-and-depression-and-physical-functioning-improvement-following-pulmonary-rehabilitation
#10
JOURNAL ARTICLE
Sulamunn R M Coleman, Katherine E Menson, Brian R Katz, Michael J DeSarno, Diann E Gaalema
PURPOSE: This study examined whether health-related quality of life (HRQL) and depression assessed prior to pulmonary rehabilitation (PR) participation (ie, at baseline) predicted change in 6-min walk distance (6MWD) from baseline to end of PR. METHODS: Patients with pulmonary disease were consecutively referred/enrolled in a PR program from 2009-2022 (N = 503). Baseline 6MWD was assessed along with self-report measures of HRQL (St George's Respiratory Questionnaire [SGRQ]) and depression (Geriatric Depression Scale [GDS])...
March 15, 2024: Journal of Cardiopulmonary Rehabilitation and Prevention
https://read.qxmd.com/read/38486468/association-of-phasae-angle-dynamics-with-sarcopenia-and-activities-of-daily-living-in-osteoporotic-fracture-patients
#11
JOURNAL ARTICLE
Yusuke Ito, Yoshihiro Yoshimura, Fumihiko Nagano, Ayaka Matsumoto, Hidetaka Wakabayashi
BACKGROUND: This study aimed to determine whether changes in phase angle during rehabilitation are associated with clinical outcomes such as activities of daily living (ADL), skeletal muscle index (SMI), and strength in patients with osteoporotic fractures. METHODS: This retrospective observational study included patients with osteoporotic fractures admitted to convalescent rehabilitation wards. Changes in phase angle were defined as the difference between the phase angle values at discharge and on admission...
March 15, 2024: Annals of geriatric medicine and research
https://read.qxmd.com/read/38486216/factors-influencing-interprofessional-collaboration-in-general-and-during-multidisciplinary-team-meetings-in-long-term-care-and-geriatric-rehabilitation-a-qualitative-study
#12
JOURNAL ARTICLE
Arno J Doornebosch, Wilco P Achterberg, Hanneke J A Smaling
BACKGROUND: Interprofessional collaboration is essential to maintain high-quality care in long-term care and geriatric rehabilitation. However, little is known regarding perceived factors influencing interprofessional collaboration by people involved in care. This concerns both long-term care and geriatric rehabilitation. Moreover, knowledge of using patient outcome measures to enhance interprofessional collaboration during multidisciplinary team meetings is insufficient. This study examined the perceived facilitators of and barriers to interprofessional collaboration in general and during multidisciplinary team meetings, specifically according to healthcare professionals, patients, and informal caregivers...
March 15, 2024: BMC Medical Education
https://read.qxmd.com/read/38483462/caregivers-role-in-in-home-video-telehealth-national-survey-of-occupational-therapy-practitioners
#13
JOURNAL ARTICLE
Megan Elizabeth Gately, Dylan E Waller, Emily E Metcalf, Lauren R Moo
BACKGROUND: Older adults face barriers to specialty care, such as occupational therapy (OT), and these challenges are worse for rural older adults. While in-home video telehealth may increase access to OT, older adults' health- and technology-related challenges may necessitate caregiver assistance. OBJECTIVE: This study examines caregiver assistance with in-home OT video telehealth visits from the perspectives of OT practitioners at Veterans Health Administration (VHA)...
March 14, 2024: JMIR Rehabilitation and Assistive Technologies
https://read.qxmd.com/read/38483450/cardiac-rehabilitation-during-the-covid-19-pandemic-and-the-potential-for-digital-technology-to-support-physical-activity-maintenance-qualitative-study
#14
JOURNAL ARTICLE
Linda G Park, Serena Chi, Susan Pitsenbarger, Julene K Johnson, Amit J Shah, Abdelaziz Elnaggar, Julia von Oppenfeld, Evan Cho, Arash Harzand, Mary A Whooley
BACKGROUND: Social distancing from the COVID-19 pandemic may have decreased engagement in cardiac rehabilitation (CR) and may have had possible consequences on post-CR exercise maintenance. The increased use of technology as an adaptation may benefit post-CR participants via wearables and social media. Thus, we sought to explore the possible relationships of both the pandemic and technology on post-CR exercise maintenance. OBJECTIVE: This study aimed to (1) understand CR participation during the COVID-19 pandemic, (2) identify perceived barriers and facilitators to physical activity after CR completion, and (3) assess willingness to use technology and social media to support physical activity needs among older adults with cardiovascular disease...
March 14, 2024: JMIR Cardio
https://read.qxmd.com/read/38483250/the-hypotheses-of-oral-disease-associated-perioprosthetic-joint-infections-to-understand-the-role-of-oral-health-for-endoprostheses-a-narrative-review
#15
REVIEW
Gerhard Schmalz, Dirk Ziebolz
AIMS: Periprosthetic infections are a severe complication, causing enormous morbidity. The role of oral diseases in the development of such infections has been discussed controversially, showing a large discrepancy between prevalence of oral foci and infections of endoprostheses (EP). This narrative review aimed in explaining and discussing two hypotheses for the occurrence of oral disease-associated EP infections. METHODS AND RESULTS: The hypotheses include two mechanisms...
2024: Special Care in Dentistry
https://read.qxmd.com/read/38481828/polypharmacy-of-older-surgical-patients-with-extremity-fractures
#16
JOURNAL ARTICLE
Takumi Taniguchi, Risa Inagaki, Takehiro Michikawa, Soya Kawabata, Masahiro Yoshida, Yusuke Kawano, Mitsuhiro Morita, Kazue Hayakawa, Mitsunaga Iwata, Shigeki Yamada, Nobuyuki Fujita
INTRODUCTION: Fractures are often caused by falls in older people. Among various causes of falls, polypharmacy is known to be a risk of falls. Furthermore, potentially inappropriate medicines (PIMs), which interact with polypharmacy, include the drugs involved in falls. Here, we primarily aimed to investigate the prescribed drugs in older surgical patients with extremity fractures to determine the frequency of polypharmacy and identify PIMs. The second aim was to clarify the characterization of prescribed drugs of older patients with hip fracture...
2024: Geriatric Orthopaedic Surgery & Rehabilitation
https://read.qxmd.com/read/38474849/a-herbal-prescription-of-insamyangyeongtang-as-a-therapeutic-agent-for-frailty-in-elderly-a-narrative-review
#17
REVIEW
Han-Gyul Lee, Ichiro Arai, Seungwon Kwon
Frailty is a major geriatric syndrome with a multifactorial etiology that induces a decline in multiple physiological and psychological functions. In traditional East Asian medicine (TEAM), qi and blood deficiency clinically represent as fatigue, anemia, anorexia, decreased strength after illness, and weakness, commonly interpretated as frailty. An herbal prescription of Insamyangyeongtang (IYT, Ninjin'yoeito in Japanese, Ren-Shen-Yang-Rong-Tang in Chinese) tonifies qi and blood and has the potential to treat multiple targets caused by qi and blood deficiency...
March 1, 2024: Nutrients
https://read.qxmd.com/read/38468319/personalized-interdisciplinary-patient-pathway-for-cross-sector-care-of-multimorbid-patients-elipfad-trial-study-protocol-for-a-randomized-controlled-trial
#18
JOURNAL ARTICLE
Christoph Heinrich Lindemann, Volker Burst, Linus Alexander Völker, Sebastian Brähler, Dusan Simic, Ingrid Becker, Martin Hellmich, Clarissa Kurscheid, Nadine Scholten, Ruben Krauspe, Kerstin Leibel, Stephanie Stock, Paul Thomas Brinkkoetter
BACKGROUND: Multimorbid and frail elderly patients often carry a high burden of treatment. Hospitalization due to the onset of an acute illness can disrupt the fragile balance, resulting in further readmissions after hospital discharge. Current models of care in Germany do not meet the needs of this patient group. Rather lack of coordination and integration of care combined with a lack of interdisciplinary approaches result in fragmented and inadequate care and increase the burden of treatment even more...
March 11, 2024: Trials
https://read.qxmd.com/read/38465304/development-of-an-algorithm-to-screen-for-frailty-using-the-clinical-frailty-scale-with-postoperative-patients-entering-cardiac-rehabilitation
#19
JOURNAL ARTICLE
Coomal Rashid, Courtney Pollock, Madeleine Aldworth, Jennifer Chow, Michael Kent, Kristina Sapardanis, Sam Yentin, Susan Jaglal, Tracey Jf Colella
PURPOSE: Frailty is not commonly assessed on intake to cardiac rehabilitation (CR), but screening could enable targeted interventions and potentially reduce secondary complications. This study aimed to develop and retrospectively examine the feasibility of utilizing a CR-specific algorithm based on the Clinical Frailty Scale (CFS). Our CFS-CR algorithm endeavoured to screen for frailty in older adults (> 65 y) entering CR following cardiac surgery/procedure. METHOD: The charts of 30 former patients (mean age: 74...
February 2024: Physiotherapy Canada. Physiothérapie Canada
https://read.qxmd.com/read/38455824/rehabilitation-engineering-a-narrative-review-on-recent-advances-in-mobility-aids-in-india
#20
REVIEW
Himanshu Raj, Roshan Prasad, Pramita Muntode Gharde, Swarupa Chakole, Prachi Sharma
Mobility has been characterized as the capacity to move across an environment safely, pleasantly, elegantly, and autonomously. India's current population is 1.4 billion, out of which 2.3%, i.e., 32 million people, are suffering from some kind of disability. With the rise in the geriatric population, the incidence of non-communicable and communicable diseases also rises and presents the risk of disorders that may progress to disability. People often neglect their disability and learn to live with it, even when most of them can use rehabilitation programs in conjunction with various mobility aids...
February 2024: Curēus
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