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Bhui, Kamaldeep, Anne Aubin e Geraldine Strathdee. "Making a reality of user involvement in community mental health services". Psychiatric Bulletin 22, n. 1 (gennaio 1998): 8–11. http://dx.doi.org/10.1192/pb.22.1.8.
Testo completoAbstract (sommario):
User centred services as an ideology have not become a reality of everyday clinical practice. In this paper we introduce a series of articles which describe user centred practice in a south London community-based rehabilitation service for the severely mentally ill. We emphasise the medical consultation style adopted, the service management style and specific initiatives allowing users to influence our practice and shape functional and structural components of the service.
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Cook, Judith A. "Depression, Disability, and Rehabilitation Services for Women". Psychology of Women Quarterly 27, n. 2 (giugno 2003): 121–29. http://dx.doi.org/10.1111/1471-6402.00092.
Testo completoAbstract (sommario):
The purpose of this paper is to review scientific evidence for the co-occurrence of major depressive illness and disability, and to examine this phenomenon specifically for women in the United States today. Following a discussion of different ways of operationalizing the concept of disability, the analysis addresses gender biases in disability measurement as well as in recent research on depression and functional impairment. Next, the results of research regarding co-occurrence of disability and depression are reviewed, highlighting those studies focused specifically on women. Turning to research on rehabilitation services for those with psychiatric disabilities, studies suggest that service delivery models fail to address needs specific to women with mental illness in general, as well as those women experiencing severe depression. Thus, the analysis concludes with a series of suggestions and future directions for investigators seeking to better understand the linkages between depression, disability, and rehabilitation services for women.
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Stefanet, Gheorghe, Alisa Tabirta e Serghei Cebanu. "Providing high performance medical services to athletes in the Republic of Moldova". Public Health, Economy and Management in Medicine, n. 4(91) (dicembre 2021): 59–63. http://dx.doi.org/10.52556/2587-3873.2021.4(91).59-63.
Testo completoAbstract (sommario):
High-performance medical services means providing people who practice physical activity and sport with conditions for the organization of a periodic medical examination of their state of health, medical assistance during training and sports competitions, consultations on nutrition issues, rehabilitation services after traumatic injuries, educational activities for the promotion and maintenance of health. Th is paper includes a series of recommendations for strengthening the sports medicine service in the Republic of Moldova and ensuring its sustainability.
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Huang, Guozhi. "The implementation path of intelligent rehabilitation under the background of healthy China construction". Wearable Technology 2, n. 1 (16 giugno 2022): 41. http://dx.doi.org/10.54517/wt.v2i1.1652.
Testo completoAbstract (sommario):
<p>The improvement of rehabilitation service capacity is an important part of the construction of a healthy China, and intelligent technology is a powerful means of rehabilitation development. This paper reviews the background of a series of national policies for the construction of a healthy China, analyzes and summarizes the many shortcomings that currently restrict the improvement of rehabilitation service capabilities, and proposes the implementation path of intelligent rehabilitation. By expounding the service process of intelligent rehabilitation, and analyzing in detail the intelligent technical means suitable for integration from the four key links of real-time health monitoring, remote home intelligent rehabilitation intervention, health classification evaluation standard system and health intervention standard system, the general framework of implementation path of intelligent rehabilitation is built. Taking hypertension rehabilitation as an example, the article introduces the intelligent rehabilitation practice exploration and reference model in three aspects: The research and development of hypertension intelligent equipment, the clinical research of hypertension rehabilitation and the construction of hypertension rehabilitation database. Finally, combined with the concept of intelligent interconnection of all things, the definition of “rehabilitation Internet of things” is proposed, and the time is right for intelligent rehabilitation in the context of building a healthy China.</p>
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Ellis, Kathryn M., Michelle J. Nordstrom, Katherine E. Bach, Ametisse N. Gover-Chamlou, Seth Messinger, Brad Isaacson e Paul F. Pasquina. "Sexuality and Intimacy Rehabilitation for the Military Population: Case Series". Sexuality and Disability 39, n. 2 (19 febbraio 2021): 231–43. http://dx.doi.org/10.1007/s11195-021-09680-5.
Testo completoAbstract (sommario):
AbstractSexuality and intimacy are important aspects of life that are frequently compromised after severe injury or illness, yet these aspects are often overlooked by medical and rehabilitation professionals. This case series describes the Occupational Therapy Sexuality and Intimacy program at a Military Treatment Facility (MTF). Three diverse clients with a range of physical, cognitive and emotional impairments were chosen to illustrate complexities of the Occupational Therapy Sexuality and Intimacy Program at this MTF, and unique skills employed by Occupational Therapists. Consistent themes discovered include: perceived value of the program; appreciation of safe spaces to discuss personal topics; and enhanced awareness of role identity, body image, and emotional regulation. These cases illustrate that sexuality and intimacy interventions may have profound effects on injured service members, improving social reintegration, and quality of life.
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Perkins, Rachel E., e Len A. Rowland. "Sex Differences in Service Usage in Long-Term Psychiatric Care". British Journal of Psychiatry 158, S10 (maggio 1991): 75–79. http://dx.doi.org/10.1192/s0007125000292039.
Testo completoAbstract (sommario):
There is a paucity of research concerning service usage and needs of female long-term psychiatric patients. A series of studies comparing the provisions for chronically mentally ill men and women in a south London community-focused rehabilitation and continuing care service indicate marked differences in the services received by men and women, and raise questions concerning whether the needs of female patients are adequately served. As a group the women had been in contact with services for longer, had received less intensive input from services, and it appeared that the services had been less responsive to their changing needs. Among those in high contact with the services, the functioning of men and women did not differ, yet women were over-represented in workshops designed for those functioning at a lower level. Women over 45 years of age seemed to be particularly badly served by the organised activities offered.
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McDonald, Lynn, Dorothy Badry e Christine Mueller. "The Elderly Physically and Developmentally Handicapped: An Analysis of Service Delivery". Canadian Journal on Aging / La Revue canadienne du vieillissement 7, n. 2 (1988): 134–47. http://dx.doi.org/10.1017/s0714980800007376.
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ABSTRACTIn view of the growing numbers of physically and developmentally handicapped older persons in Canada, this study attempts to determine the effects of basic client characteristics on the delivery of services to these groups. Using data from the 1984 Disability Information System of Calgary, a series of models are estimated which focus on the characteristics of age, gender, geographical location, and level of physical and cognitive functioning as determinants of the receipt or non-receipt of residential, professional, support and day program services. The results indicate that there is a weak relationship between age, gender and level of cognitive functioning and the overall receipt of services. However, when each service is analyzed separately, only day programs are adequately explained. As was anticipated, it appears the needs of the elderly handicapped are not being met within the rehabilitation service system.
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Seo, Jeong-Min. "Constructing Demand and Supply Forecasting Model of Social Service using Time Series Analysis : Focusing on the Development Rehabilitation Service". Journal of the Korea Contents Association 15, n. 6 (28 giugno 2015): 399–410. http://dx.doi.org/10.5392/jkca.2015.15.06.399.
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Black, Margaret E., e Dianna T. Kenny. "The Assessment Plus Program: An Alternative Approach to the Vocational Assessment Process". Australian Journal of Rehabilitation Counselling 7, n. 2 (2001): 74–84. http://dx.doi.org/10.1017/s1323892200000740.
Testo completoAbstract (sommario):
Commonwealth Rehabilitation Services (CRS) Australia provides vocational assessment services to a client group whose rehabilitation is funded by Family and Community Services. Currently, the assessment of client skills, abilities and needs is based on the case management model. This model was expanded in the Assessment Plus study with the addition of a four-week assessment schedule and a series of educational group sessions. The program was conducted by a multi-disciplinary team at CRS Australia's Maroubra Unit, NSW. Forty-six CRS clients meeting inclusionary criteria formed the subject group for the study. Data was collected for the first eight months following implementation of the Assessment Plus program. The outcomes for study participants were compared with a matched group of 46 clients referred for assessment during the same period in 1999 prior to the implementation of Assessment Plus. The results of the study program showed a statistically significant increase in employment outcomes in the Assessment Plus group, with 12 (26%) clients recorded in employment compared with 3 (6%) in the control group. There was also an improvement in service delivery factors. These included a shorter assessment phase, an increase in the number of vocational goals identified and required reports filed. The results suggest that providing a time-based assessment frameworkplusintensive client involvement and participation improves vocational outcomes and service delivery.
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Burke, Lol, Steve Collett, John Stafford e Peter Murray. "Travelling in the wrong direction? A critical commentary on the consultation paper Strengthening Probation, Building Confidence". Probation Journal 65, n. 4 (5 novembre 2018): 439–46. http://dx.doi.org/10.1177/0264550518809876.
Testo completoAbstract (sommario):
The Ministry of Justice’s Consultation Paper – Strengthening Probation, Building Confidence – launched by Justice Secretary David Gauke in July 2018, represents a revisionist view of the recent history of the probation service in which many of its assertions are incoherent, disingenuous and disconnected from the lived realities of both those who offend and local communities having to deal with the impact of austerity on local services. In addition, the consultation process itself is disingenuous in that it presents the failure of the Transforming Rehabilitation initiative as one of technical oversights and misjudgements that can be put right through a series of relatively minor adjustments. Answers to the 17 consultation questions, however insightful and helpful they may be, will do nothing to deal with the underlying difficulties of Transforming Rehabilitation.
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Singh, Sally J., Amy C. Barradell, Neil J. Greening, Charlotte Bolton, Gisli Jenkins, Louise Preston e John R. Hurst. "British Thoracic Society survey of rehabilitation to support recovery of the post-COVID-19 population". BMJ Open 10, n. 12 (dicembre 2020): e040213. http://dx.doi.org/10.1136/bmjopen-2020-040213.
Testo completoAbstract (sommario):
ObjectiveA proportion of those recovering from COVID-19 are likely to have significant and ongoing symptoms, functional impairment and psychological disturbances. There is an immediate need to develop a safe and efficient discharge process and recovery programme. Established rehabilitation programmes are well placed to deliver a programme for this group but will most likely need to be adapted for the post-COVID-19 population. The purpose of this survey was to rapidly identify the components of a post-COVID-19 rehabilitation assessment and elements of a successful rehabilitation programme that would be required to deliver a comprehensive service for those post-COVID-19 to inform service delivery.DesignA survey comprising a series of closed questions and a free-text comment box allowing for a qualitative analysis.SettingOnline survey.ParticipantsMultiprofessional clinicians across specialties were invited to take part.Results1031 participants responded from a broad range of specialties. There was overwhelming support for an early posthospital discharge recovery programme to advise patients about the management of fatigue (95% agreed/strongly agreed), breathlessness (94%) and mood disturbances (including symptoms of anxiety and depression, 92%). At the time point of 6–8 weeks, an assessment was considered important, focusing on a broad range of possible symptoms and supporting a return to work. Recommendations for the intervention described a holistic programme focusing on symptom management, return of function and return to employment. The free-text comments added depth to the survey and the need ‘not to reinvent the wheel’ but rather adapt well-established rehabilitation services to individually tailor needs-based care with continued learning for service development.ConclusionThe responses indicate a huge interest and the urgent need to establish a programme to support and mitigate the long-term impact of COVID-19 by optimising and individualising existing rehabilitation programmes.
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Shivers, Stephani, Julie Robison, Erica DeFrancesco, Caroline Kate Keefe, Deidre Sommerer, Christine Bailey e Alis Ohlheiser. "Post-Diagnostic Support and Occupational Therapy Program for Community-Based Dementia Services". Innovation in Aging 4, Supplement_1 (1 dicembre 2020): 765–66. http://dx.doi.org/10.1093/geroni/igaa057.2764.
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Abstract Service gaps and the absence of a clear-cut care/symptom management pathway for people recently diagnosed with dementia and their family carepartners motivated LiveWell Dementia Specialists to implement a multi-service post diagnostic support program including three occupational therapy (OT) interventions. Program services include an education series on ‘Resilient Living with Dementia’, family coaching and topical education sessions, and OT services including Care of Persons with Dementia in their Environments (COPE), Skills2Care®, and Home Based Memory Rehabilitation. Program services promote adoption of adaptive strategies and action steps to increase carepartner capacity and enhance quality of life among people with dementia. Participants complete assessments at baseline, program completion, and 4- and/or 10-month follow-up. Carepartners show improvements in dementia knowledge (mean baseline score = 24.6, 4-month = 26.0) and preparedness for caregiving (mean baseline score = 18.1, 4-month = 21.9). Program elements and adaptations of COPE for real world practice are discussed.
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DOMINGUES, Juliana Machado, Gislene CORRÊA, Romeu Belon FERNANDES FILHO e Elaini Sickert HOSNI. "Palatal obturator prosthesis: case series". RGO - Revista Gaúcha de Odontologia 64, n. 4 (dicembre 2016): 477–83. http://dx.doi.org/10.1590/1981-8637201600030000183177.
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ABSTRACT Surgical treatment for palate cancers can result in oral-nasal/sinus communication, which impairs the swallowing, speech and chewing ability of patients with reflux of ingested food into the nasal cavity, reducing their quality of life. This article aims to report how three cancer patients, with different types of palate cancer undergoing partial maxillectomy with oroantral or oral-nasal communication as postoperative sequelae were prosthetically rehabilitated from 2009 to 2015. The prostheses were made by dental-surgeons interns in the service of the Multidisciplinary Residency in Oncological Healthcare of the Hospital School of the Federal University of Pelotas (HE/UFPel). One of the patients is completely edentulous, the second partially toothed and in the third case the patient is totally toothed, only requiring the obturator. The creation of prosthetic rehabilitation followed the steps of conventional prostheses, especially observing the particularities in the planning, molding, installation and adjustment stages of the prosthesis. In all cases there was improvement on speech immediately after the prosthesis installation and patients reported greater ease to feed.
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Petrick, Monika, Kasenga Sichangwa, Mark Collinson e Katherine Pickford. "Supervision of qualified community rehabilitation workers". South African Journal of Physiotherapy 57, n. 1 (28 febbraio 2001): 13–19. http://dx.doi.org/10.4102/sajp.v57i1.489.
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Supervisors of Community Rehabilitation Workers (CRWs) have a critical role to play in supporting and developing the skills and effectiveness of CRWs. This paper reports on research conducted by the Wits/Tintswalo Community Rehabilitation, Research and Education (CORRE) Programme amongst past and present supervisors of qualified CRWs. The aim was to understand different approaches used in supervision, the problems encountered and possible solutions, and the perceived impact of CRWs within rehabilitation services.Thirteen supervisors of qualified CRWs completed a postal or hand delivered questionnaire, which contained a range of open-ended and semi-structured questions. The findings included the supervision activities, the problems around supervision and the benefit of a CRW service. The need for community based rehabilitation (CBR) practice protocols and standards was highlighted.These findings were one of a series of steps towards the development of a CBR management manual for the Northern Province.
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Simpson, Grahame, Bernie Franke e Lauren Gillett. "Suicide Prevention Training Outside the Mental Health Service System". Crisis 28, n. 1 (gennaio 2007): 35–43. http://dx.doi.org/10.1027/0227-5910.28.1.35.
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Abstract. The training needs of staff working in mainstream (i.e., noncrisis) health settings with client groups that have moderate levels of suicide risk have not been extensively addressed. An initiative to train rehabilitation and disability staff working in the field of traumatic brain injury (TBI) is described. A program was adapted from a generic state health department training program, and disseminated by means of established training networks within the brain injury field. Program efficacy was evaluated as the training was provided across the state of Victoria in a series of 1-day workshops. Participants (n = 86) completed two evaluation measures designed for this purpose (objective knowledge test, self-rating of knowledge and skills) on three occasions (pre- and postworkshop, 6-month follow-up). Compared to a control group of rehabilitation and disability workers who did not receive the training (n = 27), the workshop participants made significant gains in objective knowledge and reported skills, and maintained these gains at the 6-month follow-up. The Suicide Interview Response Inventory-2 ( Neimeyer & Pfeiffer, 1994 ) was administered to a subgroup of participants as a validating measure, and correlated significantly with scores from the objective knowledge test. This process may provide a template for developing more fine-grained suicide prevention strategies among other health-related at-risk groups.
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Tsarouhas, Maria, John Chae, Melvin S. Mejia, Gregory A. Nemunaitis e Mary Jo Roach. "Poster 170: Vitamin D Deficiency in Individuals With Orthopedic Injuries Admitted to the Rehabilitation Service: A Case Series". Archives of Physical Medicine and Rehabilitation 89, n. 11 (novembre 2008): e74. http://dx.doi.org/10.1016/j.apmr.2008.09.220.
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Krasheninin, Alexander Semenovich, Dmytro Oleksandrovych Matsegora, Alexander Polʹovyy e M. V. Pakhomov. "INVENTORY MANAGEMENT IN THE ORGANIZATION OF LOCOMOTIVE PARK SERVICE". Collected scientific works of Ukrainian State University of Railway Transport, n. 196 (12 ottobre 2021): 140–49. http://dx.doi.org/10.18664/1994-7852.196.2021.242254.
Testo completoAbstract (sommario):
Planned warning system for locomotive repair has almost exhausted its potential.This was facilitated by the rapid deterioration of the technical condition of the locomotive fleet andinfrastructure for both repair and operation. Rolling stock renewal is almost non-existent, and thereis interest in providing railway services due to rising tariffs and low levels of comfort.On the contrary, some foreign railways consider the planned warning system exhausted,especially in compliance with all requirements for maintenance and repairs, timely modernizationmeasures.But at the same time, the policy of monitoring the technical condition of manufacturers to formthe infrastructure for the organization of repair and modernization of the series of locomotives isgradually developing. The first scientific researches in this direction were devoted to substantiationof strategy of interaction of traditional approaches and those which bring considerable differencesfrom traditional. This is the adoption of a strategy for the distribution of operational and repairfunctions of locomotive enterprises, and when, together with manufacturers, repair plants and depots,the need to transfer repairs to service centers is determined.At the same time, large centers are being formed that provide service services for the regionsof operation, namely, organize the monitoring and audit of the enterprise and ensure the organizationof rolling stock repairs.Without a clear organization of the supply system, the organization of locomotive service, whichrequires the selection of the optimal procurement procedure and stocks.The introduction of a new system of maintenance and restoration of the locomotive fleet on theprinciples of service requires a clear organization of the supply of spare parts for repairinfrastructure.
The system considers the solution of the optimization problem of the balance of profits andlosses in the creation of stocks for locomotive service.Assuming that the process demand was mostly random, it is proposed to introduce a targetfunction that takes into account the definition of the law of distribution of demand for spare parts,based on the minimum of the given measurements for their acquisition and storage. With this in mind,it is proposed to create an ideology of «virtual storage» to optimize stocks and their costs.
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Hunt, Paul. "Lessons identified from the 2017 Manchester and London terrorism incidents. Part 3: the postincident and recovery phase". BMJ Military Health 166, n. 2 (21 maggio 2018): 120–24. http://dx.doi.org/10.1136/jramc-2018-000936.
Testo completoAbstract (sommario):
This is the third paper in a three-part series detailing the lessons identified during the National Health Service (NHS) England clinical debrief meetings which followed the response to the 2017 Manchester and London terrorist incidents. It covers the postincident and recovery phases including rehabilitation, bereavement support, psychological support, network and regional lessons, NHS communications and supply organisations. It also summarises the military application of these lessons and outlines the next steps for further development.
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Amris, Stine, e Julio G. Arenas. "IMPACT ASSESSMENT IN REHABILITATION OF TORTURE SURVIVORS – a long-term research strategy based on a global multi-centre study design. Part I: Theoretical considerations". Psyke & Logos 25, n. 1 (31 luglio 2004): 24. http://dx.doi.org/10.7146/pl.v25i1.8659.
Testo completoAbstract (sommario):
Accumulated evidence that torture and other related human rights violation produces health-related consequences that require health professional assistance, has been the point of departure for the development of a global association of rehabilitation centres specialised in rehabilitation of torture survivors. The work field of torture is therefore a work field with an applied clinical practice rooted in a health professional paradigm recognising, though, the importance and influence of the socio-political and legal dimension of torture as a trauma and in service provision. In spite of a long history of rehabilitation of torture survivors, very few questions within service provision are answered. The implications of this shortcoming of knowledge are: 1) that effectiveness information on rehabilitation of torture survivors is not available, and 2) that no clear and scientifically valid recommendations on the organisation and functioning of rehabilitation services, and the intervention they offer in different socio-cultural contexts can be put forward. Given the uniqueness of torture as a trauma, the complexity of the health-related consequences with numerous contributing and modifying factors and the diversity of provided rehabilitation services to torture survivors, outcome research in this area is complex. The scientific approach implicates a series of methodological challenges and the use of combined research methodologies applied in several steps in order to ensure validity of the results. Research qualified of producing such knowledge will demand a shift from the traditional discipline-centred mode of knowledge production towards a broader conception of knowledge production, where knowledge is generated in the context of application and addresses problems identified through continual dialogue between actors from a variety of settings. The present article is a presentation of a long-term research strategy – The Impact Assessment Study – based on a global multi-centre study design and comprising 5 phases. The strategy has been developed with the aim of conducting a systematic »mapping« of the work field of torture, and the clinical practice applied in multidisciplinary rehabilitation of torture survivors. The main objective of the overall study is to assess if, how and to what extend rehabilitation at specialized centres provided in different socio-cultural contexts improves the well-being of torture survivors, and based on the achieved knowledge to establish empirically founded »best practice guidelines« for the future clinical work. Point of departure in the article will be an introduction to some of the theoretical considerations behind the research strategy, focusing on outcome assessment from a health professional perspective – what are we to measure? – and the nature of the existing knowledge-base within rehabilitation of torture survivors – the scientific state of the art.
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Kenny, Dianna T. "The Role of the Rehabilitation Provider in Occupational Rehabilitation: Providing for Whom? Part 2: Perceptions of Key Stakeholders". Australian Journal of Rehabilitation Counselling 4, n. 2 (1998): 111–22. http://dx.doi.org/10.1017/s1323892200001307.
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This paper is the second part of a two part series that examines the perceived roles and effectiveness of rehabilitation providers. The first paper examined the perceptions of rehabilitation providers regarding their roles in, and perceived barriers to, occupational rehabilitation. In this paper, key stakeholders' perceptions of the role of rehabilitation providers in the management of workplace injury were assessed via interviews and surveys. Forty-nine injured workers were interviewed and 407 returned a survey questionnaire. Two surveys of employers were conducted: one in the Newcastle/Hunter region of NSW, Australia (N = 93), the other a state-wide survey (N = 612) of a representative sample of employers in NSW. In addition, nine treating doctors and 14 insurers were interviewed. Results indicated that two thirds of workers were satisfied with the service they had received from the rehabilitation provider. The major concerns of injured workers were the rehabilitation providers' lack of knowledge of the demands of particular workplaces, the problems associated with particular injuries and the pressure on rehabilitation providers from employers and insurers to return the injured worker to work. Sixty percent of employers reported that rehabilitation providers were effective in restoring injured workers to work. Treating doctors were generally hostile to rehabilitation providers, claiming that they were unprofessional, inexpert and poorly trained. Finally, insurers complained of stereotypical case management plans, role confusion, and over-servicing.
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Guo, Shan, e Shiyu Dong. "Research and Innovation of a Community Intelligent Pension Service System: Taking Longhua District, Shenzhen, China, as an Example". Journal of Computer Science and Technology Studies 6, n. 2 (25 aprile 2024): 71–75. http://dx.doi.org/10.32996/jcsts.2024.6.2.8.
Testo completoAbstract (sommario):
With the aging of China's population, as a new model combining information technology and high-quality elderly care services, the topic of smart elderly care continues to warm up and has immediately attracted widespread attention. With the innovation of Internet technology, elderly people and families are in demand of the smart pension industry, and national policies have issued a series of policies and plans to encourage the development of smart pensions, allowing the innovation and design of China's smart elderly service system to fully expand. However, the research shows that from the perspective of the macro development of China's smart pension industry, the overall operation system is not mature, the talent gap is more accurate, there are fewer services, and it is still in the market development stage. This paper focuses on the Shenzhen Longhua District, which is a local part of the community wisdom endowment service industry chain investigation. The analysis of the current pension service system development is not mature enough, and it does not completely combine Internet technology and wisdom endowment. Additionally, because the economic strength and cultural level limit of wisdom endowment service acceptance are not high, the policy support for community wisdom endowment is not large enough. On this basis, this paper draws on the excellent successful experience at home and abroad. From the perspective of three aspects and put forward opinions for innovation, first, the innovation of community smart elderly care service technology, which combines Internet information technology and elderly care services organically, improves the quality of life and the happiness index of elderly people. Second, the innovation of community smart elderly care services, including the full use of medical institutions to provide 24-hour rehabilitation monitoring, remote monitoring services, and personalized and differentiated services, are tailored for elderly people. Third, the national policy innovation of community elderly care services, through policy guidance and support, promotes the healthy development of community elderly care services to provide better quality and convenient pension services for elderly people. The author believes that in the future, community elderly care services will be more professional and standardized, and a set of digital systems and service standards with scientific standards and rules will be established to ensure the quality of service and personalized demand.
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Brehon, Katelyn, Jay Carriere, Katie Churchill, Adalberto Loyola-Sanchez, Petra O'Connell, Elisavet Papathanassoglou, Rob MacIsaac, Mahdi Tavakoli, Chester Ho e Kiran Pohar Manhas. "Evaluating Community-Facing Virtual Modalities to Support Complex Neurological Populations During the COVID-19 Pandemic: Protocol for a Mixed Methods Study". JMIR Research Protocols 10, n. 7 (23 luglio 2021): e28267. http://dx.doi.org/10.2196/28267.
Testo completoAbstract (sommario):
Background The COVID-19 pandemic and concomitant governmental responses have created the need for innovative and collaborative approaches to deliver services, especially for populations that have been inequitably affected. In Alberta, Canada, two novel approaches were created in Spring 2020 to remotely support patients with complex neurological conditions and rehabilitation needs. The first approach is a telehealth service that provides wayfinding and self-management advice to Albertans with physical concerns related to existing neurological or musculoskeletal conditions or post-COVID-19 recovery needs. The second approach is a webinar series aimed at supporting self-management and social connectedness of individuals living with spinal cord injury. Objective The study aims to evaluate the short- and long-term impacts and sustainability of two virtual modalities (telehealth initiative called Rehabilitation Advice Line [RAL] and webinar series called Alberta Spinal Cord Injury Community Interactive Learning Seminars [AB-SCILS]) aimed at advancing self-management, connectedness, and rehabilitation needs during the COVID-19 pandemic and beyond. Methods We will use a mixed-methods evaluation approach. Evaluation of the approaches will include one-on-one semistructured interviews and surveys. The evaluation of the telehealth initiative will include secondary data analyses and analysis of call data using artificial intelligence. The evaluation of the webinar series will include analysis of poll questions collected during the webinars and YouTube analytics data. Results The proposed study describes unique pandemic virtual modalities and our approaches to evaluating them to ensure effectiveness and sustainability. Implementing and evaluating these virtual modalities synchronously allows for the building of knowledge on the complementarity of these methods. At the time of submission, we have completed qualitative and quantitative data collection for the telehealth evaluation. For the webinar series, so far, we have distributed the evaluation survey following three webinars and have conducted five attendee interviews. Conclusions Understanding the impact and sustainability of the proposed telehealth modalities is important. The results of the evaluation will provide data that can be actioned and serve to improve other telehealth modalities in the future, since health systems need this information to make decisions on resource allocation, especially in an uncertain pandemic climate. Evaluating the RAL and AB-SCILS to ensure their effectiveness demonstrates that Alberta Health Services and the health system care about ensuring the best practice even after a shift to primarily virtual care. International Registered Report Identifier (IRRID) DERR1-10.2196/28267
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Houa, M., A. Esposito, C. Duquesne, A. Daper e P. Raynal. "Tapia syndrome : description of a series of cases diagnosed in the rehabilitation department and review of the literature". Revue Medicale de Bruxelles 42, n. 1 (2021): 29–34. http://dx.doi.org/10.30637/2021.20-012.
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Raymond, Chris, Susan Tighe, Ralph Haas e Leo Rothenburg. "Development of Canadian asphalt pavement deterioration models to benchmark performance". Canadian Journal of Civil Engineering 30, n. 4 (1 agosto 2003): 637–43. http://dx.doi.org/10.1139/l03-023.
Testo completoAbstract (sommario):
The Canadian Long Term Pavement Performance (C-LTPP) study, initiated in 1989, involves 65 sections located at 24 sites constructed with various asphalt overlay rehabilitation treatments. This study investigates the impacts of the various alternative rehabilitation treatments on pavement roughness progression. A series of models are developed for predicting the rate of pavement deterioration occurring for the first 8 years of service. The models examine both within-site factors and between-site factors. Site location is found to be the primary influence on the rate of pavement deterioration. Overlay thickness and the amount of cracking prior to rehabilitation are also determined to influence pavement deterioration at a strong statistical level. Models are provided for benchmarking the performance of pavements across Canada, for comparison with individual project designs, and for estimating the performance of designs with different overlay thickness.Key words: Canadian Long Term Pavement Performance program, roughness, pavement deterioration, site effects, asphalt overlays, benchmark, univariate analysis.
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PAIVA FILHO, HENVER RIBEIRO DE, VALDÊNIA DAS GRAÇAS NASCIMENTO PAIVA, ELIAS FELIX DE OLIVEIRA e MURILO ANTÔNIO ROCHA. "PROFILE OF PATIENTS WITH CARPAL TUNNEL SYNDROME TREATED AT A REFERRAL SERVICE". Acta Ortopédica Brasileira 28, n. 3 (giugno 2020): 117–20. http://dx.doi.org/10.1590/1413-785220202803227138.
Testo completoAbstract (sommario):
ABSTRACT Objective: To describe the clinical and epidemiological characteristics of people diagnosed with carpal tunnel syndrome (CTS) treated at a hand surgery outpatient clinic of a regional referral service. Methods: Interview and specific medical examination of 150 people diagnosed with CTS underwent, and statistical analysis of the results obtained. Results: Women smokers, in the fifth decade of life, married, overweight and educated until the elementary level prevailed in our study. Arterial hypertension and diabetes were the most reported comorbidities, and Durkan’s test was the most prevalent. Conclusion: CTS is prevalent in women in their fifth decade of life, with bilateral involvement and high school. The hypertension and diabetes are the most common diseases in people with CTS. Level of evidence IV, Case series.
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Wicks, Abby, James A. Black e Matthew Donald Holtkamp. "Neuro-visual miscalculations in acute mTBI". Neurology 91, n. 23 Supplement 1 (4 dicembre 2018): S25. http://dx.doi.org/10.1212/01.wnl.0000550654.19664.14.
Testo completoAbstract (sommario):
ObjectiveTo describe oculomotor abnormalities following acute mild traumatic brain injury (mTBI) as a possible target for Rehabilitation.BackgroundMore than 361,092 service members have sustained mTBI between 2000 and 2016.82.4 percent being mTBI. The vast majority improve within a few weeks. However, small percentages continue to have symptoms of Chronic TBI, including those with objective findings on oculomotor exam. The neuropathology of these finding are well documented and are possible targets of acute mTBI rehabilitation. This case series explores the typical finding of symptomatic patients after mTBI. Neuro-optometry is a subspecialty which evaluates the visual system for dysfunction following neurologic insult. Binocular dysfunction is prevalent following mTBI. Recent literature supports the hypothesis that the visual system can be utilized to evaluate the extent of brain injury. The NSUCO oculomotor test allows for quantification of saccadic and pursuit inaccuracies.MethodsThe case series reported here from the Intrepid Spirit Center (ISC), Fort Hood focuses on the treatment of acute mTBI patients referred by primary care providers or emergency departments. Three military service members with acute mTBI underwent a complete neurologic examination with a neurologist, including an oculomotor function assessment with a Neuro-optometrist utilizing the NSUCO oculomotor test (video attached).ResultsWe have video documentation demonstrates typical oculomotor dysfunction seen in acute mTBI patients, including poor initiation of saccades, inaccurate spatial planning and execution of saccades, and fixation losses on pursuits on binocular assessment.ConclusionOculomotor dysfunction is a verifiable, reproducible documentation of organic dysfunction in acute mTBI amenable to therapeutic approaches including neuro-optometric visual rehabilitation. Neuro-optometric vision rehab is a novel treatment modality for acute mTBI.
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Kim, Jasper. "Risky Business: Legal and Economic Perspectives on South Korea's Individual Debtor Rehabilitation Acts". International Studies Review 7, n. 2 (8 ottobre 2006): 61–76. http://dx.doi.org/10.1163/2667078x-00702004.
Testo completoAbstract (sommario):
Two years following the 1997-98 Korean financial crisis, the Korean government attempted to bolster consumer spending and re-invigorate the national economy by pursuing a series of policies that directly promoted the use of consumer credit cards. Subsequently, consumer credit card spiked upward, which led to a dramatic surge in individual debtor defaults. The government in response mode again thereafter initiated a three-pronged legislative effort to counter the post-1997 individual debtor polemic: (i) the Individual Debtor Rehabilitation Act (“IDRA” or the “Act”); (ii)) the Korea Asset Management Company’s Bad Bank (KAMCO or “Bad Bank”); and (iii) the Credit Counseling and Recovery Service (CCRS) (collectively, the “Legal Acts”). This paper surveys and analyzes the Legal Acts approach to resolving South Korea’s post-1997 consumer credit card spending polemic.
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Simpson, Grahame, Tanya Secheny, Amanda Lane-Brown, Barbara Strettles, Kim Ferry e Jane Phillips. "Post-acute Rehabilitation for People With Traumatic Brain Injury: A Model Description and Evaluation of the Liverpool Hospital Transitional Living Program". Brain Impairment 5, n. 1 (1 maggio 2004): 67–80. http://dx.doi.org/10.1375/brim.5.1.67.35401.
Testo completoAbstract (sommario):
AbstractTransitional Living Programs (TLPs) have been a standard component of traumatic brain injury (TBI) rehabilitation services for over two decades. The twofold aim of this study was to describe a TLP service model, and to examine the efficacy of standardised TBI-specific outcome scales for TLPs. A consecutive series of 50 residents admitted to the TLP over an 18-month period were administered a number of outcome measures at both admission and discharge. Mean duration of PTA for the sample was 60 days and average length of stay was 7 weeks. Measures included the Sydney Psychosocial Reintegration Scale (SPRS), the Mayo-Portland Adaptability Inventory (MPAI), the Brain Injury Community Rehabilitation Outcome (BICRO) scales and the Assessment of Living Skills and Resources Scale (ALSAR). Results showed significant improvements in the global scores for the SPRS, MPAI and ALSAR from admission to discharge. In contrast, a number of the BICRO scales exhibited floor or ceiling effects. Correlational analysis found moderate to strong associations between the SPRS, MPAI and ALSAR across a number of functional domains. Results to date show promise in identifying measures that are able to detect change over the course of a TLP admission. The findings lay the foundation for ongoing research into the effectiveness of such programs.
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Voronin, Serhii, Oleksandr Kharkivskyi e Oleksandr Hubin. "OPERATING TESTS OF THE DEVICE FOR ELECTROSTATIC ENGINE OIL TREATMENT". Collection of Scientific Works of the Ukrainian State University of Railway Transport, n. 205 (29 settembre 2023): 6–13. http://dx.doi.org/10.18664/1994-7852.205.2023.288790.
Testo completoAbstract (sommario):
The article presents the results of preliminary studies aimed at establishing the main factors affecting the service life of sliding bearings. The researchers pay special attention to the dominant types of lubrication, the thickness of the lubricating film, the load-bearing capacity of the film, shear resistance during friction, as well as the aging of the oil and the loss of its properties over time. Taking into account the previous achievements, as well as the works of the authors in the direction of increasing the wear resistance and resource of sliding bearings, it is proposed to test the sliding bearings of the D-240 diesel engine on the SMC-2 friction machine. The tests were performed according to the "pad - roller" scheme. In this diagram, the roller simulates the neck of the crankshaft, it is made of HF cast iron. The pad presses against the roller a fragment of the liner, which was made from a real engine liner and is a bimetallic element with a steel base and an antifriction coating of AO-20-1 alloy. In the tests, the sliding friction of the liner fragment on the roller was modeled, and the load modes of the friction pair were set in such a way that mixed lubrication of the bearing or transitional lubrication from limit to hydrodynamic lubrication is achieved. The purpose of the tests was to establish the regularities of the impact of engine oil aging and its electrical processing on the wear resistance and service life of the bearing liners. For this, oil samples were taken from the engine lubrication system. Oil samples with 0, 150, 300 engine hours were tested. The complete experiment consisted of two series of trials. The first series of tests concerned the establishment of the effect of working on the wear resistance when lubricating the bearing with traditional oil taken from the engine. The second similar series of tests included the additional introduction of electrical treatment of the oil samples before it was fed to the bearing model. The values of weight wear of liner fragments were obtained experimentally. The wear resistance and service life of the liners were calculated according to the corresponding dependencies, which are also given in the article. As a result of measurements and calculations, the regularities of the effect of working on the conditional life of the liners were obtained, taking into account the effect of the electrical treatment of the oil.
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Krasheninin, Alexander Semenovich, Dmytro Oleksandrovych Matsegora, Y. O. Sachenko e J. S. Blokhin. "THE CONCEPT OF EXTENDING THE TERMS OF LOCOMOTIVE OPERATION". Collected scientific works of Ukrainian State University of Railway Transport, n. 192 (11 ottobre 2021): 24–33. http://dx.doi.org/10.18664/1994-7852.192.2021.223743.
Testo completoAbstract (sommario):
Due to the reliability standard set during the design and even when it reaches orexceeds the standard service life of more than 90 % of locomotives, railway transport continues toperform its functions. Many years of experience in the operation of locomotives confirm thecorrectness of the norms laid down in the standards for their design to the design loads andindicators of dynamics and strength of load-bearing structures: the standard stock ratio (2) ensurestheir operation during the service life.(25 ... 30 years) In many countries, as part of the extension of the service life of TRS at onetime had to solve complex scientific and applied problems. For example, most recently in Europeancountries, rolling stock depreciation was up to 65% of service life. In the interaction of TRSproducers and users, the concept of repair and modernization of TRS at the facilities ofmanufacturers was adopted, and the amount of modernization depended on customer requirements.After the modernization of the extension of the service life of TRS, it could be used on certainsections of the railway or in other types of work: economic, export, shunting. In our country, thelong-term operation of the TRS of a small number of series led to the fact that the rolling stock wasalmost not renewed and the problem of extending the service life was not solved. Now difficultpolitical and environmental factors have led to the fact that after some time it will be dangerous touse rail transport. As the world and domestic experience of TRS operation shows, urgent changes inall links of the industry and operation are necessary. The resource of TRS put in production allowsto keep and maneuver in a choice of strategy of management of the maintenance of TRS. Inconnection with the aging of rolling stock and the development of the assigned service life arerelevant to the study of the original and residual resources of the structure. To do this, thestandards must be clarified and supplemented on the basis of accumulated operating experienceand taking into account modern knowledge to assess and ensure the necessary durability and safetyof operation of vehicles. Based on this, the topic of changing the system of extending the service lifeis relevant. The article considers the concept of general approaches to extending the service life oflocomotives.
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Sinn, Chi-Ling Joanna, Heebah Sultan, Luke Andrew Turcotte, Caitlin McArthur e John P. Hirdes. "Patterns of home care assessment and service provision before and during the COVID-19 pandemic in Ontario, Canada". PLOS ONE 17, n. 3 (30 marzo 2022): e0266160. http://dx.doi.org/10.1371/journal.pone.0266160.
Testo completoAbstract (sommario):
Objective The objective was to compare home care episode, standardised assessment, and service patterns in Ontario’s publicly funded home care system during the first wave of the COVID-19 pandemic (i.e., March to September 2020) using the previous year as reference. Study design and setting We plotted monthly time series data from March 2019 to September 2020 for home care recipients in Ontario, Canada. Home care episodes were linked to interRAI Home Care assessments, interRAI Contact Assessments, and home care services. Health status measures from the patient’s most recent interRAI assessment were used to stratify the receipt of personal support, nursing, and occupational or physical therapy services. Significant level and slope changes were detected using Poisson, beta, and linear regression models. Results The March to September 2020 period was associated with significantly fewer home care admissions, discharges, and standardised assessments. Among those assessed with the interRAI Home Care assessment, significantly fewer patients received any personal support services. Among those assessed with either interRAI assessment and identified to have rehabilitation needs, significantly fewer patients received any therapy services. Among patients receiving services, patients received significantly fewer hours of personal support and fewer therapy visits per month. By September 2020, the rate of admissions and services had mostly returned to pre-pandemic levels, but completion of standardised assessments lagged behind. Conclusion The first wave of the COVID-19 pandemic was associated with substantial changes in Ontario’s publicly funded home care system. Although it may have been necessary to prioritise service delivery during a crisis situation, standardised assessments are needed to support individualised patient care and system-level monitoring. Given the potential disruptions to home care services, future studies should examine the impact of the pandemic on the health and well-being of home care recipients and their caregiving networks.
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Herrman, H. "World psychiatric association task force on best practice in working with service users and carers". European Psychiatry 26, S2 (marzo 2011): 2103. http://dx.doi.org/10.1016/s0924-9338(11)73806-8.
Testo completoAbstract (sommario):
The WPA has invited service users and family carers to join in its work as members of a taskforce, recognising their essential contribution to improving mental health in any country. WPA President Prof. Mario Maj established the project within the WPA Action Plan 2008 to 2011. The taskforce has prepared recommendations for the international mental health community on best practices in working with service users and carers. It has also worked with the WPA Standing Committee on Ethics to prepare a new paragraph for the WPA Declaration of Madrid. The WHO Department of Mental Health has offered its experience and advice.Ten recommendations are ready for dissemination after extensive consultation. Each country will need specific guidelines to apply these recommendations. The recommendations begin by declaration that respecting human rights is the basis of successful partnerships for mental health. The second recommendation is that legislation, policy and clinical practice relevant to the lives and care of people with mental disorders need to be developed in collaboration with users and carers. The series continues with a recommendation that the best clinical care of any person in acute or rehabilitation situations is done in collaboration between the user, the carers and the clinicians. Education, research and quality improvement in mental health care also require this collaboration. The next step is developing a series of projects to apply these broad principles in each country and local communities. The WPA hopes to support partnership and participatory developments worldwide, and learn from these experiences.
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Pillai, Suresh S., K. Arjun, Amal Raj e Nikhil Tom Joseph. "Fracture Dislocation in the Cervical Spine – A Case Series Analysis of 32 Cases and Review of Literature". Journal of Orthopaedic Association of South Indian States 20, n. 2 (2023): 111–18. http://dx.doi.org/10.4103/joasis.joasis_28_23.
Testo completoAbstract (sommario):
Abstract Complex cervical spine injuries result from road traffic accidents, fall from height, diving in the swimming pool, fall along with the ladder etc. This is a major cause of disability, morbidity and mortality and dependence. Most of these injuries are preventable by proper care, social reforms, teaching civic sense to students at an early age, adoption of safety measures while climbing heights, enforcement of traffic rules, building up of infrastructure, educating the people and mandatory emergency room service for the offenders. Fracture dislocations of the cervical spine mostly flexion distraction injuries. Dislocations can range from perched facets, unilateral facet dislocations to bilateral facet dislocations and spondyloptosis. These result in varying degrees of neurological deficit. The recovery of these patients depend on the initial magnitude of the injury, the safe transport of the victim to the trauma centre, careful management of the injuries and rehabilitation. Here a case series of 32 patients with varying degrees of fracture dislocations of the cervical spine are analyzed retrospectively.
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Bennett, Alexander N., Daniel Mark Dyball, Christopher J. Boos, Nicola T. Fear, Susie Schofield, Anthony M. J. Bull e Paul Cullinan. "Study protocol for a prospective, longitudinal cohort study investigating the medical and psychosocial outcomes of UK combat casualties from the Afghanistan war: the ADVANCE Study". BMJ Open 10, n. 10 (ottobre 2020): e037850. http://dx.doi.org/10.1136/bmjopen-2020-037850.
Testo completoAbstract (sommario):
IntroductionThe Afghanistan war (2003–2014) was a unique period in military medicine. Many service personnel survived injuries of a severity that would have been fatal at any other time in history; the long-term health outcomes of such injuries are unknown. The ArmeD SerVices TrAuma and RehabilitatioN OutComE (ADVANCE) study aims to determine the long-term effects on both medical and psychosocial health of servicemen surviving this severe combat related trauma.Methods and analysisADVANCE is a prospective cohort study. 1200 Afghanistan-deployed male UK military personnel and veterans will be recruited and will be studied at 0, 3, 6, 10, 15 and 20 years. Half are personnel who sustained combat trauma; a comparison group of the same size has been frequency matched based on deployment to Afghanistan, age, sex, service, rank and role. Participants undergo a series of physical health tests and questionnaires through which information is collected on cardiovascular disease (CVD), CVD risk factors, musculoskeletal disease, mental health, functional and social outcomes, quality of life, employment and mortality.Ethics and disseminationThe ADVANCE Study has approval from the Ministry of Defence Research Ethics Committee (protocol no:357/PPE/12) agreed 15 January 2013. Its results will be disseminated through manuscripts in clinical/academic journals and presentations at professional conferences, and through participant and stakeholder communications.Trial registration numberThe ADVANCE Study is registered at ISRCTN ID: ISRCTN57285353.
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Uzqueda, Angel, Pilar Garcia-Almirall, Còssima Cornadó e Sara Vima-Grau. "Critical Review of Public Policies for the Rehabilitation of Housing Stock: The Case of Barcelona". Buildings 11, n. 3 (9 marzo 2021): 108. http://dx.doi.org/10.3390/buildings11030108.
Testo completoAbstract (sommario):
This article reviews rehabilitation programs in Barcelona, focusing on aspects such as the intervention model, actual public investment, and results. Programs of this type are not exclusive to Barcelona; however, similar examples can be found in other European cities, especially where European Union (EU) funding is present. After analyzing these models, we reached a series of general conclusions that may be of interest. Thus, an eminently practical and reflective analysis is presented, aimed at technicians and those responsible for the design of intervention policies in urban regeneration. Rehabilitation programs are increasingly focused on vulnerable settings, and in this context, the participation and service function of public administrations are particularly relevant. The general model for rehabilitation subsidies rarely takes into account the specific characteristics of disadvantaged urban settings, as the article will show. After analyzing the different policies presented in this research, we identified two essential requirements: detailed knowledge of the affected neighborhood, and ongoing evaluation of the development of programs—beyond simple management indicators—so negative effects can be corrected in time such as gentrification, real estate speculation, and other by-products that the intervention itself can promote. This study confirms that not all public investments have the expected results.
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Ali, Hesham A., e Shiraz D. Tayabji. "Using Transverse Profile Data to Compute Plastic Deformation Parameters for Asphalt Concrete Pavements". Transportation Research Record: Journal of the Transportation Research Board 1716, n. 1 (gennaio 2000): 89–97. http://dx.doi.org/10.3141/1716-11.
Testo completoAbstract (sommario):
Previous studies have shown that the performance of in-service pavements may deviate significantly from that predicted by use of laboratory-calibrated performance models. Therefore calibration of performance prediction models with data from in-service pavements is important. Calibration of mechanistic rutting models by use of transverse profile data is explored. A well-known family of mechanistic rutting prediction models uses plastic deformation parameters [slope of elastic or plastic strain (or both) and load hardening factor] for quantification of the amount of permanent deformation resulting from each load application. For the purpose of obtaining these parameters, two traditional methods have been used: repeated load testing in the laboratory and calibration by use of time-series data from in-service pavements. Although the first suffers from the lack of compatibility between laboratory-predicted and actual performance, the second requires collection of field data for an extended period of time (years of monitoring) and may be interrupted by rehabilitation activities. The transverse profile contains valuable information that can be used for determining the contribution of each pavement layer to the observed rutting and the plastic deformation parameters. Transverse profile data were used for calibration of rutting prediction models. The stability and sensitivity of the computed parameters were also investigated.
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Settle, Jill R., Deborah M. Clawson, Marc M. Sebrechts, Louis M. French, Adreanna T. Massey Watts e Connie C. Duncan. "Prospective Memory in Service Members with Mild Traumatic Brain Injury". Military Medicine 184, n. 11-12 (20 aprile 2019): 723–30. http://dx.doi.org/10.1093/milmed/usz062.
Testo completoAbstract (sommario):
Abstract Introduction Prospective memory (PM) is the ability to remember the intention to perform an action in the future. Following mild traumatic brain injury (mTBI), the brain structures supporting such PM may be compromised. PM is essential for remembering activities specific to TBI survivors that promote recovery, such as following doctors’ orders, taking necessary medications, completing physical rehabilitation exercises, and maintaining supportive social relationships. Since the year 2000, more than 315,897 US Service Members are reported to have sustained an mTBI1, yet little has been done to address possible PM concerns. Therefore, identifying impaired PM and interventions that may ameliorate such deficits is important. The primary aim of this study was to determine whether task encoding using implementation intentions leads to better PM performance than encoding using rote rehearsal in Service Members with mTBI (n = 35) or with bodily injuries but no TBI (n = 8) at baseline and 6 months later. Materials and Method Participants were randomized to one of the two encoding conditions. They were asked to remember to complete a series of four tasks over the course of a 2-hour event-related potential session and to contact a staff member during a specified 2-hour window later that day. PM performance was assessed based on completion of each task at the appropriate time. IRB approval was obtained from The Catholic University of America, Walter Reed National Military Medical Center, and Ft. Belvoir Community Hospital. Results Service Members with mTBI using implementation intentions outperformed those using rote rehearsal. The effect of injury type and the interaction between encoding condition and injury type did not yield differences that were statistically significant. Conclusions The results suggest that implementation intentions may be a useful PM remediation strategy for those who have sustained mTBI. Future research should validate these findings in a larger sample
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Ferrando Cascales, Álvaro, Salvatore Sauro, Ronaldo Hirata, Daniela Astudillo-Rubio, Raúl Ferrando Cascales, Rubén Agustín-Panadero e Andrés Delgado-Gaete. "Total Rehabilitation Using Adhesive Dental Restorations in Patients with Severe Tooth Wear: A 5-Year Retrospective Case Series Study". Journal of Clinical Medicine 12, n. 16 (10 agosto 2023): 5222. http://dx.doi.org/10.3390/jcm12165222.
Testo completoAbstract (sommario):
Introduction: Currently, there is little clinical evidence to support the medium- and long-term survival and clinical performance of ultraconservative approaches using adhesive restorations in full-mouth restorations. The aim of this case series study was to evaluate the medium-term clinical performance of anterior and posterior adhesive restorations applied with direct and indirect techniques using resin composites and glass-ceramic-based materials. Materials and Methods: The inclusion criteria were an esthetic problem as the main reason for consultation and severe generalized wear of grade 2 to 4 according to the Tooth Wear Evaluation System (TWES 2.0). In addition, at each follow-up appointment, patients were required to submit a clinical-parameter-monitoring record according to the modified United States Public Health Service (USPHS) criteria. Results: Eight patients with severe tooth wear were treated through full rehabilitation in a private dental clinic in Spain by a single operator (AFC). A total of 212 restorations were performed, which were distributed as follows: 66 occlusal veneers, 26 palatal veneers and 120 vestibular veneers. No signs of marginal microleakage or postoperative sensitivity were observed in any occlusal, vestibular and/or palatal restoration after the follow-up period. The estimated survival rate of the 212 restorations was 90.1% over 60 months of observation, with a survival time of 57.6 months. Only 21 restorations had complications, which were mostly resolved with a direct composite resin. The dichotomous variables of the restoration type (posterior veneer, anterior veneer) and the type of restored tooth (anterior, posterior) were the risk predictors with statistically significant influences (p < 0.005) on the survival of the restorations. Conclusion: According to the results of this study, there is a significantly higher risk of restorative complications in posterior teeth compared to anterior teeth. Also, it can be concluded that the indication of adhesive anterior and posterior restorations is justified in the total oral rehabilitation of patients with severe multifactorial tooth wear, as they are associated with a low risk of failure.
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O'Connor, Rebecca Susan, e Dee Mary Gray. "Exploring the effectiveness of music therapy intervention as part of interdisciplinary assessment and treatment for patients with prolonged disorders of consciousness". Music and Medicine 14, n. 2 (6 giugno 2022): 125–32. http://dx.doi.org/10.47513/mmd.v14i2.833.
Testo completoAbstract (sommario):
A four - year study took place at a Rehabilitation hospital in Ireland where two music therapists worked as an integral part of a Prolonged Disorders of Consciousness (PDOC) interdisciplinary team (IDT). The study aimed to explore the impact of music therapy as part of IDT assessment and treatment for patients with PDOC and their families. PDOC is defined as diminished or absent responsiveness and awareness persisting for more than four weeks following a catastrophic brain injury. A mixed method approach incorporating a case study series, the Music Therapy Assessment Tool for Awareness in Disorders of Consciousness (MATADOC), questionnaires from patient’s families and IDT and video analysis was undertaken. Three research questions were explored:Does the inclusion of music therapy within an IDT enhance the service offered to PDOC patients? How does music therapy impact on the experience of family members? Can a music therapy assessment and treatment pathway be developed for this patient population?Three case studies taken from the case study series are outlined to illustrate aspects of the clinical work and address the research questions. Findings suggest that music therapy can enhance an IDT and have a positive impact on family members.
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O'Connor, Rebecca Susan, e Dee Mary Gray. "Exploring the effectiveness of music therapy intervention as part of interdisciplinary assessment and treatment for patients with prolonged disorders of consciousness". Music and Medicine 14, n. 2 (6 giugno 2022): 125–32. http://dx.doi.org/10.47513/mmd.v14i2.833.
Testo completoAbstract (sommario):
A four - year study took place at a Rehabilitation hospital in Ireland where two music therapists worked as an integral part of a Prolonged Disorders of Consciousness (PDOC) interdisciplinary team (IDT). The study aimed to explore the impact of music therapy as part of IDT assessment and treatment for patients with PDOC and their families. PDOC is defined as diminished or absent responsiveness and awareness persisting for more than four weeks following a catastrophic brain injury. A mixed method approach incorporating a case study series, the Music Therapy Assessment Tool for Awareness in Disorders of Consciousness (MATADOC), questionnaires from patient’s families and IDT and video analysis was undertaken. Three research questions were explored:Does the inclusion of music therapy within an IDT enhance the service offered to PDOC patients? How does music therapy impact on the experience of family members? Can a music therapy assessment and treatment pathway be developed for this patient population?Three case studies taken from the case study series are outlined to illustrate aspects of the clinical work and address the research questions. Findings suggest that music therapy can enhance an IDT and have a positive impact on family members.
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Shitikov, T., O. Shayrin e L. Danilko. "A Role of Complementary Medicine in Rehabilitation of Military Traumatic Brain Injuries". Pain medicine 3, n. 2/1 (16 ottobre 2018): 8. http://dx.doi.org/10.31636/pmjua.t1.21299.
Testo completoAbstract (sommario):
Background: Military service members and veterans face health issues related to traumat-ic brain injury (TBI), especially during combat, use of heavy equipment, and exposures to environmental hazards and explosives. There were 1.000 TBIs reported in deployed Ukra-nian troops during Russian-Ukranian war in 2014–2017. Studies have indicated that some manual therapies could be helpful for treating patients who have post-concussive syndrome.
Objective: This case series report de-scribes the effects of CranioSacral Therapy (CST), Visceral Manipulation (VM), and Neu-ro-muscular Manipulation (NM) modalities for treating patients who have post-concussion syndrome. The goal of this study was to evalu-ate these effects on immobility, pain intensity, quality of life, sleep disorders, and cognition in these patients.
Materials and Methods: This single-blind-ed case series was conducted at the Volunteer rehabilitation center, Dnipro, Ukraine. The pa-tients were 45 male participationers of Ukra-nian military forces who had been medically diagnosed with post-concussion syndrome. Each participant received a morning and af-ternoon 1-hour session of these three spe-cific manual therapies, which were capable of accessing and addressing the structural, vascular, and neuro-muscular tissues of the Cranium, Neck, Diafragm, Peritoneal bag and brain-as well addressing far-reaching ramifi-cations throughout the body following trauma. The main outcome measures were scores on the: Impact Neurocognitive Test; Blood Oxigen Saturation Test; Short Form-36 Quality of Life Survey, Headache Impact Test, a numeric pain rating scale; orthopedic range of motion tests (ROM); and vestibular testing. Hours of sleep were also checked. These outcome measures were registered at baseline, after treatment, and after a 3–6-month follow up.
Results: Statistically significant differenc-es were seen with a decrease in overall pain rating scale scores (P = 0.034), and cranio-cer-vicogenic pain levels decreased (P = 0.047). There were statistically significant increases of blood oxigen saturation (P = 0.033), Mem-ory Test (P = 0.017) scores, and cervical ROM scores (P = 0.036). Hours of sleep averaged 1 hours on the first day of treatment and in-creased to 2.0 hours at the end of treatment. Results were continuing to increase, as noted at a 5-month evaluation.
Conclusions: Six sessions of specific CST/VM/NM therapy resulted in statistically great-er improvements in pain intensity, ROM, mem-ory, cognition, blood oxigen saturation and breathing in concussed patients.
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Kanišauskas, Vaidotas, e Adomas Raudonis. "Alkoholio vartojimo ribojimų įtaka negatyviems eismo įvykiams Lietuvos magistraliniuose keliuose". Jaunųjų mokslininkų darbai 52, n. 2 (28 dicembre 2022): 8–19. http://dx.doi.org/10.15388/jmd.2022.2.1.
Testo completoAbstract (sommario):
The article uses statistical data from the Lithuanian Road Police Service on traffic accidents, speeding, drinking and driving (DUI), and people injured in traffic accidents on Lithuanian highways, i.e., negative traffic accidents in the period of 2000–2018. The aim of the work is to analyse the dynamics of traffic collisions and circumstances related to them. To achieve this aim, the negative accident data recorded on Lithuanian highways was converted into a 1-mile (8 km) unified system by grouping roads according to their length: small, average, large, and the largest roads. Time series AR(1) models were found for most of the cases. By employing statistical methods, it was identified that the 2008 law restricting the sale and advertising of alcohol led to the following results: a reduction in traffic accidents and the number of intoxicated drivers on all roads, although at the same time there was an increase in speeding. The number of people injured on small roads has increased.
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Cuenca-Soto, Nuria, María Luisa Santos-Pastor, Oscar Chiva-Bartoll e Luis Fernando Martínez-Muñoz. "Challenging paradigms: integrating Critical Feminist Service-Learning into Higher Education Physical Activity and Sport programs". Retos 52 (20 dicembre 2023): 1–12. http://dx.doi.org/10.47197/retos.v52.101474.
Testo completoAbstract (sommario):
Over the past decades, public policies have aimed to promote gender equality and a gender perspective in educational and research settings. However, Higher Education shows significant deficiencies in gender-related training in its curricula. This article aims to define the pedagogical model called Critical Feminist Service-Learning, presenting a series of keys that allow feminist theories to be applied in real-life contexts within the framework of Physical Activity and Sports. This model facilitates educational advancements through transformative approaches that prioritize gender equity and social justice. Focused on the teaching of Physical Activity and Sports, it explores the confluence of various feminist philosophies and theories in Service-Learning, aligning with the principles of feminist pedagogies. While recognizing the successes of this Service-Learning approach, a call is made for a text that consolidates and synthesizes this perspective, proposing a clear general model as described here. In contrast to the prevailing model, the traditional charity-oriented Service-Learning that predominates in educational institutions, Critical Feminist Service-Learning includes all participants as beneficiaries. It critiques hierarchical society, recognizes underrepresented groups and voices, moving away from structures that reinforce social orders and structural oppression. The advocated pedagogical model here offers a practical solution to promote gender equality and social justice in educational and research environments, specifically in the context of Physical Activity and Sports, promoting the use of transformative pedagogies in Higher Education.
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Zumárraga, Juan Pablo, Brian Guilherme Monteiro Marta Coimbra, Felipe Gonçalves dos Santos, André Mathias Baptista, Marcelo Tomio Kohara e Olavo Pires de Camargo. "EXTRA-ABDOMINAL DESMOID TUMOR: ANALYSIS OF 23 CONSECUTIVE CASES IN A SINGLE INSTITUTION". Acta Ortopédica Brasileira 26, n. 4 (agosto 2018): 244–47. http://dx.doi.org/10.1590/1413-785220182604192681.
Testo completoAbstract (sommario):
ABSTRACT Objective: Extra-abdominal desmoid tumor (EDT) is a rare condition, caused by proliferation of fibroblasts. Despite being a benign tumor, it is locally aggressive and has unpredictable clinical behavior. The objective of this study is to present the clinical outcomes of patients with EDT treated surgically between 1995 and 2016. Methods: This is a retrospective series of 23 patients with histopathological diagnosis of EDT that underwent surgery at the orthopedic oncology service of our hospital. The information was obtained from the institute's clinical and pathology reports. Results: A total of 223 medical records with histopathological reports were evaluated. Only 23 cases of EDT were included in the present study. The mean age was 22.5 years. Twelve (52.2%) patients had the tumor on the lower limbs, seven (30.4%) on the upper limbs and four (17.4%) cases were reported on the back. Five (21.7%) patients had tumors measuring less than 5 cm, while eighteen (78.3%) patients had tumors measuring more than 5 cm. All patients underwent surgery as the definitive treatment in our institute. Twelve (52.2%) cases presented negative margins (NM) and eleven (47.8%) cases had positive margins (PM). Local recurrence (LR) occurred in eleven (47.8%) patients. Conclusion: Impairment of the surgical margin was the only prognostic factor found for LR of EDT. Level of Evidence IV, Case Series.
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Li, Junxia. "The Analysis of China's Marketing Consultant Work from the Perspective of Knowledge". Journal of Economics, Finance and Accounting Studies 4, n. 3 (13 settembre 2022): 83–89. http://dx.doi.org/10.32996/jefas.2022.4.3.10.
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With the continuous development and improvement of China's market economic system, the traditional common marketing mode has been impacted and deconstructed. In the process of resisting the extrusion of competitive companies and adapting to the selection of consumer audiences, enterprises have gradually built a new consulting marketing mode. Based on the author's past real work experience and later field research, this paper expounds the differences between the consultant analysis and the traditional sales in the modern Chinese market from four aspects: market dimensionality, information service value, communication subjectivity and work composition, and it comes to a series of conclusions that, compared with traditional sales, the consultant demand analyst mainly faces the oriented market and semi non oriented market, can provide customers with professional information services that form a knowledge system, gives the customer a sense of subjectivity in the communication on the surface but actually holds the dominant power in the dialogue, and its work content is mainly to maintain the stickiness between users and enterprise products; Then, it discusses the practical path for consultants to better carry out business from two aspects of personal skills and platform activities, and points out that consultants can increase the transaction rate of products by amplifying the customer's demand points, strengthening the customer's anxiety, and taking advantage of the limited time and discount during the platform activity period; Finally, it reveals the essence of the work of consultants and demand analysts and the development trend of the allocation and reconstruction of the functions of modern posts.
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Wei, Baoli, Chengchao Guo e Miaoyi Deng. "An Innovation of the Markov Probability Model for Predicting the Remaining Service Life of Civil Airport Rigid Pavements". Materials 15, n. 17 (2 settembre 2022): 6082. http://dx.doi.org/10.3390/ma15176082.
Testo completoAbstract (sommario):
In view of the time series update of airport runway health status detection data, the Markov chain of stochastic process theory was adopted. Considering the influence of aircraft traffic load, age, and pavement structure surface-layer thickness on the performance deterioration process of airport runways, the method of survival analysis was used. The parameter model of survival analysis was used to establish the duration function model of the four condition states of the airport runway PCI (pavement condition index). The Markov transition matrix for the performance prediction of airport runways was constructed. In order to evaluate the ability of the Markov transition matrix method to predict the trend of deterioration for PCI of the airport runway under different conditions of aircraft traffic volume and thickness of the runway pavement surface, a data set was constructed with the actual inspection data of the airport runway, and the corresponding samples were selected for analysis. The results showed that a Markov transition matrix for airport runway performance prediction, constructed based on survival analysis theory, can combine discontinuous inspection data or monitoring data with Weibull function survival curves. The method proposed in this paper can quantitatively predict the remaining service life of airport runways and provide support for cost-effective decisions about airport pavement maintenance and rehabilitation.
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Lemsanni, Meryem, Youssef Najeb, Rachid Chafik, Mohamed Madhar e Hanane El Haoury. "Transolecranon fracture-dislocations of the elbow: a case series of 15 patients". International Journal of Research in Orthopaedics 6, n. 6 (22 ottobre 2020): 1285. http://dx.doi.org/10.18203/issn.2455-4510.intjresorthop20204598.
Testo completoAbstract (sommario):
<p>Transolecranon fracture-dislocations are rare, misdiagnosed, and challenging traumatic injuries. Consensually, they are managed surgically to restore a mobile, stable and painless elbow joint. <em>There</em> is a relative <em>paucity of studies</em> on this <em>subject</em> in the <em>literature. </em>The purpose of this case series was to establish the epidemiological profile and to describe clinical, radiological, therapeutic and outcome characteristics of these lesions. Between 2007 and 2016, fifteen patients with median age of 36 years (18-65 years) presented to us with transolecranon fracture-dislocations. They were treated surgically and followed regularly with a mean follow-up of 46 months. The <em>cause in</em> the majority of cases was high-energy trauma, <em>mainly traffic accidents</em> (80%). Proximal ulna fractures were comminuted in 12 patients (80%) and open in three cases (25%). Open reduction and internal fixation with 3.5 mm reconstruction plates through a posterior approach was used in all cases. During follow up, one patient (6%) had developed wound infection with skin necrosis which was successfully managed by antibiotics and controlled wound healing. Solid osseous union was confirmed for all fractures with an average of 13.5 weeks. At final follow-up, 14 patients (93%) reported excellent outcome with a mean Broberg and Morrey score (BMS) of 86.3. Although rare, transolecranon fracture-dislocations found in patients hospitalized in a high-complexity service occurred in young men who were involved in motor vehicle accidents. These injuries can be treated successfully with reconstruction plate through a posterior approach to achieve and maintain <em>anatomical reduction</em> by rigid internal fixation, which is essential for promoting early rehabilitation.</p>
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Yue, Xin, Kaining Mu e Lihang Liu. "Selection of Policy Instruments on Integrated Care in China: Based on Documents Content Analysis". International Journal of Environmental Research and Public Health 17, n. 7 (30 marzo 2020): 2327. http://dx.doi.org/10.3390/ijerph17072327.
Testo completoAbstract (sommario):
Facing the aggravating trend of an aging population and a fragmented medical service delivery system, the Chinese Central Government has introduced a series of policies to promote the development of integrated care against the background of the “Healthy China Strategy”. The achievement of integrated care depends on the choice of policy instruments. However, few studies have focused on how policy instruments promote the practice of integrated care in China. This article aims to obtain a deeper understanding of the use of policy instruments in the development of integrated care in China. Policy documents are the carriers of policy instruments. National-level integrated care policy documents from 2009 to 2019 were selected. Using the qualitative document analysis method, this paper conducts an analysis of integrated care policy instruments. In order to comprehensively view the integrated care policy instruments, a three-dimensional analytical framework consisting of the policy instruments dimension, stakeholders dimension, and health service supply chains dimension is proposed. The results are as follows. (1) From the perspective of policy instruments, the integrated care policy has adopted supply-side policy instruments, demand-side policy instruments, and environmental policy instruments. Among the three types of policy instruments, environmental policy instruments are used most frequently, supply-side policies are preferred, while demand-side policy instruments are relatively inadequate. (2) As for the stakeholders dimension, the central policy instruments focus on the health service providers, while less attention is paid to the health service demanders. (3) In terms of health service supply chains, the number of policy instruments used in the prevention stage is the highest, followed by the treatment stage, whereas less attention paid to the rehabilitation stage. Finally, suggestions were made for the development of integrated care by better perfecting policy instruments.
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Kelly, Kate, Fran Brander, Amanda Strawson, Nick Ward e Kathryn Hayward. "Pushing the limits of recovery in chronic stroke survivors: a descriptive qualitative study of users perceptions of the Queen Square Upper Limb Neurorehabilitation Programme". BMJ Open 10, n. 10 (ottobre 2020): e036481. http://dx.doi.org/10.1136/bmjopen-2019-036481.
Testo completoAbstract (sommario):
IntroductionThe Queen Square Upper Limb (QSUL) Neurorehabilitation Programme is a clinical service within the National Health Service in the UK that provides 90-hours of therapy over 3-weeks to stroke survivors with persistent upper limb impairment. This study aimed to explore the perceptions of participants of this programme, including clinicians, stroke survivors and caregivers.DesignDescriptive qualitative. Data analysis was performed using a conventional thematic content approach to identify main themes by four researchers to avoid any potential bias or personal motivations, promoting confirmability.SettingClinical outpatient neurorehabilitation service.ParticipantsClinicians (physiotherapists, occupational therapists, rehabilitation assistants) involved in the delivery of the QSUL Programme, as well as stroke survivors and caregivers who had participated in the programme were purposively sampled. Each focus group followed a series of semi-structured, open questions that were tailored to the clinical or stroke group. One independent researcher facilitated all focus groups, which were audio-recorded and transcribed verbatim by a professional transcription agency.ResultsFour focus groups were completed: three including stroke survivors (n=16) and caregivers (n=2), and one including clinicians (n=11). The main stroke survivor themes related to psychosocial aspects of the programme (‘you feel valued as an individual’), as well as the behavioural training provided (‘gruelling, yet rewarding’). The main clinician themes also included psychosocial aspects of the programme (‘patient driven ethos—no barriers, no rules’) and knowledge, skills and resources of clinicians (‘it is more than intensity, it is complex’).ConclusionsAs an intervention, stroke survivors and clinicians consider the QSUL Programme to be both comprehensive and complex. The nature of the interventions in the programme spans psychosocial and behavioural domains. We suggest the future clinical trials of upper limb rehabilitation consider testing the efficacy of these multiple interacting components.
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Mendelson, Andrew m., Yasmin Elkhashab, William Hughes e Eugene R. Viscusi. "861 Analgesia After Burns: A Case Series and Development of a Multimodal Analgesic Enhanced Recovery Pathway". Journal of Burn Care & Research 41, Supplement_1 (marzo 2020): S268—S269. http://dx.doi.org/10.1093/jbcr/iraa024.427.
Testo completoAbstract (sommario):
Abstract Introduction Burn pain is grossly undertreated which may result in poorer outcomes including chronic pain, anxiety and persistent opioid use. Opioids are currently the mainstay of treatment with many burn patients receiving long term opioid management even in the context of the opioid crisis. We retrospectively reviewed the charts of burn patients admitted to our hospital to evaluate the impact of our multimodal pain management approach on overall opioid consumption. Methods Following IRB approval, a retrospective chart review of all patients with burn injuries over a one year period was performed. The Acute Pain Management Service was consulted for analgesic management for all patients. Patient data was collected from their electronic medical records on Epic HyperSpace and included total body surface area of burn, age and gender, length of hospital stay, amount of opioid usage throughout admission, average verbal numerical score for pain, and use of adjuvant analgesics was gathered. The amount of opioid usage was obtained from the chart and then converted to oral morphine equivalents (OME) using the CDC Prevention Conversion Chart. Results During the study period, eight patients met inclusion criteria. The average patient age was 42.5 years, with a mean of 26.8 % TBSA (Total body surface area) burn and mean length of stay of 23 days. Our pain pathway consisted of non-opioid analgesic adjuncts that were given around-the-clock with opioids used only on an as-needed basis. The nonopioid analgesics include acetaminophen, nonsteroidal anti-inflammatory drugs (NSAIDS), gabapentin or pregabalin, and a ketamine infusion. Initial opioid consumption (on day of APMS consult) as well as median hospital day was compared to opioid consumption on day of discharge. Six out of eight patients showed a reduction in their oral morphine equivalent (OME) following APMS consult usage from day of admission with average 76 OME to 44.6 OME on day of discharge. Conclusions We were able to reduce patient’s opioid requirement in 6 out of 8 patients upon discharge. These findings suggest that a further more rigorous study is warranted to demonstrate the benefits of multimodal therapy in burn pain. Applicability of Research to Practice The multimodal approach to pain control for burn patients may possibly be able to reduce the overall opioid requirements and theoretically the opioid associated side effects.