Книги з теми "Future specialists in physical therapy"
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1
Lewis, Carole Bernstein. Improving mobility in older persons: A manual for geriatric specialists. Austin, Tex: Pro-Ed, 2004.
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Improving mobility in older persons: A manual for geriatric specialists. Rockville, Md: Aspen Publishers, 1989.
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Shilton, Michelle. Our future in geriatrics: An examination of the knowledge, attitudes and career choices of physical therapy students in Ontario : a pretest-posttest study. St. Catharines, Ont: Brock University, Dept. of Education, 1997.
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Berihanova, Rumisa, and Inessa Minenko. Complex non-drug correction of menopausal disorders in patients with metabolic syndrome. ru: INFRA-M Academic Publishing LLC., 2021. http://dx.doi.org/10.12737/1599004.
Повний текст джерелаАнотація:
The monograph is devoted to the complex non-drug correction of menopausal disorders in patients with metabolic syndrome in the period of menopausal transition. Modern ideas about menopausal and metabolic syndromes are presented, a review of modern approaches to their treatment is carried out.
A complex personalized system of non-drug correction of functional disorders in patients with metabolic syndrome and menopausal syndrome of mild and moderate severity in the period of menopausal transition is presented, including preformed therapeutic factors (vibrotherapy, chromotherapy, aeroionotherapy, musicotherapy (melotherapy), aromatherapy), physical therapy with pelvic floor muscle training, drinking balneotherapy, vitamins and minerals against the background of lifestyle modification.
The algorithm of dynamic clinical and laboratory examination of women with menopausal disorders of mild and moderate severity and metabolic syndrome in the period of menopausal transition has been developed, including a general clinical examination, assessment of alimentary, thyroid, psycho-emotional, gynecological, urological statuses, the state of the intestinal microbiota, the function of the hypothalamic-pituitary complex, biochemical blood profile, hemostasis, levels of markers of inflammation, assessment of the state of the musculoskeletal system, sexual function, allowing to get an idea of the state of mental and physical health of patients, evaluate the effectiveness of the complex of measures, optimize therapeutic tactics.
It is addressed to a wide range of readers interested in women's health. It can be useful for students, postgraduates, teachers of medical universities, obstetricians, gynecologists, endocrinologists, cardiologists, specialists of restorative medicine.
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Association, American Physical Therapy. Directory Of Certified Clinical Specialists In Physical Therapy. AMERICAN PHYSICAL THERAPY ASSOCIATION, 1999.
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Practice issues in physical therapy: Current patterns and future directions. Thorofare, N.J: Slack, 1989.
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Jane, Mathews, ed. Practical issues in physical therapy: Current patterns and future directions. Thorofare, N.J: Slack, 1989.
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Practice Issues in Physical Therapy: Current Patterns and Future Directions. Slack, 1989.
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(Foreword), John Cox, Rex Haigh (Editor), and Penelope Campling (Editor), eds. Therapeutic Communities: Past, Present and Future (Therapeutic Communities , No 2). Jessica Kingsley Publishers, 1999.
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Publishing, Physical Therapy Assistant ST. Future Physical Therapy Assistant: Diamond Crystal Physical Therapy Assistant Student Notebook Gift Idea for Women Girl Graduation Student Journal for Quotes Cute 6x9 Blank Ruled Matte Notebook for Notes Journaling. Independently Published, 2020.
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11
Veblen, Thomas, Kenneth Young, and Antony Orme. The Physical Geography of South America. Oxford University Press, 2007. http://dx.doi.org/10.1093/oso/9780195313413.001.0001.
Повний текст джерелаАнотація:
The Physical Geography of South America, the eighth volume in the Oxford Regional Environments series, presents an enduring statement on the physical and biogeographic conditions of this remarkable continent and their relationships to human activity. It fills a void in recent environmental literature by assembling a team of specialists from within and beyond South America in order to provide an integrated, cross-disciplinary body of knowledge about this mostly tropical continent, together with its high mountains and temperate southern cone. The authors systematically cover the main components of the South American environment - tectonism, climate, glaciation, natural landscape changes, rivers, vegetation, animals, and soils. The book then presents more specific treatments of regions with special attributes from the tropical forests of the Amazon basin to the Atacama Desert and Patagonian steppe, and from the Atlantic, Caribbean, and Pacific coasts to the high Andes. Additionally, the continents environments are given a human face by evaluating the roles played by people over time, from pre-European and European colonial impacts to the effects of modern agriculture and urbanization, and from interactions with El Niño events to prognoses for the future environments of the continent.
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Gale, William G. Fiscal Therapy. Oxford University Press, 2019. http://dx.doi.org/10.1093/oso/9780190645410.001.0001.
Повний текст джерелаАнотація:
America faces two distinct but related economic challenges. Steadily rising federal debt—largely fueled by rising healthcare costs and an aging population that will boost spending on Social Security, Medicare, and Medicaid—will make it harder to grow the nation’s economy, boost living standards, respond to wars or recessions, address social needs, and maintain the US role as a global leader. At the same time, an increasingly fractured society has left many people behind and let critical investments lag, even as overall prosperity has grown. How and when US citizens address these challenges will help determine the future they build for themselves and their children. This book proposes a remedy with three core elements: controlling entitlement spending in ways that preserve and enhance the programs’ anti-poverty and social insurance roles; betting on the future by stipulating major new public investments in human and physical capital; and raising and reforming taxes to pay for government services fairly and efficiently. Together, these changes would control federal borrowing, strengthen the economy, increase opportunity, reduce inequality, and build better lives for current and future generations. There is no need to kill popular programs or starve government. Indeed, a primary goal of fiscal reform is to maintain and enhance the vital functions that government provides. The country needs to act responsibly, pay for the government it wants, and shape that government in ways that serve it best.
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Holden, Melanie A., Martin J. Thomas, and Krysia S. Dziedzic. Miscellaneous physical therapies. Oxford University Press, 2016. http://dx.doi.org/10.1093/med/9780199668847.003.0026.
Повний текст джерелаАнотація:
Miscellaneous physical therapies, such as assistive devices, thermotherapy, manual therapy, and electrotherapy are commonly used to treat patients with osteoarthritis (OA) in addition to written information and exercise. However, the evidence underpinning specific miscellaneous physical therapies is often limited, with small study sizes, heterogeneous populations, and differing study designs making it difficult to draw firm conclusions about their effectiveness. One or more miscellaneous physical therapies feature within 15 current clinical guidelines for OA. The specific types of physical therapies addressed are variable, as are their recommendations. There is most agreement for miscellaneous physical therapies in hand OA, with multiple guidelines addressing and consistently recommending joint protection, splinting, and thermotherapy in addition to core treatment. However these recommendations are predominantly based on a small number of randomized controlled trials (RCTs). Use of walking aids and footwear is commonly addressed and recommended for patients with hip and knee OA, although recommendations are predominantly based on expert opinion. Other physical therapies recommended for hip and knee OA range from orthoses to less conventional leech therapy. When a recommendation for a miscellaneous physical therapy is not made, it is commonly due to limited clinical evidence, rather than evidence of harm. Due to limited evidence and lack of consensus between clinical guidelines, for some therapies, use of specific miscellaneous physical therapies in clinical practice should be based upon the best available evidence, a holistic, individualized clinical assessment and shared decision-making with the patient. Further large-scale, high-quality RCTs would be useful to inform future guideline recommendations and clinical practice.
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Balderrama-Durbin, Christina M., Caitlin L. Fissette, and Douglas K. Snyder. Best Practices in Assessment for Couple Therapy. Edited by Erika Lawrence and Kieran T. Sullivan. Oxford University Press, 2014. http://dx.doi.org/10.1093/oxfordhb/9780199783267.013.15.
Повний текст джерелаАнотація:
Couple distress is not only highly prevalent but also detrimental to individual emotional, behavioral, and physical well-being. Moreover, relationship problems can impede treatment response for a wide range of psychological disorders. Understanding couple distress requires that assessment extend beyond individual factors to include the broader relational and socioecological context. This chapter describes the multifaceted etiological considerations in couple assessment and provides brief screening measures and methods for the diagnosis of couple distress. Assessment techniques capable of evaluating behavioral, cognitive, and affective components of couple distress are highlighted. The chapter emphasizes the best practices in conceptualizing and assessing couple distress for the purpose of treatment planning and evaluation. Best practice recommendations and potential areas for future research are explicated.
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Scarlet, Janina, Ariel J. Lang, and Robyn D. Walser. Acceptance and Commitment Therapy for Posttraumatic Stress Disorder. Oxford University Press, 2016. http://dx.doi.org/10.1093/med/9780190205959.003.0003.
Повний текст джерелаАнотація:
This chapter examines evidence for the effectiveness of complementary and alternative medicine (CAM) for posttraumatic stress disorder (PTSD). There is high demand for CAM among both military and civilian consumers and thus CAM for PTSD warrants thorough analysis. The CAM interventions reviewed herein include mindfulness and other meditative practices, acupuncture, yoga, relaxation, breathing training, and physical exercise. Although there are few rigorous studies of CAM for PTSD, available evidence suggests that these approaches are moderately effective. They would generally not be considered a first line intervention for PTSD at this point, but rather would be recommended as an adjunct to established approaches. The limited number of studies available, however, precludes drawing firm conclusions. Thus, future work should focus on better understanding the optimal uses of CAM for PTSD.
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Joy, Higgs, and Edwards Helen Ph D, eds. Educating beginning practitioners: Challenges for health professional education. Oxford: Butterworth-Heinemann, 1999.
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Edwards, Helen, and Joy Higgs. Educating Beginning Practitioners, Challenges for Health Professional Education. Butterworth-Heinemann, 1999.
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Daniel, Rene, and Catriona M. Harrop, eds. Medical Management of Neurosurgical Patients. Oxford University Press, 2019. http://dx.doi.org/10.1093/med/9780190913779.001.0001.
Повний текст джерелаАнотація:
Modern management of neurosurgical patients requires close cooperation between neurosurgeons and other specialists. The latter include internists, nurse practitioners, and physician assistants. This textbook aims to provide for these professionals a guide to the challenges associated with the medical management of these patients. It gives an overview of neurosurgical operations and procedures, seizure management, and preoperative risk stratification. It further discusses the intricacies of the management of fever, infection, electrolytes, bleeding disorders, and endocrine problems in the context of central nervous system injury. A particular emphasis is placed on the management of pressure injuries, pain management, and physical and occupational therapy, which are critical areas in the care of the neurosurgical patient. Finally, it reviews the types of contributions that palliative care can make to the care of the neurosurgical patient. The book’s objective is to provide a practical tool, and, where appropriate, its chapters include algorithms and tables to increase the efficiency of medical decision-making when caring for these patients.
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Button, Chris, Ludovic Seifert, Jia Yi Chow, Duarte Araújo, and Keith Davids. Dynamics of Skill Acquisition. 2nd ed. Human Kinetics, 2021. http://dx.doi.org/10.5040/9781718214125.
Повний текст джерелаАнотація:
Dynamics of Skill Acquisition, Second Edition, provides an analysis of the processes underlying human skill acquisition. As the first text to outline the multidisciplinary ecological dynamics framework for understanding movement behavior, this heavily updated edition stays on the cutting edge, with principles of nonlinear pedagogy and methodologies from the constraints-led approach. Students and practitioners across a variety of professions—including coaches, physical educators, trainers, and rehabilitation specialists—will appreciate the applied focus of this second edition. Movement models throughout the text provide examples for visualizing task constraints and enhancing the study and understanding of movement behavior. Athletes and sports teams are presented as specific complex adaptive systems, with information on designing learning environments and adapting programs to foster skill development. Readers will learn the historical evolution of dynamical systems theory and the ecological dynamics framework. These foundational concepts illustrate the integration between intentional action, cognition, and decision making and their effects on performance and behavior. Complex theoretical concepts are explained in simple terms and related to practice, focusing on the implications of the work of pioneering researchers such as Nikolai Bernstein, Egon Brunswik, James Gibson, Scott Kelso, and Karl Newell. Case studies written by practitioners contain specific examples of the ecological dynamics framework in action, bringing theory to life. By learning how to identify and manipulate key constraints that influence learning skilled behavior, readers will gain insight into practice designs for creating positive learning experiences that enable individuals to develop and learn functional movements. Throughout the book, learning features guide readers through material with clear direction and focus to improve understanding. Spotlight on Research sidebars provide detailed descriptions of important studies to connect theory, research, and application. Lab activities teach application skills beyond the content, ensuring reader understanding. In addition, chapter objectives, self-test questions, and Key Concept sidebars highlight important concepts in each chapter. With the study of human movement now bridging many disciplines, including motor development, psychology, biology, and physical therapy, Dynamics of Skill Acquisition, Second Edition, provides a timely analysis of the ecological dynamics framework and presents a comprehensive model for understanding how coordination patterns are assembled, controlled, and acquired. The theoretical roots and development of the ecological dynamics framework provide application strategies for all people with an interest in movement coordination and control. AUDIENCE An upper-level undergraduate or graduate textbook for courses in human movement and skill acquisition. A professional reference for movement practitioners and scientists, including teachers, coaches, trainers, physical educators, physical therapists, rehabilitation specialists, sport scientists, psychologists, biomechanists, sport analysts and physiologists.
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Felquer, Laura Acosta, and Enrique R. Soriano. Approach to management and symptomatic (including non-pharmacologic) management of psoriatic arthritis. Oxford University Press, 2018. http://dx.doi.org/10.1093/med/9780198737582.003.0027.
Повний текст джерелаАнотація:
Psoriatic arthritis (PsA) is a heterogenous disease with multiple manifestations and comorbidities, and requires a collaborative management with other specialists. The major symptoms bordering patients are pain stiffness, and swelling, but fatigue, depression, embarrassment and fear are frequent and not always assessed by treating physicians. Non-steroidal anti-inflammatory drugs and local glucocorticosteroid injections remain important treatment options that should be used, although with caution, in the appropriate patient. Since the pre-biologic era, physical therapy has been part of non-pharmacological treatment in patients with rheumatic disease. Unfortunately there is little evidence of the efficacy of rehabilitation in PsA with no study with high grade of evidence. Surgery should be reserved for advanced cases as the new paradigms in the treatment of PsA (early diagnosis and treatment, remission as an objective, and treat to target), would very probably reduce the already low number of patients that need this last treatment option. In PsA patients surgery outcomes are similar to those of surgical management of other forms of arthritis. Symptomatic and non-pharmacologic management of PsA remain as important adjuvants of PsA treatment, although with little evidence.
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Incayawar, Mario, and Sioui Maldonado Bouchard, eds. Overlapping Pain and Psychiatric Syndromes. Oxford University Press, 2020. http://dx.doi.org/10.1093/med/9780190248253.001.0001.
Повний текст джерелаАнотація:
When a health practitioner is at the bedside of a patient suffering from chronic pain and a psychiatric comorbid condition, he is facing a true clinical conundrum. The comorbidity is frequent yet poorly understood, the diagnosis is difficult and the treatment that follows is less than appropriate. Pain conditions and psychiatric disorders have customarily been understood and treated as different and separate clinical entities, to the detriment of patients’ wellbeing. Fathoming the overlapping pain and psychiatric disorders is in the interest of everyone involved in healthcare, including doctors, nurses, pain specialists, psychiatrists, social workers, psychologists, hospital administrators, and health policymakers. There is a wide overlap of chronic pain conditions and psychiatric disorders. Pain and psychiatric comorbidity is frequent in the population, yet it is poorly understood. The societal burden of mental illness and pain is enormous; it could approach one trillion dollars annually in the USA. Compounding to the economic burden, are the liability related to stigma, shame, bias, discrimination, health disparities, inequities in care, and health injustice. Recent scientific and technological developments in digital medicine, artificial intelligence, pharmacogenetics, genetics, epigenetics, and neuroscience promise beneficial quality changes to medical care and education. The pain medicine and psychiatry of the future will consider patients as human beings embedded in their physical and social environments. This book provides a glimpse in that direction.
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Beaulieu, Monica, Catherine Weber, Nadia Zalunardo, and Adeera Levin. Chronic kidney disease long-term outcomes. Edited by David J. Goldsmith. Oxford University Press, 2015. http://dx.doi.org/10.1093/med/9780199592548.003.0097.
Повний текст джерелаАнотація:
Chronic kidney disease (CKD) is associated with a variety of outcomes, some of which are directly and indirectly related to kidney disease, but which ultimately impact on patients’ quality of life and long-term outcomes. The events to which people with CKD are exposed ultimately determine their risk and prognosis of both progression to needing renal replacement therapy, or other morbidities and mortalities. The notion of competing risk is important. The five major outcomes of CKD are: progression of CKD, progression to ESRD (either dialysis or transplantation); death; cardiovascular events; infections; and hospitalizations. Where data is available, not only the risk of the specific outcome, but the factors which may predict those outcomes are described. Each section describes what is currently known about the frequency of the outcome, the limitations of that knowledge, the risk factors associated with outcome, and implications for care and future research. Available published literature often describes outcomes in CKD populations as if it is a homogenous group of patients. But it is well documented that outcomes in those with CKD differ depending on stage or severity, and whether they are or are not known to specialists. Where possible, each section ensures that the specific CKD cohort(s) from which the information is derived is clearly described.
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Carline, Sally. Lesson Plans for Creative Dance. Human Kinetics, 2011. http://dx.doi.org/10.5040/9781718212909.
Повний текст джерелаАнотація:
Children love to express themselves through movement—and with this great new resource, you can guide them through a range of actions and dances that will help them develop both physically and mentally. Lesson Plans for Creative Dance: Connecting With Literature, Arts, and Music is a resource for physical educators, classroom teachers, and dance specialists as well as a useful supplement to college level elementary education courses. Author Sally Carline has tested and refined the creative movement activities that she has prepared for educators and for preservice teachers, and she includes background material that will ground you in understanding how to best teach and incorporate movement activities in a variety of classes and settings. Lesson Plans for Creative Dance supplies you with • lesson plans that incorporate Laban movement concepts and extend children’s movement vocabulary; • a progression of learning that creates a rich, extended experience for students; • 28 dances with music for students through age 12; and • ways to incorporate dance with various types of literature, art, and music. Part I presents guidelines for assessing creative dance based on Rudolf Laban’s analysis of human movement. You learn about body, dynamic, spatial, and relationship awareness and gain insight into using rubrics to evaluate your students. You also learn how to help children warm up properly, channel their energy, and improve their footwork and rhythmic skills. Part I will help you incorporate dance with action words, action rhymes, and other poetry as well as with visuals and rhythm in a variety of settings. Part II offers 28 age-appropriate, ready-to-use dances that include a variety of lesson progressions as your students acquire and develop movement skills. You will be able to teach dance skills and incorporate other creative elements and concepts to give your students an understanding of the many ways in which a skill can be performed. Through Lesson Plans for Creative Dance, you can work on several ideas within the same lesson and continue to develop those ideas in future lessons. You can also incorporate ideas from language arts, social studies, art, music, and science to facilitate children’s learning and increase their enjoyment of various subjects. This lesson planner will help you take your movement education to the next level, help your students acquire skills and knowledge, and bring meaning and joy to your creative dance sessions.
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Salis, Katie Lee, and K. Daniel O'Leary. Treatment of Partner Aggression in Intimate Relationships. Edited by Erika Lawrence and Kieran T. Sullivan. Oxford University Press, 2015. http://dx.doi.org/10.1093/oxfordhb/9780199783267.013.14.
Повний текст джерелаАнотація:
This article deals with the treatment and intervention of psychological and physical aggression between intimate partners. It first defines the termspsychological aggressionandphysical aggressionand proceeds by discussing the prevalence rates of psychological and physical aggression, along with their impact on couples’ marital functioning and on the mental health of individuals. It then considers which partner may profit from couple interventions, some of the key controversies in the assessment and treatment of partner aggression, and gender differences in impact and injury of physical aggression. It also examines the relationship between psychological and physical aggression in couples and the ethical issues about which couples are appropriate for conjoint therapy. Finally, the article reviews treatment outcome literature and outlines future directions for the field.
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Burke, A., D. Carroll, Frank Torti, and S. V. Torti. Bifunctional nanomaterials for the imaging and treatment of cancer. Edited by A. V. Narlikar and Y. Y. Fu. Oxford University Press, 2017. http://dx.doi.org/10.1093/oxfordhb/9780199533060.013.13.
Повний текст джерелаАнотація:
This article examines the potential of bifunctional nanomaterials for the imaging and treatment of cancer. Several nanomaterials possess properties desirable for a cancer therapy and have been the subject of research as anticancer agents. Those that have received the most attention include encapsulated iron oxides, single- and multiwalled carbon nanotubes, gold nanorods and gold nanoshells. This article first considers thermal ablative therapy incancer, focusing on the mechanisms of thermotoxicity and thermoresistance before discussing a number of nanomaterials with applications for cancer treatment. In particular, it evaluates the use of nanomaterials in thermal therapy. It also looks at gold nanoshells and nanorods, taking into account their physical properties, and concludes with an assessment of iron-oxide nanoparticles and future directions for nanomaterials as multifunctional agents for cancer therapy.
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Siebert, Stefan, Sengupta Raj, and Alexander Tsoukas. Non-pharmacological treatment of axial spondyloarthritis. Oxford University Press, 2016. http://dx.doi.org/10.1093/med/9780198755296.003.0014.
Повний текст джерелаАнотація:
While drugs play a key role in reducing disease activity, non-pharmacological therapies are crucial in maintaining function, flexibility, and quality of life. Therefore, non-pharmacological therapy remains a key component in the optimal management of axial spondyloarthritis (axSpA), even in the era of biologics. Regular physical therapy allows patients to capitalize on the benefits of drug therapy and maintain optimal functional ability. Self-management and education strategies, supported by patient-support groups, facilitate independence and quality of life in chronic diseases. A proportion of patients with severe disease may require hip or spinal surgery. It is hoped that the availability of more effective drug therapies to control disease activity in axSpA will reduce the requirement for surgery in future. The optimal management of axSpA requires a combination of non-pharmacological and pharmacological treatments, for both initial and long-term management.
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Dodds, Jodi, Aaron I. Loochtan, and Cheryl D. Bushnell. Ischemic Stroke Management in Pregnancy. Edited by Emma Ciafaloni, Cheryl Bushnell, and Loralei L. Thornburg. Oxford University Press, 2018. http://dx.doi.org/10.1093/med/9780190667351.003.0014.
Повний текст джерелаАнотація:
Ischemic stroke during pregnancy is relatively rare, but when it occurs, the risk is highest in the postpartum period. This is a condition that requires immediate recognition and evaluation for acute management to potentially prevent devastating neurological consequences. Determining an etiology while considering physiological changes during and after pregnancy is also important. Post-stroke care including implementing secondary stroke prevention via pharmacological and non-pharmacological methods is regular practice. Consideration of physical, occupational, and speech therapy strategies as well as lifestyle modification and evaluation and treatment of co-morbid psychiatric conditions is also paramount. Postpartum care and consideration of future pregnancies and hormonal changes that may occur is also important.
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Weaver, Michael F. Pain and Addiction in Adolescents and Young Adults (DRAFT). Oxford University Press, 2018. http://dx.doi.org/10.1093/med/9780190265366.003.0030.
Повний текст джерелаАнотація:
Distinguishing between the needs of adults and those of adolescents, this chapter concentrates on practical operational approaches to both addiction and pain in the ephebiatric population. The susceptibility of this group to substance use disorders, and the profound impact on the developing brain and body of substances of misuse, is complicated further by their high level of physical activity and vulnerability to trauma. Data are provided from the Monitoring the Future project to profile the substance use risk of this population; a summary table is included giving the prevalence of various substances of misuse among youths. Unique requirements in their treatment are addressed, with emphasis placed on a network therapy, enlistment of family cooperation, and neighborhood resources. Noting that this is a population for whom physicians may be reluctant to initially consider medication, safety profiles are examined.
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Bennell, Kim L., Ans Van Ginckel, Fiona Dobson, and Rana S. Hinman. Exercise for the person with osteoarthritis. Oxford University Press, 2016. http://dx.doi.org/10.1093/med/9780199668847.003.0022.
Повний текст джерелаАнотація:
Because of its beneficial effects on pain and physical dysfunction commonly reported by afflicted individuals, all clinical guidelines of osteoarthritis (OA) advocate exercise therapy as a vital component of conservative management strategies. Although the optimal exercise modalities in terms of dosage, exercise type, or delivery mode are not yet known, clinical benefits can be achieved with a wide range of exercise types. While treatment effect sizes may be considered small to moderate, they are similar to those of common analgesic drugs or oral non-steroidal anti-inflammatories but seem to elicit fewer side effects. To achieve optimal treatment outcomes, programme parameters should be individualized to the patient’s clinical characteristics and preferences. Where validated instruments could assist the clinician in monitoring the progress of an exercise intervention programme, adherence to exercise in the longer term is a prerequisite to maintain symptom relief over time. Whereas the current body of evidence mainly comprises clinical trials in people with knee OA, future studies should continue to address efficacy and safety of exercise therapy in individuals suffering from hand or hip OA and should further determine its ability to postpone the need for costly arthroplasty surgery.
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Dekker, Joost, Daniel Bossen, Jasmijn Holla, Mariëtte de Rooij, Cindy Veenhof, and Marike van der Leeden. Psychological strategies in osteoarthritis of the knee or hip. Oxford University Press, 2016. http://dx.doi.org/10.1093/med/9780199668847.003.0025.
Повний текст джерелаАнотація:
Characteristic clinical presentations of osteoarthritis (OA) include pain and activity limitations. These presentations are dependent on psychological processes. The literature reviewed in this chapter leads to the following conclusions: (1) symptoms of depression, anxiety, and fatigue are more prevalent among patients with OA than among the general population. Recently, a depressive mood phenotype has been identified in knee OA. (2) Symptoms of depression, anxiety, and fatigue, as well as other psychological variables are established risk factors for future worsening of pain and activity limitations. (3) Psychological interventions such as depression care and pain coping skills training have been demonstrated to improve pain and activity limitations, as well as psychological outcomes. Self-management may have beneficial effects, although there is clearly room for improvement. Interventions combining psychological interventions with exercise therapy have been shown to be effective; improved outcome over exercise therapy alone stills needs to be demonstrated. (4) Psychological interventions are effective in improving exercise adherence and promoting physical activity. Overall, it can be concluded that the psychological approach towards OA is fruitful: the psychological approach has resulted in substantial contributions to the understanding and management of clinical presentations of OA, including pain and activity limitations.
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Schmitz, Kathryn H., and Rinad Beidas. Implementing an Evidence-Based Exercise Program for Breast Cancer Survivors. Edited by David A. Chambers, Wynne E. Norton, and Cynthia A. Vinson. Oxford University Press, 2018. http://dx.doi.org/10.1093/med/9780190647421.003.0026.
Повний текст джерелаАнотація:
Multiple persistent adverse effects of breast cancer treatment are improved with regular exercise. This case study describes a safe and effective exercise program for breast cancer survivors that was adapted into an evidence-based intervention offered through physical therapy (Strength After Breast Cancer). The program was successfully translated and implemented, and it showed equal safety and efficacy as the parent program with regard to lymphedema symptoms, muscular strength, quality of life, and body image. Evaluation of the implementation process revealed multiple facilitators and barriers to implementation. Barriers included the intervention characteristics and challenges with the referral process from oncology. Facilitators included getting the program covered by insurance, a champion in the outpatient clinic, and adaptations to the program and referral process that resulted in successful implementation. Future research is needed to further the goal of ensuring all breast cancer survivors are connected to safe and effective exercise programming.
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Ronco, Claudio, and William R. Clark. Haemodialysis. Edited by Jonathan Himmelfarb. Oxford University Press, 2015. http://dx.doi.org/10.1093/med/9780199592548.003.0257.
Повний текст джерелаАнотація:
End-stage renal disease (ESRD) is common clinical condition for which life-sustaining therapies fortunately exist. On a global basis, more than 2 million patients now receive chronic haemodialysis (HD) for treatment of ESRD. For the vast majority of these patients, treatment is provided in a dialysis unit on a thrice-weekly basis, although there is growing interest in alternative therapies which vary with respect to location or frequency. Based on the number of patients requiring chronic HD now and in the foreseeable future, it is imperative that nephrologists understand the basic principles underlying this treatment. The factors affecting the delivery of therapy in HD can substantially be divided into two groups: (a) factors affecting the performance of the dialytic technique, which are primarily related to the characteristics of the parameters involved in the dialytic technique; and (b) factors affecting the clinical results of a given technique, which are primarily related to the interaction between the water and solute removal capacity of the technique and the kinetics of water and solutes within the human body. In this group, factors including staff compliance with the orders, patient compliance with prescribed time, and the patient’s physical condition are also important.The focus of this chapter is the technical aspects of chronic HD prescription and delivery. After a brief review of the major components of the HD system (machine and extracorporeal circuit), the principles underlying solute and water removal are reviewed. The concept of clearance is then assessed, with particular emphasis on the determinants of small solute clearance with respect both to the dialyser and the patient.