A study by Nolan and Thomas examined the effects of a Functional Maintenance Program (FMP) involving individually tailored exercise programs for 220 hospitalized patients aged 70 and older at risk for functional decline. The FMP helped reduce patient length of stay by 15.7% and readmission rates were under 8% with improved mobility. The study suggests that exercise programs for older patients starting within 48 hours of admission can decrease functional decline and recovery time, leading to improved health outcomes.
Effect of Inspiratory Muscle Training on Muscle Strength and Quality of Life ...kacm20
Effect of Inspiratory Muscle Training on Muscle Strength and
Quality of Life in Patients With Chronic Airflow Limitation:
a Randomized Controlled Trial
Effect of Inspiratory Muscle Training on Muscle Strength and Quality of Life ...kacm20
Effect of Inspiratory Muscle Training on Muscle Strength and
Quality of Life in Patients With Chronic Airflow Limitation:
a Randomized Controlled Trial
4. Physiotherapeutic approach of management in mechanically ventilated patient.ShagufaAmber
Mechanical ventilation (MV) is one of the most common interventions in the intensive care unit (ICU). Physical therapy includes early mobilisation to improve functional outcomes. Physical therapy interventions include passive movements of the extremities for deeply sedated patients, in-bed and out-of-bed mobility, active or passive cycling ,neuromuscular electrical stimulation and ambulation. Chest physiotherapy facilitates removal of retained or profuse airway secretions aiming to reduce airway resistance, optimize lung compliance, and decrease the work of breathing. Multimodality respiratory physiotherapy appeared to reduce mortality in ICU patients.
2. Special consideration in cardiac rehabilitation program for older adults.ShagufaAmber
An increasing number of cardiac patients are above the age of 65 years . They are susceptible to the adverse effect of bed rest . So early mobilization is especially important to return them to active and independent lifestyle.
- Most of the patients with heart failure, are elderly patients, shooting up to 80% in both incidence and prevalence.This is due to improved and better survival after cardiac insults, such as myocardial infarction, especially in developed countries.(AHA,2013).
-The safety and efficacy of cardiac rehabilitation have been demonstrated in the elderly (age >65 years) .(Pasquali ,et al.,2001)
-CR has a class IA recommendation by the AHA and ACSM for secondary prevention after any coronary heart disease
3. Exercise Intolerance and its treatment with exercise-based cardiac rehabil...ShagufaAmber
Heart failure with preserved ejection fraction (HFpEF) is the fastest growing form of heart failure in the United States and is associated with high morbidity and mortality. It refers to the preserved left ventricular (LV) ejection fraction and this phenotype is more common in older individuals, women, and those with history of hypertension, obesity, and anemia. (Benjamin et al., 2019, Fukuta et al., 2019) Exercise intolerance ( decreased peak oxygen uptake and · Vo2peak) secondary to impaired cardiac, vascular, and skeletal muscle function is a hallmark feature in clinically stable HFpEF patients and is associated with reduced quality of life
Stroke rehabilitation is one of the most important parts of stroke treatment. Post a stroke, certain parts of the body get paralysis.The goal of stroke rehabilitation is to help you regain your independence & improve your quality of life. It has been medically proven that patients who go through stroke rehabilitation tend to lead a better life than patients who don’t.
There are different approaches to stroke rehabilitation therapy. The rehabilitation plan completely depends on which body part is affected by the stroke. Here is a list of different stroke rehabilitation therapy and how the body benefits from them: They are: physical therapy, technology-assisted therapy and cognitive disorder therapy.
Dr.Vanchilingam Hospital provides advanced treatment for stroke disorders.
Manual and physical therapists use a postural-structural-biomechanical (PSB) model to ascertain the causes of various musculoskeletal conditions.
The most important question is consistently being ignored is can a person’s physical shape/posture/structure/biomechanics be the cause of pain in spine
1. Phase -1 Cardiac Rehabilitation in CABG patients.ShagufaAmber
Cardiac Rehabilitation refers to the process of restoring psychological, physical, and social functions in people with manifestations of coronary artery diseases(CAD). Why do we need Cardiac Rehabilitation? -Effect upon the mortality and morbidity. -An approach to other risk factor modification. -Impacting the quality of life -Combating stress, depression and behavioural changes -In CABG, the post surgical stiffness and complications are overcome with physical activity. The Cardiac Rehabilitation program is individually tailored depending upon the risk stratification, prognosis ,functional capacity and specific needs. The ACSM classifies it into four distinct phases.
Effectiveness of Passive Range of Motion Exercises on Hemodynamic parameters ...iosrjce
IOSR Journal of Nursing and health Science is ambitious to disseminate information and experience in education, practice and investigation between medicine, nursing and all the sciences involved in health care. Nursing & Health Sciences focuses on the international exchange of knowledge in nursing and health sciences. The journal publishes peer-reviewed papers on original research, education and clinical practice.
By encouraging scholars from around the world to share their knowledge and expertise, the journal aims to provide the reader with a deeper understanding of the lived experience of nursing and health sciences and the opportunity to enrich their own area of practice. The journal publishes original papers, reviews, special and general articles, case management etc.
ABSTRACT
Effectiveness of Mechanical Vibrator for Chest Physiotherapy in Ventilated head & spinal injured patients
Shiny Thomas, Deepak Agrawal
Department of Neurosurgery, JPNA Trauma Centre, AIIMS, New Delhi
Background: Chest infection is one of the major factor in morbidity & mortality in ventilated head & spinal injured patients. It is hypothesized that mechanical vibrators may help in improving the quality & frequency of chest physiotherapy in these groups of patients.
Aims & Objectives: To assess the decrease (if any) in chest infection rates & mortality in ventilated patients with head & spinal cord injury who received mechanical vibrator chest physiotherapy.
Materials & methods: This retro-prospective study was carried out in all ventilated head & spinal injured patients over 6 months in Neurosurgery ICU. The clinical (demographics, admission GCS & in hospital mortality) & microbiological data (Modified tracheal culture) was collected over the two time periods. The ‘control’ group consisted of patients in whom data was retrospectively collected from January 2011 to March 2011 (before the introduction of Vibrators). The ‘test’ group consisted of patients in whom data was prospectively collected from April 2011 to June 2011 (following introduction of Vibrators). All chest physiotherapy using mechanical vibrators was done by bedside nurses every 2 hourly.
Results: A total of 575 patients were evaluated in the study. Both Control & test groups were well matched with respect to [p<0><0.01).
Conclusions: Use of mechanical vibrators by nurses for chest physiotherapy can dramatically improve outcomes & chest infection rates in ventilated head & spinal injury patients. We recommend their use as standard of care for ventilated patients.
Pulmonary Rehab: impact on lung function and breathlessnessSubodh Gupta
This presentation is for patient education so that they can make informed choices while evaluating options for post COVID recovery or any other lung disease. This is specially meant for caretakers whose patients suffer from breathing issues or are on supplemental oxygen (oxygen concentrator or oxygen cylinder).
This explains how RespiRehab works and helps patients recover.
4. Physiotherapeutic approach of management in mechanically ventilated patient.ShagufaAmber
Mechanical ventilation (MV) is one of the most common interventions in the intensive care unit (ICU). Physical therapy includes early mobilisation to improve functional outcomes. Physical therapy interventions include passive movements of the extremities for deeply sedated patients, in-bed and out-of-bed mobility, active or passive cycling ,neuromuscular electrical stimulation and ambulation. Chest physiotherapy facilitates removal of retained or profuse airway secretions aiming to reduce airway resistance, optimize lung compliance, and decrease the work of breathing. Multimodality respiratory physiotherapy appeared to reduce mortality in ICU patients.
2. Special consideration in cardiac rehabilitation program for older adults.ShagufaAmber
An increasing number of cardiac patients are above the age of 65 years . They are susceptible to the adverse effect of bed rest . So early mobilization is especially important to return them to active and independent lifestyle.
- Most of the patients with heart failure, are elderly patients, shooting up to 80% in both incidence and prevalence.This is due to improved and better survival after cardiac insults, such as myocardial infarction, especially in developed countries.(AHA,2013).
-The safety and efficacy of cardiac rehabilitation have been demonstrated in the elderly (age >65 years) .(Pasquali ,et al.,2001)
-CR has a class IA recommendation by the AHA and ACSM for secondary prevention after any coronary heart disease
3. Exercise Intolerance and its treatment with exercise-based cardiac rehabil...ShagufaAmber
Heart failure with preserved ejection fraction (HFpEF) is the fastest growing form of heart failure in the United States and is associated with high morbidity and mortality. It refers to the preserved left ventricular (LV) ejection fraction and this phenotype is more common in older individuals, women, and those with history of hypertension, obesity, and anemia. (Benjamin et al., 2019, Fukuta et al., 2019) Exercise intolerance ( decreased peak oxygen uptake and · Vo2peak) secondary to impaired cardiac, vascular, and skeletal muscle function is a hallmark feature in clinically stable HFpEF patients and is associated with reduced quality of life
Stroke rehabilitation is one of the most important parts of stroke treatment. Post a stroke, certain parts of the body get paralysis.The goal of stroke rehabilitation is to help you regain your independence & improve your quality of life. It has been medically proven that patients who go through stroke rehabilitation tend to lead a better life than patients who don’t.
There are different approaches to stroke rehabilitation therapy. The rehabilitation plan completely depends on which body part is affected by the stroke. Here is a list of different stroke rehabilitation therapy and how the body benefits from them: They are: physical therapy, technology-assisted therapy and cognitive disorder therapy.
Dr.Vanchilingam Hospital provides advanced treatment for stroke disorders.
Manual and physical therapists use a postural-structural-biomechanical (PSB) model to ascertain the causes of various musculoskeletal conditions.
The most important question is consistently being ignored is can a person’s physical shape/posture/structure/biomechanics be the cause of pain in spine
1. Phase -1 Cardiac Rehabilitation in CABG patients.ShagufaAmber
Cardiac Rehabilitation refers to the process of restoring psychological, physical, and social functions in people with manifestations of coronary artery diseases(CAD). Why do we need Cardiac Rehabilitation? -Effect upon the mortality and morbidity. -An approach to other risk factor modification. -Impacting the quality of life -Combating stress, depression and behavioural changes -In CABG, the post surgical stiffness and complications are overcome with physical activity. The Cardiac Rehabilitation program is individually tailored depending upon the risk stratification, prognosis ,functional capacity and specific needs. The ACSM classifies it into four distinct phases.
Effectiveness of Passive Range of Motion Exercises on Hemodynamic parameters ...iosrjce
IOSR Journal of Nursing and health Science is ambitious to disseminate information and experience in education, practice and investigation between medicine, nursing and all the sciences involved in health care. Nursing & Health Sciences focuses on the international exchange of knowledge in nursing and health sciences. The journal publishes peer-reviewed papers on original research, education and clinical practice.
By encouraging scholars from around the world to share their knowledge and expertise, the journal aims to provide the reader with a deeper understanding of the lived experience of nursing and health sciences and the opportunity to enrich their own area of practice. The journal publishes original papers, reviews, special and general articles, case management etc.
ABSTRACT
Effectiveness of Mechanical Vibrator for Chest Physiotherapy in Ventilated head & spinal injured patients
Shiny Thomas, Deepak Agrawal
Department of Neurosurgery, JPNA Trauma Centre, AIIMS, New Delhi
Background: Chest infection is one of the major factor in morbidity & mortality in ventilated head & spinal injured patients. It is hypothesized that mechanical vibrators may help in improving the quality & frequency of chest physiotherapy in these groups of patients.
Aims & Objectives: To assess the decrease (if any) in chest infection rates & mortality in ventilated patients with head & spinal cord injury who received mechanical vibrator chest physiotherapy.
Materials & methods: This retro-prospective study was carried out in all ventilated head & spinal injured patients over 6 months in Neurosurgery ICU. The clinical (demographics, admission GCS & in hospital mortality) & microbiological data (Modified tracheal culture) was collected over the two time periods. The ‘control’ group consisted of patients in whom data was retrospectively collected from January 2011 to March 2011 (before the introduction of Vibrators). The ‘test’ group consisted of patients in whom data was prospectively collected from April 2011 to June 2011 (following introduction of Vibrators). All chest physiotherapy using mechanical vibrators was done by bedside nurses every 2 hourly.
Results: A total of 575 patients were evaluated in the study. Both Control & test groups were well matched with respect to [p<0><0.01).
Conclusions: Use of mechanical vibrators by nurses for chest physiotherapy can dramatically improve outcomes & chest infection rates in ventilated head & spinal injury patients. We recommend their use as standard of care for ventilated patients.
Pulmonary Rehab: impact on lung function and breathlessnessSubodh Gupta
This presentation is for patient education so that they can make informed choices while evaluating options for post COVID recovery or any other lung disease. This is specially meant for caretakers whose patients suffer from breathing issues or are on supplemental oxygen (oxygen concentrator or oxygen cylinder).
This explains how RespiRehab works and helps patients recover.
Vadapalli Satyanarayana Raju - Dr V S N Raju OSSAP 2015 Guntur, A.P., Bharath.
Chief Orthopaedic, Trauma & Micro Surgeon, ARC Orthopaedic Clinic, Hyderabad-500062. Bharath.
intacthands@gmail.com
040 32427797, 9440877797
ARC Orthopaedic Hospital, 1-7-181, Kamalanagar,
ARC Road, ECIL Post, Hyderabad-500062. Bharath.
Title :
Inter-Trochanteric Fractures of Hip in The Elderly Treated With Recon Hemi-Arthroplasty Facilitates Early Ambulation
Introduction: Elderly with fractures of hip needing prolonged nursing in bed, though operated, are vulnerable to succumb to co-morbid conditions that may risk life.
Objectives: To operate upon fractures of hip in elderly, associated with high risk conditions with modified hemi-arthroplasty and to mobilize early. Thus, most post operative co-morbidities from prolonged bed rest are overcome.
Methodology: 165 patients, 53 male and 102 female, aged 76 to 97 years in the last 16 years. Comminuted inter-trochanteric fractures associated with age related co-morbidities. Basal osteotomy at neck of fractured femur helps enucleate and deliver the head of femur retaining the fractured inter-trochanteric area. Hemi arthroplasty is then completed thus impacting the fractured inter-trochanteric area. When comminuted and displaced, the lesser trochanter is made to remain impacted as original calcar of femoral neck to maintain neck of femur and length of limb. A harness screw across the fenestration in the stem of implant avoids collapse/sink of implant in porotic femora. Obliquity of fracture does not matter.
Results: Passive and active knee and ankle movements are initiated on first and second post operative days, respectively. Partial weight bear ambulation is encouraged on third day and full weight bearing by 15 days.
Conclusion:Marked and overall fall in complications from age related co-morbid conditions observed. Thus, modified hemi-arthroplasty coined as reconstructive hemi-arthroplasty edges over other modalities of treatment for inter-trochanteric fractures of hip that need longer bed rest in the elderly with co-morbid health constraints.
In this e-book, you'll see over 50 predictions from thought leaders who share their views on brand strategy, organizational structure, emerging technology and platforms, and other big developments that may be on the horizon for content marketing.
Running head EXERCISE PROGRAMS TO PREVENT FALLS .docxcowinhelen
Running head: EXERCISE PROGRAMS TO PREVENT FALLS 1
EXERCISE PROGRAMS TO PREVENT FALLS 5
Exercise Programs to Prevent
Fall Related Injuries in Older Adults
Student
Student
Gwynedd Mercy University
Abstract
The implementation of exercise programs was evaluated to identify best-practice in fall-related injury prevention. This paper incorporates information from four different studies to identify the evidence that suggests best-practice protocol. Evidence of these studies suggests that implementing exercise programs helps to prevent fall-related injuries in long-term care facilities for older adults. Incorporating exercise programs increases patient safety, prevents further injury, and promotes communication between patients and staff. By implementing these programs, patients’ overall health improves and they’re more satisfied by their ability to perform activities of daily living on a more independent level.
Exercise Programs to Prevent Fall Related Injuries in Older Adults
As individuals age through life, the risk for falls increase immensely. This is due to the lack of strength as well as a lack of balance in the human body. It is important for nurses to take l precautions to help stop patient falls because in many instances, falls are preventable (Ambutas, Lamb, & Quigley, 2017). Fall prevention includes important interventions that stop subsequent injuries from happening to patients. Everyday, nurses take precautions to prevent falls but additional actions could be taken in order to make these interventions more effective. Every patient is at risk of falling, especially older adults because they lose muscle mass and balance as they age (Taylor, Lillis, & Lynn, 2015, p. 142). After performing fall-risk assessments on each patient, nurses implement suggested best practice protocols for low-risk, moderate-risk, and high-risk patients. Best practice includes educating patients and families on fall risk, using bed or chair alarms, lowering the beds, encouraging regular toileting and other precautions (Taylor, et al., p. 145). Exercise programs act as another important measure that nurses could implement, in order to help patients improve their balance, strength and mobility while performing activities of daily living, and reduce risk for falls (Ambutas, Lamb & Quigley).
The following clinical question will be used to identify best practice related to exercise programs in order to prevent falls in older adults:
P: Older adults living in long-term care facilities
I: Exercise programs
C: (none)
O: Prevent fall-related injuries
T: (None)
In long-term care facilities for older adults, how do exercise programs help prevent fall-related injuries?
Review of Literature
Dal Bello-Haas, Thorpe, Lix, Scudds, and Hadjistavropoulos (2012) completed a quantitative research study that focused on the implementation of a walking program in long-term care facilities, in order to prevent falls. Ris ...
Long-Term Effect of Exercise Therapyand Patient Education on.docxwkyra78
Long-Term Effect of Exercise Therapy
and Patient Education on Impairments
and Activity Limitations in People
With Hip Osteoarthritis: Secondary
Outcome Analysis of a Randomized
Clinical Trial
Ida Svege, Linda Fernandes, Lars Nordsletten, Inger Holm, May Arna Risberg
Background. The effect of exercise on specific impairments and activity limitations in
people with hip osteoarthritis (OA) is limited.
Objective. The study objective was to evaluate the long-term effect of exercise therapy and
patient education on range of motion (ROM), muscle strength, physical fitness, walking
capacity, and pain during walking in people with hip OA.
Design. This was a secondary outcome analysis of a randomized clinical trial.
Setting. The setting was a university hospital.
Participants. One hundred nine people with clinically and radiographically evident hip
OA were randomly allocated to receive both exercise therapy and patient education (exercise
group) or patient education only (control group).
Intervention. All participants attended a patient education program consisting of 3 group
meetings led by 2 physical therapists. Two other physical therapists were responsible for
providing the exercise therapy program, consisting of 2 or 3 weekly sessions of strengthening,
functional, and stretching exercises over 12 weeks. Both interventions were conducted at a
sports medicine clinic.
Measurements. Outcome measures included ROM, isokinetic muscle strength, predicted
maximal oxygen consumption determined with the Astrand bicycle ergometer test, and
distance and pain during the Six-Minute Walk Test (6MWT). Follow-up assessments were
conducted 4, 10, and 29 months after enrollment by 5 physical therapists who were unaware
of group allocations.
Results. No significant group differences were found for ROM, muscle strength, predicted
maximal oxygen consumption, or distance during the 6MWT over the follow-up period, but
the exercise group had less pain during the 6MWT than the control group at 10 months (mean
difference��8.5 mm; 95% confidence interval��16.1, �0.9) and 29 months (mean differ-
ence��9.3 mm; 95% confidence interval��18.1, �0.6).
Limitations. Limitations of the study were reduced statistical power and 53% rate of
adherence to the exercise therapy program.
Conclusions. The previously described effect of exercise on self-reported function was
not reflected by beneficial results for ROM, muscle strength, physical fitness, and walking
capacity, but exercise in addition to patient education resulted in less pain during walking in
the long term.
I. Svege, PT, PhD, Norwegian
Research Center for Active Reha-
bilitation, Department of Ortho-
paedics, Oslo University Hospital,
Kirkeveien 166, 0450 Oslo, Nor-
way. Address all correspondence
to Dr Svege at: [email protected]
ous-hf.no.
L. Fernandes, PT, PhD, Norwegian
Research Center for Active Reha-
bilitation, Department of Ortho-
paedics, Oslo University Hospital,
and Department of Orthopaedic
Surgery and T.
Long-Term Effect of Exercise Therapyand Patient Education on.docxcroysierkathey
Long-Term Effect of Exercise Therapy
and Patient Education on Impairments
and Activity Limitations in People
With Hip Osteoarthritis: Secondary
Outcome Analysis of a Randomized
Clinical Trial
Ida Svege, Linda Fernandes, Lars Nordsletten, Inger Holm, May Arna Risberg
Background. The effect of exercise on specific impairments and activity limitations in
people with hip osteoarthritis (OA) is limited.
Objective. The study objective was to evaluate the long-term effect of exercise therapy and
patient education on range of motion (ROM), muscle strength, physical fitness, walking
capacity, and pain during walking in people with hip OA.
Design. This was a secondary outcome analysis of a randomized clinical trial.
Setting. The setting was a university hospital.
Participants. One hundred nine people with clinically and radiographically evident hip
OA were randomly allocated to receive both exercise therapy and patient education (exercise
group) or patient education only (control group).
Intervention. All participants attended a patient education program consisting of 3 group
meetings led by 2 physical therapists. Two other physical therapists were responsible for
providing the exercise therapy program, consisting of 2 or 3 weekly sessions of strengthening,
functional, and stretching exercises over 12 weeks. Both interventions were conducted at a
sports medicine clinic.
Measurements. Outcome measures included ROM, isokinetic muscle strength, predicted
maximal oxygen consumption determined with the Astrand bicycle ergometer test, and
distance and pain during the Six-Minute Walk Test (6MWT). Follow-up assessments were
conducted 4, 10, and 29 months after enrollment by 5 physical therapists who were unaware
of group allocations.
Results. No significant group differences were found for ROM, muscle strength, predicted
maximal oxygen consumption, or distance during the 6MWT over the follow-up period, but
the exercise group had less pain during the 6MWT than the control group at 10 months (mean
difference��8.5 mm; 95% confidence interval��16.1, �0.9) and 29 months (mean differ-
ence��9.3 mm; 95% confidence interval��18.1, �0.6).
Limitations. Limitations of the study were reduced statistical power and 53% rate of
adherence to the exercise therapy program.
Conclusions. The previously described effect of exercise on self-reported function was
not reflected by beneficial results for ROM, muscle strength, physical fitness, and walking
capacity, but exercise in addition to patient education resulted in less pain during walking in
the long term.
I. Svege, PT, PhD, Norwegian
Research Center for Active Reha-
bilitation, Department of Ortho-
paedics, Oslo University Hospital,
Kirkeveien 166, 0450 Oslo, Nor-
way. Address all correspondence
to Dr Svege at: [email protected]
ous-hf.no.
L. Fernandes, PT, PhD, Norwegian
Research Center for Active Reha-
bilitation, Department of Ortho-
paedics, Oslo University Hospital,
and Department of Orthopaedic
Surgery and T ...
Effects of core stability training on older.pdfOdiSan4
Studies have demonstrated that elderly people with low back pain (LBP) may have poor postural
control compared to healthy older adults. Poor postural control is associated with poor balance performance and a
high risk of serious falls. A variety of training strategies are proposed for LBP therapy, particularly core stabilization
training. But this treatment for older people with LBP remains unclear.
Celecoxib alleviates tamoxifen-instigated angiogenic effects by ROS-dependent...Enrique Moreno Gonzalez
Tamoxifen (TAM) is widely used in the chemotherapy of breast cancer and as a preventive agent against recurrence after surgery. However, extended TAM administration for breast cancer induces increased VEGF levels in patients, promoting new blood vessel formation and thereby limiting its efficacy. Celecoxib (CXB), a selective COX-2 inhibitor, suppresses VEGF gene expression by targeting the VEGF promoter responsible for its inhibitory effect. For this study, we had selected CXB as non-steroidal anti-inflammatory drug in combination with TAM for suppressing VEGF expression and simultaneously reducing doses of both the drugs.
Manuel Cabrera Discussion 7 Manuel M CabreraCOLLAPSETop of .docxalfredacavx97
Manuel Cabrera
Discussion 7: Manuel M Cabrera
COLLAPSE
Top of Form
Discussion 7
Szeto et al. (2010) conducted a pilot study focused on the investigation of the effectiveness of multifaceted ergonomic interventions aimed at community nurses (p. 1022). The results of the pilot study indicate that such interventions improved symptoms and functional outcomes. Pilot studies are typically conducted to evaluate the possibility of a large study and identify complications that may occur. One of the issues that could be considered problematic is that the authors emphasize the importance of statistical significance while overlooking the importance of feasibility. Nevertheless, one may argue that the discussed study is aligned with the definition of a pilot study because it focused on a specific population, and the authors relied on a small sample. Differently put, it would be inappropriate to generalize the results of the study, but it has helped the researchers to assess whether research in this area is feasible. Therefore, a larger study focused on this issue was conducted at a later rate. Szeto et al. (2013) attempted to evaluate the effectiveness of multifaceted ergonomic interventions in four local hospitals aimed at community nurses (p. 414). One of the unique aspects of the study is that the participants involved in the pilot study agreed to continue to participate in research in this area. Therefore, researchers were able to keep track of their progress and evaluated the impact of interventions in the long-term. Moreover, they expanded the explanatory power of the study by increasing the sample size and introducing a self-control group. The results of the study indicate that multifaceted ergonomic interventions designed based on the needs of community nurses decrease symptoms and improve functional outcomes. One has to acknowledge the fact that this study has a set of limitations because researchers focused on local hospitals, and it may be inappropriate to generalize the results. Therefore, it would be appropriate to conduct large-scale studies in this area to establish the overall effectiveness of multifaceted ergonomic interventions.
References
Szeto, G. P., Law, K. Y., Lee, E., Lau, T., Chan, S. Y., & Law, S. (2010). Multifaceted ergonomic intervention programme for community nurses: Pilot study. Journal of Advanced Nursing, 66(5), 1022–1034. doi:10.1111/j.1365-2648.2009.05255.x
Szeto, G. P., Wong, T. K., Law, R. K., Lee, E. W., Lau, T., So, B. C., & Law, S. W. (2013). The impact of a multifaceted ergonomic intervention program on promoting occupational health in community nurses. Applied Ergonomics, 44(3), 414–422. doi:10.1016/j.apergo.2012.10.004
Bottom of Form
Euclides Munoz Perez
Discussion # 7
A pilot study is a preliminary study that is done as a pretest for research tools and instruments that will be used in the main study project. It assesses the resources which include the time and costs and forese.
IMPACT OF HEALTH INFORMATICS TECHNOLOGY ON THE IMPLEMENTATION OF A MODIFIED E...hiij
The Modified Early Warning System (MEWS) is based on a patient score that helps the medical team
monitor patients to identify a patient that may be experiencing a sudden decline in care. This study consists
of a detailed review of clinical data and patient outcomes to assess impact of technology and patient care.
There are a total of thirteen hospitals included in this review. These facilities have implemented vitals
capture and the MEWS scoring system.
Similar to Early Ambulation Improves Patients' Outcomes (20)
Knee anatomy and clinical tests 2024.pdfvimalpl1234
This includes all relevant anatomy and clinical tests compiled from standard textbooks, Campbell,netter etc..It is comprehensive and best suited for orthopaedicians and orthopaedic residents.
Couples presenting to the infertility clinic- Do they really have infertility...Sujoy Dasgupta
Dr Sujoy Dasgupta presented the study on "Couples presenting to the infertility clinic- Do they really have infertility? – The unexplored stories of non-consummation" in the 13th Congress of the Asia Pacific Initiative on Reproduction (ASPIRE 2024) at Manila on 24 May, 2024.
Acute scrotum is a general term referring to an emergency condition affecting the contents or the wall of the scrotum.
There are a number of conditions that present acutely, predominantly with pain and/or swelling
A careful and detailed history and examination, and in some cases, investigations allow differentiation between these diagnoses. A prompt diagnosis is essential as the patient may require urgent surgical intervention
Testicular torsion refers to twisting of the spermatic cord, causing ischaemia of the testicle.
Testicular torsion results from inadequate fixation of the testis to the tunica vaginalis producing ischemia from reduced arterial inflow and venous outflow obstruction.
The prevalence of testicular torsion in adult patients hospitalized with acute scrotal pain is approximately 25 to 50 percent
Ethanol (CH3CH2OH), or beverage alcohol, is a two-carbon alcohol
that is rapidly distributed in the body and brain. Ethanol alters many
neurochemical systems and has rewarding and addictive properties. It
is the oldest recreational drug and likely contributes to more morbidity,
mortality, and public health costs than all illicit drugs combined. The
5th edition of the Diagnostic and Statistical Manual of Mental Disorders
(DSM-5) integrates alcohol abuse and alcohol dependence into a single
disorder called alcohol use disorder (AUD), with mild, moderate,
and severe subclassifications (American Psychiatric Association, 2013).
In the DSM-5, all types of substance abuse and dependence have been
combined into a single substance use disorder (SUD) on a continuum
from mild to severe. A diagnosis of AUD requires that at least two of
the 11 DSM-5 behaviors be present within a 12-month period (mild
AUD: 2–3 criteria; moderate AUD: 4–5 criteria; severe AUD: 6–11 criteria).
The four main behavioral effects of AUD are impaired control over
drinking, negative social consequences, risky use, and altered physiological
effects (tolerance, withdrawal). This chapter presents an overview
of the prevalence and harmful consequences of AUD in the U.S.,
the systemic nature of the disease, neurocircuitry and stages of AUD,
comorbidities, fetal alcohol spectrum disorders, genetic risk factors, and
pharmacotherapies for AUD.
Lung Cancer: Artificial Intelligence, Synergetics, Complex System Analysis, S...Oleg Kshivets
RESULTS: Overall life span (LS) was 2252.1±1742.5 days and cumulative 5-year survival (5YS) reached 73.2%, 10 years – 64.8%, 20 years – 42.5%. 513 LCP lived more than 5 years (LS=3124.6±1525.6 days), 148 LCP – more than 10 years (LS=5054.4±1504.1 days).199 LCP died because of LC (LS=562.7±374.5 days). 5YS of LCP after bi/lobectomies was significantly superior in comparison with LCP after pneumonectomies (78.1% vs.63.7%, P=0.00001 by log-rank test). AT significantly improved 5YS (66.3% vs. 34.8%) (P=0.00000 by log-rank test) only for LCP with N1-2. Cox modeling displayed that 5YS of LCP significantly depended on: phase transition (PT) early-invasive LC in terms of synergetics, PT N0—N12, cell ratio factors (ratio between cancer cells- CC and blood cells subpopulations), G1-3, histology, glucose, AT, blood cell circuit, prothrombin index, heparin tolerance, recalcification time (P=0.000-0.038). Neural networks, genetic algorithm selection and bootstrap simulation revealed relationships between 5YS and PT early-invasive LC (rank=1), PT N0—N12 (rank=2), thrombocytes/CC (3), erythrocytes/CC (4), eosinophils/CC (5), healthy cells/CC (6), lymphocytes/CC (7), segmented neutrophils/CC (8), stick neutrophils/CC (9), monocytes/CC (10); leucocytes/CC (11). Correct prediction of 5YS was 100% by neural networks computing (area under ROC curve=1.0; error=0.0).
CONCLUSIONS: 5YS of LCP after radical procedures significantly depended on: 1) PT early-invasive cancer; 2) PT N0--N12; 3) cell ratio factors; 4) blood cell circuit; 5) biochemical factors; 6) hemostasis system; 7) AT; 8) LC characteristics; 9) LC cell dynamics; 10) surgery type: lobectomy/pneumonectomy; 11) anthropometric data. Optimal diagnosis and treatment strategies for LC are: 1) screening and early detection of LC; 2) availability of experienced thoracic surgeons because of complexity of radical procedures; 3) aggressive en block surgery and adequate lymph node dissection for completeness; 4) precise prediction; 5) adjuvant chemoimmunoradiotherapy for LCP with unfavorable prognosis.
Explore natural remedies for syphilis treatment in Singapore. Discover alternative therapies, herbal remedies, and lifestyle changes that may complement conventional treatments. Learn about holistic approaches to managing syphilis symptoms and supporting overall health.
Flu Vaccine Alert in Bangalore Karnatakaaddon Scans
As flu season approaches, health officials in Bangalore, Karnataka, are urging residents to get their flu vaccinations. The seasonal flu, while common, can lead to severe health complications, particularly for vulnerable populations such as young children, the elderly, and those with underlying health conditions.
Dr. Vidisha Kumari, a leading epidemiologist in Bangalore, emphasizes the importance of getting vaccinated. "The flu vaccine is our best defense against the influenza virus. It not only protects individuals but also helps prevent the spread of the virus in our communities," he says.
This year, the flu season is expected to coincide with a potential increase in other respiratory illnesses. The Karnataka Health Department has launched an awareness campaign highlighting the significance of flu vaccinations. They have set up multiple vaccination centers across Bangalore, making it convenient for residents to receive their shots.
To encourage widespread vaccination, the government is also collaborating with local schools, workplaces, and community centers to facilitate vaccination drives. Special attention is being given to ensuring that the vaccine is accessible to all, including marginalized communities who may have limited access to healthcare.
Residents are reminded that the flu vaccine is safe and effective. Common side effects are mild and may include soreness at the injection site, mild fever, or muscle aches. These side effects are generally short-lived and far less severe than the flu itself.
Healthcare providers are also stressing the importance of continuing COVID-19 precautions. Wearing masks, practicing good hand hygiene, and maintaining social distancing are still crucial, especially in crowded places.
Protect yourself and your loved ones by getting vaccinated. Together, we can help keep Bangalore healthy and safe this flu season. For more information on vaccination centers and schedules, residents can visit the Karnataka Health Department’s official website or follow their social media pages.
Stay informed, stay safe, and get your flu shot today!
Title: Sense of Taste
Presenter: Dr. Faiza, Assistant Professor of Physiology
Qualifications:
MBBS (Best Graduate, AIMC Lahore)
FCPS Physiology
ICMT, CHPE, DHPE (STMU)
MPH (GC University, Faisalabad)
MBA (Virtual University of Pakistan)
Learning Objectives:
Describe the structure and function of taste buds.
Describe the relationship between the taste threshold and taste index of common substances.
Explain the chemical basis and signal transduction of taste perception for each type of primary taste sensation.
Recognize different abnormalities of taste perception and their causes.
Key Topics:
Significance of Taste Sensation:
Differentiation between pleasant and harmful food
Influence on behavior
Selection of food based on metabolic needs
Receptors of Taste:
Taste buds on the tongue
Influence of sense of smell, texture of food, and pain stimulation (e.g., by pepper)
Primary and Secondary Taste Sensations:
Primary taste sensations: Sweet, Sour, Salty, Bitter, Umami
Chemical basis and signal transduction mechanisms for each taste
Taste Threshold and Index:
Taste threshold values for Sweet (sucrose), Salty (NaCl), Sour (HCl), and Bitter (Quinine)
Taste index relationship: Inversely proportional to taste threshold
Taste Blindness:
Inability to taste certain substances, particularly thiourea compounds
Example: Phenylthiocarbamide
Structure and Function of Taste Buds:
Composition: Epithelial cells, Sustentacular/Supporting cells, Taste cells, Basal cells
Features: Taste pores, Taste hairs/microvilli, and Taste nerve fibers
Location of Taste Buds:
Found in papillae of the tongue (Fungiform, Circumvallate, Foliate)
Also present on the palate, tonsillar pillars, epiglottis, and proximal esophagus
Mechanism of Taste Stimulation:
Interaction of taste substances with receptors on microvilli
Signal transduction pathways for Umami, Sweet, Bitter, Sour, and Salty tastes
Taste Sensitivity and Adaptation:
Decrease in sensitivity with age
Rapid adaptation of taste sensation
Role of Saliva in Taste:
Dissolution of tastants to reach receptors
Washing away the stimulus
Taste Preferences and Aversions:
Mechanisms behind taste preference and aversion
Influence of receptors and neural pathways
Impact of Sensory Nerve Damage:
Degeneration of taste buds if the sensory nerve fiber is cut
Abnormalities of Taste Detection:
Conditions: Ageusia, Hypogeusia, Dysgeusia (parageusia)
Causes: Nerve damage, neurological disorders, infections, poor oral hygiene, adverse drug effects, deficiencies, aging, tobacco use, altered neurotransmitter levels
Neurotransmitters and Taste Threshold:
Effects of serotonin (5-HT) and norepinephrine (NE) on taste sensitivity
Supertasters:
25% of the population with heightened sensitivity to taste, especially bitterness
Increased number of fungiform papillae
2. Elderly Inpatients Are At Risk of
Functional Decline
Do hospitalized patients that are ambulated at
least three times per day have a decreased
recovery time with fewer complications than
patients who are not routinely ambulated?
Would scheduled ambulation help achieve that
goal?
3. Nolan and Thomas
(2008) examine how
practical individual
exercise programs are
for inpatients at risk of
functional decline and
how this impacts
discharge outcomes.
4. Methods
Nolan & Thomas (2008) used a
quantitative non experimental
comparative study of 220 inpatients.
Patients were aged seventy and greater
and were at high risk of functional
decline, but able to commence exercise
within 48 hours.
5. Methods
A Functional Maintenance Program
(FMP) of individually tailored
exercise programs was created and
supervised for each patient.
10. Discussion
Exercise programs for older
medical patients that
commence within 48 hours of
admission help to reduce length
of stay, decrease functional
decline, and improve outcomes.
13. Acknowledgements
Nolan, J., & Thomas, S. (2008, December
10). Targeted individual exercise
programmes for older medical patients are
feasible, and may change hospital and
patient outcomes: a service improvement
project. In BMC Health Services
Research. Retrieved September 12, 2013,
from
http://www.biomedcentral.com/14726963/8/250
