Source: http://informahealthcare.com/doi/abs/10.3109/09638288.2012.705949?ai=1lir&mi=3s94u5&af=R
Miyerkules, Enero 16, 2013
The impact of rehabilitative services in the lives of adults and children with disabilities, in low-income and middle-income countries: an assessment of the quality of the evidence
Disability and Rehabilitation, Volume 0, Issue 0, Page 1-10, Early Online.
Socioeconomic Status Linked to Childhood Peanut Allergy
Peanut allergies are rising among American children and one reason might be due to economic status. According to a new study presented at the American College of Allergy, Asthma and Immunology (ACAAI) Annual Scientific Meeting, greater rates of peanut allergy are found in families with higher economic status. This supports the “hygiene hypothesis” of many allergists.
This theory believes that a lack of early childhood exposure to germs increases the chance for allergic diseases. Over sanitization might suppress the natural development of the immune system.
“Overall household income is only associated with peanut sensitization in children aged one to nine years,” said allergist Sandy Yip, M.D., Major, USAF, lead study author and ACAAI member. “This may indicate that development of peanut sensitization at a young age is related to affluence, but those developed later in life are not.”
The study examined 8,306 patients, 776 of which had an elevated antibody level to peanuts. Peanut allergy was generally higher in males and racial minorities across all age groups. Researchers also found that peanut specific antibody levels peaked in an age group of 10- to 19-year-old children, but tapered off after middle age.
This theory believes that a lack of early childhood exposure to germs increases the chance for allergic diseases. Over sanitization might suppress the natural development of the immune system.
“Overall household income is only associated with peanut sensitization in children aged one to nine years,” said allergist Sandy Yip, M.D., Major, USAF, lead study author and ACAAI member. “This may indicate that development of peanut sensitization at a young age is related to affluence, but those developed later in life are not.”
The study examined 8,306 patients, 776 of which had an elevated antibody level to peanuts. Peanut allergy was generally higher in males and racial minorities across all age groups. Researchers also found that peanut specific antibody levels peaked in an age group of 10- to 19-year-old children, but tapered off after middle age.
Source: http://www.health.am/allergies/more/linked-to-childhood-peanut-allergy/
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Palmer West President receives APHA Lifetime Achievement Award
Palmer News
The Chiropractic Health Care (CHC) Section of the American Public Health Association (APHA) honored Palmer College of Chiropractic's West Campus President William Meeker, D.C., M.P.H., for more than 20 years of "outstanding service and leadership" to the CHC by presenting him with the Lifetime Achievement Award at the 2012 APHA Annual...
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The Chiropractic Health Care (CHC) Section of the American Public Health Association (APHA) honored Palmer College of Chiropractic's West Campus President William Meeker, D.C., M.P.H., for more than 20 years of "outstanding service and leadership" to the CHC by presenting him with the Lifetime Achievement Award at the 2012 APHA Annual...
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Are the mental representations of people with osteoarthritis consistent with the International Classification of Functioning Disability and Health?
Disability and Rehabilitation, Volume 0, Issue 0, Page 1-6, Early Online.
Source: http://informahealthcare.com/doi/abs/10.3109/09638288.2012.737083?ai=1lir&mi=3s94u5&af=R
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Employment outcomes of adults with cerebral palsy in Taiwan
Disability and Rehabilitation, Volume 35, Issue 5, Page 228-235, March 2013.
Source: http://informahealthcare.com/doi/abs/10.3109/09638288.2012.691935?ai=1lir&mi=3s94u5&af=R
Martes, Enero 15, 2013
Addison’s disease
Alternative names
Adrenocortical hypofunction; Chronic adrenocortical insufficiency; Adrenal insufficiency
Definition
Addison’s disease is a hormone deficiency caused by damage to the outer layer of the adrenal gland (adrenal cortex).
see Addison’s disease in Encyclopedia.
Adrenocortical hypofunction; Chronic adrenocortical insufficiency; Adrenal insufficiency
Definition
Addison’s disease is a hormone deficiency caused by damage to the outer layer of the adrenal gland (adrenal cortex).
see Addison’s disease in Encyclopedia.
Source: http://www.health.am/diseases/more/addisons_disease/
Leaving a spinal unit and returning to the wider community: an interpretative phenomenological analysis
Disability and Rehabilitation, Volume 0, Issue 0, Page 1-10, Early Online.
Source: http://informahealthcare.com/doi/abs/10.3109/09638288.2012.723789?ai=1lir&mi=3s94u5&af=R
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Long-Term Salty Diets Tied Again to High Blood Pressure
Indulging in a bag of chips or munching a handful of nuts now and then isn’t likely to hurt you in the short run, but regularly chowing down on salty foods over several years may damage your blood vessels and lead to high blood pressure, a new study finds.
Researchers reporting in the June 18 online edition of Circulation said that eating too much salt over time may affect the lining of blood vessels, increasing the likelihood of developing high blood pressure.
“This study reinforces guidelines backed by the American Heart Association and other professional organizations that recommend reducing salt consumption to reduce your risk of developing high blood pressure,” said Dr. John Forman, lead author of the study and assistant professor of medicine at Harvard Medical School in Boston.
High blood pressure, also called hypertension, can contribute to heart failure, stroke and kidney failure.
Researchers reporting in the June 18 online edition of Circulation said that eating too much salt over time may affect the lining of blood vessels, increasing the likelihood of developing high blood pressure.
“This study reinforces guidelines backed by the American Heart Association and other professional organizations that recommend reducing salt consumption to reduce your risk of developing high blood pressure,” said Dr. John Forman, lead author of the study and assistant professor of medicine at Harvard Medical School in Boston.
High blood pressure, also called hypertension, can contribute to heart failure, stroke and kidney failure.
Source: http://www.health.am/hypertension/more/salty-diets-tied-again-to-high-blood-pressure/
Problems in functioning after a mild traumatic brain injury within the ICF framework: the patient perspective using focus groups
Disability and Rehabilitation, Volume 0, Issue 0, Page 1-9, Early Online.
Source: http://informahealthcare.com/doi/abs/10.3109/09638288.2012.707741?ai=1lir&mi=3s94u5&af=R
Reliability and fall experience discrimination of Cross Step moving on Four spots Test in the elderly
Available online 11 January 2013
Publication year: 2013
Source:Archives of Physical Medicine and Rehabilitation
Objectives To examine the reliability and fall experience discrimination of the Cross Step moving on Four spots Test (CSFT) including a rapid crossover steps and the relationship between the CSFT scores and the fall-related physical function. Design The reliability of the CSFT was examined in a test–retest format with the same tester. Fall history, fall risk, fear of falling, activities of daily living (ADL), and various physical parameters were measured for all participants. Setting A community center and university medical school in Japan Participants Elderly community-dwelling subjects aged 65–94 years living independently (62 men and 471 women) Interventions Not applicable Main Outcome Measures Time to complete all the CSFT steps required, fall risk score, ADL score, and fall-related physical function (isometric muscle strength: toe grip, plantar flexion, knee extension, hip flexion, hand grip; balan one-leg standing time with eyes open, functional reach test using an elastic stick; and gait: 10-m maximal walking speed). Results The trial-to-trial reliability test indicated good reliability of the CSFT in both sexes (intraclass correlation coefficient = 0.833 in men, 0.825 in women). However, trial-to-trial errors increased with increase in the CSFT values in both sexes. Significant correlations were observed between the CSFT values and scores for most fall-related physical function tests in both sexes. However, the correlation coefficient for all significant correlations was <0.5. Two-way analysis of variance (sex × fall experience) revealed that the fall experience is a significant factor affecting the CSFT values; the values in fallers were significantly lower than those in nonfallers. The odds ratios in logistic regression analysis were significant in both sexes (men: 1.35, women: 1.48). As determined by Youden’s index, the optimal cutoff value for identifying fall experience was 7.32 s, with an area under the curve of 0.676. Conclusion The CSFT can detect fall experience and is useful in the evaluation of different fall-related physical functions, including muscle strength, balance, and mobility.
Publication year: 2013
Source:Archives of Physical Medicine and Rehabilitation
Lunes, Enero 14, 2013
The six-minute walk test in obese youth: reproducibility, validity, and prediction equation to assess aerobic power
Disability and Rehabilitation, Volume 0, Issue 0, Page 1-4, Early Online.
Source: http://informahealthcare.com/doi/abs/10.3109/09638288.2012.699581?ai=1lir&mi=3s94u5&af=R
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Prospective evaluation of the nature, course, and impact of acute sleep abnormality following TBI
Available online 4 January 2013
Publication year: 2013
Source:Archives of Physical Medicine and Rehabilitation
Objective To prospectively characterize the prevalence, course, and impact of acute sleep abnormality among traumatic brain injury (TBI) neurorehabilitation admissions. Design Prospective observational study. Setting: Free-standing rehabilitation hospital. Participants Primarily severe TBI (Median emergency department GCS=7; N=205) who were mostly male (71%), and Caucasian (68%) evaluated during acute neurorehabilitation. Interventions None. Main Outcome Measure Delirium Rating Scale-Revised-98 (DelRS-R98) was administered weekly throughout rehabilitation hospitalization. DelRS-R98 Item 1 was used to classify severity of sleep-wake cycle disturbance (SWCD) as none, mild, moderate, and severe. SWCD ratings were analyzed both serially and at one-month post-injury. Results For entire sample, 66% (mild-severe) had SWCD at one-month post injury. Course of SWCD using a subset (N=152) revealed 84% having SWCD on rehabilitation admission with 63% having moderate to severe ratings (median 24 days post injury; DPI). By the third serial exam (Median 35 DPI), 59% remained with SWCD and 28% having moderate to severe ratings. Using General Linear Modeling and adjusting for age, ED-GCS, and DPI, presence of moderate to severe SWCD at one-month post injury made significant contributions in predicting duration of post-traumatic amnesia (p < .01) and rehabilitation hospital length of stay (p < .01). Conclusion Results suggest that sleep abnormalities after TBI are prevalent and decrease over time. However, a high percent remain with SWCD throughout the course of rehabilitation intervention. Given the brevity of inpatient neurorehabilitation, future studies may explore targeting SWCD to improve early outcomes such as cognitive functioning and economic impact following TBI.
Publication year: 2013
Source:Archives of Physical Medicine and Rehabilitation
Qualities of life design measures with chronic illness or disability
Disability and Rehabilitation, Volume 0, Issue 0, Page 1-4, Early Online.
Source: http://informahealthcare.com/doi/abs/10.3109/09638288.2012.720352?ai=1lir&mi=3s94u5&af=R
Feasibility of rehabilitation training with a newly developed wearable robot for patients with limited mobility
Available online 10 January 2013
Publication year: 2013
Source:Archives of Physical Medicine and Rehabilitation
Objective To investigate the feasibility of rehabilitation training with a new wearable robot Design Before-after clinical intervention Setting University Hospital and private rehabilitation facilities Participants A convenience sample of 38 patients with limited mobility. The underlying diseases were stroke (n = 12), spinal cord injuries (n = 8), musculoskeletal diseases (n = 4), and other diseases (n = 14). Interventions The patients received 90-minute training with a wearable robot twice per week for 8 weeks (16 sessions). Main Outcome Measures Functional ambulation was assessed with the 10-m walk test (10MWT) and the timed-up and go (TUG) test, and balance ability was assessed with the Berg balance scale (BBS). Both assessments were performed at the baseline and after the rehabilitation. Results Thirty-two patients completed 16 sessions of the training with the wearable robot. The results of the 10MWT included significant improvements in gait speed, number of steps, and cadence. Although improvements were observed, as measured with the TUG test and BBS, the results were not statistically significant. No serious adverse events were observed during the training. Conclusions Eight weeks of rehabilitative training with the wearable robot (16 sessions of 90 minutes) could be performed safely and effectively, even many years after the subjects received their diagnosis.
Publication year: 2013
Source:Archives of Physical Medicine and Rehabilitation
A controlled clinical trial investigating the effects of cycle ergometry training on exercise tolerance, balance and quality of life in patients with Parkinson’s disease
Disability and Rehabilitation, Volume 0, Issue 0, Page 1-6, Early Online.
Source: http://informahealthcare.com/doi/abs/10.3109/09638288.2012.694962?ai=1lir&mi=3s94u5&af=R
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Late-life depression associated with prevalent mild cognitive impairment, increased risk of dementia
Depression in a group of Medicare recipients ages 65 years and older appears to be associated with prevalent mild cognitive impairment and an increased risk of dementia, according to a report published Online First by Archives of Neurology, a JAMA Network publication.
Depressive symptoms occur in 3 percent to 63 percent of patients with mild cognitive impairment (MCI) and some studies have shown an increased dementia risk in individuals with a history of depression. The mechanisms behind the association between depression and cognitive decline have not been made clear and different mechanisms have been proposed, according to the study background.
Edo Richard, M.D., Ph.D., of the University of Amsterdam, the Netherlands, and colleagues evaluated the association of late-life depression with MCI and dementia in a group of 2,160 community-dwelling Medicare recipients.
“We found that depression was related to a higher risk of prevalent MCI and dementia, incident dementia, and progression from prevalent MCI to dementia, but not to incident MCI,” the authors note.
Depressive symptoms occur in 3 percent to 63 percent of patients with mild cognitive impairment (MCI) and some studies have shown an increased dementia risk in individuals with a history of depression. The mechanisms behind the association between depression and cognitive decline have not been made clear and different mechanisms have been proposed, according to the study background.
Edo Richard, M.D., Ph.D., of the University of Amsterdam, the Netherlands, and colleagues evaluated the association of late-life depression with MCI and dementia in a group of 2,160 community-dwelling Medicare recipients.
“We found that depression was related to a higher risk of prevalent MCI and dementia, incident dementia, and progression from prevalent MCI to dementia, but not to incident MCI,” the authors note.
Source: http://www.health.am/psy/more/mild-cognitive-impairment-increased-risk-of-dementia/
Unique Contribution of Fatigue to Disability in Community-Dwelling Adults With Traumatic Brain Injury
January 2013
Publication year: 2013
Source:Archives of Physical Medicine and Rehabilitation, Volume 94, Issue 1
Objective To examine the unique contribution of fatigue to self-reported disability in community-dwelling adults with traumatic brain injury (TBI). Design A cross-sectional cohort design. Setting Community dwellings. Participants Adults (N=50) with a history of mild to severe TBI were assessed. Intervention Not applicable. Main Outcome Measures This study assessed the contribution of fatigue (Modified Fatigue Impact Scale) to disability (Mayo-Portland Adaptability Inventory), controlling for executive functions (Frontal Systems Behavior Scale), depression status (major depression in partial remission/current major depression/depressive symptoms or no history of depression), and initial injury severity (uncomplicated mild, complicated mild, moderate, or severe). Results Fatigue was found to contribute uniquely to the variance in self-reported disability (β=.47, P <.001) after controlling for injury severity, executive functions, and depression status. The overall model was significant (F4,45 =17.32, P <.001) and explained 61% of the variance in self-reported disability, with fatigue alone accounting for 12% of the variance in self-reported disability (F1,45 =13.97, P <.001). Conclusions Fatigue contributes uniquely to disability status among community-dwelling adults with chronic TBI, independent of injury severity, executive functions, and depression. Addressing fatigue through targeted interventions may help to improve self-perceived disability in this population.
Publication year: 2013
Source:Archives of Physical Medicine and Rehabilitation, Volume 94, Issue 1
Identifying implications of thrombolysis for stroke rehabilitation: Knowledge gaps in current research
Disability and Rehabilitation, Volume 0, Issue 0, Page 1-7, Early Online.
Source: http://informahealthcare.com/doi/abs/10.3109/09638288.2012.726315?ai=1lir&mi=3s94u5&af=R
Linggo, Enero 13, 2013
Effects of long-distance walking on socket-limb interface pressure, tactile sensitivity and subjective perceptions of trans-tibial amputees
Disability and Rehabilitation, Volume 0, Issue 0, Page 1-6, Early Online.
Source: http://informahealthcare.com/doi/abs/10.3109/09638288.2012.712197?ai=1lir&mi=3s94u5&af=R
Work-ability assessment in young adults with disabilities applying for disability benefits
Disability and Rehabilitation, Volume 0, Issue 0, Page 1-8, Early Online.
Source: http://informahealthcare.com/doi/abs/10.3109/09638288.2012.702846?ai=1lir&mi=3s94u5&af=R
Parker University Announces the Appointment of a New President
By Parker University
DALLAS -- The Board of Trustees of Parker University and Parker Seminars is pleased to announce the appointment of their new president, Brian J. McAulay, DC, PhD. This appointment comes after an intensive three month search conducted by a board-appointed presidential search committee of nine members, headed by Wright L....
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DALLAS -- The Board of Trustees of Parker University and Parker Seminars is pleased to announce the appointment of their new president, Brian J. McAulay, DC, PhD. This appointment comes after an intensive three month search conducted by a board-appointed presidential search committee of nine members, headed by Wright L....
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Reflective action assessment with a prospective clinical problem solving tool in the context of rehabilitation medicine: an illustrative case study
Disability and Rehabilitation, Volume 0, Issue 0, Page 1-7, Early Online.
Source: http://informahealthcare.com/doi/abs/10.3109/09638288.2012.720348?ai=1lir&mi=3s94u5&af=R
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Identifying the evidence-base for art-based practices and their potential benefit for mental health recovery: A critical review
Disability and Rehabilitation, Volume 0, Issue 0, Page 1-15, Early Online.
Source: http://informahealthcare.com/doi/abs/10.3109/09638288.2012.732188?ai=1lir&mi=3s94u5&af=R
The meaning and value of taking part in a person-centred arts programme to hospital-based stroke patients: findings from a qualitative study
Disability and Rehabilitation, Volume 35, Issue 5, Page 244-256, March 2013.
Source: http://informahealthcare.com/doi/abs/10.3109/09638288.2012.694574?ai=1lir&mi=3s94u5&af=R
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Assessing Stroke Patients for Rehabilitation During the Acute Hospitalization: Findings From the Get With The Guidelines–Stroke Program
January 2013
Publication year: 2013
Source:Archives of Physical Medicine and Rehabilitation, Volume 94, Issue 1
Objective To examine the frequency and determinants of an assessment for rehabilitation during the hospitalization for acute stroke. Design Prospective cohort of patients admitted with acute stroke in the Get With The Guidelines–Stroke (GWTG-Stroke) program from January 8, 2008, to March 31, 2011. Setting Acute hospitals (n=1532) in the United States participating in the GWTG-Stroke program. Participants Adults with a stroke diagnosis (N=616,982) from a GWTG-Stroke–participating acute hospital. Interventions Not applicable. Main Outcome Measure Documentation of an assessment for rehabilitation services during the acute hospitalization. Results Overall, almost 90% of stroke patients had documentation of an acute assessment for rehabilitation. In multivariable analysis, patients significantly more likely to be assessed for rehabilitation were younger, male, black or of other nonwhite races (Asian, American Indian, Alaska Native, Native Hawaiian, or Pacific Islander) when compared with white, independently ambulating before admission, and admitted from the community. Patients who received a stroke consult, cared for in a stroke unit, and treated in the northeast region of the United States were also more likely to be assessed. Conclusions There is evidence that rehabilitation was considered for 90% of acute stroke patients in this sample. Future research is needed to examine what assessments are conducted and by whom, and how these are used to determine the appropriate level of rehabilitation care for their needs.
Publication year: 2013
Source:Archives of Physical Medicine and Rehabilitation, Volume 94, Issue 1
Clinicians’ actions associated with the successful patient care process: a content analysis of interviews with paediatric occupational therapists
Disability and Rehabilitation, Volume 0, Issue 0, Page 1-9, Early Online.
Source: http://informahealthcare.com/doi/abs/10.3109/09638288.2012.694960?ai=1lir&mi=3s94u5&af=R
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Sabado, Enero 12, 2013
Effects of long-distance walking on socket-limb interface pressure, tactile sensitivity and subjective perceptions of trans-tibial amputees
Disability and Rehabilitation, Volume 0, Issue 0, Page 1-6, Early Online.
Source: http://informahealthcare.com/doi/abs/10.3109/09638288.2012.712197?ai=1lir&mi=3s94u5&af=R
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Dysthymia Disorder
Dysthymia Disorder
Definition
A disorder with a chronic depressed mood; it is a mild form of depression.
Definition
A disorder with a chronic depressed mood; it is a mild form of depression.
Source: http://www.health.am/diseases/more/dysthymia_disorder/
Non-pharmacological sleep interventions for youth with chronic health conditions: A critical review of the methodological quality of the evidence
Disability and Rehabilitation, Volume 0, Issue 0, Page 1-35, Early Online.
Source: http://informahealthcare.com/doi/abs/10.3109/09638288.2012.723788?ai=1lir&mi=3s94u5&af=R
What does coping mean to the worker with pain-related disability? A qualitative study
Disability and Rehabilitation, Volume 0, Issue 0, Page 1-9, Early Online.
Source: http://informahealthcare.com/doi/abs/10.3109/09638288.2012.723791?ai=1lir&mi=3s94u5&af=R
Chiropractor Sid Williams Passes
By Michael Dorausch, DC
News arrived via email this morning from the staff at Dynamic Essentials... We regret to inform you of the passing this morning (12/27) of Dr. Sid E. Williams, founder of Dynamic Essentials.
Dr. Sid E. Williams - December 27, 2012
Please keep Dr. Nell and the family in your thoughts and prayers.
DE Staff
"A commitment to...
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News arrived via email this morning from the staff at Dynamic Essentials... We regret to inform you of the passing this morning (12/27) of Dr. Sid E. Williams, founder of Dynamic Essentials.
Dr. Sid E. Williams - December 27, 2012
Please keep Dr. Nell and the family in your thoughts and prayers.
DE Staff
"A commitment to...
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Source: http://feedproxy.google.com/~r/ChiropracticNews/~3/cYrpFTJTYoY/chiropractor-sid-williams-passes.html
From Knowledge Translation to Engaged Scholarship: Promoting Research Relevance and Utilization
January 2013
Publication year: 2013
Source:Archives of Physical Medicine and Rehabilitation, Volume 94, Issue 1, Supplement
It is now accepted within health care that clinicians and managers should base their practice and decision making on evidence. One would think that this would be quite a simple undertaking—if good research is available and well communicated, people will act on it. But most of our efforts to date, which have focused largely on research transfer, have had modest success. This has created a need to reexamine the evidence—and the assumptions—on which our current knowledge-to-action activities are based. This article will summarize what is known about what works in promoting evidence-informed action, tracing the evolution from a linear focus on research transfer to complex strategies for user engagement. Using concrete examples, it will illustrate the strengths and limitations of various approaches and implications for rehabilitation medicine.
Publication year: 2013
Source:Archives of Physical Medicine and Rehabilitation, Volume 94, Issue 1, Supplement
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Measurement properties of the Personal Care Participation Assessment and Resource Tool: a systematic review
Disability and Rehabilitation, Volume 0, Issue 0, Page 1-17, Early Online.
Source: http://informahealthcare.com/doi/abs/10.3109/09638288.2012.690819?ai=1lir&mi=3s94u5&af=R
Living with locked-in syndrome: an explorative study on health care situation, communication and quality of life
Disability and Rehabilitation, Volume 0, Issue 0, Page 1-6, Early Online.
Source: http://informahealthcare.com/doi/abs/10.3109/09638288.2012.705950?ai=1lir&mi=3s94u5&af=R
Biyernes, Enero 11, 2013
Non-pharmacological sleep interventions for youth with chronic health conditions: A critical review of the methodological quality of the evidence
Disability and Rehabilitation, Volume 0, Issue 0, Page 1-35, Early Online.
Source: http://informahealthcare.com/doi/abs/10.3109/09638288.2012.723788?ai=1lir&mi=3s94u5&af=R
Identifying implications of thrombolysis for stroke rehabilitation: Knowledge gaps in current research
Disability and Rehabilitation, Volume 0, Issue 0, Page 1-7, Early Online.
Source: http://informahealthcare.com/doi/abs/10.3109/09638288.2012.726315?ai=1lir&mi=3s94u5&af=R
Comparison of Complex versus Simple Activity of Daily Living Staging: Validation of Simple Stages
Available online 9 January 2013
Publication year: 2013
Source:Archives of Physical Medicine and Rehabilitation
Objective To compare simple activities of daily living (ADL) staging with complex ADL staging and to assess the face, construct and predictive validity of simple ADL stages. Activities of Daily Living (ADL) staging is an innovative, partially hierarchical approach to ADL difficulty measurement. Initial staging validation studies used four-level responses to ADL difficulty questions to derive stages (complex ADL staging). Simple ADL stages are based on two-level responses to ADL difficulty questions. Design Analysis of the second Longitudinal Study of Aging, a prospective cohort study, using descriptive statistics and logistic regression. Setting United States Participants 9,447 community dwelling persons ≥ age 70 years in 1994. Interventions Not applicable Main Outcome Measures Agreement & Face Validity: Baseline simple ADL stage Construct Validity: Baseline health, difficulty and need characteristics Prognostic Comparison (determined at the Wave 2 interview): Primary: nursing home use and/or death; Secondary: death Results The systems showed good agreement (kappa = 0.75). The simple ADL stages stratified people into distinct groups and reflected the expected step-wise increases from Stage 0 to Stage IV in health and need characteristics, such as the prevalence of home-related challenges (2.9% to 84.5%) and perceived need for home modifications (2.1% to 33.6%). In comparing the prognostic ability using the primary outcome, the complex system model demonstrated slightly increased discrimination between milder stages and a slightly higher C-statistic (0.666 vs. 0.664) Conclusion Although complex staging appears slightly better at classifying people into distinct prognostic strata with respect to nursing home use and/or death at Wave 2, simple ADL stages demonstrate strong, clinically relevant associations with health and need characteristics.
Publication year: 2013
Source:Archives of Physical Medicine and Rehabilitation
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Palmer College Develops Clear Identity For Doctors of Chiropractic
Palmer College Chiropractic News
There is growing value and acceptance for conservative approaches to health care. Given chiropractic's conservative, vitalistic and patient-centered approach, chiropractors are well positioned to assist patients in improving their spinal health and overall well-being. Unfortunately, too many people are not aware...
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There is growing value and acceptance for conservative approaches to health care. Given chiropractic's conservative, vitalistic and patient-centered approach, chiropractors are well positioned to assist patients in improving their spinal health and overall well-being. Unfortunately, too many people are not aware...
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Changes in Blood Flow and Cellular Metabolism at a Myofascial Trigger Point With Trigger Point Release (Ischemic Compression): A Proof-of-Principle Pilot Study
January 2013
Publication year: 2013
Source:Archives of Physical Medicine and Rehabilitation, Volume 94, Issue 1
Objective To demonstrate proof-of-principle measurement for physiologic change within an active myofascial trigger point (MTrP) undergoing trigger point release (ischemic compression). Design Interstitial fluid was sampled continuously at a trigger point before and after intervention. Setting A biomedical research clinic at a university hospital. Participants Subjects (N=2) from a pain clinic who had chronic headache pain. Interventions A single microdialysis catheter was inserted into an active MTrP of the upper trapezius to allow for continuous sampling of interstitial fluid before and after application of trigger point therapy by a massage therapist. Main Outcome Measures Procedural success, pain tolerance, feasibility of intervention during sample collection, and determination of physiologically relevant values for local blood flow as well as glucose and lactate concentrations. Results Both patients tolerated the microdialysis probe insertion into the MTrP and treatment intervention without complication. Glucose and lactate concentrations were measured in the physiologic range. After intervention, a sustained increase in lactate was noted for both subjects. Conclusions Identifying physiologic constituents of MTrPs after intervention is an important step toward understanding pathophysiology and resolution of myofascial pain. The present study forwards that aim by showing that proof-of-concept for collection of interstitial fluid from an MTrP before and after intervention can be accomplished using microdialysis, thus providing methodological insight toward treatment mechanism and pain resolution. Of the biomarkers measured in this study, lactate may be the most relevant for detection and treatment of abnormalities in the MTrP.
Publication year: 2013
Source:Archives of Physical Medicine and Rehabilitation, Volume 94, Issue 1
Client and carer experience of transition home from inpatient stroke rehabilitation
Disability and Rehabilitation, Volume 0, Issue 0, Page 1-7, Early Online.
Source: http://informahealthcare.com/doi/abs/10.3109/09638288.2012.740134?ai=1lir&mi=3s94u5&af=R
Women’s knowledge of and attitude towards disability in rural Nepal
Disability and Rehabilitation, Volume 0, Issue 0, Page 1-8, Early Online.
Source: http://informahealthcare.com/doi/abs/10.3109/09638288.2012.702847?ai=1lir&mi=3s94u5&af=R
Factor analysis of the WeeFIM in children with spastic cerebral palsy
Disability and Rehabilitation, Volume 0, Issue 0, Page 1-6, Early Online.
Source: http://informahealthcare.com/doi/abs/10.3109/09638288.2012.737082?ai=1lir&mi=3s94u5&af=R
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Huwebes, Enero 10, 2013
The role of patient demographics and clinical presentation in predicting discharge placement after inpatient stroke rehabilitation: analysis of a large, US data base
Disability and Rehabilitation, Volume 0, Issue 0, Page 1-5, Early Online.
Source: http://informahealthcare.com/doi/abs/10.3109/09638288.2012.717587?ai=1lir&mi=3s94u5&af=R
Motivational interviewing: a novel intervention for translating rehabilitation research into practice
Disability and Rehabilitation, Volume 0, Issue 0, Page 1-5, Early Online.
Source: http://informahealthcare.com/doi/abs/10.3109/09638288.2012.711897?ai=1lir&mi=3s94u5&af=R
First image of insulin ‘docking’ could lead to better diabetes treatments
A landmark discovery about how insulin docks on cells could help in the development of improved types of insulin for treating both type 1 and type 2 diabetes.
For the first time, researchers have captured the intricate way in which insulin uses the insulin receptor to bind to the surface of cells. This binding is necessary for the cells to take up sugar from the blood as energy.
The research team was led by the Walter and Eliza Hall Institute and used the Australian Synchrotron in Melbourne, Australia. The study was published today in the journal Nature.
For more than 20 years scientists have been trying to solve the mystery of how insulin binds to the insulin receptor. A research team led by Associate Professor Mike Lawrence, Professor Colin Ward and Dr John Menting have now found the answer.
For the first time, researchers have captured the intricate way in which insulin uses the insulin receptor to bind to the surface of cells. This binding is necessary for the cells to take up sugar from the blood as energy.
The research team was led by the Walter and Eliza Hall Institute and used the Australian Synchrotron in Melbourne, Australia. The study was published today in the journal Nature.
For more than 20 years scientists have been trying to solve the mystery of how insulin binds to the insulin receptor. A research team led by Associate Professor Mike Lawrence, Professor Colin Ward and Dr John Menting have now found the answer.
Source: http://www.health.am/db/more/lead-to-better-diabetes-treatments/
U.S. mentally ill and their families face barriers to care
Lori, a 39-year-old mother in New Jersey, would like to save for the usual things: college, retirement, vacations. But those goals are far down her wish list. For now, she and her husband are putting aside money for a home alarm system. They’re not worried about keeping burglars out. They need to keep their son in.
Mike, 7, began seeing a psychiatrist in 2009, after one pre-school kicked him out for being “difficult” and teachers at the public school he later attended were worried about his obsessive thoughts and extreme anxiety. He was eventually diagnosed with bipolar disorder.
As she keeps trying to get help for him, “I am learning firsthand how broken the system is when dealing with mental illness,” said Lori. (Surnames of patients and their families have been withheld to protect their privacy.)
Mike, 7, began seeing a psychiatrist in 2009, after one pre-school kicked him out for being “difficult” and teachers at the public school he later attended were worried about his obsessive thoughts and extreme anxiety. He was eventually diagnosed with bipolar disorder.
As she keeps trying to get help for him, “I am learning firsthand how broken the system is when dealing with mental illness,” said Lori. (Surnames of patients and their families have been withheld to protect their privacy.)
Source: http://www.health.am/psy/more/us-mentally-ill-and-their-families/
Socioeconomic Status Linked to Childhood Peanut Allergy
Peanut allergies are rising among American children and one reason might be due to economic status. According to a new study presented at the American College of Allergy, Asthma and Immunology (ACAAI) Annual Scientific Meeting, greater rates of peanut allergy are found in families with higher economic status. This supports the “hygiene hypothesis” of many allergists.
This theory believes that a lack of early childhood exposure to germs increases the chance for allergic diseases. Over sanitization might suppress the natural development of the immune system.
“Overall household income is only associated with peanut sensitization in children aged one to nine years,” said allergist Sandy Yip, M.D., Major, USAF, lead study author and ACAAI member. “This may indicate that development of peanut sensitization at a young age is related to affluence, but those developed later in life are not.”
The study examined 8,306 patients, 776 of which had an elevated antibody level to peanuts. Peanut allergy was generally higher in males and racial minorities across all age groups. Researchers also found that peanut specific antibody levels peaked in an age group of 10- to 19-year-old children, but tapered off after middle age.
This theory believes that a lack of early childhood exposure to germs increases the chance for allergic diseases. Over sanitization might suppress the natural development of the immune system.
“Overall household income is only associated with peanut sensitization in children aged one to nine years,” said allergist Sandy Yip, M.D., Major, USAF, lead study author and ACAAI member. “This may indicate that development of peanut sensitization at a young age is related to affluence, but those developed later in life are not.”
The study examined 8,306 patients, 776 of which had an elevated antibody level to peanuts. Peanut allergy was generally higher in males and racial minorities across all age groups. Researchers also found that peanut specific antibody levels peaked in an age group of 10- to 19-year-old children, but tapered off after middle age.
Source: http://www.health.am/allergies/more/linked-to-childhood-peanut-allergy/
Instilling a Research Culture in an Applied Clinical Setting
January 2013
Publication year: 2013
Source:Archives of Physical Medicine and Rehabilitation, Volume 94, Issue 1, Supplement
This article offers a framework and practical advice to nurture development of a research culture within a clinical setting. Information is presented on research education, infrastructure, and helping clinicians develop a scientific mindset. Economical ways to facilitate a scientist-practitioner approach to clinical practice are described, as well as metrics to gauge the success of these efforts.
Publication year: 2013
Source:Archives of Physical Medicine and Rehabilitation, Volume 94, Issue 1, Supplement
Naloxone reverses overdoses without hefty price tag
Distributing a drug that reverses drug overdoses in heroin users would save lives and be cost-effective, according to a new analysis.
U.S. researchers, who published their findings in the Annals of Internal Medicine on Monday, calculated that one death may be prevented for every 164 naloxone injection kits they distribute to heroin users.
That, the researchers say, works out to be a few hundred dollars for every year of healthy life gained.
“The great news here is these overdose deaths can be prevented, it’s cost effective to do so, and may even be cost saving,” said Dr. Phillip Coffin, the study’s lead author from the San Francisco Department of Public Health.
U.S. researchers, who published their findings in the Annals of Internal Medicine on Monday, calculated that one death may be prevented for every 164 naloxone injection kits they distribute to heroin users.
That, the researchers say, works out to be a few hundred dollars for every year of healthy life gained.
“The great news here is these overdose deaths can be prevented, it’s cost effective to do so, and may even be cost saving,” said Dr. Phillip Coffin, the study’s lead author from the San Francisco Department of Public Health.
Source: http://www.health.am/psy/more/naloxone-reverses-overdoses/
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Miyerkules, Enero 9, 2013
Parker Alumni Association to Recognize Chiropractic Leaders
By Parker University
Dallas -- The Parker Alumni Association will present their annual awards at a luncheon held during the Parker Homecoming celebration on Friday, October 26. Awards will be presented to four noteworthy individuals who have impacted the chiropractic profession including: Dr. Rose Lepien,'91, Dr. James DeShazo,'95, Dr. Neil...
This is a planetchiropractic content summary feed. Visit www.planetchiropractic.com for complete content, links, and related media. - Cheers! 
Dallas -- The Parker Alumni Association will present their annual awards at a luncheon held during the Parker Homecoming celebration on Friday, October 26. Awards will be presented to four noteworthy individuals who have impacted the chiropractic profession including: Dr. Rose Lepien,'91, Dr. James DeShazo,'95, Dr. Neil...
This is a planetchiropractic content summary feed. Visit www.planetchiropractic.com for complete content, links, and related media. - Cheers!
Black and Hispanic patients less likely to complete substance abuse treatment, Penn study shows
Roughly half of all black and Hispanic patients who enter publicly funded alcohol treatment programs do not complete treatment, compared to 62 percent of white patients, according to a new study from a team of researchers including the Perelman School of Medicine at the University of Pennsylvania. Comparable disparities were also identified for drug treatment program completion rates. The study, published in the latest issue of Health Affairs, shows that completion disparities among racial groups are likely related to differences in socioeconomic status and, in particular, greater unemployment and housing instability for black and Hispanic patients. The researchers suggest that funding for integrated services and increased Medicaid coverage under the Affordable Care Act (ACA) could help to improve access to treatment programs for minorities.
“Our findings show troubling racial disparities in the completion of alcohol and drug abuse programs, and they point specifically to socioeconomic barriers that make it difficult for minority groups to access and sustain treatment,” said Brendan Saloner, PhD, a health services researcher at the Perelman School of Medicine at the University of Pennsylvania, and a Robert Wood Johnson Foundation Health and Society Scholar at Penn. “For example, in both alcohol and drug treatment groups, black and Hispanic patients were more likely than white patients to be homeless. But, disparities among the groups were found to be lower in residential treatment settings, indicating that access to residential treatment could be particularly valuable for these patients.”
After analyzing data from more than one million discharges from treatment programs across the country, researchers found significant disparities between white patients and most minority groups in completion of treatment programs. According to researchers, the statistical differences roughly translate to 13,000 fewer completed episodes of drug treatment for black patients and 8,000 fewer for Hispanic patients, compared to white patients. Other minority groups, including Native Americans, also showed lower completion rates than white patients. Only Asian American patients fared better than white patients for both drug and alcohol treatment completion.
“Our findings show troubling racial disparities in the completion of alcohol and drug abuse programs, and they point specifically to socioeconomic barriers that make it difficult for minority groups to access and sustain treatment,” said Brendan Saloner, PhD, a health services researcher at the Perelman School of Medicine at the University of Pennsylvania, and a Robert Wood Johnson Foundation Health and Society Scholar at Penn. “For example, in both alcohol and drug treatment groups, black and Hispanic patients were more likely than white patients to be homeless. But, disparities among the groups were found to be lower in residential treatment settings, indicating that access to residential treatment could be particularly valuable for these patients.”
After analyzing data from more than one million discharges from treatment programs across the country, researchers found significant disparities between white patients and most minority groups in completion of treatment programs. According to researchers, the statistical differences roughly translate to 13,000 fewer completed episodes of drug treatment for black patients and 8,000 fewer for Hispanic patients, compared to white patients. Other minority groups, including Native Americans, also showed lower completion rates than white patients. Only Asian American patients fared better than white patients for both drug and alcohol treatment completion.
Source: http://www.health.am/psy/more/complete-substance-abuse-treatment/
chiropractor chiropractic back pain solution neck pain solution
Decompressive hemicraniectomy following malignant middle cerebral artery infarctions: a mixed methods exploration of carer experience and level of burden
Disability and Rehabilitation, Volume 0, Issue 0, Page 1-11, Early Online.
Source: http://informahealthcare.com/doi/abs/10.3109/09638288.2012.717576?ai=1lir&mi=3s94u5&af=R
Work-ability assessment in young adults with disabilities applying for disability benefits
Disability and Rehabilitation, Volume 0, Issue 0, Page 1-8, Early Online.
Source: http://informahealthcare.com/doi/abs/10.3109/09638288.2012.702846?ai=1lir&mi=3s94u5&af=R
Lung cancer, small cell
Definition
Small cell lung cancer is a disease in which the cells
of the lung tissues grow uncontrollably and form tumors.
Description
Lung cancer is divided into two main types: small cell and non-small cell. Small cell lung cancer is the least common of the two, accounting for only about 20% of all lung cancers. In the past, the disease was called oat cell cancer because, when viewed under a microscope, the cancer cells resemble oats. This type of lung cancer grows quickly and is more likely to spread to other organs in the body.
Small cell lung cancer is a disease in which the cells
of the lung tissues grow uncontrollably and form tumors.
Description
Lung cancer is divided into two main types: small cell and non-small cell. Small cell lung cancer is the least common of the two, accounting for only about 20% of all lung cancers. In the past, the disease was called oat cell cancer because, when viewed under a microscope, the cancer cells resemble oats. This type of lung cancer grows quickly and is more likely to spread to other organs in the body.
Source: http://www.health.am/diseases/more/lung_cancer_small_cell/
Addressing the barriers to accessing therapy services in rural and remote areas
Disability and Rehabilitation, Volume 0, Issue 0, Page 1-7, Early Online.
Source: http://informahealthcare.com/doi/abs/10.3109/09638288.2012.720346?ai=1lir&mi=3s94u5&af=R
Canadian scientists discover cause of high cholesterol
Canadian scientists have discovered that a protein called resistin, secreted by fat tissue, causes high levels of “bad” cholesterol (low-density lipoprotein or LDL), increasing the risk of heart disease.
The research, presented today at the Canadian Cardiovascular Congress, proves that resistin increases the production of LDL in human liver cells and also degrades LDL receptors in the liver. As a result, the liver is less able to clear “bad” cholesterol from the body. Resistin accelerates the accumulation of LDL in arteries, increasing the risk of heart disease.
The research also shows that resistin adversely impacts the effects of statins, the main cholesterol-reducing drug used in the treatment and prevention of cardiovascular disease.
Dr. Shirya Rashid - senior author of the study and assistant professor in the department of medicine at McMaster University — notes that a staggering 40 per cent of people taking statins are resistant to their impact on lowering blood LDL.
The research, presented today at the Canadian Cardiovascular Congress, proves that resistin increases the production of LDL in human liver cells and also degrades LDL receptors in the liver. As a result, the liver is less able to clear “bad” cholesterol from the body. Resistin accelerates the accumulation of LDL in arteries, increasing the risk of heart disease.
The research also shows that resistin adversely impacts the effects of statins, the main cholesterol-reducing drug used in the treatment and prevention of cardiovascular disease.
Dr. Shirya Rashid - senior author of the study and assistant professor in the department of medicine at McMaster University — notes that a staggering 40 per cent of people taking statins are resistant to their impact on lowering blood LDL.
Source: http://www.health.am/cholesterol/more/discover-cause-of-high-cholesterol/
Martes, Enero 8, 2013
Long-Term Salty Diets Tied Again to High Blood Pressure
Indulging in a bag of chips or munching a handful of nuts now and then isn’t likely to hurt you in the short run, but regularly chowing down on salty foods over several years may damage your blood vessels and lead to high blood pressure, a new study finds.
Researchers reporting in the June 18 online edition of Circulation said that eating too much salt over time may affect the lining of blood vessels, increasing the likelihood of developing high blood pressure.
“This study reinforces guidelines backed by the American Heart Association and other professional organizations that recommend reducing salt consumption to reduce your risk of developing high blood pressure,” said Dr. John Forman, lead author of the study and assistant professor of medicine at Harvard Medical School in Boston.
High blood pressure, also called hypertension, can contribute to heart failure, stroke and kidney failure.
Researchers reporting in the June 18 online edition of Circulation said that eating too much salt over time may affect the lining of blood vessels, increasing the likelihood of developing high blood pressure.
“This study reinforces guidelines backed by the American Heart Association and other professional organizations that recommend reducing salt consumption to reduce your risk of developing high blood pressure,” said Dr. John Forman, lead author of the study and assistant professor of medicine at Harvard Medical School in Boston.
High blood pressure, also called hypertension, can contribute to heart failure, stroke and kidney failure.
Source: http://www.health.am/hypertension/more/salty-diets-tied-again-to-high-blood-pressure/
Changes in Hospitalization, Physician Visits, and Self-Reported Fitness After Spinal Cord Injury: A Cross-Sequential Analysis of Age, Years Since Injury, and Age at Injury Onset
January 2013
Publication year: 2013
Source:Archives of Physical Medicine and Rehabilitation, Volume 94, Issue 1
Objective To identify changes in hospitalizations, days hospitalized, nonroutine physician visits, and self-reported fitness over 4 measurements separated by 4- to 5-year intervals among participants with spinal cord injury (SCI), while testing for the effects of age, time since injury, and age at injury onset. Design A mixed model was used to analyze the cross-sequential data that include cross-sectional and longitudinal elements. The data were collected in 1993, 1998, 2003, and 2008. Setting Data were collected at 2 Midwestern hospitals and a Southeastern specialty hospital in the United States. Participants Adult participants (N=1032) with SCI of at least 1-year duration who participated during at least 1 of 4 times of measurement dating back to 1993. Of these, 463 participated on all 4 occasions. Interventions Not applicable. Main Outcome Measures The outcome measures were 3 indicators of medical treatments—hospitalization, days hospitalized, and nonroutine physician visits. A fourth outcome was self-reported fitness. Results Results of the growth model indicated some limited cohort effects for chronologic age, years since injury, and age at injury onset at baseline. However, significant time effects were observed for each of the health indices, with hospitalizations and physician visits increasing and self-reported fitness decreasing. Significant cohort by time interactions were observed for both number of hospitalizations and days hospitalized with years postinjury and chronologic age. Conclusions The natural course of change in the health indices was in the direction of a greater need for treatment and reduced fitness over time. Aging effects, as defined by cohort by time interactions, indicated the greater need for hospitalization increased over time at a greater rate for those with more years postinjury and of older ages.
Publication year: 2013
Source:Archives of Physical Medicine and Rehabilitation, Volume 94, Issue 1
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