Current Issue : January - March Volume : 2019 Issue Number : 1 Articles : 5 Articles
not available...
Background: Delirium is one of the most common medical emergencies and\nis associated with poor outcomes including: mortality, prolonged length of\nstay and poor functional outcome. The more severe delirium is the worst the\nclinical outcomes of medical illness. Despite the obvious, not much has been\ndocumented on delirium severity and its associated factors among medical\ninpatients in low income countries including Nigeria. Objectives: This study\nwas conducted to examine the severity of delirium among medical inpatients\nadmitted through the Accident and Emergency unit of Jos University Teaching\nHospital as well as to assess its associated Sociodemographic and Clinical\ncharacteristics. Method: This was a cross-sectional study that employed a\nconsecutive sampling technique to select 290 eligible subjects from medical\ninpatients that presented to Accident and Emergency unit of Jos University\nTeaching Hospital. On admission, patients were assessed for delirium using\nConfusion Assessment Method and severity of delirium was evaluated using\nDelirium Rating Scale-Revised-98. Results: Of the 105 delirious medical inpatients,\n48 (45.7%) had severe delirium, 41 (39.1%) developed less severe delirium\nwhile 16 (15.2) presented with no severe delirium. Sociodemographic\ncharacteristics found to be significantly associated with less to more severe\ndelirium include male gender (P = 0.001), nonprofessionals (P = 0.003), income\nrange of N20,000 - N49,000 (P < 0.001) and being married (P = 0.022).\nHowever, prior cognitive impairment was found to be significantly associated\nwith severe delirium (P < 0.001). Conclusion: This study demonstrates that\ndelirium is often associated with higher severity in Accident and Emergency unit admission and there are strongly associated clinical characteristics to\nwatch out for in high risk medical inpatients....
The Complementary and Alternative Medicine Education (EDUCAM) School of\nOsteopathy, following the earthquake that occurred in Amatrice-Italy on\nAugust 24th 2016, promoted the project â??Una mano per la saluteâ? [One hand\nfor health], aimed at giving therapeutic support to the population affected by\nthis cataclysm. A review of the literature in the osteopathic field has been\nperformed to identify a more functional approach to quickly relieve the inhabitants\nfrom the shock they suffered, and to identify the techniques with\ngreater effectiveness on the stress axis. The protocol of ten chosen techniques\nwill then be verified later in a pilot study, to check whether and how a protocol\nof osteopathic manipulative treatment (OMT) might play a clinically relevant\nrole in the management of subjects exposed to extraordinary exogenous\nstress and post-traumatic stress disorder (PTSD) prevention, in addition\nto the psychological therapy treatments in use today....
Background: Bystander cardiopulmonary resuscitation (CPR) is a vital element\nof patient survival. Therefore, the aim of the present study was to assess\nsources of knowledge about CPR and its association with demographical\ncharacteristics in Saudi Arabia. Methodology: Data about CPR were obtained\nfrom 440 Saudi volunteers living in the city of Hail, Northern Saudi Arabia.\nResults: Out of the 440 study subjects, 257/440 (58.4%) individuals were\nfound to know about CPR. Out of 257 individuals, 154/257 (60%) were males\nand 103/257 (40%) were females. Conclusion: The level of awareness toward\nCPR in general population of Northern Saudi Arabia, which requires more\nefforts at community basis. The most effective source for raising awareness is\nthe appropriate utility of social media, as well as, implementing sustainable\nprogram for delivering CPR training courses evolving all community settings....
The purpose of this study was to demonstrate an application of Rasch analysis\nto identify differences in disability profiles resulting from traumatic brain injury\n(TBI) and cerebral vascular accident (CVA) and to examine outcome\ndifferences between the two groups following post-hospital residential rehabilitation.\nParticipant data were collected from 32 facilities in 16 states. From\n2990 neurologically impaired individuals with consecutive admissions from\n2011 through 2017, 874 met inclusion criteria: TBI (n = 687) or CVA (n =\n187), 18 years or older, minimum length of stay of one month, and maximum\nchronicity of 1 year. Participants were evaluated at admission and discharge\non the Mayo Portland Adaptability Inventory-Version 4 (MPAI-4). Rasch\nanalysis was performed to establish item reliability, construct validity and\nitem difficulty. A Repeated Measures Multivariate Analysis of Covariance\n(RM MANCOVA) determined group differences and improvement from\nadmission and discharge. Rasch Analysis demonstrated satisfactory construct\nvalidity and internal consistency (Person reliability > 0.90, Item reliability >\n0.98 for admission and discharge MPAI-4s). Both groups showed significant\nimprovement on the MPAI-4 (p < 0.0005). The TBI group was more impaired\non the adjustment scale at both admission and discharge (p < 0.001).\nRasch analysis identified two distinct impairment patterns. CVA participants\nexhibited deficits characteristic of focal impairment while the TBI group presented\nwith deficits reflective of diffuse impairment. Rehabilitation was\nshown to be beneficial in reducing disability following neurologic injury in\nboth groups. Importantly, Rasch Analysis accurately produced unique disability\nprofiles that differentiated the treatment groups. This unique statistical technique offers a promising prescriptive hierarchical model for guiding\nneurological rehabilitation treatment....
Loading....