Magnitude and meaningfulness of change in SF-36 scores in four types of orthopedic surgery-0

VT = Vitality, SF = Social Functioning, RE = Role Emotional, MH = Mental Health.<p><b>Copyright information:</b></p><p>Taken from "Magnitude and meaningfulness of change in SF-36 scores in four types of orthopedic surgery"</p><p>http://www.hqlo.com/content/6/1/55</p><p>Health and Quality of Life Outcomes 2008;6():55-55.</p><p>Published online 31 Jul 2008</p><p>PMCID:PMC2527304.</p><p></p

“MOONSTROKE”: Lunar patterns of stroke occurrence combined with circadian and seasonal rhythmicity—A hospital based study

<div><p>Both time of the day and season have been shown to have a significant effect on stroke incidence. In contrast, the role played by the moon has been little studied. We aimed to investigate the potential association of the lunar phase with the incidence of stroke subtypes [intracerebral hemorrhage (ICH), transient ischemic attack (TIA) and ischemic stroke (IS)], adjusted by circadian and seasonal variations. Consecutive stroke admissions to the Royal Melbourne Hospital (RMH) were analyzed from 2004–2011. Of 6252 patients, 4085 (65.3%) had confirmed dates and hour of the day. Of these, 632 (15.5%) had ICH, 658 (16.1%) presented with TIA and 2202 (53.9%) had IS. There were also 593 (14.5%) stroke mimics. We measured the association of stroke incidence with a particular lunar phase using an incidence rate ratio (IRR) with 95% confidence intervals (CI) using Poisson regression model (new moon set as reference). Compared with new moon phase, ICHs occurred significantly more during the first quarter (IRR, 1.55; 95%CI, 1.04 to 2.30; <i>p</i> = 0.03). More TIAs were observed during the first quarter and full moon than in new moon (IRR, 1.69; 95%CI, 1.16 to 2.46; <i>p</i> = 0.01; IRR, 1.52; 95%CI, 0.00 to 2.31; <i>p</i> = 0.05; respectively). Both ICH and TIA occurrence slightly decreased as lunar illumination increased (IRR, 0.99; 95%CI, 0.99 to 1.00; <i>p</i> = 0.01; IRR, 0.99; 95%CI, 0.99 to 1.00; <i>p</i> = 0.04; respectively). No association was found between lunar phase or illumination and IS. All stroke subtypes were less likely to happen between 12AM and 6AM than the remaining 18 h of the day. IS occurrence was significantly higher during the spring than summer (IRR, 1.14; 95%CI, 1.02 to 1.28; <i>p</i> = 0.03). For the patients older than 65 years, incidence of both ICH and IS was higher in spring than in summer (IRR, 1.33; 95%CI, 1.01 to 1.74; <i>p</i> = 0.04; IRR, 1.22; 95%CI, 1.06 to 1.39; <i>p</i> = 0.005; respectively). The lunar phase and illumination are associated with both ICH and TIA incidence. These findings should be tested on other stroke databases.</p></div

Magnitude and meaningfulness of change in SF-36 scores in four types of orthopedic surgery-1

Vitality, SF = Social Functioning, RE = Role Emotional, MH = Mental Health.<p><b>Copyright information:</b></p><p>Taken from "Magnitude and meaningfulness of change in SF-36 scores in four types of orthopedic surgery"</p><p>http://www.hqlo.com/content/6/1/55</p><p>Health and Quality of Life Outcomes 2008;6():55-55.</p><p>Published online 31 Jul 2008</p><p>PMCID:PMC2527304.</p><p></p

Magnitude and meaningfulness of change in SF-36 scores in four types of orthopedic surgery-2

VT = Vitality, SF = Social Functioning, RE = Role Emotional, MH = Mental Health.<p><b>Copyright information:</b></p><p>Taken from "Magnitude and meaningfulness of change in SF-36 scores in four types of orthopedic surgery"</p><p>http://www.hqlo.com/content/6/1/55</p><p>Health and Quality of Life Outcomes 2008;6():55-55.</p><p>Published online 31 Jul 2008</p><p>PMCID:PMC2527304.</p><p></p

Additional file 1 of A cluster randomised trial of the program to enhance adjustment to residential living (PEARL): a novel psychological intervention to reduce depression in newly admitted aged care residents

Additional file 1. Scales designed specifically for this study. List of items in three scales were designed specifically for this trial: Meaningful Activity in Residential Care, Importance of Basic Needs, View of Relocation Scale

Additional file 2 of A cluster randomised trial of the program to enhance adjustment to residential living (PEARL): a novel psychological intervention to reduce depression in newly admitted aged care residents

Additional file 2. SPIRIT 2013 Checklist. Completed the following checklist: Standard Protocol Items: Recommendations for Interventional Trials (SPIRIT) 2013

Using falls data to identify patterns in the environment and circumstances of injurious falls among older community-dwelling women

Using falls data to identify patterns in the environment and circumstances of injurious falls among older community-dwelling wome

Effect of Dual-Task Functional Power and Mobility Training on Falls and Physical Function in Older People Living in Retirement Villages: A Cluster Randomised Controlled Trial

Effect of Dual-Task Functional Power and Mobility Training on Falls and Physical Function in Older People Living in Retirement Villages: A Cluster Randomised Controlled Tria

Consumer Directed Care in residential aged care: Evaluation of the Resident at the Centre of Care training program

The 2012 Living Longer Living Better aged care reforms impacted significantly on aged care service delivery for Australians. These reforms encouraged a sector-wide shift to a more person-centred approach emphasising consumer choice and wellbeing. The introduction of Consumer Directed Care (CDC) in aged care homes requires providers to more comprehensively meet the often-complex individual care needs of each care recipient, substantial regulatory burden, and mounting consumer expectations, including residents’ demands for more care choice, and to be treated with greater dignity, autonomy and independence. National and international examples of CDC in aged care homes are limited, with the majority of studies exploring CDC delivery in community aged care (Benjamin, 2001; Eustis, 2000). While some person-centred approaches have been evaluated in the Australian aged care context (Chenoweth et al., 2015; Stein-Parbury et al., 2012), with some positive outcomes, staff training programs where staff are trained to ensure that decision making about care is directed by the resident (i.e. CDC), have not been evaluated in aged care homes. Our project was designed to rectify this gap in knowledge by providing an innovative approach for CDC implementation in Australian aged care homes. Our research (e.g. McCabe et al., 2017) and that of others has identified a range of critical factors for sustainable evidence-based change in aged care practices. Difficulties associated with implementing a resident-directed approach include the lack of staff empowerment to handle the shift towards CDC philosophy, job restructuring, resistance to change, and the need for strong leadership. There is a pressing need for workforce training to implement CDC approaches that include appropriate attention to change management, leadership strategies and the working relationship between carers and carerecipients. Our Resident at the Centre of Care (RCC) training program was developed to address these critical factors in order to drive real and sustainable change towards implementing and embedding CDC in residential aged care

Correlates and motives of pre-drinking with intoxication and harm around licensed venues in two cities

Introduction and Aims: The study investigates the prevalence of pre-drinking culture in the night-time economy (NTE) and its impact upon intoxication and alcohol-related harm and violence experienced by patrons. Design and Methods: Cross-sectional surveys were conducted in and around licensed venues in Newcastle (NSW) and Geelong (Victoria) during peak trading hours (typically 9pm–1am). Participants completed a five minute structured interview which targeted: demographics, past and planned movements on the survey night, safety/experience of harm, and patron intoxication. 3949 people agreed to be interviewed, a response rate of 90.7%. Around half (54.9%) of interviewees were male and mean age was 24.4 years (SD = 5.8). Results: 66.8% of participants reported pre-drinking prior to attending licensed venues. On a 1–10 scale measuring self-rated intoxication, pre-drinkers scored significantly higher compared to non pre-drinkers (P < 0.001). Compared to non-pre-drinkers, patrons who had consumed 6–10 standard pre-drinks were 1.5 times more likely to be involved in a violent incident in the past 12 months (OR = 1.50, 95%CI 1.03–2.19, P = 0.037) increasing to 1.8 times more likely for patrons who had 11–15 drinks (OR = 1.80, 95%CI 1.04–3.11 P = .036). Pre-drinking was also associated with both self-rated and observer-rated intoxication, as well as increased probability of illicit drug use. Amongst pre-drinkers, price was the most commonly reported motive for pre-drinking (51.8%). Discussion and Conclusions: 'Pre-drinking' was normal behaviour in the current sample and contributes significantly to the burden of harm and intoxication in the NTE. Price disparity between packaged vs. venue liquor is a key motivator for pre-drinking