22 research outputs found

    The benefits of coordinated rehabilitation in the treatment of stroke patients: a literature review

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    The article reveals the features of coordinated rehabilitation – a process that leads to rehabilitating of people with neurological damage that limits their functionality. The purpose of the article is a literature review within the framework of GAJU 066/2022/S, funded by the grant agency of the South Bohemian University of Czech Budejovice, Czech Republic, examining the effectiveness of coordinated rehabilitation in patients recovering from strokes and the use of the standardized Functional Independence Measure (FIM) test to assess the patient’s condition. Data come from current Czech and foreign publications. The EDS multi-finder was used to search for literary sources. Document searches were from 2016-2022 in Czech and English. Search terms include post-stroke rehabilitationFIM, rehabilitation after stroke, neurorehabilitation, and community based rehabilitation. The start of coordinated rehabilitation of stroke patients should be timely, long-term, comprehensive, and effective, involving a multidisciplinary approach and teamwork. It is essential to develop an individual approach and create a suitable individual plan that allows the use of the FIM test. This is the only way to establish long-term and mutually beneficial cooperation. As the cost of rehabilitation increases, the financial burden on the healthcare system also increases. Caring for a stroke patient also puts various burdens on the family. Successful rehabilitation can reduce the use of costly medicines and materials and decrease the need for nursing care and the term of hospital stay. The social costs of strokes are associated with longterm dependence and a low degree of resocialization. Considering the frequency of strokes and the associated disability, there is an increasing need for coordinated services within coordinated rehabilitation. Gaps in data on coordinated stroke rehabilitation should be filled by providing necessary information about long-term participation in community-based programs

    Geochemistry, zircon U‒Pb and Hf isotopic compositions of lower crustal rocks from the Góry Sowie Massif (Central Sudetes, SW Poland): New insights on the sedimentary origin and tectono-thermal evolution

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    Devonian HP-UHP lithotectonic associations represent a pivotal element of Paleozoic evolution of the European Variscan belt across the continent from Portugal to Poland. The Góry Sowie Massif (GSM), located in the Central Sudetes, represents one of the best preserved outcrops of lower crustal rocks that experienced a protracted Devonian tectono-metamorphic history at the easternmost extremity of the belt. The area is surrounded by Devonian ophiolite remnants and Devonian to Carboniferous sedimentary basins in the northern and southern part, respectively. The GSM is mainly composed of paragneisses and subordinate orthogneisses, metabasites and granulite. The dominantly sedimentary association and the overall geotectonic setting contrast with the other km-scale granulite complexes in the Bohemian Massif that are dominated by felsic granulites and late Cambrian orthogneisses that experienced 340 Ma HP metamorphism. Weak Carboniferous overprint makes the GSM a key locality to better understand the Devonian stages of formation of HP granulites and provenance of the whole pre-Devonian lithological association. New U-Pb and Lu/Hf analyses were carried out on zircons from 4 migmatitic paragneisses, 3 felsic biotite-poor granulites and 2 biotite-rich granulites in the northern part of the GSM, and combined with geochemical analyses in order to constrain a source provenance and tectono-thermal history of the area. The paragneisses dominated by stromatic migmatite and felsic granulites occur as hundred meter-scale bodies associated with metric lenses of amphibolites, mafic and ultramafic rocks in the northern part of the massif
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