2,476 research outputs found
Exercise rehabilitation for recovery from critical illness (Protocol)
Queen Margaret University, Edinburgh, UK.
As part of an ongoing research education programme.This is the protocol for a review and there is no abstract. The objectives are as follows:
The objective of this systematic review is to assess the effectiveness of exercise rehabilitation programmes, initiated after ICU discharge, on improving functional exercise capacity and quality of life in adult ICU survivors who have been mechanically ventilated for more than 24 hours.
We will compare an exercise intervention to any other intervention or a control or 'usual care' programme. Exercise includes any structured or taught programmes. Respiratory or inspiratory muscle training is excluded due to it being initiated within the ICU environment, for example with weaning from a ventilator, and not as post-discharge rehabilitation as required for this review.sch_phyAngus 1997
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Angus 2003
Angus DC, Carlet J, Brussels Roundtable 2002 Participants.
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[PUBMED: 12536269 ]
Baumgartner 1999
Baumgartner WA,Walinsky PL, Salazar JD, Tseng EE, Brock MV,
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Chaboyer 2003
Chaboyer W, Grace J. Following the path of ICU survivors: a
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Eddleston 2000
Eddleston J, White P, Guthrie E. Survival, morbidity, and quality of
life after discharge from intensive care. Critical Care Medicine 2000;
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Elliott D, McKinley S, Alison J, Aitken L, King M. Study protocol:
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Frank M, Schlapfer H, Otte B, Yasikoff N, Conzelmann M. Results
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Gill TM, Baker DI, Gottschalk M, Peduzzi PN, Allore H, Byers A.
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Higgins 2008
Higgins JPT, Green S, editors. Cochrane Handbook for Systematic
Reviews of Interventions Version 5.0.1 [updated September 2008].
Available from www.cochrane-handbook.org: The Cochrane
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Iversen MD, Fossel AH, Katz JN. Enhancing function in older
adults with chronic low back pain: a pilot study of endurance
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Jolliffe J, Rees K, Taylor RRS, Thompson DR, Oldridge N,
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Lavie 2009
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Mazzeo RS, Tanaka H. Exercise prescription for the elderly: current
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Schweickert WD, Pohlman MC, Pohlman AS, Nigos C, Pawlik AJ,
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Smith TP, Kennedy SL, Smith M, Orent S, Fleshner M.
Physiological improvements and health benefits during an exercisebased
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Storch EK, Kruszynski DM. From rehabilitation to optimal
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Wiles L, Stiller K. Passive limb movements for patients in an
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19819105]
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[PUBMED: 10894639]
Indicates the major publication for the study8pub1756pubArt.
Happiness is more a cause than a consequence of career success
Is happiness a consequence or a cause of career success? Lisa C. Walsh, Julia K. Boehm, and Sonja Lyubomirsky find evidence to the latter. However, they warn that hiring visibly cheerful people or pressuring employees to act happy is not the soultion: employers should instead create environments that authentically increase workers' happiness
The Grizzly, February 18, 2010
Every Ending Starts with a Beginning • Record-Breaking Blizzard Evokes Varied Reactions • Could Watching the Super Bowl Damage Your Heart? • Snow Storm Photos • Senior Class Gift Drive • SPINTfest \u2710 Brings New Themes for Houses • UC Goes Red to Raise Awareness About the Risks of Heart Disease • Opinion: Teenage Pregnancy TV Shows are a Big Hit, But What\u27s the Effect? • Tragedy Strikes in Early Hours of Winter Olympics • Men\u27s Basketball Shuts Down McDanielhttps://digitalcommons.ursinus.edu/grizzlynews/1806/thumbnail.jp
Compassion, stigma, and professionalism among emergency personnel responding to the opioid crisis: An exploratory study in New Hampshire, USA.
OBJECTIVE: Drug overdoses are the leading cause of death in the United States for those under 50 years of age, and New Hampshire has been disproportionately affected, resulting in increased encounters with the emergency response system. The ensuing impact on emergency personnel has received little attention. The present study aimed to explore the experiences and perspectives of emergency personnel responding to the opioid crisis in NH, with a focus on their views toward people who use opioids. METHODS: Thirty-six emergency personnel (emergency department clinicians, n = 18; emergency medical service providers, n = 6; firefighters, n = 6; and police officers, n = 6) in 6 New Hampshire counties were interviewed about their experiences responding to overdoses and their perspectives on individuals who use opioids. Directed content analysis was used to identify themes in the transcribed, semistructured interviews. The results were reviewed for consensus. RESULTS: Several categories of themes were identified among emergency personnel's accounts of their overdose response experiences and perspectives, including varied degrees of compassion and stigma toward people who use opioids; associations between compassion or stigma and policy- and practice-related themes, such as prehospital emergency care and the role of emergency departments (EDs); and primarily among personnel expressing compassion, a sense of professional responsibility that outweighed personal biases. CONCLUSIONS: Despite the magnitude of the ongoing opioid crisis, some emergency personnel in New Hampshire have sustained or increased their compassion for people who use opioids. Others' perspectives remain or have become increasingly stigmatizing. The associations of compassion and stigma with various policy- and practice-related themes warrant further investigation
“It’s way more than just writing a prescription”: A qualitative study of preferences for integrated versus non-integrated treatment models among individuals with opioid use disorder
Background: Increasingly, treatment for opioid use disorder (OUD) is offered in integrated treatment models addressing both substance use and other health conditions within the same system. This often includes offering medications for OUD in general medical settings. It remains uncertain whether integrated OUD treatment models are preferred to non-integrated models, where treatment is provided within a distinct treatment system. This study aimed to explore preferences for integrated versus non-integrated treatment models among people with OUD and examine what factors may influence preferences. Methods: This qualitative study recruited participants (n = 40) through Craigslist advertisements and flyers posted in treatment programs across the United States. Participants were 18 years of age or older and scored a two or higher on the heroin or opioid pain reliever sections of the Tobacco, Alcohol, Prescription Medications, and Other Substances (TAPS) Tool. Each participant completed a demographic survey and a telephone interview. The interviews were coded and content analyzed. Results: While some participants preferred receiving OUD treatment from an integrated model in a general medical setting, the majority preferred non-integrated models. Some participants preferred integrated models in theory but expressed concerns about stigma and a lack of psychosocial services. Tradeoffs between integrated and non-integrated models were centered around patient values (desire for anonymity and personalization, fear of consequences), the characteristics of the provider and setting (convenience, perceived treatment effectiveness, access to services), and the patient-provider relationship (disclosure, trust, comfort, stigma). Conclusions: Among this sample of primarily White adults, preferences for non-integrated versus integrated OUD treatment were mixed. Perceived benefits of integrated models included convenience, potential for treatment personalization, and opportunity to extend established relationships with medical providers. Recommendations to make integrated treatment more patient-centered include facilitating access to psychosocial services, educating patients on privacy, individualizing treatment, and prioritizing the patient-provider relationship. This sample included very few minorities and thus findings may not be fully generalizable to the larger population of persons with OUD. Nonetheless, results suggest a need for expansion of both OUD treatment in specialty and general medical settings to ensure access to preferred treatment for all
It\u27s way more than just writing a prescription : A qualitative study of preferences for integrated versus non-integrated treatment models among individuals with opioid use disorder
BACKGROUND: Increasingly, treatment for opioid use disorder (OUD) is offered in integrated treatment models addressing both substance use and other health conditions within the same system. This often includes offering medications for OUD in general medical settings. It remains uncertain whether integrated OUD treatment models are preferred to non-integrated models, where treatment is provided within a distinct treatment system. This study aimed to explore preferences for integrated versus non-integrated treatment models among people with OUD and examine what factors may influence preferences.
METHODS: This qualitative study recruited participants (n = 40) through Craigslist advertisements and flyers posted in treatment programs across the United States. Participants were 18 years of age or older and scored a two or higher on the heroin or opioid pain reliever sections of the Tobacco, Alcohol, Prescription Medications, and Other Substances (TAPS) Tool. Each participant completed a demographic survey and a telephone interview. The interviews were coded and content analyzed.
RESULTS: While some participants preferred receiving OUD treatment from an integrated model in a general medical setting, the majority preferred non-integrated models. Some participants preferred integrated models in theory but expressed concerns about stigma and a lack of psychosocial services. Tradeoffs between integrated and non-integrated models were centered around patient values (desire for anonymity and personalization, fear of consequences), the characteristics of the provider and setting (convenience, perceived treatment effectiveness, access to services), and the patient-provider relationship (disclosure, trust, comfort, stigma).
CONCLUSIONS: Among this sample of primarily White adults, preferences for non-integrated versus integrated OUD treatment were mixed. Perceived benefits of integrated models included convenience, potential for treatment personalization, and opportunity to extend established relationships with medical providers. Recommendations to make integrated treatment more patient-centered include facilitating access to psychosocial services, educating patients on privacy, individualizing treatment, and prioritizing the patient-provider relationship. This sample included very few minorities and thus findings may not be fully generalizable to the larger population of persons with OUD. Nonetheless, results suggest a need for expansion of both OUD treatment in specialty and general medical settings to ensure access to preferred treatment for all
Editorial: The good side of technology: how we can harness the positive potential of digital technology to maximize well-being
The rapid advancement of digital technology has transformed society and undeniably impacted wellbeing. With the advent of smartphones and social media, a host of empirical articles, popular press pieces, non-fiction books, and documentaries have highlighted the potential negative effects of technology, such as addiction, loneliness, and depression (e.g., Alter, 2017; Twenge et al., 2018; Orlowski, 2020). While it is important to acknowledge and address the potentially detrimental effects of this increasing technological reliance, we believe that it is imperative that researchers, developers, and users embrace a more balanced approach that also recognizes the positive potential of digital technology to support wellbeing. This Research Topic demonstrates a variety of ways in which technological tools can be both designed and used to maximize wellbeing across a range of domains. These studies collectively emphasize a critical message: for the most part technology itself is neither good nor bad, but how technological affordances are harnessed determines their impact on wellbeing. While we cannot ignore potential pitfalls, recognizing and leveraging the positive potential of digital technology is a paramount endeavor as technology becomes further integrated in our lives
Screening children with a history of maltreatment for PTSD in frontline social Care organisations:An explorative study
The Grizzly, April 14, 2011
Ursinus Enjoys Sixth Annual CoSA Event • Students Participate in 30 Hour Famine • Haverford Professor Guest Lectures on Physics Theory • Dr. Ruth Rosenberg Speaks on Holocaust Remembrance • Ursinus Welcomes Patti Smith • Tips on Surviving and Salvaging Bad Internships • Hypnotist Brings Laughs • How to Avoid Allergy Season • Linking Up with LinkedIn • Internship Spotlight: Lindsay Budnick • Opinions: Response to Article Segregation in the 21st Century ; Verizon\u27s DroidX-R2D2 has Cool Features But is Not for Me; President Obama Sends CIA Agents to Libya • How Far Ursinus Goes to Keep Students Safe on Main Street • New Coach and New Outlook Lead UC Softball • Gymnasts Named All-Americans at Championshipshttps://digitalcommons.ursinus.edu/grizzlynews/1834/thumbnail.jp
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