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Condition: Disability

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Staff Perceptions of Key Factors Guiding Nursing Home Search and Selection Within the Veterans Health Administration.
This study identified VA staff perceptions of the key factors influencing the search and selection of NHs within the Veterans Health Administration (VHA). Research Design and Methods: Data derived from 35 semistructured interviews with discharge planning and contracting staff from 12 Veterans Affairs Medical Centers (VAMCs). Results: VA staff placed a premium on Veteran and family preferences in the NH selection process, though VA staff knowledge and familiarity with placement options established the general parameters within which NH placement decisions were made. Geographic proximity to Veterans' homes and fami...
Source: The Gerontologist - June 21, 2017 Category: Geriatrics Authors: Miller EA, Gidmark S, Gadbois E, Rudolph JL, Intrator O Tags: Gerontologist Source Type: research

Peripheral Vascular Disease: The Beneficial Effect of Exercise in Peripheral Vascular Diseases Based on Clinical Trials.
Authors: Elnady BM, Saeed A Abstract Intermittent claudication (IC) due to peripheral artery diseases (PAD) is one of the disabling disease that can affect quality of life (QOL) and functional status of capacity. It is characterized by cramping pain which develops with exercise and eliminated by rest secondary to decrease blood flow to the muscles. The annual incidence rate is increased with age. Exercise rehabilitation has a great impact in improving the functional capacity and prevent the functional disability. The available evidences from current studies have showed that exercise therapy is considered the primar...
Source: Advances in Experimental Medicine and Biology - November 5, 2017 Category: Research Tags: Adv Exp Med Biol Source Type: research

Management of Major Vascular Injuries: Neck, Extremities, and Other Things that Bleed.
Abstract Vascular injuries represent a significant burden of mortality and disability. Blunt injuries to the neck vessels can present with signs of stroke either immediately or in a delayed fashion. Most injuries are detected with computed tomography angiography and managed with either antiplatelet medications or anticoagulation. In contrast, patients with penetrating injuries to the neck vessels require airway management, hemorrhage control, and damage control resuscitation before surgical repair. The keys to diagnosis and management of peripheral vascular injury include early recognition of the injury; hemorrhag...
Source: The Medical Clinics of North America - November 15, 2017 Category: General Medicine Authors: Evans C, Chaplin T, Zelt D Tags: Emerg Med Clin North Am Source Type: research

Ankylosing spondylitis, chronic fatigue and depression improved after stromal vascular fraction treatment for osteoarthritis: a case report
ConclusionsOur patient showed dramatic improvements to her quality of life and symptoms of osteoarthritis were reduced. Interestingly, along with improvements in her knee and hips her other comorbidities such as ankylosing spondylitis, depression, anxiety, and fatigue exhibited marked improvement. She ceased the use of a wheelchair and walking support and, with increased mobility, had gained independence. These findings are suggestive of the therapeutic effects of stromal vascular fraction.
Source: Journal of Medical Case Reports - August 29, 2018 Category: General Medicine Source Type: research

Perioperative Invasive Vascular Catheterization Associated With Increased Risk of Postoperative Infection in Lumbar Spine Surgery: An Analysis of 114,259 Patient Records
Conclusions: Perioperative invasive vascular catheterization was significantly associated with an increased the risk of postoperative infections in lumbar spine surgery, independent of a patient’s concomitant comorbidities. Therefore, in patients with an indication for invasive catheterization, surgeons should consider risks and benefits of surgery carefully. Level of Evidence: Level III.
Source: Journal of Spinal Disorders and Techniques - March 29, 2019 Category: Surgery Tags: PRIMARY RESEARCH Source Type: research

Avoiding, diagnosing and treating well leg compartment syndrome after pelvic surgery.
CONCLUSION: All surgeons who carry out abdominopelvic surgical procedures should be aware of well leg compartment syndrome, and instigate policies within their own institution to reduce the risk of this potentially life-changing complication. PMID: 31304580 [PubMed - in process]
Source: The British Journal of Surgery - July 19, 2019 Category: Surgery Authors: Gill M, Fligelstone L, Keating J, Jayne DG, Renton S, Shearman CP, Carlson GL, Association of Coloproctology of Great Britain and Ireland, the Vascular Society of Great Britain and Ireland, the British Orthopaedic Association and the British Association o Tags: Br J Surg Source Type: research

Staying in the Race: Counselor Visits and Job Search Confidence Among People With Disabilities
In this study, clients described their employment barriers (disability, education, and work history) and then reported their job search confidence 3 times at 6 ‐month intervals. Their employment support agency provided information about the support (counseling visits, support hours, and financial resources) it delivered. Clients with more disabilities and education barriers experienced declines in job search confidence unless they received intensive leve ls of employment counseling. Three visits to a counselor maintained client confidence, and confidence improved only after 18 visits. Other service intensity indicators (...
Source: Journal of Employment Counseling - September 1, 2019 Category: Psychiatry & Psychology Authors: Elizabeth Hemphill, Carol T. Kulik Tags: Original Article Source Type: research

5-Hydroxymethylcytosines in Circulating Cell-Free DNA Reveal Vascular Complications of Type 2 Diabetes Molecular Diagnostics and Genetics
CONCLUSIONS: The 5hmC markers in cfDNA reflected the epigenetic changes in patients with T2D who developed macrovascular/microvascular complications. The 5hmC-Seal assay has the potential to be a clinically convenient, noninvasive approach that can be applied in the clinic to monitor the presence and severity of diabetic vascular complications.
Source: Clinical Chemistry - October 28, 2019 Category: Chemistry Authors: Yang, Y., Zeng, C., Lu, X., Song, Y., Nie, J., Ran, R., Zhang, Z., He, C., Zhang, W., Liu, S.-M. Tags: Molecular Diagnostics and Genetics Source Type: research

Adipose tissue derived stromal vascular fraction as an adjuvant therapy in stroke rehabilitation: Case reports
Introduction: Stroke often causes residual hemiparesis, and upper extremity motor impairment is usually more disabling than lower extremity in those who are suffering from post-stroke hemiparesis. Cell therapy is one of the promising therapies to reduce post-stroke disability. Patient concerns: Three male participants were included in the study to investigate the feasibility and tolerability of autologous adipose tissue derived stromal vascular fraction. Diagnosis: All participants had hemiparesis after 1st-ever stroke longer than 6 months previously. Interventions: Under general anesthesia, liposuction of abdom...
Source: Medicine - August 21, 2020 Category: Internal Medicine Tags: Research Article: Clinical Case Report Source Type: research

In search of Kipling's six honest serving men in upper limb rehabilitation: within participant case-crossover experiment nested within a web-based questionnaire.
CONCLUSION: We need to develop an evidence base concerning Kipling's six honest serving men and equip clinicians with clinical decision-making skills aligned with this focus. IMPLICATIONS FOR REHABILITATION Most clinicians did not have access to a protocol / clinical pathway which defines when, how much and what upper limb therapy to provide after stroke, which may be improved by providing individual clinicians with organisational support to make therapy decisions. To improve the personalisation of upper limb rehabilitation in clinical practice, we need to understand when and where after stroke to begin therapy, how much a...
Source: Disability and Rehabilitation - September 21, 2020 Category: Rehabilitation Authors: Hayward KS, Jolliffe L, Churilov L, Herrmann A, Cloud GC, Lannin NA Tags: Disabil Rehabil Source Type: research

Experimental Rodent Models of Vascular Dementia: A Systematic Review.
Abstract Vascular dementia (VaD) occurs due to cerebrovascular insufficiency, which leads to decreased blood circulation to the brain, thereby resulting in mental disabilities. The main causes of vascular cognitive impairment (VCI) are severe hypoperfusion, stroke, hypertension, large vessel disease (cortical), small vessel disease (subcortical VaD), strategic infarct, hemorrhage (microbleed), cerebral autosomal dominant arteriopathy with subcortical infarcts and leukoencephalopathy (CADASIL), and cerebral amyloid angiopathy (CAA),which leads to decreased cerebrovascular perfusion. Many metabolic disorders such as...
Source: CNS and Neurological Disorders Drug Targets - January 8, 2021 Category: Drugs & Pharmacology Authors: Tiwari N, Upadhyay J, Ansari MN, Raza SS, Ahmad W, Ansari MA Tags: CNS Neurol Disord Drug Targets Source Type: research

The Therapeutic Odyssey: Positioning Genomic Sequencing in the Search for a Child's Best Possible Life
Conclusions: For the parents of children with IDD, the search for a genetic diagnosis is best conceptualized as a part of parents' ongoing efforts to leverage various diagnoses to obtain educational and therapeutic services for their children. Cleaving parents' search for a genetic diagnosis from these broader efforts obscures the value that some parents place on a sequencing result in finding and tailoring therapies and services beyond the clinic. Interviews with parents reveal, therefore, that genomic sequencing is best understood as one important stage of an ongoing therapeutic odyssey that largely takes place outside t...
Source: AJOB Primary Research - April 12, 2021 Category: Medical Ethics Authors: Janet Elizabeth Childerhose Carla Rich Kelly M East Whitley V Kelley Shirley Simmons Candice R Finnila Kevin Bowling Michelle Amaral Susan M Hiatt Michelle Thompson David E Gray James M J Lawlor Richard M Myers Gregory S Barsh Edward J Lose Martina E Bebi Source Type: research