Helmholtz and Goethe – Controversies at the Birth of Modern Neuroscience.
Helmholtz and Goethe – Controversies at the Birth of Modern Neuroscience.
Filed under: Rehab Centers
Eur Neurol. 2012 Dec 14; 69(3): 152-157
Kesselring J
Hermann von Helmholtz (1821-1894), a great German scientist and philosopher, made his mark during the exciting twilight period from the Enlightenment and Romanticism to the beginnings of modern neuroscience and offered new perspectives through his work. His early inclination was for physics, which he found more attractive than purely geometric and algebraic studies, but his father was not able to make it possible for him to study physics, and so he studied medicine in order to earn a living. His lecture before the Physical Society in Berlin on July 23, 1847, ‘about the conservation of the force’ marked an epochal turn, even though his intention had been to deliver ‘merely, some critical investigations and arrangement of facts in favor of the physiologists’ as well as good arguments for the refusal of the theory of ‘vitality’. Even though these new concepts were at first dismissed as fantastic speculation by some of the authorities in physics and philosophy of the day, they were enthusiastically welcomed by younger students of philosophy and the older men soon had to allow themselves to be persuaded that the effectiveness of vitality, though great and beautiful, is actually always dependent on some source of energy. Helmholtz critically assessed Goethe as a physical scientist but he did not dispute his great importance as a poet.
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Ride 2 Recovery’s Project HERO: Using cycling as part of rehabilitation.
Filed under: Rehab Centers
Phys Ther Sport. 2012 Dec 17;
Springer BA
Ride 2 Recovery was founded in 2008 by a former world-class cycling competitor and coach to enhance the physical and psychological recovery of our nation’s wounded, ill and injured service members and veterans through the sport of cycling. Ride 2 Recovery’s most notable endeavor is Project HERO (Healing Exercise Rehabilitation Opportunity) which uses staff members and volunteers to promote cycling as an integral part of rehabilitation at select military facilities to enhance physical, psychological, spiritual and social recovery. Project HERO is directed by a retired military physical therapist that spent the last decade caring for service men and women wounded in Iraq and Afghanistan. This article describes all facets of the Project HERO initiative and highlights the profound impact it has had in the lives of US military members and veterans.
HubMed – rehab
Build it and they will come: outcomes from a successful cardiac rehabilitation program at an Aboriginal Medical Service.
Filed under: Rehab Centers
Aust Health Rev. 2012 Dec 21;
Dimer L, Dowling T, Jones J, Cheetham C, Thomas T, Smith J, McManus A, Maiorana AJ
Patient-Driven Resource Planning of a Health Care Facility Evacuation.
Filed under: Rehab Centers
Prehosp Disaster Med. 2012 Dec 21; 1-7
Petinaux B, Yadav K
Introduction The evacuation of a health care facility is a complex undertaking, especially if done in an immediate fashion, ie, within minutes. Patient factors, such as continuous medical care needs, mobility, and comprehension, will affect the efficiency of the evacuation and translate into evacuation resource needs. Prior evacuation resource estimates are 30 years old. METHODS: Utilizing a cross-sectional survey of charge nurses of the clinical units in an urban, academic, adult trauma health care facility (HCF), the evacuation needs of hospitalized patients were assessed periodically over a two-year period. RESULTS: Survey data were collected on 2,050 patients. Units with patients having low continuous medical care needs during an emergency evacuation were the postpartum, psychiatry, rehabilitation medicine, surgical, and preoperative anesthesia care units, the Emergency Department, and Labor and Delivery Department (with the exception of patients in Stage II labor). Units with patients having high continuous medical care needs during an evacuation included the neonatal and adult intensive care units, special procedures unit, and operating and post-anesthesia care units. With the exception of the neonate group, 908 (47%) of the patients would be able to walk out of the facility, 492 (25.5%) would require a wheelchair, and 530 (27.5%) would require a stretcher to exit the HCF. A total of 1,639 patients (84.9%) were deemed able to comprehend the need to evacuate and to follow directions; the remainder were sedated, blind, or deaf. The charge nurses also determined that 17 (6.9%) of the 248 adult intensive care unit patients were too ill to survive an evacuation, and that in 10 (16.4%) of the 61 ongoing surgery cases, stopping the case was not considered to be safe. Conclusion Heath care facilities can utilize the results of this study to model their anticipated resource requirements for an emergency evacuation. This will permit the Incident Management Team to mobilize the necessary resources both within the facility and the community to provide for the safest evacuation of patients. Petinaux B , Yadav K . Patient-driven resource planning of a health care facility evacuation. Prehosp Disaster Med. 2013;28(2):1-7.
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Clinical standards for National Health Service wheelchair and seating services in Scotland.
Filed under: Rehab Centers
Disabil Rehabil Assist Technol. 2012 Dec 21;
Dolan MJ
Abstract Purpose: To develop rigorous clinical standards for National Health Service (NHS) wheelchair and seating services in Scotland. Method: Clinical standards and an evaluation tool were developed by a working group using a well-established methodology. The available evidence was reviewed and a person-centre, iterative, consensus decision-making approach was employed to draft the standards. A public consultation was undertaken. The draft evaluation tool was tested during pilot visits to two wheelchair and seating centres. Results: The majority of the 34 consultation responses were supportive, recognising the need to encourage and measure improvements and for a consistent approach to service delivery. Piloting found that the standards were challenging but achievable. The finalised standards and evaluation tool have been issued to health boards in Scotland. Conclusions: Following a structured, interdisciplinary and consultative process, the first clinical standards for NHS wheelchair and seating services in the Scotland were developed. They emphasise the need for an anticipatory approach, shifting from a reactive model of service delivery to a proactive one. Although developed in the Scottish policy context and service delivery model, many aspects of the standards will be applicable to services based in other parts of the UK and beyond. Implications for Rehabilitation Clinical standards should be developed and validated using established, rigorous methodology with a person-centre and consensus decision-making approach that includes public consultation and piloting. Wheelchair and seating service provision should be anticipatory and person-centre. The clinical standards and the supporting evaluation tool provide the basis for consistent, high-quality services for those individuals who require wheelchair and seating provision.
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Certified Drug Rehab in California – Susie’s story prescription drugs – Susie – Valium, Drinking and passing out at 10:00 AM being found by her 18 year old step son – Susie checks into Above it All Treatment Center near Los Angeles California
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