Low Admission Norton Scale Scores Are Associated With Falls Long After Rehabilitation in the Elderly With Hip Fractures.

Low admission Norton scale scores are associated with falls long after rehabilitation in the elderly with hip fractures.

Filed under: Rehab Centers

Clin Interv Aging. 2012; 7: 431-6
Halperin E, Engel T, Sherman S, Justo D

In this study, we investigated if low admission Norton scale scores (ANSS) are associated with falls, fractures, hospitalizations, and death, after rehabilitation in the elderly with hip fractures.This prospective historical study followed consecutive elderly patients (?65 years) who were admitted for rehabilitation following hip fracture surgery during 2009 and followed up in January or February 2012. The incidence of falls, number of falls, incidence of fractures, number of hospitalizations, and death rates were compared between patients with low (?14) and high (?15) ANSS.The final cohort included 174 patients of mean age 83.6 ± 6.2 years, with 133 (76.4%) being women. Fifty-seven (27.0%) patients died during follow-up. Of the remaining 127 patients, 44 (34.6%) fell at least once and 15 (11.8%) suffered fractures. Overall, 81 (46.6%) patients had a low ANSS. Relative to patients with a high ANSS, they had a higher incidence of falls (odds ratio 3.3, 95% confidence interval 1.5-7.1; P = 0.002) and fell more times (1.2 ± 1.8 versus 0.6 ± 1.7; P = 0.002). Regression analysis showed that ANSS (as a parametric variable) as well as a low ANSS (as a nonparametric variable) were independently associated with falls (P = 0.002 and P = 0.009, respectively). There were no differences between patients with low and high ANSS in terms of incidence of fractures, number of hospitalizations, and death rates.The Norton scoring system may be used for predicting falls long after rehabilitation in the elderly with hip fractures.
HubMed – rehab

 

Modeling sewage leakage to surrounding groundwater and stormwater drains.

Filed under: Rehab Centers

Water Sci Technol. 2012; 66(12): 2659-65
Ly DK, Chui TF

Underground sewage pipe systems deteriorate over time resulting in cracks and joint defects. Sewage thus leaks out and contaminates the surrounding groundwater and the surface water in stormwater drains. Many studies have investigated the problem of sewage leakage but no published studies, to the best knowledge of the authors, have examined the hydrologic interactions between leaky sewage pipes, groundwater and stormwater drains. This study numerically models such interactions using generic conditions in Singapore. It first develops accurate representations of weep holes and leaky sewage pipes, and further shows the long-term and short-term system responses to rainfall events. Some of the implications include: (1) quality of water seeping into the drains tends to be low in dry years; (2) complete contaminant attenuation after pipe rehabilitation takes several years; (3) responses to rainfall events at weep holes are immediate but the effects on sewage leakage might only show up a few days later. The simulation results allow us to better understand the local-scale migration of sewage leakage from a sewage pipe to nearby stormwater drains. With calibrations and verifications with local field data, the modeling framework would be applicable and beneficial to the sewage leakage monitoring and sewage pipe rehabilitation worldwide.
HubMed – rehab

 

An inpatient lifestyle-change programme improves heart rate recovery in overweight and obese children and adolescents (LOGIC Trial).

Filed under: Rehab Centers

Eur J Prev Cardiol. 2012 Oct 29;
Wilks DC, Rank M, Christle J, Langhof H, Siegrist M, Halle M

Background: Impaired heart rate recovery (HRR) is a strong predictor of overall mortality and cardio-metabolic risk. This study aimed at investigating (1) the effect of participation in a lifestyle-change programme for weight loss on HRR in overweight and obese children and (2) potential associations between the changes in one minute HRR (HRR(1)) and fitness, weight loss and cardio-metabolic risk.Methods: The analysis included 429 individuals (169 boys) aged 13.9 ± 2.3 years who participated in an inpatient weight loss programme for four to six weeks. At baseline and the end of the programme clinical investigations were performed, including blood analyses, blood pressure, anthropometry and maximal cycle ergometer exercise testing with continuous heart rate (HR) monitoring. HRR was calculated as the difference between the highest exercising HR and HR at one, three and five minutes post-exercise.Results: Average body weight decreased from 90.7 ± 22.5 kg to 81.9 ± 20.0 kg and peak exercise capacity increased from 1.66 ± 0.38 W/kg to 2.05 ± 0.45 W/kg (p < 0.001). Cardio-metabolic risk factors improved (waist circumference, LDL-cholesterol, HOMA insulin ratio, blood pressure; p < 0.05). HDL-cholesterol and triglyceride levels remained unchanged. Compared with baseline, at follow-up the decline in HR was more pronounced (+32%, +18% and +11% for HRR(1), HRR(3) and HRR(5); p < 0.001). Improvements in HRR(1) were weakly correlated with changes in exercise capacity (p < 0.05; r < 0.13), but not with changes in body weight and cardio-metabolic risk factors.Conclusions: HRR considerably improved after an inpatient weight loss programme in overweight and obese children. This was not associated with improvements in body weight and cardio-metabolic risk; hence HRR would be a valuable addition to cardiovascular risk assessment in this group. HubMed – rehab

 

[Pulmonary rehabilitation in patients with lung cancer.]

Filed under: Rehab Centers

Pneumonol Alergol Pol. 2012; 80(6): 546-554
Jastrz?bski D, Ziora D, Hydzik G, Pasko E, Bartoszewicz A, Kozielski J, Nowicka J

The paper presents current news on the possibilities of conducting rehabilitation of patients suffering from lung cancer. It presents the principles of conducting and contraindications for pulmonary rehabilitation for these patients according to current guidelines of American College of Sport Medicine. The methods of measuring exercise capacity for patients with lung cancer have been discussed. The value of ergospirometrial test with maximum oxygen consumption (VO(2peak)) in predicting not only the survival of patients with lung cancer, but also assessing the possibility of pulmonary rehabilitation programs has been highlighted. In the part devoted to physical training for patients before a surgery for lung cancer, current research results have been presented- these show that even a short, high intensity program of pulmonary rehabilitation for patients with lung cancer before surgery is effective and increases the safety of both- the safety of the surgery and extends survival time after operation for lung cancer. The paper describes difficulties in the implementation of rehabilitation programs after surgery conducted on patients with lung cancer resulting from dysfunction of cardiovascular and muscle atrophy – both skeletal and respiratory. The issue of patients with inoperable lung cancer treated with chemotherapy has been discussed so far in only one paper published in 2007. The results shown in it have been discussed as well. The authors demonstrated a significant improvement in the efficiency of respiratory-circulatory system assessed by six-minute walk test, although the rehabilitation program was graduated by small number of patients (44%). It was noted that patients with inoperable lung cancer now account for a large group of patients who use this type of medical intervention and can significantly improve the quality of life and the method shows positive impact on the survival rate.
HubMed – rehab

 


 

Majid Ali, MD * “Heart Patients” Occupied by Fear Part 3 – Rehab Centers** Ali Academy – How valuable are cardiac rehab centers? Do the staff really know about the heart, minds, and legs of “heart patients” more than the people do. This is part three of my series on a Columbia University study showed that about 175000 of 1.4 million people who left hospitals after a heart attack in the US developed post-truamatic Stress disorder (PTSD). At this encyclopedia, I offer information about lab tests, disease diagnoses, and natural remedies on a vast number of subjects. Our vision is an authentic, simple, easy-to-access encyclopedia of natural healing that is untainted by corporate distortions and deceptions. He can be reached at aliacademy7@gmail.com.

 

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