A Transformative Subfield in Rehabilitation Science at the Nexus of New Technologies, Aging, and Disability.

A transformative subfield in rehabilitation science at the nexus of new technologies, aging, and disability.

Filed under: Rehab Centers

Front Psychol. 2012; 3: 340
Winstein CJ, Requejo PS, Zelinski EM, Mulroy SJ, Crimmins EM

We argue that a silo research and training approach is no longer sufficient to provide real solutions to the complex humanitarian, social, and financial problems brought about by global trends in aging and the increased prevalence of multiple chronic conditions that limit independence and activities of daily living. This perspective highlights the opportunities for collaborative research and training in a new multidisciplinary science of rehabilitation enabled by growing knowledge and information along scientifically and clinically meaningful lines. The recent proliferation of eHealth technologies offers opportunities for development of low-cost, simple, interactive media prevention, health maintenance, and continued functional recovery programs using a chronic care model designed to promote engagement and participation. With two examples – long-term disability consequential to (1) hip fracture and (2) manual wheelchair use – we outline the developing science for a collaborative and transformative nexus team capable of accelerating an understanding of ways to restore independence and improve quality of life, in the long-term. We conclude with a set of recommendations for the design of interactive media systems to both increase acceptability and stimulate research.
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Exploring the understanding of evidence-based concepts in people with type 2 diabetes.

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Int J Gen Med. 2012; 5: 781-6
Hoffmann TC, Del Mar CB

Being able to make informed decisions is a prerequisite to enabling individuals to participate actively in their health care. In turn, an individual’s understanding of relevant health information can influence his/her ability to make informed decisions. However, there are two broad categories of health information, ie, background information (such as the pathophysiology of conditions) and foreground information (such as disease behavior, prognosis, and effects of treatment). Questions about foreground information are central to evidence-based practice. The majority of health literacy research has focused on background information, yet foreground information is more useful in decision-making, particularly for evidence-informed decisions. In people with type 2 diabetes, we explored individuals’ knowledge of selected evidence-based concepts in diabetes; beliefs about what they can do to manage their diabetes and sources of this information; and whether these change after diabetes education.Attendees with type 2 diabetes (n = 95) at a one-day diabetes educational exposition completed a questionnaire before and after the event. We asked participants about evidence-based concepts in diabetes and compared their responses with the current evidence. We also asked participants how they could best manage their diabetes, and then, how they knew this.Most participants underestimated their risk of complications. With the exception of a question about exercise and glycosylated hemoglobin level, nearly all participants provided responses that are not supported by current research evidence. There was no significant change in the percentage of participants who answered questions correctly after the exposition, except for a question about the risks of low blood glucose in which more participants answered incorrectly afterwards (P = 0.01). Health professionals were the most frequently identified source of information, with little value placed on research evidence.Participants had a poor understanding of most of the evidence-based concepts in type 2 diabetes that were explored. This disadvantages them in being able to make informed decisions about their health care and actively manage their diabetes.
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Rehabilitation After Myocardial Infarction Trial (RAMIT).

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Heart. 2012 Oct 9;
West RR, Jones DA, Henderson AH

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Personal Financial Effects of Multiple Myeloma and Its Treatment.

Filed under: Rehab Centers

Cancer Nurs. 2012 Oct 5;
Goodwin JA, Coleman EA, Sullivan E, Easley R, McNatt PK, Chowdhury N, Stewart CB

BACKGROUND:: Improvements in some treatment programs for multiple myeloma (MM) are increasing survival. As patients live longer with MM as a chronic disease, the personal financial effects of MM treatment become a serious concern. OBJECTIVE:: The objective of this study was to identify the personal financial effects of MM and its treatment in 5 areas: employment, disability, health/medical and life insurance, retirement, and out-of-pocket expenses. METHODS:: We mailed a questionnaire about financial issues to 1015 patients who had received intensive treatment for MM at the study site. Data analysis included descriptive statistics and comparisons using independent t tests. RESULTS:: Our sample (n = 762; mean age, 61 [SD, 9.26] years) experienced issues with employment (66% employed at diagnosis and treatment; 33% employed at questionnaire time), disability (35% applied), health/medical and life insurance (29% lost coverage and 8% changed coverage), retirement (13% retired during treatment), and out-of-pocket expenses (36% of income in first treatment year and 28% of income during most recent 12 months). CONCLUSIONS:: Issues of employment, disability, health insurance, retirement, and out-of-pocket costs for treatment are major challenges for patients. IMPLICATIONS FOR PRACTICE:: In the midst of assessing physical needs during clinical trials for chemotherapy and stem cell transplants, healthcare providers must keep sight of patients’ personal financial needs so that we can intervene promptly with referrals to social work, rehabilitation therapy, and other healthcare professions to help patients decrease the personal financial effects of MM and its treatment.
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Regenerative surgery performed with Platelet-Rich Plasma used in sinus lift elevation before dental implant surgery: an useful aid in healing and regeneration of bone tissue.

Filed under: Rehab Centers

Eur Rev Med Pharmacol Sci. 2012 Sep; 16(9): 1222-1226
Inchingolo F, Tatullo M, Marrelli M, Inchingolo AM, Inchingolo AD, Dipalma G, Flace P, Girolamo F, Tarullo A, Laino L, Sabatini R, Abbinante A, Cagiano R

OBJECTIVES: Aim of this work is to show the effectiveness of a protocol involving the use of platelet-rich plasma (PRP) as a grafting material in bone regeneration before dental implant rehabilitation.MATERIALS AND METHODS: 127 patients, requiring maxillary sinus lift, were enrolled in a follow-up study plan, which established clinical and radiological examinations on the day after surgery and six months later. PRP, in combination with autogenous bone, anorganic bone material and organic bone substitutes, was used before implant-prosthetic rehabilitation.RESULTS AND CONCLUSIONS: After implant placement, 63 patients, previously treated with PRP, reached a statistically significant improvement in implant-prosthetic rehabilitation, established by primary stability and radiographic integration criteria, in comparison with the other 64 patients receiving implant-prosthetic rehabilitation without PRP treatment.
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