Special Patient Exercises, Rehabilitation, and Back School

2009 ◽  
Keyword(s):  
Back School ◽  
Special Patient

scholarly journals Treatment of a Critically Ill COVID-19 Patient with the Seraph 100 Microbind Affinity Filter

TH Open ◽  
2021 ◽  
Vol 05 (02) ◽  
pp. e134-e138
Author(s):  
Anke Pape ◽  
Jan T. Kielstein ◽  
Tillman Krüger ◽  
Thomas Fühner ◽  
Reinhard Brunkhorst
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Critically Ill ◽  
Critically Ill Patients ◽  
Randomized Trials ◽  
Clinical Course ◽  
Pharmacological Therapy ◽  
The European Union ◽  
Positive Effects ◽  
Special Patient

AbstractThe coronavirus disease 2019 (COVID-19) pandemic has a serious impact on health and economics worldwide. Even though the majority of patients present with moderate and mild symptoms, yet a considerable portion of patients need to be treated in the intensive care unit. Aside from dexamethasone, there is no established pharmacological therapy. Moreover, some of the currently tested drugs are contraindicated for special patient populations like remdesivir for patients with severely impaired renal function. On this background, several extracorporeal treatments are currently explored concerning their potential to improve the clinical course and outcome of critically ill patients with COVID-19. Here, we report the use of the Seraph 100 Microbind Affinity filter, which is licensed in the European Union for the removal of pathogens. Authorization for emergency use in patients with COVID-19 admitted to the intensive care unit with confirmed or imminent respiratory failure was granted by the U.S. Food and Drug Administration on April 17, 2020.A 53-year-old Caucasian male with a severe COVID-19 infection was treated with a Seraph Microbind Affinity filter hemoperfusion after clinical deterioration and commencement of mechanical ventilation. The 70-minute treatment at a blood flow of 200 mL/minute was well tolerated, and the patient was hemodynamically stable. The hemoperfusion reduced D-dimers dramatically.This case report suggests that the use of Seraph 100 Microbind Affinity filter hemoperfusion might have positive effects on the clinical course of critically ill patients with COVID-19. However, future prospective collection of data ideally in randomized trials will have to confirm whether the use of Seraph 100 Microbind Affinity filter hemoperfusion is an option of the treatment for COVID-19.

scholarly journals Effect of back school protocol on the referral rate of patients with low back pain to an industrial physiotherapy clinic

2006 ◽  
Vol 62 (4) ◽  
Author(s):  
D. O. Odebiyi ◽  
A. O. Akinpelu ◽  
M. O. B. Olaogun
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Work Place ◽  
Low Back ◽  
Back School ◽  
Soap Making ◽  
Significant Difference ◽  
Back Care ◽  
Chi Square Analysis ◽  
Physiotherapy Clinic

Back schools are educational programmes originally developed in a work place (Volvo factory in Sweden) for patients with back pain, to enable them to manage their own back problems better. ‘Back school’ was originally aimed at modifying the behaviours of patients with low back pain (LBP), with the view to prevent relapses. In an effort to encourage and stimulate the use of ‘back school’ among health workers in Nigeria, this study was designed to evaluate the efficacy of a back school protocol in a Soap Making Industry in Lagos, Nigeria. One hundred and ten (110) workers of a Soap Making Industry in Lagos, Nigeria,  participated in this study. A pre-test, post-test experimental design was employed. The participants were divided into two groups - office workers and factory workers for the purpose of the training in the content of the back school protocol. The ‘back school’ consisted of classroom teaching and the use of two videotapes titled “lifting technique” and “back pain”. Data on demographic information, knowledge of back structures and back care were collected using a questionnaire with closed ended questions, which was completed before, immediately after and 8 weeks after the administrations of the contents of the back school protocol (Akinpelu and Odebiyi, 2004). The records of the factory’s clinic were also reviewed for the 12-months before and 12 months after the study. The mean values of the participants’ age, height, weight and body mass index (BMI) were 36.60 ± 9.10 years, 1.65 ± 0.10 m,69.13 ± 7.70 kg and 25.40 ± 3.30 kg/m2 respectively. The results showed that the 12-months prevalence of low back pain (LBP) among the workers was 71%. The result also showed that over 50% of the participants never had any  information or lesson on back care, and those that had some form of information obtained it by chance. There was 23% reduction in referral for care of back pain 12 months after the administration of the back school protocol. However, Chi square analysis showed that there was no significant difference (p = 0.23) between the number of  physiotherapy referrals to the factory’s clinic 12-months before the study and 12-months after the studyThe findings of this study suggest that the back school protocol was able to impart some knowledge (of back pain and back care) in the industrial workers. This knowledge seems to have assisted this group of individuals to cultivate good postural habits, particularly at work. This might have led to the 23% reduction in the reported cases of patients with LBP to the factory’s Physiotherapy Clinic.

The Special Patient on the Medical/Surgical Ward

1983 ◽  
Vol 28 (7) ◽  
pp. 542-546
Author(s):  
Jerry A. Friedman
Keyword(s):  
Nursing Staff ◽  
Adaptive Function ◽  
Surgical Ward ◽  
Special Patient

The “special” or favoured patient may play a very important role in the ward milieu. Such patients are discussed in terms of their adaptive function for medical and nursing staff in dealing with feelings of pessimism, anger and guilt. The attitudes of protectiveness and infantilization and staff dissention make the task of the psychiatrist hazardous when consultation is requested. Two clinical examples are discussed: one in which the issue of “specialness” was overlooked, and one in which it was dealt with. The consulting psychiatrist's own reactions of anger and therapeutic nihilism may alert him to such a patient. Intervention must take into account the trust implied in being asked to see a “special” patient and the tremendous emotional investment on the part of the staff. The consultant should use his own reactions to the patient to help staff identify the feelings aroused in them by such patients. Meeting with the staff collectively to share concerns and resolve conflict is productive and should be encouraged.

Benefits of a Physical Training Program After Back School for Chronic Low Back Pain Patients

2006 ◽  
Vol 14 (2) ◽  
pp. 21-31 ◽  
Author(s):  
Christophe Demoulin ◽  
Didier Maquet ◽  
Marco Tomasella ◽  
Jean-Louis Croisier ◽  
Jean-Michel Crielaard ◽  
...  
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Training Program ◽  
Chronic Low Back Pain ◽  
Physical Training ◽  
Low Back ◽  
Back School ◽  
Pain Patients

scholarly journals Postdural Puncture Headaches in Special Patient Populations

1999 ◽  
Vol 89 (1) ◽  
pp. 264
Author(s):  
Brenda A. Bucklin ◽  
John H. Tinker ◽  
Carl V. Smith
Keyword(s):  
Special Patient

scholarly journals Whom should we treat with novel agents? Specific indications for specific and challenging populations

Hematology ◽  
2021 ◽  
Vol 2021 (1) ◽  
pp. 24-29
Author(s):  
Lindsay Wilde ◽  
Margaret Kasner
Keyword(s):  
Older Adults ◽  
Acute Myeloid Leukemia ◽  
Myeloid Leukemia ◽  
New Therapies ◽  
Novel Treatments ◽  
Relapsed Disease ◽  
Disease Understanding ◽  
Rapid Shift ◽  
Special Patient ◽  
Acute Myeloid

Abstract A relative wealth of new therapies for acute myeloid leukemia (AML) have led to a rapid shift in treatment paradigms for this disease. Understanding whom, when, and how to treat is more complex than ever before. Here we explore whom to treat with these available new therapies, focusing on special patient populations that include older adults, those with relapsed disease, and those with TP53-mutated AML. These high-risk subgroups are some of the most challenging to care for, but novel treatments are providing them with new hope.

scholarly journals Abdominal belts for manual handling in industry: The evidence for and against

1998 ◽  
Vol 54 (2) ◽  
pp. 12-15
Author(s):  
R. S. Bridger
Keyword(s):  
Risk Management ◽  
Injury Prevention ◽  
Field Studies ◽  
Injured Workers ◽  
Theoretical Discussion ◽  
Back School ◽  
Prevention Programmes ◽  
Manual Handling ◽  
Back Problems ◽  
School Training

The paper reviews research on the use of abdominal belts for industrial back injury prevention programmes. The evidence for biomechanical, physiological and psychophysical effects of belt use is presented, following a brief theoretical discussion. Although there is some laboratory evidence that abdominal belts protect the spine when lifting, the findings of field studies are equivocal. Previously injured workers seem to benefit the most both from "back school" training combined with wearing abdominal belts at work. However, far from being the solution to industrial manual handling problems, abdominal belts have only a small part to play in comprehensive risk management programmes aimed at reducing back problems in the workplace.

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