scholarly journals SELF-REPORTED UNSTEADINESS PREDICTS FEAR-RELATED ACTIVITY RESTRICTION AT TWO YEARS FOLLOW-UP

2017 ◽  
Vol 1 (suppl_1) ◽  
pp. 927-928
Author(s):  
O. Donoghue ◽  
A. Setti ◽  
N. O’Leary ◽  
A.M. O’Halloran ◽  
R. Kenny
Medicina ◽  
2021 ◽  
Vol 57 (6) ◽  
pp. 584
Author(s):  
Puck C. R. van der Vet ◽  
Jip Q. Kusen ◽  
Manuela Rohner-Spengler ◽  
Björn-Christian Link ◽  
Roderick M. Houwert ◽  
...  

Background and objective: Falls in elderly cause injury, mortality, and loss of independence, making Fear of Falling (FoF) a common health problem. FoF relates to activity restriction and increased fall risk. A voluntary intervention including fall risk assessment and prevention strategies was implemented to reduce falls in elderly patients with low energy fractures (LEF). The primary purpose of this study was to evaluate FoF and the number of subsequent falls in trauma patients one year after a LEF. The secondary aim was to examine how FoF affects patients’ lives in terms of Quality of Life (QoL), mobility, and activity levels. Finally, participation in the voluntary fall prevention program (FPP) was evaluated. Materials and Methods: Observational cohort study in one Swiss trauma center. LEF patients, treated between 2012 and 2015, were analyzed one year after injury. Primary outcomes were Falls-Efficacy Score-International (FES-I) and number of subsequent falls. Secondary outcomes were EuroQoL-5-Dimensions-3-Levels (EQ5D-3L), mobility, activity levels, and participation in the FPP. Subgroup analysis was performed for different age categories. Results: 411 patients were included for analysis. Mean age was 72 ± 9.3, mean FES-I was 21.1 ± 7.7. Forty percent experienced FoF. A significant negative correlation between FoF and QoL (R = 0.64; p < 0.001) was found. High FoF correlated with lower activity levels (R= −0.288; p < 0.001). Six percent visited the FPP. Conclusions: At follow-up, 40% suffered from FoF which seems to negatively affect patients’ QoL. Nevertheless, participation in the FPP was low. Simply informing patients about their susceptibility to falls and recommending participation in FPPs seems insufficient to motivate and recruit patients into FPPs. We suggest implementing repeated fall risk- and FoF screenings as standard procedures in the follow-up of LEF, especially in patients aged over 75 years.


2016 ◽  
Vol 45 (suppl 2) ◽  
pp. ii1.40-ii12
Author(s):  
Orna Donoghue ◽  
Annalisa Setti ◽  
Neil O'Leary ◽  
Rose Anne Kenny

Author(s):  
Tom Burns ◽  
Mike Firn

Engagement is defined and a classification of engagement-related activity presented, underlining the centrality of individual and team relationships in delivering health and social care to individuals. Case studies provide practical illustration of differing approaches in the hierarchy of engaging individuals in treatment, from mutually constructive strategies to more restrictive tactics for people who avoid services. Throughout, the patient and service perspective is compared, for example, when does conscientious follow-up become perceived as harassment? Critique and evidence from research and patient testimony is provided. The value of engagement measures are discussed, including patient reported attachment and proxy measures of missed appointments and dropout.


2020 ◽  
Vol 68 (11) ◽  
pp. 2602-2608 ◽  
Author(s):  
Reshma Aziz Merchant ◽  
Matthew Zhixuan Chen ◽  
Beatrix Ling Ling Wong ◽  
Shu Ee Ng ◽  
Hidehiko Shirooka ◽  
...  

2021 ◽  
Vol 46 (1) ◽  
pp. 57
Author(s):  
Saurav Basu ◽  
Suneela Garg ◽  
Yamini Marimuthu ◽  
Nidhi Bhatnagar ◽  
MMegha Chandra Singh ◽  
...  

Work ◽  
2020 ◽  
Vol 67 (3) ◽  
pp. 535-548
Author(s):  
Eva Bojner Horwitz ◽  
Jenni Spännäri ◽  
Julia Langley ◽  
Bette Jacobs ◽  
Walter Osika

BACKGROUND: There has been an insufficient amount of studies that examine how academic working life of researchers can be supported. OBJECTIVE: We examine the use of a nature and art-related activity retreat designed for researchers. The purpose was to evaluate if and how researchers perceived different workshop experiences set in nature as meaningful and important with regards to their self-care. METHODS: A mixed group of six researchers from Sweden, Finland, and the United States met for a three-day retreat consisting of self-selected nature and art-related activities. From data constituted from participant reflections, a focus group interview, a three months follow-up questionnaire, and an analysis of the workshops undertaken, three major themes were identified: “Sharing and connection”, “Embodiment” and “Nature”. RESULTS: Analysis of the workshop-style exercises did not show significant variance in reported meaningfulness and usefulness related to the activity itself. However, there was a strong correlation between perceived value and shared experience where the sharing of the natural space was felt to put humanity into perspective. CONCLUSION: Organizing and systematizing health preventive retreats for researchers in academia may be an important part of the sustainabile academic community in which the researcher needs to be better taken care of in a more embodied way. Although this study was conducted prior to COVID-19, such retreats and potentially also online versions, could be useful for managing the pandemic and afterwards, in our new “normal”.


2014 ◽  
Vol 55 (1) ◽  
pp. 123-129 ◽  
Author(s):  
Christine A. Conelea ◽  
Andrew M. Busch ◽  
Mark A. Catanzaro ◽  
Cathy L. Budman

Neurology ◽  
2020 ◽  
Vol 95 (13) ◽  
pp. e1830-e1834
Author(s):  
Christine K. Fox ◽  
Heather J. Fullerton ◽  
Steven W. Hetts ◽  
Van V. Halbach ◽  
Kurtis I. Auguste ◽  
...  

ObjectiveTo describe a pediatric stroke syndrome with chronic focal vertebral arteriopathy adjacent to cervical abnormalities.MethodsAt a single pediatric stroke center, we identified consecutive children with stroke and vertebral arteriopathy of the V3 segment with adjacent cervical bony or soft tissue abnormalities. We abstracted clinical presentation, treatment, and follow-up data from medical charts.ResultsFrom 2005 to 2019, 10 children (all boys, ages 6–16 years) presented with posterior circulation strokes and vertebral arteriopathy with adjacent cervical pathology. Two children had bony abnormalities: one had a congenital arcuate foramen and one had os odontoideum with cervical instability. In children without bony pathology, vertebral artery narrowing during contralateral head rotation was visualized by digital subtraction angiography. Eight boys had recurrent ischemic events despite anti-thrombotic treatment (including 5 with multiple recurrences) and were treated surgically to prevent additional stroke. Procedures included vertebral artery decompression (n = 6), endovascular stent and spinal fusion (n = 1), and vertebral artery endovascular occlusion (n = 1). In boys treated with decompression, cervical soft tissue abnormalities (ruptured atlantoaxial bursa, ruptured joint capsule, or connective tissue scarring) were directly visualized during open surgery. No other etiology for stroke or dissection was found in any of the cases. Two boys without recurrent stroke were treated with activity restriction and antithrombotics. At a median follow-up of 51 months (range 17–84), there have been no additional recurrences.ConclusionsChildren with V3 segmental vertebral arteriopathy frequently have stroke recurrence despite antithrombotics. Cervical bone imaging and angiography with neck rotation can identify underlying pathology.


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