Geriatric rehabilitation elderly people suffering after pneumonia COVID-19: emphasis on outpatient and home stage

2021 ◽  
pp. 351-357
Author(s):  
T. L. Alenskaya
Keyword(s):  
Health Professionals ◽  
Breathing Pattern ◽  
Medical Rehabilitation ◽  
Posterior Arch ◽  
Rehabilitation Programs ◽  
Hypobaric Chamber ◽  
Two Component ◽  
Before And After ◽  
Survey Results ◽  
The Stability

The emergence and spread of COVID-19 infection has set health professionals the task of providing recovery and rehabilitation programs after pneumonia for patients of different age groups.The paper presents the survey results of older people after COVID-19-related pneumonia before and after one- and two-component medical rehabilitation programs.The rationality of using the proposed hypobaric chamber adaptation technique for elderly patients at the outpatient and home stages of medical rehabilitation, the effectiveness of which increased in combination with the appointment of cytoflavin, is shown.An increase of Stange test was found when combined hypobaric adaptation and kinesiotaping of the posterior arch of the diaphragm in order to create a breathing pattern in the examined group of patients. The conducted stabilometric study showed an increase in the stability of older patients after a course of hypobaric chamber adaptation.

scholarly journals Patient Survey on Polypharmacy in the Clinic and Its Impact on Health Professionals' Management of Polypharmacy: a Before-after Study

2020 ◽  
Author(s):  
Yuta Hirose ◽  
Kiyoshi Shikino ◽  
Yoshiyuki Ohira ◽  
Sumihide Matsuoka ◽  
Chihiro Mikami ◽  
...  
Keyword(s):  
Health Professionals ◽  
Questionnaire Survey ◽  
Patient Survey ◽  
Contributing Factors ◽  
Chi Square ◽  
Medical Institutions ◽  
Before And After ◽  
Chi Square Test ◽  
Survey Results ◽  
The Mean

Abstract Background: Patient awareness surveys on polypharmacy have been reported previously, but no previous study has examined the effects of sending feedback to health professionals on reducing medication use. Our study aimed to conduct a patient survey to examine factors contributing to polypharmacy, feedback the results to health professionals, and analyze the resulting changes in the number of polypharmacy patients and prescribed medications. Methods: Study 1: In July 2016, we conducted a questionnaire survey among adult patients receiving medical care at Minamihama clinic. We examined polypharmacy and its contributing factors by performing logistic regression analysis. Study 2: We sent feedback of survey results to 12 health professionals. Performing a t-test and a chi-square test on medical fee receipts, we analyzed changes in the percentage of polypharmacy patients and the number of prescribed medications during one month before and after the feedback. Results: In the questionnaire survey, significant differences were found in the following 3 items: age (odds ratio (OR)=3.14; 95% confidence interval (CI)=2.01-4.91), number of medical institutions (OR=2.34; 95%CI=1.50-3.64), and patients' difficulty with asking their doctors to deprescribe their medications (OR=2.21; 95%CI=1.25-3.90). After the feedback, the percentage of polypharmacy patients decreased from 21.5% to 20.1% and the mean number of prescribed medications per patient decreased from 8.2 to 7.7 (p<0.001, respectively).Conclusions: Providing feedback to health professionals on polypharmacy survey results may lead to a decrease in the number of polypharmacy patients. Factors contributing to polypharmacy included age (75 years or older), the number of medical institutions (2 or more institutions), and patients' difficulty with asking their physicians to deprescribe their medications. Feedback to health professionals reduced the percentage of polypharmacy patients and the number of prescribed medications. Trial registration: UMIN. Registered 21 June 2020 - Retrospectively registered, https://www.umin.ac.jp/ctr/index-j.htm

scholarly journals Innovative methods of rehabilitation at the outpatient and homestages in patients after pneumonia COVID-19

2021 ◽  
pp. 220-229
Author(s):  
T. L. Alenskaya
Keyword(s):  
Quality Of Life ◽  
Traumatic Event ◽  
Work Organization ◽  
Medical Rehabilitation ◽  
Psychological State ◽  
Quality Of Life Scale ◽  
Two Component ◽  
Before And After ◽  
Comprehensive Programs

Introduction. One of the important issues in the context of COVID-19 infection is the development of innovative forms of work with patients after pneumonia at the outpatient and home stages of medical rehabilitation.Objective: to develop a remote form of work organization and to study the effectiveness of hypobaric altitude chamber adaptation and cytoflavin at the outpatient and home stages of medical rehabilitation in patients after pneumonia COVID-19.Materials and methods. The  study included 315  people after suffering from COVID-19  pneumonia. The  first group consisted of 160 people who underwent a course of hypobaric altitude chamber adaptation, the average age of 53.5 (45,61) years. The second group (50 people) underwent a course of taking cytoflavin tablets; 63.9 (60.5; 67.6) years. The third group (105 patients) underwent a course of hypobaric chamber adaptation and cytoflavin administration; 55.1 (45.7; 60.9) years. We analyzed the scales that characterize the quality of life and psychological state of patients before and after the rehabilitation course, and 3 months after the end of the course.Results and discussion. The use of one-and two-component courses contributed to the improvement of the indicators of the traumatic event impact assessment scale, the Schulte Table scale, and the self-assessment of the EQ-5 quality of life scale. The results obtained were statistically significantly different after the course of rehabilitation from the initial values and retained their difference after three months of observation.Conclusions. An innovative remote form of work at the outpatient and home stages of medical rehabilitation has been developed and implemented – the YouTube project “Let’s help each other recover from pneumonia” (PDDVSMU). The stable prolonged effectiveness of a one- and two-component course of hypobaric altitude chamber adaptation in patients after COVID-19  pneumonia  at the  outpatient and home stages of  medical rehabilitation is shown. The  addition of  cytoflavin enhanced the rehabilitation effect of hypobaric adaptation. The data obtained should be taken into account when developing comprehensive programs for medical rehabilitation of patients after COVID-19 pneumonia.

The stability of dislocation networks under various oxygen-doping conditions in superconducting Bi2Sr2CaCu2Oy single crystals and their influence on the flux pinning properties

1994 ◽  
Vol 52 ◽  
pp. 802-803
Author(s):  
Y. Feng ◽  
X. Y. Cai ◽  
R. J. Kelley ◽  
D. C. Larbalestier
Keyword(s):  
Single Crystals ◽  
Oxygen Content ◽  
Basal Plane ◽  
Flux Pinning ◽  
Pinning Centers ◽  
Before And After ◽  
Anomalous Peak ◽  
Basal Plane Dislocation ◽  
The Stability ◽  
Further Development

The issue of strong flux pinning is crucial to the further development of high critical current density Bi-Sr-Ca-Cu-O (BSCCO) superconductors in conductor-like applications, yet the pinning mechanisms are still much debated. Anomalous peaks in the M-H (magnetization vs. magnetic field) loops are commonly observed in Bi2Sr2CaCu2Oy (Bi-2212) single crystals. Oxygen vacancies may be effective flux pinning centers in BSCCO, as has been found in YBCO. However, it has also been proposed that basal-plane dislocation networks also act as effective pinning centers. Yang et al. proposed that the characteristic scale of the basal-plane dislocation networksmay strongly depend on oxygen content and the anomalous peak in the M-H loop at ˜20-30K may be due tothe flux pinning of decoupled two-dimensional pancake vortices by the dislocation networks. In light of this, we have performed an insitu observation on the dislocation networks precisely at the same region before and after annealing in air, vacuumand oxygen, in order to verify whether the dislocation networks change with varying oxygen content Inall cases, we have not found any noticeable changes in dislocation structure, regardless of the drastic changes in Tc and the anomalous magnetization. Therefore, it does not appear that the anomalous peak in the M-H loops is controlled by the basal-plane dislocation networks.

Sorbitol enhances the physicochemical stability of B12 vitamers

2020 ◽  
Vol 90 (5-6) ◽  
pp. 439-447 ◽  
Author(s):  
Andrew Hadinata Lie ◽  
Maria V Chandra-Hioe ◽  
Jayashree Arcot
Keyword(s):  
Ascorbic Acid ◽  
Uv Light ◽  
Heat Exposure ◽  
Water Soluble ◽  
Uv Exposure ◽  
Physicochemical Stability ◽  
Before And After ◽  
The Stability

Abstract. The stability of B12 vitamers is affected by interaction with other water-soluble vitamins, UV light, heat, and pH. This study compared the degradation losses in cyanocobalamin, hydroxocobalamin and methylcobalamin due to the physicochemical exposure before and after the addition of sorbitol. The degradation losses of cyanocobalamin in the presence of increasing concentrations of thiamin and niacin ranged between 6%-13% and added sorbitol significantly prevented the loss of cyanocobalamin (p<0.05). Hydroxocobalamin and methylcobalamin exhibited degradation losses ranging from 24%–26% and 48%–76%, respectively; added sorbitol significantly minimised the loss to 10% and 20%, respectively (p < 0.05). Methylcobalamin was the most susceptible to degradation when co-existing with ascorbic acid, followed by hydroxocobalamin and cyanocobalamin. The presence of ascorbic acid caused the greatest degradation loss in methylcobalamin (70%-76%), which was minimised to 16% with added sorbitol (p < 0.05). Heat exposure (100 °C, 60 minutes) caused a greater loss of cyanocobalamin (38%) than UV exposure (4%). However, degradation losses in hydroxocobalamin and methylcobalamin due to UV and heat exposures were comparable (>30%). At pH 3, methylcobalamin was the most unstable showing 79% degradation loss, which was down to 12% after sorbitol was added (p < 0.05). The losses of cyanocobalamin at pH 3 and pH 9 (~15%) were prevented by adding sorbitol. Addition of sorbitol to hydroxocobalamin at pH 3 and pH 9 reduced the loss by only 6%. The results showed that cyanocobalamin was the most stable, followed by hydroxocobalamin and methylcobalamin. Added sorbitol was sufficient to significantly enhance the stability of cobalamins against degradative agents and conditions.

scholarly journals Investigation of Hydrothermally Stressed Silicone Rubber/Silica Micro and Nanocomposite for the Coating High Voltage Insulation Applications

Materials ◽  
2021 ◽  
Vol 14 (13) ◽  
pp. 3567
Author(s):  
Faiza Faiza ◽  
Abraiz Khattak ◽  
Safi Ullah Butt ◽  
Kashif Imran ◽  
Abasin Ulasyar ◽  
...  
Keyword(s):  
Silicone Rubber ◽  
Structural Changes ◽  
Polymer Chains ◽  
Hydrothermal Conditions ◽  
Silica Filler ◽  
Before And After ◽  
Aging Conditions ◽  
The Stability ◽  
Micro Silica ◽  
Applied Stresses

Silicone rubber is a promising insulating material that has been performing well for different insulating and dielectric applications. However, in outdoor applications, environmental stresses cause structural and surface degradations that diminish its insulating properties. This effect of degradation can be reduced with the addition of a suitable filler to the polymer chains. For the investigation of structural changes and hydrophobicity four different systems were fabricated, including neat silicone rubber, a micro composite (with 15% micro-silica filler), and nanocomposites (with 2.5% and 5% nanosilica filler) by subjecting them to various hydrothermal conditions. In general, remarkable results were obtained by the addition of fillers. However, nanocomposites showed the best resistance against the applied stresses. In comparison to neat silicone rubber, the stability of the structure and hydrophobic behavior was better for micro-silica, which was further enhanced in the case of nanocomposites. The inclusion of 5% nanosilica showed the best results before and after applying aging conditions.

scholarly journals Feedback of patient survey on medication improves the management of polypharmacy: a pilot trial

2021 ◽  
Vol 22 (1) ◽  
Author(s):  
Yuta Hirose ◽  
Kiyoshi Shikino ◽  
Yoshiyuki Ohira ◽  
Sumihide Matsuoka ◽  
Chihiro Mikami ◽  
...  
Keyword(s):  
Health Professionals ◽  
Questionnaire Survey ◽  
Pilot Trial ◽  
Patient Survey ◽  
Contributing Factors ◽  
Chi Square ◽  
Oral Medications ◽  
Medical Institutions ◽  
Chi Square Test ◽  
Survey Results

Abstract Background Patient awareness surveys on polypharmacy have been reported previously, but no previous study has examined the effects of sending feedback to health professionals on reducing medication use. Our study aimed to conduct a patient survey to examine factors contributing to polypharmacy, feedback the results to health professionals, and analyze the resulting changes in the number of polypharmacy patients and prescribed medications. Methods After conducting a questionnaire survey of patients in Study 1, we provided its results to the healthcare professionals, and then surveyed the number of polypharmacy patients and oral medications using a before-after comparative study design in Study 2. In Study 1, we examined polypharmacy and its contributing factors by performing logistic regression analysis. In Study 2, we performed a t-test and a chi-square test. Results In the questionnaire survey, significant differences were found in the following 3 items: age (odds ratio (OR) = 3.14; 95% confidence interval (CI) = 2.01–4.91), number of medical institutions (OR = 2.34; 95%CI = 1.50–3.64), and patients’ difficulty with asking their doctors to deprescribe their medications (OR = 2.21; 95%CI = 1.25–3.90). After the feedback, the number of polypharmacy patients decreased from 175 to 159 individuals and the mean number of prescribed medications per patient decreased from 8.2 to 7.7 (p < 0.001, respectively). Conclusions Providing feedback to health professionals on polypharmacy survey results may lead to a decrease in the number of polypharmacy patients. Factors contributing to polypharmacy included age (75 years or older), the number of medical institutions (2 or more institutions), and patients’ difficulty with asking their physicians to deprescribe their medications. Feedback to health professionals reduced the percentage of polypharmacy patients and the number of prescribed medications. Trial registration UMIN. Registered 21 June 2020 - Retrospectively registered, https://www.umin.ac.jp/ctr/index-j.htm

Regulation of Laijiapu Waterway in Jingjiang Reach

2014 ◽  
Vol 501-504 ◽  
pp. 2001-2006
Author(s):  
Ya Liu ◽  
Li Zheng ◽  
Cheng Tao Huang ◽  
Zhao Biao Huang ◽  
Lin Liu
Keyword(s):  
Yangtze River ◽  
Three Gorges Reservoir ◽  
Three Gorges ◽  
The Yangtze River ◽  
Point Bar ◽  
The Three Gorges Reservoir ◽  
The Three Gorges ◽  
Before And After ◽  
The Stability ◽  
Channel Bar

After impoundment of the Three Gorges Reservoir, Jingjiang reach, in the middle of the Yangtze River, has gradually shown a series of atypical fluvial features, adversely affecting the maintenance of waterways. Citing the Laijiapu Waterway, a meandering segment in the lower Jingjiang for example, this paper compared the fluvial features of the channel before and after the impoundment, summed up its navigation-obstructing features, and proposed guarding the point bar on the convex bank and channel bar in the widening section as a key to maintaining the stability of the navigation channels.

Antecedents of the attitude toward the athlete celebrities' human brand extensions

2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Jakeun Koo
Keyword(s):  
Structural Equation ◽  
Online Survey ◽  
Brand Extensions ◽  
Equation Modeling ◽  
Image Transfer ◽  
Content Type ◽  
Before And After ◽  
Research Findings ◽  
Survey Results ◽  
Human Brands

PurposeThe present study aims to examine how consumers evaluate the extended human brands of athlete celebrities beyond their unique brand personality associated with sports. Athlete celebrities' unique image in sports is used as a human brand, and attitude toward the athlete brand extensions is investigated when the athlete's name is included in a new non-sport brand. The concepts of brand extensions were employed to develop the ideas of human brand extensions.Design/methodology/approachIn total, 198 participants answered online survey questions before and after being informed of athlete brand extensions. Partial least squares structural equation modeling is utilized to test the hypotheses.FindingsThe survey results indicated that athlete–product fit and image transfer positively influenced attitude toward the extension. In addition, attitude toward the athlete brand extensions was significantly influenced by consumers' pre-existing attitude toward the celebrity; however, not by celebrity's expertise.Originality/valueThe research findings imply that some brand extension concepts are applicable to human brands to understand the effectiveness of athlete brand extensions for non-sport products.

scholarly journals Efficacy of Selective Grinding Guided by an Occlusal Splint in Management of Myofascial Pain: A Prospective Clinical Trial

2017 ◽  
Vol 11 (1) ◽  
pp. 301-311
Author(s):  
Felipe J. Fernández-González ◽  
Jorge Cabero-López ◽  
Aritza Brizuela ◽  
Ivan Suazo ◽  
Esteban Pérez-Pevida ◽  
...  
Keyword(s):  
Temporomandibular Joint ◽  
Myofascial Pain ◽  
Vertical Displacement ◽  
Occlusal Splint ◽  
Significant Difference ◽  
Before And After ◽  
Skeletal Pattern ◽  
Condylar Position ◽  
The Stability ◽  
Facial Types

Background:For patients whose centric relation (CR) has not been considered at the start and during treatment, the task of achieving an occlusal scheme that works together with the temporomandibular joint, the muscles, and the structures of the stomatognathic apparatus becomes a major concern.Objective:This study aims to describe a reproducible, predictable and to date unreported procedure of selective grinding guided by an occlusal splint and to analyze condylar position (CP) based on the skeletal pattern.Methods:A total of 72 symptomatic patients (38 females and 34 males) were classified into three groups: hyperdivergent, intermediate and hypodivergent. CP was quantified by mounted casts on a measures condyle displacement (MCD) device. Helkimo index was also performed in order to assess the severity of the temporomandibular joint (TMJ) disorders attending to clinical dysfunction, occlusal state and anamnestic dysfunction. Once the stability had been obtained, the splint was progressively reduced until the maximum intercuspation (MIC) was achieved.Results:The vertical displacement was found to be significantly different between the hyperdivergent and other two groups (p<0.01). Comparisons of MCD analysis before and after the selective grinding procedure identified a statistically significant difference in the horizontal and vertical CP (p<0.01) between the different groups whereas the Helkimo Index showed a clear improvement of TMJ disorders.Conclusion:All facial types, specially the hyperdivergent face type, showed a reduction in condylar displacement (CD) and less craniomandibular symptoms using this procedure, making it an excellent technique for clinicians.

scholarly journals Posterior Arch Augmentation (Spinoplasty) before and after Single and Double Interspinous Spacer Introduction at the Same Level: Preventing and Treating the Failure?

2014 ◽  
Vol 20 (5) ◽  
pp. 626-631 ◽  
Author(s):  
Luigi Manfré
Keyword(s):  
Spinal Canal ◽  
Prophylactic Treatment ◽  
Bone Remodelling ◽  
Posterior Arch ◽  
Ct Guided ◽  
Interspinous Spacer ◽  
Canal Stenosis ◽  
Spinous Processes ◽  
Before And After

Lumbar spinal canal stenosis (LSCS) is one of the most common degenerative diseases in elderly patients. Failure of he treatment can occur, generally related to bone remodelling/fracture of spinous processes. PMMA augmentation of the posterior arch (spinoplasty, SP) has recently been proposed in case of neoplastic involvement. This study evaluated the efficacy of SP as a prophylactic treatment before introducing an interspinous spacer (IS). Moreover, we consider the possibility to treat patients who previously underwent IS implants with subsequent failure of the device, by introducing a second spacer at the same level, performing accessory SP. From January 2009 to September 2011, 174 patients with LSCS underwent CT-guided percutaneous IS implant in our department. From January 2011, all patients with osteoporosis underwent prophylactic SP before introducing the spacer. Moreover, in patients with re-stenosis related to bone remodelling and/or fracture, after strengthening the spinous processes with PMMA introduction, a second similar device was introduced to re-open the stenotic spinal canal. In patients with prophylactic treatment before spacer introduction, no restenosis occurred at three to 12 month follow-up. Patients who underwent second spacer implant at the same level after posterior arch augmentation again obtained a resolution of symptoms, and no further bone remodelling had occurred at follow-up controls. In conclusion, prophylactic SP prevents single spacer failure for bone remodelling/fracture, and allows failure repair by introducing a second spacer at the same level.

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