Stroke rehabilitation occurs across the continuum of care starting in the acute hospital and through the inpatient and outpatient settings. Rehabilitation aims to minimize impairments and maximize function in individuals after stroke. Because patients often undergo rehabilitation for extended periods, longitudinal assessment of impairment, activity, and participation can facilitate the evaluation of patients' progress toward recovery, as well as communication and decision making to guide clinical practice regarding the intervention(s) to be used and may also be leveraged for clinical research.
View Article and Find Full Text PDFAm J Phys Med Rehabil
February 2023
Introduction: The aim of this study was to determine the safety and feasibility of an enhanced therapy model for hospitalized stroke patients.
Methods: This was a quasi-experimental cohort study of acute stroke patients from a single hospital. In the intervention group, all hospitalized patients on the acute stroke service were seen by at least two therapy disciplines daily in addition to routine stroke care.
The optimal timing and intensity of early rehabilitation remain uncertain. The literature has stated that too early high-intensity mobility within 24 hours can result in poor outcomes as compared with the 24- to 48-hour poststroke (Stroke 2012;43:2389-94. Stroke 2004;35:1005-9).
View Article and Find Full Text PDFThe impact of the novel corona virus disease (COVID-19) pandemic cuts across all sectors and has brought to the fore the true realities and status of health systems globally, revealing the gaps and cracks even in seemingly perfect health systems. The fragile and weak health system in the country is also riddled with a lot of sub-optimal health indicators including reproductive health. It is important to anticipate and look out for these effects in order to plan for and ensure early detection and necessary intervention to mitigate such.
View Article and Find Full Text PDFArch Phys Med Rehabil
September 2021
This article outlines a multidisciplinary approach to implementing a telehealth program in the acute care hospital setting during the coronavirus disease 2019 (COVID-19) pandemic. Telehealth has been used in many practice areas, although it can be a particular challenge to establish in an acute care hospital given the fast-paced environment. However, the COVID-19 pandemic presented a unique situation.
View Article and Find Full Text PDFThe ongoing Coronavirus disease (COVID-19) pandemic has had a devastating impact worldwide. It is unclear as to what one expects during the "post-peak" and "post-pandemic" periods in terms of: (1) continued adherence to precautionary measures (e.g.
View Article and Find Full Text PDFThis paper presents an annual multiobjective crop-mix planning as a problem of concurrent maximization of net profit and maximization of crop production to determine an optimal cropping pattern. The optimal crop production in a particular planting season is a crucial decision making task from the perspectives of economic management and sustainable agriculture. A multiobjective optimal crop-mix problem is formulated and solved using the generalized differential evolution 3 (GDE3) metaheuristic to generate a globally optimal solution.
View Article and Find Full Text PDFThe performance of a full-scale upflow anaerobic sludge blanket (UASB) reactor treating brewery wastewater was investigated by microbial analysis and kinetic modelling. The microbial community present in the granular sludge was detected using fluorescent in situ hybridization (FISH) and further confirmed using polymerase chain reaction. A group of 16S rRNA based fluorescent probes and primers targeting Archaea and Eubacteria were selected for microbial analysis.
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