Publications by authors named "B Holden"

Background: Home visits prior to inpatient rehabilitation facility (IRF) discharge allow occupational therapists to observe functional abilities among patients with stroke and address barriers that impact daily activities at home. However, home visits prior to IRF discharge are not standard practice due to barriers of time and cost constraints. We explored whether an access visit (visiting the home without the patient) could serve as an alternative to a home visit (with the patient) to anticipate functional abilities at home.

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Article Synopsis
  • Stroke survivors transitioning home need support to overcome new environmental challenges post-rehabilitation.
  • The study evaluated the effectiveness of a new rehabilitation program, COMPASS, to enhance daily living and community participation for stroke patients compared to a control group.
  • Results indicated no significant differences in community participation improvement between the COMPASS and control groups after 12 months, suggesting similar outcomes for both interventions.
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Removing pesticides from biological drinking water filters is challenging due to the difficulty in activating pesticide-degrading bacteria within the filters. Bioaugmented bacteria can alter the filter's microbiome, affecting its performance either positively or negatively, depending on the bacteria used and their interaction with native microbes. We demonstrate that adding specific bacteria strains can effectively remove recalcitrant pesticides, like metaldehyde, yielding compliance to regulatory standards for an extended period.

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Article Synopsis
  • The study aimed to compare the adverse health outcomes of stroke survivors receiving a home-based intervention versus a control group during their transition from inpatient rehabilitation to independent living.
  • Participants aged 50 and older who were previously independent in daily activities were randomized into two groups: one received home modifications and self-management training, while the other received stroke education.
  • Results indicated that the intervention significantly reduced skilled nursing facility admissions and deaths, with a trend toward lower rehospitalization rates, although fall rates were similar in both groups.
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Background: Stroke survivors are one of the largest consumer groups of rehabilitation services. Despite improvement in daily activities while in inpatient rehabilitation, many have difficulty performing daily activities at home after discharge. The difference in performance between a standard clinical context and at home is poorly understood.

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