Background: Non-pharmacological interventions (NPIs) are preferred alternatives to using antipsychotic medications to manage disruptive behaviors in nursing home (NH) residents living with dementia. However, the implementation of these interventions is often complex in the NH environment. In this qualitative analysis of data from an embedded pragmatic clinical trial (ePCT) of a personalized music intervention, we describe NH-level implementation barriers and facilitators.
View Article and Find Full Text PDFTuberculosis (TB) dactylitis of the hand is a rare and challenging pathology, requiring positive bacterial identification through culture or biopsy for diagnosis. Treatment is also challenging, although it typically yields an excellent response to long-term tuberculostatic therapy. We describe a case of osteoarticular tuberculous dactylitis in a 36-year-old woman with rheumatoid arthritis (RA) and a history of lymphoma.
View Article and Find Full Text PDFWithin the framework of positive psychology, this study aims to investigate whether meaning in life, optimism and future orientation have acted together as a psychological resource in coping with a non-normative challenge such as the Covid-19 pandemic. 389 respondents participated in this study. Future time perspective, presence/search for meaning in life, life orientation and dimensions of well-being (anxiety, depression, stress and aggressive behavior) were assessed.
View Article and Find Full Text PDFCrit Care
December 2024
Background: Shorter courses of antimicrobial therapy have been shown to be non-inferior to longer durations for the management of several infections. However, data on critically ill patients with severe infections by multidrug-resistant Gram-negative bacteria (MDR-GNB) are scarce. In the duratiOn of theraPy in severe infecTIons by MultIdrug-reSistant gram-nEgative bacteria (OPTIMISE) trial, we assessed the non-inferiority of 7-day versus 14-day antimicrobial therapy for patients with intensive care unit (ICU)-acquired severe infections by MDR-GNB.
View Article and Find Full Text PDFIntroduction: The finger-ring test (FRT) offers a simple method to screen older adults at increased risk of sarcopenia.
Objective: To investigate the association between the FRT and lean soft tissue mass estimated by dual-energy X-ray absorptiometry (DXA), and to further elucidate the FRT as an indicator of muscle mass, while accounting for potential confounders, in a community-dwelling population.
Materials And Methods: Within this cross-sectional study 430 community-dwelling individuals aged 18 to 79 (286 women (66.