Walking self-confidence and lower levels of anxiety are associated with meeting recommended levels of physical activity after hip fracture: a cross-sectional study.

Purpose: To explore whether psychological factors are associated with ability to meet recommended physical activity thresholds after hip fracture.

Materials And Methods: Cross-sectional observational study of 216 community-dwelling adults aged ≥65 years after hip fracture (mean age 79 SD 7 years, 70% female). Multiple ordinal regression analysis determined factors associated with meeting physical activity thresholds related to positive health outcomes: 4,400 and 7,100 daily steps.

Development of an implementation strategy for routine collection of generic patient reported outcome measures: a qualitative study in multidisciplinary community rehabilitation.

Purpose: To explore staff perceptions of barriers and enablers towards implementing the EQ-5D-5L in community rehabilitation, and develop a theory-informed implementation approach for routine administration of generic patient-reported outcome measures (PROMs) using implementation science frameworks.

Materials And Methods: A qualitative study was conducted at three sites. Multidisciplinary rehabilitation staff completed individual semi-structured interviews, which were transcribed and coded against the Theoretical Domains Framework (TDF).

Acceptability of the routine use and collection of a generic patient reported outcome measure from the perspective of healthcare staff: a qualitative study.

Background: Patient-reported outcome measures (PROMs) provide a measure of self-perceived health status or health-related quality of life. They have been used to support provider-patient decisions, healthcare delivery, and value-based healthcare models. A barrier to routine collection of PROMs is the perception that PROMs lack clinical utility.

Motivational interviewing with community-dwelling older adults after hip fracture (MIHip): protocol for a randomised controlled trial.

Introduction: Community-dwelling people recovering from hip fracture have the physical capacity to walk in their community but lack the confidence to do so. The primary aim of this trial is to determine whether motivational interviewing increases time spent walking at 12 months in community-dwelling people after hip fracture compared with an attention placebo control group. Secondary aims are to evaluate cost effectiveness, patient and health service outcomes and to complete a process evaluation.

Efficacy demonstration of tetanus vaccines by double antigen ELISA.

This paper describes a double antigen ELISA (DAE) for rapid, specific and reliable assessment of the antitetanus immune status of horses and sheep. Compared with the indirect ELISA, the double antigen ELISA has the advantage of species-independent testing of sera. Thanks to its test design, it is more specific since the detected antibodies are forced to bind tetanus toxoid twice.

Replacement of the in vivo neutralisation test for efficacy demonstration of tetanus vaccines ad us. vet.

The bacterium Clostridium (C.) tetani is an ubiquitous pathogen. This anaerobic, gram-positive bacterium can form spores and can be found in the whole environment.

Quality assurance of C. perfringens epsilon toxoid vaccines--ELISA versus mouse neutralisation test.

Clostridium (C.) perfringens is a Gram-positive anaerobic spore-forming bacterium. Disease caused by C.

[Endolymphatic stromal myosis, a rare semimalignant tumour (author's transl)].

The rarely occurring disease of endolymphatic stromal myosis is discussed by means of an impressive case. The cells of this semimalignant tumour resemble those of the endometrium, but it is not clear whether this tumour can be derived histogenetically from the endometrium or from the cells of the duct of Müller (ductus paramesonephricus) or from pericytal cells. The histological pattern of the tumour, which is characterized by the uniformity of small spindle-like oval cells without remarkable mitotic activity, and by a lack of atypical criteria, does not permit any prognosis in respect of its clinical behaviour.

[Heavy metal content in sediment samples taken from drinking-water reservoir (author's transl)].

Sediment samples were taken from the small preliminary catchment basin of the Wahnbachtal reservoir at Siegburg, extracted under mild conditions with nitric acid and hydrogen peroxide and analysed for their content of heavy metals. The sediment sample of the most recent date showed the highest concentrations of metal, that of older date revealed lower values, but by far the lowest metal content was found in the clay of the former valley. The high metal contents in the sediment are not only to be attributed to human influence but are primarily caused by the lead and zinc ores in the catchment area.