The effect of osteopathic manual therapy with breathing retraining on cardiac autonomic measures and breathing symptoms scores: A randomised wait-list controlled trial.

Background: Breathing retraining and manual therapy (MT), delivered independently or together, influence autonomic activity, and improve symptoms in patients with chronic conditions. This study evaluated the effects of breathing retraining and osteopathic MT on cardiac autonomic measures and breathing symptoms during spontaneous breathing in healthy active adults.

Methods: Participants (n = 18) received breathing retraining and four, weekly manual therapy sessions, randomised to start immediately, or after 6-week delay.

On the use of a hospital information system in evaluating clinical care: a case report.

In this paper we describe, as an example, how we obtained the information needed to evaluate a newly introduced protocol for ordering X-rays for ankle trauma patients. Extensive use was made of available data and facilities of the hospital information system (HIS). Procedures for collecting the required additional data, which were not recorded in the HIS but were needed to evaluate the protocol, were embedded in the current medical and administrative routine of the emergency room.

[Observation of psychogeriatric clients and home care service].

In cooperation with the community mental health care for the elderly clients are assessed in a day hospital of a psychogeriatric nursing home. Time and again, former clients of the day-hospital who have been discharged with a fair prognosis are admitted to a nursing home. This research indicates that it is sometimes hard to carry out the advice of the day-hospital because of insufficient knowledge concerning psychogeriatrics in primary care and homes for the aged, lack of day-care centres for psychogeriatric clients, lack of informal care and the detrimental influence of general hospital admission.