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Progressive Multicomponent Intervention for Older Adults in Home Health Settings Following Hospitalization: Randomized Clinical Trial.
Phys Ther
December 2024
Eastern Colorado VA Health Care System, Geriatric Research Education and Clinical Center (GRECC), Aurora, CO, United States.
Objectives: Reduced physical function following hospitalization places older adults at risk of adverse health events. Many older adults receive home health physical therapy to reverse their deconditioning; however, optimal approaches to improve physical function are currently not known. This study aimed to evaluate the effectiveness of a home health care approach comprised of high-intensity exercise, enhanced care transition, and protein supplementation.
View Article and Find Full Text PDFShelters in Alpine Rescue: Can They Create a Comfortable Zone at the Deployment Site?
Wilderness Environ Med
December 2024
Department of Anesthesiology and Critical Care Medicine, Medical University of Innsbruck, Innsbruck, Austria.
Article Synopsis
- Lightweight polyester shelters are commonly used in mountain rescue, but little is known about the stress experienced by rescuers while using them.
- A study with 48 seasoned rescuers assessed both objective (temperature, humidity, gas concentrations) and subjective stress factors (comfort, noise, air quality) during CPR training in these shelters.
- The findings indicate that the shelters significantly improved physical comfort and most rescuers reported positive working conditions despite rising temperatures and carbon dioxide levels during the process.
Multiple factors on driving load in mountain area at night based on factor analysis.
PLoS One
December 2024
School of Civil Engineering Architecture and the Environment, Hubei University of Technology, Wuhan, China.
Different driving environments may lead to increased mental workload and fatigue among drivers, consequently diminishing driving safety. To investigate the impact of various factors on drivers' driving load, this study approaches the issue from three perspectives: external weather environment, road driving environment, and in-vehicle driving environment. Through the experimental modeling of the mountainous road section of Provincial Highway S208 in Chongyang County, Xianning City, and employing simulated driving experiments, various factor combinations were designed to investigate the visual characteristics of drivers.
View Article and Find Full Text PDFSpatiotemporal analysis of roadway terrains impact on large truck driver injury severity outcomes using random parameters with heterogeneity in means and variances approach.
Accid Anal Prev
February 2025
Department of Civil, Construction and Environmental Engineering, College of Engineering, North Dakota State University, Fargo, ND 58108-6050, USA. Electronic address:
This study employs a partially temporally constrained modeling approach to examine spatiotemporal variations in driver injury severity in single-vehicle large truck crashes across different terrains in California, allowing for a nuanced understanding of how specific factors influencing injury outcomes may change over time. Utilizing crash data from January 1st, 2015, to December 31st, 2017, obtained from the Highway Safety Information System, this study categorizes terrains as flat, rolling, and mountainous terrain and employs a random parameter multinomial logit model with heterogeneity in means and variance to account for potential heterogeneity in crash injury outcomes. This approach helps understand how different terrains influence injury severities while allowing for parameter variability across observations.
View Article and Find Full Text PDFLeaving Slings and Other Transfer Devices Under Patients: A Clinical Decision Support Quality Improvement Project.
J Wound Ostomy Continence Nurs
January 2025
Sarah E. Bradley, PhD, MPH, CPH, James A. Haley Veterans Hospital and Clinics, Tampa, Florida, and Center for Healthcare Outcomes & Policy, University of Michigan, Ann Arbor, Michigan.
Purpose: The purpose of this quality improvement project was to develop guidance for safe patient handling and mobility efforts to prevent pressure injuries (PIs) within the Veterans Health Administration (VHA) when slings and other transfer devices are left under patients.
Participants And Setting: Health care staff (n = 112) in patient safety and nursing at 77 unique VHA facilities responded to surveys between November and December 2019. Interviews (n = 24) were conducted using purposive sampling with VHA staff at facilities with highest and lowest PI rates (n = 9) between January and March 2021.
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