2,443 results match your criteria: "School of Primary[Affiliation]"

A scoping review of observation-based tools for assessing use of the upper limb in activities.

Disabil Rehabil

October 2024

Occupational Therapy, School of Allied Health, Human Services and Sport, La Trobe University, Melbourne, Australia.

Purpose: To summarise information about tools available to rate observed performance in activities, tested with populations with upper limb impairment.

Methods And Materials: A scoping review was conducted. Articles were included if they reported psychometric properties of tools that could be used with populations with upper limb impairment, had at least one activity item, and item/s involved use of the upper limbs.

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  • - The study investigates chair, bed, and toilet heights in rehabilitation hospitals and at home to help clinicians better prepare stroke survivors for returning home post-recovery.
  • - Data was gathered from six rehabilitation hospitals and homes of 200 first-time stroke survivors, revealing that home furniture is generally lower than in hospital settings (e.g., chairs are 2-5 cm shorter).
  • - The findings highlight a significant height disparity that clinicians need to address by lowering chair and bed heights in hospitals to facilitate a smoother transition for stroke survivors to their home environment.
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  • The study looked at what health professionals, patients, and the public think about having community pharmacists help find people with alcohol-related liver disease (ArLD).
  • Researchers talked to 26 people including patients, pharmacy staff, and doctors to understand their experiences and how pharmacists could help identify ArLD.
  • Everyone agreed that pharmacists could play a part in helping find at-risk people and connecting them to more medical support, but they also mentioned needing better training and teamwork for pharmacists to do this well.
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Purpose: A scoping review of randomized controlled trials (RCTs) of parenting and family-based interventions that aim to reduce severe and persistent conduct problems among 10-17 year-olds. The review also examined feasibility for conducting a network meta-analysis of common therapy elements measured by RCTs.

Materials And Methods: The review adhered to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses Extension for Scoping Reviews (PRISMA- ScR).

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The Impact of Primary Renal Diagnosis on Prognosis and the Varying Predictive Power of Albuminuria in the NURTuRE-CKD Study.

Am J Nephrol

October 2024

Centre for Kidney Research and Innovation, Academic Unit for Translational Medical Sciences, School of Medicine, University of Nottingham, Nottingham, UK.

Article Synopsis
  • The study evaluates risks associated with Chronic Kidney Disease (CKD) across different primary renal diseases using data from a UK cohort of nearly 3,000 adults.
  • It found that over a median follow-up of about 49 months, many participants experienced kidney failure or death, with significant differences in risk based on the primary renal diagnosis (PRD), even after adjusting for factors like age and blood pressure.
  • The research highlights that while eGFR is a reliable predictor of kidney outcomes, the effectiveness of albuminuria (uACR) as a predictive marker varies greatly depending on the type of kidney disease, suggesting that personalized treatment strategies are essential in CKD management.
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Objective: Households with children accessing food aid in high-income countries are often food insecure. We aimed to review the evidence on food aid interventions in households with children and impact on food insecurity, diet quality and mental health.

Design: A systematic search was conducted using Web of Science, MEDLINE, CINAHL and PsycINFO.

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Background: Health workforce supply is critical to ensuring the delivery of essential healthcare and may be enhanced via mechanisms which alter the scopes of practice of health professions. The aim of this paper is to study the collective perspectives of allied health decision-makers on factors which influence their development and implementation of advanced and extended scope of practice initiatives, and how they contribute to scope of practice change. The reasoning for the selection of each factor will also be examined.

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This mixed-methods study identified physical activity (PA) and healthy eating messages produced during the COVID-19 pandemic and explored how they were received by UK ethnic minority communities. A scoping review of research and grey literature identified categories of PA and healthy eating messaging targeted at ethnic minorities. Individual and group interviews were conducted, audio-recorded, transcribed and analysed using inductive thematic analysis.

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Long COVID and Health Inequalities: What's Next for Research and Policy Advocacy?

Health Expect

October 2024

School of Primary Care, Population Sciences and Medical Education, Faculty of Medicine, University of Southampton, Southampton, UK.

Introduction: Organised by the 'Qualitative Long Covid Network', a workshop for qualitative Long COVID (LC) researchers, LC charity representatives and people with LC took place in June 2023, where research on the intersectional inequalities affecting LC prevalence, recognition and care was shared and discussed.

Methods: Five key themes were drawn up from presentations, discussions and reflections during the workshop, which are presented in this study.

Results: The following five themes are discussed: the unfairness of LC, difficulties in accessing care, mistrust of the healthcare system, a lack of understanding of LC and experiences of stigma and discrimination.

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Inducing ipsilateral motor-evoked potentials in the biceps brachii muscle in healthy humans.

Eur J Neurosci

November 2024

NeuroMuscular Research Center, Faculty of Sport and Health Sciences, University of Jyväskylä, Jyväskylä, Finland.

To assess reticulospinal tract excitability, high-intensity transcranial magnetic stimulation (TMS) has been used to elicit ipsilateral motor-evoked potentials (iMEPs). However, there is no consensus on robust and valid methods for use in human studies. The present study proposes a standardized method for eliciting and analysing iMEPs in the biceps brachii.

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Importance: Structured education and exercise therapy programs have been proposed to reduce reliance on total knee replacement (TKR) surgery and improve health care sustainability. The long-term cost-effectiveness of these programs is unclear.

Objectives: To estimate the lifetime cost-effectiveness of implementing a national structured education and exercise therapy program for individuals with knee osteoarthritis with the option for future TKR compared with usual care (TKR for all).

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Background: Patients with shock treated by emergency medical services (EMS) have high morbidity and mortality. Knowledge of prehospital factors predicting outcomes in patients with shock remains limited. We aimed to describe the prehospital predictors of mortality in patients with non-traumatic shock transported to hospital by EMS.

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Article Synopsis
  • The study evaluated the safety and effectiveness of statins, ezetimibe, and their combination for treating children with heterozygous familial hypercholesterolaemia (HeFH), using systematic reviews and various meta-analyses from RCTs.* -
  • Results showed that all lipid-lowering therapies (LLTs) were effective in reducing cholesterol levels, with statins leading to significant reductions in low-density lipoprotein cholesterol (LDL-C), especially when combined with ezetimibe.* -
  • While no safety or tolerability issues were identified, the extent of LDL-C reduction varied by treatment dosage and type, highlighting the need for more research on long-term safety and effectiveness.*
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Active surveillance for prostate cancer monitors disease progression, with a view to actively treat only if progression is evident. Living with an untreated cancer can negatively impact psychological wellbeing. Partners can influence decisions to convert to active treatment in the absence of disease progression, it is, therefore, important to consider partner reactions and responses to prostate cancer treatment options.

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Purpose: The effects of low-intensity exercise, heat-induced hypo-hydration and rehydration on maximal strength and the underlying neurophysiological mechanisms are not well understood.

Methods: To assess this, 12 participants took part in a randomised crossover study, in a prolonged (3 h) submaximal (60 W) cycling protocol under 3 conditions: (i) in 45 °C (achieving ~ 5% body mass reduction), with post-exercise rehydration in 2 h (RHY2), (ii) with rehydration across 24 h (RHY24), and (iii) a euhydrated trial in 25 °C (CON). Dependent variables included maximal voluntary contractions (MVC), maximum motor unit potential (M), motor evoked potential (MEP) amplitude and cortical silent period (cSP) duration.

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Article Synopsis
  • * 134 participants lost an average of 5.5 kg during the program, though 95% reported experiencing side-effects, most commonly hunger and fatigue.
  • * While many found the diet helpful for weight loss, they also noted its restrictive nature and taste issues; future research may identify which adolescents benefit the most from such diets.
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Question: Do five baseline moderators identify patients with chronic low back pain who respond best to cognitive functional therapy (CFT) when compared with usual care?

Design: Secondary analysis of the RESTORE randomised controlled trial.

Participants: A total of 492 adults with low back pain for > 3 months with at least moderate pain-related activity limitation.

Intervention: Participants were allocated to CFT alone or CFT plus biofeedback; these two groups were combined for this secondary analysis.

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Article Synopsis
  • Lower limb apophyseal injuries are common in children and adolescents, potentially impacting their quality of life and leading to reduced sports participation during important developmental years.
  • The research developed self-administered screening tools for two prevalent conditions: Sever's disease (calcaneal apophysitis) and Osgood-Schlatter's disease (tibial tuberosity apophysitis), using expert consensus and literature support.
  • The tools demonstrated high diagnostic accuracy, with potential to assist clinicians in preclinical screening and facilitate larger epidemiological studies to better understand the prevalence of these injuries.
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An Analysis of the Structures People With Shoulder Pain Recall After Receiving Their Diagnostic Imaging Results.

Musculoskeletal Care

September 2024

Physiotherapy Department, School of Primary and Allied Health Care, Faculty of Medicine Nursing and Health Science, Monash University, Frankston, Australia.

Aims: Rotator cuff related shoulder pain (RCRSP) is a prevalent cause of musculoskeletal pain. Patients presenting with this condition often undergo diagnostic imaging. However, many patients appear to have difficulty recalling the nature of their diagnosis.

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Background: Mallet finger injuries are a frequent cause of hospital attendance, being the fifth most common injury in the body. They are therefore a frequent cause of hospital visits. To date, these injuries have primarily been managed using generic splints.

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Article Synopsis
  • The StartReact test is a noninvasive method used to evaluate the functioning of cortico-reticular pathways, but more research is needed on how different stimuli affect motor output.
  • A study examined the response of elbow flexor muscles in adults (ages 26-48) to three types of stimuli: visual only, audio-visual, and startle-inducing audio-visual, using surface electromyography (EMG) to measure muscle activity.
  • Results showed that reaction times were significantly faster and muscle activity was highest following startle-inducing stimuli, indicating that these stimuli may lead to both subcortical and cortical improvements in motor response.
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Aim: This article reports on the development of patient resources for the IMPlementing IMProved Asthma self-management as RouTine (IMPART) programme that aimed to encourage patients to attend asthma reviews (invitation letters), encourage patients to enquire about asthma action plans (posters), and equip patients with the knowledge to manage their asthma (information website).

Background: To improve supported asthma self-management in UK primary care, the IMPART programme developed a whole-systems approach (patient resources, professional education, and organisational strategies).

Methods: Linked to behaviour change theory, we developed a range of patient resources for primary care general practices (an information website, invitation letters to invite patients for asthma reviews, and posters to encourage asthma action plan ownership).

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History of Pulmonary Rehabilitation: An International Perspective.

J Cardiopulm Rehabil Prev

November 2024

Author Affiliations: Department of Physiotherapy, Manipal College of Health Professions, Manipal Academy of Higher Education, Manipal, Karnataka, India (Mr Bhat); Department of Physiotherapy, School of Primary and Allied Health Care, Monash University, Frankston, Victoria, Australia (Dr Lee); Institute for Breathing and Sleep, Heidelberg, Victoria, Australia (Dr Lee); and Sleep Medicine and Lung Health Consultants, Pittsburgh, Pennsylvania (Dr Carlin).

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Impact of the COVID-19 Pandemic on Allied Health University Education Programs: A Scoping Review.

J Allied Health

September 2024

Dep. of Occupational Therapy, School of Primary and Allied Health Care, Faculty of Medicine, Nursing and Health Sciences, Monash University-Peninsula Campus, Frankston, Victoria, Australia.

The COVID-19 pandemic triggered the mass transition of tertiary education to virtual delivery or a hybrid learning approach. This scoping review aims to identify the nature and extent of the current literature on how the COVID-19 pandemic impacted the allied health student education experience and the delivery of teaching and learning materials. A scoping review, performed following the PRISMA-ScR guidelines, was conducted for standard databases and the grey literature published after 2019 that focused on allied health education.

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Self-management interventions for chronic widespread pain including fibromyalgia: a systematic review and qualitative evidence synthesis.

Pain

September 2024

Primary Care Research Centre, School of Primary Care, Population Sciences & Medical Education, Faculty of Medicine, University of Southampton, Southampton, United Kingdom.

Supporting behavioural self-management is increasingly important in the care for chronic widespread pain (CWP), including fibromyalgia. Understanding peoples' experiences of these interventions may elucidate processes and mechanisms that lead to or hinder their intended impact. We conducted a systematic review and thematic synthesis of qualitative studies exploring peoples' experiences of self-management interventions for CWP, including fibromyalgia.

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