1,721,112 research outputs found
Preoperative Pain, Symptoms, and Psychological Factors Related to Higher Acute Pain Trajectories during Hospitalization for Total Knee Arthroplasty, 2013
No full textTotal knee arthroplasty is a painful operation. This study examines in what degree pre-operative pain, symptoms and psychological factors can influence the pain lapse from before the surgery to the fourth post-operative day among patients that have got implanted a knee prosthesis. Data are freely available for downloading
A Longitudinal Study of Fatigue, Depression, Functioning, Sleep Disturbance and Quality of Life in Patients with Stroke.
No full textDATASET MIGRATED FROM FIGSHARE: This study examine
the characteristics of fatigue and its relationships with depression,
functioning, sleep quality, and quality of life in a sample of patients with
first ever stroke. Design:
prospective study over 18 month.Data was
collected in the acute phase in people with first ever stroke, and repeated
after 6, 12 and 18 months. A number of 115 patients were recruited in 2007 and
2008.Data were collected study from face-to-face interviews using structured
questionnaires, patient’s medical records, and motion logger actigraphs.The files uploaded contain metadata only.Please see the attatched readme file for contact information.Publications:1. Cumming TB, Yeo AB, Marquez J, Churilov L, Annoni J, Badaru U, Ghotbi N, Harbison J, Kwakkel G, Lerdal A, Mills R, Naess H, Nyland H, Schmid A, Tang WK, Tseng B, van de Port I, Mead G, English. Investigating post-stroke fatigue: An individual participant data meta-analysis. J Psychosom Res. 2018. doi:10.1016/j.jpsychores.2018.08.0062. Lerdal A, Gay CL. Acute-Phase Fatigue Predicts Limitations with Activities of Daily Living 18 Months after First-Ever Stroke. J Stroke Cerebrovasc Dis. 2017;26(3):523-31.3. Eriksen S, Gay CL, Lerdal A. Acute phase factors associated with the course of depression during the first 18 months after first-ever stroke. Disability and rehabilitation. 2016;38(1):30-5.4. Lerdal A, Kottorp A, Gay CL, Grov EK, Lee KA. Rasch analysis of the Beck Depression Inventory-II in storke survivors: A cross-sectional study. J Affect Dis. 2014;158:48-52.5. Bakken LN, Kim HS, Finset A, Lerdal A. Subjective sleep quality in relation to objective sleep estimates: comparison, gender differences and changes between the acute phase and the six-month follow-up after stroke. J Adv Nurs. 2014;70(3):639-50.6. Lerdal A, Gay CL. Fatigue in the acute phase after first stroke predicts poorer physical health 18 months later. Neurology. 2013;81(18):1581-77. Lerdal A, Gay CL. Curvilinear Relationship Between Age and Post-Stroke Fatigue among Patients in the Acute Phase following First-Ever Stroke. International Journal of Physical Medicine Rehabilitation 2013;1(5).8. Kouwenhoven SE, Gay CL, Bakken LN, Lerdal A. Depressive symptoms in acute stroke: A cross-sectional study of their association with sociodemographics and clinical factors. Neuropsychol Rehabil. 2013;23(5):658-77.9. Bakken LN, Kim HS, Finset A, Lerdal A. Stroke patients' functions in personal activities of daily living in relation to sleep and socio-demographic and clinical variables in the acute phase after first-time stroke and at six months of follow-up. J Clin Nurs 2012;21(13-14):1886-95.10. Lerdal A, Lee KA, Bakken LN, Finset A, Kim HS. The Course of Fatigue during the First 18 Months after First-Ever Stroke: A Longitudinal Study. Stroke Res Treat 2012;2012:126275.11. Bakken LN, Lee KA, Kim HS, Finset A, Lerdal A. Sleep-Wake Patterns during the Acute Phase after First-Ever Stroke. Stroke Res Treat 2011;2011:936298.12. Lerdal A, Kottorp A. Psychometric properties of the Fatigue Severity Scale-Rasch analyses of individual responses in a Norwegian stroke cohort. Int J Nurs Stud 2011;48(10):1258-65.13. Lerdal A, Bakken LN, Rasmussen EF, Beiermann C, Ryen S, Pynten S, et al. Physical impairment, depressive symptoms and pre-stroke fatigue are related to fatigue in the acute phase after stroke. Disabil Rehabil 2011;33(4):334-42.</p
Curvilinear Relationship Between Age and Post-Stroke Fatigue among Patients in the Acute Phase following First-Ever Stroke
No full textIntroduction: Fatigue is a common complaint after stroke and may be assumed to be related to older age. Contradictory findings on the relationship between age and post-stroke fatigue have been reported in the rehabilitation phase, but no studies have described their relationship in the acute phase. The aim of this study was to explore the relationships among fatigue, age, and other socio-demographic and clinical factors during the acute phase following stroke. Methods: The sample included 115 patients (ages 29 to 91 years) with first-ever stroke admitted to two hospitals in Norway in 2007 and 2008. Data were collected from medical records and face-to-face interviews within 2 weeks of hospital admission. Measures included the Fatigue Severity Scale, SF-36A Physical Functioning Scale, Beck Depression Inventory-II, Barthel Index and Pittsburgh Sleep Quality Index. Pre-stroke fatigue was defined as fatigue lasting longer than three months before the stroke. Analyses included age group comparisons and hierarchical linear regression. Results: The relationship between age and fatigue was weak and U-shaped rather than linear, with the youngest (75 years) groups reporting higher levels of post-stroke fatigue. The effect of age on poststroke fatigue remained significant after controlling for gender, work status, pre-stroke fatigue, physical functioning, sleep disturbance, and comorbidity, but was attenuated after controlling for depressive symptoms. Conclusion: Although post-stroke fatigue in the acute phase was more severe among the youngest and oldest groups, age only explained a small proportion of post-stroke fatigue variability. Clinical factors, such as pre-existing fatigue, physical functioning, and particularly mood are likely more important explanations for post-stroke fatigue than age. Since fatigue may impact the patient’s ability to participate in rehabilitation, clinicians should pay attention to fatigue and its co-existing factors during the acute phase. Evidence-based interventions for managing post-stroke fatigue and improving rehabilitation outcomes are warranted.
© 2013 Lerdal A, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited
Fatigue in the acute phase after first stroke predicts poorer physical health 18 months later
No full textObjective: To determine whether fatigue in the acute phase following stroke predicts long-term patient-reported physical and mental health outcomes 18 months later.
Methods: Patients (n = 96, mean age 67.8 years, SD 12.9) were assessed within 2 weeks of hospital admission for first-ever stroke (acute phase) and 18 months later. Measures included the Fatigue Severity Scale and the Beck Depression Inventory II. The Short Form–36 was used to assess self-reported physical and mental health. Multivariate regression analysis was used to evaluate the relationship between acute phase fatigue and later health outcomes, controlling for relevant covariates.
Results: Acute phase fatigue was associated with physical health at 18-month follow-up, but not with mental health. After adjusting for other potential predictors of health outcomes, including age, sex, cohabitation status, acute phase physical or mental health, and depressive symptoms, acute phase fatigue remained a significant predictor of later physical health but not of later mental health. The reverse relationships were also examined, but neither physical nor mental health in the acute phase predicted fatigue at 18 months; the best predictor of fatigue at 18-month follow-up was acute phase fatigue.
Conclusions: These findings suggest that acute phase fatigue is an independent risk factor for poor physical health 18 months after stroke. Diagnosis and treatment of acute phase fatigue may improve physical health-related quality of life among stroke survivors. Effective treatments for poststroke fatigue, both in the acute phase and later in the recovery period, are needed
Eldre kvinners erfaring med osteoporotiske brudd i ryggen
No full text-Bakgrunn: Osteoporoserelatert vertebralfraktur rammer mange eldre kvinner og er ofte en underdiagnostisert tilstand.
Hensikt: Studien beskriver eldre kvinners erfaringer med å leve med osteoporoserelatert vertebralfraktur basert på en syntese av funn fra kvalitative studier som beskriver dette.
Metode: Studien er basert på prinsippene i retningslinjene PRISMA; standard for systematisk review. Systematisk artikkelsøk etter kvalitative studier ble utført i Cinahl, Medline, PsycINFO og SveMed+. Fem studier ble inkludert etter inklusjonskriteriene. Funn fra de inkluderte artiklene utgjorde grunnlaget for den tematiske syntesen i denne studien.
Resultater: Syntesen identifiserte følgende hovedtemaer; kroppslige forandringer, konstant og uforutsigbar smerte, fungering i hverdagen og oppfølging og støtte. Smerten ble beskrevet som konstant og dominerende i livet. Tap av høyde og endret kroppsholdning opplevde kvinnene negativt, og de så på seg selv som «gammel og bøyd».
Konklusjon: Systematisk smertekartlegging i kommunehelsetjenesten kan være et tiltak for å identifisere kvinner med osteoporoserelatert vertebralfraktur som har en smerteproblematikk. Kroppslige forandringer hos kvinner med osteoporoserelatert vertebralfraktur bør få større oppmerksomhet i klinisk praksis. Trening kan gjøre det enklere å fungere i hverdagen og være med på å styrke selvfølelsen
Going Beyond Counting First Authors in Author Co-citation Analysis
Full text linkThe present study examines one of the fundamental aspects of author co-citation analysis (ACA) - the way co-citation
counts are defined. Co-citation counting provides the data on which all subsequent statistical analyses and mappings
are based, and we compare ACA results based on two different types of co-citation counting - the traditional type that
only counts the first one among a cited work's authors on the one hand and a non-traditional type that takes into
account the first 5 authors of a cited work on the other hand. Results indicate that the picture produced through this non-traditional author co-citation counting contains more coherent author groups and is therefore considerably clearer. However, this picture represents fewer specialties in the research field being studied than that produced through the traditional first-author co-citation counting when the same number of top-ranked authors is selected and analyzed. Reasons for these effects are discussed
Variations on the Author
Full text link“Variations on the Author” discusses two of Eduardo Coutinho’s recent films (Um Dia na Vida, from 2010, and Últimas Conversas, posthumously released in 2015) and their contribution to the general question of documentary authorship. The director’s filmography is characterized by a consistent yet self-effacing form of authorial self-inscription: Coutinho often features as an interviewer that rather than express opinions propels discourses; an interviewer that is good at listening. This mode of self-inscription characterizes him as an author who is not expressive but who is nonetheless markedly present on the screen. In Um Dia na Vida, however, Coutinho is completely absent form the image, while Últimas Conversas, on the contrary, includes a confessional prologue that moves the director from the margins to the center of his films. This article examines the ways in which these works stand out in the filmography of a director who offers new insights into the notion of cinematic authorship
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