322,955 research outputs found
Post-stroke rehabilitation: An economic or medical priority? Current issues and prospects in light of new legislative regulations
No full textThe aim of this study was to evaluate: 1) whether the reduction in duration of in-patient rehabilitation imposed by the Italian Ministry of Health's circular of 29/6/95 has been accompanied by a decline in the results achieved; and 2) whether the system of basing payments on diagnosis related group (DRG) criteria is capable of correctly evaluating differences in post-stroke clinical pictures. The study involved 461 of 497 patients consecutively admitted between 1991 and 1996 for rehabilitation after a first stroke. The average duration of hospitalisation for the period 1995-1996 was significantly shorter (/?<0.001) than that of the previous years; at the same time, there was a significant increase (/?<0.05) in the number of poor responders in both neurological and functional (mobility) terms. Furthermore, the early discharge after 60 days of the 1995-1996 patients compromised the stabilisation of recovery and led to a subsequent functional decline. It is therefore hoped that the current regulations will be revised and that payments based on a functional related group (FRG) criterion will be introduced. © Springer-Verlag 1998
Hubertus Blaumeiser, Anna Maria Rossi (red.), Resurrezione di Roma, Dialoghi interdisciplinari su città, persona e relazioni a partire da un testo di Chiara Lubich [Zmartwychwstanie Rzymu. Dialogi...], Roma: Città Nuova, 2017, s. 247.
No full textHubertus Blaumeiser, Anna Maria Rossi (red.), Resurrezione di Roma, Dialoghi interdisciplinari su città, persona e relazioni a partire da un testo di Chiara Lubich [Zmartwychwstanie Rzymu. Dialogi interdyscyplinarne o mieście, osobie i relacjach, na podstawie tekstu Chiary Lubich], Roma: Città Nuova, 2017, s. 247
Predicting stroke inpatient rehabilitation outcome: the prominent role of neuropsychlogical disorders
No full textUn caso di sponsalia sul Carso di Grisignana. Il processo Lubich-Dobles (1768-1772)
No full textMaddalena Dobles, podrijetlom iz sela Kućibreg kod Topolovca, tvrdila je 1771. da je ostala trudna s Markom Ljubićem koji je doznavši tu vijest nasilno reagirao te je pokušao izazvati pobačaj gazeći djevojku i pritišćući joj trbuh nogama. Na-kon što je propao nasilni pokušaj pobačaja i sve mogućnosti da se vrati izgublje-na čast djevojke, Marko Ljubić je ubrzao planove sklapanja braka s drugom že-nom te je zatražio od župe Grožnjan potvrdu o njegovom „slobodnom statusu“. Kada je Maddalena to doznala, podigla je tužbu 24. rujna 1771. u Novigradu zahtijevajući da sud obveže muškarca da se s njom vjenča i spriječi svaki njegov pokušaj da sklopi drugi brak.Tijekom parnice Ljubić je na sve načine pokušavao diskreditirati Maddalenu Dobles u očima kancelara Iseppa Marignana, zaduženog za rasvjetljavanje do-gađaja. Cijela optužnica o njenom navodnom nemoralnom ponašanju je sruše-na, a djevojka je oslobođena od svih optužbi.Il saggio ricostruisce nei minimi dettagli un caso di sponsalia, una promessa di matrimonio vera o, molto spesso, presunta, avvenuto tra la fine degli anni Ses-santa ed i primi anni Settanta del XVIII secolo in un piccolo villaggio del Carso di Grisignana, villa Lubich. Rimasta incinta da Marco Lubich, Maddalena Dobles, nonostante il tentativo di aborto violento perpetrato dall’uomo, inoltrò alla Curia di Cittanova una “contradizione” con la quale pretese l’impegno del Lubich a sposarla, impedendogli, in tal modo, di contrarre un qualsiasi altro matrimonio
Reading through the Other’s Eyes: The Mystical Foundations of Interreligious Dialogue in Chiara Lubich’s Paradise ‘49
No full textThe life and spirituality of Chiara Lubich (1920–2008), the founder of the Focolare Movement, is marked by a particular mystical experience in the years 1949 and 1950, which found expression in a text entitled Paradise ‘49. In this mystical imprint—according to the thesis of the following paper—the explanation can be found for the fact that Lubich, starting from a traditionally Catholic milieu, followed a path that brought her into dialogue with representatives of all world religions. In particular, phrases with “to live” and “to be” are examined, which point to an existential understanding of religious truth. Dialogue does not mean relativizing one’s own truth, but leads to a deeper understanding
Predicting stroke inpatient rehabilitation outcome: The prominent role of neuropsychological disorders
No full textThis study was designed to determine the role of demographic, medical and cognitive factors in the results of rehabilitation in first stroke patients. In a prospective study on 273 consecutive patients admitted to a rehabilitation hospital for sequelae of first stroke, we used multiple regressions to assess the relationship between 11 independent variables and a battery of outcome measures: mortality, length of hospital stay, Barthel Index (BI) and Rivermead Mobility Index (RMI) scores at discharge and their effectiveness. Severity of stroke at admission and hemineglect were the strongest prognostic factors. In a logistic model, cognitive impairment was a significant independent predictor (OR = 4.10) also after adjusting for age and severity of stroke. Patients with hemineglect had a significantly higher relative risk of poor autonomy [RR = 7.30, 95% confidence interval (CI) 4.04-13.18] and impaired mobility (RR = 9.25, CI 4.63-18.45). Global aphasic patients had similar risks for both autonomy (RR = 4.51, CI 2.74-7.41) and mobility (RR = 4.71, CI 2.79-7.97). This study underlines the crucial role of cognitive disorders as predictors of poor functional outcome in stroke survivors and confirms the need for early neuropsychological screening
Poststroke late seizures and their role in rehabilitation of inpatients
No full textPURPOSE:
This study was designed to (a) identify the prevalence of poststroke late seizures in a population of patients admitted to rehabilitation of neurologic sequelae of their first stroke, (b) recognize reliable prognostic factors associated with the occurrence of poststroke late seizures, and (c) evaluate the impact of seizures on the results of rehabilitation treatment.
METHODS:
In a prospective study of 306 consecutive patients admitted to a rehabilitation hospital for sequelae of their first stroke, we assessed the relation among 15 independent variables and the development of seizures by using multiple regression analysis (forward stepwise). In addition, we evaluated the impact of occurrence of poststroke seizures on both efficiency and effectiveness of rehabilitation and length of stay.
RESULTS:
Poststroke late seizures occurred in 46 (15.03%) patients, with a mean interval from stroke of 101.98 +/- 37.96 days. In multiple regression analysis, putaminal and lobar hemorrhages showed a significant positive association with the development of seizures (p < 0.005), whereas high scores on the Canadian Neurological Scale (CNS) (indicating less severe strokes) and increasing age were negatively associated (p < 0.01 and p < 0.05, respectively). Patients with putaminal and lobar hemorrhages and patients with severe stroke (CNS score at admission, <7) were at significantly greater relative risk of seizures [relative risk (RR) = 1.99, 95% confidence interval (CI), 1.11-1.39; RR = 3.00, CI, 1.06-1.13; and RR = 2.41, CI, 1.01-1.27, respectively). No significant association was found between poststroke seizures and results of rehabilitation.
CONCLUSIONS:
Poststroke late seizures occurred mainly in patients with putaminal and lobar hemorrhagic strokes but, if treated, did not affect rehabilitation therapy
Changes in functional outcome in inpatients stroke rehabilitation resultimg from new health policy regulations in Italy
No full textChiara Lubich and the Intercultural Dialogue—Educational Relevance in a Time of New Conflicts
No full textAs in a jigsaw puzzle, the pieces put together place before us the drama of the proliferation of new conflicts. Such are the times of today when people try to justify war on the grounds of belonging to different and incompatible cultures. Hence, there is an urgent need for a revival of intercultural dialogue and adequate education to foster it. Aware of the current challenge to peace, the two authors, who come from different geographical areas and cultures, seek through their research to highlight the educational value of Chiara Lubich’s charism, her work and that of the Focolare Movement she founded. To this end, they make use of the hermeneutic method of “text” analysis, understood as everything the person said, did and wrote. For this, they focus on what, with respect to the epistemology of education, consists in the real innovation, namely: the Lubich synoran, the Golden Rule as the axiological foundation of intercultural dialogue education, the Art of Loving as a method and the Cube of Peace as a teaching tool
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