Background Cardiac arrhythmias are common conditions in older people.Unfortunately,there is limited literature on associations between cardiac arrhythmias and physical performance or disability.We therefore aimed to p...Background Cardiac arrhythmias are common conditions in older people.Unfortunately,there is limited literature on associations between cardiac arrhythmias and physical performance or disability.We therefore aimed to prospectively investigate associations between cardiac arrhythmias and changes in disability and physical performance during 8 years of follow-up,using data from the Italian Longitudinal Study on Aging(ILSA).Methods Cardiac arrhythmias diagnosis was posed through a screening phase,confirmed by a physician.The onset of disability in activities of daily living(ADL)and the changes in several physical performance tests during follow-up were considered as outcomes.Fully-adjusted and propensity-score Cox Proportional Hazard models and mixed models were used for exploring associations between cardiac arrhythmia and the outcomes of interest.Results The prevalence of cardiac arrhythmia at baseline was 23.3%.People reporting cardiac arrhythmia at the baseline were significantly older,more frequently male,smokers and reported a higher presence of all medical conditions investigated(hypertension,heart failure,angina,myocardial infarction,diabetes,stroke),but no difference in dementia,Parkinsonism,cognitive or mood disorder.Cardiac arrhythmia at baseline was significantly associated with the incidence of disability in ADL(HR=1.23;95%:CI:1.01–1.50;P=0.0478 in propensity score analyses;HR=1.28;95%CI:1.01–1.61;P=0.0401 in fully adjusted models).Cardiac arrhythmia at baseline was also associated with a significant worsening in balance test(P=0.0436).Conclusions The presence of cardiac arrhythmia at baseline was associated with a significant higher risk of disability and of worsening in some physical performance tests,particularly those relating to balance.Screening and frequently assessing physical performance in older people affected by cardiac arrhythmia can be important to prevent a loss of physical performance,with further,potential,complications of medical management.展开更多
Eight different geographical districts in China varying in urban and rural characteristics from 6 provinces and 2 municipalities were selected as pilot areas of the project.The interventions included early detection a...Eight different geographical districts in China varying in urban and rural characteristics from 6 provinces and 2 municipalities were selected as pilot areas of the project.The interventions included early detection and treatment of neuritis,self-care training,adapted footwear,surgery,comprehensive treatment of complicated ulcers,and prostheses.Main changes in eye,hand and foot impairments between baseline assessment and assessment at 2 years have been presented in this paper.展开更多
Value-based care model has been evolving to organize medical services around the patient and provide the full cycle of care for a medical condition.The full cycle of care model encompasses inpatient,outpatient,rehabil...Value-based care model has been evolving to organize medical services around the patient and provide the full cycle of care for a medical condition.The full cycle of care model encompasses inpatient,outpatient,rehabilitation as well as supportive care such as palliative care and nutrition support.Cancer rehabilitation and palliative care have emerged as two important parts of value-based practice for oncology patients.More clinical evidence suggests that early intervention of oncology rehabilitation program and palliative care are likely to improve the patient outcome and reduce the overall medical cost for the patient and his or her family as well as for medical service providers.Although interest has been raised in Chinese oncologists,but effectiveness of incorporating these two services in clinical practices has not been adequately demonstrated.An understanding of scope of cancer rehabilitation and palliative care may help facilitate the integration of both into the oncology care continuum in efforts to improve patients'physical,psychological,cognitive,functional health and quality of life.展开更多
To undertake the pilot experiments of prevention of disability (POD) in 14 different geographical areas to serve as examples for future development of rehabilitation work in China and in Asia. Methods.According to the...To undertake the pilot experiments of prevention of disability (POD) in 14 different geographical areas to serve as examples for future development of rehabilitation work in China and in Asia. Methods.According to the principles and national criterion, 27 000 people affected by leprosy were selected and assessed using disability record forms at beginning and followed up regularly for observing changes of different indicators. Results. A total of 197 neuritis cases were detected and treated with prednisolone out of 1 407 new or active cases. Self care training of eyes, hands and feet were conducted for 10 500 disabled people affected by leprosy. Comprehensive therapy was given to 1 804 cases having complicated ulcers of which 1 055 cases have got their ulcers healed. Out of 706 prostheses, 613 were given to patients with satisfactory results. Surgical treatment was given to 269 cases and 251 have shown good progress. Conclusion. Most of patients have got benefit from the project in function or appearance which is very helpful for their going back to the society and agreed by foreign experts during the final evaluation. The experiences from the project can be implemented in the whole country.展开更多
Counter beam lighting was introduced as well as transverse symmetrical lighting and longitudinal symmetrical lighting.Simulation experiments were carried out by using DIAlux lighting software for the above three light...Counter beam lighting was introduced as well as transverse symmetrical lighting and longitudinal symmetrical lighting.Simulation experiments were carried out by using DIAlux lighting software for the above three lighting methods.The results show that counter beam lighting is more reasonable to be adopted in the tunnel entrance zone because its threshold increment of disability glare is greater.Counter beam lighting can improve the background luminance of the obstacles and lighting efficiency compared with transverse symmetrical lighting and longitudinal symmetrical lighting.Therefore,tunnel lighting energy-saving can be achieved by reducing the road luminance demands and luminaries power.Longitudinal symmetrical lighting is conducive to the large luminaries spacing in the tunnel internal zone;so power consumption can be reduced by decreasing the number of luminaries used.Tunnel walls are unsuitable to pave with smooth or bright material.Installation height of the luminaries has less effect on counter beam lighting.展开更多
In the United States, approximately 40 million adults over the age 65 are affected by one or more forms of cardiovascular disease and it remains the leading cause of morbidity and mortality in this population. Among ...In the United States, approximately 40 million adults over the age 65 are affected by one or more forms of cardiovascular disease and it remains the leading cause of morbidity and mortality in this population. Among older adults, therapeutic goals for cardiovascular diseases （CVD） are often confounded by comorbid diseases and/or conditions that dominate their overall sense of health and well-being. Thus, even while CVD is usually considered a principal concern,展开更多
This issue begins with a systematic review and metaanalysis by Zheng and colleagues[1]about the use of a traditional Chinese medicine–Huperzine A（HupA）–as an adjunctive treatment for depression.The rationale for t...This issue begins with a systematic review and metaanalysis by Zheng and colleagues[1]about the use of a traditional Chinese medicine–Huperzine A（HupA）–as an adjunctive treatment for depression.The rationale for this treatment is that acetylcholinesterase（AChE）inhibitors may reduce the cognitive impairment that often accompanies depressive episodes and HupA is a powerful AChE inhibitor.After an exhaustive literature search in English language and Chinese，展开更多
Nursing plays an important part in the rehabilitation of residual limbs and the utilization of artificial limbs after the attack of the earthquake,which also prevent and reduce the damage severity,supplement and impro...Nursing plays an important part in the rehabilitation of residual limbs and the utilization of artificial limbs after the attack of the earthquake,which also prevent and reduce the damage severity,supplement and improve functional state,increase quality of life and strengthen the social life participating capacity of the amputees. According to the Guiding Principles for Adaptation and Utilization of Common Assistive Devices for Injury of the Wounded in Earthquake [1]compiled jointly by CDPF and Ministry of Health,to further promote the development of scientific work for rehabilitation of the wounded in the earthquake,improve the whole level and efficacy of medical remedy and rehabilitation,and maximally reduce the severity of disability,this study mainly interpreted the precautions to the post-amputation nursing for residual limbs of the wounded,hoping to provide reference for medical staff who will receive patients for amputation to implement rehabilitation therapy.展开更多
Central Kansas Cooperative in Education has collected quite a fewsoftware packages and special hardware devices to assist the disabledpeople in their education.Computer-aided learning has brought themhope for life.The...Central Kansas Cooperative in Education has collected quite a fewsoftware packages and special hardware devices to assist the disabledpeople in their education.Computer-aided learning has brought themhope for life.There are mainly four other devices for input into computers for thedisabled people in addition to the keyboard since some of them can展开更多
To investigate the reading activities and library use of the disabled, the authors conducted a questionnaire-based survey among 306 disabled people in four districts of Beijing. The result shows that the disabled main...To investigate the reading activities and library use of the disabled, the authors conducted a questionnaire-based survey among 306 disabled people in four districts of Beijing. The result shows that the disabled mainly take reading as a way of self-education and leisure. They have interest in reading but spend little time on it. Moreover, their age and education level have certain influence on their reading time and effect. Libraries play an important role in the reading activities of the disabled, who have a very strong interes in using libraries, but are limited by such factors as long distance between their home and the libraries, their misperception of libraries, and lack of barrier-free facilities in the libraries. Therefore, public libraries are highly recommended to improve their layout resources, and facilities to provide better services for the disabled.展开更多
基金The Italian National Research Council(CNR)supported the ILSA project from 1991 to 1998 as part of the“Progetto Finalizzato Invecchiamento”Since 1999,the Italian CNR,the“Biology of Aging”Strategic Project and the Ministero della Sanità,through the program“Epidemiology of the Elderly”of the Istituto Superiore di Sanitàand the“Estimates of Health Needs of the Elderly”Special Programme of the Tuscany Region have been supporting the ILSA project.
文摘Background Cardiac arrhythmias are common conditions in older people.Unfortunately,there is limited literature on associations between cardiac arrhythmias and physical performance or disability.We therefore aimed to prospectively investigate associations between cardiac arrhythmias and changes in disability and physical performance during 8 years of follow-up,using data from the Italian Longitudinal Study on Aging(ILSA).Methods Cardiac arrhythmias diagnosis was posed through a screening phase,confirmed by a physician.The onset of disability in activities of daily living(ADL)and the changes in several physical performance tests during follow-up were considered as outcomes.Fully-adjusted and propensity-score Cox Proportional Hazard models and mixed models were used for exploring associations between cardiac arrhythmia and the outcomes of interest.Results The prevalence of cardiac arrhythmia at baseline was 23.3%.People reporting cardiac arrhythmia at the baseline were significantly older,more frequently male,smokers and reported a higher presence of all medical conditions investigated(hypertension,heart failure,angina,myocardial infarction,diabetes,stroke),but no difference in dementia,Parkinsonism,cognitive or mood disorder.Cardiac arrhythmia at baseline was significantly associated with the incidence of disability in ADL(HR=1.23;95%:CI:1.01–1.50;P=0.0478 in propensity score analyses;HR=1.28;95%CI:1.01–1.61;P=0.0401 in fully adjusted models).Cardiac arrhythmia at baseline was also associated with a significant worsening in balance test(P=0.0436).Conclusions The presence of cardiac arrhythmia at baseline was associated with a significant higher risk of disability and of worsening in some physical performance tests,particularly those relating to balance.Screening and frequently assessing physical performance in older people affected by cardiac arrhythmia can be important to prevent a loss of physical performance,with further,potential,complications of medical management.
文摘Eight different geographical districts in China varying in urban and rural characteristics from 6 provinces and 2 municipalities were selected as pilot areas of the project.The interventions included early detection and treatment of neuritis,self-care training,adapted footwear,surgery,comprehensive treatment of complicated ulcers,and prostheses.Main changes in eye,hand and foot impairments between baseline assessment and assessment at 2 years have been presented in this paper.
文摘Value-based care model has been evolving to organize medical services around the patient and provide the full cycle of care for a medical condition.The full cycle of care model encompasses inpatient,outpatient,rehabilitation as well as supportive care such as palliative care and nutrition support.Cancer rehabilitation and palliative care have emerged as two important parts of value-based practice for oncology patients.More clinical evidence suggests that early intervention of oncology rehabilitation program and palliative care are likely to improve the patient outcome and reduce the overall medical cost for the patient and his or her family as well as for medical service providers.Although interest has been raised in Chinese oncologists,but effectiveness of incorporating these two services in clinical practices has not been adequately demonstrated.An understanding of scope of cancer rehabilitation and palliative care may help facilitate the integration of both into the oncology care continuum in efforts to improve patients'physical,psychological,cognitive,functional health and quality of life.
文摘To undertake the pilot experiments of prevention of disability (POD) in 14 different geographical areas to serve as examples for future development of rehabilitation work in China and in Asia. Methods.According to the principles and national criterion, 27 000 people affected by leprosy were selected and assessed using disability record forms at beginning and followed up regularly for observing changes of different indicators. Results. A total of 197 neuritis cases were detected and treated with prednisolone out of 1 407 new or active cases. Self care training of eyes, hands and feet were conducted for 10 500 disabled people affected by leprosy. Comprehensive therapy was given to 1 804 cases having complicated ulcers of which 1 055 cases have got their ulcers healed. Out of 706 prostheses, 613 were given to patients with satisfactory results. Surgical treatment was given to 269 cases and 251 have shown good progress. Conclusion. Most of patients have got benefit from the project in function or appearance which is very helpful for their going back to the society and agreed by foreign experts during the final evaluation. The experiences from the project can be implemented in the whole country.
基金Funded by Key Laboratory of Ministry of Education for Conveyance and Equipment,East China Jiaotong University(No. 09JD09)
文摘Counter beam lighting was introduced as well as transverse symmetrical lighting and longitudinal symmetrical lighting.Simulation experiments were carried out by using DIAlux lighting software for the above three lighting methods.The results show that counter beam lighting is more reasonable to be adopted in the tunnel entrance zone because its threshold increment of disability glare is greater.Counter beam lighting can improve the background luminance of the obstacles and lighting efficiency compared with transverse symmetrical lighting and longitudinal symmetrical lighting.Therefore,tunnel lighting energy-saving can be achieved by reducing the road luminance demands and luminaries power.Longitudinal symmetrical lighting is conducive to the large luminaries spacing in the tunnel internal zone;so power consumption can be reduced by decreasing the number of luminaries used.Tunnel walls are unsuitable to pave with smooth or bright material.Installation height of the luminaries has less effect on counter beam lighting.
文摘In the United States, approximately 40 million adults over the age 65 are affected by one or more forms of cardiovascular disease and it remains the leading cause of morbidity and mortality in this population. Among older adults, therapeutic goals for cardiovascular diseases （CVD） are often confounded by comorbid diseases and/or conditions that dominate their overall sense of health and well-being. Thus, even while CVD is usually considered a principal concern,
文摘This issue begins with a systematic review and metaanalysis by Zheng and colleagues[1]about the use of a traditional Chinese medicine–Huperzine A（HupA）–as an adjunctive treatment for depression.The rationale for this treatment is that acetylcholinesterase（AChE）inhibitors may reduce the cognitive impairment that often accompanies depressive episodes and HupA is a powerful AChE inhibitor.After an exhaustive literature search in English language and Chinese，
文摘Nursing plays an important part in the rehabilitation of residual limbs and the utilization of artificial limbs after the attack of the earthquake,which also prevent and reduce the damage severity,supplement and improve functional state,increase quality of life and strengthen the social life participating capacity of the amputees. According to the Guiding Principles for Adaptation and Utilization of Common Assistive Devices for Injury of the Wounded in Earthquake [1]compiled jointly by CDPF and Ministry of Health,to further promote the development of scientific work for rehabilitation of the wounded in the earthquake,improve the whole level and efficacy of medical remedy and rehabilitation,and maximally reduce the severity of disability,this study mainly interpreted the precautions to the post-amputation nursing for residual limbs of the wounded,hoping to provide reference for medical staff who will receive patients for amputation to implement rehabilitation therapy.
文摘Central Kansas Cooperative in Education has collected quite a fewsoftware packages and special hardware devices to assist the disabledpeople in their education.Computer-aided learning has brought themhope for life.There are mainly four other devices for input into computers for thedisabled people in addition to the keyboard since some of them can
基金supported by Chinese National Planning Offi ce of Philosophy and Social Sciences(Grant No.05ATQ002)
文摘To investigate the reading activities and library use of the disabled, the authors conducted a questionnaire-based survey among 306 disabled people in four districts of Beijing. The result shows that the disabled mainly take reading as a way of self-education and leisure. They have interest in reading but spend little time on it. Moreover, their age and education level have certain influence on their reading time and effect. Libraries play an important role in the reading activities of the disabled, who have a very strong interes in using libraries, but are limited by such factors as long distance between their home and the libraries, their misperception of libraries, and lack of barrier-free facilities in the libraries. Therefore, public libraries are highly recommended to improve their layout resources, and facilities to provide better services for the disabled.
