Pulmonary rehabilitation is an effective intervention for patients with chronic obstructive pulmonary disease (COPD). It is usually available only through selected hospitals. A pilot study was undertaken to see if pulmonary rehabilitation performed by the primary health care team in one practice was feasible. Fourteen patients were recruited; 13 completed the programme and one year of follow-up...

OBJECTIVES The purpose of the present study was to examine the potential benefits of additional training in patients admitted to recovery phase rehabilitation ward using the data bank of post-stroke patient registry. SUBJECTS AND METHODS Subjects were 2507 inpatients admitted to recovery phase rehabilitation wards between November 2004 and November 2010. Participants were retrospectively divi...

The validation of treatment approaches for children and adolescents diagnosed with unexplained signs and symptoms is made difficult by the variety of clinical presentations and the different developmental levels of different patients. There is little evidence about what combination of approaches is most successful. This article uses what evidence is available to develop a coordinated multidisci...

The Stroke and Neurovascular Program at the Medical College of Wisconsin and Froedtert Hospital, in Milwaukee, is a comprehensive, interdisciplinary center for stroke medicine. The program encompasses an acute stroke team, a neuro-intensive care unit, a stroke care unit, and a stroke rehabilitation program. The staff includes specialists with fellowship training in stroke, neurocritical care, n...

As reported in a recent review, the most promising interventions for restoring function of the arm seem to be high-repetition doses of task-oriented training, such as constraint-induced movement therapy [3]. However, constraint-induced movement therapy requires considerable clinical staff input and a long treatment time, which makes clinical introduction impractical [4]. In fact, the reality of...

OBJECTIVE to assess the effect of home versus day rehabilitation on patient outcomes. DESIGN randomised controlled trial. SETTING post-hospital rehabilitation. PARTICIPANTS two hundred and twenty-nine hospitalised patients referred for ambulatory rehabilitation. INTERVENTIONS hospital-based day rehabilitation programme versus home-based rehabilitation programme. MAIN OUTCOME MEASURES ...

The validation of treatment approaches for children and adolescents diagnosed with unexplained signs and symptoms is made difficult by the variety of clinical presentations and the different developmental levels of different patients. There is little evidence about what combination of approaches is most successful. This article uses what evidence is available to develop a coordinated multidisci...

When epidemic cholera appeared in Haiti in October 2010, the medical community there had virtually no experience with the disease and needed rapid training as the epidemic spread throughout the country. We developed a set of training materials specific to Haiti and launched a cascading training effort. Through a training-of-trainers course in November 14-15, 2010, and department-level training ...

Background The audit-feedback cycle is a behaviour change intervention used to reduce evidence-practice gaps. In this study, repeat audits, feedback, education and training were used to change practice and increase compliance with Australian guideline recommendations for stroke rehabilitation. Objective To increase the proportion of patients with stroke receiving best practice screening, asse...