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[PMID]:28454529
[Au] Autor:Arima K; Abe Y; Nishimura T; Okabe T; Tomita Y; Mizukami S; Kanagae M; Aoyagi K
[Ad] Endereço:Department of Public Health, Nagasaki University Graduate School of Biomedical Sciences, 1-12-4 Sakamoto, Nagasaki, 852-8523, Japan. kzarima-ngs@umin.ac.jp.
[Ti] Título:Association of vertebral compression fractures with physical performance measures among community-dwelling Japanese women aged 40 years and older.
[So] Source:BMC Musculoskelet Disord;18(1):176, 2017 04 28.
[Is] ISSN:1471-2474
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Numerous reported studies have shown that vertebral compression fractures are associated with impaired function or disability; however, few examined their association with objective measures of physical performance or functioning. METHODS: We examined the association of vertebral compression fractures with physical performance measures in 556 Japanese women aged 40-89 years. Lateral spine radiographs were obtained and radiographic vertebral compression fractures were assessed by quantitative morphometry, defined as vertebral heights more than 3 SD below the normal mean. Measures of physical performance included walking speed, chair stand time and functional reach. Adjusted means of performance-based measures according to the number and severity of vertebral compression fractures were calculated using general linear modeling methods. RESULTS: After adjusting for age, body mass index, back pain, number of painful joints, number of comorbidities and regular physical activities, the walking speed of women with two or more compression fractures (1.17 m/s) was significantly slower than that of women without compression fracture (1.24 m/s) (p = 0.03). Compared with women without compression fracture, chair stand time was longer in women with two or more compression fractures (p = 0.01), and functional reach was shorter (p = 0.01). No significant differences were observed in walking speed, chair stand time, or functional reach between women with one compression fracture and those without compression fracture. CONCLUSIONS: Having multiple vertebral compression fractures affects physical performance in community-dwelling Japanese women. Poor physical functioning may lead to functional dependence, accelerated bone loss, and increased risk for falls, injuries, and fractures. Preventing vertebral compression fracture is considered important for preserving the independence of older adults.
[Mh] Termos MeSH primário: Grupo com Ancestrais do Continente Asiático
Exercício/fisiologia
Fraturas por Compressão/epidemiologia
Vida Independente
Fraturas da Coluna Vertebral/epidemiologia
[Mh] Termos MeSH secundário: Adulto
Idoso
Idoso de 80 Anos ou mais
Estudos Transversais
Feminino
Fraturas por Compressão/diagnóstico por imagem
Fraturas por Compressão/fisiopatologia
Seres Humanos
Vida Independente/tendências
Japão/epidemiologia
Meia-Idade
Fraturas da Coluna Vertebral/diagnóstico por imagem
Fraturas da Coluna Vertebral/fisiopatologia
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180306
[Lr] Data última revisão:
180306
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170430
[St] Status:MEDLINE
[do] DOI:10.1186/s12891-017-1531-3


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[PMID]:28462933
[Au] Autor:Craig A; Guest R; Tran Y; Middleton J
[Ad] Endereço:John Walsh Centre for Rehabilitation Research, Sydney Medical School-Northern, The University of Sydney, St Leonards, NSW, Australia.
[Ti] Título:Depressive mood in adults with spinal cord injury as they transition from an inpatient to a community setting: secondary analyses from a clinical trial.
[So] Source:Spinal Cord;55(10):926-934, 2017 Oct.
[Is] ISSN:1476-5624
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:STUDY DESIGN: Prospective cohort controlled trial design. OBJECTIVES: (i) To investigate mood benefits of adding group cognitive behaviour therapy (group-CBT) to standard spinal cord injury (SCI) inpatient rehabilitation (SR) that included access to antidepressant medication and individually delivered CBT on demand. (ii) To determine whether those with elevated depressive mood during inpatient rehabilitation significantly improve. SETTING: SCI rehabilitation and community settings in New South Wales, Australia. METHODS: Participants included 50 adults with SCI who completed SCI rehabilitation that included group-CBT compared with 38 participants who also completed SCI rehabilitation that did not contain group-CBT. Comprehensive assessment occurred after admission, within 2 weeks of discharge and 12 months post-injury. Multivariate repeated measures analyses were conducted to examine differences between groups and over time. RESULTS: The addition of group-CBT to SR did not result in significant improvement in mood. However, participants with clinically elevated depressive mood assessed during inpatient rehabilitation experienced significant reductions in depressive mood when assessed in the community regardless of CBT dosage. Anxiety correlated with mood while no sociodemographic/injury factors correlated with mood at any time period except education level. CONCLUSION: There were no mood advantages over time of adding group-CBT to inpatient SCI rehabilitation that contains individually delivered CBT on demand and access to antidepressant medication. However, findings showed those with elevated depressive mood during inpatient rehabilitation significantly improved when assessed in the community; however, their levels of depressive mood remain high. Future research should investigate the efficacy of providing individual preferences for managing depression in people with SCI.
[Mh] Termos MeSH primário: Depressão
Traumatismos da Medula Espinal/psicologia
[Mh] Termos MeSH secundário: Adolescente
Adulto
Afeto
Idoso
Idoso de 80 Anos ou mais
Ansiedade/terapia
Terapia Cognitiva
Depressão/terapia
Escolaridade
Feminino
Seres Humanos
Vida Independente
Pacientes Internados/psicologia
Masculino
Meia-Idade
Reabilitação Neurológica
Psicoterapia de Grupo
Traumatismos da Medula Espinal/reabilitação
Resultado do Tratamento
Adulto Jovem
[Pt] Tipo de publicação:CONTROLLED CLINICAL TRIAL; JOURNAL ARTICLE
[Em] Mês de entrada:1803
[Cu] Atualização por classe:180302
[Lr] Data última revisão:
180302
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170503
[St] Status:MEDLINE
[do] DOI:10.1038/sc.2017.41


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[PMID]:29443474
[Au] Autor:Raithel J; Yates M; Dworsky A; Schretzman M; Welshimer W
[Ti] Título:Partnering to Leverage Multiple Data Sources: Preliminary Findings from a Supportive Housing Impact Study.
[So] Source:Child Welfare;94(1):73-85, 2015.
[Is] ISSN:0009-4021
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:This article presents preliminary findings from an impact study that drew upon administrative data collected by city agencies and data collected by a supportive housing program for young adults who are aging out of foster care, homeless, or at risk of homelessness. Participation in the program was associated with a reduction in shelter use and jail stays during the two years after program entry. The study demonstrates the benefits of collaboration and the possibilities of using administrative data from multiple public agencies to evaluate program impacts on young adult outcomes.
[Mh] Termos MeSH primário: Cuidados no Lar de Adoção
Jovens em Situação de Rua/psicologia
Vida Independente/psicologia
Habitação Popular/estatística & dados numéricos
[Mh] Termos MeSH secundário: Adolescente
Feminino
Seres Humanos
Masculino
Cidade de Nova Iorque
Pontuação de Propensão
Adulto Jovem
[Pt] Tipo de publicação:COMPARATIVE STUDY; JOURNAL ARTICLE; RESEARCH SUPPORT, NON-U.S. GOV'T
[Em] Mês de entrada:1803
[Cu] Atualização por classe:180301
[Lr] Data última revisão:
180301
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:180215
[St] Status:MEDLINE


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[PMID]:29443473
[Au] Autor:Trejos-Castillo E; Davis G; Hipps T
[Ti] Título:Economic Well-Being and Independent Living in FosterYouth: Paving the Road to Effective Transitioning out of Care.
[So] Source:Child Welfare;94(1):53-71, 2015.
[Is] ISSN:0009-4021
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Using a mixed-methods methodological approach, the proposed study examines the associations between economic well-being and independent living experiences in foster youth. Quantitative data were collected from N = 294 in-care foster youth using the Casey Life Skills assessment (α = .79 to α = .95). Qualitative data were collected via focus groups with aged-out foster youth (N =15). Results provide important insights on youth's economic well-being, financial literacy, individual experiences regarding aging out of foster care and independent living. This study provides new insights into the complex dynamics of successfully transitioning out of foster care and the need for supporting economic well-being in foster youth to better prepare them to live independently and develop coping skills for the challenges they might experience once they leave the system.
[Mh] Termos MeSH primário: Comportamento do Consumidor/economia
Financiamento Pessoal
Cuidados no Lar de Adoção
Vida Independente/economia
[Mh] Termos MeSH secundário: Adaptação Psicológica
Adolescente
Bem-Estar da Criança
Feminino
Grupos Focais
Seres Humanos
Masculino
Fatores Socioeconômicos
Estados Unidos
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE; RESEARCH SUPPORT, U.S. GOV'T, P.H.S.
[Em] Mês de entrada:1803
[Cu] Atualização por classe:180301
[Lr] Data última revisão:
180301
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:180215
[St] Status:MEDLINE


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[PMID]:29443472
[Au] Autor:Hasson RGI; Reynolds AD; Crea IM
[Ti] Título:Housing Trajectories for Youth Transitioning from Foster Care: Gender Differences from 2010-2014.
[So] Source:Child Welfare;94(1):35-52, 2015.
[Is] ISSN:0009-4021
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:This study focuses on longitudinal housing trends for males and females among transitional youth who were participants of a transitional living program (2010 to 2014). Results indicate that young women were more likely to transition to secure independent housing than young men. Demographic characteristics, education, and employment predicted time to secure independent housing. Additionally, results indicate that more highly educated young women transitioned to independence at a faster rate than young men with lower education status.
[Mh] Termos MeSH primário: Cuidados no Lar de Adoção/estatística & dados numéricos
Jovens em Situação de Rua/estatística & dados numéricos
Habitação/estatística & dados numéricos
Vida Independente/estatística & dados numéricos
[Mh] Termos MeSH secundário: Adolescente
Bem-Estar da Criança
Demografia
Escolaridade
Feminino
Seres Humanos
Estudos Longitudinais
Masculino
Fatores Sexuais
Estados Unidos
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1803
[Cu] Atualização por classe:180301
[Lr] Data última revisão:
180301
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:180215
[St] Status:MEDLINE


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[PMID]:29443471
[Au] Autor:Crawford BL; McDaniel J; Moxley D; Salehezadeh Z; Cahill AW
[Ti] Título:Factors Influencing Risk of Homelessness among Youth in Transition from Foster Care in Oklahoma: Implications for Reforming Independent Living Services and Opportunities.
[So] Source:Child Welfare;94(1):19-34, 2015.
[Is] ISSN:0009-4021
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Research suggests that youth aging out of foster care may be at higher risk of experiencing homelessness than other youth. Among this already at-risk population there may be certain characteristics that further exacerbate the risk. This paper uses data collected from various local and state agencies to further examine significant predictors of homelessness among youth who have aged out of foster care.
[Mh] Termos MeSH primário: Bem-Estar da Criança
Cuidados no Lar de Adoção/estatística & dados numéricos
Pessoas em Situação de Rua/estatística & dados numéricos
Jovens em Situação de Rua/psicologia
Vida Independente/estatística & dados numéricos
[Mh] Termos MeSH secundário: Adaptação Psicológica
Adolescente
Feminino
Cuidados no Lar de Adoção/psicologia
Pessoas em Situação de Rua/psicologia
Seres Humanos
Vida Independente/psicologia
Masculino
Oklahoma
Fatores de Risco
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1803
[Cu] Atualização por classe:180301
[Lr] Data última revisão:
180301
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:180215
[St] Status:MEDLINE


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[PMID]:29406667
[Au] Autor:Ahmann E
[Ti] Título:Supporting Youth Aging Out of Foster Care.
[So] Source:Pediatr Nurs;43(1):43-8, 2017 Jan-Feb.
[Is] ISSN:0097-9805
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Over 400,000 children are in foster care in the United States, and more than 100,000 of them are waiting to be adopted. Yet many will age out of foster care into adulthood without an adoptive family. Teens and young adults aging out of foster care, even those with preparation and training for the transition, often do not fare well in young adulthood. Many face challenges in areas of education, employment, homelessness, finances, the criminal justice system, and meeting health and mental healthcare needs. Research demonstrates what only makes sense: teens with tangible support from meaningful adult relationships fare better than those without. This article describes an innovative program that connects teens in foster care with supportive adults through social events that can lead to meaningful long-term teen-adult connections - including friendships, mentoring, and even, in some cases, adoption. Pediatric nurses, aware of the challenges these teens face adjusting to adulthood, can begin to explore referral and support options for such teens in their own locales using the resources herein.
[Mh] Termos MeSH primário: Bem-Estar da Criança
Cuidados no Lar de Adoção
Vida Independente
Papel do Profissional de Enfermagem
Enfermagem Pediátrica
Apoio Social
[Mh] Termos MeSH secundário: Adolescente
Feminino
Seres Humanos
Masculino
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1803
[Cu] Atualização por classe:180301
[Lr] Data última revisão:
180301
[Sb] Subgrupo de revista:N
[Da] Data de entrada para processamento:180207
[St] Status:MEDLINE


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[PMID]:28462932
[Au] Autor:Gemperli A; Ronca E; Scheel-Sailer A; Koch HG; Brach M; Trezzini B; SwiSCI Study Group
[Ad] Endereço:Rehabilitation Services and Care Unit, Swiss Paraplegic Research, Nottwil, Switzerland.
[Ti] Título:Health care utilization in persons with spinal cord injury: part 1-outpatient services.
[So] Source:Spinal Cord;55(9):823-827, 2017 Sep.
[Is] ISSN:1476-5624
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:STUDY DESIGN: This was a cross-sectional questionnaire survey. OBJECTIVES: The objective of this study was to identify the care-seeking behavior of persons with spinal cord injury (SCI) with respect to the various health care providers and ascertain circumstances that lead to situations where required care was not received. SETTING: This study was conducted in the entire country of Switzerland. METHODS: Statistical analysis of frequency of annual visits to health care providers by 17 specialties, and description of situations where health care was required but not received, in persons with chronic SCI living in the community. RESULTS: Main medical contact person was the general practitioner (GP; visited by 88% during last 12 months). The physiotherapist (visited by 72%) was the health care provider with the most visits (average of 30 visits in 12 months). GPs, physiotherapists, urologists and spinal medicine specialists were often contacted in combination, by many participants, often for check-up visits. A situation where care was required but not received was reported by 53 (11%) of participants, with a substantially higher rate in migrants (29%). Main problems why care was not received were bladder and bowel problems and main reasons of care not received were regional or temporal unavailability. CONCLUSIONS: Individuals with SCI are frequent users of medical services. There is no group of medical specialists that covers all needs of persons with SCI, what emphasizes health care provision from a comprehensive perspective including a wide array of services. Instances with care required but not received appeared to be rare and more likely in participants with migration background.
[Mh] Termos MeSH primário: Assistência Ambulatorial/utilização
Aceitação pelo Paciente de Cuidados de Saúde
Traumatismos da Medula Espinal/terapia
[Mh] Termos MeSH secundário: Doença Crônica
Terapias Complementares/utilização
Estudos Transversais
Feminino
Seres Humanos
Vida Independente
Masculino
Meia-Idade
Autorrelato
Traumatismos da Medula Espinal/epidemiologia
Suíça
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180228
[Lr] Data última revisão:
180228
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170503
[St] Status:MEDLINE
[do] DOI:10.1038/sc.2017.44


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[PMID]:29279934
[Au] Autor:Zhao JG; Zeng XT; Wang J; Liu L
[Ad] Endereço:Department of Orthopaedic Surgery, Tianjin Hospital, Tianjin, China.
[Ti] Título:Association Between Calcium or Vitamin D Supplementation and Fracture Incidence in Community-Dwelling Older Adults: A Systematic Review and Meta-analysis.
[So] Source:JAMA;318(24):2466-2482, 2017 12 26.
[Is] ISSN:1538-3598
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Importance: The increased social and economic burdens for osteoporosis-related fractures worldwide make the prevention of such injuries a major public health goal. Previous studies have reached mixed conclusions regarding the association between calcium, vitamin D, or combined calcium and vitamin D supplements and fracture incidence in older adults. Objective: To investigate whether calcium, vitamin D, or combined calcium and vitamin D supplements are associated with a lower fracture incidence in community-dwelling older adults. Data Sources: The PubMed, Cochrane library, and EMBASE databases were systematically searched from the inception dates to December 24, 2016, using the keywords calcium, vitamin D, and fracture to identify systematic reviews or meta-analyses. The primary randomized clinical trials included in systematic reviews or meta-analyses were identified, and an additional search for recently published randomized trials was performed from July 16, 2012, to July 16, 2017. Study Selection: Randomized clinical trials comparing calcium, vitamin D, or combined calcium and vitamin D supplements with a placebo or no treatment for fracture incidence in community-dwelling adults older than 50 years. Data Extraction and Synthesis: Two independent reviewers performed the data extraction and assessed study quality. A meta-analysis was performed to calculate risk ratios (RRs), absolute risk differences (ARDs), and 95% CIs using random-effects models. Main Outcomes and Measures: Hip fracture was defined as the primary outcome. Secondary outcomes were nonvertebral fracture, vertebral fracture, and total fracture. Results: A total of 33 randomized trials involving 51 145 participants fulfilled the inclusion criteria. There was no significant association of calcium or vitamin D with risk of hip fracture compared with placebo or no treatment (calcium: RR, 1.53 [95% CI, 0.97 to 2.42]; ARD, 0.01 [95% CI, 0.00 to 0.01]; vitamin D: RR, 1.21 [95% CI, 0.99 to 1.47]; ARD, 0.00 [95% CI, -0.00 to 0.01]. There was no significant association of combined calcium and vitamin D with hip fracture compared with placebo or no treatment (RR, 1.09 [95% CI, 0.85 to 1.39]; ARD, 0.00 [95% CI, -0.00 to 0.00]). No significant associations were found between calcium, vitamin D, or combined calcium and vitamin D supplements and the incidence of nonvertebral, vertebral, or total fractures. Subgroup analyses showed that these results were generally consistent regardless of the calcium or vitamin D dose, sex, fracture history, dietary calcium intake, and baseline serum 25-hydroxyvitamin D concentration. Conclusions and Relevance: In this meta-analysis of randomized clinical trials, the use of supplements that included calcium, vitamin D, or both compared with placebo or no treatment was not associated with a lower risk of fractures among community-dwelling older adults. These findings do not support the routine use of these supplements in community-dwelling older people.
[Mh] Termos MeSH primário: Cálcio/uso terapêutico
Suplementos Nutricionais
Fraturas Ósseas/prevenção & controle
Fraturas do Quadril/prevenção & controle
Vitamina D/uso terapêutico
Vitaminas/uso terapêutico
[Mh] Termos MeSH secundário: Idoso
Quimioterapia Combinada
Fraturas Ósseas/epidemiologia
Fraturas do Quadril/epidemiologia
Seres Humanos
Incidência
Vida Independente
Meia-Idade
Ensaios Clínicos Controlados Aleatórios como Assunto
Risco
[Pt] Tipo de publicação:JOURNAL ARTICLE; META-ANALYSIS; RESEARCH SUPPORT, NON-U.S. GOV'T; REVIEW
[Nm] Nome de substância:
0 (Vitamins); 1406-16-2 (Vitamin D); SY7Q814VUP (Calcium)
[Em] Mês de entrada:1801
[Cu] Atualização por classe:180228
[Lr] Data última revisão:
180228
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:171228
[St] Status:MEDLINE
[do] DOI:10.1001/jama.2017.19344


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[PMID]:28459060
[Au] Autor:Paliwal Y; Slattum PW; Ratliff SM
[Ad] Endereço:Department of Pharmacotherapy and Outcomes Science, School of Pharmacy, Virginia Commonwealth University, Richmond, VA 23298, USA.
[Ti] Título:Chronic Health Conditions as a Risk Factor for Falls among the Community-Dwelling US Older Adults: A Zero-Inflated Regression Modeling Approach.
[So] Source:Biomed Res Int;2017:5146378, 2017.
[Is] ISSN:2314-6141
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Falls are an important health concern among older adults due to age-related changes in the body. Having a medical history of chronic health condition may pose even higher risk of falling. Only few studies have assessed a number of chronic health conditions as risk factor for falls over a large nationally representative sample of US older adults. In this study, Behavioral Risk Factor Surveillance System (BRFSS) 2014 participants aged 65 years and older ( = 159,336) were evaluated. It was found that 29.7% ( = 44,550) of the sample experienced at least one fall and 16.3% ( = 20,444) experienced more than one fall in the past 12 months. According to the study findings, having a medical history of stroke, CKD, arthritis, depression, and diabetes independently predict the risk of first-time falling as well as the risk of recurrent falling in older adult population while controlling for other factors. On the other hand, having a medical history of the heart attack, angina, asthma, and COPD did not predict the risk of first-time falling, but did predict the risk of recurrent falling after experiencing the first fall in this population.
[Mh] Termos MeSH primário: Acidentes por Quedas/estatística & dados numéricos
Doença Crônica/epidemiologia
[Mh] Termos MeSH secundário: Idoso
Idoso de 80 Anos ou mais
Estudos Transversais
Depressão
Feminino
Seres Humanos
Vida Independente
Masculino
Fatores de Risco
Acidente Vascular Cerebral
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180227
[Lr] Data última revisão:
180227
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170502
[St] Status:MEDLINE
[do] DOI:10.1155/2017/5146378



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