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Non-Metastatic Pelvic Ewing’s Sarcoma : oncologic outcomes and evaluation of prognostic factors / Asterios Dramis in Acta Orthopaedica Belgica, Vol.82/2 (June 2016)
[article]
Titre : Non-Metastatic Pelvic Ewing’s Sarcoma : oncologic outcomes and evaluation of prognostic factors Type de document : texte imprimé Auteurs : Asterios Dramis ; Robert J. Grimer ; Konstantinos Malizos ; [et al...] Année de publication : 2016 Article en page(s) : p. 216-221 Langues : Anglais (eng) Mots-clés : sarcome d'Ewing bassin traitement Résumé : We are reporting our experience on patients with pelvic Ewing’s Sarcoma treated in our unit. We retrospectively reviewed a series of patients with non-metastatic pelvic Ewing’s sarcoma treated between 1977 and 2009. Patients were classified into three groups according to the local treatment received : Group 1. radiotherapy-chemo ; Group 2. surgery-chemo and Group 3. radiotherapy-surgery-chemo. Recurrence free and overall survival rates were calculated using the Kaplan-Meier method. Influence of various factors (age at diagnosis, gender, tumour site and size, chemotherapy response, surgical margins and type of treatment) on survival was assessed with a logistic regression model. A total of 85 patients were treated with a mean follow-up of 65.8 months and mean tumour volume of 435ml. The 5-year survival for all patients was 40.7% decreased to 36.2% at 10 years. A significant prognostic factor identified was chemotherapy response only. There was a trend for improved survival and local control rates for patients who had chemotherapy and surgery and the results were apparent for all tumours irrespective of size but not statistically significant. Currently, the optimal management of pelvic Ewing’s sarcoma is controversial but our study shows a trend for improved survival for patients treated with chemotherapy and surgery. Permalink : ./index.php?lvl=notice_display&id=46086
in Acta Orthopaedica Belgica > Vol.82/2 (June 2016) . - p. 216-221[article] Non-Metastatic Pelvic Ewing’s Sarcoma : oncologic outcomes and evaluation of prognostic factors [texte imprimé] / Asterios Dramis ; Robert J. Grimer ; Konstantinos Malizos ; [et al...] . - 2016 . - p. 216-221.
Langues : Anglais (eng)
in Acta Orthopaedica Belgica > Vol.82/2 (June 2016) . - p. 216-221
Mots-clés : sarcome d'Ewing bassin traitement Résumé : We are reporting our experience on patients with pelvic Ewing’s Sarcoma treated in our unit. We retrospectively reviewed a series of patients with non-metastatic pelvic Ewing’s sarcoma treated between 1977 and 2009. Patients were classified into three groups according to the local treatment received : Group 1. radiotherapy-chemo ; Group 2. surgery-chemo and Group 3. radiotherapy-surgery-chemo. Recurrence free and overall survival rates were calculated using the Kaplan-Meier method. Influence of various factors (age at diagnosis, gender, tumour site and size, chemotherapy response, surgical margins and type of treatment) on survival was assessed with a logistic regression model. A total of 85 patients were treated with a mean follow-up of 65.8 months and mean tumour volume of 435ml. The 5-year survival for all patients was 40.7% decreased to 36.2% at 10 years. A significant prognostic factor identified was chemotherapy response only. There was a trend for improved survival and local control rates for patients who had chemotherapy and surgery and the results were apparent for all tumours irrespective of size but not statistically significant. Currently, the optimal management of pelvic Ewing’s sarcoma is controversial but our study shows a trend for improved survival for patients treated with chemotherapy and surgery. Permalink : ./index.php?lvl=notice_display&id=46086 Exemplaires (1)
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Exclu du prêtNovel occupational therapy intervention in the early rehabilitation of patients with brain tumours / Anders Hansen in The British Journal of Occupational Therapy, Vol.80 Issue 10 (October 2017)
[article]
Titre : Novel occupational therapy intervention in the early rehabilitation of patients with brain tumours Type de document : texte imprimé Auteurs : Anders Hansen ; Mette Boll ; Lisbeth Minet ; [et al...] Année de publication : 2017 Article en page(s) : p. 603-607 Langues : Anglais (eng) Mots-clés : tumeur du cerveau gliome ergothérapie Résumé : Statement of context
The Danish Health Authority recommends that patients with brain tumours should have their rehabilitation needs evaluated prior to hospital discharge.
Critical reflection on practice
To our knowledge, no specific recommendations for specialised occupational therapy intervention in patients with glioma have been published. We rationalise how occupational therapy practices founded on shared decision-making and common goal-setting are implicated to patients with brain tumours and elaborate on how an occupation-centred approach with occupation-focused and based intervention has the potential to impact a patient’s performance ability and satisfaction in performing occupations established by the Canadian Occupational Performance Measure. This practice was embedded in a randomised controlled trial investigating the effectiveness of intensive rehabilitation efforts and involving occupational therapy compared with standard care in patients with glioma (ClinicalTrials.gov Identifier NCT02221986).
Implications for practice
Occupational therapy makes an important contribution in neurorehabilitation, which may also apply to patients with brain tumours.Permalink : ./index.php?lvl=notice_display&id=52708
in The British Journal of Occupational Therapy > Vol.80 Issue 10 (October 2017) . - p. 603-607[article] Novel occupational therapy intervention in the early rehabilitation of patients with brain tumours [texte imprimé] / Anders Hansen ; Mette Boll ; Lisbeth Minet ; [et al...] . - 2017 . - p. 603-607.
Langues : Anglais (eng)
in The British Journal of Occupational Therapy > Vol.80 Issue 10 (October 2017) . - p. 603-607
Mots-clés : tumeur du cerveau gliome ergothérapie Résumé : Statement of context
The Danish Health Authority recommends that patients with brain tumours should have their rehabilitation needs evaluated prior to hospital discharge.
Critical reflection on practice
To our knowledge, no specific recommendations for specialised occupational therapy intervention in patients with glioma have been published. We rationalise how occupational therapy practices founded on shared decision-making and common goal-setting are implicated to patients with brain tumours and elaborate on how an occupation-centred approach with occupation-focused and based intervention has the potential to impact a patient’s performance ability and satisfaction in performing occupations established by the Canadian Occupational Performance Measure. This practice was embedded in a randomised controlled trial investigating the effectiveness of intensive rehabilitation efforts and involving occupational therapy compared with standard care in patients with glioma (ClinicalTrials.gov Identifier NCT02221986).
Implications for practice
Occupational therapy makes an important contribution in neurorehabilitation, which may also apply to patients with brain tumours.Permalink : ./index.php?lvl=notice_display&id=52708 Exemplaires (1)
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Exclu du prêtObjective identification of upper limb tremor in multiple sclerosis using a wrist-worn motion sensor: Establishing validity and reliability / Stefan Teufl in The British Journal of Occupational Therapy, Vol.80 Issue 10 (October 2017)
[article]
Titre : Objective identification of upper limb tremor in multiple sclerosis using a wrist-worn motion sensor: Establishing validity and reliability Type de document : texte imprimé Auteurs : Stefan Teufl ; Jenny Preston ; Frederike Van Wijck ; [et al...] Année de publication : 2017 Article en page(s) : p. 596-602 Langues : Anglais (eng) Mots-clés : sclérose en plaques tremblement membre supérieur plan de recherche accélérométrie Résumé : Introduction
Over 25% of people with multiple sclerosis experience tremor, which may impact on activities of daily living and quality of life. Yet there is no method to objectively measure tremor and effectiveness of interventions on tremor. This study aimed to test validity and reliability of a new objective measurement for upper limb tremor in people with multiple sclerosis.
Method
Twelve participants with multiple sclerosis who self-reported tremor were observed performing standardised tasks. Validity and reliability of a new method to detect tremor from wrist movement was established against occupational therapist observation of tremor (FAHN). Concurrent validity of severity (displacement) of tremor was assessed. Responsiveness to change in tremor characteristics was explored in a sub-set of participants using weighted wrist-cuffs.
Results
The new method correctly predicted 98.2% of tremor cases identified by the occupational therapist, with high sensitivity (0.988) and specificity (0.976). Calculated displacement of tremor correlated with FAHN tremor severity scores moderately (rs = .452, p = .004). The new measure was responsive to changes in tremor characteristics due to change in weight of wrist-cuffs.
Conclusion
The new method of characterising tremor in those with multiple sclerosis demonstrated excellent validity and reliability in relation to tremor identified by an occupational therapist, and could provide valuable objective insight into the efficacy of interventions.Permalink : ./index.php?lvl=notice_display&id=52707
in The British Journal of Occupational Therapy > Vol.80 Issue 10 (October 2017) . - p. 596-602[article] Objective identification of upper limb tremor in multiple sclerosis using a wrist-worn motion sensor: Establishing validity and reliability [texte imprimé] / Stefan Teufl ; Jenny Preston ; Frederike Van Wijck ; [et al...] . - 2017 . - p. 596-602.
Langues : Anglais (eng)
in The British Journal of Occupational Therapy > Vol.80 Issue 10 (October 2017) . - p. 596-602
Mots-clés : sclérose en plaques tremblement membre supérieur plan de recherche accélérométrie Résumé : Introduction
Over 25% of people with multiple sclerosis experience tremor, which may impact on activities of daily living and quality of life. Yet there is no method to objectively measure tremor and effectiveness of interventions on tremor. This study aimed to test validity and reliability of a new objective measurement for upper limb tremor in people with multiple sclerosis.
Method
Twelve participants with multiple sclerosis who self-reported tremor were observed performing standardised tasks. Validity and reliability of a new method to detect tremor from wrist movement was established against occupational therapist observation of tremor (FAHN). Concurrent validity of severity (displacement) of tremor was assessed. Responsiveness to change in tremor characteristics was explored in a sub-set of participants using weighted wrist-cuffs.
Results
The new method correctly predicted 98.2% of tremor cases identified by the occupational therapist, with high sensitivity (0.988) and specificity (0.976). Calculated displacement of tremor correlated with FAHN tremor severity scores moderately (rs = .452, p = .004). The new measure was responsive to changes in tremor characteristics due to change in weight of wrist-cuffs.
Conclusion
The new method of characterising tremor in those with multiple sclerosis demonstrated excellent validity and reliability in relation to tremor identified by an occupational therapist, and could provide valuable objective insight into the efficacy of interventions.Permalink : ./index.php?lvl=notice_display&id=52707 Exemplaires (1)
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Exclu du prêtOccupation-based practices and homelessness: A scoping review / Laurence Roy in Canadian Journal of Occupational Therapy, 84(2) (April 2017)
[article]
Titre : Occupation-based practices and homelessness: A scoping review Titre original : Pratiques fondées sur l’occupation et itinérance : Un examen de la portée Type de document : texte imprimé Auteurs : Laurence Roy ; Catherine Vallée ; Bonnie H. Kirsh ; [et al...] Année de publication : 2017 Article en page(s) : p. 98-110 Langues : Anglais (eng) Mots-clés : emploi justice occupationnelle logement participation transition Résumé : Background.
Persons experiencing or at risk of homelessness have occupational needs that are seldom addressed in the Canadian system of care. The lack of documented evidence on occupational therapy practices in this field hinders the development of the profession.
Purpose.
This article identifies current and potential practices that aim to enable or support the occupations of persons experiencing or at risk of homelessness.
Method.
A scoping review was conducted, including evidence from both occupational therapy and non–occupational therapy sources.
Findings.
One hundred and seventy-eight papers were selected in the areas of occupational performance skills training, enrichment of occupational repertoire, employment/education, physical rehabilitation services, child/family services, community building, occupational transition from homeless to housed, literacy, and disaster relief.
Implications.
Occupational therapists can build environments and create opportunities that facilitate occupational engagement of individuals experiencing homelessness. Gaps in knowledge include the evaluation of occupational therapy practices, the Canadian context of family homelessness, and the cultural safety of occupational therapy interventions.Permalink : ./index.php?lvl=notice_display&id=50100
in Canadian Journal of Occupational Therapy > 84(2) (April 2017) . - p. 98-110[article] Occupation-based practices and homelessness: A scoping review = Pratiques fondées sur l’occupation et itinérance : Un examen de la portée [texte imprimé] / Laurence Roy ; Catherine Vallée ; Bonnie H. Kirsh ; [et al...] . - 2017 . - p. 98-110.
Langues : Anglais (eng)
in Canadian Journal of Occupational Therapy > 84(2) (April 2017) . - p. 98-110
Mots-clés : emploi justice occupationnelle logement participation transition Résumé : Background.
Persons experiencing or at risk of homelessness have occupational needs that are seldom addressed in the Canadian system of care. The lack of documented evidence on occupational therapy practices in this field hinders the development of the profession.
Purpose.
This article identifies current and potential practices that aim to enable or support the occupations of persons experiencing or at risk of homelessness.
Method.
A scoping review was conducted, including evidence from both occupational therapy and non–occupational therapy sources.
Findings.
One hundred and seventy-eight papers were selected in the areas of occupational performance skills training, enrichment of occupational repertoire, employment/education, physical rehabilitation services, child/family services, community building, occupational transition from homeless to housed, literacy, and disaster relief.
Implications.
Occupational therapists can build environments and create opportunities that facilitate occupational engagement of individuals experiencing homelessness. Gaps in knowledge include the evaluation of occupational therapy practices, the Canadian context of family homelessness, and the cultural safety of occupational therapy interventions.Permalink : ./index.php?lvl=notice_display&id=50100 Exemplaires (1)
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Exclu du prêtOccupational therapists in community mental health teams for older people in England: Findings from a five-year research programme / Michele Abendstern in The British Journal of Occupational Therapy, Vol.80 Issue 1 (Janvier 2017)
[article]
Titre : Occupational therapists in community mental health teams for older people in England: Findings from a five-year research programme Type de document : texte imprimé Auteurs : Michele Abendstern ; Sue Tucker ; Mark Wilberforce ; [et al...] Année de publication : 2017 Article en page(s) : p. 20-29 Langues : Anglais (eng) Mots-clés : santé mentale psychiatrie personne âgée ergothérapie Résumé : This English study is the first to focus on the contribution of occupational therapists to the work of community mental health teams for older people.
Method
A mixed methods study comprising: a national survey of community mental health team managers; caseload audit; qualitative interviews; and a practitioner survey provided information on team membership and functions, user characteristics, accounts of occupational therapists’ roles and experiences, and work characteristics.
Findings
Occupational therapists worked mainly with people with dementia and were involved in both generic and specialist tasks, with the latter focusing largely on maintaining functionality. They had found ways to balance their roles for the benefit of the team without loss of professional identity. Some differences of opinion between clinical leads and occupational therapists were reported. Stress levels among occupational therapists were similar to those of professional colleagues.
Conclusion
Some findings contrast with earlier studies of community mental health teams for working-age adults, offering new insights into the nature of the occupational therapists’ experiences. To ensure that occupational therapists in these settings are able to contribute effectively, a shared understanding of their role is required between them and their clinical leads.Permalink : ./index.php?lvl=notice_display&id=47784
in The British Journal of Occupational Therapy > Vol.80 Issue 1 (Janvier 2017) . - p. 20-29[article] Occupational therapists in community mental health teams for older people in England: Findings from a five-year research programme [texte imprimé] / Michele Abendstern ; Sue Tucker ; Mark Wilberforce ; [et al...] . - 2017 . - p. 20-29.
Langues : Anglais (eng)
in The British Journal of Occupational Therapy > Vol.80 Issue 1 (Janvier 2017) . - p. 20-29
Mots-clés : santé mentale psychiatrie personne âgée ergothérapie Résumé : This English study is the first to focus on the contribution of occupational therapists to the work of community mental health teams for older people.
Method
A mixed methods study comprising: a national survey of community mental health team managers; caseload audit; qualitative interviews; and a practitioner survey provided information on team membership and functions, user characteristics, accounts of occupational therapists’ roles and experiences, and work characteristics.
Findings
Occupational therapists worked mainly with people with dementia and were involved in both generic and specialist tasks, with the latter focusing largely on maintaining functionality. They had found ways to balance their roles for the benefit of the team without loss of professional identity. Some differences of opinion between clinical leads and occupational therapists were reported. Stress levels among occupational therapists were similar to those of professional colleagues.
Conclusion
Some findings contrast with earlier studies of community mental health teams for working-age adults, offering new insights into the nature of the occupational therapists’ experiences. To ensure that occupational therapists in these settings are able to contribute effectively, a shared understanding of their role is required between them and their clinical leads.Permalink : ./index.php?lvl=notice_display&id=47784 Exemplaires (1)
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Exclu du prêtOccupational therapists in emergency departments: A qualitative study / Kristin James in The British Journal of Occupational Therapy, Vol.81 Issue 3 (March 2018)
PermalinkOccupational therapy and emergency departments: A critical review of the literature / Kristin James in The British Journal of Occupational Therapy, Vol.79 N°8 (August 2016)
PermalinkOccupational therapy in primary care: Results from a national survey / Catherine Donnelly in Canadian Journal of Occupational Therapy, 83(3) (juin 2016)
PermalinkOccupational therapy roles and responsibilities: Development of a standardised measure of time use for staff working with adults in community settings / Jane Hughes in The British Journal of Occupational Therapy, Vol.79 N°6 (June 2016)
PermalinkOccupational therapy roles and responsibilities: Evidence from a pilot study of time use in an integrated health and social care trust / Mark Wilberforce in The British Journal of Occupational Therapy, Vol.79 N°7 (July 2016)
PermalinkOperative treatment of chondroblastoma: a study of 11 cases / Onur Hapa in Acta Orthopaedica Belgica, Vol.82/1 (March 2016)
PermalinkOutcome Predictors in Prosthetic Joint Infections – Validation of a risk stratification score for Prosthetic Joint Infections in 120 cases / Matthias D. Wimmer in Acta Orthopaedica Belgica, Vol.82/1 (March 2016)
PermalinkOutcomes of combined tibial tuberosity transfer and medial patellofemoral ligament reconstruction for recurrent patellar instability / Gopalakrishna Pemmaraju in Acta Orthopaedica Belgica, Vol.82/2 (June 2016)
PermalinkParaspinal muscle volume in patients with Scheuermann’s Kyphosis / Radek Kaiser in Acta Orthopaedica Belgica, Vol.82/3 (Septembre 2016)
PermalinkPatient-reported importance of assistive devices in hip and knee replacement Enhanced Recovery after Surgery (ERAS) pathways / Heather McNaught in The British Journal of Occupational Therapy, Vol.79 N°10 (Octobre 2016)
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