Habilitation

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Samantha Mcneilly - One of the best experts on this subject based on the ideXlab platform.

Francesco Carli - One of the best experts on this subject based on the ideXlab platform.

  • supervised exercise training with multimodal pre Habilitation leads to earlier functional recovery following colorectal cancer resection
    Acta Anaesthesiologica Scandinavica, 2019
    Co-Authors: Rashami Awasthi, Enrico Maria Minnella, Vanessa Ferreira, Agnihotram V Ramanakumar, Celena Scheedebergdahl, Francesco Carli
    Abstract:

    BACKGROUND: Exercise training is a component of the pre-Habilitation program. While in one previous study the training was home-based, in a subsequent investigation it was supervised in hospital. The hypothesis of this secondary analysis of the two studies was to determine whether supervised exercise further accelerates the return to baseline walking ability. METHODS: Data from two consecutive randomized control trials (RCT) comparing pre-Habilitation to the reHabilitation of cancer patients scheduled for colorectal surgery were pooled for analysis. The interventions were similar and included home-based exercise training, nutritional counseling and protein supplementation, and relaxation techniques administered either before surgery (pre-Habilitation) or after surgery (reHabilitation). Patients in the second RCT received additional supervised exercise sessions. Functional capacity was assessed with the 6-minute walk test (6 MWT) at baseline, before surgery, and at 4 and 8 weeks after surgery. Adjusted logistic regression was used to determine the improvement of the 6-minute walk distance (6MWD). RESULTS: Baseline mean 6MWD of 63 patients in the supervised group was 465.1 m (SD, 115), and that of 77 patients in the nonsupervised group was 407.8 m (SD, 109) (P < 0.01). Perioperative supervised exercise training enhanced further functional capacity and muscle strength when compared with the nonsupervised group (P < 0.01). Those receiving exercise supervision had over two times higher chances to return to baseline after surgery. Supervised pre-Habilitation was the best combination (4 weeks OR = 7.71, and at 8 weeks OR = 8.62). CONCLUSION: Supervised exercise training leads to meaningful changes in functional capacity thus accelerating the postoperative return to baseline activities.

Jordan S Kase - One of the best experts on this subject based on the ideXlab platform.

  • Habilitation of very preterm infants at a post acute care inpatient reHabilitation pacir center after neonatal intensive care unit nicu discharge
    Developmental Neurorehabilitation, 2019
    Co-Authors: Meenakshi Singh, Boriana Parvez, Agnes Banquet, Jordan S Kase
    Abstract:

    OBJECTIVE: To investigate whether Post-Acute Care Inpatient ReHabilitation (PACIR) admission after NICU stay affects the total length of stay (LOS) of very preterm (VPT: ≤30 weeks of gestation) infants. METHODS: A retrospective case control study of VPT infants d/c'd from the NICU at Maria Fareri Children's Hospital (MFCH) to either a PACIR (Blythedale Children's Hospital: BH) for convalescent care (cases) or directly home (controls). RESULTS: 35 cases and 70 controls. Total LOS (MFCH + BH) was longer for cases [196 vs. 97 days]. At the time of d/c from MFCH, Special Health Care Needs (SHCN) amongst cases were greater than controls, however, became similar at the time of home d/c. The majority of cases achieved Habilitation goals at the PACIR. CONCLUSIONS: Although LOS was longer for patients transferred to a PACIR, Habilitation at BH Hospital reduced the SHCN at the time of home d/c amongst cases.

Hubertus Himmerich - One of the best experts on this subject based on the ideXlab platform.

  • emil kraepelin s Habilitation and his thesis a pioneer work for modern systematic reviews psychoimmunological research and categories of psychiatric diseases
    World Journal of Biological Psychiatry, 2013
    Co-Authors: Holger Steinberg, Hubertus Himmerich
    Abstract:

    AbstractObjectives. Although Kraepelin and his oeuvre have been in scientific focus over the past decades, main aspects have still been neglected. Thus the exact circumstances under which and on what topic Kraepelin wrote his Habilitation thesis and qualified as university lecturer (in Germany the prerequisite to be appointed as professor) are still widely unknown. Methods. This study reconstructs his Habilitation at the Medical Faculty of Leipzig University in 1882. Results. The study reveals the difficulties he had to habilitate on a topic from Wilhelm Wundt's experimental psychology and the opposition he faced from Paul Flechsig. Yet Kraepelin succeeded, mainly due to a positive review by neurologist Wilhelm Erb on his study “On the Influence of Acute Diseases on the Development of Mental Illnesses” (1881/82). Conclusions. This work must be regarded as his actual Habilitation thesis. It provides an update of organic psychiatric disorders following acute inflammatory diseases and a meta-analysis on the ...

Annemette Krintel Petersen - One of the best experts on this subject based on the ideXlab platform.

  • exercise based pre Habilitation is feasible and effective in radical cystectomy pathways secondary results from a randomized controlled trial
    Supportive Care in Cancer, 2016
    Co-Authors: Bente Jensen, Sussie Laustsen, Jorgen Bjerggaard Jensen, Michael Borre, Annemette Krintel Petersen
    Abstract:

    Physical exercises offer a variety of health benefits to cancer survivors during and post-treatment. However, exercise-based pre-Habilitation is not well reported in major uro-oncology surgery. The aim of this study was to investigate the feasibility, the adherence, and the efficacy of a short-term physical pre-Habilitation program to patients with invasive bladder cancer awaiting radical cystectomy (RC). A parent prospective randomized controlled clinical trial investigated efficacy of a multidisciplinary reHabilitation program on length of stay following RC. A total of 107 patients were included in the intension-to-treat population revealing 50 patients in the intervention group and 57 patients in the standard group. Pre-operatively, the intervention group was instructed to a standardized exercise program consisting of both muscle strength exercises and endurance training. The number of training sessions and exercise repetitions was patient-reported. Feasibility was expressed as adherence to the program and efficacy as the differences in muscle power within and between treatment groups at time for surgery. A total of 66 % (95 % confidence interval (CI) 51; 78) adhered more than 75 % of the recommended progressive standardized exercise program. In the intervention group, a significant improvement in muscle power of 18 % (p < 0.002) was found at time for surgery. Moreover, muscle power was significantly improved compared to that in the standard group with 0.3 W/kg (95 % CI 0.08; 0.5 %) (p < 0.006). Adherence was not associated with pre-operative BMI, nutritional risk, comorbidity, pain, gender, or age. In patients awaiting RC, a short-term exercise-based pre-Habilitation intervention is feasible and effective and should be considered in future survivorship strategies.

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