Saint Francis University

About: Saint Francis University is a education organization based out in Loretto, Pennsylvania, United States. It is known for research contribution in the topics: Population & Osteoblast. The organization has 1694 authors who have published 2038 publications receiving 87149 citations.

Functional status and survival in COPD.

Abstract: A limitation in functional status is an important factor in the handicap caused by advanced chronic lung disease such as COPD. Indicators of functional status in these patients include exercise performance levels common to everyday activity (such as the six minute walk distance) and scores on self-completed questionnaires rating interference with daily activities (such as the Functional Activities component of the PFSS). Both a longer timed walk distance and a higher functional performance score were highly predictive of survival in independent studies of pulmonary rehabilitation patients. This probably reflects the ability of measures of functional status to quantify non-pulmonary as well as morbidity, both of which contribute to the overall mortality in individuals with advanced lung disease.

Family Rituals That Provide Meaning for Single-Parent Families

Abstract: The number of single-parent families has increased dramatically in the United States. The purpose of this study was to explore the types of family rituals present in single-parent families and their meaning within the family context. Little is known about family rituals in single-parent families, and therefore grounded theory was the qualitative research method used for this study. Unstructured face-to-face interviews were used to obtain data from a theoretical sample of seven single parents. Data analysis appropriate to the grounded theory method was utilized to identify a core variable and an emerging theory. Six types of rituals: connection, spiritual, love, recreation, celebration, and evolving were found to be used by these single-parent families as a way to facilitate family cohesion and instill family values. Applicability of the findings of this study are beneficial for nurses working with clients with diverse, changing, and complex social situations such as the single-parent family.

ECT in the elderly.

Abstract: Depression is a common clinical problem in the elderly. Risk factors in this population include genetic vulnerability, psychosocial losses, medical comorbidity, cerebrovascular disease, and neurodegenerative disorders. Depression in the elderly may have severe consequences, including high rates of suicide, malnutrition or dehydration, high utilization of medical services, impaired recovery from medical illnesses, and inappropriate placement in residential care facilities. A significant number of older depressed patients may not respond to anti-depressant medications, suffer intolerable medication side effects, or have illnesses with symptoms or consequences so severe that it is not feasible to wait the time required for one or more antidepressant trials to work. For many of these patients ECT can be a dramatically effective treatment. With appropriate evaluation and monitoring, ECT can be performed with relative safety even for patients with serious concurrent medical illnesses. Serious adverse effects are rare, and cognitive consequences of ECT are generally circumscribed and of limited duration; there is no evidence of "brain damage" or permanent change in cognitive ability from ECT. After a recovery period memory function is often better than it was during the episode of depression. For patients who have been refractory to or intolerant of medication, maintenance ECT can be an effective strategy for preventing early relapse. Further research is needed, however, to clarify the optimum use of MECT schedules and pharmacotherapy combinations to most effectively and safely prevent relapse of depression in different elderly populations and to help predict who will best respond to which treatment modalities.

The trajectory of change over multiple outcome areas during comprehensive outpatient pulmonary rehabilitation.

Abstract: Although pulmonary rehabilitation has proven effectiveness in multiple outcome areas, the optimum duration of this intervention is not clear. We evaluated in an observational study the trajectory of change in upper and lower extremity exercise performance, exertional dyspnea and health status over the course of 12 weeks (24 sessions) of pulmonary rehabilitation in individuals with chronic obstructive pulmonary disease. Demonstrating a plateau in response in these areas might be of practical use for pulmonary rehabilitation programs. We measured outcomes at baseline and at four session (two week) intervals over the course of our comprehensive outpatient pulmonary rehabilitation program. These included treadmill endurance time at approximately 85% of initial maximal workrate, the number of arm lifts per minute, dyspnea at isotime during treadmill walking and the Chronic Respiratory Disease Questionnaire (CRQ) total score. Thirteen patients with chronic obstructure pulmonary disease (COPD) (five male, eight ...