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Article ; Online: Implementation of a Clinic-Based Yoga Program for Chronic Pain.

Hall, Sara / O'Keefe, Lauren R / Janssen, Madisen K / Herrmann, Amanda A / Hanson, Leah R

Pain management nursing : official journal of the American Society of Pain Management Nurses

2024

Abstract: Purpose: Although many integrative therapies exist, studies increasingly demonstrate yoga can help change the negative neuroplastic effects experienced by people living with chronic pain. Despite encouraging findings, a gap exists in accessible yoga ... ...

Abstract	Purpose: Although many integrative therapies exist, studies increasingly demonstrate yoga can help change the negative neuroplastic effects experienced by people living with chronic pain. Despite encouraging findings, a gap exists in accessible yoga programs designed to meet the individual needs of those experiencing limitations from chronic pain. This study evaluated a yoga program designed for people living with chronic pain delivered in a health care setting. Although yoga began as a spiritual practice thousands of years ago, it is now widely practiced for its physical and mental well-being aspects achieved through movement and breathing techniques. Design: This was a piolt study that did not include a control group. Methods: Twenty-one people with chronic pain participated in an in-person group yoga program for 8 weeks that included an educational program and yoga practice. A prepost design was used to measure effectiveness of the program on pain interference (Brief Pain Inventory), physical function, opioid medication use, overall impression of change in pain, satisfaction with the program, and likelihood of continuation of yoga practice. Results: Data collected from participants demonstrated a decrease in pain interference as measured by the Brief Pain Inventory subscale between pre- and postintervention (5.6 ± 2.2 to 4.0 ± 2.3). In addition, the proportion of respondents with a pain interference rating of severe decreased by 15.4% (38.1% to 22.7%) between the pre- and postintervention time point. On follow-up from a survey 3 months after the completion of the study, more than 25% (N = 5) of participants were still practicing yoga daily. Conclusions: Despite yoga being practiced for thousands of years, studies evaluating the neural effects of yoga show possible reversal of persistent patterns leading to chronic pain, leading to new interest in an ancient practice. This study helps fill the gap in research findings addressing the benefits of yoga programs designed to meet the needs of people living in chronic pain and provides an accessible option. This program provides pain management nurses an innovative nonpharmacological intervention to consider for people living with chronic pain. Clinical implications: Evidence supporting the use of yoga in the treatment of chronic pain is growing, yet it remains an underutilized approach in a comprehensive treatment plan. Yoga can not only improve self-agency, but also reduces social isolation. Pain management nurses can play an important role in promoting the application of yoga for chronic pain and advocating for yoga programs that are focused on accessibility for people living with pain.
Language	English
Publishing date	2024-03-07
Publishing country	United States
Document type	Journal Article
ZDB-ID	2213260-0
ISSN	1532-8635 ; 1524-9042
ISSN (online)	1532-8635
ISSN	1524-9042
DOI	10.1016/j.pmn.2024.01.002
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Article ; Online: Identifying Racial and Ethnic Disparities in Acute Inpatient Rehabilitation.

Herrmann, Amanda A / Podgorski, Bo B / Hatton, Sarah J / Chrenka, Ella A / Hanson, Leah R / Jackson, Steven D

Archives of physical medicine and rehabilitation

2024

Abstract: Objective: To investigate whether racial, ethnic, and linguistic disparities exist at discharge from an acute inpatient rehabilitation facility (IRF) by examining change in Functional Independence Measure (FIM) scores and discharge destination.: ... ...

Abstract	Objective: To investigate whether racial, ethnic, and linguistic disparities exist at discharge from an acute inpatient rehabilitation facility (IRF) by examining change in Functional Independence Measure (FIM) scores and discharge destination. Design: This is a retrospective study using our IRF's data from the Uniform Data System for Medical Rehabilitation from 2013-2019. FIM scores and discharge destination were compared between race, language, and ethnic groups, with adjustment for patient characteristics. Setting: An urban hospital with a level 1 trauma center, comprehensive stroke center, and IRF with Commission on Accreditation of Rehabilitation Facilities (CARF) certification. Participants: 2518 patients admitted to the IRF from 2013-2019 (N=2518). Interventions: Not applicable. Main outcome measures: Change in FIM score and discharge destination. Results: After adjusting for covariates, non-White patients and patients with limited English proficiency had significantly lower functional recovery, as measured by smaller changes in FIM scores from IRF admission to discharge. Additionally, both groups were more likely to be discharged home with home health care than to a skilled nursing facility, compared with White and English-speaking patients. Disparities in discharge destination persisted within patients with noncommercial insurance (Medicaid or Medicare) and a stroke diagnosis but not within those who had commercial insurance or a nonstroke diagnosis. Conclusions: Racial and linguistic disparities were identified within our CARF certified IRF; however, the organization is committed to reducing health care disparities. Next steps will include investigating interventions to reduce disparities.
Language	English
Publishing date	2024-03-02
Publishing country	United States
Document type	Journal Article
ZDB-ID	80057-0
ISSN	1532-821X ; 0003-9993
ISSN (online)	1532-821X
ISSN	0003-9993
DOI	10.1016/j.apmr.2024.02.727
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Article ; Online: Stroke Characteristics in a Cohort of Hmong American Patients.

Hussein, Haitham M / Kashyap, Bhavani / O'Keefe, Lauren / Droegemueller, Carol / Othman, Sally I / Yang, Mai Kau / Hanson, Leah R

Journal of the American Heart Association

2023 Volume 12, Issue 15, Page(s) e026763

Abstract: Background Prior studies have indicated high rates of vascular risk factors, but little is known about stroke in Hmong. Methods and Results The institutional Get With The Guidelines (GWTG) database was used to identify patients discharged with acute ... ...

Abstract	Background Prior studies have indicated high rates of vascular risk factors, but little is known about stroke in Hmong. Methods and Results The institutional Get With The Guidelines (GWTG) database was used to identify patients discharged with acute ischemic stroke, intracerebral hemorrhage, or subarachnoid hemorrhage between 2010 and 2019. Hmong patients were identified using clan names and primary language. Univariate analysis was used to compare Hmong and White patients. A subarachnoid hemorrhage comparison was not conducted because of the small sample size. We identified 128 Hmong patients and 3084 White patients. Hmong patients had more prevalent hemorrhagic stroke (31% versus 15%;
MeSH term(s)	Humans ; Subarachnoid Hemorrhage/epidemiology ; Subarachnoid Hemorrhage/therapy ; Subarachnoid Hemorrhage/complications ; Asian ; Ischemic Stroke/diagnosis ; Ischemic Stroke/epidemiology ; Ischemic Stroke/therapy ; Stroke/etiology ; Cerebral Hemorrhage/epidemiology ; Cerebral Hemorrhage/complications ; Brain Ischemia/epidemiology ; Brain Ischemia/therapy ; Brain Ischemia/complications
Language	English
Publishing date	2023-07-19
Publishing country	England
Document type	Journal Article
ZDB-ID	2653953-6
ISSN	2047-9980 ; 2047-9980
ISSN (online)	2047-9980
ISSN	2047-9980
DOI	10.1161/JAHA.122.026763
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Article: Mechanisms of Intranasal Deferoxamine in Neurodegenerative and Neurovascular Disease.

Kosyakovsky, Jacob / Fine, Jared M / Frey, William H / Hanson, Leah R

Pharmaceuticals (Basel, Switzerland)

2021 Volume 14, Issue 2

Abstract: Identifying disease-modifying therapies for neurological diseases remains one of the greatest gaps in modern medicine. Herein, we present the rationale for intranasal (IN) delivery of deferoxamine (DFO), a high-affinity iron chelator, as a treatment for ... ...

Abstract	Identifying disease-modifying therapies for neurological diseases remains one of the greatest gaps in modern medicine. Herein, we present the rationale for intranasal (IN) delivery of deferoxamine (DFO), a high-affinity iron chelator, as a treatment for neurodegenerative and neurovascular disease with a focus on its novel mechanisms. Brain iron dyshomeostasis with iron accumulation is a known feature of brain aging and is implicated in the pathogenesis of a number of neurological diseases. A substantial body of preclinical evidence and early clinical data has demonstrated that IN DFO and other iron chelators have strong disease-modifying impacts in Alzheimer's disease (AD), Parkinson's disease (PD), ischemic stroke, and intracranial hemorrhage (ICH). Acting by the disease-nonspecific pathway of iron chelation, DFO targets each of these complex diseases via multifactorial mechanisms. Accumulating lines of evidence suggest further mechanisms by which IN DFO may also be beneficial in cognitive aging, multiple sclerosis, traumatic brain injury, other neurodegenerative diseases, and vascular dementia. Considering its known safety profile, targeted delivery method, robust preclinical efficacy, multiple mechanisms, and potential applicability across many neurological diseases, the case for further development of IN DFO is considerable.
Language	English
Publishing date	2021-01-27
Publishing country	Switzerland
Document type	Journal Article ; Review
ZDB-ID	2193542-7
ISSN	1424-8247
ISSN	1424-8247
DOI	10.3390/ph14020095
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Article: Brain Glucose Hypometabolism and Iron Accumulation in Different Brain Regions in Alzheimer's and Parkinson's Diseases.

Rao, Indira Y / Hanson, Leah R / Johnson, Julia C / Rosenbloom, Michael H / Frey, William H

Pharmaceuticals (Basel, Switzerland)

2022 Volume 15, Issue 5

Abstract: The aim of this study was to examine the relationship between the presence of glucose hypometabolism (GHM) and brain iron accumulation (BIA), two potential pathological mechanisms in neurodegenerative disease, in different regions of the brain in people ... ...

Abstract	The aim of this study was to examine the relationship between the presence of glucose hypometabolism (GHM) and brain iron accumulation (BIA), two potential pathological mechanisms in neurodegenerative disease, in different regions of the brain in people with late-onset Alzheimer's disease (AD) or Parkinson's disease (PD). Studies that conducted fluorodeoxyglucose positron emission tomography (FDG-PET) to map GHM or quantitative susceptibility mapping-magnetic resonance imaging (QSM-MRI) to map BIA in the brains of patients with AD or PD were reviewed. Regions of the brain where GHM or BIA were reported in each disease were compared. In AD, both GHM and BIA were reported in the hippocampus, temporal, and parietal lobes. GHM alone was reported in the cingulate gyrus, precuneus and occipital lobe. BIA alone was reported in the caudate nucleus, putamen and globus pallidus. In PD, both GHM and BIA were reported in thalamus, globus pallidus, putamen, hippocampus, and temporal and frontal lobes. GHM alone was reported in cingulate gyrus, caudate nucleus, cerebellum, and parietal and occipital lobes. BIA alone was reported in the substantia nigra and red nucleus. GHM and BIA are observed independent of one another in various brain regions in both AD and PD. This suggests that GHM is not always necessary or sufficient to cause BIA and vice versa. Hypothesis-driven FDG-PET and QSM-MRI imaging studies, where both are conducted on individuals with AD or PD, are needed to confirm or disprove the observations presented here about the potential relationship or lack thereof between GHM and BIA in AD and PD.
Language	English
Publishing date	2022-04-29
Publishing country	Switzerland
Document type	Journal Article ; Review
ZDB-ID	2193542-7
ISSN	1424-8247
ISSN	1424-8247
DOI	10.3390/ph15050551
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Article ; Online: Potentially Preventable Readmissions After Acute Inpatient Rehabilitation.

Herrmann, Amanda A / Chrenka, Ella A / Seth, Srishti / Nyamao, Tiffan M / Niemioja, Gretchen M / Hanson, Leah R / Hussein, Haitham M

American journal of physical medicine & rehabilitation

2023 Volume 102, Issue 11, Page(s) 1014–1019

Abstract: Objective: The aim of the study is to identify causes and risk factors for potentially preventable readmissions of patients discharged from an inpatient rehabilitation facility.: Design: Our hospital billing database was used to identify patients ... ...

Abstract	Objective: The aim of the study is to identify causes and risk factors for potentially preventable readmissions of patients discharged from an inpatient rehabilitation facility. Design: Our hospital billing database was used to identify patients discharged from our inpatient rehabilitation facility between 2013 and 2018 and experienced a potentially preventable readmission within 90 days ( n = 75). Retrospective chart review was completed to obtain clinical data. Of the patients discharged from the inpatient rehabilitation facility who did not experience a potentially preventable readmission, a group of age- and sex-matched controls ( n = 75) was randomly selected. The two study groups were compared using univariate and multivariate analyses. Results: Our study found that individuals who discharged from acute inpatient rehabilitation were more likely to be readmitted with a potentially preventable readmission if they have a greater number of comorbidities, were admitted initially with a spinal cord injury, or have lower admission or discharge Functional Independence Measure motor scores. The most common potentially preventable readmission diagnoses were sepsis, renal failure, respiratory problems, and urinary tract infection. Conclusions: Identifying patients with the common causes for potentially preventable readmissions, in addition to the noted risk factors, is an important consideration for inpatient rehabilitation discharge planning.
Language	English
Publishing date	2023-04-22
Publishing country	United States
Document type	Journal Article
ZDB-ID	219390-5
ISSN	1537-7385 ; 0002-9491 ; 0894-9115
ISSN (online)	1537-7385
ISSN	0002-9491 ; 0894-9115
DOI	10.1097/PHM.0000000000002269
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Article ; Online: Space Use and Movements of Southeastern Breeding Double-Crested Cormorants ( Nannopterum auritum ) in the United States

Leah L. K. Moran / Brian S. Dorr / Katie C. Hanson-Dorr / R. J. Moore / Scott A. Rush

Diversity, Vol 15, Iss 453, p

2023 Volume 453

Abstract: Seasonal movements of Double-crested Cormorants ( Nannopterum auritum ) have been studied at breeding and wintering sites in the southeastern United States, but little information exists on the movements of these birds within and from their southern ... ...

Abstract	Seasonal movements of Double-crested Cormorants ( Nannopterum auritum ) have been studied at breeding and wintering sites in the southeastern United States, but little information exists on the movements of these birds within and from their southern breeding sites in lacustrine systems. Since 2001, cormorants have established nesting colonies on islands in Guntersville Reservoir in Alabama, USA. Following the movements of tagged cormorants using satellite telemetry, we found that the mean home range during the 2017 breeding season (May–August) was 41.76 km 2 , with a core use area of 6.36 km 2 . The mean home range used by these birds was largest during the period coinciding with incubation: 9–30 May: (98.86 ± 80.64 km 2 ) compared with the chick-rearing 31 May–4 July: 18.30 ± 22.56 km 2 ), and the post-fledge periods (5 July–15 August: 42.04 ± 30.95 km 2 ). There was no significant difference in the metrics of movement and space use between male and female cormorants assessed in this study. Differences in space used by cormorants breeding in Alabama relative to their northern breeding grounds may be explained by landscape characteristics and availability of prey.
Keywords	Alabama ; breeding ; movements ; reservoir ; satellite telemetry ; space use ; Biology (General) ; QH301-705.5
Subject code	333 ; 590
Language	English
Publishing date	2023-03-01T00:00:00Z
Publisher	MDPI AG
Document type	Article ; Online
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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Article ; Online: Space Use and Movements of Southeastern Breeding Double-Crested Cormorants (Nannopterum auritum) in the United States

Moran, Leah L. K. / Dorr, Brian S. / Hanson-Dorr, Katie C. / Moore, R. J. / Rush, Scott A.

Diversity. 2023 Mar. 18, v. 15, no. 3

2023

Abstract: Seasonal movements of Double-crested Cormorants (Nannopterum auritum) have been studied at breeding and wintering sites in the southeastern United States, but little information exists on the movements of these birds within and from their southern ... ...

Abstract	Seasonal movements of Double-crested Cormorants (Nannopterum auritum) have been studied at breeding and wintering sites in the southeastern United States, but little information exists on the movements of these birds within and from their southern breeding sites in lacustrine systems. Since 2001, cormorants have established nesting colonies on islands in Guntersville Reservoir in Alabama, USA. Following the movements of tagged cormorants using satellite telemetry, we found that the mean home range during the 2017 breeding season (May–August) was 41.76 km², with a core use area of 6.36 km². The mean home range used by these birds was largest during the period coinciding with incubation: 9–30 May: (98.86 ± 80.64 km²) compared with the chick-rearing 31 May–4 July: 18.30 ± 22.56 km²), and the post-fledge periods (5 July–15 August: 42.04 ± 30.95 km²). There was no significant difference in the metrics of movement and space use between male and female cormorants assessed in this study. Differences in space used by cormorants breeding in Alabama relative to their northern breeding grounds may be explained by landscape characteristics and availability of prey.
Keywords	females ; home range ; landscapes ; males ; satellites ; telemetry ; Alabama
Language	English
Dates of publication	2023-0318
Publishing place	Multidisciplinary Digital Publishing Institute
Document type	Article ; Online
Note	Resource is Open Access
ZDB-ID	2518137-3
ISSN	1424-2818
ISSN	1424-2818
DOI	10.3390/d15030453
Database	NAL-Catalogue (AGRICOLA)

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Article ; Online: Intranasal Insulin: a Treatment Strategy for Addiction.

Kashyap, Bhavani / Hanson, Leah R / Frey Ii, William H

Neurotherapeutics : the journal of the American Society for Experimental NeuroTherapeutics

2019 Volume 17, Issue 1, Page(s) 105–115

Abstract: Addiction to substances such as alcohol, cocaine, opioids, and methamphetamine poses a continuing clinical and public challenge globally. Despite progress in understanding substance use disorders, challenges remain in their treatment. Some of these ... ...

Abstract	Addiction to substances such as alcohol, cocaine, opioids, and methamphetamine poses a continuing clinical and public challenge globally. Despite progress in understanding substance use disorders, challenges remain in their treatment. Some of these challenges include limited ability of therapeutics to reach the brain (blood-brain barrier), adverse systemic side effects of current medications, and importantly key aspects of addiction not addressed by currently available treatments (such as cognitive impairment). Inability to sustain abstinence or seek treatment due to cognitive deficits such as poor decision-making and impulsivity is known to cause poor treatment outcomes. In this review, we provide an evidenced-based rationale for intranasal drug delivery as a viable and safe treatment modality to bypass the blood-brain barrier and target insulin to the brain to improve the treatment of addiction. Intranasal insulin with improvement of brain cell energy and glucose metabolism, stress hormone reduction, and improved monoamine transmission may be an ideal approach for treating multiple domains of addiction including memory and impulsivity. This may provide additional benefits to enhance current treatment approaches.
MeSH term(s)	Administration, Intranasal ; Animals ; Brain/drug effects ; Brain/metabolism ; Dopamine/metabolism ; Humans ; Insulin/administration & dosage ; Neurons/drug effects ; Substance-Related Disorders/drug therapy
Chemical Substances	Insulin ; Dopamine (VTD58H1Z2X)
Language	English
Publishing date	2019-07-10
Publishing country	United States
Document type	Journal Article ; Review
ZDB-ID	2316693-9
ISSN	1878-7479 ; 1933-7213
ISSN (online)	1878-7479
ISSN	1933-7213
DOI	10.1007/s13311-019-00822-4
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Article ; Online: Nasal oxytocin for the treatment of psychiatric disorders and pain: achieving meaningful brain concentrations.

Yeomans, David C / Hanson, Leah R / Carson, Dean S / Tunstall, Brendan J / Lee, Mary R / Tzabazis, Alexander Z / Jacobs, Daniel / Frey, William H

Translational psychiatry

2021 Volume 11, Issue 1, Page(s) 388

Abstract: There is evidence of the therapeutic potential of intranasal oxytocin for the treatment of pain and various psychiatric disorders, however, there is scant evidence that oxytocin reaches the brain. We quantified the concentration and distribution pattern ... ...

Abstract	There is evidence of the therapeutic potential of intranasal oxytocin for the treatment of pain and various psychiatric disorders, however, there is scant evidence that oxytocin reaches the brain. We quantified the concentration and distribution pattern of [
MeSH term(s)	Administration, Intranasal ; Animals ; Brain ; Mental Disorders ; Oxytocin ; Pain ; Rats
Chemical Substances	Oxytocin (50-56-6)
Language	English
Publishing date	2021-07-10
Publishing country	United States
Document type	Journal Article ; Research Support, N.I.H., Intramural
ZDB-ID	2609311-X
ISSN	2158-3188 ; 2158-3188
ISSN (online)	2158-3188
ISSN	2158-3188
DOI	10.1038/s41398-021-01511-7
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