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Article ; Online: Becoming a physician for older patients

Annemarie Moll-Jongerius / Kirsten Langeveld / Esther Helmich / Tahir Masud / Anneke W.M. Kramer / Wilco P. Achterberg

BMC Medical Education, Vol 23, Iss 1, Pp 1-

exploring the professional identity formation of medical students during a nursing home clerkship. A qualitative study

2023 Volume 9

Abstract: Abstract Background To prepare medical students for the growing population of older patients, an appropriate professional identity formation is desirable. The community of practice of medical school is primarily hospital-based and disease-oriented which ... ...

Abstract	Abstract Background To prepare medical students for the growing population of older patients, an appropriate professional identity formation is desirable. The community of practice of medical school is primarily hospital-based and disease-oriented which will lead to the development of a physician who is mainly focused on cure. This focus alone however is not always appropriate for older persons’ health care. The aim of this study is to explore the influence of participating in a nursing home community of practice on the professional identity formation of medical students. Methods A qualitative study based on a constructivist research paradigm was conducted, using individual semi-structured, in-depth interviews and a visual narrative method (drawing) as a prompt. Thematic analysis was applied to structure and interpret the data. The study population consisted of fifth-year medical students participating in a six-week nursing home clerkship. Thirteen participants were purposefully sampled. The clerkship took place in nursing homes in the South-West of the Netherlands. Results The medical students described the nursing home as the living environment of the patients. Actively participating in the patients’ care and experiencing the daily life of the patients was meaningful for the physician the students want to become in five ways: (1) a physician with a complete picture; (2) a physician who is close; (3) a physician who is in dialogue; (4) a physician who is able to let go and (5) a physican who collaborates. Conclusions Caring for older patients in the nursing home influences the professional identity formation of medical students. Patient-centeredness, personal, holistic and tailored care, approachability and collaboration are important characteristics in becoming a physician for older persons’ health care. The context of this care provides relevant learning experiences for this development and the becoming of a physician in general.
Keywords	Professional identity formation ; Community of practice ; Medical students ; Older persons ; Nursing home ; Clerkship ; Special aspects of education ; LC8-6691 ; Medicine ; R
Subject code	360
Language	English
Publishing date	2023-11-01T00:00:00Z
Publisher	BMC
Document type	Article ; Online
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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Article ; Online: Predicting falls in community-dwelling older adults

Stig Andersen / Johannes Riis / Tahir Masud / Gustav Valentin Gade / Martin Grønbech Jørgensen

BMJ Open, Vol 11, Iss

a systematic review of prognostic models

2021 Volume 5

Abstract: Objective To systematically review and critically appraise prognostic models for falls in community-dwelling older adults.Eligibility criteria Prospective cohort studies with any follow-up period. Studies had to develop or validate multifactorial ... ...

Abstract	Objective To systematically review and critically appraise prognostic models for falls in community-dwelling older adults.Eligibility criteria Prospective cohort studies with any follow-up period. Studies had to develop or validate multifactorial prognostic models for falls in community-dwelling older adults (60+ years). Models had to be applicable for screening in a general population setting.Information source MEDLINE, EMBASE, CINAHL, The Cochrane Library, PsycINFO and Web of Science for studies published in English, Danish, Norwegian or Swedish until January 2020. Sources also included trial registries, clinical guidelines, reference lists of included papers, along with contacting clinical experts to locate published studies.Data extraction and risk of bias Two authors performed all review stages independently. Data extraction followed the Critical Appraisal and Data Extraction for Systematic Reviews of Prediction Modelling Studies checklist. Risk of bias assessments on participants, predictors, outcomes and analysis methods followed Prediction study Risk Of Bias Assessment Tool.Results After screening 11 789 studies, 30 were eligible for inclusion (n=86 369 participants). Median age of participants ranged from 67.5 to 83.0 years. Falls incidences varied from 5.9% to 59%. Included studies reported 69 developed and three validated prediction models. Most frequent falls predictors were prior falls, age, sex, measures of gait, balance and strength, along with vision and disability. The area under the curve was available for 40 (55.6%) models, ranging from 0.49 to 0.87. Validated models’ The area under the curve ranged from 0.62 to 0.69. All models had a high risk of bias, mostly due to limitations in statistical methods, outcome assessments and restrictive eligibility criteria.Conclusions An abundance of prognostic models on falls risk have been developed, but with a wide range in discriminatory performance. All models exhibited a high risk of bias rendering them unreliable for prediction in clinical practice. ...
Keywords	Medicine ; R
Subject code	310
Language	English
Publishing date	2021-06-01T00:00:00Z
Publisher	BMJ Publishing Group
Document type	Article ; Online
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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Article ; Online: Corrigendum to “Instructors’ Perceptions of Mostly Seated Exercise Classes

Katie R. Robinson / Tahir Masud / Helen Hawley-Hague

BioMed Research International, Vol

Exploring the Concept of Chair Based Exercise”

2017 Volume 2017

Keywords	Medicine ; R
Language	English
Publishing date	2017-01-01T00:00:00Z
Publisher	Hindawi Limited
Document type	Article ; Online
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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Article ; Online: Instructors’ Perceptions of Mostly Seated Exercise Classes

Katie R. Robinson / Tahir Masud / Helen Hawley-Hague

BioMed Research International, Vol

Exploring the Concept of Chair Based Exercise

2016 Volume 2016

Abstract: Chair based exercise (CBE) can be used to engage older adults unable to take part in standing exercise programmes. Defining and understanding the context of CBE have been acknowledged as a challenge. We explore instructor experiences of delivering mostly ...

Abstract	Chair based exercise (CBE) can be used to engage older adults unable to take part in standing exercise programmes. Defining and understanding the context of CBE have been acknowledged as a challenge. We explore instructor experiences of delivering mostly seated exercise classes for older people and how this helps us to further understand the concept of CBE. We extracted qualitative data from a cross-sectional survey with 731 exercise instructors. 378 delivered mostly seated classes and 223 of those instructors provided qualitative data. There were 155 instructors who did not provide any qualitative comments. Framework analysis was used and informed by a Delphi consensus study on CBE. Instructors perceived mostly seated classes as predominantly CBE; they defined it as an introductory class that should be offered as part of a continuum of exercise. It was considered suitable for those with limitations and older adults in long-term care and with dementia. Instructors reported CBE used inappropriately for more active older people. Instructors reported observing improvements in mood and cognition and broader social benefits. Instructors’ perspectives largely support expert consensus that CBE has an important role in a continuum of exercise. Providers of CBE need to ensure that more challenging exercises are introduced where appropriate. Further research is needed to explore older adults’ perceptions of CBE.
Keywords	Medicine ; R
Subject code	796
Language	English
Publishing date	2016-01-01T00:00:00Z
Publisher	Hindawi Limited
Document type	Article ; Online
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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Article ; Online: Development, feasibility, acceptability, and adjustment of a portable, multifactorial falls risk test battery for community-dwelling older adults.

Gustav V. Sørensen / Martin G. Jørgensen / Jesper Ryg / Tahir Masud / Stig Andersen

Cogent Medicine, Vol 6, Iss

2019 Volume 1

Abstract: Purpose: Falls accidents are common in older adults and may have severe consequences. Targeting prevention requires accurate, feasible, and time-efficient falls prediction. Aim: To develop, evaluate, and adjust a portable multifactorial test battery for ... ...

Abstract	Purpose: Falls accidents are common in older adults and may have severe consequences. Targeting prevention requires accurate, feasible, and time-efficient falls prediction. Aim: To develop, evaluate, and adjust a portable multifactorial test battery for falls risk prediction in community-dwelling older adults. Materials and Methods: Through a multidisciplinary consensus meeting, we developed a preliminary test battery to be completed in a 35-minutes time frame. Risk factors exceeding the time frame were included in a self-reported questionnaire. Eight participants (≥75 years) were tested. Time spent was recorded and tests were evaluated by interviews. Adjustments were made through a modified nominal group technique based on scientific validity, time spent, and evaluations. Questionnaire items were discussed and adjusted. Results: The preliminary test battery was not feasible. Content was adjusted based on assessment of feasibility and acceptability of tests. The final test battery consisted of gait speed, grip- and leg strength, leg reaction time, and dual-task balance (measured using the Nintendo Wii Balance Board), arrhythmia screening, and Orientation-Memory-Concentration test. The questionnaire included the Tilburg Frailty Indicator, Mini-Nutritional-Assessment, Vulnerable Elders Survey-13, Short Falls Efficacy Scale-International, EuroQol-5-Dimension-3-Level, Geriatric Depression Scale, and single risk factors. Conclusion: An iterative development process with consensus meetings and feasibility testing was used to develop a multifactorial test battery designed to predict falls in an older community-dwelling population.
Keywords	accidental falls ; independent living ; aged ; risk assessment ; consensus ; primary prevention ; Medicine ; R
Subject code	150
Language	English
Publishing date	2019-01-01T00:00:00Z
Publisher	Taylor & Francis Group
Document type	Article ; Online
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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Article ; Online: The combined effect of parathyroid hormone (1–34) and whole-body vibration exercise on physical performance in OSteoporotic women (PaVOS study)

Ditte Beck Jepsen / Tahir Masud / Anders Holsgaard-Larsen / Stinus Hansen / Niklas Rye Jørgensen / Jesper Ryg

BMC Sports Science, Medicine and Rehabilitation, Vol 12, Iss 1, Pp 1-

a secondary analysis from a randomised controlled trial

2020 Volume 9

Abstract: Abstract Background The aim of this study was to investigate the effect on physical performance of combining whole-body vibration exercise (WBV) with parathyroid hormone 1–34 (teriparatide) compared to teriparatide alone. Methods A secondary analysis ... ...

Abstract	Abstract Background The aim of this study was to investigate the effect on physical performance of combining whole-body vibration exercise (WBV) with parathyroid hormone 1–34 (teriparatide) compared to teriparatide alone. Methods A secondary analysis from a RCT where postmenopausal women with severe osteoporosis were randomised to WBV plus teriparatide (intervention) or teriparatide alone (control). WBV was applied three times/week (6x1min WBV:1 min rest, (peak acceleration 3.6 g)) for twelve months. Both groups received teriparatide 20 μg s.c./day. The primary endpoint (bone mineral density) is reported elsewhere. Physical performance measures (Short Physical Performance Battery (SPPB), Timed-Up-and-Go (TUG), leg extension power, and grip strength) were obtained at baseline, three-, six-, and twelve months, lean mass at baseline and twelve months. Data were analysed with mixed linear regression model or robust cluster regression in an intention to treat analysis. Results Thirty-five women aged (mean ± SD) 69 ± 7) years were recruited of which thirty-two (91%) completed the twelve months follow-up (WBV + teriparatide = 15, teriparatide = 17). SPPB score (mean ± SD) improved significantly at three months in the WBV + teriparatide group from 9.13 ± 2.03 to 10.35 ± 1.69 (p = 0.014) with a statistical trend towards a between-group change in favor of the WBV + teriparatide group (0.86 [95%CI(− 0.05,1.77), p = 0.065]). Both groups improved in leg extension power during the study period whereas no changes were seen in TUG, grip strength, or lean mass in either group. No statistical significant between-group differences were observed. Conclusion WBV may improve some short-term aspects of physical performance in severely osteoporotic postmenopausal women who are receiving teriparatide treatment. Trial Registration ClinicalTrials.gov, ID:NCT02563353
Keywords	Exercise ; Osteoporosis ; Physical performance ; Short physical performance battery ; Whole-body vibration ; Women ; Sports medicine ; RC1200-1245
Subject code	796
Language	English
Publishing date	2020-09-01T00:00:00Z
Publisher	BMC
Document type	Article ; Online
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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Article ; Online: Reliability and agreement of a novel portable laser height metre.

Gustav Valentin Blichfeldt Sørensen / Johannes Riis / Mathias Brix Danielsen / Jesper Ryg / Tahir Masud / Stig Andersen / Martin Gronbech Jorgensen

PLoS ONE, Vol 15, Iss 4, p e

2020 Volume 0231449

Abstract: BACKGROUND:Human height is a simple measure with great applicability. Usually, stadiometers are used to measure height accurately. However, these may be impractical to transport and expensive. Therefore, we developed a portable and low-cost laser height ... ...

Abstract	BACKGROUND:Human height is a simple measure with great applicability. Usually, stadiometers are used to measure height accurately. However, these may be impractical to transport and expensive. Therefore, we developed a portable and low-cost laser height metre (LHM). OBJECTIVE:We aimed to (1) determine intrarater and interrater reliability of our LHM and compare it to a wall-fixed stadiometer, (2) examine its agreement with the same stadiometer, and (3) determine the minimum number of recordings needed to obtain an accurate and reliable height measurement using the LHM. METHODS:We recruited 32 participants (18+ years)-both men and women. Two raters performed assessments on the same day blinded to each other and their reference standard measurements. We calculated intraclass correlation coefficient (ICC), coefficient of variation (CV), standard error of measurement (SEM), and Bland-Altman plots with limits of agreement (LOA). RESULTS:For both the LHM and stadiometer, we found ICC values of 0.99-1.00 (95% CI: 0.997-1.000) for both intrarater and interrater reliability. Regarding LHM intrarater reliability, SEM, CV, and LOA were 0.34 cm, 0.16%, and -1.07 to 0.73 cm, respectively. In terms of LHM interrater reliability, SEM, CV, and LOA were 0.27 cm, 0.12%, and -0.32 to 0.84 cm, respectively. As to agreement with stadiometers using one measurement, the mean difference was -0.14 cm and LOA ranged from -0.81 to 0.77 cm. CONCLUSION:A portable and low-cost LHM, for measuring body height once, showed an excellent reproducibility within and between raters along with an acceptable agreement with a stadiometer thereby representing a suitable alternative.
Keywords	Medicine ; R ; Science ; Q
Subject code	600
Language	English
Publishing date	2020-01-01T00:00:00Z
Publisher	Public Library of Science (PLoS)
Document type	Article ; Online
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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Article ; Online: Novel Use of the Nintendo Wii Board for Measuring Isometric Lower Limb Strength

Martin Gronbech Jorgensen / Stig Andersen / Jesper Ryg / Tahir Masud

PLoS ONE, Vol 10, Iss 10, p e

A Reproducible and Valid Method in Older Adults.

2015 Volume 0138660

Abstract: Portable, low-cost, objective and reproducible assessment of muscle strength in the lower limbs is important as it allows clinicians to precisly track progression of patients undergoing rehabilitation. The Nintendo Wii Balance Board (WBB) is portable, ... ...

Abstract	Portable, low-cost, objective and reproducible assessment of muscle strength in the lower limbs is important as it allows clinicians to precisly track progression of patients undergoing rehabilitation. The Nintendo Wii Balance Board (WBB) is portable, inexpensive, durable, available worldwide, and may serve the above function.The purpose of the study was to evaluate (1) reproducibility and (2) concurrent validity of the WBB for measuring isometric muscle strength in the lower limb.A custom hardware and software was developed to utilize the WBB for assessment of isometric muscle strength. Thirty older adults (69.0 ± 4.2 years of age) were studied on two separate occasions on both the WBB and a stationary isometric dynamometer (SID). On each occasion, three recordings were obtained from each device. For the first recording, means and maximum values were used for further analysis. The test-retest reproducibility was examined using intraclass correlation coefficients (ICC), Standard Error of Measurement (SEM), and limits of agreement (LOA). Bland-Altman plots (BAP) and ICC's were used to explore concurrent validity.No systematic difference between test-retest was detected for the WBB. ICC within-device were between 0.90 and 0.96 and between-devices were from 0.80 to 0.84. SEM ranged for the WBB from 9.7 to 13.9%, and for the SID from 11.9 to 13.1%. LOA ranged for the WBB from 20.3 to 28.7% and for the SID from 24.2 to 26.6%. The BAP showed no relationship between the difference and the mean.A high relative and an acceptable absolute reproducibility combined with a good validity was found for the novel method using the WBB for measuring isometric lower limb strength in older adults. Further research using the WBB for assessing lower limb strength should be conducted in different study-populations.
Keywords	Medicine ; R ; Science ; Q
Subject code	796
Language	English
Publishing date	2015-01-01T00:00:00Z
Publisher	Public Library of Science (PLoS)
Document type	Article ; Online
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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Article ; Online: How to increase value and reduce waste in research

Annmarie Touborg Lassen / Jesper Ryg / Torben Knudsen / Vibeke Andersen / Torkell Ellingsen / Mohammad Naghavi-Behzad / Anna-Marie Bloch Münster / Aleksander Krag / Tahir Masud / Oke Gerke / Kim Brixen / Kirsten Kyvik / Kristian Kidholm / Malene Grubbe Hildebrandt / Jørgen Ejler Pedersen / Henrik J Ditzel / Annette Langhoff / Gert Nielsen

BMJ Open, Vol 12, Iss

initial experiences of applying Lean thinking and visual management in research leadership

2022 Volume 6

Keywords	Medicine ; R
Language	English
Publishing date	2022-06-01T00:00:00Z
Publisher	BMJ Publishing Group
Document type	Article ; Online
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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Article ; Online: Reducing hip fracture risk with risedronate in elderly women with established osteoporosis

Tahir Masud / Michael McClung / Piet Geusens

Clinical Interventions in Aging, Vol 2009, Iss default, Pp 445-

2009 Volume 449

Abstract: Tahir Masud1, Michael McClung2, Piet Geusens31Nottingham University Hospitals NHS Trust, Nottingham, UK; 2Oregon Osteoporosis Center, Portland, Oregon, USA; 3Department of Internal Medicine, Subdivision of Rheumatology, Maastricht University Medical ... ...

Abstract	Tahir Masud1, Michael McClung2, Piet Geusens31Nottingham University Hospitals NHS Trust, Nottingham, UK; 2Oregon Osteoporosis Center, Portland, Oregon, USA; 3Department of Internal Medicine, Subdivision of Rheumatology, Maastricht University Medical Center, BelgiumBackground: There is limited evidence to support the efficacy of current pharmaceutical agents in reducing the risk of hip fracture in older postmenopausal women with established osteoporosis.Objective: To clarify the efficacy of risedronate in reducing the risk of hip fracture in elderly postmenopausal women aged ≥70 years with established osteoporosis, i.e., those with bone mineral density-defined osteoporosis and a prevalent vertebral fracture.Methods: Post hoc analysis of the Hip Intervention Program (HIP) study, a randomized controlled trial comparing risedronate with placebo for reducing the risk of hip fracture in elderly women. Women aged 70 to 100 years with established osteoporosis (baseline femoral neck T-score ≤ −2.5 and ≥ 1 prior vertebral fracture) were included. The main outcome measure was 3-year hip fracture incidence in the risedronate and placebo groups.Results: A total of 1656 women met the inclusion criteria. After 3 years, hip fracture had occurred in 3.8% of risedronate-treated patients and 7.4% of placebo-treated patients (relative risk 0.54; 95% confidence interval 0.32–0.91; P = 0.019).Conclusion: Risedronate significantly reduced the risk of hip fracture in women aged up to 100 years with established osteoporosis.Keywords: osteoporosis, postmenopausal, hip fracture, risedronate
Keywords	Medicine (General) ; R5-920 ; Medicine ; R ; DOAJ:Medicine (General) ; DOAJ:Health Sciences ; Geriatrics ; RC952-954.6
Subject code	610
Language	English
Publishing date	2009-11-01T00:00:00Z
Publisher	Dove Medical Press
Document type	Article ; Online
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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