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Community Based Rehabilitation

Clint Cameron, Lindsay B Hutley, Daniel A Friess
Mangrove forests are extremely productive, with rates of growth rivaling some terrestrial tropical rainforests. However, our understanding of the full suite of processes underpinning carbon exchange with the atmosphere and near shore-waters, the allocation of carbon in mangroves, and fluxes of non-CO2 greenhouse gases (GHGs) are limited to a handful of studies. This constrains the scientific basis from which to advocate for greater support for and investment in mangrove restoration and conservation. Improving understanding is urgently needed given the on-going landuse pressures mangrove forests face, particularly throughout much of Southeast Asia...
February 8, 2019: Science of the Total Environment
Esther García-Esquinas, Rosario Ortolá, Matthew Prina, Denes Stefler, Fernando Rodríguez-Artalejo, Roberto Pastor-Barriuso
OBJECTIVES: To analyze sex- and education-specific trajectories of health deficits accumulation (DA) throughout old age and to examine whether these trajectories differ according to health domains. DESIGN: Population-based prospective cohort study. SETTING: and participants: In Spain, 3228 community-dwelling individuals aged 60 years or older were followed up for 10 years. MEASURES: At baseline and 3 follow-up visits, a DA index (0 to 100% deficit) was calculated based on the number and severity of 52 health deficits across the domains of physical and cognitive function, self-rated health and vitality, mental health, and morbidity...
February 13, 2019: Journal of the American Medical Directors Association
Nhung T Quach, Reza Ehsanian, Benjamin Dirlikov, Samantha Sechrist, Jyodi Mohole, Stephen McKenna, Linda Isaac, Thao T Duong
Post-traumatic amnesia (PTA) is characterized by a state of disorientation and confusion following traumatic brain injury (TBI). Few studies have looked at the effect of prolonged PTA on the functional outcomes beyond 1 year post-injury. This study aims to evaluate the burden of care in individuals with extremely severe PTA (esPTA; PTA >28 days) from acute inpatient rehabilitation admission to 5 years post-injury as well as the association between intracranial hypertension (ICH; Intracranial pressure (ICP) ≥20 mmHg) and esPTA status...
2019: Frontiers in Neurology
Gordon Muir Giles
The author describes personal and professional milestones in becoming an occupational therapist and his early experience in the first behavior disorder program for neurologically based aggression in the world. A real clinical example is used to bring these early lessons into vivid focus. New evidence underlines occupational therapists' unique role in skill-habit training in clients with severe neurological impairment. For clients with milder impairments, irrespective of diagnosis, strategy training may maximize community independence and reduce hospital recidivism...
November 2018: American Journal of Occupational Therapy: Official Publication of the American Occupational Therapy Association
Violeta González-Salvado, Cristian Abelairas-Gómez, Carlos Peña-Gil, Carmen Neiro-Rey, Roberto Barcala-Furelos, José Ramón González-Juanatey, Antonio Rodríguez-Núñez
The aim of this study was to examine the effectiveness of a novel cardiopulmonary resuscitation (CPR) training method embedded in a cardiac rehabilitation program at enhancing patients' CPR and defibrillation skills. One hundred and fourteen participants with coronary heart disease enrolled on an exercise-based cardiac rehabilitation program were included. Two groups were randomly allocated to different training programs: CPR-retraining based on hands-on rolling refreshers during the 2-month program (G-CPR, n = 53) versus standard one-time training (G-Stan, n = 61)...
February 11, 2019: Health Education Research
Markus Gastauer, Mabel Patricia Ortiz Vera, Kleber Padovani de Souza, Eder Soares Pires, Ronnie Alves, Cecílio Frois Caldeira, Silvio Junio Ramos, Guilherme Oliveira
Microorganisms are useful environmental indicators, able to deliver essential insights to processes regarding mine land rehabilitation. To compare microbial communities from a chronosequence of mine land rehabilitation to pre-disturbance levels from references sites covered by native vegetation, we sampled non-rehabilitated, rehabilitating and reference study sites from the Urucum Massif, Southwestern Brazil. From each study site, three composed soil samples were collected for chemical, physical, and metagenomics analysis...
February 12, 2019: Scientific Data
Ondrej Pec
This paper describes the history and current provision of mental healthcare in the Czech Republic. After the political changes in 1989, there was an expansion of out-patient care and several non-governmental organisations began to provide social rehabilitation services, but the main focus of care still rested on mental hospitals. In recent years, mental health reform has been in progress, which has involved expanding community-based services and psychiatric wards of general hospitals, simultaneously with educational and destigmatisation programmes...
February 2019: BJPsych International
Sofie Bratberg Jensen, Helle Stentoft Dalum, Lisa Korsbek, Carsten Hjorthøj, John Hagel Mikkelsen, Karin Thomsen, Kristen Kistrup, Mette Olander, Jane Lindschou, Kim T Mueser, Merete Nordentoft, Lene Falgaard Eplov
BACKGROUND: Illness Management and Recovery (IMR) is a curriculum-based rehabilitation program for people with severe mental illness with the short-term aim of improving illness self-management and the long-term aim of helping people achieve clinical and personal recovery. METHOD: Participants with schizophrenia or bipolar disorders were recruited from three community mental health centers in the Capital Region of Denmark and randomized to receive group-based IMR and treatment as usual or only the usual intervention...
February 11, 2019: BMC Psychiatry
Kyla Z Donnelly, Shari Goldberg, Debra Fournier
PURPOSE: To explore participants' experiences in a group-based yoga with psychoeducation intervention designed to facilitate community integration for people with traumatic brain injury and their caregivers. MATERIALS AND METHODS: We conducted semi-structured interviews with 13 people with traumatic brain injury and three caregivers who had completed LoveYourBrain Yoga, a 6-session, manualized, group-based yoga intervention that incorporates breathing exercises, yoga, meditation, and psychoeducation...
February 11, 2019: Disability and Rehabilitation
D Joshua Marino, Randy Williams, Alicia Koontz, Rory A Cooper
BACKGROUND: American Student Placements and Internships in Rehabilitation Engineering is founded on the principal of sparking the interest in a new generation of rehabilitation engineering scientists to transform the lives of older adults and people with disabilities. Each year a minimum of 10 students were enrolled. METHODS: The internship runs for 10 weeks and activities center on developing excitement about technology and engineering and understanding the principles and processes of conducting rehabilitation engineering research...
February 11, 2019: Disability and Rehabilitation
Olivia Skrastins, Stephanie Tsotsos, Hammad Aqeel, Anthony Qiang, Jessica Renton, Jo-Anne Howe, Alda Tee, Jason Moller, Nancy M Salbach
BACKGROUND: Healthcare organizations are partnering with recreation organizations to support the delivery of community-based exercise programs for people with balance and mobility limitations. The value and impact of support strategies provided by healthcare organizations, however, have not been examined. OBJECTIVE: Study objectives were to explore fitness coordinators' and fitness instructors' experiences with implementing a task-oriented community-based exercise program for people with balance and mobility limitations within the context of a healthcare-recreation partnership...
February 10, 2019: Disability and Rehabilitation
Joseph Nelson Siewe Fodjo, Marieke C J Dekker, Richard Idro, Michel Ndahura Mandro, Pierre-Marie Preux, Alfred K Njamnshi, Robert Colebunders
BACKGROUND: Onchocerciasis-endemic regions are known to have a high epilepsy prevalence. Limited resources in these areas and poor access to healthcare by persons with epilepsy (PWE) result in a wide anti-epileptic treatment gap, poor seizure control and a high burden of seizure-related complications. Recent community-based surveys highlight the need for epilepsy management strategies suitable for remote onchocerciasis-endemic villages to ensure better health outcomes for PWE. In this paper, we propose a feasible approach to manage PWE in such settings...
February 10, 2019: Infectious Diseases of Poverty
Chyrisse Heine, Colette J Browning, Cathy Honge Gong
The number of older adults with vision and/or hearing loss is growing world-wide, including in China, whose population is aging rapidly. Sensory loss impacts on older people's ability to participate in their communities and their quality of life. This study investigates the prevalence of vision loss, hearing loss, and dual sensory loss (combined vision and hearing loss) in an older adult Chinese population and describes the relationships between these sensory losses and demographic factors, use of glasses and hearing aids, unmet needs, and impacts on social participation...
2019: Frontiers in Public Health
Jamie Sullivan, Vira Pravosud, David M Mannino, Keith Siegel, Radmila Choate, Tracie Sullivan
Background: Chronic obstructive pulmonary disease (COPD) remains a leading cause of disability and death in the United States. The "COPD in the United States" project gathered data about the impact of COPD to highlight variability across states and provide a single point of access to data for state decision makers, the public health community and advocates. This report provides a summary of COPD-related morbidity and mortality in the United States and individual states during 2014-2015 (some metrics contain data from other years)...
October 12, 2018: Chronic Obstructive Pulmonary Diseases: Journal of the COPD Foundation
Stephen Parker, Gordon Hopkins, Dan Siskind, Meredith Harris, Gemma McKeon, Frances Dark, Harvey Whiteford
BACKGROUND: Clinically operated community-based residential rehabilitation units (Community Rehabilitation Units) are resource intensive services supporting a small proportion of the people with severe and persisting mental illness who experience difficulties living in the community. Most consumers who engage with these services will be diagnosed with schizophrenia or a related disorder. This review seeks to: generate a typology of service models, describe the characteristics of the consumers accessing these services, and synthesise available evidence about consumers' service experiences and outcomes...
February 4, 2019: BMC Psychiatry
Jennifer Bogner, Marcel Dijkers, Erinn M Hade, Cynthia Beaulieu, Erin Montgomery, Clare Giuffrida, Misti Timpson, Juan Peng, Kamie Gilchrist, Aubrey Lash, Flora M Hammond, Susan Horn, John Corrigan
OBJECTIVE: To evaluate the effect of providing a greater percentage of therapy as contextualized treatment on acute traumatic brain injury (TBI) rehabilitation outcomes. DESIGN: Propensity score methods are applied to the TBI-Practice-Based Evidence (TBI-PBE) database, a database consisting of multi-site, prospective, longitudinal observational data. SETTING: Acute inpatient rehabilitation. PARTICIPANTS: Patients enrolled in the TBI-PBE study (n=1843), aged 14 years or older, who sustained a severe, moderate, or complicated mild TBI, receiving their first IRF admission in the US, and consented to follow-up 3 and 9 months post discharge from inpatient rehabilitation...
February 1, 2019: Archives of Physical Medicine and Rehabilitation
Preeti Sunderaraman, Stephanie Cosentino, Karen Lindgren, Angela James, Maria T Schultheis
PRIMARY OBJECTIVE: Financial Capacity (FC) is known to be impaired in the acute and subacute stages of brain injury. The current study sought to examine FC in the context of chronic, moderate to severe acquired brain injury (CABI). RESEARCH DESIGN: The Financial Competence Assessment Inventory (FCAI), developed in Australia, was adapted to examine the integrity of FC in an American sample. METHODS AND PROCEDURES: Healthy comparison (HC) participants were recruited from the community, whereas participants with CABI were recruited from a community-based rehabilitation center...
February 3, 2019: Brain Injury: [BI]
Indra Yohanes Kiling, Clemence Due, Cameron Gyss, Dominggus Elcid Li, Deborah Turnbull
PURPOSE: Young children living with disabilities in developing countries face a range of environmental risks that may impact upon their development. However, very little research has explored how to provide interventions for, or support to, this group of children and their families. In this systematic review, we examined studies which evaluated interventions aimed at addressing environmental risk factors in developing countries. METHOD: Ten databases were searched...
February 1, 2019: Disability and Rehabilitation
Sarah Prescott, Jennifer Fleming, Emmah Doig
BACKGROUND/AIM: Client-centred goal setting is fundamental to occupational therapy practice and has been increasingly embraced by all rehabilitation practioners. Goal setting in clinical practice is a highly individualised process and may be more challenging with people with acquired brain injury. However, research examining practice is limited. We developed the Client-Centred Goal Setting Practice Framework to explain how client-centred goals are developed in brain injury rehabilitation...
January 30, 2019: Australian Occupational Therapy Journal
Bruno Trezzini, Mirjam Brach, Marcel Post, Armin Gemperli
STUDY DESIGN: Observational study. OBJECTIVES: To determine the prevalence, predictors, and consequences of self-reported service needs among community-dwelling persons with SCI. SETTING: Community-based, Switzerland. METHODS: Participants were 490 people who took part in the health services module of the Swiss Spinal Cord Injury Cohort Study (SwiSCI) 2012 community survey. We determined the prevalence of 20 service needs and the extent to which they were unmet...
January 29, 2019: Spinal Cord
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