National learning disabilities programme 'leading to unplanned costs'
The biggest “fast track” area moving people with learning disabilities out of hospitals has warned it faces an additional £8m annual bill, while others also anticipate increased costs.
Authors: Devi RR, Raju V Abstract Background &objectives: India is a signatory to the 1997 World Health Assembly resolutions on lymphatic fila- riasis, and other neglected tropical diseases, and supports global elimination of lymphatic filariasis by 2020. The global programme to eliminate lymphatic filariasis (GPELF) has two main components, viz. interrupting transmission of LF through mass drug administration; and managing morbidity and preventing disability. Consorted efforts by the Public Health Department in Tamil Nadu state (India) for elimination of LF was launched in the year 1997 concentrating on both t...
CONCLUSIONS: The studies lacked a systematic approach to investigating risk factors for depression, and the research remains largely atheoretical. Few risk factors were consistently studied, with over 20 risk factors examined no more than once each. Psychological and environmental risk factors, which may be modifiable and have the potential to inform therapeutic interventions and preventative strategies, remain under-studied. CLINICAL IMPLICATIONS: The most consistently supported risk factors - cognitive impairment, functional disability and baseline depression score - have the potential to inform screening protocols a...
CONCLUSIONS: The intention and motivation to alcohol dependence treatment seem to be high at the beginning of the treatment, but recognition of the alcohol problems were low in highly dependent patients. Marital status was connected with an increased active component for readiness to change. The passive component (decreasing the ambivalence) was observed in the unmarried patients. PMID: 29919989 [PubMed - as supplied by publisher]
This study implemented a prospective, repeated-measures design. Fourteen patients undergoing RSA underwent testing before surgery, and 2 and 12 months after surgery. Patient-reported instruments included pain, Disabilities of Arm, Shoulder and hands (DASH), and physical component summary (PCS) of the 36-Item Short Form Health Survey. Objective limb activity (mean activity value, m/s2/min epoch; inactive time, %; low activity, %; and high activity, %) was captured with triaxial accelerometers worn on the upper and lower arm. A repeated-measures ANOVA tested for differences across time. The Spearman rank-order correlation wa...
Conclusions: This pilot study suggests that FPP AOT is a feasible intervention and the research protocol designed would be suitable, with minor modifications, for the conduction of a subsequent stage 2 trial designed to verify the hypothesis that the adjunct of FPP AOT might improve motor performance in individuals with IPD.
Conclusions: We provide preliminary evidence for reduced physical function based on the SPPB as a valid, objective measure of lower extremity functional performance among older adults with MS.
Conclusions: Meeting guidelines for both aerobic and muscle-strengthening activities may be the most effective way of preserving muscle strength, muscle power, and gait velocity in older adults, but this conclusion must be tested with an intervention study.
Conditions: Multiple Sclerosis; Pathologic Processes; Demyelinating Diseases; Demyelinating Autoimmune Diseases; Nervous System Diseases; Autoimmune Diseases; Immune System Diseases; Primary Progressive Multiple Sclerosis; Relapsing Remitting Multiple Sclerosis Intervention: Drug: Ocrelizumab Sponsors: University of South Florida; Genentech, Inc. Not yet recruiting
Conditions: Chronic Pain; Depression; PTSD; Injuries; Illness, Chronic; Physical Disability Intervention: Behavioral: Resilience and Well-Being Program Sponsor: VA Puget Sound Health Care System Recruiting
Conditions: Neck Pain; Myofascial Pain Syndrome Interventions: Other: Instrument Assisted Soft Tissue Mobilization; Other: Manual Myofascial Release Sponsor: Federal University of Health Science of Porto Alegre Recruiting