Specialised supported housing for people with a learning disability
A report from mental health charity Mencap estimates that the specialised supported housing sector is more than double the size of previous estimates and that demand is rising.
We report findings, summarize common themes, and suggest future directions for clinical practice and research.
This study evaluated the clinical efficacy and safety of SELD compared to PEN, as well as the change in protruded disc volume after SELD through pre- and postoperative magnetic resonance imaging (MRI), in patients with HLD. Thirty consecutive patients underwent SELD (SELD group), and 45 patients underwent PEN (PEN group). The Visual Analog Scale (VAS) for leg pain; Oswestry Disability Index (ODI); 12-Item Short-Form Health Survey (SF-12); preoperative and postoperative 4-, 12-, and 24-week Macnab criteria; and preoperative and 24-week postoperative lumbar spinal MRIs after SELD were obtained. There was no significant diffe...
Conclusion. Symptom chronicity did not significantly affect postoperative clinical outcomes, reoperation rates, or patient satisfaction. Nonoperative treatment of lumbar spinal stenosis is often successful but may delay operative intervention. However, results of this study suggest that the delay does not negatively impact surgical outcomes. Level of Evidence: 3
Study Design. A cross-sectional, mixed methods analysis of sources of expectations of lumbar surgery. Objective. The aim of this study was to ascertain sources of expectations and compare them to clinical characteristics. Summary of Background Data. Understanding where patients obtain expectations of lumbar surgery is necessary in order to develop interventions to foster appropriate expectations. Methods. This was a qualitative-quantitative study of 428 patients interviewed preoperatively with a 20-item validated survey, which asks patients how much improvement they expect per item. Patients then were asked open...
Conclusions: SCS did not influence serum cytokine levels significantly. Serum concentration of IFN-γ may be recognized as an occasional pain factor because of its significantly higher level in FBSS patients versus controls and higher IFN-γ value accompanying higher pain intensity. PMID: 30755780 [PubMed - in process]
Authors: Kishore MT, Udipi GA, Seshadri SP PMID: 30745696 [PubMed]
Conclusion: Lack of awareness, unavailability of services, and stress contributed to the delay in ASD diagnosis. There is a need for designing proper awareness and genuine center for the treatment. Similarly, referral and counter-referral mechanism is also required to be established to save delay in diagnosis and initiate prompt treatment in the field of ASD. PMID: 30745652 [PubMed]
(Natural News) For more than a decade, French farmer Paul François has been seeking justice against Monsanto, the world’s most evil corporation, over injuries he incurred as a result of using the Missouri-based chemical giant’s “Lasso” weedkiller on his crops. And despite numerous setbacks, he’s still just as “determined” as ever, according to his lawyer,...
CONCLUSIONS: Minocycline was safe for moderate to severe TBI at a dose twice that as recommended for treatment of infection. The higher dose did trend towards an improved outcome. PMID: 30744442 [PubMed - as supplied by publisher]
CONCLUSIONS: Fourteen percent of patients showed positive results for NMO-immunoglobulin G test and 50% of patients with NMOSD showed a severe visual loss in at least one eye or were unable to ambulate without assistance. The proportion of MS was relatively low in Korean ON patients. PMID: 30746915 [PubMed - in process]