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1.
Rev Med Suisse ; 16(692): 911-914, 2020 May 06.
Artículo en Francés | MEDLINE | ID: mdl-32374536

RESUMEN

One part of the population of neurolesioned patients is the transition of young patients with neurodisabilities to adult life. To guarantee favourable social and professional reinsertion is a major challenge, requiring inter-professional care. For this reason, in 2006 the CHUV, Lausanne created a transition-consultation framework with neuro-paediatricians and adult neurologists specialised in neuro-rehabilitation linked to a Swiss pilot social and professional reinsertion project collaborating with the invalidity insurance. As a model of the follow up of neurolesioned patients, this article reports the results of the reinsertion project that aims to bring awareness to the general practitioner of an inter-disciplinary care method adaptable to individuals. The holistic service saves time and improves the rate of successful reinsertion of young adults into social and professional life.


Asunto(s)
Personas con Discapacidad/rehabilitación , Empleo , Medicina General/métodos , Relaciones Interpersonales , Personas con Discapacidad/psicología , Médicos Generales , Humanos , Derivación y Consulta
2.
Prax Kinderpsychol Kinderpsychiatr ; 69(3): 203-217, 2020 May.
Artículo en Alemán | MEDLINE | ID: mdl-32394821

RESUMEN

Evaluation of a Manualized Group Program for Siblings of Children with Diseases or Disabilities This study evaluates a manualized group program for siblings of children with life-threatening/life-limiting diseases or disabilities. The program aims to activate resources and to reduce emotional and behavioral problems, using cognitive-behavioral methods and experience-based interventions. In this multi-center study, 13 GeschwisterTREFFs were conducted by 11 study sites in Germany. Prior to and after the intervention 97 siblings aged 7 to 14 years and their parents were examined with standardized questionnaires. At baseline, the siblings of children with diseases or disabilities showed significant more emotional and behavioral problems compared to the respective norm samples. After the intervention, the siblings reported declined problem behavior scores that were mostly in the range of the particular norm values. Furthermore, the children indicated a significant improvement of self-esteem, self-efficacy, school competences and relations to their siblings. However, parents reported more problem behavior and less health-related quality of life of their children at both assessments. The present multi-center study showed the interventions' feasibility in different settings and confirmed expected improvements of target variables during the intervention period. Randomized-controlled trails are warranted to verify our results.


Asunto(s)
Terapia Cognitivo-Conductual , Personas con Discapacidad , Problema de Conducta/psicología , Psicoterapia de Grupo , Hermanos/psicología , Éxito Académico , Adolescente , Niño , Estudios de Factibilidad , Alemania , Humanos , Padres/psicología , Calidad de Vida , Autoimagen , Autoeficacia , Encuestas y Cuestionarios
3.
Spinal Cord Ser Cases ; 6(1): 39, 2020 05 13.
Artículo en Inglés | MEDLINE | ID: mdl-32404896

RESUMEN

STUDY DESIGN: Cohort study of patients with spinal cord injury (SCI). OBJECTIVES: To describe the clinical and analytical features of a coronavirus disease 2019 (Covid-19) infected cohort with SCI to enable accurate diagnosis and to outline prevention measures. SETTING: This study was conducted at the National Hospital for Paraplegics (Toledo, Spain). METHODS: A cohort analysis of seven patients with SCI infected by Covid-19 was performed. Diagnosis was confirmed with reverse transcriptase polymerase chain reaction (RT-PCR) of nasal exudate or sputum samples. Clinical, analytical, and radiographic findings were registered. RESULTS: RT-PCR detected COVID-19 infection in all patients, affecting males and people with a cervical level of injury more often (five out of seven). The average delay for diagnostic confirmation was 4 days (interquartile range, 1-10). Fever was the most frequent symptom (six out of seven). The second most common symptom was asthenia (four out of seven), followed by dyspnea, cough, and expectoration (three out of seven for each symptom). The Modified Early Warning System score for Covid-19 severity rating was classified as severe in five out of seven cases. All but one patient showed radiological alterations evident in chest X-rays at the time of diagnosis. All patients recovered gradually. CONCLUSION: Our patients with SCI and Covid-19 infection exhibited fewer symptoms than the general population. Furthermore, they presented similar or greater clinical severity. The clinical evolution was not as pronounced as had been expected. This study recommends close supervision of the SCI population to detect early compatible signs and symptoms of Covid-19 infection.


Asunto(s)
Betacoronavirus , Infecciones por Coronavirus/diagnóstico , Neumonía Viral/diagnóstico , Traumatismos de la Médula Espinal/complicaciones , Adulto , Anciano , Estudios de Cohortes , Infecciones por Coronavirus/complicaciones , Personas con Discapacidad , Femenino , Humanos , Masculino , Persona de Mediana Edad , Pandemias , Neumonía Viral/complicaciones , Factores de Riesgo , España
4.
Medicina (Kaunas) ; 56(5)2020 May 13.
Artículo en Inglés | MEDLINE | ID: mdl-32413984

RESUMEN

In a special issue that focuses on complex presentations related to Autism, we ask the question in this editorial whether an Autism Spectrum Condition without complexity is a disorder, or whether it represents human diversity? Much research into Autism Spectrum Conditions (ASCs) over the years has focused on comparisons between neuro-typical people and people with Autism Spectrum Conditions. These comparisons have tended to draw attention to 'deficits' in cognitive abilities and descriptions of behaviours that are characterised as unwanted. Not surprisingly, this is reflected in the classification systems from the World Health Organisation and the American Psychiatric Association. Public opinion about ASC may be influenced by presentations in the media of those with ASC who also have intellectual disability. Given that diagnostic systems are intended to help us better understand conditions in order to seek improved outcomes, we propose a more constructive approach to descriptions that uses more positive language, and balances descriptions of deficits with research finding of strengths and differences. We propose that this will be more helpful to individuals on the Autism Spectrum, both in terms of individual self-view, but also in terms of how society views Autism Spectrum Conditions more positively. Commentary has also been made on guidance that has been adjusted for people with ASC in relation to the current COVID-19 pandemic.


Asunto(s)
Trastorno Autístico , Opinión Pública , Trastorno del Espectro Autista , Trastorno Autístico/complicaciones , Trastorno Autístico/diagnóstico , Trastorno Autístico/psicología , Betacoronavirus , Infecciones por Coronavirus , Personas con Discapacidad , Humanos , Medios de Comunicación de Masas , Pandemias , Neumonía Viral , Autoimagen
7.
Washington, D.C.; OPS; 2020-04-23. (OPS/NMH/MH/COVID-19/20-0009).
en Español | PAHO-IRIS | ID: phr-52026

RESUMEN

En marzo del 2020, la Organización Mundial de la Salud (OMS) declaró que el brote de COVID-19, enfermedad causada por un nuevo coronavirus, era una pandemia, en vista de la velocidad y la escala de la transmisión. La OMS y las autoridades de salud pública de todo el mundo están tomando medidas para contener el brote. El impacto de esta enfermedad podría ser mayor en ciertos grupos de la población, como las personas con discapacidad, pero su impacto se puede mitigar si los principales interesados adoptan medidas de protección apropiadas. Hay que tomar medidas para que las personas con discapacidad siempre tengan acceso a servicios de salud, agua y saneamiento, así como a la información de salud pública que necesiten, incluso durante el brote de COVID-19. El documento contiene medidas que deben tomar las personas discapacidad y los integrantes de su hogar, así como otras que deben adoptar los gobiernos, el personal de salud y los proveedores de servicios comunitarios.


Asunto(s)
Servicios de Salud para Personas con Discapacidad , Personas con Discapacidad , Infecciones por Coronavirus
8.
BMC Public Health ; 20(1): 477, 2020 Apr 10.
Artículo en Inglés | MEDLINE | ID: mdl-32276612

RESUMEN

BACKGROUND: Chronic venous disease (CVD) and disability are worldwide problems and have significant socioeconomic implications. This study aims to analyze the time trends and social security burden of temporary work disability due to CVD in Brazil. METHODS: An ecological time series study using the Brazilian Social Security System database was performed from 2005 to 2014. Data from all benefits granted to workers with temporary disability due to CVD were analyzed. The cases were identified using diagnosis codes I83-I83.9 of the International Classification of Diseases 10th Revision (ICD-10). The time trend analyses were performed by the Joinpoint Regression Model, with sex, age, regions, income, and category of affiliation as variables. Crude and age-standardized rates were calculated. RESULTS: A total of 429,438 benefits were granted for temporary work disability due to CVD from 2005 to 2014, with a growing trend and an age-standardized annual percent change (APC) of 3.4 (95% CI: 2.6-4.2) (p < 0.05). Social security expense increased 3.5-fold, and the number of days in benefit doubled from 2005 to 2014. In total, 27,017,818 working days were lost. The average duration of benefits was 55.3 days. The majority of workers were women (68.2%) (p < 0.001), between 30 and 59 years old, employed, had a monthly income ≤2 minimum wages (MW) (83.2%), and lived in the regions southeast (53.6%) and south (29.3%). Significantly higher APCs were observed for women than for men (APC: 4.9, 95% CI: 4.0-5.7 versus APC: 1.2, 95% CI: 0.1-2.4). All regions in Brazil had a significant growing trend, except in the north. No significant growth was observed in the age group of 60-69 years. A decreasing trend was observed in workers with monthly incomes above 2 MW (p < 0.05). CONCLUSIONS: Temporary work disability due to CVD and social security burden showed increasing trends with millions of working days lost, particularly among women and low-income workers. Preventing disability is challenging, and public policies are needed to reduce the social and economic impact of disability. Therefore, measures for promoting health at the workplace should be encouraged.


Asunto(s)
Personas con Discapacidad/estadística & datos numéricos , Seguridad Social/economía , Enfermedades Vasculares/economía , Enfermedades Vasculares/epidemiología , Adolescente , Adulto , Anciano , Brasil/epidemiología , Enfermedad Crónica , Bases de Datos Factuales , Femenino , Humanos , Masculino , Persona de Mediana Edad , Factores de Tiempo , Adulto Joven
9.
Brasília, D.F.; OPAS; 2020-04. (OPAS/BRA/ Covid-19/20-017).
en Portugués | PAHO-IRIS | ID: phr2-52063

RESUMEN

Em março de 2020, a Organização Mundial da Saúde (OMS) classificou como uma pandemia o surto da doença causada por um novo coronavírus, a COVID-19, devido à velocidade e escala de sua transmissão. A OMS e as autoridades de saúde pública de todo o mundo estão tomando medidas para conter o surto da COVID-19. Certas populações, como as pessoas com deficiência, podem ser mais afetadas pela COVID-19. Esse impacto pode ser mitigado se os principais atores envolvidos tomarem ações e medidas de proteção simples.


Asunto(s)
Infecciones por Coronavirus , Pandemias , Personas con Discapacidad , Coronavirus
10.
Lima; Perú. Poder Ejecutivo; 20200400. 4 p.
Monografía en Español | LILACS, LIPECS | ID: biblio-1096520

RESUMEN

El documento contiene disposiciones para la prevención y protección para las personas con discapacidad ante la emergencia sanitaria ocasionada por el COVID-19


Asunto(s)
Personas con Discapacidad , Infecciones por Coronavirus , Declaración de Emergencia , Decretos
14.
Rev Saude Publica ; 54: 38, 2020.
Artículo en Inglés, Español | MEDLINE | ID: mdl-32267372

RESUMEN

OBJECTIVE: To describe the implementation status of the Community-Based Rehabilitation in Chile. METHODS: Quantitative, transversal and descriptive study. The scope was constituted by the 66 community-based rehabilitation centers in the Chilean Metropolitan Region that implemented Community-Based Rehabilitation until December 2016. The sampling was based on a census method, so all the community centers were contacted. A self-administered questionnaire designed based on the Community-Based Rehabilitation matrix defined by the World Health Organization was applied. The questionnaire was answered on-line by the coordinators of the strategy in their respective centers. The data analysis was performed using descriptive statistics. RESULTS: A heterogeneous level of implementation of Community-Based Rehabilitation was identified, specifically in terms of the components of the matrix described by the World Health Organization. The most implemented component was Health; the Social, Livelihood and Empowerment components were moderately implemented; and the Education component was the least implemented. CONCLUSION: The implementation of Community-Based Rehabilitation is mainly based on the Health component. The level implementation of the other components of the matrix needs to be increased, as well as interdisciplinary and intersectoral strategies to achieve greater social inclusion of people with disabilities.


Asunto(s)
Servicios de Salud Comunitaria/estadística & datos numéricos , Participación de la Comunidad/estadística & datos numéricos , Personas con Discapacidad/rehabilitación , Atención Primaria de Salud/estadística & datos numéricos , Rehabilitación/organización & administración , Actitud Frente a la Salud , Chile , Servicios de Salud Comunitaria/organización & administración , Estudios Transversales , Personas con Discapacidad/estadística & datos numéricos , Educación en Salud , Accesibilidad a los Servicios de Salud , Humanos , Evaluación de Programas y Proyectos de Salud , Encuestas y Cuestionarios
15.
Am J Phys Med Rehabil ; 99(5): 359-365, 2020 05.
Artículo en Inglés | MEDLINE | ID: mdl-32301768

RESUMEN

OBJECTIVE: The aim of this study was to assess the impact of the burden and patterns of multimorbidity on disability domains. DESIGN: In a cross-sectional study of 425 older adults from the Boston Rehabilitative Impairment Study of the Elderly, participants self-reported 13 chronic conditions and underwent assessment of body function (leg strength, velocity, and power, trunk extensor endurance, leg range of motion, foot sensation), activities (400-m walk test, Short Physical Performance Battery, Late Life Function and Disability Instrument function scores) and participation (Late Life Function and Disability Instrument participation scores). The association between multimorbidity patterns (identified by latent class analysis) and disablement measures, as well as multimorbidity burden (captured by a multimorbidity score) and disablement measures, was tested. RESULTS: Latent class analysis identified three classes-low multimorbidity, high multimorbidity, and predominantly musculoskeletal conditions. Class membership (multimorbidity pattern) was not associated with disablement measures, but multimorbidity score was associated with poor performance in all domains. A 1-point higher multimorbidity score was associated with lower scores in body functions (by 0.06 SD unit), activities (0.07-0.10 SD units), as well as participation (0.07-0.09 units). CONCLUSION: Multimorbidity counts may be an excellent tool for risk stratification and identification of persons in need of rehabilitation. TO CLAIM CME CREDITS: Complete the self-assessment activity and evaluation online at http://www.physiatry.org/JournalCME CME OBJECTIVES: Upon completion of this article, the reader should be able to (1) describe and distinguish the effect of multimorbidity burden and multimorbidity patterns on three disability domains in older adults; (2) identify and discuss possible reasons why high multimorbidity burden may result in a restriction among social participation in older adults; and (3) detect disability risk among older patients during clinical assessment by using a simple count of common chronic conditions. LEVEL: Advanced ACCREDITATION: The Association of Academic Physiatrists is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.The Association of Academic Physiatrists designates this Journal-based CME activity for a maximum of 1.0 AMA PRA Category 1 Credit(s)™. Physicians should only claim credit commensurate with the extent of their participation in the activity.


Asunto(s)
Evaluación de la Discapacidad , Personas con Discapacidad , Multimorbilidad , Anciano , Boston , Estudios Transversales , Femenino , Humanos , Análisis de Clases Latentes , Estudios Longitudinales , Masculino , Medición de Riesgo
16.
Curr Sports Med Rep ; 19(4): 127-128, 2020 Apr.
Artículo en Inglés | MEDLINE | ID: mdl-32282454
17.
Zhonghua Xin Xue Guan Bing Za Zhi ; 48(3): 244-249, 2020 Mar 24.
Artículo en Chino | MEDLINE | ID: mdl-32234183

RESUMEN

Objective: To investigate the current status and changes of disease burden of cardio-cerebrovascular diseases in 1990 and 2016 for Beijing people. Methods: Using the results of the Global Burden of Diseases Study 2016 (GBD 2016) to describe deaths status and disease burden of cardio-cerebrovascular diseases in Beijing. The measurement index included the total deaths, years of life lost due to premature mortality (YLL), years lived with disability (YLD), and disability-adjusted years (DALY). Using the average world population from 2000 to 2025 as standard population to calculate the age-standardized mortality rate, DALY rate, YLL rate and YLD rate. Results: The age-standardized mortality rate of cardio-cerebrovascular diseases was 209.24 per 100 000. In 2016, DALY, YLL and YLD of cardio-cerebrovascular was 875.6, 733.6 and 142.0 thousand person-years, respectively, which has increased by 58.05%, 44.24% and 213.47%, respectively, than that in 1990. The age-standardized DALY rate and age-standardized YLL rate of cardio-cerebrovascular diseases in 2016 was 3 552.24 and 2 988.01 per 100 000 which has decreased by 47.90% and 52.43%, respectively, than that in 1990. The age-standardized YLD rate of cardio-cerebrovascular diseases in 2016 was 564.23 per 100 000 which increased by 5.10% than that in 1990. In 2016, the total death of cerebrovascular disease and ischemic heart disease was 17.6 thousand and 23.7 thousand, respectively. DALY was 396.3 and 393.6 thousand person-years in 2016, while 330.2 and 162.7 thousand person-years in 1990, which has increased by 20.02% and 141.92%, respectively. Conclusions: The disease burden of cardio-cerebrovascular disease is serious, especially the burden of cerebrovascular disease and ischemic heart disease. The disability burden of cerebrovascular disease is serious. The disease burden of ischemic heart disease has multiplied.


Asunto(s)
Trastornos Cerebrovasculares , Personas con Discapacidad , Beijing , Costo de Enfermedad , Humanos , Mortalidad Prematura , Años de Vida Ajustados por Calidad de Vida
18.
Oral Health Prev Dent ; 18(2): 139-144, 2020.
Artículo en Inglés | MEDLINE | ID: mdl-32238985

RESUMEN

PURPOSE: The aim of this retrospective cross-sectional study was to detect dental health and dental treatment under general anaesthesia, as well as associations to selected parameters in a patient cohort with different disabilities. MATERIAL AND METHODS: Patients with disabilities, including mental, physical, combination of mental and physical as well as psychiatric disability, which received dental rehabilitation under general anaesthesia between 1 January 2002 and 31 December 2011 were included. Based on the available patients' records, findings of dental examination (Decayed-, Missing- and Filled-teeth index [DMF-T]), treatment documentation as well as further specific factors including the presence of preoperative dental examination or radiographs were analysed. Statistical analysis was conducted using Mann-Whitney U test, Kruskal-Wallis test, analysis of variance (ANOVA), chi-squared or Fisher's exact test (p <0.05). RESULTS: A total of 464 patients were included. An overall DMF-T of 12.3 ± 7.5 (D-T of 5.8 ± 5.1) and a dmf-t of 9.2 ± 5.0 (d-t of 7.5 ± 4.5) were found. Patients with psychiatric disabilities showed worst dental health. About half of patients (56%) received a professional tooth cleaning. A tooth extraction was executed at 70% of patients, with 3.3 ± 4.5 teeth each patient. Nearly no patient received periodontal or endodontic treatment. Patients with a preoperative dental examination received statistically significantly less tooth extractions compared to patients without preoperative dental examination (2.7 ± 3.7 vs 4.5 ± 5.8). CONCLUSION: Patients with different disabilities show high dental treatment need and require improved dental care. Thereby, the preoperative dental examination might avoid unnecessary tooth extractions and is therefore strictly recommended.


Asunto(s)
Caries Dental , Personas con Discapacidad , Anestesia General , Estudios Transversales , Atención Odontológica , Humanos , Estudios Retrospectivos , Extracción Dental
20.
Orthop Clin North Am ; 51(2): 207-217, 2020 Apr.
Artículo en Inglés | MEDLINE | ID: mdl-32138858

RESUMEN

Global burden of disease (GBD) refers to the economic and human costs resulting from poor health. The disability-adjusted life year is a measure of life lost from premature death and life not lived at 100% health. Surgery has long been neglected in the distribution of resources for global health. Because of years of life lived with a disability and the large proportion of children in a population, pediatric musculoskeletal conditions early in life can contribute to the GBD. Fortunately, the World Health Organization has recently promoted essential surgical services through its Emergency and Essential Surgical Care Project and Global Initiative.


Asunto(s)
Carga Global de Enfermedades/estadística & datos numéricos , Enfermedades Musculoesqueléticas/epidemiología , Adulto , Niño , Análisis Costo-Beneficio , Personas con Discapacidad/estadística & datos numéricos , Carga Global de Enfermedades/economía , Humanos , Enfermedades Musculoesqueléticas/economía , Años de Vida Ajustados por Calidad de Vida
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