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https://www.readbyqxmd.com/read/27917530/visual-complications-in-diabetes-mellitus-beyond-retinopathy
#1
REVIEW
A Khan, I N Petropoulos, G Ponirakis, R A Malik
Diabetic retinopathy is the most common cause of vision loss in people with diabetes mellitus; however, other causes of visual impairment/loss include other retinal and non-retinal visual problems, including glaucoma, age-related macular degeneration, non-arteritic anterior ischaemic optic neuropathy and cataracts. Additionally, when a person with diabetes complains of visual disturbance despite a visual acuity of 6/6, abnormalities in refraction, contrast sensitivity, straylight and amplitude of accommodation should be considered...
December 5, 2016: Diabetic Medicine: a Journal of the British Diabetic Association
https://www.readbyqxmd.com/read/27913895/work-accommodations-and-natural-supports-for-employees-with-severe-mental-illness-in-social-businesses-an-international-comparison
#2
Patrizia Villotti, Marc Corbière, Ellie Fossey, Franco Fraccaroli, Tania Lecomte, Carol Harvey
Little is known about the types of work accommodations and natural supports that are useful for people experiencing severe mental illness working in social businesses. We conducted an exploratory, descriptive and cross-sectional investigation in Australia, Canada and Italy to study the nature of work accommodations and natural supports available in social businesses. Study findings are drawn from survey responses of a convenience sample of 90 employees with self-reported psychiatric disabilities. Results showed that, regardless of the country, social businesses provide many work accommodations and natural supports, especially those linked to schedule flexibility and support, while work accommodations related to training and schedule flexibility were linked to longer job tenure...
December 3, 2016: Community Mental Health Journal
https://www.readbyqxmd.com/read/27878940/people-processes-and-systems-an-observational-study-of-the-role-of-technology-in-rural-youth-mental-health-services
#3
Simone Orlowski, Sharon Lawn, Ben Matthews, Anthony Venning, Gabrielle Jones, Megan Winsall, Gaston Antezana, Niranjan Bidargaddi, Peter Musiat
The merits of technology-based mental health service reform have been widely debated among academics, practitioners, and policy makers. The design of new technologies must first be predicated on a detailed appreciation of how the mental health system works before it can be improved or changed through the introduction of new products and services. Further work is required to better understand the nature of face-to-face mental health work and to translate this knowledge to computer scientists and system designers responsible for creating technology-based solutions...
November 23, 2016: International Journal of Mental Health Nursing
https://www.readbyqxmd.com/read/27868448/applying-an-ecological-framework-to-understand-transition-pathways-to-post-secondary-education-for-youth-with-physical-disabilities
#4
Sally Lindsay, Michelle Duncanson, Nadia Niles-Campbell, Carolyn McDougall, Sara Diederichs, Dolly Menna-Dack
PURPOSE: The purpose of this study was to explore the experiences of youth with physical disabilities and clinicians who support them in their transition to post-secondary education (PSE). Most research on transition to PSE has focused on youth with intellectual disabilities while there is a lack of research on youth with physical disabilities. METHODS: This study drew on 30 interviews with 20 youth with disabilities and 10 clinicians. We used Bronfrenbrenner's ecological framework to inform our analysis...
November 20, 2016: Disability and Rehabilitation
https://www.readbyqxmd.com/read/27864511/root-nodule-symbiosis-in-lotus-japonicus-drives-the-establishment-of-distinctive-rhizosphere-root-and-nodule-bacterial-communities
#5
Rafal Zgadzaj, Ruben Garrido-Oter, Dorthe Bodker Jensen, Anna Koprivova, Paul Schulze-Lefert, Simona Radutoiu
Lotus japonicus has been used for decades as a model legume to study the establishment of binary symbiotic relationships with nitrogen-fixing rhizobia that trigger root nodule organogenesis for bacterial accommodation. Using community profiling of 16S rRNA gene amplicons, we reveal that in Lotus, distinctive nodule- and root-inhabiting communities are established by parallel, rather than consecutive, selection of bacteria from the rhizosphere and root compartments. Comparative analyses of wild-type (WT) and symbiotic mutants in Nod factor receptor5 (nfr5), Nodule inception (nin) and Lotus histidine kinase1 (lhk1) genes identified a previously unsuspected role of the nodulation pathway in the establishment of different bacterial assemblages in the root and rhizosphere...
November 18, 2016: Proceedings of the National Academy of Sciences of the United States of America
https://www.readbyqxmd.com/read/27823141/transforming-lives-with-happiness
#6
(no author information available yet)
Can prioritising what makes residents happy transform their lives? Simon Jones, writes in Learning Disability Practice about the use of positive behaviour support (PBS) in managing challenging behaviour. By focusing on one priority: bringing happiness and fun into the lives of the people they support, residents with learning disabilities in supported living accommodation are now living their lives within their community. The team developed PBS plans that prioritised enhancing quality of life with behavioural issues a secondary thought...
October 5, 2016: Nursing Standard
https://www.readbyqxmd.com/read/27803640/a-qualitative-study-of-multiple-health-behaviors-in-adults-with-multiple-sclerosis
#7
Matthew A Plow, Meghan Golding
Background: Evidence regarding inflammatory pathways, elevated cardiovascular risk, and negative effects of secondary conditions on disability progression provide a strong rationale for promoting multiple health behaviors in adults with multiple sclerosis (MS). However, many unanswered questions remain about the best ways to design multiple behavior change interventions for adults with MS. We sought to identify facilitators and barriers to engaging in multiple health behaviors (physical activity, nutrition, and sleep) and to gain further insights into how to develop multiple health behavior change interventions based on preferences of adults with MS...
September 2016: International Journal of MS Care
https://www.readbyqxmd.com/read/27792025/disabling-accommodation-barriers-a-study-exploring-how-to-better-accommodate-government-employees-with-anxiety-disorders
#8
Damian Mellifont, Jennifer Smith-Merry, Justin Newton Scanlan
BACKGROUND: Accommodating mental health in the workplace is challenging. Despite policy efforts to encourage the availability of mental health accommodations in the workplace, employees experiencing mental illness are missing out on accommodations that they need. OBJECTIVE: To inform vocational rehabilitation professionals and managers in the public service of best practice accommodations for government employees with anxiety disorders. METHODS: Thematic analysis was applied to data collected from the online Accommodating Government Employees with Anxiety Disorders Survey undertaken by 71 Australian public service employees diagnosed with at least one anxiety disorder...
October 22, 2016: Work: a Journal of Prevention, Assessment, and Rehabilitation
https://www.readbyqxmd.com/read/27786522/psychiatric-versus-physical-disabilities-a-comparison-of-barriers-and-facilitators-to-employment
#9
Purvi Sevak, Shamima Khan
Objective: Guided by the social model of disability (Nagi, 1965), this study aims to better identify barriers to and facilitators of employment for individuals with psychiatric disabilities and how these factors may differ for individuals with physical disabilities. Method: Our analysis uses data from the Survey of Disability and Employment on 2,148 individuals with psychiatric disabilities, physical disabilities, or both who in 2014 applied for services from 1 of 3 state vocational rehabilitation (VR) agencies...
October 27, 2016: Psychiatric Rehabilitation Journal
https://www.readbyqxmd.com/read/27780115/formative-evaluation-on-a-physical-activity-health-promotion-program-for-the-group-home-setting
#10
Alicia Dixon-Ibarra, Simon Driver, Haley VanVolkenburg, Kathleen Humphries
Physical inactivity and high rates of chronic conditions is a public health concern for adults with intellectual disability. Few health promotion programs target the group home setting which is the pre-dominant form of residential accommodation for persons with intellectual disability. A process evaluation of a physical activity health promotion program, Menu-Choice, was conducted with five group home sites for adults with intellectual and developmental disabilities. Menu-Choice assists group home staff in including physical activity goals within resident schedules...
February 2017: Evaluation and Program Planning
https://www.readbyqxmd.com/read/27780029/why-increasing-numbers-of-physicians-with-disability-could-improve-care-for-patients-with-disability
#11
Lisa I Iezzoni
Erroneous assumptions among health care professionals about the daily lives, preferences, values, and expectations of persons with disability can contribute to documented health care disparities, faulty communication, and substandard quality of care affecting this heterogeneous population. Efforts to reduce racial and ethnic disparities have focused on expanding diversity in the physician workforce. Would expanding the numbers of physicians with disability benefit patients with disability? Increasing the number of physicians who identify as "disabled" is one strategy for proactively confronting disability-related barriers affecting patients, but such efforts will likely face substantial challenges...
October 1, 2016: AMA Journal of Ethics
https://www.readbyqxmd.com/read/27780028/just-and-realistic-expectations-for-persons-with-disabilities-practicing-nursing
#12
Patricia M Davidson, Cynda Hylton Rushton, Jennifer Dotzenrod, Christina A Godack, Deborah Baker, Marie N Nolan
The Americans with Disabilities Act prohibits discrimination on the basis of disability and requires schools to provide reasonable accommodations for persons with disabilities. The profession of nursing is striving for diversity and inclusion, but barriers still exist to realizing accommodations for people with disabilities. Promoting disclosure, a supportive and enabling environment, resilience, and realistic expectations are important considerations if we are to include among our ranks health professionals who can understand, based on similar life experiences of disability, a fuller range of perspectives of the patients we care for...
October 1, 2016: AMA Journal of Ethics
https://www.readbyqxmd.com/read/27780027/perspectives-on-the-meaning-of-disability
#13
Leslie Francis, Anita Silvers
The meaning of "disability" has shifted with changes in public policy. Half a century ago, Congress was convinced that narrow determinations of disability are easy for physicians to make. But with the advent of universal civil rights protection against disability discrimination in the US, deciding whether particular individuals are disabled became increasingly contentious, until Congress intervened. What should now be addressed in each case is not whether the functionally compromised person is severely disabled enough to exercise a right, but whether mitigating interventions and reasonable accommodations can together achieve equitable access for that person...
October 1, 2016: AMA Journal of Ethics
https://www.readbyqxmd.com/read/27780025/technical-standards-and-lawsuits-involving-accommodations-for-health-professions-students
#14
Samuel R Bagenstos
This article will discuss the legal obligations of medical schools to accommodate applicants and students with disabilities. The article begins by describing the problem of denial of medical education to such students, a problem that results from both discrimination in admissions and denial of accommodations to incumbent students with disabilities. The article then discusses the disability rights legislation that prohibits discrimination against-and requires reasonable accommodation of-qualified medical students with disabilities...
October 1, 2016: AMA Journal of Ethics
https://www.readbyqxmd.com/read/27780023/medical-schools-willingness-to-accommodate-medical-students-with-sensory-and-physical-disabilities-ethical-foundations-of-a-functional-challenge-to-organic-technical-standards
#15
Michael McKee, Ben Case, Maureen Fausone, Philip Zazove, Alicia Ouellette, Michael D Fetters
Students with sensory and physical disabilities are underrepresented in medical schools despite the availability of assistive technologies and accommodations. Unfortunately, many medical schools have adopted restrictive "organic" technical standards based on deficits rather than on the ability to do the work. Compelling ethical considerations of justice and beneficence should prompt change in this arena. Medical schools should instead embrace "functional" technical standards that permit accommodations for disabilities and update their admissions policies to promote applications from qualified students with disabilities...
October 1, 2016: AMA Journal of Ethics
https://www.readbyqxmd.com/read/27778426/improving-quality-of-life-outcomes-in-supported-accommodation-for-people-with-intellectual-disability-what-makes-a-difference
#16
Christine Bigby, Julie Beadle-Brown
BACKGROUND: The quality of life (QOL) of people with intellectual disability living in supported accommodation services is variable, influenced by many possible factors. Various frameworks have attempted to identify these factors without assigning value, direction of influence or relative impact on outcomes. METHODS: A realist review of the literature aimed to expose different propositions about variables influencing QOL outcomes and review the strength of supporting evidence for these, to identify their relative influence...
October 24, 2016: Journal of Applied Research in Intellectual Disabilities: JARID
https://www.readbyqxmd.com/read/27777364/changes-in-the-self-rated-well-being-of-people-who-move-from-congregated-settings-to-personalized-arrangements-and-group-home-placements
#17
Roy McConkey, Fiona Keogh, Brendan Bunting, Edurne Garcia Iriarte
A natural experiment contrasted the self-rated well-being of people with intellectual disabilities (n = 75) and those with enduring mental health problems (n = 44) after they moved to new accommodation and support options, while others remained in congregated settings or living in the family home. Most support staff also provided well-being ratings. In personalized arrangements, personal well-being was significantly higher than in congregated settings; particularly for people with intellectual disability who had higher support needs compared to people with mental health problems...
October 24, 2016: Journal of Intellectual Disabilities: JOID
https://www.readbyqxmd.com/read/27755324/prognostic-factors-for-return-to-work-following-surgery-for-carpal-tunnel-syndrome-a-systematic-review
#18
Susan Peters, Venerina Johnston, Sonia Hines, Mark Ross, Michel Coppieters
BACKGROUND: Carpal tunnel syndrome (CTS) is a common problem, that can be effectively managed by surgery. Screening for prognostic factors is important to identify workers who are at a greater risk of a poor work outcome in order to implement tailored interventions to facilitate their return-to-work. OBJECTIVE: To synthesize the best available evidence on the association of preoperative prognostic factors with work-related outcomes in people who have undergone carpal tunnel surgery...
September 2016: JBI Database of Systematic Reviews and Implementation Reports
https://www.readbyqxmd.com/read/27750264/evaluating-disability-insurance-assistance-as-a-specific-intervention-by-physiatrists-at-a-cancer-center
#19
Jack B Fu, Melissa P Osborn, Julie K Silver, Benedict S Konzen, An Ngo-Huang, Rajesh Yadav, Eduardo Bruera
Because of their expertise, physiatrists provide disability insurance assistance for cancer survivors. In this brief report, we perform a descriptive retrospective analysis of all new (354) outpatient physiatry consultations from January 1, 2009, to December 31, 2013, at a National Cancer Institute Comprehensive Cancer Center. Disability and/or work accommodations were brought up at some point with the physiatrist during the duration of their care for 131 (37%) of 354 patients. More than 90% of the discussions took place during the first visit...
October 6, 2016: American Journal of Physical Medicine & Rehabilitation
https://www.readbyqxmd.com/read/27737516/employment-and-wage-disparities-for-nurses-with-activity-limitations
#20
Barbara L Wilson, Richard J Butler, Matthew J Butler
PURPOSE: No studies quantify the labor market disparities between nurses with and without activity difficulties (physical impairment or disability). We explore disparate treatment of nurses with activity difficulties at three margins of the labor market: the ability to get a job, the relative wage rate offered once a nurse has a job, and the annual hours of work given that wage rate. DESIGN: Key variables from the American Community Survey (ACS) were analyzed, including basic demographic information, wages, hours of work, and employment status of registered nurses from 2006 to 2014...
October 13, 2016: Journal of Nursing Scholarship
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