scholarly journals Insight into falls prevention programmes for people with visual impairments and intellectual disabilities: A scoping review

2019 ◽  
Vol 37 (2) ◽  
pp. 94-107
Author(s):  
Lotte Enkelaar ◽  
Mathilde Overbeek ◽  
Evelien van Wingerden ◽  
Ellen Smulders ◽  
Paula Sterkenburg
Keyword(s):  
Intellectual Disability ◽  
Visual Impairment ◽  
Scoping Review ◽  
Research Direction ◽  
Falls Prevention ◽  
Prevention Programmes ◽  
Training Programmes ◽  
New Research ◽  
Risk Factors For Falls

The aim of this study was to review the current literature on falls prevention in people with visual impairment and to estimate the applicability of methods of fall prevention for people with visual impairment and intellectual disability. A scoping review was performed according to the Arksey and O’Malley framework. Relevant studies were collected from PubMed, Web of Science, and the Cochrane Register of Controlled Trials (CENTRAL). All records covering the time span from January 1980 until November 2017 were collected. Studies were included if the participants had a visual impairment according to objective ophthalmic assessments, the article described interventions to reduce falls or risk factors for falls, and the study was written in English and published in a peer-reviewed journal. The methodological quality of the studies were determined by consensus of the authors on the PEDro scale. Fifteen articles were included in this scoping review. Three articles focused on screening and intervention programmes, five articles addressed the effectiveness of environmental adjustments, and seven articles involved training programmes for physical improvement. Environmental adjustments emerged as having the best evidence for falls prevention for people with a visual impairment. Physical training programmes improved balance in those with a visual impairment but could not reduce the number of falls. Environmental adjustments also may be effective for persons with a visual impairment and intellectual disability. In addition, multifactorial screening and intervention programmes are recommended as an important new research direction with important clinical implications.

scholarly journals A Study on Teacher-Child Interaction from the Perspective of Children

2021 ◽  
Vol 5 (12) ◽  
pp. 114-118
Author(s):  
Siqi Wang ◽  
Hongjia Guo
Keyword(s):  
Emotional Experience ◽  
Research Direction ◽  
Research Process ◽  
Cognitive Level ◽  
Bottom Up ◽  
Kindergarten Education ◽  
Child Interaction ◽  
Important Means ◽  
New Research

Children’s perspective is based on their own cognitive level in understanding objective things. The study of children’s perspective is a bottom-up research process under the premise of having a full respect for a child’s view. With the change of views about children in recent years, “children’s perspective” has become a new research direction. At the same time, teacher-child interaction, as an important means of evaluating the quality of kindergarten education, requires a bottom-up perspective from children. This study hopes to understand children’s emotional experience in the process of teacher-child interaction as well as their understanding and evaluation of their own experience by exploring their perspectives on the interaction, so as to better improve the quality of teacher-child interaction in kindergarten.

scholarly journals Falls in people living with HIV: a scoping review

BMJ Open ◽  
2020 ◽  
Vol 10 (11) ◽  
pp. e034872
Author(s):  
Maria Yvonne Charumbira ◽  
Karina Berner ◽  
Quinette Abegail Louw
Keyword(s):  
Risk Factors ◽  
Scoping Review ◽  
Descriptive Analysis ◽  
Falls Prevention ◽  
Assessment Tools ◽  
Sub Saharan Africa ◽  
People Living With Hiv ◽  
Potential Risk Factors ◽  
Risk Factors For Falls ◽  
Living With Hiv

ObjectivesRecent research has indicated seemingly increased propensity for falls and accelerated bone demineralisation in people living with HIV (PLWH). We aim to map out the extent and nature of existing research relating to falls in PLWH and describe the relationship between bone demineralisation and falls in PLWH.MethodsA scoping review was done following Arksey & O’Malley’s methodological framework and recommendations from Joanna Briggs Institute. Four databases were searched until October 2019 for peer-reviewed studies available in English reporting on the definition, prevalence, assessment, risk factors and interventions for falls in PLWH as well as information on bone demineralisation linked to falls in PLWH. Narrative reviews were excluded. Two reviewers independently performed the extraction using a predesigned Excel sheet. A descriptive analysis of extracted information was done.ResultsFourteen studies on falls in older PLWH were identified, with all but one study conducted in high-income countries. Prevalence of falls in PLWH ranged from 12% to 41%. Variable assessment tools/tests were used to assess potential risk factors, but it remains to be determined which are more predictive and appropriate for use among PLWH. Considerable agreement existed for risk factors regarding use of medications while evidence regarding functional and cognitive impairments were variable. Few studies compared risk factors for falls in PLWH with those in age-matched and sex-matched seronegative population. There is currently no evidence for interventions to prevent or reduce falls risk in PLWH.ConclusionMore research is needed on falls in younger cohorts of PLWH and in sub-Saharan Africa where HIV is most prevalent and more robust clades exist. More studies need to report on data in seronegative controls to determine risk factors unique to PLWH. More intervention studies targeted at falls prevention and promotion of bone health are required. Quality clinical practice guidelines highlighting validated assessment tools and outcome measures need to be developed.

scholarly journals Modern Rehabilitation in Osteoporosis, Falls, and Fractures

2014 ◽  
Vol 7 ◽  
pp. CMAMD.S14077 ◽  
Author(s):  
Yannis Dionyssiotis ◽  
Grigorios Skarantavos ◽  
Panayiotis Papagelopoulos
Keyword(s):  
Bone Strength ◽  
Calcium Supplementation ◽  
Weight Bearing ◽  
Osteoporotic Fractures ◽  
Falls Prevention ◽  
Pharmacologic Therapy ◽  
Educational Approach ◽  
Risk Factors For Falls ◽  
Spinal Orthosis

In prevention and management of osteoporosis, modern rehabilitation should focus on how to increase muscular and bone strength. Resistance exercises are beneficial for muscle and bone strength, and weight-bearing exercises help maintain fitness and bone mass. In subjects at higher risk for osteoporotic fractures, particular attention should be paid to improving balance – the most important element in falls prevention. Given the close interaction between osteoporosis and falls, prevention of fractures should be based on factors related to bone strength and risk factors for falls. Fractures are the most serious complication of osteoporosis and may be prevented. The use of modern spinal orthosis helps to reduce pain and improve posture. Vibration platforms are used in rehabilitation of osteoporosis, based on the concept that noninvasive, short-duration, mechanical stimulation could have an impact on osteoporosis risk. Pharmacologic therapy should be added for those at high risk of fracture, and vitamin D/calcium supplementation is essential in all prevention strategies. Success of rehabilitation in osteoporotic and fractured subjects through an individualized educational approach optimizes function to the highest level of independence while improving the overall quality of life.

scholarly journals Refractive Error and or Visual Impairment and Their Impact on Quality of Life Among School-age Children in Sub-saharan Africa; A Protocol of a Systematic Review

2021 ◽  
Author(s):  
Tshubelela Sello Simon Magakwe ◽  
Zamadonda Nokuthula Queen Xulu-Kasaba ◽  
Rekha Hansraj
Keyword(s):  
Quality Of Life ◽  
Systematic Review ◽  
Visual Impairment ◽  
Refractive Error ◽  
Scoping Review ◽  
Sub Saharan Africa ◽  
Systemic Review ◽  
Review Study ◽  
Sub Saharan

Abstract BackgroundRefractive error (RE) is a leading cause of visual impairment (VI) in children, the most common cause of childhood handicaps, and the second leading cause of childhood blindness globally. Refractive error and/or VI limits the ability of a child to perform well at school, in most sporting activities which require good vision, and negatively affects the socio-economical security of an individual. These two conditions have also reported to impact quality of life (QoL). The epidemiological evidence about the prevalence and distribution of RE and VI, as well their impact on the QoL of school-going children in Sub-Saharan Africa (SSA), will assist policymakers and stakeholders involved in child eye care in channelling resources appropriately. The main objective of this scoping review study therefore is to map available evidence on RE and or VI and their impact on QoL of school-going children in SSA. Methods This systematic review study will follow the five steps outlined in a framework proposed by Arksey and O’Malley (2005). The literature search will be conducted using the following databases, EBSCOhost: CINAHL, Academic search complete, Health-Consumer and Health-Nursing, Google Scholar, Science direct and PubMed. The period of the literature will be from January 1998 to 31 December 2020, all suitable studies will be exported to a Mendeley library and in cases of outstanding articles the authors will be contacted directly. The title screening will be done by the principal investigator (PI), then the study will employ two independent reviewers which will have access to the Mendeley library to do abstract screening (AS) and a full article screening (FAS). Following FAS, data extraction will be done by PI. The quality index of all included studies will be determined using the Mixed Method Appraisal Tool (MMAT). The results will be reported using the Preferred Reporting Items for systematic reviews and Meta-Analyses (PRISMA). Discussion The evidence of this scoping review will guide policy makers and all stakeholders in planning intervention strategies to address this global issue. Furthermore, the results of this review will be published in a peer reviewed journal and will be used to guide future research in this and related areas. Systemic review registration: Submitted (PROSPERO) 27/04/2021

scholarly journals Education interventions for health professionals on falls prevention in health care settings: a 10-year scoping review

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
L. Shaw ◽  
D. Kiegaldie ◽  
M. K. Farlie
Keyword(s):  
Health Professional ◽  
Scoping Review ◽  
Professional Education ◽  
Health Professionals ◽  
Falls Prevention ◽  
Health Professional Education ◽  
Reporting Framework ◽  
Education Design ◽  
Education Interventions

Abstract Background Falls in hospitals are a major risk to patient safety. Health professional education has the potential to be an important aspect of falls prevention interventions. This scoping review was designed to investigate the extent of falls prevention education interventions available for health professionals, and to determine the quality of reporting. Method A five stage scoping review process was followed based on Arksey and O’Malley’s framework and refined by the Joanna Briggs Institute Methodology for JBI Scoping Reviews. Five online databases identified papers published from January 2008 until May 2019. Papers were independently screened by two reviewers, and data extracted and analysed using a quality reporting framework. Results Thirty-nine publications were included. Interventions included formal methods of educational delivery (for example, didactic lectures, video presentations), interactive learning activities, experiential learning, supported learning such as coaching, and written learning material. Few studies employed comprehensive education design principles. None used a reporting framework to plan, evaluate, and document the outcomes of educational interventions. Conclusions Although health professional education is recognised as important for falls prevention, no uniform education design principles have been utilised in research published to date, despite commonly reported program objectives. Standardised reporting of education programs has the potential to improve the quality of clinical practice and allow studies to be compared and evaluated for effectiveness across healthcare settings.

A Robust Blind Image Forensic-Detection Method based on Fuzzy Technique

2019 ◽  
Vol 8 (3) ◽  
pp. 5926-5929
Keyword(s):  
Research Direction ◽  
Geometric Transformation ◽  
Detection Accuracy ◽  
Forensic Investigation ◽  
Image Forensic ◽  
Fuzzy Logic Approach ◽  
Logic Approach ◽  
Tampered Image ◽  
New Research ◽  
Blind Image

Blind forensic-investigation in a digital image is a new research direction in image security. It aims to discover the altered image content without any embedded security scheme. Block and key point based methods are the two dispensation options in blind image forensic investigation. Both the techniques exhibit the best performance to reveal the tampered image. The success of these methods is limited due to computational complexity and detection accuracy against various image distortions and geometric transformation operations. This article introduces different blind image tampering methods and introduces a robust image forensic investigation method to determine the copy-move tampered image by means of fuzzy logic approach. Empirical outcomes facilitate that the projected scheme effectively classifies copy-move type of forensic images as well as blurred tampered image. Overall detection accuracy of this method is high over the existing methods.

scholarly journals Comparison of Genetic Variants and Manifestations of OTUD6B-Related Disorder: The First Mexican Case

2020 ◽  
Vol 8 ◽  
pp. 232470962095777 ◽  
Author(s):  
Maria Elena Romero-Ibarguengoitia ◽  
Consuelo Cantú-Reyna ◽  
Dalia Gutierrez-González ◽  
Héctor Cruz-Camino ◽  
Arnulfo González-Cantú ◽  
...  
Keyword(s):  
Intellectual Disability ◽  
Genetic Variants ◽  
Therapeutic Approaches ◽  
Multisystem Disorder ◽  
Related Disorder ◽  
Dysmorphic Features ◽  
The Third ◽  
The Central Nervous System ◽  
Mexican Patient

The intellectual disability syndrome characterized by seizures and dysmorphic features was initially described in 2017 and was associated with genetic variants in the OTUD6B gene, identified by exome sequencing (ES) in a large cohort. This multisystem disorder primarily affects the central nervous system, the gastrointestinal, and the skeletal systems. In this article, we describe the first Mexican patient diagnosed by ES. The homozygous c.433C>T (p.Arg145*) variant of the OTUD6B gene confirmed this intellectual disability syndrome. In addition to seizures and other more frequently reported manifestations of this condition, this is the third patient with associated hypothyroidism and hypogammaglobulinemia, underscoring the value of screening for these conditions in other patients. The current challenge with this patient is to ensure medical management of his seizures and provide him with a better quality of life. The possibilities of additional therapeutic approaches may increase by understanding the physiopathology of the involved pathways.

scholarly journals Community Living, Intellectual Disability and Extensive Support Needs: A Rights-Based Approach to Assessment and Intervention

2021 ◽  
Vol 18 (6) ◽  
pp. 3175
Author(s):  
Laura Esteban ◽  
Patricia Navas ◽  
Miguel Ángel Verdugo ◽  
Víctor B. Arias
Keyword(s):  
Intellectual Disability ◽  
Independent Living ◽  
Structural Equation ◽  
Equation Modeling ◽  
Community Living ◽  
Support Needs ◽  
Related Services ◽  
The Right To Privacy ◽  
The Right

People with intellectual disability (ID) and extensive support needs experience poorer quality of life than their peers whose disability is not as severe. Many of them live in residential settings that limit community participation and prevent them from exercising control over their lives. This work analyzes the extent to which professional practices are aimed at promoting the right to community living for people with ID and extensive support needs, as well as the rights that are particularly linked to it, such as the right to habilitation and rehabilitation and the right to privacy. A specific questionnaire was designed and administered to 729 adults with intellectual disability (M = 37.05; DT = 12.79) living in different settings (family home, residential facilities and group homes). Measurement and structural models were estimated using exploratory structural equation modeling. Results obtained reveal that people with extensive support needs receive less support in terms of guaranteeing their right to independent living and privacy, especially when they live in disability-related services. This study highlights the need to implement and monitor, using valid and reliable indicators, mesosystem strategies that guarantee the right to live and participate in the community, especially for individuals with ID and extensive support needs.

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