Selected Clinical Features and Service Characteristics of Autistic Adults

1983 ◽  
Vol 52 (2) ◽  
pp. 387-390 ◽  
Author(s):  
Matthew P. Janicki ◽  
John W. Jacobson

314 autistic adults were identified as part of an over-all statewide needs assessment of developmentally disabled persons. Most of the adults were mentally retarded, but generally free from physical or sensory disabilities. Manifold language and adaptive skill deficits were noted. Some 59% resided in an institutional setting; the balance were at home or in a community-care setting. Comments underscored difficulties in case finding and the need to anticipate the adult needs of autistic children.

2018 ◽  
Vol 215 (5) ◽  
pp. 857-861 ◽  
Author(s):  
Jordan Lang Eng ◽  
Christopher Ronald Baliski ◽  
Colleen McGahan ◽  
Eric Cai

1990 ◽  
Vol 10 (6) ◽  
pp. 182-184 ◽  
Author(s):  
A. Paul Burtner ◽  
Jack S. Jones ◽  
Donald R. McNeal ◽  
Debra W. Low

2011 ◽  
Vol 16 (6) ◽  
pp. 489-500 ◽  
Author(s):  
Cynthia L. Cummings

Moral distress and professional stress affect the lives of acute care nurses everyday. The impact of these stressors may be causing nurses to leave the acute care setting. This paper will outline the findings from a descriptive study of acute care nurses in Northeast Florida. The research was conducted in an effort to highlight some of the critical factors that impact nurses in the acute care setting and affect their intent to stay at an institution. The concepts of moral distress and professional stress in relation to nursing retention are highlighted and some strategies for lessening of these stressors are proposed. The study was correlational and conducted among 234 nurses in an institutional setting. The study included an online survey based on established Moral Distress and Professional Stress tools. In addition, a qualitative section was included to explore the nurses’ experiences of stressful inpatient situations. The results of this study demonstrated that when combined, both professional stress and moral distress items were predictive of the nurses’ intent to stay at the institution ( p <.001).


AAESPH Review ◽  
1978 ◽  
Vol 3 (4) ◽  
pp. 216-221 ◽  
Author(s):  
Mark B. Mendelsohn

An innovative system to deliver behavioral services was developed to extend a residential facility's community outreach and provide an alternative to institutionalization. The successful implementation of this program suggests a way to combine clinical service and staff training at the bachelor-technician career ladder step in psychology and related disciplines. Specifically, a team of behavior technicians delivered the skills of a mental retardation center to families of disabled children and adults formerly beyond the center's range. Parents were taught specific modification procedures to lessen the likelihood of disruptive behavior and to hasten the acquisition of new developmental skills by their children.


2018 ◽  
Vol 2018 ◽  
pp. 1-8 ◽  
Author(s):  
Vijay Gayam ◽  
Amrendra Kumar Mandal ◽  
Mazin Khalid ◽  
Osama Mukhtar ◽  
Arshpal Gill ◽  
...  

Background. Direct-acting antiviral (DAA) drugs have been highly effective in the treatment of chronic hepatitis C (CHC) infection. We aim to evaluate the treatment response of Sofosbuvir based DAA in CHC patients with compensated liver cirrhosis as limited data exists in the real-world community setting. Methods. All the CHC patients with compensated liver cirrhosis treated with Sofosbuvir based DAAs between January 2014 and December 2017 in a community clinic setting were retrospectively analyzed. Pretreatment baseline patient characteristics, treatment efficacy with the sustained virologic response at 12 weeks posttreatment (SVR12), and adverse reactions were assessed. Results. One hundred and twelve patients with CHC infection and concurrent compensated cirrhosis were included in the study. Black patients represented the majority of the study population (64%). Eighty-seven patients were treated with Ledipasvir/Sofosbuvir (LDV/SOF) ±Ribavirin and 25 patients were treated with Sofosbuvir/Velpatasvir (SOF/VEL). Overall, SVR 12 after treatment was achieved in 90% in patients who received one of the two DAA regimens (89.7% in LDV/SOF group and 92% in SOF/VEL group). SVR 12 did not vary based on age, sex, body mass index, baseline HCV viral load, HCV/HIV coinfection, type of genotype, and prior treatment status. Apart from a low platelet count, there were no other factors associated with a statistical difference in SVR 12(p=0.002) between the two regimens. Fatigue (35%) was the most common adverse effect and no patients discontinued treatment due to adverse effects. Conclusion. In the community care setting, Sofosbuvir based DAAs are safe, effective with high overall SVR, and well tolerated in patients with CHC patients with compensated liver cirrhosis.


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