Insufficient social support for fathers of children with developmental disorders

Many parents carry exceptional burdens in childcare, especially while raising children with developmental disabilities (DD). Japanese local governments provide considerable support to mothers and their families, which indicates that such services are in high demand. However, similar assistance for fathers in the context of children with DD may be lacking. This study evaluated the social support status of fathers raising children with DD towards considering increased paternal support. Multiple-choice questionnaires on support for information (6 items), emotion (7 items), evaluation (3 items), and daily living (3 items) were completed by Japanese fathers (n = 85) and mothers (n = 101) of children with DD attending rehabilitation facilities. Regarding information support, fathers answered “spouse” as the main provider for all items, which differed significantly from mothers. For emotional support, fathers significantly more frequently received assistance from their workplace and spouse. Daily living support was also significantly more predominant for fathers in the workplace. Evaluation support sources were comparable between the respondent groups, with “spouse” being most frequently answered by fathers. These findings indicate a deficiency in external resources for fathers and support a need to consider increasing non-spouse resources and social support for fathers in raising children with DD.

Phenomenological Analysis of the Meaning of Life in of People Who Experience Mental Illness

Purpose: The purpose of this study was to explore the meaning of life in patients with mental illness.Methods: This study used a phenomenological research approach. Subjects were recruited from shared living houses or rehabilitation facilities. Subjects had received treatment for mental illness. An in-depth interview was conducted for data collection from June 2019 to September 2019.Results: Three themes of the meaning of life were identified; 1. discovering their own power to keep away from a shaky life, 2. expanding into a safe relationship, and 3. developing towards a more valuable life.Conclusion: The meaning of life for subjects who experienced mental illness was that they felt helpless in the process of endless mental illness, but they realized the value of accepting the disease and living their daily lives and tried to restore close relationships with people and live the life they desired.

The role of rehabilitation in the management of diabetic foot wounds.

Diabetes is one of the most common health problems worldwide. Diabetic foot wounds (DFWs) are hazardous complications of the disease. Patients are often referred to rehabilitation facilities at later stages of the diabetic complications, particularly after amputation surgery. There are potential benefits of rehabilitation practices in preventing and managing DFWs. Therefore, rehabilitation needs to be more involved in the management of DFWs and should be in all stages of diabetic care. In this review, we discuss literature data to bring rehabilitation perspective to the multidisciplinary management of DFWs.

MODERN PROBLEMS OF ESTABLISHMENT OF REHABILITATION CENTERS. RETROSPECTIVE REVIEW AND EXPERIENCE OF FOREIGN COUNTRIES

Problem statement. Modern experience in designing rehabilitation facilities is very small and isrepresented mainly by mobile hospitals. The complexity and multivisibility of the considered problem indicates theneed for its further in-depth study. From the given material it is possible to draw a conclusion that architecture today isredirected to fast change of processes of clearing, the technological equipment.Purpose of the article. The article aims to solve the following tasks:− to conduct a retrospective analysis, to determine the temporary stages of formation and development of medicalinstitutions with a rehabilitation function;− to analyze domestic and foreign design experience;− identify factors influencing the formation of institutions with a rehabilitation function;− to conduct a comparative analysis of modern requirements for the design and construction of rehabilitationcenters in Europe, the United States, Russia, Ukraine, Syria.Conclusion. 1. It is established that the prerequisites for the establishment of rehabilitation centers were thefollowing: The number of disabled people is currently increasing among adults in Syria and Ukraine, as well as in mostcountries around the world, which in recent years has been developing dynamically medical systems for the treatmentof disabled people.Український журнал будівництва та архітектури, № 4 (004), 2021, ISSN (Print) 2710-0367, ISSN (Online) 2710-0375 66 2. It is determined that in the foreign approach to the rehabilitation of the disabled, special conditions are createdfor post-clinical treatment in the departments of clinics, hospitals and specialized centers. The study of foreign designexperience revealed the consistent development of the concept of creating a rehabilitation environment. It is determinedthat the block system of layout of buildings of the rehabilitation center prevails in foreign experience. The originalcorridor planning system of buildings of medical institutions, including rehabilitation centers, gave way to a neutraltype of recreational space.3. Modern experience in designing rehabilitation facilities is very limited and is represented mainly by mobilehospitals, after which, if necessary, the patient is transferred or to a military hospital, obsolete for decades of operation,to a general rehabilitation center where patients are treated for injuries.4. The complexity and multidimensionality of the problem indicates the need and feasibility of its further in-depthstudy.5. From the above we can conclude that today's architecture of ZMR is reoriented to the rapid change of processingprocesses and technological equipment. When designing complex hospital care systems, there is a desire to achievetheir maximum efficiency.6. Rehabilitation centers and hospitals are filled with various elements of infrastructure. They becomemultifunctional. Obviously, there is a tendency to turn the strict walls of hospitals into comfortable ones with complexinteriors.7. The planning structure of medical buildings is also changing. The use of corridor planning systems is decliningas they have become less convenient.8. Therefore, in order to implement the rehabilitation center and for its effective functioning in Ukraine, it isnecessary: at the legislative and practical levels to create rehabilitation departments in all hospitals, where highlyspecialized and formed rehabilitation teams will work; to translate the training of rehabilitation specialists into thehealth care system, as is the case, at least in the United States and European countries. In addition, there must befinancial support for the reform from the state.

A Comprehensive Strategy to Pain Management for Cancer Patients in an Inpatient Rehabilitation Facility

Cancer pain has been shown to have a significant negative impact on health-related quality of life (HRQoL) for people experiencing it. This is also true for patients admitted to inpatient rehabilitation facilities (IRFs). An interdisciplinary approach is often needed to fully address a person's pain to help them attain maximum functional independence and to ensure a safe discharge home. Improving a patient's performance status in an IRF may also be a crucial determinant in their ability to continue receiving treatment for their cancer. However, if a person is determined to no longer be a candidate for aggressive, disease modulating treatment, IRFs can also be utilized to help patients and family's transition to comfort directed care with palliative or hospice services. This article will discuss the interventions of the multidisciplinary inpatient rehabilitation team to address a person's pain.

Adjunctive Physiotherapy – A Case Report on the Management and Effective Treatment of Diabetic Neuropathic Foot Ulcer Using Adjunctive Physiotherapy

Physiotherapy must be considered and reprioritized as an adjunctive medical service for long term health and rehabilitation. Comprehensive physiotherapy has the potential to be administered in out-patient rehabilitation facilities, hospitals, and Thermal Health Centers. A review of select adjunctive physiotherapy methods will be presented along with a case report of the successful treatment, with rationally selected physiotherapeutic agents, of a Diabetic Neuropathic Foot Ulcer scheduled for surgical amputation. By highlighting this case, the author is attempting to bring attention to familiar and time-tested therapies that have fallen out of use in a primary intervention context. This case report aims to exemplify that the role for rational physiotherapeutic methods stretches beyond current mainstream applications. Historical Context. Will supply the historical and foundational work in the field of physiotherapy that contextualizes the rational basis for the applications described in the case. Therapies. Lists the physiotherapy methods highlighted in this case, reviews the mechanism of action, discusses the therapeutic application, and provides modern citation for the rationalization of the therapy. Case Report. Reviews a detailed narrative of the case in review. Covers intake, case history, progression of case, as well as clinical applications for physiotherapy as they arise in the course of case management. Conclusion. Reviews the emphasis for reconsidering the role of Physiotherapy in the primary management of acute and chronic illness.

Antibody seroprevalence and rate of asymptomatic infections with SARS-CoV-2 in Austrian hospital personnel

Background The aims of this study are to determine (i) SARS-CoV-2 antibody positive employees in Austrian trauma hospitals and rehabilitation facilities, (ii) number of active virus carriers (symptomatic and asymptomatic) during the study, (iii) antibody decline in seropositive subjects over a period of around 6 months, (iv) the usefulness of rapid antibody tests for outpatient screening. Method A total of 3301 employees in 11 Austrian trauma hospitals and rehabilitation facilities of the Austrian Social Insurance for Occupational Risks (AUVA) participated in this open uncontrolled prospective cohort study. Rapid lateral flow tests, detecting a combination of IgM and IgM against SARS-CoV-2), two different types of CLIA (Diasorin, Roche), RT-PCR tests and serum neutralization tests (SNTs) were performed. The tests were conducted twice, with an interval of 42.4 ± 7.7 (Min = 30, Max = 64) days. Positive participants were re-tested with CLIA/SNT at a third time point after 188.0 ± 12.8 days. Results Only 27 out of 3301 participants (0.82%) had a positive antibody test at any time point during the study confirmed via neutralization test. Among positively tested participants in either test, 50.4% did not report any symptoms consistent with common manifestations of COVID-19 during the study period or within the preceding 6 weeks. In the group who tested positive during or prior to study inclusion the most common symptoms of an acute viral illness were rhinitis (21.9%), and loss of taste and olfactory sense (21.9%). Based on the neutralization test as the true condition, the rapid antibody test performed better on serum than whole blood as 84.6% instead of 65.4% could be detected correctly. Concerning both CLIA tests overall the Roche test detected 24 (sensitivity = 88.9%) and the Diasorin test 22 positive participants (sensitivity = 81.5%). In participants with a positive SNT result, a significant drop in neutralizing antibody titre from 31.8 ± 22.9 (Md = 32.0) at T1 to 26.1 ± 17.6 (Md = 21.3) at T2 to 21.4 ± 13.4 (Md = 16.0) at T3 (χ2 = 23.848, df = 2, p < 0.001) was observed (χ2 = 23.848, df = 2, p < 0.001)—with an average time of 42.4 ± 7.7 days between T1 and T2 and 146.9 ± 13.8 days between T2 and T3. Conclusions During the study period (May 11th–August 3rd) only 0.82% were tested positive for antibodies in our study cohort. The antibody concentration decreases significantly over time with 14.8% (4 out of 27) losing detectable antibodies.