Objectives: To conduct a scoping review to 1) describe findings and determinants of physical functioning in children during and/or after PICU stay, 2) identify which domains of physical functioning are measured, 3) and synthesize the clinical and research knowledge gaps.Data Sources: A systematic search was conducted in PubMed, Embase, Cumulative Index to Nursing and Allied Health Literature, and Cochrane Library databases following the Preferred Reporting Items for Systematic Reviews and Meta-analyses extension for Scoping Reviews guidelines.Study Selection: Two investigators independently screened and included studies against predetermined criteria.Data Extraction: One investigator extracted data with review by a second investigator. A narrative analyses approach was used.Data Synthesis: A total of 2,610 articles were identified, leaving 68 studies for inclusion. Post-PICU/hospital discharge scores show that PICU survivors report difficulties in physical functioning during and years after PICU stay. Although sustained improvements in the long-term have been reported, most of the reported levels were lower compared with the reference and baseline values. Decreased physical functioning was associated with longer hospital stay and presence of comorbidities. A diversity of instruments was used in which mobility and self-care were mostly addressed.CONCLUSIONS: The results show that children perceive moderate to severe difficulties in physical functioning during and years after PICU stay. Longitudinal assessments during and after PICU stay should be incorporated, especially for children with a higher risk for poor functional outcomes. There is need for consensus on the most suitable methods to assess physical functioning in children admitted to the PICU.
MULTIFILE
This scoping review aims to provide an overview of available research on the functioning of a patient with lipedema, according to the ICF framework in terms of body functions, body structures, activities, participation, personal and environmental factors.
MULTIFILE
Lipoedema is a painful non-pitting diffuse “fatty” swelling, usually confined to the legs, that occurs mainly in women. This scoping review aimed to provide an overview of the available research on the functioning of people with lipoedema, according to the International Classification of Functioning, Disability and Health (ICF) framework. Relevant publications and gray literature were retrieved until October 2022. The results sections of each publication were organized using a thematic framework approach. All included studies reported at least one outcome fitting within the domains of body functions and body structures, with most studies focusing on the categories of “sensation of pain”, “immunological system functions”, and “weight maintenance functions”. The ICF domains of activities and participation and environmental factors were mentioned in a small number of the included studies (17 and 13%, respectively), while the domain of personal factors was studied in half of the included studies. In conclusion, the emphasis of lipoedema research is on its description from a disorder-oriented point of view in the form of body functions and body structures, with a lack of information about the other domains of functioning.
Our unilateral diet has resulted in a deficiency of specific elements/components needed for well-functioning of the human body. Especially the element magnesium is low in our processed food and results in neuronal and muscular malfunctioning, problems in bone heath/strength, and increased chances of diabetes, depression and cardiovascular diseases. Furthermore, it has also been recognized that magnesium plays an important role in cognitive functioning (impairment and enhancement), especially for people suffering from neurodegenerative diseases (Parkinson disease, Alzheimer, etc). Recently, it has been reported that magnesium addition positively effects sleep and calmness (anti-stress). In order to increase the bioavailability of magnesium cations, organic acids such as citrate, glycerophosphate and glycinate are often used as counterions. However, the magnesium supplements that are currently on the market still suffer from low bio-availability and often do not enter the brain significantly.The preparation of dual/multiple ligands of magnesium in which the organic acid not only functions as a carrier but also has synergistically/complementary biological effects is widely unexplored and needs further development. As a result, there is a strong need for dual/multiple magnesium supplements that are non-toxic, stable, prepared via an economically and ecologically attractive route, resulting in high bioavailability of magnesium in vivo, preferably positively influencing cognition/concentration
The pressure on the European health care system is increasing considerably: more elderly people and patients with chronic diseases in need of (rehabilitation) care, a diminishing work force and health care costs continuing to rise. Several measures to counteract this are proposed, such as reduction of the length of stay in hospitals or rehabilitation centres by improving interprofessional and person-centred collaboration between health and social care professionals. Although there is a lot of attention for interprofessional education and collaborative practice (IPECP), the consortium senses a gap between competence levels of future professionals and the levels needed in rehabilitation practice. Therefore, the transfer from tertiary education to practice concerning IPECP in rehabilitation is the central theme of the project. Regional bonds between higher education institutions and rehabilitation centres will be strengthened in order to align IPECP. On the one hand we deliver a set of basic and advanced modules on functioning according to the WHO’s International Classification of Functioning, Disability and Health and a set of (assessment) tools on interprofessional skills training. Also, applications of this theory in promising approaches, both in education and in rehabilitation practice, are regionally being piloted and adapted for use in other regions. Field visits by professionals from practice to exchange experiences is included in this work package. We aim to deliver a range of learning materials, from modules on theory to guidelines on how to set up and run a student-run interprofessional learning ward in a rehabilitation centre. All tested outputs will be published on the INPRO-website and made available to be implemented in the core curricula in tertiary education and for lifelong learning in health care practice. This will ultimately contribute to improve functioning and health outcomes and quality of life of patients in rehabilitation centres and beyond.
266 woorden Op school kan de situatie zich voordoen dat de leerkracht onvoldoende tegemoet kan komen aan de extra ondersteuning die leerlingen met autisme nodig hebben. De klas kan te groot zijn, de leerkracht kan handelingsverlegen zijn, etc.. In dit projectplan wordt onderbouwd wat de relevantie is voor de dagelijkse praktijk van de leerkracht en de leerling met autisme en daaraan gerelateerde problemen. Tevens wordt onderbouwd waarom beeldende therapie theoretisch en empirisch kan bijdragen als creatieve oplossing voor kinderen met aan autisme gerelateerde problemen die in de klas extra aandacht vragen. Deze kinderen hebben een andere manier van informatie verwerken, kunnen zich vaak verbaal moeilijk uiten en hebben vaak sociale problemen. Deze kinderen lopen risico op verslavingsproblematiek (33%) en eenzaamheid, angst en depressie op volwassen leeftijd (80%). Kunstvormen in een leeromgeving bieden andere mogelijkheden voor kinderen om zich te uiten en om samen te werken. In dit projectplan wordt beschreven waarom het zinvol is te onderzoeken wat de effectiviteit is van beeldende therapie voor kinderen met autisme in primair (speciaal) onderwijs, ter preventie van risicogedrag. Het behandelprogramma ‘Zelf in beeld, beeldende therapie voor kinderen met autisme (bijlage 1) lijkt veelbelovende resultaten op te leveren (Schweizer, 2020). Om een indruk van de resultaten van praktijkgericht onderzoek naar ‘Zelf in beeld’ te krijgen kunt u de korte animatie bekijken (3 min): https://youtu.be/cVAAzRHZnb0 In dit vervolgproject wordt verkend in hoeverre ‘Zelf in beeld’ van toegevoegde waarde van kan zijn voor kind, leerkracht en ouders, binnen de setting van Speciaal Onderwijs. Dit project heeft een innovatief karakter omdat er een nieuwe vorm van (preventief) werken binnen passend onderwijs wordt toegepast en onderzocht.
