Local Therapists Research Articles

On the issue of staffing urologists in medical organizations in Moscow during the transition to general medical practice

The purpose of this study is to analyze trends in the staffing of first-level medical specialists in health care organizations providing primary health care during the transition to general medical practice (using the example of a urologist). Materials and methods. Collection of basic health indicators of the population of the city of Moscow, the activities of medical organiza­tions of the state healthcare system of the city of Moscow for 2015–2022; unified medical information and analytical system; normative legal acts. Methods of descriptive statistics and analytical were used. Results. An increasing shortage of urologists in medical organizations providing primary health care to the adult population and a dis­crepancy between existing staff positions and calculated standard values ​​have been revealed. There is an increase in the need for pri­mary specialized health care and specialized medical care in the “urology” profile. Conclusion. Management decisions are needed in the following areas: eliminating the personnel shortage of urologists; normative and legal regulation of the list of urological diseases for which local therapists and general practitioners could deal with the diagnostic and treatment process independently and the indications for which consultations with a urologist are prescribed, with the introduction of programs to improve the level of qualifications of district physicians and general practitioners according to the profile “urology”; consid­eration of the issue of including urologists in the second level of primary specialized health care. Taking into account the changing struc­ture of medical care in the urology profile, both in outpatient and inpatient settings, time-lapse studies of the work of urologists are needed for a possible revision of existing recommendations on staffing standards.

Показатели и направления оптимизации первичной медико-санитарной помощи в Южном федеральном округе.

The study of indicators and directions for optimizing primary health care in the regions of the Russian Federation allows us to assess the effectiveness of the functioning of the first and basic level of contact of patients with the health care system. The purpose of the work is to study indicators and directions for optimizing primary health care in the Southern Federal District. Materials and methods: A theoretical analysis of literature, statistical information and documents related to indicators and optimization of primary health care in the Southern Federal District was performed. For a comparative assessment of the dynamics of indicators, the growth (%) was calculated. Results. The supply of local therapists in the Southern Federal District is lower than the national average. It was revealed that the Republic of Kalmykia, Astrakhan region and Rostov region have a negative increase in the provision of local therapists for 2016 and 2021: –6.1; –20.9 and –22.2% respectively. In terms of the number of local pediatricians, a negative increase (9.0%) is observed only for the Rostov region. An analysis of directions for optimizing primary health care showed that in the regions of the Southern Federal District programs are being implemented to improve the infrastructural organization and equipment of primary health care, as well as to eliminate the personnel shortage of medical personnel. However, the reports indicate only indicators of the number of doctors per 10 thousand population without highlighting primary health care workers. Conclusion. The key problem of the Southern Federal District is the shortage of doctors in the field of primary health care. The dynamics of the health care situation in the Southern Federal District have not been sufficiently studied. It is necessary to continue: improving the material and technical equipment of the industry, including in hard-to-reach areas, carrying out preparatory work with students in medical institutions, improving working conditions and offering attractive labor financing for workers and organizing social assistance.

Opportunities and Challenges of Designing Assistive Technologies for Aphasia Patients in Singapore: The Case of a Speech Evaluation Prototype

Aphasia is a language disorder caused by brain damage, resulting in difficulties with speaking, understanding, reading, and writing. This study focuses on addressing challenges faced by local therapists in aphasia treatment. Through an ethnographic study involving observations and interviews, critical issues in current technological solutions for aphasia treatment were identified. These issues include the lack of feedback during patient training, limited localized content, repetitive materials, and a lack of options for conversational speech training. In our study, we tried to address one of these issues concerning automatic evaluation of patient speech pronunciation. By utilizing public datasets and local patient data, we developed a system that provides accurate pronunciation scores and personalized feedback, assisting therapists in guiding patient progress. The system supports customized pronunciations, including local accents and dialects. The system is designed for multiple platforms, ensuring accessibility, and can be extended to involve speech therapists to enhance its capabilities. This study emphasizes the importance of integrating research insights with clinical practice, empowering therapists, and enhancing the quality of aphasia treatment.

The medicinal plant used in the Guangxi Fangcheng Golden Camellias national nature reserve, a coastal region in southern China

BackgroundsGuangxi Fangcheng Golden Camellias national nature reserve, situated in Fangcheng City, Guangxi Province, China, is a coastal region renowned for its exceptional natural environment. Over time, the residents of this area have acquired extensive knowledge regarding medicinal plants, owing to their close association with the abundant flora. Our study aims to document the medicinal plants used by the local community near the Guangxi Fangcheng Golden Camellias national nature reserve. We seek to investigate the unique regional properties, cultural significance, and potential connections between medicinal plants used in surrounding villages and those sold in markets.MethodsDuring 2019–2021, 96 informants, including 36 key informants, were interviewed in the study area. The snowball sampling method was used to select respondents from medicinal markets and villages. Local therapists were defaulted as key informants. A panel discussion was held on the protection and threat of medicinal plants and traditional knowledge. In this study, two quantitative indicators, relative frequency citation (RFC) and informant consensus factor (ICF), were used to analyze the traditional medicinal plants in the study area.ResultsAccording to the investigation, a total of 396 species of medicinal plants belonging to 295 genera and 116 families were recorded. From the perspective of Lifeform, herbs accounted for 38.9%, followed by shrubs. Most of the medicinal parts are whole plant (120 species, 25.59%), branches and leaves (116 species, 24.73%), and roots (101 species, 21.54%). Medicinal bath is the most commonly used therapeutic method. Among the 13 therapeutic targets recorded, rheumatic drugs accounted for the highest proportion, followed by muscular system diseases and skin-related diseases, which are closely related to local climate and livelihood. ICF shows that the use of local medicinal plants and related knowledge is very diverse, so local people have more options for treating diseases. Melicope pteleifolia, Clerodendrum cyrtophyllum, Lygodium flexuosum, Elephantopus scaber, Artemisia argyi, Plantago asiatica, Centella asiatica, Grangea maderaspatana, and Liquidambar formosana have high RFC, which are closely connected to local people's daily lives and are potentially vital to them. The wild vegetation, mostly around the nature reserve, is the primary source of medicinal materials sold in the urban medicinal market. Urban areas have fewer varieties of medicinal plants compared to villages near protected areas. However, there is consistency in their usage and application.ConclusionThe medicinal plants used in the villages near the Golden Camellia Nature Reserve are diverse, and the relevant traditional knowledge is relatively well preserved. The collection of medicinal materials by local people is sustainable. This study suggests that the local government should also protect relevant traditional knowledge in the decision-making process.

Lessons From the Delta.

Lessons From the Delta.

Gestalt is a Way of Caring for Human Rights

I grew up in Cologne, a big city in Germany. During my time in high school, there were big eruptions in the social field. Willy Brand became the first social-democratic chancellor. And the war in Vietnam was a broad issue that was discussed among the younger generation. When I started to study psychology, I had personal treatment by a psychoanalytic therapist, and during my studies I had a one-year course in behavioral therapy. I was not impressed by these modalities, so I started to look for alternatives and, by chance, I found somebody who had learned the Gestalt approach. I was fascinated and did a professional training for years. At that time, I was active in different social fields, especially in the peace movement against new nuclear weapons.In 1991, I moved to Switzerland and worked in a therapeutic institution for young male offenders. I became a member of the EAGT, which had a committee for Human Rights founded as a reaction to the situation after 9/11. A main task was to raise more awareness for the international political field we live in.One important project from our committee was the work in Ukraine. In the spring of 2014, the Ukrainian Umbrella Organization for Psychotherapy asked different therapeutic organizations for help working with the many people traumatized from the shootings on Maydan Square and the beginning of the civil war in the East of the Ukraine. Ivana Vidakovic from Serbia and I went to Kyiv and offered a three-day workshop on trauma. We both had never been to Ukraine and we were working together for the first time, not knowing what they were expecting and if the situation would be safe.We started with a workshop with 28 participants, all women. That was very typical. In the former Soviet Union medicine and psychology had been mainly female professions. Most of them did voluntary work for many months after normal work of eight to nine hours, and they struggled with overwhelming feelings and burnout symptoms. After more than two hours of heartbreaking stories, we learned that this would not be a place to give lectures. All were happy to have somebody from outside who cared about them. The symptoms were all about actual shock and some sparks of panic. So, we skipped the idea to give a lot of information (my coleader had done a lot of work with war trauma during and after the Yugoslavian war), and we started to get the participants into the here and now. We functioned in small groups, sharing experiences in the war zone, and did some work around breathing and imaginations of a safe place.After a few months, we returned to Kyiv to meet again with some of the workshop participants. For them, the main result was to take better care of themselves and to have some private time. We did another three-day workshop and realized this work around trauma could not be done through other European countries, given that dozens of people were being killed every day. The demand was huge; they wanted us to do workshops in many cities all over the country. The European Association of Gestalt Therapy organized a “Train the Trainer” program for the local Gestalt therapists to take over. This was successfully concluded with about 35 participants in 2019. Some interesting experiences from participants were published

Gestalt is a Way of Caring for Human Rights

I grew up in Cologne, a big city in Germany. During my time in high school, there were big eruptions in the social field. Willy Brand became the first social-democratic chancellor. And the war in Vietnam was a broad issue that was discussed among the younger generation. When I started to study psychology, I had personal treatment by a psychoanalytic therapist, and during my studies I had a one-year course in behavioral therapy. I was not impressed by these modalities, so I started to look for alternatives and, by chance, I found somebody who had learned the Gestalt approach. I was fascinated and did a professional training for years. At that time, I was active in different social fields, especially in the peace movement against new nuclear weapons.In 1991, I moved to Switzerland and worked in a therapeutic institution for young male offenders. I became a member of the EAGT, which had a committee for Human Rights founded as a reaction to the situation after 9/11. A main task was to raise more awareness for the international political field we live in.One important project from our committee was the work in Ukraine. In the spring of 2014, the Ukrainian Umbrella Organization for Psychotherapy asked different therapeutic organizations for help working with the many people traumatized from the shootings on Maydan Square and the beginning of the civil war in the East of the Ukraine. Ivana Vidakovic from Serbia and I went to Kyiv and offered a three-day workshop on trauma. We both had never been to Ukraine and we were working together for the first time, not knowing what they were expecting and if the situation would be safe.We started with a workshop with 28 participants, all women. That was very typical. In the former Soviet Union medicine and psychology had been mainly female professions. Most of them did voluntary work for many months after normal work of eight to nine hours, and they struggled with overwhelming feelings and burnout symptoms. After more than two hours of heartbreaking stories, we learned that this would not be a place to give lectures. All were happy to have somebody from outside who cared about them. The symptoms were all about actual shock and some sparks of panic. So, we skipped the idea to give a lot of information (my coleader had done a lot of work with war trauma during and after the Yugoslavian war), and we started to get the participants into the here and now. We functioned in small groups, sharing experiences in the war zone, and did some work around breathing and imaginations of a safe place.After a few months, we returned to Kyiv to meet again with some of the workshop participants. For them, the main result was to take better care of themselves and to have some private time. We did another three-day workshop and realized this work around trauma could not be done through other European countries, given that dozens of people were being killed every day. The demand was huge; they wanted us to do workshops in many cities all over the country. The European Association of Gestalt Therapy organized a “Train the Trainer” program for the local Gestalt therapists to take over. This was successfully concluded with about 35 participants in 2019. Some interesting experiences from participants were published

Finger dexterity in well-functioning cohort of office workers in Macau.

The study aimed to describe the finger dexterity in office workers of an Asian population. One hundred twenty-seven right-handed office workers, aged 21-50 with a similar split of male and female, were recruited with finger dexterity measured by the O'Connor Finger Dexterity Test. The grip strength, tip and lateral pinch strength of both hands were also measured. This study provided the percentile score of the O'Connor Finger Dexterity Test of both males and females in the Asian population. Raw scores of below 218 and 213 seconds in male and female participants respectively reach the 90th percentile, and above 237 and 235 seconds in male and female below the 10th percentile. Results showed no significant difference in local mean scores across different age groups, between male and female and with varying hours of working in typing, filing, and writing. A significant difference was only found in finger dexterity and years of working as office workers. No significant correlation was found between the finger dexterity with grip strength, tip and lateral pinch of the dominant right hand. The results were similar to the original normative score with similar work skills and demands. The mean scores could be used as a valid reference for local occupational therapists to evaluate the finger dexterity of office workers. However, caution has to be taken that conclusions drawn can be biased because of the relatively small sample size, and the results cannot be generalized to represent a wider Asian population.

Algorithm-Based Hearing and Speech Therapy Rehabilitation after Cochlear Implantation.

Introduction: Due to the changes in the indication range for cochlear implants and the demographic development towards an aging society, more and more people are in receipt of cochlear implants. An implantation requires a close-meshed audiological and logopedic aftercare. Hearing therapy rehabilitation currently requires great personnel effort and is time consuming. Hearing and speech therapy rehabilitation can be supported by digital hearing training programs. However, the apps currently on the market are to a limited degree personalized and structured. Increasing digitalization makes it possible, especially in times of pandemics, to decouple hearing therapy treatment from everyday clinical practice. Material and Methods: For this purpose, an app is in development that provides hearing therapy tailored to the patient. The individual factors that influence hearing outcome are considered. Using intelligent algorithms, the app determines the selection of exercises, the level of difficulty and the speed at which the difficulty is increased. Results: The app works autonomously without being connected to local speech therapists. In addition, the app is able to analyze patient difficulties within the exercises and provides conclusions about the need for technical adjustments. Conclusions: The presented newly developed app represents a possibility to support, replace, expand and improve the classic outpatient hearing and speech therapy after CI implantation. The way the application works allows it to reach more people and provide a time- and cost-saving alternative to traditional therapy.

Internet-delivered cognitive therapy for social anxiety disorder in Hong Kong: A randomized controlled trial

BackgroundResearch is needed to determine the extent to which internet-delivered psychological therapies are effective when delivered in countries and cultures outside of where they were developed. ObjectiveThis waitlist-controlled study evaluated the efficacy of a UK-developed, therapist-guided internet Cognitive Therapy programme for Social Anxiety Disorder (iCT-SAD) when delivered in Hong Kong by local therapists. MethodsPatients were randomized to iCT-SAD (n = 22) or a waitlist control group (n = 22). Assessments took place at weeks 0, 8, and 15 (posttreatment/postwait), with a further 3-month follow-up assessment for the iCT-SAD group. The primary outcome measure was the Liebowitz Social Anxiety Scale (self-report), and posttreatment/postwait diagnostic assessments were completed by independent assessors blind to condition. Trial Registration: ISRCTN11357117. ResultsCompared with the waitlist group, iCT-SAD significantly reduced social anxiety symptoms (adjusted difference at posttreatment 55.36, 95%CI 44.32 to 66.39, p < 0.001; dCohen 2.41). The treatment was also superior to waitlist on all secondary outcome measures. 86% of the iCT-SAD group demonstrated remission from SAD based on the LSAS, compared to 5% of the waitlist group. 73% no longer met diagnostic criteria at posttreatment, compared to 9% of the waitlist group. The gains made by the iCT-SAD group were maintained at three-month follow-up. ConclusionsiCT-SAD showed strong efficacy for the treatment of SAD in Hong Kong. As the clinical outcomes were similar to UK studies, this suggests the dissemination of the treatment into a different cultural setting did not result in a substantial loss of efficacy.

Acquiring a tailor-made tricycle: Implications for people with disabilities

BACKGROUND: People with physical disabilities are far less active than recommended, but many are motivated for cycling on a tailor-made tricycle. OBJECTIVE: Does the acquisition of an adapted tricycle lead to better cycling outcomes, and are there differences associated with the application procedure? METHODS: An observational study was conducted with cohorts of participants applying for an adapted leg-driven tricycle via rehabilitation centres or local therapists. Questionnaires were answered electronically before applying and after having had the opportunity to use the new tricycle for at least 3 weeks. Non-parametric analyses were conducted in SPSS. RESULTS: Fifty participants (54% women) aged 5–79 years (M = 31.5) with diverse disabilities responded. Forty-seven participants (94%) used their tricycle. Results showed a significant positive change in cycling frequency, cycling performance and satisfaction with cycling (p&lt; 0.01). The group of participants who applied at a Healthsports Centre reported higher performance and satisfaction with cycling both after testing them (pre-test) and after having used their new tricycles for some weeks (post-test). CONCLUSIONS: Acquisition of an adapted tricycle led to a higher amount of cycling, better cycling performance and higher satisfaction with cycling. The highest scores were seen among those who apply via a Healthsports Centre.

CONTRIBUTIONS OF NONPROFESSIONAL LOCAL PHYSICAL THERAPIST IN THE PROMOTION OF COMMUNITY HEALTH ACTIVITIES IN THE ARSI ZONE, SOUTHEAST ETHIOPIA

Background: Physical activity is a first-line therapy and secures against persistent illnesses. Essential medical care professionals are obviously situated to advance actual action. Active recuperation mediations are focused on advancement and upkeep of well-being, personal satisfaction and wellness. There is, notwithstanding, a deficiency of such examination proof in Ethiopia. Objective: We planned to assess the degree of KAP of nonprofessional local physical therapists toward well-being advancement in the Arsi Zone of Oromia, Southeast Ethiopia. Methods: A community-based cross-sectional study was conducted in April 2018 among 45 physical therapists. Data were collected using pre-tested, structured and self-administrative questionnaires. Participants were selected by the quota sampling technique. The questionnaire was drafted specifically to test the KAP. Data were double entered and analyzed by SPSS, Version 20.0, program. Descriptive statistics were used. The KAP was estimated using proportion. Result: The present response rate is 90.0%. The ages of respondents ranged between 24 and 87 years. Then, 57.8% of participants got initial physical therapy knowledge from either of their parents. Again, 53.3% of the respondents hear about health promotion from families and friends. Then, 57.8% of them provided health promotion at their workplace. The overall percentage of all the respondents’ KAP in health promotion was 60.1%. Conclusion: The respondents have good KAP toward health promotion. However, there is still room for improvement. Also, there is a lack of proper guidelines in determining the impact of physical therapy.

General Practice and Digital Methods to Recruit Stroke Survivors to a Clinical Mobility Study: Comparative Analysis.

BackgroundParticipant recruitment remains a barrier to conducting clinical research. The disabling nature of a stroke, which often includes functional and cognitive impairments, and the acute stage of illness at which patients are appropriate for many trials make recruiting patients particularly complex and challenging. In addition, people aged 65 years and older, which includes most stroke survivors, have been identified as a group that is difficult to reach and is commonly underrepresented in health research, particularly clinical trials. Digital media may provide effective tools to support enrollment efforts of stroke survivors in clinical trials.ObjectiveThe objective of this study was to compare the effectiveness of general practice (traditional) and digital (online) methods of recruiting stroke survivors to a clinical mobility study.MethodsRecruitment for a clinical mobility study began in July 2018. Eligible study participants included individuals 18 years and older who had a single stroke and were currently ambulatory in the community. General recruiting practice included calling individuals listed in a stroke registry, contacting local physical therapists, and placing study flyers throughout a university campus. Between May 21, 2019, and June 26, 2019, the study was also promoted digitally using the social network Facebook and the search engine marketing tool Google AdWords. The recruitment advertisements (ads) included a link to the study page to which users who clicked were referred. Primary outcomes of interest for both general practice and digital methods included recruitment speed (enrollment rate) and sample characteristics. The data were analyzed using the Lilliefors test, the Welch two-sample t test, and the Mann-Whitney test. Significance was set at P=.05. All statistical analyses were performed in MATLAB 2019b.ResultsOur results indicate that digital recruitment methods can address recruitment challenges regarding stroke survivors. Digital recruitment methods allowed us to enroll study participants at a faster rate (1.8 participants/week) compared to using general practice methods (0.57 participants/week). Our findings also demonstrate that digital and general recruitment practices can achieve an equivalent level of sample representativeness. The characteristics of the enrolled stroke survivors did not differ significantly by age (P=.95) or clinical scores (P=.22; P=.82). Comparing the cost-effectiveness of Facebook and Google, we found that the use of Facebook resulted in a lower cost per click and cost per enrollee per ad.ConclusionsDigital recruitment can be used to expedite participant recruitment of stroke survivors compared to more traditional recruitment practices, while also achieving equivalent sample representativeness. Both general practice and digital recruitment methods will be important to the successful recruitment of stroke survivors. Future studies could focus on testing the effectiveness of additional general practice and digital media approaches and include robust cost-effectiveness analyses. Examining the effectiveness of different messaging and visual approaches tailored to culturally diverse and underrepresented target subgroups could provide further data to move toward evidence-based recruitment strategies.

Changing Perspectives of Local Therapists Eight Years after the Implementation of an Occupational Therapy Service in a Unique Himalayan Cross-Cultural Setting.

Background. Whether concepts and principles of Occupational Therapy (OT) can successfully be applied to non-Western and cross-cultural settings is being intensively discussed. Aims/Objectives. We explored the changing perspectives of local occupational therapists (OTs) eight years after the implementation of an OT service in a Himalayan cross-cultural setting in terms of (1) treatment applied, (2) professional identity, and (3) cross-cultural interactions. Material and Methods. A qualitative study design was chosen, and semistructured interviews were conducted in all employed practitioners (a) during implementation and (b) eight years later (n = 7). Questions were carefully formulated in order to narrow down the intended issues but respecting crosscultural differences. The framework method was implemented for data analysis. Findings. Long-term empowering local OTs resulted in the successful development of a sustainable OT department in a unique Himalayan cross-cultural setting. Practitioners became aware of their therapeutic potentials, a clear sense of professional identity was developed, and it was recognised that sensitive cross-cultural practice is only achieved by an ongoing and intentional cultural learning process. Conclusions and Significance. Our findings suggest that OT can be applied to non-Western cross-cultural settings.

Commentary on "Experiential Learning in Pediatric Physical Therapist Education: Faculty and Student Perceptions".

“How could I apply this information?” In their research, the authors identify that experiential learning (EL) with children in physical therapist education varies by program. Despite this, students and faculty agree that EL with children positively contributes to students' learning. Further, students value quality more than the quantity of EL with children. Pediatric physical therapy faculty may enhance students' perceived value of EL by clearly describing the goals of the EL activity and focus on direct interaction between students, children, and their families. A common barrier to EL is access to children with participation restrictions and their families. Faculty and local pediatric physical therapists must be proactive in developing partnerships to expand opportunities for meaningful EL with children. Cocreating a process to identify and recruit EL participants may decrease the administrative burden of implementing EL activities on campus and in the community. As faculty and clinicians work to improve EL opportunities for students, they may feel more equipped for an entry-level pediatrics position at graduation. “What should I be mindful about when applying this information?” There was small number of study participants compared with the total number of accredited Doctor of Physical Therapy (DPT) programs, as only 109 faculty and 20 students from 263 currently accredited DPT programs were included. Readers must also consider the potential bias of participants when generalizing the identified themes. Topics that were not covered in the article were how often clinicians from the community were involved with EL opportunities and their impact on quantity and quality of EL. This limits the understanding of the role of the clinician in EL. Questions remain about how the quantity or quality of EL influences students' decisions about pursuing a career in pediatric physical therapy at graduation. Chelsea Lasky-McFarlin, PT, DPT The University of North Carolina Health Care System, Chapel Hill, North Carolina Tricia Catalino, PT, DSc Hawai'i Pacific University, Honolulu, Hawaii

Rehabilitation following flexor tendon injury to the hand in African countries: a study protocol for a scoping review

Quality of life is enhanced by engagement in meaningful activities and participation using our hands. In African countries, people rely predominantly on the use of their hands to engage in...

Management of Labor and Psychiatricpostpartum Diseases Using Potential Anti-obesity and Antidiabetic Plants in Cameroon

Globally more than 550 women die per year from childbirth-related causes. Around 9% of women suffer from postpartum post-traumatic stress disorder after childbirth. Postpartum bipolar disorder is humor episodes such as mania, hypomania or depression, which start throughout pregnancy or in few weeks after child bearing. Fifty percent (50%) worldwide estimation of motherly deaths arise in sub-Saharan Africa region alone. Depression is a devastating temperament and mental sickness touching around 13% of postpartum mothers worldwide. The occurrence of 25%-60% of depression is typical of low- and middle-income countries. A combined prevalence of 14.4% of teenage deliveries was revealed in Cameroon where there is unsatisfactory information on the risk factors of motherly mortality and mother care after childbirth. In hinterland local therapists especially in Bororo and Pygmies communities, have developed indigenous strategies in the treatment of certain cases of abnormal labor and psychiatric postpartum sicknesses. Accordingly this study aimed to identify principally amongst anti-obesity and antidiabetic plants used in Cameroon, those with efficient effect on labor and psychiatric mother care after delivery. To achieve this objective the search strategy was performed to identification these plants using the following research engines in Google, Google Scholar and PubMed: 1) Properties oxytocic of a given diabetic or anti-obesity plant name 2) A given diabetic or anti-obesity plant name with capacity to control labor 3) Anti-psychiatric postpartum disease properties of a given diabetic or anti-obesity plant name. Twenty plants used in the treatment of difficult labor and psychiatric postpartum treatment in Cameroon were recorded. Only Daturastramonium and Amblygonocarpusandongensis were respectively poisonous and slightly toxic. Mucunapruriens, Peperomiapellucida, Momordicacharantia and Xylopiaaethiopica are more effective. Nevertheless, preventive measures such as selection of safe herbal medications, avoid psychiatric postpartum diseases symptoms, adequate dosages and their stabilization, duration of treatment, good sanitary herbal medicines preparation, and conservation, must be determined and rigorously respected.

The developing role of occupational therapists in school-based practice: Experiences from collaborative action research in Pakistan

Introduction Occupational therapists around the world increasingly seek to support the participation of children with disabilities and special educational needs in mainstream education. Contemporary school-based occupational therapy practice is progressing from an individual, impairment focus towards collaborative, universal interventions at the whole class and whole school level. Participation-focused practice and collaboration is particularly important, but uncommon, in low-resource contexts such as Pakistan. Methods This article reports on collaborative action research that developed the role of occupational therapy in inclusive education in Karachi, Pakistan. A research team consisting of occupational therapists and teachers worked with five local primary schools, using the action research cycles of plan–implement–observe–reflect to develop practical strategies, materials and inclusive lesson plans to facilitate the participation of all children in all school-based occupations. Findings Support from school management and interdisciplinary collaboration were crucial for implementing change. In addition, strategies like inclusive lesson planning were found to benefit all children in class. Collaborative action research led to increased professional confidence in the teachers and occupational therapists, and skill development through developing a resource guide, running workshops and presenting at (inter)national conferences. Conclusion Collaborative action research was an effective means to develop the occupational therapy role in inclusive education practices in Pakistan, develop culturally appropriate educational resources, and upskill local therapists and teachers.

Особенности тактики ведения амбулаторных пациентов с сердечно-сосудистой коморбидностью в городе Красноярске

The aim of the research is to study the structure of cardiovascular continuum within comorbid pathology within outpatient clinic of Krasnoyarsk; to evaluate the quality of out-patients management in accordance with modern clinical guidelines. Material and methods. To conduct a single retrospective analysis, 1928 medical records of Krasnoyarsk cardiovascular out-patients were taken. All the patients consulted local therapists in 2018. Differences were statistically significant at p &lt;0.05. Results. Comorbid pathology is observed in patients with CVD in 87% of cases, and its growth is noted with age. It was revealed that ischemic heart disease (CHD) and obesity are associated with type 2 diabetes mellitus (DM-2). When using antihypertensive therapy, 43.2% of patients achieved blood pressure (BP) values &lt;140/80 mm Hg. In 46.8% of cases, patients who were prescribed statins had total cholesterol (TC) values &lt;5.0 mmol / L. Only 18.5% of patients with DM-2, following lipid-lowering therapy had a total cholesterol level &lt;4.5 mmol / L, that was also registered only in 15.9% of patients with chronic kidney disease (CKD). Heart rate (HR) &lt;80 beats / min was observed in 75% of patients taking drugs of b-blocker group. Conclusion. Cardiovascular comorbidity among patients is widespread and its rates are evidenced to increase with age. Antihypertensive, lipid-lowering and antithrombotic therapy do not fully comply with current clinical guidelines. It is necessary to individualize the approach to patients with combined pathology; to provide comprehensive diagnosis, treatment, and to inform the population on primary and secondary prevention adequately

Medicinal Plants for Treatment Kidney Stones, An ethnobotany Study in Shahrekord

Urinary tract stones are the third leading urinary tract disease. People with kidney stones suffer from severe colic pain, which is not often completely relieved with common analgesic medications and opioid drugs are used to relieve pain. The aim of this ethnobotanical study was to identify medicinal plants used by indigenous people of Shahrekord for kidney stones. The present study was carried out in Shahrekord from 21 April 2017 to 19 February 2018 via face-to-face interview with and the questionnaire including demographic information administered to 29 local traditional therapists for collecting indigenous knowledge of local people about the anti-kidney stone effects of medicinal plants in the region under purpose. The data drawn from the questionnaires were meticulously and appropriately tabulated. Data were finally analyzed by the Excel software. In this study, the frequency use of plants was calculated by the following formula. The results showed that 17 medicinal plants from 11 families are used by the people of Shahrekord to treat kidney stones. The Apiaceae and Asteraceae families were dominant. Most used organs were aerial parts (29%). Alhagi maurorum ، Tribulus terrestris,Brassica rapa subsp. rapa had the highest frequency of citation (FC) (79%, 70% and 41%, respectively). The findings suggest that humans traditionally use medicinal plants to prevent or treat kidney stones. Besides, although there is no definite evidence on the effects of some plants on kidney stones, their effects on the kidney stones may be due to their active ingredients.