BACKGROUND Recently, the frequency of audit inspections of health services for people with intellectual disability (ID) in the UK has increased, from occasional inquiries to a systematic audit of all services. From 2008, a process of continuous audit 'surveillance' of specialist health services is to be introduced. Similar regimes of inspection are in place for social care services. AIM To ex...

BACKGROUND The medical literature reports health hazards for law enforcement personnel from repeated exposure to methamphetamine and related chemical compounds. Most effects appear transitory, but some Utah police officers with employment-related methamphetamine exposures developed chronic symptoms, some leading to disability. This report is of an uncontrolled retrospective medical chart evalua...

To determine in clinical practice which rheumatoid arthritis (RA) clinical status variables are most associated with a change in disease modifying antirheumatic drug (DMARD) therapy, we studied 26,240 observations from 1905 RA patients occurring over 25 years. Variables included tender joint count, erythrocyte sedimentation rate (ESR), grip strength, visual analog scale for pain, global severit...

There is ongoing debate about the best model of service provision for people with an intellectual disability who present severe behavioural challenges. The present paper reviewed research which evaluated a range of UK service provision in terms of impact on challenging behaviour and other quality of life indices. A literature search was carried out for English language papers from 1990 to 2010 ...

BACKGROUND Osteoarthritis is the most prevalent joint disease and a common cause of joint pain, functional loss, and disability. Conventional treatments demonstrate only modest clinical benefits without lesion reversal. Autologous mesenchymal stromal cell (MSC) treatments have shown feasibility, safety, and strong indications for clinical efficacy. We performed a randomized, active control tria...

BACKGROUND Several studies have linked obesity to the increased likelihood of lower back pain, but there are no studies focussing on the effectiveness of a multimodal physiotherapy programme (MPP) in obese subjects who suffer from chronic non-specific lower back pain (CNLBP). The aim of this study was to compare the effectiveness of an MPP in obese (G1) (body mass index (BMI):≥30) and non-obese...

objectives: verbal self-instruction strategy is one of the useful techniques for treating individual with learning disability. the purpose of the present study was to determine the effect of verbal self-instructional package on the social competence of students with learning disability. methods: the study was done in a quasi-experimental research and pre-test, post-test design with control grou...

objective: the present study aimed to determine the effectiveness of group triple-p on the relationships of mother-child with id (intellectual disability).  methods: in this semi-experimental study with pretest and posttest design by control group, parent-child relationship scale (pcrs) was determined in 40 random clustering selected mothers of children with id before and after the intervention...

background cancer is one of the most important leading causes of morbidity and mortality worldwide. objectives this study aimed to calculate the burden of 9 common cancers in the population covered by mashhad university of medical sciences in iran in 2010-2011. patients and methods we calculated disability adjusted life years (dalys ) for each of nine cancers according to the sex and age groups...

conclusions this persian version of the fim can be used as a valid, reliable, and replicable instrument for research and rehabilitation purposes in tbi patients. results the inter-rater reliability was acceptable on admission and at discharge (icc = 0.779 to 0.895). the internal consistency of fim and its subscales were excellent (α ≥ 0.97). the results for criterion validity by adjusting the v...