Training and Provision Concerning Power Wheelchair Driving : a Survey Comparing Practices in France and United Kingdom

International audienceThe prevalence of people using wheelchairs increasing in developed countries with 60 to 200 users per 10,000 inhabitants. [1]. • In France and United Kingdom, the process from referral to provision is organized but the practices of referral, assessment, provision and training are not standardized [2]. • This is a report of a survey of health care professionals on the training on those professionals and the process of providing powered wheelchairs (PWs) in France and the United Kingdom(UK), • The survey was based on a literature review and exploratory interviews with French and British experts in training and PW provision. The questionnaire topics included 36 questions about the profile of the respondents, their training, user driving assessment and training practices. • This survey was conducted with French and British professionals involved in the provision of PWs. • An online questionnaire was sent to rehabilitation units in France, and NHS services in UK, involved in the training and provision. The study received HRA and HCRW Approval. The online questionnaire was open from November 1, 2017 to December31, 2018. • While there is a basic consensus regarding training tasks , the training process and assessment are relatively subjective in both France and UK, • This survey is in line with the conclusions of Le Ray [2] and Bozec [3] concerning the lack of practices standardization. Despite this lack of standardization for the PW users training and the training of the trainers, this survey indicates that range of practices are quite similar on both sides of the Channel. • These data will inform the three main objectives of the ADAPT project which are to develop a smart wheelchair, a virtual reality powered wheelchair simulator, and a training program in assistive technologies including the devices developed in ADAPT

Data Paper. Data Paper

<h2>File List</h2><div> <p><a href="UMBC_quadrat_file.txt">UMBC_quadrat_file.txt</a> (MD5: fcd6a15b57b7808c69405d385e51f20b)</p> <p><a href="UMBC_roles_file.txt">UMBC_roles_file.txt</a> (MD5: 8229e4fb4197b520b8266dfb57e95318)</p> <p><a href="UMBC_species_list_file.txt">UMBC_species_list_file.txt</a> (MD5: 8b0eb15e537c7f2390ffcbb29d8ef116)</p> <p><a href="UMBC_2014_census_file.txt">UMBC_2014_census_file.txt</a> (MD5: fbef2b22c7bc0a0289a780fb059cc5e6)</p> <p><a href="UMBC_measurement_codes_file.txt">UMBC_measurement_codes_file.txt</a> (MD5: 54f293e7e13ba1cda1f55668db8f5dda)</p> <p><a href="UMBC_personnel_file.txt">UMBC_personnel_file.txt</a> (MD5: 9025ada14ac616baddd4b7626d50c539)</p> </div><h2>Description</h2><div> <p>This data set reports on a census of all trees within two 6.25-ha plots (250 m × 250 m) of temperate deciduous woodlot patch on the campus of the University of Maryland Baltimore County (UMBC), Baltimore, Maryland, USA. Woodlot patches are primarily of the tulip poplar association. From 2011–2012, a 25 m × 25 m quadrat grid was established for each plot by total station surveying equipment. From 2012–2014, the location and DBH (diameter at breast height, 1.37 m) of all woody stems ≥ 1 cm DBH that reached ≥ 1.37 m tall were censused, whether living or dead. All such stems were also marked with numbered metal tags. All living stems were identified at least to genus and to species when possible. All censused stems and associated data (tag number, DBH, location, species, status) were entered into a geographic information system (GIS) map layer based on stem location within a Universal Transverse Mercator (UTM) projected coordinate system where each stem was represented as a unique point feature. The primary objective of these data is to provide a reference for stem location and diameter for the calibration and evaluation of ground-based 3D remote sensing technologies based on computer vision and personal digital camera or cell phone image collections. With regular re-census, the data could also be used for tracking growth, mortality, and recruitment of patchy forest woodlots within a suburban landscape mosaic. </p> <p> <i>Key words</i>: <i>deciduous; diameter; Ecosynth; forest inventory; map; patch; species; survey; taxonomy; temperate; urban forest.</i> </p> </div

Management of SIADH-related hyponatremia due to psychotropic medications - An expert consensus from the Association of Medicine and Psychiatry.

OBJECTIVE: Hyponatremia is the most common electrolyte imbalance encountered in clinical practice and is associated with negative healthcare outcomes and cost. SIADH is thought to account for one third of all hyponatremia cases and is typically an insidious process. Psychotropic medications are commonly implicated in the etiology of drug induced SIADH. There is limited guidance for clinicians on management of psychotropic-induced SIADH. METHODS: After an extensive review of the existing literature, clinical-educators from the Association of Medicine and Psychiatry developed expert consensus recommendations for management of psychotropic-induced SIADH. A risk score was proposed based on risk factors for SIADH to guide clinical decision-making. RESULTS: SSRIs, SNRIs, antipsychotics, carbamazepine, and oxcarbazepine have moderate to high level of evidence demonstrating their association with SIADH. Evaluation for an avoidance of medications that cause hyponatremia is particularly important. Substitution with medication that is less likely to cause SIADH should be considered when appropriate. We propose an algorithmic approach to monitoring hyponatremia with SIADH and corresponding treatment depending on symptom severity. CONCLUSIONS: The proposed algorithm can help clinicians in determining whether psychotropic medication should be stopped, reduced or substituted where SIADH is suspected with recommendations for sodium (Na+) monitoring. These recommendations preserve a role for clinical judgment in the management of hyponatremia with consideration of the risks and benefits, which may be particularly relevant for complex patients that present with medical and psychiatric comorbidities. Further studies are needed to determine whether baseline and serial Na+ monitoring reduces morbidity and mortality