Hindernisfreie Spielplätze für Kinder mit Mobilitätseinschränkungen : Neues Arbeitsfeld für Ergotherapeutinnen?

Darstellung des Themas: Kinder mit einer körperlichen Einschränkung erleben auf Spielplätzen physische und soziale Hindernisse, die zu schweren Sekundärfolgen führen können. Das Errichten von inklusiven Spielplätzen ist daher zentral. Ziel: Es soll erörtert werden, welche Faktoren für Kinder mit Mobilitätseinschränkungen auf Spielplätzen Hindernisse darstellen. In Erfahrung gebracht wird, wie Ergotherapeutinnen in den Planungs- und Gestaltungsprozess eines hindernisfreien Spielplatzes involviert werden können, um Kindern mit Mobilitätseinschränkungen die Partizipation zu ermöglichen. Methode: Mithilfe einer Literaturrecherche in diversen Datenbanken und anhand definierter Einschlusskriterien, wurden fünf Studien ausgewählt. Die Ergebnisse der Hauptstudien wurden basierend auf dem Person-Environment-Occupation-Modell (PEO-Modell) ausgewertet und dargestellt. Relevante Ergebnisse: Durch Umweltanpassungen kann die Betätigungsperformanz und somit die Partizipation eines Kindes mit einer Mobilitätseinschränkung gefördert werden. Die grössten baulichen Hindernisse auf Spielplätzen sind: ungeeignete Bodenbeläge, Absätze und Engen. Gestaltungselemente und Spielgeräte müssen so gewählt und angebracht werden, dass sie die soziale Interaktion und Partizipation ermöglichen. Ergotherapeutinnen können auf individueller und gesellschaftlicher Ebene Einfluss nehmen und für die Kinder und deren Bedürfnisse einstehen. Schlussfolgerung: Die Literaturrecherche hat aufgezeigt, dass Ergotherapeutinnen in Zukunft in die Planung und Gestaltung von hindernisfreien Spielplätzen involviert werden sollten. Da sie mit ihrem Fachwissen massgeblich zur Entwicklung eines hindernisfreien Spielplatzes beitragen können

Energy management education in persons with long COVID-related fatigue : insights from focus group results on occupational therapy approach

Background: Long COVID is a growing condition among individuals, with fatigue being one of the main symptoms experienced. Energy Management Education (EME) is a structured occupational therapy group intervention that aims to reduce the impact of fatigue in daily life. Methods: This study utilized focus groups to explore the experiences of individuals with post-COVID-related fatigue who participated in the EME program. Six participants engaged in discussions about the program immediately after its completion and again two months later. Additionally, five occupational therapists shared their experiences. Results: Former participants reported implementing strategies learned in the program to manage their condition effectively. They emphasized the importance of understanding fatigue and found the support provided by the peer group valuable. Occupational therapists highlighted the unique challenges faced by individuals with post-COVID-related fatigue compared to other populations with similar fatigue symptoms. Furthermore, insights were obtained regarding the ways individuals live and cope with post-COVID-related fatigue. Conclusion: EME participants were involved in a dynamic and complex occupational therapy process and were experiencing a slow change towards having more control over their daily routines. The study gathered valuable feedback and suggestions from participants and occupational therapists which can be used to optimize the EME program

Local erythropoietin and endothelial progenitor cells improve regional cardiac function in acute myocardial infarction

<p>Abstract</p> <p>Background</p> <p>Expanded endothelial progenitor cells (eEPC) improve global left ventricular function in experimental myocardial infarction (MI). Erythropoietin beta (EPO) applied together with eEPC may improve regional myocardial function even further by anti-apoptotic and cardioprotective effects. Aim of this study was to evaluate intramyocardial application of eEPCs and EPO as compared to eEPCs or EPO alone in experimental MI.</p> <p>Methods and Results</p> <p>In vitro experiments revealed that EPO dosed-dependently decreased eEPC and leukocyte apoptosis. Moreover, in the presence of EPO mRNA expression in eEPC of proangiogenic and proinflammatory mediators measured by TaqMan PCR was enhanced. Experimental MI was induced by ligation and reperfusion of the left anterior descending coronary artery of nude rats (n = 8-9). After myocardial transplantation of eEPC and EPO CD68+ leukocyte count and vessel density were enhanced in the border zone of the infarct area. Moreover, apoptosis of transplanted CD31 + TUNEL + eEPC was decreased as compared to transplantation of eEPCs alone. Regional wall motion of the left ventricle was measured using Magnetic Resonance Imaging. After injection of eEPC in the presence of EPO regional wall motion significantly improved as compared to injection of eEPCs or EPO alone.</p> <p>Conclusion</p> <p>Intramyocardial transplantation of eEPC in the presence of EPO during experimental MI improves regional wall motion. This was associated with an increased local inflammation, vasculogenesis and survival of the transplanted cells. Local application of EPO in addition to cell therapy may prove beneficial in myocardial remodeling.</p

Catálogo Taxonômico da Fauna do Brasil: setting the baseline knowledge on the animal diversity in Brazil

The limited temporal completeness and taxonomic accuracy of species lists, made available in a traditional manner in scientific publications, has always represented a problem. These lists are invariably limited to a few taxonomic groups and do not represent up-to-date knowledge of all species and classifications. In this context, the Brazilian megadiverse fauna is no exception, and the Catálogo Taxonômico da Fauna do Brasil (CTFB) (http://fauna.jbrj.gov.br/), made public in 2015, represents a database on biodiversity anchored on a list of valid and expertly recognized scientific names of animals in Brazil. The CTFB is updated in near real time by a team of more than 800 specialists. By January 1, 2024, the CTFB compiled 133,691 nominal species, with 125,138 that were considered valid. Most of the valid species were arthropods (82.3%, with more than 102,000 species) and chordates (7.69%, with over 11,000 species). These taxa were followed by a cluster composed of Mollusca (3,567 species), Platyhelminthes (2,292 species), Annelida (1,833 species), and Nematoda (1,447 species). All remaining groups had less than 1,000 species reported in Brazil, with Cnidaria (831 species), Porifera (628 species), Rotifera (606 species), and Bryozoa (520 species) representing those with more than 500 species. Analysis of the CTFB database can facilitate and direct efforts towards the discovery of new species in Brazil, but it is also fundamental in providing the best available list of valid nominal species to users, including those in science, health, conservation efforts, and any initiative involving animals. The importance of the CTFB is evidenced by the elevated number of citations in the scientific literature in diverse areas of biology, law, anthropology, education, forensic science, and veterinary science, among others

PERFIL RENAL DE INDIVÍDUOS DIABÉTICOS TIPO 2 CADASTRADOS NA ESTRATÉGIA DE SAÚDE DA FAMÍLIA DE IJUÍ/RS

Objetivo: Determinar o perfil renal de indivíduos diabéticos mellitus tipo 2 cadastrados na estratégia de saúde da família de Ijuí/RS e verificar a importância do diagnóstico precoce da função renal. Métodos: Estudo do tipo transversal, descritivo e analítico. Participaram da avaliação n=95 indivíduos diabéticos tipo 2, submetidos a avaliação clínica e bioquímica de glicose, uréia e creatinina, cálculo da estimativa da taxa de filtração glomerular e análise urinária. Resultados: A média de idade foi de 60,6±9,5 anos, massa corporal 78,6±13,7Kg e da glicose plasmática foi 118,8±52,3mg/dL. Uréia e creatinina mostraram-se elevadas em 36,8% e 34,7% dos pacientes. Entre as mulheres, 26,3% tiveram taxa de filtração glomerular alterada, e 18,4% entre os homens. Na análise urinária,  22,11% apresentaram glicosúria e 15,8% proteinúria. Conclusão: Os dados apontam 23,2% dos diabéticos com diminuição de cerca de 50% da função renal normal, com valores abaixo de 60mL/min/1,73m2 para a taxa de filtração glomerular. Assim, a importância do diagnóstico precoce da função renal, bem como a monitorização do diabetes, está na prevenção e retardo de complicações desta patologia