3 research outputs found
Comparison of content and psychometric properties for assessment tools used for brain tumor patients : a scoping review
Get PDFFunding Information: This study was supported by Riga StradiÅÅ” University internal grant. Publisher Copyright: Ā© 2021, The Author(s).Aims: To determine the most frequently utilized functional status assessment instruments for patients with brain tumors, compare their contents, using the International Classification of Functioning, Disability and Health (ICF), and their psychometric properties. Methods: A scoping review was conducted to explore possible assessment instruments and summarize theĀ evidence.Ā A systematic literature search was performed for identification of the frequently used functional assessment tool in clinical trials in PubMed, ScienceDirect, and ProQuest databases. The content of most used instruments was linked to the ICF categories. The psychometric qualities of these assessment tools were systematically searched and analyzed. Results: Nine most used assessment tools in clinical trials were identified. The most frequently used assessment instrument is the Karnofsky Performance Scale, which is developed for aĀ general assessment of oncological patients. Out of four self-assessment tools, two were disease-specific (EORTC QLQ-BN20 and FACT-Br), EORTC QLQ-C30 has been shown good psychometric properties in patients with brain tumors as well as in patients with various oncological diseases, similar to the SF-36, it is used in patients with brain tumors as well as in patients with various diseases. The Functional Independence Measure and the Barthel Index were two objective assessment tools that described functioning, but two were neuropsychological tests (MMSE and Trial Making Test). Two hundred eighty-three meaningful concepts were identified and linked to 102 most relevant second-level categories covering all components of the ICF. Forty-nine studies reporting psychometric properties of those nine assessment tools were identified, indicating good reliability and validity for all the instruments. Conclusion: Nine most frequently utilized functional status assessment instruments for patients with brain tumors represent all components of the ICF and have good psychometric properties. However, the choice of the tool depends on the clinical question posed and the aim of its use.publishersversionPeer reviewe
Interventions in acute neuro-oncological rehabilitation:scoping review
No full textRehabilitÄcijaVeselÄ«bas aprÅ«peRehabilitationHealth CarePÄtÄmÄ problÄma: Lai nodroÅ”inÄtu vienlÄ«dzÄ«gu pieejamÄ«bu rehabilitÄcijai visiem, kam tÄ ir nepiecieÅ”ama, ir jÄbÅ«t vienotai un efektÄ«vai stratÄÄ£ijai pacientu ÄrstÄÅ”anÄ.
Darba mÄrÄ·is: IdentificÄt pierÄdÄ«jumus visbiežÄk izmantotajÄm rehabilitÄcijas intervencÄm, kas var tikt izmantotas neiro-onkoloÄ£isku pacientu akÅ«tajÄ rehabilitÄcijÄ.
Metodes: Lai sasniegtu izvirzÄ«to pÄtnieciskÄ darba mÄrÄ·i, tika veikts darbÄ«bas jomu noteikÅ”anas pÄrskats. Tas sastÄvÄja no trÄ«s daļÄm: intervenÄu identificÄÅ”anas publikÄcijÄs; intervenÄu sasaistes ar Starptautisko medicÄ«niskÄs iejaukÅ”anÄs veidu klasifikÄciju (ICHI); problÄmu, uz kurÄm Ŕīs intervences tiek vÄrstas, identificÄÅ”anu un sasaisti ar SFK kategorijÄm.
RezultÄti: KopumÄ, pielietojot meklÄÅ”anas stratÄÄ£iju, tika atlasÄ«ti 1144 raksti. PÄrskatÄ tika iekļautas 43 publikÄcijas. KopumÄ Å”ajÄs publikÄcijÄs tika identificÄtas 38 unikÄlas intervences. ICHI klasifikÄcijÄ izdevÄs identificÄt 34 intervences. Äetras no identificÄtajÄm intervencÄm bija ar I pierÄdÄ«jumu lÄ«meni, 11 ar II, 19 ā ar III un 4 ā ar IV pierÄdÄ«jumu lÄ«meni. TrÄ«s no 38 identificÄtajÄm intervencÄm tiek vÄrstas uz traucÄjumu mazinÄÅ”anu atbilstoÅ”i SFK nodaļu lÄ«menim (pirmÄ lÄ«meÅa klasifikÄcija), 27 - uz bojÄjumu mazinÄÅ”anu Ä·ermeÅa funkciju lÄ«menÄ« (otrÄ lÄ«meÅa klasifikÄcija), savukÄrt 6 ā uz ierobežojumu mazinÄÅ”anu aktivitÄÅ”u un dalÄ«bas lÄ«menÄ« (otrÄ lÄ«meÅa klasifikÄcija).
RezultÄtu analÄ«ze: PÄrskatÄ ir pierÄdÄ«ts, ka, lai gan rehabilitÄcijas uzdevums ir aktivitÄÅ”u un dalÄ«bas uzlaboÅ”ana, literatÅ«rÄ intervences lielÄkoties ir vÄrstas uz Ä·ermeÅa funkciju uzlaboÅ”anu un iespÄjams, tikai pastarpinÄti ietekmÄ aktivitÄtes un dalÄ«bu. PÄrskatÄ identificÄtÄs intervences atbilst intervencÄm, kas ir atrodamas pasaules vadlÄ«nijÄs darbam ar neiro-onkoloÄ£iskiem pacientiem.
SecinÄjumi: StarptautiskÄ zinÄtniskÄ literatÅ«rÄ ir pierÄdÄ«jumi par 38 intervencÄm, ko dažÄdi rehabilitÄcijas profesionÄļi var izmantot neiroloÄ£isko pacientu akÅ«tajÄ rehabilitÄcijÄ. TomÄr, lielÄkajai daļai Å”o intervenÄu ir II un III lÄ«meÅa pierÄdÄ«jumi. AtbilstoÅ”i ICHI struktÅ«rai, 22 no identificÄtajÄm intervencÄm ietilpst ĶermeÅa struktÅ«ru un funkciju sadaļÄ, 10 - AktivitÄÅ”u un dalÄ«bas sadaļÄ, pa vienai, attiecÄ«gi Vides un VeselÄ«bas uzvedÄ«bas sadaļÄs. Äetras intervences (virtuÄlÄ realitÄte, spoguļterapija, robotizÄts augÅ”Äjo ekstremitÄÅ”u treniÅÅ” funkciju uzlaboÅ”anai un kognitÄ«vÄ grupu terapija) nav iekļautas ICHI. LiteratÅ«rÄ analizÄtÄs problÄmas, uz kurÄm tiek vÄrstas intervences, bieži nesakrÄ«t ar konkrÄtÄs intervences mÄrÄ·i vai ir pÄrÄk plaÅ”i definÄtas un nav specifiskas.Research problem: To ensure equal access to rehabilitation for those who need it, there needs to be an effective treatment strategy developed for neuro-oncological patients.
Aim of the study: To identify evidence for interventions used in acute rehabilitation for patients with neuro-oncological disease.
Methods: A scoping review was conducted and consisted of three parts: identification of interventions in publications; linking interventions to ICHI classification (International Classification of Health Interventions), identifying problems targeted by these interventions and linking them to the ICF categories.
Results: A total of 1144 articles were selected using the search strategy, after applying inclusion criteria 43 publications were included in the report. In total 108 interventions were identified, 38 of them were unique interventions. 34 of the interventions were classified in the ICHI classification. Four interventions of the ICHI identified interventions were evidence level I, eleven interventions were evidence level II, nineteen evidence level III and four interventions with evidence level IV. Three interventions were linked with the ICF in chapter level (first level classification),27 interventions were linked with body functions domains; however, 6 interventions were linked with activities and participation domains.
Discussion: This report shows that although rehabilitation works with activities and participation, the literature shows that interventions are mostly covering body functions section in the ICHI. The interventions identified in the report are in line with those found in global guidelines for neuro-oncological patients.
Conclusion: There is evidence in scientific literature of 38 interventions that can be used by various rehabilitation professionals in the acute rehabilitation of neuro-oncological patients. However, most of these interventions are evidence level II and III. According to the ICHI, 22 of identified interventions are classified into Body Structures and Functions section, 10 into the Activities and Participation section, one in each Environmental and Health-related Behavior sections. Four interventions (virtual reality, mirror therapy, robotic upper extremity training to improve function, and cognitive group therapy) are not included in the ICHI. The problems analyzed in the literature that target interventions often do not coincide with the purpose of the specific intervention or are too broadly defined and not specific
Legal regulation problematic aspects of the bankruptcy procedure and the cancellation procedure in the physical person insolvency process
No full textLÄ«dz ar 2010.gada 26.jÅ«lija MaksÄtnespÄjas likuma spÄkÄ stÄÅ”anos, ievÄrojami ir pieaudzis ierosinÄto un pasludinÄto fizisko personu maksÄtnespÄjas lietu skaits. Tas ir izskaidrojams ar jaunÄ likuma grozÄ«jumiem, kura ietvaros fiziskÄs personas maksÄtnespÄjas process tiek sadalÄ«ts divÄs savstarpÄji atŔķirÄ«gÄs stadijÄs - bankrota procedÅ«rÄ un saistÄ«bu dzÄÅ”anas procedÅ«rÄ.
MaÄ£istra darbs āBankrota procedÅ«ras un saistÄ«bu dzÄÅ”anas procedÅ«ras tiesiskÄ regulÄjuma problemÄtiskie aspekti fiziskÄs personas maksÄtnespÄjas procesÄā ir padziļinÄts pÄtÄ«jums, kura mÄrÄ·is ir analizÄt bankrota procedÅ«ras un saistÄ«bu dzÄÅ”anas procedÅ«ras tiesisko regulÄjumu, identificÄt pastÄvoÅ”Äs problÄmas, kÄ arÄ« sniegt priekÅ”likumus to risinÄÅ”anai.
DarbÄ tiek aplÅ«koti bankrota procedÅ«ras un saistÄ«bu dzÄÅ”anas procedÅ«ras jÄdzieni un mÄrÄ·i, tiek analizÄts bankrota procedÅ«ras un saistÄ«bu dzÄÅ”anas procedÅ«ras tiesiskais regulÄjums, Ä«paÅ”u uzmanÄ«bu pievÄrÅ”ot administratora un parÄdnieka statusam, tiek pÄtÄ«tas atŔķirÄ«bas starp bankrota procedÅ«ras pabeigÅ”anas un izbeigÅ”anas sekÄm, kÄ arÄ« aplÅ«kotas saistÄ«bu dzÄÅ”anas procedÅ«ras izbeigÅ”anas sekas.
Autore pÄtÄ«jumam ir izmantojusi analÄ«tisko, salÄ«dzinoÅ”o un induktÄ«vÄs pÄtÄ«Å”anas metodi, teorÄtiskÄs un empÄ«riskÄs metodes pamatprincipus, kÄ arÄ« veikusi tiesÄ«bu normu sistÄmisko, gramatisko un teleoloÄ£isko tulkoÅ”anas metodi. Darba noslÄgumÄ tiek izdarÄ«ti secinÄjumi un sniegti priekÅ”likumi fiziskÄs personas maksÄtnespÄjas procesa optimizÄcijai un tiesiskÄ regulÄjuma uzlaboÅ”anai.
AtslÄgvÄrdi: fiziska persona, maksÄtnespÄjas process, bankrota procedÅ«ra, saistÄ«bu dzÄÅ”anas procedÅ«ra, administrators, parÄdnieks, kreditors.On 26 July 2010, the new insolvency law was accepted. Due to this law restructure, the number of physical personsā insolvency applications and the number of their proclaimed insolvency cases are sharply increased. According to modifications, the insolvency procedure of physical persons is divided into two different stages - bankruptcy and debt settlement procedures. These changes are expected to result in more operative proceedings and easier procedureās access for physical persons.
The master thesis āProblematic aspects of bankruptcy and debt settlement procedures in the process of physical personās insolvency proceedingsā is an in-depth research with objectives to analyse the bankruptcy and debt settlement procedures, to identify main imperfections of both procedures and to present possible improvements and recommendations with the aim to improve insolvency procedures.
The thesis is focused not only on the investigation of main concepts and objectives of bankruptcy and debt settlement procedures but also on legal regulations of both procedures particularly concentrating on insolvency administratorās and debtorās statuses. A vital part of the thesis is dedicated to the analyse of debt settlement procedure closure partsā consequences and to the comparison between consequences of bankruptcy procedures proceedings, namely, bankruptcy termination and its closure.
In order to gather data, the author has applied various information collection approaches such as the analytical, the comparative and the inductive investigation methods. Fundamental principles of theoretic and empiric methods and legal normsā systematic, grammatical and theological translationās methodologies are employed. In the final part, conclusions and suggestions regarding the physical personsā insolvency procedure are presented in order to optimize the insolvency process and improve the legal regulations.
Key words: physical person, insolvency process, bankruptcy procedure, debt settlement procedure, administrator, debtor, creditor
