Relevant bibliographies by topics / Sci26000

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Academic literature on the topic 'Sci26000'

Author: Grafiati
Published: 28 July 2024
Last updated: 30 July 2024

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Journal articles on the topic "Sci26000"

1

Michael, Erin, Terin Sytsma, and Rachel E. Cowan. "A Primary Care Provider’s Guide to Wheelchair Prescription for Persons With Spinal Cord Injury." Topics in Spinal Cord Injury Rehabilitation 26, no. 2 (March 2020): 100–107. http://dx.doi.org/10.46292/sci2602-100.

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The wheelchair is an essential tool for individuals with spinal cord injury (SCI). When the capacity and fit of a wheelchair is matched to the needs and abilities of an individual with SCI, health, function, community participation, and quality of life are maximized. Throughout an individual’s life, function and health status can decline (or improve), necessitating a new wheelchair and/or seating components (eg, cushions and backrests). Additionally, a patient’s current wheelchair may be identified as a factor contributing to a health concern or functional deficit, again necessitating wheelchair adjustments. Primary care physicians often manage the complex and lifelong medical needs of individuals with SCI and play a key role in wheelchair evaluation and prescription. This article provides a broad overview of indicators that a new wheelchair is needed, describes the wheelchair prescription process, identifies important team members, reviews the major wheelchair components, and provides guidance to match components to patients’ needs and abilities.
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2

Milligan, James, Lance L. Goetz, and Michael J. Kennelly. "A Primary Care Provider’s Guide to Management of Neurogenic Lower Urinary Tract Dysfunction and Urinary Tract Infection After Spinal Cord Injury." Topics in Spinal Cord Injury Rehabilitation 26, no. 2 (March 2020): 108–15. http://dx.doi.org/10.46292/sci2602-108.

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Neurogenic lower urinary tract dysfunction (NLUTD), previously termed neurogenic bladder dysfunction, is a common secondary complication of spinal cord injury (SCI). It is associated with significant morbidity, reduced quality of life, increased health care costs, and mortality. Primary care providers (PCPs) play an important role in optimizing urohealth over the life span. This article will review NLUTD in SCI, its complication, surveillance, and management. PCPs should be aware of SCI-related NLUTD, its complications, management, and surveillance recommendations, and when to refer to a specialist.
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3

Reyes, Maria Regina L., Mary Jo Elmo, Brandon Menachem, and Sara Mercedes Granda. "A Primary Care Provider’s Guide to Managing Respiratory Health in Subacute and Chronic Spinal Cord Injury." Topics in Spinal Cord Injury Rehabilitation 26, no. 2 (March 2020): 116–22. http://dx.doi.org/10.46292/sci2602-116.

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Respiratory complications following spinal cord injury (SCI) have remained the leading cause of death across the lifespan and are one of the most common reasons for hospitalization. Complications from altered respiratory physiology after SCI include atelectasis, pneumonia, venous thromboembolic disease, and sleep-disordered breathing. The risk for complications is greater with higher SCI levels and severity, and mortality from pneumonia is heightened compared to the general population. Optimal primary care for individuals with SCI includes appropriate surveillance for SCI-specific respiratory disease, key preventive care including promotion of influenza immunization and respiratory muscle training, and early identification and treatment of pneumonia with institution of aggressive secretion management strategies. The respiratory physiology and specific management of respiratory complications after SCI is reviewed.
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4

Krassioukov, Andrei, Michael Stillman, and Lisa A. Beck. "A Primary Care Provider’s Guide to Autonomic Dysfunction Following Spinal Cord Injury." Topics in Spinal Cord Injury Rehabilitation 26, no. 2 (March 2020): 123–27. http://dx.doi.org/10.46292/sci2602-123.

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Spinal cord injury (SCI) disrupts the crucial “crosstalk” between the spinal autonomic nervous system and supraspinal control centers. Therefore, SCI may result not only in motor paralysis but also in potentially life-threatening impairments of many autonomic functions including, but not limited to, blood pressure regulation. Despite the detrimental consequences of autonomic dysregulation, management and recovery of autonomic functions after SCI is greatly underexplored. Although impaired autonomic function may impact several organ systems, this overview will focus primarily on disruptions of cardiovascular and thermoregulation and will offer suggestions for management of these secondary effects of SCI.
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5

Sadowsky, Cristina L., Nina Mingioni, and Joseph Zinski. "A Primary Care Provider's Guide to Bone Health in Spinal Cord-Related Paralysis." Topics in Spinal Cord Injury Rehabilitation 26, no. 2 (March 2020): 128–33. http://dx.doi.org/10.46292/sci2602-128.

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Individuals with spinal cord injury/disorder (SCI/D) are at high risk for developing secondary osteoporosis. Bone loss after neurologic injury is multifactorial and is dependent on the time from and extent of neurologic injury. Most bone loss occurs in the first year after complete motor paralysis, and fractures occur most commonly in the distal femur and proximal tibia (paraplegic fracture). The 2019 International Society for Clinical Densitometry Position Statement in SCI establishes that dual-energy X-ray absorptiometry (DXA) can be used to both diagnose osteoporosis and predict lower extremity fracture risk in individuals with SCI/D. Pharmacologic treatments used in primary osteoporosis have mixed results when used for SCI/D-related osteoporosis. Ambulation, standing, and electrical stimulation may be helpful at increasing bone mineral density (BMD) in individuals with SCI/D but do not necessarily correlate with fracture risk reduction. Clinicians caring for individuals with spinal cord–related paralysis must maintain a high index of suspicion for fragility fractures and consider referral for surgical evaluation and management.
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6

Lee, Joseph, Jithin Varghese, Rose Brooks, and Benjamin J. Turpen. "A Primary Care Provider’s Guide to Accessibility After Spinal Cord Injury." Topics in Spinal Cord Injury Rehabilitation 26, no. 2 (March 2020): 79–84. http://dx.doi.org/10.46292/sci2602-79.

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Individuals with spinal cord injury (SCI) continue to have shorter life expectancies, limited ability to receive basic health care, and unmet care needs when compared to the general population. Primary preventive health care services remain underutilized, contributing to an increased risk of secondary complications. Three broad themes have been identified that limit primary care providers (PCPs) in providing good quality care: physical barriers; attitudes, knowledge, and expertise; and systemic barriers. Making significant physical alterations in every primary care clinic is not realistic, but solutions such as seeking out community partnerships that offer accessibility or transportation and scheduling appointments around an individual’s needs can mitigate some access issues. Resources that improve provider and staff disability literacy and communication skills should be emphasized. PCPs should also seek out easily accessible practice tools (SCI-specific toolkit, manuals, modules, quick reference guides, and other educational materials) to address any knowledge gaps. From a systemic perspective, it is important to recognize community SCI resources and develop collaboration between primary, secondary, and tertiary care services that can benefit SCI patients. Providers can address some of these barriers that lead to inequitable health care practices and in turn provide good quality, patient-centered care for such vulnerable groups. This article serves to assist PCPs in identifying the challenges of providing equitable care to SCI individuals.
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7

Kuemmel, Angela, Josh Basile, Anne Bryden, Ngozi Ndukwe, and Kelley Brooks Simoneaux. "A Primary Care Provider’s Guide to Social Justice, the Right to Care, and the Barriers to Access After Spinal Cord Injury." Topics in Spinal Cord Injury Rehabilitation 26, no. 2 (March 2020): 85–90. http://dx.doi.org/10.46292/sci2602-85.

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People living with spinal cord injury (SCI) face numerous barriers to primary care. This article identifies these barriers as social justice issues to emphasize their significance and the inequality of primary care received by people with SCI. Primary care providers have a responsibility to provide equal and accessible care to all patients and to remediate any obstacles to care. Understanding the well-documented barriers of competence, physical, policy and procedural, communication, and attitudes impacting primary care for people with SCI will bring much-needed awareness and opportunity for meaningful change. This article is a call to action for social justice within primary care and provides helpful recommendations for removing and addressing barriers. Better health care outcomes for people with SCI are possible if primary care physicians and providers become social justice advocates for their patients with SCI.
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8

Zebracki, Kathy, Michelle Melicosta, Cody Unser, and Lawrence C. Vogel. "A Primary Care Provider’s Guide to Pediatric Spinal Cord Injuries." Topics in Spinal Cord Injury Rehabilitation 26, no. 2 (March 2020): 91–99. http://dx.doi.org/10.46292/sci2602-91.

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Spinal cord injury (SCI) in youth presents with unique manifestations and complications as compared to adult-onset SCI. The primary care clinician must consider the physical, physiological, cognitive, and psychological changes transpiring during childhood and adolescence. Physical changes include increasing size, weight, and bladder volume. Physiologic considerations include decreasing heart rate and increasing blood pressure with age. Cognitive issues include communication, executive functioning, and self-management skills. Lastly, psychological processes involve emotional functioning and establishment of self-identify and autonomy in the context of life with SCI.
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9

Varghese, Jithin, Kim D. Anderson, Eva Widerström-Noga, and Upender Mehan. "A Primary Care Provider’s Guide to Pain After Spinal Cord Injury: Screening and Management." Topics in Spinal Cord Injury Rehabilitation 26, no. 3 (October 2020): 133–43. http://dx.doi.org/10.46292/sci2603-133.

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Individuals with spinal cord injury (SCI) often experience chronic pain as a secondary complication. It can significantly impair mental health, sleep, mood, and overall quality of life. It is important for providers within a primary care setting to recognize the different types of pain such as nociceptive and neuropathic. Various assessment tools are available to guide proper classification and subsequent management. Providers need to have a good knowledge base, structure, and patient focus when managing care. Nonpharmacological interventions are just as important and should be explored prior to or along with pharmacological interventions. Treatment modalities such as physical therapy, exercise, acupuncture, and cognitive behavioral therapy should be tailored to the individual to the greatest extent possible. Gabapentin, pregabalin, and amitriptyline have been studied extensively and are the first-line pharmacological agents for neuropathic pain. It is important to involve patients as equal stakeholders in any pain intervention with adequate lifelong follow-up. The aim of this article is to offer an overview of pain assessment, information, patient interaction, and treatment options available. Although chronic pain has remained difficult to treat successfully, primary care providers can play an integral role in delivering evidence-based and patient-centered care for managing chronic pain among individuals with SCI.
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10

Hough, Sigmund, Colleen Clemency Cordes, Lance L. Goetz, Angela Kuemmel, Jesse A. Lieberman, Linda R. Mona, Mitchell S. Tepper, and Jithin G. Varghese. "A Primary Care Provider’s Guide to Sexual Health for Individuals With Spinal Cord Injury." Topics in Spinal Cord Injury Rehabilitation 26, no. 3 (October 2020): 144–51. http://dx.doi.org/10.46292/sci2603-144.

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The collaboration with individuals regarding their sexual health is an important component of patient-centered health care. However, talking about sexual health in primary care settings is an area not fully addressed as a result of time limitations, medical task prioritization, awareness or knowledge deficit, and discomfort with the topic of sexuality. A critical shift in professional focus from disease and medical illness to the promotion of health and wellness is a prerequisite to address sexual health in the primary care setting. This article provides guidance for practitioners in primary care settings who are caring for persons with spinal cord injury. Clinicians should seize the opportunity during the encounter to reframe the experience of disability as a social construct status, moving away from the narrow view of medical condition and “find it, fix it” to a broader understanding that provides increased access to care for sexual health and sexual pleasure.
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Books on the topic "Sci26000"

1

eBusiness & eCommerce: Managing the digital value chain. Berlin: Springer, 2009.

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2

Information and Communication Technologies in Tourism 2019: Proceedings of the International Conference in Nicosia, Cyprus, January 30–February 1, 2019. Springer, 2018.

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3

Architecting the Internet of Things. Springer, 2011.

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