Disabilities Multiple

Foreign body obstruction is one of the most common causes of medical emergencies, particularly in childhood, and can lead to fatal outcomes if not treated promptly and correctly. Therefore, this study aims to examine the effect of hands-on Heimlich maneuver training for mothers of children with disabilities on the mothers' knowledge, skills, self-efficacy, and anxiety levels. Conducted as a randomized controlled trial, the study is planned to include 70 mothers (experimental group: 35, control group: 35) of children aged 1-8 years attending a private rehabilitation center in the Besni district of Adıyaman. Data collection tools will consist of a demographic information form, a Heimlich maneuver knowledge and skill test, and self-efficacy and anxiety scales. A pilot study will be conducted to evaluate the validity and reliability of the data collection tools, test their comprehensibility for the mothers, and identify potential problems that may arise during implementation. Prior to the start of the training, the knowledge levels of all mothers will be assessed via a questionnaire. The Heimlich maneuver training provided to mothers in the experimental group will be delivered hands-on using a pediatric Heimlich mannequin. One month after the training, a post-test will be administered to the mothers. Mothers in the control group will be informed about the study during the initial interview and will take a pre-test. One month after the training, the mothers will take the post-test. Mothers in the control group will be informed about the study during the initial interview and will take the pre-test. The post-test will be administered one month later, after which the mothers in this group will also receive maneuver training. The mothers' pre-test and post-test scores will be compared both within and between groups.

The purpose of this study is to evaluate whether an intervention called Pediatric Medication Therapy Management (pMTM) improves the identification and management of medication-related problems among children with medical complexity and polypharmacy.

People with disabilities (PWD) experience increased risk of diagnostic error-sometimes due to attributing symptoms to disability rather than a potentially new or co-morbid conditions. As well, some diagnoses are prone to error. Based on literature we identified the following twenty-six with ICD-10 codes: Aortic aneurysm and dissection I71.0 - I71.9; Arterial thromboembolism I74.0 - I74.9; Venous thromboembolism I82.0-I82.99 and I82.A-I82.C; Congestive heart failure I50.1-150.9; Stroke All I60, I61, I62, I63, I64; Myocardial infarction I21.0-I21.9 and I21.A-I21.B; Spinal abscess G06.0, G06.1 and G06.2; Meningitis and encephalitis G04 -G04.91; Endocarditis I33.0-I33.9 and I38; Sepsis A41.0-A41.9; Pneumonia J12.0-J95.851; Lung cancer C34.0-C34.92; Melanoma C43.0- C43.9; Colorectal cancer C18.0-C18.9; Breast cancer C50 to C50.929, and C79.81; Prostate cancer C61; Pediatric Arterial ischemic stroke I63.0-163.9xx; Appendicitis K35-K35.8xx; Asthma J45.2-J45.998; Retinal blastoma C69.20, C69.21, C60.22; Brain tumor C71.0-C71.9; Polyateritis M30.0-M30.8; Congenital heart disease Q20 - Q28 (Q24.9 particularly important); Duchense muscular dystrophy G71.0-G71.9; Inflammatory bowel disease K51.0-K51.9; Scleroderma M34.0-M34.9.The goal of this research is to identify and create understanding of what underlies and contributes to increased risk of diagnostic error with these diagnoses. The investigators plan to develop ways to reduce it, specifically ways to identify people with disabilities at risk of diagnostic error (DE). The investigators will also develop education programs and decision supports targeted to healthcare professionals. If it is effective, ways to reduce diagnostic error will have been developed among people with disabilities.

This is a single-arm community-based feasibility study examining recruitment, retention, adherence, and satisfaction with ENGAGE, a community-based intervention designed to address pandemic-related social isolation among people with disabilities. We will also examine preliminary, within-group effects on social participation. The findings of this study will inform a larger trial to examine intervention efficacy.

Chronic pain is associated with injuries and disabilities. This prospective observational study explores the injury or disability claims made by chronic pain patients. It evaluates the socio-demographics of the patient population. It explores the impact of pain clinic services on the patients' injury rehabilitation, insurance claim outcome, and socioeconomic situation.