cometadata/datacite-titles-descriptions-related-identifiers huggingface dataset:
DOI: 10.6084/m9.figshare.29665886
title: An evaluation of mobility in the intensive care unit – one size may not fit all

description: Patients who step to a chair on ICU discharge experience better post-intensive care unit (ICU) management and in-hospital outcomes. Evidence identifying patients more or less likely to achieve this milestone is limited. This service evaluation identifies factors associated with achieving a step transfer on ICU discharge and explores its relationship with rehabilitation delivery. A retrospective analysis of 355 consecutive patients admitted to a UK general ICU for ≥5 days was conducted. Multivariable logistic regression analysed demographic and clinical variables for independence of association with achieving a step to a chair (Manchester Mobility Score [MMS] ≥ 5) on ICU discharge. Absence of ICU-Acquired Weakness (ICU-AW) was independently associated with achieving MMS ≥5 on ICU discharge (OR 6.09 95% CI 1.24 to 29.80 <i>p</i> = 0.03). Patients achieving MMS ≥5 on first mobility utilised less rehabilitation resource (MMS ≥5 4 sessions vs MMS ≤4 7, <i>p</i> &lt; 0.001), achieving higher discharge mobility levels (MMS 7 vs 5, <i>p</i> &lt; 0.001) in a shorter time frame (3 days vs 6, <i>p</i> &lt; 0.001). Rehabilitation interventions should be prioritised for patients presenting with ICU-AW. Resources should be reappropriated to patients not achieving MMS ≥5 on their first mobility in ICU, to deliver impairment focussed and individualised rehabilitation. Patients who achieve a step transfer to a chair prior to Intensive Care Unit (ICU) discharge have better post-ICU management and in-hospital outcomes, although studies to date have not explored which patients are less likely to achieve this mobility milestonePatients who achieve a step transfer early in admission are likely to have lower therapy requirementsPatients with ICU – Acquired Weakness are less likely to achieve a step transfer on ICU dischargeIt is possible to reallocate therapy resource to those vulnerable to missing mobility milestones and to ensure targeted and individualised rehabilitation Patients who achieve a step transfer to a chair prior to Intensive Care Unit (ICU) discharge have better post-ICU management and in-hospital outcomes, although studies to date have not explored which patients are less likely to achieve this mobility milestone Patients who achieve a step transfer early in admission are likely to have lower therapy requirements Patients with ICU – Acquired Weakness are less likely to achieve a step transfer on ICU discharge It is possible to reallocate therapy resource to those vulnerable to missing mobility milestones and to ensure targeted and individualised rehabilitation
DOI: 10.6084/m9.figshare.29665886.v1
title: An evaluation of mobility in the intensive care unit – one size may not fit all

description: Patients who step to a chair on ICU discharge experience better post-intensive care unit (ICU) management and in-hospital outcomes. Evidence identifying patients more or less likely to achieve this milestone is limited. This service evaluation identifies factors associated with achieving a step transfer on ICU discharge and explores its relationship with rehabilitation delivery. A retrospective analysis of 355 consecutive patients admitted to a UK general ICU for ≥5 days was conducted. Multivariable logistic regression analysed demographic and clinical variables for independence of association with achieving a step to a chair (Manchester Mobility Score [MMS] ≥ 5) on ICU discharge. Absence of ICU-Acquired Weakness (ICU-AW) was independently associated with achieving MMS ≥5 on ICU discharge (OR 6.09 95% CI 1.24 to 29.80 <i>p</i> = 0.03). Patients achieving MMS ≥5 on first mobility utilised less rehabilitation resource (MMS ≥5 4 sessions vs MMS ≤4 7, <i>p</i> &lt; 0.001), achieving higher discharge mobility levels (MMS 7 vs 5, <i>p</i> &lt; 0.001) in a shorter time frame (3 days vs 6, <i>p</i> &lt; 0.001). Rehabilitation interventions should be prioritised for patients presenting with ICU-AW. Resources should be reappropriated to patients not achieving MMS ≥5 on their first mobility in ICU, to deliver impairment focussed and individualised rehabilitation. Patients who achieve a step transfer to a chair prior to Intensive Care Unit (ICU) discharge have better post-ICU management and in-hospital outcomes, although studies to date have not explored which patients are less likely to achieve this mobility milestonePatients who achieve a step transfer early in admission are likely to have lower therapy requirementsPatients with ICU – Acquired Weakness are less likely to achieve a step transfer on ICU dischargeIt is possible to reallocate therapy resource to those vulnerable to missing mobility milestones and to ensure targeted and individualised rehabilitation Patients who achieve a step transfer to a chair prior to Intensive Care Unit (ICU) discharge have better post-ICU management and in-hospital outcomes, although studies to date have not explored which patients are less likely to achieve this mobility milestone Patients who achieve a step transfer early in admission are likely to have lower therapy requirements Patients with ICU – Acquired Weakness are less likely to achieve a step transfer on ICU discharge It is possible to reallocate therapy resource to those vulnerable to missing mobility milestones and to ensure targeted and individualised rehabilitation
DOI: 10.6084/m9.figshare.29881537
title: Implementing rehabilitation-led management of obstructive sleep apnoea in a spinal cord injury rehabilitation centre: a mixed-methods evaluation

description: The aim of this study was to evaluate the feasibility of an alternative, rehabilitation-led model for managing obstructive sleep apnoea (OSA) in an Australian spinal cord injury (SCI) inpatient rehabilitation centre. The mixed-methods evaluation included quantitative analysis of clinical data and qualitative interviews with staff and patients to assess reach, effectiveness, adoption, acceptability, implementation, and sustainability (RE-AIM framework) of the OSA care model. During the 12-month pilot, 48 inpatients were screened, 24 were assessed for OSA, 12 were diagnosed and recommended treatment, 6 commenced continuous positive airway pressure (CPAP) therapy, and 4 were discharged on CPAP. No adverse events were recorded. Clinical staff reported significant benefits to patient care and improved knowledge about sleep and respiratory issues. Insufficient staff time and skills resulted in significant barriers to initiating treatment with CPAP. This is the first time an Australian SCI rehabilitation centre has implemented a rehabilitation-led OSA care model. Assessing and diagnosing OSA in the inpatient unit was feasible and sustainable but initiating treatment required additional staffing and ongoing training. Scaled implementation of rehabilitation-led OSA care could significantly improve access to OSA treatments and quality of life for people living with SCI.Implications for rehabilitationObstructive sleep apnoea (OSA) is the most common sleep disorder in spinal cord injury (SCI); yet it is under-diagnosed and under-treated.To improve access to care, an Australian SCI inpatient rehabilitation centre adapted and implemented an alternative, rehabilitation-led model of managing OSA.The alternative care model was safe, acceptable to staff and patients, and improved access to OSA assessments and treatments.Rehabilitation-led management of non-complicated OSA has the potential to improve outcomes for people living with SCI.To be sustainable, the rehabilitation-led care model should be adequately staffed with ongoing staff training opportunities available. Obstructive sleep apnoea (OSA) is the most common sleep disorder in spinal cord injury (SCI); yet it is under-diagnosed and under-treated. To improve access to care, an Australian SCI inpatient rehabilitation centre adapted and implemented an alternative, rehabilitation-led model of managing OSA. The alternative care model was safe, acceptable to staff and patients, and improved access to OSA assessments and treatments. Rehabilitation-led management of non-complicated OSA has the potential to improve outcomes for people living with SCI. To be sustainable, the rehabilitation-led care model should be adequately staffed with ongoing staff training opportunities available.
DOI: 10.6084/m9.figshare.29881537.v1
title: Implementing rehabilitation-led management of obstructive sleep apnoea in a spinal cord injury rehabilitation centre: a mixed-methods evaluation

description: The aim of this study was to evaluate the feasibility of an alternative, rehabilitation-led model for managing obstructive sleep apnoea (OSA) in an Australian spinal cord injury (SCI) inpatient rehabilitation centre. The mixed-methods evaluation included quantitative analysis of clinical data and qualitative interviews with staff and patients to assess reach, effectiveness, adoption, acceptability, implementation, and sustainability (RE-AIM framework) of the OSA care model. During the 12-month pilot, 48 inpatients were screened, 24 were assessed for OSA, 12 were diagnosed and recommended treatment, 6 commenced continuous positive airway pressure (CPAP) therapy, and 4 were discharged on CPAP. No adverse events were recorded. Clinical staff reported significant benefits to patient care and improved knowledge about sleep and respiratory issues. Insufficient staff time and skills resulted in significant barriers to initiating treatment with CPAP. This is the first time an Australian SCI rehabilitation centre has implemented a rehabilitation-led OSA care model. Assessing and diagnosing OSA in the inpatient unit was feasible and sustainable but initiating treatment required additional staffing and ongoing training. Scaled implementation of rehabilitation-led OSA care could significantly improve access to OSA treatments and quality of life for people living with SCI.Implications for rehabilitationObstructive sleep apnoea (OSA) is the most common sleep disorder in spinal cord injury (SCI); yet it is under-diagnosed and under-treated.To improve access to care, an Australian SCI inpatient rehabilitation centre adapted and implemented an alternative, rehabilitation-led model of managing OSA.The alternative care model was safe, acceptable to staff and patients, and improved access to OSA assessments and treatments.Rehabilitation-led management of non-complicated OSA has the potential to improve outcomes for people living with SCI.To be sustainable, the rehabilitation-led care model should be adequately staffed with ongoing staff training opportunities available. Obstructive sleep apnoea (OSA) is the most common sleep disorder in spinal cord injury (SCI); yet it is under-diagnosed and under-treated. To improve access to care, an Australian SCI inpatient rehabilitation centre adapted and implemented an alternative, rehabilitation-led model of managing OSA. The alternative care model was safe, acceptable to staff and patients, and improved access to OSA assessments and treatments. Rehabilitation-led management of non-complicated OSA has the potential to improve outcomes for people living with SCI. To be sustainable, the rehabilitation-led care model should be adequately staffed with ongoing staff training opportunities available.
DOI: 10.6084/m9.figshare.29967185.v1
title: Hearing loss and hearing aid stigma in low- and middle-income settings: a scoping review

description: Stigma has been reported as a key barrier to hearing aid uptake. This scoping review explores evidence of reported stigma associated with hearing loss and hearing aids in low- and middle-income (LMI) settings. Four databases were searched to identify studies published up to 6 November 2024. Studies mentioning stigma in relation to hearing loss or hearing aids in LMI countries or LMI settings within high-income countries were included. A narrative synthesis was conducted. Twenty-nine studies were included, with 26 conducted in LMI countries and three in LMI settings within high-income countries. Two main domains were identified: (a) stigma experienced by individuals with hearing loss, ear disease, or hearing aids and (b) experiences of stigma reported by direct communication partners. Four themes emerged from affected individuals, including (a) internalized stigma, (b) social stigma, (c) cultural beliefs, and (d) barriers to help-seeking. Communication partners’ themes included (a) perception of individuals with hearing loss, (b) impact on relationships, and (c) cultural beliefs. Unique theme in LMIs is cultural beliefs that hearing loss is associated with witchcraft and curses. A limited number of studies were identified but emphasized cultural and religious beliefs as important contributing factors to stigma in LMIs. Stigma related to hearing loss and hearing aids in low- and middle-income (LMI) settings presents a significant barrier to help-seeking and device adoption. Community-based education and culturally sensitive interventions are essential to addressing stigma and promoting hearing healthcare uptake. Targeting both individuals with hearing loss and their communication partners can help reduce negative perceptions. Rehabilitation strategies should incorporate cultural and religious beliefs to effectively address stigma unique to LMI settings, such as associations with witchcraft and curses.
DOI: 10.15468/dl.tw4abk
title: Occurrence Download

description: A dataset containing 0 species occurrences available in GBIF matching the query:
{
 "and" : [
 "HasGeospatialIssue is false",
 "HasCoordinate is true",
 "OccurrenceStatus is Present",
 {
 "not" : {
 "BasisOfRecord" : [
 "is one of (Fossil, Living Specimen)"
 ]
 }
 },
 "DistanceFromCentroidInMeters is greater than or equal to 2000",
 "Geometry POLYGON ((105.610544 14.999999, 179.999961 14.999999, 179.999961 65.08290100000001, 105.610544 65.08290100000001, 105.610544 14.999999))",
 "TaxonKey is Fowleria flammea"
 ]
}

 The dataset includes 0 records from 0 constituent datasets; see https://api.gbif.org/v1/occurrence/download/0004293-260226173443078/datasets/export for details.
DOI: 10.6084/m9.figshare.29862278
title: Impact of visual impairment on work participation from the perspectives of patients and professionals: a concept mapping study

description: Visual impairments (VI) substantially impact work participation, with persistently low employment rates despite re-integration programs and supportive legislation. This study explored factors influencing work participation among persons with VI. Using concept mapping and purposive sampling, we gathered insights impacting work participation from patients with VI and professionals. These key stakeholders initially identified items (76 VI patients and 25 professionals), which were subsequently rated for importance and categorized into conceptually common themes (61 VI patients and 47 professionals). The final concept map comprised 105 distinct vision-related items, grouped into 9 thematic clusters ranked by importance: personal competences and self-awareness; conditions for workplace adjustments; mobility/commuting and ICT; support and awareness working environment; organizations, regulations and expertise; personal development and social environment/network; professional support for work; physical workplace; task performance. Importance scores ranged from 3.6 to 4.3 on 5-point scale, indicating overall relevance. Differences emerged based on participant type, VI severity, and nationality. This study provides a consensus-based framework identifying key factors essential for understanding work participation in individuals with VI. Findings highlight the need for multi-level strategies, addressing individual, organizational and societal factors, to enhance sustainable employment through improved interventions, validated assessment tools, policies, and workplace adaptations. Having a visual impairment (VI) affects multiple life domains, particularly work participation, which remains low despite reintegration programs and supportive legislation.Using concept mapping has provided a consensus-based framework identifying key factors and themes essential for understanding work participation affected by VI.Addressing individual, organizational, and societal domains through multi-level strategies should further improve employment outcomes for persons with VI. Having a visual impairment (VI) affects multiple life domains, particularly work participation, which remains low despite reintegration programs and supportive legislation. Using concept mapping has provided a consensus-based framework identifying key factors and themes essential for understanding work participation affected by VI. Addressing individual, organizational, and societal domains through multi-level strategies should further improve employment outcomes for persons with VI.
DOI: 10.6084/m9.figshare.29862278.v1
title: Impact of visual impairment on work participation from the perspectives of patients and professionals: a concept mapping study

description: Visual impairments (VI) substantially impact work participation, with persistently low employment rates despite re-integration programs and supportive legislation. This study explored factors influencing work participation among persons with VI. Using concept mapping and purposive sampling, we gathered insights impacting work participation from patients with VI and professionals. These key stakeholders initially identified items (76 VI patients and 25 professionals), which were subsequently rated for importance and categorized into conceptually common themes (61 VI patients and 47 professionals). The final concept map comprised 105 distinct vision-related items, grouped into 9 thematic clusters ranked by importance: personal competences and self-awareness; conditions for workplace adjustments; mobility/commuting and ICT; support and awareness working environment; organizations, regulations and expertise; personal development and social environment/network; professional support for work; physical workplace; task performance. Importance scores ranged from 3.6 to 4.3 on 5-point scale, indicating overall relevance. Differences emerged based on participant type, VI severity, and nationality. This study provides a consensus-based framework identifying key factors essential for understanding work participation in individuals with VI. Findings highlight the need for multi-level strategies, addressing individual, organizational and societal factors, to enhance sustainable employment through improved interventions, validated assessment tools, policies, and workplace adaptations. Having a visual impairment (VI) affects multiple life domains, particularly work participation, which remains low despite reintegration programs and supportive legislation.Using concept mapping has provided a consensus-based framework identifying key factors and themes essential for understanding work participation affected by VI.Addressing individual, organizational, and societal domains through multi-level strategies should further improve employment outcomes for persons with VI. Having a visual impairment (VI) affects multiple life domains, particularly work participation, which remains low despite reintegration programs and supportive legislation. Using concept mapping has provided a consensus-based framework identifying key factors and themes essential for understanding work participation affected by VI. Addressing individual, organizational, and societal domains through multi-level strategies should further improve employment outcomes for persons with VI.
DOI: 10.6084/m9.figshare.29967185
title: Hearing loss and hearing aid stigma in low- and middle-income settings: a scoping review

description: Stigma has been reported as a key barrier to hearing aid uptake. This scoping review explores evidence of reported stigma associated with hearing loss and hearing aids in low- and middle-income (LMI) settings. Four databases were searched to identify studies published up to 6 November 2024. Studies mentioning stigma in relation to hearing loss or hearing aids in LMI countries or LMI settings within high-income countries were included. A narrative synthesis was conducted. Twenty-nine studies were included, with 26 conducted in LMI countries and three in LMI settings within high-income countries. Two main domains were identified: (a) stigma experienced by individuals with hearing loss, ear disease, or hearing aids and (b) experiences of stigma reported by direct communication partners. Four themes emerged from affected individuals, including (a) internalized stigma, (b) social stigma, (c) cultural beliefs, and (d) barriers to help-seeking. Communication partners’ themes included (a) perception of individuals with hearing loss, (b) impact on relationships, and (c) cultural beliefs. Unique theme in LMIs is cultural beliefs that hearing loss is associated with witchcraft and curses. A limited number of studies were identified but emphasized cultural and religious beliefs as important contributing factors to stigma in LMIs. Stigma related to hearing loss and hearing aids in low- and middle-income (LMI) settings presents a significant barrier to help-seeking and device adoption. Community-based education and culturally sensitive interventions are essential to addressing stigma and promoting hearing healthcare uptake. Targeting both individuals with hearing loss and their communication partners can help reduce negative perceptions. Rehabilitation strategies should incorporate cultural and religious beliefs to effectively address stigma unique to LMI settings, such as associations with witchcraft and curses.
DOI: 10.34740/kaggle/dsv/14993589
title: Pakistan Travel Multi Service Dataset