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Search Results: 1 - 10 of 196 matches for " Leanne Sakzewski "
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A systematic review of the psychometric properties of Quality of Life measures for school aged children with cerebral palsy
Stacey Carlon, Nora Shields, Katherine Yong, Rose Gilmore, Leanne Sakzewski, Roslyn Boyd
BMC Pediatrics , 2010, DOI: 10.1186/1471-2431-10-81
Abstract: Relevant outcome measures were identified by searching 8 electronic databases, supplemented by citation tracking. Two independent reviewers completed data extraction and analysis of the measures using a modified version of the CanChild Outcome Measures Rating Form.From the 776 papers identified 5 outcome measures met the inclusion criteria: the Care and Comfort Hypertonicity Questionnaire (C&CHQ), the Caregiver Priorities and Child Health Index of Life with Disabilities (CPCHILD), CP QOL-Child, DISABKIDS and PedsQL 3.0 CP Module. There was evidence of construct validity for all five measures. Content validity was reported for all measures except PedsQL 3.0. The CPCHILD and CP QOL-Child were the only outcome measures to have reported data on concurrent validity. All measures, with the exception of one (C&CHQ) provided evidence of internal reliability. The CPCHILD and the CP-QOL-Child had evidence of test-retest reliability and DISABKIDS had evidence of inter-rater reliability. There were no published data on the responsiveness of these outcome measures.The CPCHILD and the CP QOL-Child demonstrated the strongest psychometric properties and clinical utility. Further work is needed, for all measures, on data for sensitivity to change.Cerebral Palsy (CP) defines a group of conditions, arising from an injury to the developing brain and occurs in 2.0 children per 1000 live births [1]. In addition to the disturbances of movement and posture including spasticity, muscle weakness and reduced coordination, common impairments of children with CP include disturbances of sensation, perception, cognition, communication, behaviour, epilepsy, and secondary musculoskeletal problems [2]. Reduced activity levels and participation restrictions due to these impairments may lead to a reduced quality of life (QOL), compared to their typically developing peers [3-5]. The World Health Organization (WHO) defines QOL as "an individual's perception of their position in life in the context of th
Evaluation of the effects of botulinum toxin A injections when used to improve ease of care and comfort in children with cerebral palsy whom are non-ambulant: a double blind randomized controlled trial
Megan Thorley, Samantha Donaghey, Priya Edwards, Lisa Copeland, Megan Kentish, Kim McLennan, Jayne Lindsley, Laura Gascoigne-Pees, Leanne Sakzewski, Roslyn N Boyd
BMC Pediatrics , 2012, DOI: 10.1186/1471-2431-12-120
Abstract: This study is a double blind randomized controlled trial. Forty participants will be recruited. In cycle I, participants will be randomized to either a treatment group who will receive BoNT-A injections into selected upper and/or lower limb muscles, or a control group who will undergo sham injections. Both groups will receive occupational therapy and /or physiotherapy following injections. Groups will be assessed at baseline then compared at 4 and 16 weeks following injections or sham control. Parents, treating clinicians and assessors will be masked to group allocation. In cycle II, all participants will undergo intramuscular BoNT-A injections to selected upper and/or lower limb muscles, followed by therapy.The primary outcome measure will be change in parent ratings in identified areas of concern for their child’s care and comfort, using the Canadian Occupational Performance Measure (COPM). Secondary measures will include the Care and Comfort Hypertonicity Scale (ease of care), the Cerebral Palsy Quality of Life Questionnaire (CP QoL–Child) (quality of life), the Caregiver Priorities and Child Health Index of Life with Disabilities Questionnaire (CPCHILD?) (health status) and the Paediatric Pain Profile (PPP) (pain). Adverse events will be carefully monitored by a clinician masked to group allocation.This paper outlines the theoretical basis, study hypotheses and outcome measures for a trial of BoNT-A injections and therapy for children with non-ambulant CP.Australia New Zealand Clinical Trials Registry:N12609000360213Cerebral palsy (CP) is “a group of permanent disorders of the development of movement and posture, causing activity limitation, that are attributed to non-progressive disturbances that occurred in the developing fetal or infant brain”. [1] p.9 Classification systems have been developed to indicate the severity of functional limitations in CP. The Gross Motor Function Classification System (GMFCS), developed by Palisano and colleagues in 1997, has bec
INCITE: A randomised trial comparing constraint induced movement therapy and bimanual training in children with congenital hemiplegia
Roslyn Boyd, Leanne Sakzewski, Jenny Ziviani, David F Abbott, Radwa Badawy, Rose Gilmore, Kerry Provan, Jacques-Donald Tournier, Richard AL Macdonell, Graeme D Jackson
BMC Neurology , 2010, DOI: 10.1186/1471-2377-10-4
Abstract: A matched pairs randomised comparison design will be used with children matched by age, gender, side of hemiplegia and level of upper limb function. Based on power calculations a sample size of 52 children (26 matched pairs) will be recruited. Children will be randomised within pairs to receive either CIMT or BIM training. Both interventions will use an intensive activity based day camp model, with groups receiving the same dosage of intervention delivered in the same environment (total 60 hours over 10 days). A novel circus theme will be used to enhance motivation. Groups will be compared at baseline, then at 3, 26 and 52 weeks following intervention. Severity of congenital hemiplegia will be classified according to brain structure (MRI and white matter fibre tracking), cortical excitability using Transcranial Magnetic Stimulation (TMS), functional use of the hand in everyday tasks (Manual Ability Classification System) and Gross Motor Function Classification System (GMFCS). Outcomes will address neurovascular changes (functional MRI, functional connectivity), and brain (re)organisation (TMS), body structure and function (range of motion, spasticity, strength and sensation), activity limitations (upper limb unimanual capacity and bimanual motor coordination), participation restrictions (in home, school and recreation), environmental (barriers and facilitators to participation) and quality of life.This paper outlines the theoretical basis, study hypotheses and outcome measures for a matched pairs randomised trial comparing CIMT and BIM training to improve outcomes across the ICF.ACTRN12609000912280Cerebral palsy (CP) is the leading cause of childhood disability with an incidence of 1 in 500 live births[1]. Hemiplegia accounts for 35% (1 in 1300) of these children and upper limb (UL) involvement is usually more pronounced than the lower limb[2]. Management of long-term disability and the burden of care on both the health care system and families are substantial. Rece
Nutrition Screening and Referrals in Two Rural Australian Oncology Clinics  [PDF]
Emma Bohringer, Leanne Brown
Food and Nutrition Sciences (FNS) , 2016, DOI: 10.4236/fns.2016.712103
Abstract: Malnutrition is common, and is a significant contributing factor to morbidity and mortality in the oncology setting. Previous research suggests that dietetic services in rural oncology clinics need to be well organized, timely and flexible with routine screening processes. In the absence of routine nutrition screening, it is hypothesized that oncology patients are only referred to dietetic services when malnutrition is overt or advanced. The aim of this study was to describe and compare dietetic services in two rural Australian oncology clinics and investigate nutrition screening and referral practices to determine if oncology patients at nutritional risk were appropriately referred. A retrospective file audit of medical and treatment records was conducted for a sample of oncology patients to determine the proportion of patients at risk of malnutrition by using the Malnutrition Screening Tool retrospectively. Dietetic treatment statistics and key stakeholders were consulted to compare dietetic service provision across the two sites. Seventy-eight percent of patients (n = 129) were retrospectively determined to be at nutritional risk during the study period, however, only 66% of these patients were referred to a dietitian. Dietetic treatment statistics varied across the two sites ranging from 26 to 62 treated patients, an average of 2.4 to 4.5 dietetic interventions per patient and an average difference in patient intervention time of 62 minutes during the 12-month study period. This study confirmed findings from previous research, highlighting that without routine nutrition screening in oncology, at least one third of patients at nutritional risk were failing to be identified and referred to dietetic services for appropriate treatment. Routine nutrition screening should be implemented to standardise and prioritise dietetic service provision, and oncology specific funding should be allocated to the dietetic service to ensure that staffing is adequate to provide a timely service.
Profile: Leanne Baldwin
Leanne Baldwin
Partnership : the Canadian Journal of Library and Information Practice and Research , 2011,
Abstract:
International Mindedness and ‘Social Control’
Leanne Cause
Asian Social Science , 2009, DOI: 10.5539/ass.v5n9p32
Abstract: This research project explored effective ways of developing international mindedness. International mindedness is a term that now appears in the mission statement of many international schools yet there is a need for a clearer account of ways in which to develop internationally minded students. Many teachers and researchers leave the development of international mindedness to fate. However, external and internal forces such as planning, school practices and rituals, each teacher’s own actions, attitudes and behaviours, can all work to inhibit or foster the development of international mindedness in students. This paper discusses some of the outcomes from this recent research project focusing in particular on the positive implications inquiry learning can have on the development of international mindedness in an International Baccalaureate school implementing the Primary Years Program. It is argued that through inquiry learning and other processes in the curriculum, assessment and pedagogy, international schools can achieve the goals of their mission statement in a way that allows each student to come to their own realisation of international mindedness.
Bernstein’s Code Theory and the Educational Researcher
Leanne Cause
Asian Social Science , 2010, DOI: 10.5539/ass.v6n5p3
Abstract: This paper explores the applicability of Bernstein’s most recent development of his code theory to educational research. It is argued that by using his code theory as a theoretical framework of a project, one can provide a language of description from which to make explicit the ways in which knowledge is relayed through the curriculum, assessment and pedagogy within an educational organization. Although complex, for the educational researcher that is brave enough to invest the energy and time necessary to understand his work, his literature and empirical research provides a unique and very convincing way of viewing the ways in which society reproduces difference and social status through the relationships of the distribution of power, class relations, communication codes (restricted and elaborated) and the principals of control (1975, 1990, 2000; Dickinson & Erben, 1995).
Leaks
Leanne Simpson
Decolonization : Indigeneity, Education & Society , 2013,
Abstract: Audio track credits: Leanne Simpson: spoken word. Tara Williamson: vocals & piano. James McKenty: sound engineer. The track "Leaks" will be released as part of a spoken word/music album alongside Islands of Decolonial Love, a book of short stories and poetry, both to be released in the Fall of 2013 by Arbeiter Ring Publishing.
Celiac Disease Knowledge and Practice of Dietitians in Rural New South Wales, Australia  [PDF]
Leah Goodyer, Leanne J. Brown, Elesa Crowley
Food and Nutrition Sciences (FNS) , 2016, DOI: 10.4236/fns.2016.710087
Abstract: This study aimed to evaluate dietetic practices for patients with celiac disease and knowledge of celiac disease amongst rural dietitians. This study comprised of two parts: 1) a retrospective file audit of patients with celiac disease attending a rural dietetic outpatient clinic in NSW, Australia from 2007 to 2014 and 2) a cross-sectional survey of 25 dietitians within a rural Local Health District in NSW. Celiac disease related knowledge and diet therapy practices were assessed. Data were reported using descriptive statistics. The patient file audit (n = 17) indicated that the majority of patients (59%) had no follow-up with a dietitian. Education topics provided by dietitians included gluten-free food options (53%) and label reading (41%). Dietitians (n = 18, 72% response rate) achieved a mean score of 73% (range 48% - 90%) for celiac disease related food knowledge and 69% (range 50% - 90%) for screening and diagnosis knowledge. Perceived barriers for compliance with a gluten-free diet included limited access to dietitians, as well as limited availability and cost of gluten-free products. Current practices of rural-based dietitians in NSW are variable for patients with celiac disease, suggesting that evidence-based guidelines and continuing education are needed for rural-based dietitians in the specialized area of celiac disease.
Work related musculoskeletal disorders amongst therapists in physically demanding roles: qualitative analysis of risk factors and strategies for prevention
Leanne Passier, Steven McPhail
BMC Musculoskeletal Disorders , 2011, DOI: 10.1186/1471-2474-12-24
Abstract: A two phase exploratory investigation was undertaken. The first phase included a survey administered via a web based platform with qualitative open response items. The second phase involved four focus group sessions which explored topics obtained from the survey. Thematic analysis of qualitative data from the survey and focus groups was undertaken.Overall 112 (34.3%) of invited health professionals completed the survey; 66 (58.9%) were physiotherapists and 46 (41.1%) were occupational therapists. Twenty-four health professionals participated in one of four focus groups. The risk factors most frequently perceived by health professionals included: work postures and movements, lifting or carrying, patient related factors and repetitive tasks. The six primary themes for strategies to allow therapists to continue to work in physically demanding clinical roles included: organisational strategies, workload or work allocation, work practices, work environment and equipment, physical condition and capacity, and education and training.Risk factors as well as current and potential strategies for reducing WRMD amongst these health professionals working in clinically demanding roles have been identified and discussed. Further investigation regarding the relative effectiveness of these strategies is warranted.High rates of employee injury within the health care industry are well documented[1-16]. Previous reports regarding the incidence of work related musculoskeletal disorders (WRMD) indicate that physiotherapy (also known as physical therapy) and occupational therapy are two professions that are at high risk [5,11,14,16]. Studies amongst physiotherapists (PT) have revealed as many as 91% experience WRMD during their career[5] with recurrence rates of up to 88%[16]. It has also been reported that 80% of PT experience symptoms in at least one body area over a 12 month period [5]. One in six PT have been reported to change their area of specialty or leave the profession as a resul
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