Archive for the 'Entertainment' Category
Tuesday, March 9th, 2010
The Acai Berry Benefits
Due to its known benefits a lot of people are seeking acai supplements. The acai berry was just a regular fruit until someone discovered its potential and the health benefits it can give. To fuel its popularity a tv personality introduced this fruit to the public through her talk show. As a main ingredient this fruit is found in many dietary supplements. These supplements are generally known as acai products or acai berry products. All supplements that contain acai berry and placed under this classification. People are buying these products because of the many acai berry benefits. People try acai berry products simply because they are willing to anything just to stay in shape.
Acai berry benefits are numerous. One of which is weight loss. These acai berries are best known for their capacity to help someone lose weight. This benefit is present in every single acai berry product. It is due to that reason why people that have weight issues take this kind of supplement. Another benefit is that it boosts the immune system. Due to the immune system boosting effect of acai berry products the body is capable of resisting infection. Lastly, the antioxidants help protect against toxins.
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Tuesday, March 2nd, 2010
Refreshingly Healthy: Fruit Acai Juice
Acai products are not limited to tablet forms. These acai products come in a variety of forms, one of which is the fruit acai juice. The fruit acai juice is like your usual juice, so you can take it anywhere anytime.
The fruit acai juice can be in the form of powder where you will need to max it with water or it can also come in a premixed form, no more stirring and mixing. With the accessibility and availability of the fruit acai juice you dont have an reason why you shouldnt drink it, because anyone who wants to be healthy should make this product a part of their diet.
Like other acai products, the fruit acai juice is also loaded with antioxidants and essential nutrients. So when you drink fruit acai juice you are simply drinking your way to optimum health. The antioxidant content in fruit acai juice is higher than those found in blueberries. On top of it, the essential nutrients will certainly help keep the body nourished and functioning smooth. The fruit acai juice is also ideal for those who seek weight loss.
So do you want to be in tip-top shape? Then drink fruit acai juice.
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Friday, February 26th, 2010
The Basics Of Acne Control
Acne is a natural occurrence and it is nothing new to both men and women. Part of growing up is having to go through bouts of acne, which is partly true because sometimes breakouts are triggered by hormonal changes. Other than that breakouts can also be a result of having very oily skin and clogged pores. However, when the breakouts tend to last all throughout the year then that is something else. Another term for acne is breakout. Most of us might have experienced this, but not everyone has to deal with acne for the whole year. Those people who have severe cases of acne are always on the lookout for the latest and most effective acne control products.
Unlike the past decades, acne control products are now widely available. In fact there are several products in the market that are highly suggested by users as well as medical professionals as well. For people with acne, it is always ideal for them to incorporate acne control products in their daily skin care regimen. They need to have this kind of product in order to keep the acne from growing in numbers and eventually eliminate them. Acne control products can only be effective once it is used properly. company info
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Thursday, February 25th, 2010
Why the Benefits of Tea are Good for You
For years we have heard of people talking drinking tea. We also heard them talking about how tea has changed their life. In addition to that we also heard them talking about the different kinds of tea. It is natural to get confused with the terms and variants especially if you are new at tea drinking. Tea may differ in taste, flavor as well as in the process of how its made. However, the difference doesnt matter as long as alot of people are benefitting from it, it has long been considered as a health drink and indeed it is. To keep themselves healthy our ancestors drank tea regularly. the drink has been passed down to us so we can benefit from it. There are alot of benefits from tea. Although, you will have to drink regularly in order to reaps its benefits
What are the benefits of tea? Here are some of those: it protects you from cancer because it contains antioxidants, it has less caffeine so it wont keep you and helps you relax at night, it also helps you lose weight, it improves your digestion, it strengthens your bones. The list of benefits of tea can go on. tea is healthy and the proof lies on the list of its benefits. This is the reason why tea or iced tea is the better alternative. more info
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Thursday, February 25th, 2010
How Does Kombucha Tea Work?
The word tea is often associated with little square bags known as teabags. Tea comes tea shrubs and tae bags contain crushed tea leaves. However, the Kombucha mushroom is the main source of Kombucha Tea, Kombucha.Food made from mushrooms are called broth but the Kombucha tea is different. Making Kombucha tea is a challenge because unlike a tea in a teabag, making Kombucha tea takes five to six days to complete. In addition to that you will have to find that particular type of mushroom first, once you find it you will have to allow it to mature and then you have to strain it. Kombucha tea can be made through the usual tea making process once the mushrooms are ready.
The process of making Kombucha tea is time consuming that is why this type of tea is not so popular in the West. Especially if you have to considere how people in the West lived. It may not be that popular but that Kombucha tea like other teas is still loaded with benefits. Now would be a good time to try the Kombucha Tea.blog info
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Wednesday, February 24th, 2010
The Acai Berry Study and The Truth
A lot of products sold in the market claim to have numerous benefits. Containng more than the usual amount of vitamins and minerals is another common claim made by these products. In addition, some of these products also claim to effectively aid in weight loss. Moreover, there are also products that claim to being capable of preventing cancer or treating some kind of rare disease. Without proof claims will remain as it is. Such is the case of the acai berry. Since the acai berry is said to have many health benefits the acai berry study was conducted.
The acai berry study is important because this will serve as proof to the claims made by users and producers of several acai berry products. To be reliable the acai berry study has to be conducted by scientists and other professionals that dont have any hidden agenda in order to prevent a biased result. Subjects are often selected randomly. Acai berry ensures that safety of acai berry products as well as its effectiveness. The acai berry study proves to be a reliable tool in our quest for knowledge.
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Wednesday, February 24th, 2010
Why Skin Care Matters
Everything in this world is not permanent. Everything changes, photographs fade, trees die, flowers wilt and change does not exempt humans. Each year from the day we are born, some part of our body changes. In fact the hallmark changes usually take place during puberty. Since we age each year, insignificant changes start to become noticeable especially our facial skin. Since skin is more exposed, the more is it susceptible to age prematurely that is why it is highly critical that we make skin care a main part of our daily hygiene.
Skin care is vital especially if we want to keep our skin soft and supple all the time. If we dont do skin care our skin will most probably show the symptoms of aging and not only that the possibility of having severe cases of acne and other forms of skin diseases. Skin care often involves cleansing which cleanses our skin of all forms of surface dirt, exfoliating which removes dead skin cells, which makes our skin look healthier as well as making it smoother and lastly moisturizing, this is important because when skin is well moisturized it will feel soft and supple and youthful all at the same time. It can slow down the aging process. about the author
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Wednesday, February 24th, 2010
What to Do with Cat Urine Smell
Pets can certainly take our minds of a lot of things. These pets are indeed great stress busters. For great companions you can always rely on pets. So when you feel down and no one is around your pet is always there to give offer you comfort. Pets are very loyal to their owners and also very respectful. If you trained your pet well you would really notice their obedience. It is expected that these pets will follow your every command and not only that these pets will also protect you as well.
Cats are one of those pets that people love. Other than dogs cats are the second most common household pets. Since theyre living creatures, cats do everything a person does such as eating and releasing the waste product. These are only normal thing which happen in a living creature. However, since theyre not human, cats have a habit of peeing in odd places. Oftentimes these places are hidden and not on plain sight so the smell of its pee will be the only indicator you would have that would tell you it has urinated.
The odor of cat urine is bad and could not even compare to perfume. Making it go away should be done right away. So if you notice your cat urinating somewhere clean it and use items such as sprays with a good odor to make sure the smell of cat odor does not linger. Find effective ways to combat cat urine smell blog archives
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Thursday, March 19th, 2009
title The Sky Is The limit When You Are Considering Your Own Business
/titleb The Sky Is The limit When You Are Considering Your Own Businessbr /
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If you are tired of working under someone else and feel that you have what it takes to make your own way, then you may want to think about starting your own a href=http://www.starscapes.comhome business/a. There are so many things that are possible for you to do in regards to a small a href=http://www.starscapes.comhome based business opportunity/a company, that it may take some time for you to decide what it is that you want to do. When you do come to a decision however, you will be in a position where you are in control of not only your finances but your future as well. This can be the best thing that has ever happened to you, or it can be a virtual nightmare it is entirely up to your will to succeed. br
Working With Peoplebr
If you feel that you have what it takes to deal with people on a daily basis, the perhaps your own business should consist of you selling things to the general public from your home. This is a great way to get hands on with your business, and meet new and exciting people everyday. This is not the type of work that someone shy can pull off, as it involves being very committed to face-to-face transactions and meeting. If you are not that type of person, then a behind the scenes business may be just what suits you best. There are a plethora of businesses that operate behind closed doors of your home, and some of these companies actually thrive this way. With companies such as Ebay stores, and small appliance or computer repairs, there are opportunities for just about anyone that does not want their face in the limelight. br
Staying On Targetbr
When you are going to start you own business, you are going to want to stay on target to what you intended on not only doing but where you want to be within the first year of business as well. Taking on more than you can handle while you are still a young company is not good for your self-expectations or your business either. Taking the business slow and steady will help you build steam for the long haul and you will easily increase your odds at success with the young company. You will find that you make fewer mistakes within the first years as well if you elect to take things slow and dedicated.br
New Doors Are Opening br
When you are running your own business, you will soon find that through your success there will be new doors opening up for you. This can be in regards to your business, and it can also include your personal affairs as well. When the company you started on your own starts to thrive, so too does the level of confidence that will radiate from you and others will quickly see it as well. This can help you with your business, and it can give you the opportunity to obtain new work as well. psmalla href=http://technorati.com/tag/Entertainment rel=tag target=_blank title=EntertainmentEntertainment/a/small/pcategory4,6,7/categorykeywordkeyword 4/keyword
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Friday, March 13th, 2009
Medicare program; conditions for payment of power mobility devices, including power wheelchairs and power-operated vehicles. Final rule
This final rule conforms our regulations to section 302(a)(2)(E)(iv) of the Medicare Prescription Drug, Improvement, and Modernization Act of 2003. This rule defines the term power mobility devices (PMDs) as power wheelchairs and medical scooters power operated vehicles (POVs or scooters). It sets forth revised conditions for Medicare payment of PMDs and defines who may prescribe PMDs. This rule also requires a face-to-face examination of the beneficiary by the physician or treating practitioner, a written prescription, and receipt of pertinent parts of the medical record by the supplier within 45 days after the face-to-face examination that the durable medical equipment suppliers maintain in their records and make available to CMS or its agents upon request. Finally, this rule discusses CMS’ policy on documentation that may be requested by CMS or its agents to support a Medicare claim for payment, as well as the elimination of the Certificate of Medical Necessity (CMN) for PMDs.
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Sunday, February 22nd, 2009
Reliability and validity of the power-mobility community driving assessment
The Power-Mobility Community Driving Assessment (PCDA) is a performance-based measure designed to assess driving performance of individuals using power wheelchairs or handicap scooters in community environments. This article reports the results of pilot testing and an evaluation of the assessment’s reliability and validity. Pilot testing was conducted with a random selection of Canadian occupational therapists working in the area of mobility. Although the response rate was very low, feedback confirmed the utility of the measure and contributed to one substantive scoring revision. Reliability and validity testing was conducted with a sample of 34 drivers. Internal consistency results were positive. Interrater reliability was fair to high but limited by the lack of variability in the scores. Construct validity hypotheses were tested on the relationships between PCDA scores and vision, perception, cognition, and environmental accessibility. Results indicated no relationships between the PCDA and perceptual and cognitive function and only a weak trend for a relationship with environmental accessibility. Concurrent validity was established: PCDA scores were positively associated with the judgments of therapists familiar with the driving performance of participants. In summary, the PCDA has moderate to good reliability, and content and concurrent validity results were found. More research is needed, particularly on the underlying constructs of successful driving performance. At this point, rehabilitation professionals and their clients are urged to use this assessment to establish driving performance rather than relying on assessments of perception, cognition, or environmental accessibility to predetermine whether someone will receive power mobility. Clinicians may find this a useful tool to identify where clients are able to drive safely in community settings, to identify specific learning needs, and, through those, to promote independent living for drivers of power-mobility devices.
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Saturday, February 14th, 2009
Satisfaction with technological equipment in individuals with tetraplegia following spinal cord injury
OBJECTIVE: To measure the acquisition, use and satisfaction with high technology equipment by spinal cord injured tetraplegic subjects. DESIGN AND SETTING: A questionnaire was mailed to 102 tetraplegic subjects who were hospitalised in the rehabilitation center of Kerpape (Ploemeur, France) between 1998 and 2004, and 59 subjects responded. The questionnaire asked about the use of telephones, computers, wheelchairs and environmental controls at home. RESULTS: When a piece of equipment was acquired, it was very often used. Patient satisfaction with equipment was 79.3%. Home phones and mobile phones were often used with options such as hands-free devices (78 and 59% respectively). A total of 64.4% of subjects acquired a manual wheelchair and 61% a power wheelchair. The most commonly acquired options on the power wheelchairs were the powered recline (73,7%) and tilt (71,1%) systems. All options were used but all were more desired than acquired. A total of 27.1% of subjects desired a pushrim-activated handicap scooters, but only 15.3% had acquired one; 695% of subjects had a computer. Communication was the first use for the computer (82.5%); 49.2% of subjects had acquired an environmental control system, but 20% desired one. The first reason for lack of acquisition was financial difficulties but also accessibility and information problems. The factor that influenced the acquisition and need for equipment was the degree of spinal cord injury. No other factor reduced patient satisfaction with equipment. CONCLUSION: Patients were satisfied with the equipment they acquired. But their needs, especially wheelchair options and environmental control systems, were not satisfied.
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Saturday, February 7th, 2009
Characterization of power wheelchair use in the home and community
OBJECTIVE: To characterize the use of power wheelchairs and handicap scooters to determine if multiple measures of mobility and occupancy jointly provide a more comprehensive picture of wheelchair usage and daily activity in full-time power wheelchair users than daily distance alone. DESIGN: Prospective observational study. SETTING: Subjects’ everyday mobility was measured in their homes and communities for 2 weeks, and prompted recall interviews were conducted by phone. PARTICIPANTS: A convenience sample (N=25) of nonambulatory, full-time power wheelchair users. INTERVENTIONS: Not applicable. MAIN OUTCOME MEASURES: Wheelchair usage was logged electronically, and geolocation and interview data were used to isolate chair use to (1) in the home, (2) not in the home indoors, or (3) outdoors. Distance wheeled, time spent wheeling, number of bouts, time spent in the wheelchair, and the percentage of time in the wheelchair spent wheeling were measured to describe wheelchair use. RESULTS: The median wheelchair user spent 10.6 hours (range, 5.0-16.6h) in his/her wheelchair daily and wheeled 1.085 km (range, 0.238-10.585 km) over 58 minutes (range, 16-173 min) and 110 bouts (range, 36-282 bouts). Wheelchair use varied across subjects, within subjects from day to day, and between environments. Mobility bouts outdoors were longer and faster than those wheeled indoors. In a regression analysis, distance wheeled explained only 33% of the variation in the number of bouts and 75% in the time spent wheeling. CONCLUSIONS: Power wheelchair use varies widely both within and between users. Measuring distance, time, and number of bouts provides a clearer picture of mobility patterns than measuring distance alone, whereas occupancy helps to measure wheelchair function in daily activities.
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Saturday, January 31st, 2009
Epidemiology of Medicare abuse: the example of power wheelchairs
OBJECTIVES: To determine the effect of neighborhood ethnic composition on power wheelchairs prescriptions. DESIGN: The 5% noncancer sample of Medicare recipients in the Surveillance, Epidemiology and End Results (SEER)-Medicare linked database, from 1994 to 2001. SETTING: SEER regions. PARTICIPANTS: Individuals covered by Medicare living in SEER regions without a cancer diagnosis. MEASUREMENTS: Individual characteristics (age, sex, ethnicity, justifying diagnosis, and comorbidity), primary diagnoses, neighborhood characteristics (percentage black, percentage Hispanic, percentage with <12 years education, and median income), and SEER region. RESULTS: The rate of power wheelchair prescriptions was 33 times greater in 2001 than in 1994, with a shift over time from justifying diagnoses more closely tied to mobility impairment, such as strokes, to less-specific medical diagnoses, such as osteoarthritis. In multilevel, multivariate analyses, individuals living in neighborhoods with higher percentages of blacks or Hispanics were more likely to receive power wheelchairs (odds ratios=1.09 for each 10% increase in black residents and 1.23 for each 10% increase in Hispanic residents) after controlling for ethnicity and other characteristics at the individual level. CONCLUSION: These results support allegations that marketers promoting power wheelchairs and handicap scooters have specifically targeted minority neighborhoods.
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Saturday, January 24th, 2009
Pediatric power wheelchairs: evaluation of function in the home and school environments
The purpose of this study was to compare the performance of four power wheelchairs and handicap scooters when used by children to perform a variety of indoor activities. Eight boys and eight girls performed a series of 11 functional tasks when positioned in each of four different power wheelchairs reflecting different design classes. There were no significant differences for many of the dependent variables. However, the Everaid Turbo was significantly better for functional positioning at a standard kitchen table and at school desks and for accessing objects at different heights. By contrast the Invacare Jaguar was better for straight-line driving speed. Other findings include children’s subjective impressions of the four power wheelchairs.
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Friday, January 16th, 2009
Wheelchairs, walkers, and canes: what does Medicare pay for, and who benefits
Medicare’s role in the distribution of mobility-related assistive technology has not been well documented, yet rapid growth and regional variation in spending, and concerns over “in-the-home” coverage criteria, highlight the need for facts. Using the 2001 Medicare Current Beneficiary Survey, we find that 6.2 percent percent of beneficiaries obtained mobility assistive technology under the Medicare durable medical equipment (DME) benefit. These beneficiaries were disproportionately poor, disabled, and users of both acute and postacute services. Average per item spending ranged from $52 for canes to $6,208 for power wheelchairs and handicap scooters. Among beneficiaries who acquired such technology through the DME benefit, these devices comprised just 2 percent of overall Medicare spending.
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Tuesday, January 6th, 2009
title Many Areas getting help with of meth rehab malibus /titlepb Many Areas getting help with of a href=’http://www.overcomeaddiction.com’meth rehab malibu/as /bbrThe Major Cities and Critical Areas a href=’http://www.overcomeaddiction.com’cocaine drug rehab malibu/a Initiative, described in detail in the following highlighted section, seeks to facilitate coordination among Federal, State and local authorities to help in a href=’http://www.overcomeaddiction.com’meth drug rehab malibu/a. This initiative builds on existing programs like a href=’http://www.overcomeaddiction.com’addiction medicine malibu/a Communities in order to leverage the greatest impact from Federal, State and local resources dedicated to these areas./ppsmalla href=http://technorati.com/tag/Entertainment rel=tag target=_blank title=EntertainmentEntertainment/a/small/pcategory3,5/categorykeywordkeyword 2/keyword
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Wednesday, December 31st, 2008
Distribution and cost of wheelchairs and scooters provided by Veterans Health Administration
During fiscal years 2000 and 2001, the Veterans Health Administration provided veterans with more than 131,000 power wheelchairs and medical scooters at a cost of $109 million. This national study is the first to investigate Veterans Health Administration costs in providing wheelchairs and scooters and to compare regional prescription patterns. With a retrospective design, we used descriptive methods to analyze fiscal years 2000 and 2001 National Prosthetics Patient Database data (cleaned data set of 113,724 records). Wheelchairs were categorized by function, weight, and adjustability options for meeting individual needs (e.g., axle position, camber, position of wheels, tilt, and recline options). Results displayed a cost distribution that was negatively skewed by low-cost accessories coded as wheelchairs. Of the standard manual wheelchairs, 3.5% could be considered beyond the customary cost. Regionally, 71% to 86% of all wheelchairs provided were manual wheelchairs, 5% to 11% were power wheelchairs, and 5% to 20% were scooters. The considerable variation found in the types of wheelchairs and scooters provided across Veterans Integrated Service Networks may indicate a need for evidence-based prescription guidelines and clinician training in wheeled-mobility technologies.
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Wednesday, December 17th, 2008
Considering powered mobility for individuals with stroke
medical scooters and power wheelchairs is an option that provides many disabled individuals with a means of locomotion. Stroke is the leading cause of long-term disability in this country. Unfortunately, there is currently a lack of published material that expounds on power mobility as it relates to clients who have had a stroke. We will present the benefits and considerations for choosing power wheelchairs for this client population. A brief review of seating and mobility evaluation and funding considerations is included with an emphasis on specific issues concerning stroke clients. Finally, a call for further research on this topic is presented.
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Wednesday, December 10th, 2008
Demographic and socioeconomic factors associated with disparity in wheelchair customizability among people with traumatic spinal cord injury
OBJECTIVES: To determine if a standard of care for wheelchair provision exists within the participating centers and if there is disparity in wheelchair customizability among the study sample. DESIGN: Convenience sample survey. SETTING: Thirteen Model Spinal Cord Injury Systems that provide comprehensive rehabilitation for people with traumatic spinal cord injury (SCI) and that are part of the national database funded through the US Department of Education. PARTICIPANTS: A total of 412 people with SCI who use wheelchairs over 40 hours a week. INTERVENTION: Survey information was obtained from subjects via telephone and in-person interviews and from the national database. Collected information included age, race, education, level of injury, and wheelchair funding source. MAIN OUTCOME MEASURES: Number and type (manual or power) of wheelchairs. Wheelchair customizability as defined by design features (eg, adjustable axle position, programmable controls). RESULTS: Ninety-seven percent of manual wheelchair users and 54% of power wheelchairs users had customizable wheelchairs. No power wheelchair user received a wheelchair without programmable controls. Minorities with low socioeconomic backgrounds (low income, Medicaid/Medicare recipients, less educated) were more likely to have standard manual and standard programmable power wheelchairs. Older subjects were also more likely to have standard programmable power wheelchairs and handicap scooters. CONCLUSIONS: The standard of care for manual wheelchair users with SCI is a lightweight and customizable wheelchair. The standard of care for power wheelchairs users has programmable controls. Unfortunately, socioeconomically disadvantaged people were less likely to receive customizable wheelchairs.
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Wednesday, December 3rd, 2008
Real-time head movement system and embedded Linux implementation for the control of power wheelchairs
medicare power wheelchairs has become very important for our quality of life. A loss of mobility due to an injury is usually accompanied by a loss of self-confidence. For many individuals, independent mobility is an important aspect of self-esteem. Head movement is a natural form of pointing and can be used to directly replace the joystick whilst still allowing for similar control. Through the use of embedded LINUX and artificial intelligence, a hands-free head movement wheelchair controller has been designed and implemented successfully. This system provides for severely disabled users an effective power wheelchairs control method with improved posture, ease of use and attractiveness.
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Thursday, November 27th, 2008
The ANSI/RESNA wheelchair standards: sample evaluation and guide to interpreting test data for prescribing power wheelchairs
This study is a joint project of ECRI and the National Rehabilitation Hospital, supported by a grant from the National Institute on Disability and Rehabilitation Research (NIDRR, U.S. Department of Education, Agreement No. H133E80016). ECRI is the first independent laboratory to test power wheelchairs and medicare power wheelchairs according to the standards of the Rehabilitation Engineering Society of North America (RESNA), now known as the Association for the Advancement of Rehabilitation and Assistive Technology (AART); these standards will ultimately be distributed by the American National Standards Institute (ANSI). We tested 10 power wheelchairs, which are similar in size and configuration, from seven manufacturers; all units are intended for adult use. Our testing showed that none of the sample wheelchairs are ideal for all environments in which these devices are typically needed. Each unit has advantages that should be carefully considered when specifying a power wheelchair. Numerous factors are involved in prescribing power wheelchairs, and learning the subtle differences in features and performance of a particular model and how they will affect the user is difficult. In addition, acquiring objective information about power wheelchairs from manufacturers is not typically easy. Considering these factors, and because the standards on which we based our testing do not generally provide criteria for passing or failing models under test, we did not rate the units. The purpose of this article is to present the data collected in our study, using wheelchair performance characteristics based on some parts of the ANSI/RESNA wheelchair standards, as an example of what prescribers can expect to receive from manufacturers and to provide guidance in interpreting and applying the data in writing power wheelchair prescriptions. Thus, this article provides an overview of the types of problems faced by those who specify power wheelchairs for users, the problems faced by the users themselves, and the components that are most susceptible to damage during use.
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Friday, November 21st, 2008
The clinical decision-making process of prescribing power mobility for a child with cerebral palsy
PURPOSE: Powered mobility has been shown to be an effective method for children with disabilities to achieve independent mobility. The purpose of this case report is to describe the physical therapist’s clinical decision making related to power mobility for a child with multiple disabilities. CASE DESCRIPTION: Power wheelchair evaluation for a nine-year-old child was conducted using Furumasu’s tasks for wheelchair readiness moving through a doorway, maneuvering through three cones, and medicare power wheelchairs driving in a hallway. Ongoing team assessment with family consultation informed clinical decision-making. OUTCOMES: A mid-wheel-drive chair afforded improved performance on Furumasu’s tasks compared with a rear-wheel-drive chair. SUMMARY: This case describes the clinician’s role in prescribing power wheelchairs to affect the user’s functional skills, as well as how, in the absence of evidence, clinical experience and patients’ needs can guide clinical decision-making.
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Friday, November 14th, 2008
Technological advances in powered wheelchairs
During the last 40 years, there have been revolutionary advances in power wheelchairs. These unique wheelchair systems and handicap scooters, designed for the physically immobile patient, have become extremely diversified, allowing the user to achieve different positions, including tilt, recline, and, more recently, passive standing. Because of this wide diversity of powered wheelchair products, there is a growing realization of the need for certification of wheeled mobility suppliers. Legislation in Tennessee (Consumer Protection Act for Wheeled Mobility) passed in 2003 will ensure that wheeled mobility suppliers must have Assistive Technology Supplier certification and maintain their continuing education credits when fitting individuals in wheelchairs for long-term use. Fifteen other legislative efforts are currently underway in general assemblies throughout the US. Manufacturers, dealers, hospitals, and legislators are working toward the ultimate goal of passing federal legislation delineating the certification process of wheeled mobility suppliers. The most recent advance in the design of powered wheelchairs is the development of passive standing positions. The beneficial effects of passive standing have been documented by comprehensive scientific studies. These benefits include reduction of seating pressure, decreased bone demineralization, increased bladder pressure, enhanced orthostatic circulatory regulation, reduction in muscular tone, decrease in upper extremity muscle stress, and enhanced functional status in general. In February 2003, Permobil, Inc., introduced the powered Permobil Chairman 2K Stander wheelchair, which can tilt, recline, and stand. Other companies are now manufacturing powered wheelchairs that can achieve a passive standing position. These wheelchairs include the Chief SR Powerchair, VERTRAN, and LifeStand Compact. Another new addition to the wheelchair industry is the iBOT, which can elevate the user to reach cupboards and climb stairs but has no passive standing capabilities. In addition, the physically immobile patient must be seated on an ERGODYNAMIC Seating System 2000, which is inflated by the alternating pressure compressor 8080. This seating system has a deep center seam between the two ischial-support chambers, which provides a recess for the coccyx. The pre-ischial crossbar compartment inflates during each cycle to prevent the pelvis from slipping forward. It is essential that the physician of the immobile patient order two ERGODYNAMIC Seating Systems 2000 because the patient must have an additional seating system in the case one leaks. Moreover, two compressors are necessary because each compressor must be serviced after 2500 hours of use. For the protection of the consumer, these pressure relief systems must be supplied and serviced by a Certified Rehabilitation Technology Supplier such as Wheelchair Works Inc. Despite the indisputable scientific evidence of the medical benefits of passive standing for the immobile user, few individuals have access to these revolutionary wheelchairs. Consequently, it is mandatory that the medical community, headed by specialists in physical and occupational therapy as well as rehabilitation medicine, CRTS, and manufacturers collaborate in a national education campaign to convince Medicare/Medicaid and all commercial insurance companies to approve immediately these assisted technologies. This program is essential so that the physically immobilized patient can achieve the undisputed physical benefits of passive standing.
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Saturday, November 1st, 2008
The Hephaestus Smart Wheelchair System
The Hephaestus Smart Wheelchair System is envisioned as a series of components that clinicians and wheelchair manufacturers will be able to attach to standard power wheelchairs to convert them into “smart wheelchairs.” A prototype of the system has been developed and mounted on an Everest and Jennings Lancer2000 wheelchair. The prototype bases its navigation assistance behavior on the behavior developed for the NavChair Assistive Wheelchair Navigation System, but the underlying hardware and software are being designed to facilitate commercialization. This paper describes our design goals for the Hephaestus system and discusses the current status of the system prototype as well as plans for future work for medical scooters.
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Tuesday, October 28th, 2008
What is a Mini Blind?
The long horizontal slats are held one above the other by the rungs of ladder cords shaped like a ladder. The lower ends of the legs of the ladder cords are secured to the long rail under the slats. Their upper ends are attached to the drive rod in the housing, the elongated box above the slats. As the drive rod rotates, one leg of each ladder cord moves up while the other moves down, causing the angle of the slats to change. In one design, this rotation is achieved by pushing up or pulling down on a long handle called a tilt wand connected to the drive rod by a lever. Lift cords along the ladder cords are also attached to the rail. They pass through holes in the slats and into the housing above, where they go over pulleys, combine and exit through the cord lock. For safety it’s important that the lock always work. A downward pull on the main lift cord raises the slats by the cords pulling up the rail below the slats. The cord lock holds the main lift cord to keep the slats up until the cord is pulled to release the lock. The safety lock made the cord lock easier to use. keyword 4
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Tuesday, October 28th, 2008
Testing Helps Parents and Students
In May 2006, a group of El Camino High School athletes were surveyed regarding their attitudes about meth rehab malibu testing. Of students surveyed, more than half (52.2 percent) said that the schools cocaine withdrawal malibu testing program makes it easier for them to get into cocaine drug rehab malibu.
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Entertainmentkeyword 2"> Drug Rehab Resources
Methadone: a narcotic analgesic that is an effective substitute for heroin, morphine, codeine, and other opiate derivatives.
Naltrexone: an opioid antagonist that blocks the effects of opioids, such as heroin, thereby discouraging their use.
Buprenorphine: a medication still in the experimental stage that exhibits mixed opioid-like and opioid-antagonist properties.
Long-acting opioid maintenance compounds: drug detox los angeless, such as LAAM (levo-alpha-acetylmethadol), that overcome the need for the daily clinic attendance that is required by methadone maintenance.
Many inmates participate in outpatient drug detox malibu, which includes a range of protocols, from highly professional psychotherapies to informal peer discussions.
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Saturday, October 25th, 2008
Drug Rehab Resources
Methadone: a narcotic analgesic that is an effective substitute for heroin, morphine, codeine, and other opiate derivatives.
Naltrexone: an opioid antagonist that blocks the effects of opioids, such as heroin, thereby discouraging their use.
Buprenorphine: a medication still in the experimental stage that exhibits mixed opioid-like and opioid-antagonist properties.
Long-acting opioid maintenance compounds: drug detox los angeless, such as LAAM (levo-alpha-acetylmethadol), that overcome the need for the daily clinic attendance that is required by methadone maintenance.
Many inmates participate in outpatient drug detox malibu, which includes a range of protocols, from highly professional psychotherapies to informal peer discussions.
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Saturday, October 25th, 2008
Rehab Programs
Treatment provided in alcohol rehab rehab programs includes a wide array of options including medical and therapeutic, coupled with counseling and group support. Treatment centers can be offered through social services of the government for those addicts who have no resources to pay for the growing cost of privately owned detox dallas treatment centers.
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Saturday, October 25th, 2008
Welcome to Red Badge Oregon.
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