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Purpose: To describe a pilot clinical case series of a modified ride-on car (MROC) intervention on mobility and alertness for young children with profound intellectual and multiple disabilities (PIMD).
Methods: Four young children with PIMD participated in 4 baseline observations and 5 intervention sessions (A-B design). Data collection occurred via video. Assessment of mobility and alertness duration used structured visual analysis.
Results: Three of the 4 children increased their independent mobility during the intervention sessions. One of the 4 children increased their active alertness during the intervention sessions.
Conclusions: This pilot study demonstrates the initial feasibility of an MROC intervention in a clinical setting and outcome measures of mobility and alertness for children with PIMD. This provides support that this population should be considered for power mobility in early childhood. Further, this study used a novel, caregiver-implemented prompting protocol to teach children how to use the MROC.
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http://dx.doi.org/10.1097/PEP.0000000000001002 | DOI Listing |
Medicine (Baltimore)
August 2025
Department of Prosthodontics, College of Dentistry, King Khalid University, Abha, Saudi Arabia.
Rationale: Dens invaginatus (DI) is a rare condition with a prevalence of only 0.3% to 10% mainly affecting the maxillary lateral incisors. In the present case, we describe management of the rarest variant of DI, that is, Oehler type III DI.
View Article and Find Full Text PDFMov Disord Clin Pract
July 2025
Norman Fixel Institute for Neurological Diseases, Gainesville, Florida, United States.
Background: People with Parkinson's disease (PwP) face increased risks of complications and longer hospital stays compared to the general population. Four major factors contribute to increased morbidity and mortality during hospitalization: medication timing errors, administration of harmful medications, restricted mobility, and dysphagia.
Objectives: To systematically review the literature on medication timing, contraindicated medications, mobility, and dysphagia in hospitalized PwP, and to evaluate the strength of evidence supporting the Parkinson's Foundation's consensus recommendations for inpatient care.
BMJ Case Rep
July 2025
Otorhinolaryngology, Vila Nova de Gaia Espinho Hospital Center, Vila Nova de Gaia, Portugal.
A male patient presented to the Otolaryngology Emergency Department with progressive onset of left facial, cervical and submandibular swelling and history of bleeding from the oral cavity, 5 hours following extraction of teeth 28 and 38. On physical examination, the patient had a violet-coloured, tense swelling of the left soft palate with uvular deviation, without active bleeding. Nasopharyngolaryngoscopy revealed a bulging of the pharyngeal walls up to the level of the epiglottis, with preserved laryngeal mobility.
View Article and Find Full Text PDFNIHR Open Res
June 2025
National Perinatal Epidemiology Unit, University of Oxford, Old Road Campus, Headington, Oxford, OX3 7LF, UK.
Background: Spontaneous haemoperitoneum in pregnancy (SHiP) is the occurrence during pregnancy of sudden intra-abdominal haemorrhage unrelated to extrauterine pregnancy, trauma or uterine rupture. SHiP is uncommon but is associated with preterm birth, high perinatal mortality and, more rarely, maternal mortality. We investigated the incidence of SHiP in the UK and its diagnosis, management and outcomes.
View Article and Find Full Text PDFPLoS One
June 2025
Faculty of Allied Medical Sciences, Department of Nursing, Palestine Ahliya University, Palestine.
Introduction: Early mobilization (EM) among critically ill patients is important to reduce complications such as ICU-acquired weakness and improve recovery outcomes. This study assessed factors influencing EM in Southern West Bank hospitals.
Methods: A cross-sectional study was conducted using the PERME ICU Mobility Score.