Search

OBJECTIVE: Intensive rehabilitation aims to improve and maintain functioning in young people who experience disability due to illness or injury. Day rehabilitation may have advantages for families and healthcare systems over inpatient models of rehabilitation. METHODS: This study evaluated the goals and outcomes of a cohort of young people in Western Australia who attended a specialist intensive day rehabilitation programme ("iRehab") at Perth Children's Hospital. Analysis of the iRehab service database was performed. Rehabilitation goals and outcomes were recorded as per the Canadian Occupational Performance Measure (COPM), Children's Functional Independence Measure (WeeFIM), and Goal Attainment Scale (GAS). RESULTS: There were 586 iRehab admissions between August 11, 2011, and December 31, 2018. Admissions were divided by diagnosis: Cerebral Palsy (228, 38.5%), Acquired Brain Injury (125, 21.3%), Spinal Cord Disorders (91, 15.5%), and Other (141, 24.2%). Mean COPM Performance increased by 2.78 points from admission to discharge (95% CI 2.58 to 2.98, p < 0.001). Mean COPM Satisfaction was 3.29 points higher at discharge than admission (95% CI 3.07 to 3.51, p < 0.001). Mean total WeeFIM score improved by 6.51 points between admission and discharge (95% CI 5.56 to 7.45, p < 0.001), and by 3.33 additional points by six months post discharge (95% CI 2.14 to 4.53, p < 0.001). Mean GAS T-scores increased by 27.85 (95% CI 26.73 to 28.97, p < 0.001) from admission to discharge, and by 29.64 (95% CI 28.26 to 31.02, p < 0.001) from admission to six months post discharge, representing improvement consistent with team expectations. CONCLUSION: This study describes a model by which intensive rehabilitation can be delivered in a day rehabilitation setting. A diverse population of young people who experienced disability achieved significant improvements in occupational performance, independence, and goal attainment after accessing intensive day rehabilitation. Improvements were measured in all diagnostic subgroups and were maintained six months after discharge. [ABSTRACT FROM AUTHOR]

As the U.N. Decade on Restoration progresses, the demand for genetically and species‐diverse native plant materials for restoration is expected to increase. However, little is known about the availability of plant materials for restoration, particularly in wetlands, which have lagged behind in restoration research. Given the crucial role wetlands play in providing ecosystem services, particularly in semi‐arid regions worldwide, it is important to understand the availability of wetland plant materials for restoration. We surveyed plant material vendors in the Intermountain West of the United States, a vast region containing hundreds of millions of hectares of private working lands and protected areas. We sought to determine the breadth and diversity of species and materials available for restoration, the practices used by vendors, and the challenges they face. We found far lower availability of aquatic, emergent, and meadow wetland species compared to riparian and terrestrial species. To improve species availability, vendors need financial incentives to produce new or difficult‐to‐propagate species and clearer feedback from customers on what species meet their restoration goals. Market fluctuations are the biggest challenge that vendors face, and creating consistent demand is the most important way to overcome this challenge. Overall, vendors follow best practices for obtaining and maintaining genetic diversity in their seed and plant collections, a critical component to meeting restoration goals. However, there are still some opportunities to improve best practices. The results add to the understanding of the challenges in meeting plant material demand for restoration in wetlands regionally and globally. [ABSTRACT FROM AUTHOR]