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Our study suggests that intellectual impairment may have a larger effect on participation than motor impairment, and therefore supports the call for inclusion of children with more complex disabilities, such as severe communicative and cognitive problems, in studies of participation.
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But individuals with more profound and complex disabilities have experienced a deterioration in the level of service and support they receive.
Priority is given to those services that cater for families with children with more complex and severe disability, as they are most at risk of institutionalization.
Other clinical profiles that appeared to explain late implantation were the presence of one or more complex medical issues and/or additional disabilities accounting for 17% of children who experienced more than a gap of 12 months to surgery.
When PTSD results from a single event, typically 8 to 12 weekly sessions are indicated; for more complex causes (for example, chronic disability and multiple events), many more sessions may be required.
The process of adaptation can be more complex when the chronic illness or disability is progressive.
51 The relationship of depression and disability becomes even more complex in the presence of CI.
These results implicate a more complex relationship between relapses, disease duration and age, and disability accumulation than had been envisaged.
Higher diastolic blood pressure was associated with unemployment and disability pension, but the pattern is more complex for systolic blood pressure.
The older people often have more complex needs compared with younger adults, due to additional disability, physical illness and social needs.
These are largely caused by adults with learning disabilities and older people living longer, and with more complex conditions.
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com