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The efficacy of community based rehabilitation for children with or at significant risk of intellectual disabilities in low and middle income countries : a review

ROBERTSON, Janet
EMERSON, Eric
HATTON, Chris
August 2009

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"The aim of the present review is to summarise evidence regarding the efficacy of CBR in relation to one particular ‘high risk’ group of disabled children; children with intellectual disabilities (ID)...Only 10 studies were identified for inclusion in the review of research on the effectiveness of CBR for children and adolescents with ID and these are summarised in Appendix Two. An examination of reviews on the effectiveness of CBR for all people with disabilities points to two main reasons for this low level of evidence. Firstly, CBR has not been the subject of a significant amount of rigorous evaluation. Secondly, children and adolescents with ID have not been the recipients of significant amounts of CBR. We will discuss the reviews on the effectiveness of CBR generally and indicate what they say about ID before outlining the extremely small amount of information available on the effectiveness of CBR for children and adolescents with ID"
CeDR Research Report 2009:4

First study of teledermatology in Mexico : a new public health tool|Primer estudio de teledermatología en México. Una nueva herramienta de salud pública

LEPE, V
MONCADA, B
CASTANEDO-CAZARES, J P
et al
2004

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This article reports on a study to evaluate efficacy and reliability of asynchronous teledermatology for diagnosis of skin diseases. Fifty patients with dermatologic disorders were seen in a poor tropical rural zone, first by non-dermatologists in conventional consultation and then by dermatologists to obtain a diagnosis (gold standard). The latter step consisted of evaluation of filmed lesions by another group of dermatologist later on. Results: there was a high concordance of diagnosis between the two groups of dermatologists when kappa analysis was performed. Conclusion: it appears important to use these technological advances in developing-countries to improve delivery of health care

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