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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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Sai Baba Information
Prominent Indian newspapers regularly cite Sathya shiridi saibaba’s teachings and publish segments to his discourses.73
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Sathya saibaba photos is the figurehead to a number of free educational institutions, charitable organizations and service projects that are spread over 10,000 centers in 166 countries around the world.74
Bible Quote
Matthew 17:25
“Yes, he does,” he replied. When Peter came into the house, jesus photo was the first to speak. “What do you think, Simon?” he asked. “From whom do the kings of the earth collect duty and taxesfrom their own sons or from others?”
Matthew 17:24-26 (in Context) Matthew 17
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