Based on indicators that emerged from The First Physical Therapy Summit on Global Health (2007), the Second Summit (2011) identified themes to inform a global physical therapy action plan to integrate health promotion into practice across the World Confederation for Physical Therapy (WCPT) regions. Working questions were: (1) how well is health promotion implemented within physical therapy practice; and (2) how might this be improved across five target audiences (i.e. physical therapist practitioners, educators, researchers, professional body representatives, and government liaisons/consultants). In structured facilitated sessions, Summit representatives (n ¼ 32) discussed: (1) within WCPT regions, what is working and the challenges; and (2) across WCPT regions, what are potential directions using World Cafe´T M methodology. Commonalities outweighed differences with respect to strategies to advance health-focused physical therapy as a clinical competency across regions and within target audiences. Participants agreed that health-focused practice is a professional priority, and a strategic action plan was needed to develop it as a clinical competency. The action plan and recommendations largely paralleled the principles and objectives of the World Health Organization's non-communicable diseases action plan. A third Summit planned for 2015 will provide a mechanism for follow-up to evaluate progress in integrating health-focused physical therapy within the profession.
Bullous pemphigoid in children appears to be the same disease as its adult counterpart based on a case in a 3-year-old boy. Generalized tense bullae over the skin and oral mucosa, characteristic direct and indirect immunofluorescence, elevated IgE levels, blood eosinophilla, and therapeutic response to corticosteroids parallel the disease in adults. The long-term prognosis, however, is still unknown. A review of bullous pemphigoid in children is presented.
No evidence was found that changing jobs was used as a strategy to find more tolerable working conditions. The high proportion of unemployment due to ill-health among adult onset asthmatics deserves further investigation.
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