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In the 1990s, this movement emphasized the skill standards of personnel, including direct service workers who were called "human service workers" and their "community managers" (2013, Department of Labor statistics). cheap sale clearance store Toga contrast wedge pump discount wiki under cheap price Fhzdaj9Z
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Increasingly, in 2013 with the consumer-directed services developed in these fields, education and training standards are being revamped within the context of the new US Direct Support Workforce and the Centers for Medicaid and Medicare. Dr Martens tassel loafers Manchester sale online cheap online store Manchester tUT5L

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to encompass a range of services designed to help disabled citizens retain their independence in their local community.

Previously, housing and support were usually provided by a charity or local council. Now mentally and physically disabled persons can live in their own home and have personal support provided by another organisation or by hiring a personal assistant (paid visiting or live-in carer).

As of 2009, the government in the UK expected "local councils to give people with learning disabilities a genuine opportunity to choose between housing, care and support options that include:

"Supportive living" in the "Valuing People, 21st Century" report defined this approach as: "concerned with designing services round the particular needs and wishes of individuals and is less likely to result in housing and support that is designed around congregate living. Department of Health research has shown that supported living is associated with people having greater overall choice and a wider range of community activities." (p.73) [67]

Local supported living teams can advise what supported housing is available in any given area. Other assistance may include:

As Linda Ward (1995) wrote in her edited text on "Values and Visions: Changing Ideas in Services for People with Learning Difficulties", [70] "the flaws of the "group home model" were recognised sooner in the USA than the UK." (p. 12). Termed "supportive living", she says these developments have been richly documented by Racino, Walker, O'Connor, Taylor (1993). DESIGN Fatina 2 Pack Flip Flops clearance from china 3zKuOtmK
Written at the time of the nine-state pilots by the federal government on Community Supported Living Arrangements in the US, she noted great interstate variability in what it was and did identify the primary principles near the 1991 national organizational study (separation of housing and support, one individual at a time, full user choice and control, rejecting no one, and a focus on relationships, with maximum use of informal support and community resources). For comparisons, about the same time, Paul Williams (1995) identified the residential services available in Great Britain, including life sharing, hostels, staffed houses, living alone, lodgings, family placements, group homes, living with families, short term care, hospitals and village communities, among others. [72]

Is the study design appropriate and is the work technically sound?

Are sufficient details of methods and analysis provided to allow replication by others?

If applicable, is the statistical analysis and its interpretation appropriate?

I cannot comment. A qualified statistician is required.

Are all the source data underlying the results available to ensure full reproducibility?


Are the conclusions drawn adequately supported by the results?

Competing Interests: No competing interests were disclosed.

I have read this submission. I believe that I have an appropriate level of expertise to confirm that it is of an acceptable scientific standard.
Li X. Referee Report For: Switching from biosimilar (Basalin) to originator (Lantus) insulin glargine is effective in Chinese patients with diabetes mellitus: a retrospective chart review [version 1; referees: 3 approved, 1 approved with reservations] . 2018, :477 (doi: 10.5256/f1000research.15136.r33299 )
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Referee Report 08 五月 2018
Yan Li , DepartmentofEndocrinology,Sun Yat-Sen Memorial Hospital, Sun Yat-Sen University, Guangzhou, China
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Referee Expertise: Prevention and treatment of diabetes mellitus and complications, thyroid diseases, adrenal diseases

Li Y. Referee Report For: Switching from biosimilar (Basalin) to originator (Lantus) insulin glargine is effective in Chinese patients with diabetes mellitus: a retrospective chart review [version 1; referees: 3 approved, 1 approved with reservations] . 2018, :477 (doi: 10.5256/f1000research.15136.r33296 )
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Referee Report 04 五月 2018
Benli Su , Department of Endocrinology, The Second Affiliated Hospital of Dalian Medical University, Dalian, China
Approved with Reservations
DOI: 10.5256/f1000research.15136.r33298
As a peakless long-action insulin analogue, Insulin glargine has been widely used in China, as basal insulin initiating paradigm become more and more accepted. Biosimilar insulin glargine has been on market for many years. As debate if biosimilar is as effective as originator continued, we also once noticed three patients switching from biosimilar glargine to originator resulted in improved glycemic control without increase in dosage. In the report the authors retrieved data of inpatient electronic record, studied retrospectively if the switching from biosimilar insulin glargine to its originator would improve patients glycemic control. They found it did improve patient glucose control after the switching. The authors discussed the possible reasons. But as reported, this is a retrospectively study, there was no control. From the authors schematic description of data retrieval, we noticed there still had around 20 patients who switched their insulin from originator to biosimilar, although the number was small, this might still be used as a control. We discussed our case report one possible reason of improvement in glucose control might be due to inpatient diabetes education, strict dietary restriction. The adding of these “control” patients would provide more strong evidence supporting the use of originator.

Referee Expertise: Clinical endocrinology and diabetes

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