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EN
The article discusses another approach to the perception and understanding of disability and rehabilitation as well as to disabled persons themselves. Our discussion set in the context of life-span psychology makes it possible to combine several areas such as development, development support, disability, and rehabilitation in a common semantic space. This theoretical method, resulting from natural notions, may help us change how disabled persons are perceived, that is, only through their defi ciencies. Life-span psychology enables one to approach disabled people by treating their rehabilitation as a living process that supports their development.
EN
In the text, the author demonstrated that regardless of the prevailing regime, the State, by relying on separate laws for people with disabilities (or any other minority group), has created and continues to create colonies of sorts. In the first part of the article, the author presented the difference between postcolonialism and neo-colonialism in relation to people with disabilities and in Disability Studies. Afterward, he highlighted the illusory nature of research and, above all, educational activities in favor of people with disabilities. He argues that in the case of this group of people, we are dealing with neo-colonial pedagogy rather than a postcolonial one.
EN
Disability rights law has expanded over the past twenty years from near non-existence to developing into an international legal norm, particularly through the recent United Nations convention on the Rights of Persons with Disabilities. In this work, the authors examine the case of Lithuania and its process for determining when disabled persons lack legal capacity, as measured against the international legal standards applicable to this issue. The authors conclude by offering suggestions about how Lithuania may make determinations as to legal capacity in a way that is consistent with the emerging global legal standards on disability rights law.
EN
The aim of this article is to present changes in the scale and functionality of internet use by persons with disabilities in Poland over the course of a decade (2003-2013). In the first analytical step, the growth in internet use by disabled persons is presented in connection with the basic variables of their socio-demographic profiles. While demonstrating the stable pattern of influence of socio-demographic traits on internet use by disabled persons over time, an attempt has been made to verify the thesis that the side of the digital divide on which a disabled person will be situated is not determined by the sole fact of having a disability but is rather a derivative of the person’s social status. As the second half of the article attempts to show, social status for this category of user also determines the level of the internet’s functionality (the number of activities performed on the internet and the amount of time devoted to their performance). Empirical analyses were based on data from successive editions of the Social Diagnosis research.
EN
The aim of the research was to characterize the situation of intellectually disabled individuals and their families, with special stress on parents’ doubts and dilemmas which grow as their disabled children mature and enter adulthood. The subject of the study was to analyze the processual character of transformations related to bringing up children with intellectual disabilities that take place in generational families, in particular, those which are related to transformations on the level of parents’ perceptions, role, and identity. These notions were reconstructed on the basis of the personal experiences of parents of disabled children. The theoretical basis of the research was the concept of a trajectory of suffering, and the applied methodology was the grounded theory methodology.
EN
This paper aims to analyze the phenomenon of the managing of the stigma of a child’s disability by their parents. Using the concept of stigma by Erving Goffman, I point to its usefulness in understanding the management of stigma by parents of children with intellectual disabilities in the context of mixed social situations. The research utilizes qualitative techniques with special emphasis on unstructured interviews. The data analysis was performed following the procedures of the grounded theory. As studies have shown, parents of children with disabilities adopt various strategies and tactics during the encounters with other persons and institutions while dealing with everyday hardships.
EN
The use of language to construct and drive societal and professional approaches to intellectual and developmental disabilities have undergone significant change across the 20th and into the 21st century throughout Europe. The changes in political, professional and colloquial language reflect increasingly inclusive practices and recognition of human rights based approached to people with IDD internationally.
EN
The article raises the notions of changes that take place in the life of a physically handicapped person which are caused by their engagement in a sports activity. In the article I make an attempt to reconstruct the detailed mechanisms of sport’s influence on the life of a physically handicapped person, pointing to the manner in which physical activity supports the reconstruction of self-perception, a redefinition of their role, and the acquisition of a cognitive perspective of people meaningful to the individual. I refer to the subjective perspective of those researched, rendering their own point of view into the major subject of analysis. Hence, the research exploits qualitative data, collected during in-depth free interviews and observations conducted among the disabled practicing sports. Analysis and interpretation of the research material was performed in accordance with the procedures of grounded theory.
EN
The aims of this article are: 1) to offer a deeper and more theoretically grounded understanding of the dysfunctions of the institutional support system for people with disabilities in Poland; and 2) to propose inspirations for a new, ‚agile’ disability policy. To this end the author applies concepts from Niklas Luhmann’s theory of social systems and its more recent interpretations, as well as ideas from so-called complexity theory. It is shown that the dysfunctions of the institutional system can be interpreted as resulting from the system’s autopoiesis and insensitivity to the complexity of the environment. Yet, as the system/environment relationship is precarious, the system could be motivated to redefine itself and to implement solutions that would make it more responsive to the environment. It is argued that an agile disability policy, based on the assumption that complexity is a crucial environmental feature, could be a solution to this problem.
PL
The Convention on the Rights of Persons with Disabilities (CRPD) is the eighth human rights convention enacted by the United Nations. Coming into force in 2008, it is the first international instrument specifically directed toward persons with disabilities. In its articulation of a clear and comprehensive mandate for the elimination of stig-ma and discrimination, it appeared to be a promising vehicle for the emancipation and empowerment of persons with disabilities. As of July 2015 there are 157 ratifica-tions, of which the great majority are developing countries. In this paper we exam-ine the CRPD within the context, and as part of, a larger and very significant global social-ideological orientation: the international movement for inclusive schooling. As inclusion is increasingly embraced around the world, it is important for educa-tors to understand how this major human rights convention is linked to and inter sects with the quest for inclusive schooling. Our analysis reveals that there are in-herent tensions and dialectical contradictions between the broad ideals of the inclusion movement and the more focused priorities of the CRPD. As a result, de-spite grand hopes and elaborate plans, progress of the CRPD has been disappoint-ing. The CRPD is not playing a significant role in inclusive policy making at any level. Very few nations have translated the principles into effective action. Indeed, few countries at present even have the capacity needed to ensure full implementa-tion of the treaty, and the international pattern documents a disconnect between emancipatory rhetoric and measurable outcomes. To date, it appears that the CRPD has done little to materially and educationally improve the prospects of those with disabilities.
EN
Objectives Housewives are nucleus of families but as the working, living, and social architecture in the rural areas significantly differ from developed or urban area, the results of urban population cannot be generalized. Hence the purpose of the present study is to evaluate the prevalence of low back pain in non working rural housewives. Also an attempt has been made to determine the impact of social burden on low back pain (LBP). Material and Methods A sample of 301 non working rural housewives of Kanpur, aged between 30–70 years was selected. Hindi version of 3 appropriate scales Nordic musculoskeletal questionnaire, Oswestry disability index and Zarit burden interview measuring musculoskeletal discomfort, low back disability and social burden were given to all the housewives. Results Analysis of data reveals that both recent and yearly prevalence of LBP in rural housewives is 83%. More than 50% housewives have severe disability due to their LBP. Correlational analysis has shown that there is a significant impact of social burden on their disability due to low back pain. Conclusions The findings of the present study suggest that 83% of the non working rural housewives have low back pain and activity restriction due to their pain. They have significant impact of social burden on their low back pain. High prevalence (83%) of low back pain among rural housewives is an alarming sign for our society. Better health-care measures to enhance rural housewives education about good posture, ergonomic measures, health schemes, health awareness, and activity pacing could help rural housewives.
EN
Objectives To investigate the prevalence of work-related musculoskeletal disorders amongst dentists who work in public clinics in São Paulo, Brazil, to investigate their awareness of the presence of risk factors in the workplace, disability due to pain, and the influence of pain on this awareness and disability. Material and Methods A cross-sectional study was conducted among 204 dentists who work in public health clinics in the northwest of São Paulo, Brazil. The data was collected through interviews, using the Nordic Questionnaire and the Work-Related Activities that May Contribute to Job-Related Pain Questionnaire. In the case of workers who reported pain, the Pain Disability Questionnaire (PDQ) and the Numeric Pain Scale were also administered. Statistical analyses were performed using SPSS 21.0. Results Most dentists (81.4%) had musculoskeletal disorders, especially in the neck, shoulders and lower back. We found that the presence of symptoms in the neck (15.7%), shoulders (12.7%) and lower back (15.7%) were the major causes of absenteeism over the past 12 months. Occupational risk factors perceived as the most problematic ones were: bending or twisting the back in an awkward way, continuing to work when injured or hurt and working in the same position for long periods. Comparison between the symptomatic and asymptomatic dentists showed a statistically significant difference (p < 0.05) in the perception of occupational risk factors. The analysis of the intensity of pain and disability with PDQ in the symptomatic dentists showed an average pain intensity of 3.8. Mean scores of the PDQ total (11.46) and its dimensions – functional condition (7.1) and psychosocial condition (4.4) – suggest a moderate disability in the dental surgeons. There was a strong t correlation (r = 0.697) between pain intensity and the total score of disability caused by pain. Conclusions Pain and work-related musculoskeletal disorders interfere significantly with the dentists’ lives. In the case of dental surgeons there is a significant correlation between pain intensity and disability. Int J Occup Med Environ Health 2017;30(3):367–377
EN
The objective of this study was to conduct a literature review examining predictors of lost-time injury, illness and disability (IID) in the workplace, with a focus on obesity as a predictor, and to evaluate the relationship between obesity and losttime IID. The study objective was also to analyze workplace disability prevention and interventions aimed at encouraging a healthy lifestyle among employees and reducing obesity and IID, as well as to identify research gaps. The search was conducted in several major online databases. Articles included in the review were published in English in peer-reviewed journals between January 2003 and December 2014, and were found to be of good quality and of relevance to the topic. Each article was critically reviewed for inclusion in this study. Studies that focused on lost-time IID in the workplace were reviewed and summarized. Workers in overweight and obese categories are shown to be at a higher risk of workplace IID, are more likely to suffer from lost-time IID, and experience a slower recovery compared to workers with a healthy body mass index (BMI) score. Lost-time IID is costly to an employer and an employee; therefore, weight reduction may financially benefit both – workers and companies. It was found that some companies have focused on developing interventions that aid reduction of weight and the practice of active lifestyle among their employees. Int J Occup Med Environ Health 2016;29(5):749–766
EN
The work concentrates on the integration of people with disability perceived in light of international documents and school practice. Selected international initiatives have been discussed that are geared to ensure disabled people the broadest possible participation in social life as well as counteract their discrimination. The conclusion verbalizes the fundamental questions related to the essence and purpose of integration.
EN
ObjectivesAn increased burden of chronic diseases in the working age population is observed across high income countries. Persons with chronic diseases (PwCDs) are less likely to maintain or return to work due to several constraints they experience. The purpose of the study was to assess the preferences and needs of PwCDs regarding 6 areas of flexibility at the workplace. It was assessed whether there were any personal characteristics associated with higher or lower expectations and needs.Material and MethodsThis was a part of a large multicenter international project, i.e., the PArticipation To Healthy Workplaces And inclusive Strategies in the Work Sector (PATHWAYS) project, aimed to contribute to the development of innovative approaches to promote professional integration and reintegration of PwCDs into the work sector. In Poland, 59 respondents diagnosed with different chronic diseases were identified through advocacy groups. An on-line survey was conducted to collect information on their needs and expectations. A cluster analysis was performed to reveal some expectation types which differentiated individuals across 6 analyzed domains, along with a multivariable logistic regression to identify some characteristics associated with a special expectation type.ResultsWorkplace facilitator items were generally scored as needed (“rather conductive” and “very conductive” groups identified). The factors positively associated with higher needs in this domain were education, and a hindering type of the disease. Unrestricted working hours were very conductive or indifferent, and were positively associated with education. Legal solutions were more conductive for older people. Medical support, access to training, and supervisors’ knowledge were needed in general, with no associations with the personal characteristics identified.ConclusionsPersons with chronic diseases report several facilitators which are needed for them to maintain or return to work, but they are not satisfied with the existing economy in Poland. These needs should be taken into consideration in the effective policy development.
EN
Objectives The objective of this study is to present the barriers existing in Poland to professional integration and reintegration of people with chronic diseases, including mental health conditions, and discuss them on the basis of expert opinions and in comparison with the situation in other European countries. Material and Methods The research methodology was based on a mixed-methods approach, including literature review, in-depth expert interviews, and a survey (based on a structured questionnaire) performed with experts. Results The mapping of policies, systems and services facilitating the integration and reintegration of people with chronic diseases in Poland, as well as expert opinions, made it possible to identify many barriers regarding access to support, such as an obligation to have a certificate of disability, and a system of certification by 2 institutions. There are also barriers regarding the support itself, including problems with subsidies and with professional (re)integration services. Conclusions Poland has a multi-level and multi-sector system of public institutions, which should provide support for people with disabilities and chronic diseases. Nevertheless, the research conducted in Poland indicates an insufficient implementation of the existing solutions. Int J Occup Med Environ Health. 2019;32(4):475–88
EN
Objectives The study aims to assess the impact of municipal waste loading occupation upon developing musculoskeletal disorders (MSDs) and thereby disabilities among waste loaders. Additionally, the study has identified the potential risk factors raising MSDs and disabilities. Material and Methods A cross-sectional case-control design survey was conducted in 6 out of 24 municipal wards of Mumbai during March–September 2015. The study population consisted of municipal waste loaders (N = 180) and a control group (N = 180). The Standardized Modified Nordic questionnaire was adopted to measures the MSDs and thereby disabilities in the past 12 months. A Propensity Score Matching (PSM) method was applied to assess the impact of waste loading occupation on developing MSDs and disabilities. Results Waste loaders had a significantly higher risk of developing MSDs as well as disabilities than the control group particularly for low back, hip/ thigh upper back and shoulder. Propensity Score Matching results revealed that the MSDs were significantly higher among waste loaders for hip/thigh (22%), low back (19%), shoulder (18%), and upper back (15%) than matched control group. Likewise, MSDs-related disabilities were found to be significantly higher among waste loaders for low back (20%), hip/ thigh (18%) upper back (13%) and shoulder (8%) than the control group. Duration of work, substance use and mental health were found to be the potential psychosocial factors for developing the risk of MSDs and disabilities. Conclusions The municipal waste loading occupation raised the risk of MSDs and related disabilities among waste loaders compared to the control group. The preventive and curative measures are strongly recommended to minimize the burden of MSDs and disabilities. Int J Occup Med Environ Health 2017;30(6):875–886
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EN
Objectives: To elucidate the association between metabolic syndrome (MetS) and disability due to low back pain (LBP) among care workers. Material and Methods: This cross-sectional study enrolled 656 care workers having experienced LBP in the year prior to the year of this study. The Roland-Morris Disability questionnaire (RDQ) and self-reported questionnaires regarding LBP, fear of movement, depressive symptom, psychosocial factors, intensity of pain, and duration of pain were administered, and a medical examination was performed. Metabolic syndrome was defined according to the international definition agreed in 2009. Out of the 656 care workers, we included 316 care workers (response rate: 48.2%) who had fully completed the questionnaires as the study sample (males: 13.6%, median age = 51 years old, range: 35–74 years old). To examine the association between MetS and the level of disability due to LBP, we used the Poisson regression analysis and estimated crude and adjusted prevalence ratios (PR). Results: Out of the 316 care workers, 52 (16.5%) were diagnosed as having MetS. Metabolic syndrome was significantly associated with the RDQ score (adjusted PR: 1.57, 95% confidence interval (CI): 1.17–2.11) after adjusting for covariates, such as age, sex, fear of movement, job demands, social support, intensity of pain, and duration of pain. Conclusions: This study showed that MetS was independently associated with disability due to LBP among care workers. A multidisciplinary intervention taking MetS into consideration may be an effective way to reduce disability due to LBP in people with both LBP and MetS. Int J Occup Med Environ Health 2018;31(2):165–172
PL
Obecny stan prawny w zakresie korzystania z ulg we wpłatach na Państwowy Fundusz Rehabilitacji Osób Niepełnosprawnych umożliwia znaczące obniżenie kosztów kooperacji z zakładami zatrudniającymi osoby z niepełnosprawnością. Jest również ważnym czynnikiem przewagi konkurencyjnej przedsiębiorstw posiadających tytuł prawny do wystawiania tego typu ulg. Z drugiej strony uszczupla jednak znacząco należności wynikające z wpłat obowiązkowych. Celem artykułu było ustalenie wpływu zmian ustawodawczych w zakresie uszczelniania systemu wpłat obowiązkowych na sytuację zawodową osób niepełnosprawnych w Polsce.
EN
Current legislation in force on using reduced contributions for the State Fund for the Rehabilitation of the Disabled allows for a considerable decrease of the costs of cooperation with companies which employ disabled people. It is also a significant factor of competitive advantage for the companies which have got the title to grant such relieves. However it also considerably reduces the liabilities resulting from obligatory payments. The aim of the article was to determine the impact of legislative changes involving tightening up the system of obligatory payments on the employment situation of the disabled in Poland.
EN
The paper deals with some problems which may arise when a disabled child starts attending an ordinary school. The author focuses on the question of systems approach to the question of school readiness which assumes the preparation of a handicapped child for entering an ordinary kindergarten, the preparation of healthy children for accepting their handicapped classmate as well as the need for readiness of teachers and parents of both groups of children.
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