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Movimento (Porto Alegre) ; 25(1): e25015, jan.- dez. 2019. Tabelas
Article in English | LILACS (Americas) | ID: biblio-1047887


The purpose of this study was to determine and analyse Physical Education (PE) teachers' perceptions about inclusion of students with physical disabilities in regular PE classes and how such inclusion could be improved by the contribution of other professionals. The information was obtained through a questionnaire administered to 56 PE teachers and an interview with nine PE teachers and four physical therapists. The results reveal PE teachers' concern and uncertainty about providing quality attention to students with physical disabilities in their classes and their demand for specific training and support in class. They see the need for support from professionals such as Physical Therapists' when working with students with motor disabilities. We suggest further examination of the barriers faced by both professionals, their views on PE teachers and the physical therapists' role, as well as their willingness to collaborate with each other

O objetivo do estudo foi determinar e analisar as percepções dos professores que lecionam Educação Física (EF) a alunos com deficiência nas classes inclusivas de EF e como melhorar essa inclusão ao colaborar com o fisioterapeuta. A informação foi obtida através de um questionário administrado a 56 professores, que foi completado com entrevistas com nove deles e quatro fisioterapeutas. Os resultados mostram a preocupação e a incerteza dos professores sobre como servir os alunos com deficiência, a fim de oferecer uma educação de qualidade inclusiva e treinamento de demanda e suporte específico em suas aulas. Professores consideram necessário receber apoio de profissionais, como o fisioterapeuta, para que possam ajudar os alunos com deficiência motora. Sugerimos continuar a examinar as barreiras de ambos os profissionais, suas concepções de professores de EF e o papel do fisioterapeuta, bem como a sua vontade de colaborar entre si

El objetivo del estudio fue determinar y analizar las percepciones del profesorado de educación física que imparte clases al alumnado con discapacidad en las clases inclusivas de Educación Física y cómo mejorar esa inclusión cuando se colabora con el fisioterapeuta. Se obtuvo la información mediante un cuestionario administrado a 56 profesores, que se completó con entrevistas a nueve de ellos y a cuatro fisioterapeutas. Los resultados muestran la preocupación e incertidumbre del profesorado sobre cómo atender al alumnado con discapacidad para poder ofrecer una educación inclusiva de calidad y la demanda de capacitación y apoyos específicos en sus clases. El profesorado considera necesario el apoyo del fisioterapeuta como profesional adecuado para ayudar al alumnado con discapacidad motriz. Sugerimos seguir examinando las barreras de ambos profesionales, sus concepciones de EF y el papel del fisioterapeuta, así como su disposición a colaborar entre ellos

Humans , Child , Adolescent , Physical Education and Training , Mainstreaming (Education) , Physical Therapy Specialty , Students , Disabled Persons
Prensa méd. argent ; 105(9 especial): 509-520, oct 2019. graf
Article in English | LILACS (Americas), BINACIS | ID: biblio-1046361


This paper is devoted to the pressing issue of obtaining professional education by persons with disabilities and limited health capacities in the inclusive context, which is a factor in their successful socialization. Adaptation to studying at a higher education institution is a difficult task for many students with special educational needs. The purpose of the experimental study is to look into the characteristics of adaptation to the educational process of a pedagogical university in undergraduate students with disabilities and limited health capacities, to identify the reasons for their under-performance in educational activities and to develop recommendations for overcoming them in the process of educational and methodological support. The object of the study is the process of educational adaptation of students with disabilities and limited health capacities at university. The obtained data indicate the need for educational and methodological support for the education of students and the development of methodological recommendations for adaptation of educational material and teaching methods for students with disabilities and limited health capacities, which have, in turn, been performed by the authors. In view of the results of the analysis of scientific research on the problem of teaching people with disabilities and limited health capacities at higher education institutions, as well as the features of self-organization of students of this category that have been identified during the experiment, it is necessary to build educational and methodological support for the educational process that would take these features into account. The recommendations developed by the authors regarding the adaptation of educational material and teaching methods for students and their implementation in the development of appropriate teaching material by university teachers in collaboration with specialists of the university resource teaching and methodological center will contribute to the development of self-organization skills in people with disabilities and limited health capacities and will ensure the activation of academic activity among such students, which will create the necessary conditions for their successful education.

Humans , Remedial Teaching , Students , Teaching Materials , Epidemiology, Experimental , Disabled Persons/education , Adaptation , Education, Higher , Higher Education Institutions
Prensa méd. argent ; 105(9 especial): 532-537, oct 2019.
Article in English | LILACS (Americas), BINACIS | ID: biblio-1046454


The article deals with the organizational- methodological and content aspects of practice-oriented tasks aimed at the formation of professional competencies of future professionals who study the theory and practice of the inclusive education of children with disabilities. Practice-oriented tasks aimed at the formation of knowledge about the essence of the basic concepts used in the process of the professional activity of specialists in an inclusive educational space are presented. In addition, practice-oriented tasks aimed at the formation of the abilities to analyze and summarize educational activities in organizations engaged in educational activities and to support children with disabilities and their families are given.

Remedial Teaching , Disabled Persons/education , Competency-Based Education , Education, Professional/methods , Public Nondiscriminatory Policies
Prensa méd. argent ; 105(9 especial): 556-562, oct 2019. tab
Article in English | LILACS (Americas), BINACIS | ID: biblio-1046483


The access to education for children and young people with special needs is an indicator of the humanization of society, a sign that this society can care for one of its most vulnerable groups. This paper reviews the principles and trends in studying the issues of organising an inclusive education environment. Particular emphasis is placed on the scientific novelty of the research, research methods and goals, the main purpose of which is to create a comfortable educational environment and find a solution to the problems of inclusive space. Further, the authors provide a detailed analysis of the project content in the conditions of Kazakhstan. They develop an experimental model of a spatial solution for an inclusive education environment. The results of this study contribute to the architectural and compositional improvement of educational buildings, increasing their comfort. The paper analyzes the role of the virtual environment in the development of experimental projects. It contains a diagram of the project time frame, a sample schedule and a description of the research group composition.

Humans , Risk Groups , Mainstreaming (Education) , Review Literature as Topic , Models, Educational , Disabled Persons/education , Public Nondiscriminatory Policies
Psico USF ; 24(3): 463-474, jul.-set. 2019. tab, il
Article in English | LILACS (Americas) | ID: biblio-1040773


This study evaluated indicators of needs and processes in a social skills program for unemployed people with physical disabilities. The needs assessment - measured via self-reporting instruments - indicated the importance of preparing participants for job interviews and improving some social skills related to work, which would serve as a basis for the definition of the program's objectives. The skills developed in the program were as follows: civility, feedback, communication, empathy, offering help, citizenship, assertiveness, dealing with criticism, problem solving, job interview performance, and expressing positive feelings. For the process evaluation, the program's sessions were filmed and analyzed using indicators such as task performance. This study showed the importance of planning a program that considers the characteristics of the participants and of continuously monitoring its application to ensure the suitability of the intervention and the achievement of its objectives. (AU)

Este estudo avaliou indicadores de necessidades e de processo em um programa de habilidades sociais para pessoas com deficiência física, desempregadas. A avaliação de necessidades, mensurada por meio de instrumentos de autorrelato, indicou a importância de preparar os participantes para entrevistas de emprego e de aprimorar algumas habilidades sociais relacionadas ao trabalho, servindo como base para a definição dos objetivos do programa. As habilidades desenvolvidas no programa foram: civilidade, feedback, comunicação, empatia, oferecer ajuda, cidadania, assertividade, lidar com críticas, resolução de problemas, desempenho em entrevista de emprego e expressão de sentimento positivo. Para a avaliação de processo, as sessões do programa foram filmadas e analisadas por meio de um registro que continha indicadores como desempenhos nas tarefas. Este estudo mostrou a importância de planejar um programa considerando as características dos participantes e monitorar continuamente sua aplicação para garantir a adequação da intervenção e o alcance de seus objetivos. (AU)

El presente estudio evaluó indicadores de necesidades y proceso en un programa de habilidades sociales para personas con discapacidad física y desempleadas. La evaluación de necesidades, medida por instrumentos de autoinforme, señaló la importancia de preparar los participantes para entrevistas de empleo y mejorar algunas habilidades sociales relacionadas con el trabajo, sirviendo como base para la definición de los objetivos del programa. Las habilidades desarrolladas en el programa fueron: civilidad, feedback, comunicación, empatía, ofrecer ayuda, ciudadanía, asertividad, lidiar con críticas, solución de problemas, desempeño en entrevistas de empleo y expresión de sentimiento positivo. Para evaluación de proceso, las sesiones del programa fueron filmadas y analizadas mediante un registro que contenía indicadores como el desempeño en las tareas. Este estudio mostró la importancia de planear un programa considerando las características de los participantes y controlando su aplicación para garantizar la adecuación de la intervención y el alcance de sus objetivos. (AU)

Humans , Female , Adult , Disabled Persons/psychology , Employment/psychology , Social Skills , Self Report
Rev. bras. ativ. fís. saúde ; 23: 1-7, fev.-ago. 2019. tab, fig
Article in English | LILACS (Americas) | ID: biblio-1026289


The aim of this study was to identify the amount of time spent in sedentary behavior that may be critically related to functional disability in older adults. A cross-sectional study was conducted with a random sample of 624 older adults (65.1% women) aged 60 to 96 years. Perceived limitations in instrumental activities of daily living were used as indication of functional disability. Time spent in sedentary behavior was assessed using the International Physical Activity Questionnaire (IPAQ). The prevalence of functional disability was 29.4%. The mean total time spent in sedentary behavior was 576.51 ± 5.14 min/day. Receiver Operating Characteristic (ROC) curves were used to identify cut-points for time spent in sedentary behavior that could discriminate functional disability in older adults. The results suggested that spending > 600.00 min/day and > 614.00 min/day in sedentary behavior, for men and women, respectively, was a discriminator for functional disability in the current study. These cut-points can be used to identify older adults who are most vulnerable to functional disability in future studies

O objetivo deste estudo foi identificar pontos de corte para o tempo gasto em comportamento sedentário que podem potencialmente discriminar a presença de incapacidade funcional em idosos. Um estudo transversal foi realizado com uma amostra aleatória de 624 idosos (65,1% mulheres) com idade entre 60 e 96 anos. As limitações percebidas nas atividades instrumentais da vida diária foram utilizadas como indicação de incapacidade funcional. O tempo gasto no comportamento sedentário foi avaliado usando o Questionário Internacional de Atividade Física (IPAQ). A prevalência de incapacidade funcional foi de 29,4%. A média do tempo total despendido em comportamento sedentário foi de 576,51 ± 5,14 minutos/dia. As curvas de ca-racterística operativa do receptor (ROC) foram usadas para identificar pontos de corte para o tempo gasto em comportamento sedentário que discriminassem a incapacidade funcional em idosos. Os resultados sugeriram que despender > 600,00 min/dia e > 614,00 min/dia em comportamento sedentário, para homens e mulheres, respectivamente, foram discriminadores de incapacidade funcional no presente estudo. Esses pontos de corte podem ser usados para identificar os idosos que estão em maior vulnerabilidade à incapacidade funcional em estudos futuros

Humans , Male , Female , Middle Aged , Aged , Behavior , Aged , Surveys and Questionnaires , Disabled Persons
Estilos clín ; 24(2): 304-316, maio-ago. 2019.
Article in Portuguese | LILACS (Americas), INDEXPSI | ID: biblio-1039856


Diversos trabalhos consideram que pessoas com deficiência física possuem sentimentos de inadequação, inferioridade e baixa autoestima. Parte-se da narrativa de Sunaura Taylor para localizar a questão no paradigma ver/ser visto para problematizar o tema. Assim, tem-se por objetivo discutir os efeitos imaginários da identificação nestes casos. De Freud à Lacan o conceito de narcisismo remete à formação do eu, bem como os processos de identificação a imagens e palavras advindas do Outro. Das imagens e sentidos atribuídos à deficiência pelo social encontram-se descritos na literatura as concepções de estranho e incapaz, da deficiência como doença ou castigo e referências a seres fantástico. Deste modo, foi proposto que pessoas com deficiência possam assumir o lugar de "deficiente" e seus respectivos sentidos por meio da identificação. Concluiu-se que os sentimentos de inadequação perpassam a dimensão imaginária de se ver sendo visto como "deficiente". Dada esta função de representação para o Outro e unificação do eu, tratam-se de momentos em que se deixa de ter uma deficiência para sê-la, enquanto uma forma que lhe dá sentido e o organiza, ainda que possa trazer sofrimento

La literatura considera que las personas con deficiencia física tienen sentimientos de inadecuación, inferioridad y baja autoestima. Con la narrativa de Sunaura Taylor, fue localizar la cuestión en el paradigma ver/ser visto para problematizar. Su objetivo es discutir los efectos imaginarios de la identificación en estos casos. De Freud a Lacan el concepto de narcisismo se refiere a la formación del ego, así como a los procesos de identificación con imágenes y palabras del Otro. De él se atribuye a la deficiencia por las concepciones sociales de extrañas e incapaces, como enfermedad o castigo y referencias a seres fantásticos. Se propuso que los sujetos con discapacidad puedan asumir el lugar de la "deficiencia" y sus sentidos respectivos a través de la identificación. Se concluyó que los sentimientos de inadecuación impregnan la dimensión imaginaria de ser vistos como "deficiencia". Dada esta función de representación para el Otro y la unificación del ego, son momentos en los que uno deja de tener una deficiencia para ser uno, como una forma que le da sentido y lo organiza, aunque pueda traer sufrimiento.

Studies consider that people with physical disabilities have feelings of inadequacy, inferiority and low self-esteem. Following from the Sunaura Taylor's narrative, it was located the matter on the see/to be seen paradigm to problematize. Thus, it aims to discuss the imaginary effects of identification in these cases. From Freud to Lacan, the concept of narcissism refers to the formation of the ego, as well as the processes of identification to images and words from the Other. From the perception and meaning attributed to disability by the social conception found on the literature as strange, an inability, disease, punishment and references to fantastic beings. Therefore, it was proposed that subjects with disabilities can assume the place of "disabled" and their respective senses through identification. In conclusion, the feeling of inadequacy intersects the imaginary dimension of being seen as "disabled". Given this function of representation for the Other and unification of the ego, these are moments in which one ceases from having a disability to becoming one, as a form that gives it meaning and organizes it, even if it causes suffering.

Self Concept , Disabled Persons , Identification (Psychology) , Narcissism
Arq. bras. psicol. (Rio J. 2003) ; 71(2): 193-208, mai.-ago 2019.
Article in Portuguese | LILACS (Americas), INDEXPSI | ID: biblio-1015279


Essa pesquisa objetivou caracterizar as representações sociais da deficiência física difundidas em uma mídia impressa de circulação nacional do período de 1968 a 2016. Utilizou-se a Teoria das Representações Sociais na interface com teorias de comunicação e uma perspectiva social da deficiência. Trata-se de um estudo documental retrospectivo, no qual organizou-se 55 reportagens da revista Veja sobre a deficiência física em um corpus textual, que foi analisado por uma Classificação Hierárquica Descendente através do software IRaMuTeQ. Os resultados apontam que a revista apresenta divulgações científicas sobre tecnologias adaptadas, relatos pessoais focados na tragédia e reabilitação e sobre barreiras sociais e arquitetônicas. As representações propagadas pela mídia ancoram-se na doença e, devido ao seu impacto, podem reafirmar preconceitos e estereótipos. Contudo, poderiam fomentar espaços de discussão, contribuir para o movimento pró-inclusão e para a desconstrução de barreiras atitudinais

This research aimed to characterize the social representations of physical disability diffused in a printed media of national circulation from 1968 to 2016. The Theory of Social Representations was used in the interface with communication theories and a social perspective of disability. This is a retrospective documentary study, in which 55 articles about physical disability of Veja magazine were organized in a textual corpus. This was analyzed by a Descending Hierarchical Classification by the IRaMuTeQ software. The results show that the journal presents scientific divulgations on adapted technologies, personal reports focused on tragedy and rehabilitation and about social and architectural barriers. The representations propagated by the media are anchored in disease, and because of their impact, can reaffirm prejudices and stereotypes. However, they could foment discussion spaces, contribute to the pro-inclusion movement and deconstruct attitudinal barriers

Esta investigación objetivó caracterizar las representaciones sociales de la discapacidad física, difundidas en medio impreso de circulación nacional del período de 1968 a 2016. Se utilizó la Teoría de Representaciones Sociales en la interfaz con teorías de comunicación y una perspectiva social de la discapacidad. Se trata de un estudio documental retrospectivo, en que se organizaron 55 reportajes de la revista Veja sobre la deficiencia física en un corpus textual. Este, fue analizado por una Clasificación Jerárquica Descendente por el software IRaMuTeQ. Los resultados apuntan que la revista presenta divulgaciones científicas sobre tecnologías adaptadas, relatos personales enfocados en tragedia y rehabilitación, y sobre barreras sociales y arquitectónicas. Las representaciones propagadas por los medios se anclan en enfermedad, y debido su impacto, pueden reafirmar prejuicios y estereotipos. Sin embargo, podrían fomentar espacios de discusión, contribuir para el movimiento pro-inclusión y para deconstrucción de barreras de actitudes

Humans , Disabled Persons , Press , Social Stigma
Rev. bras. ciênc. mov ; 27(3): 52-58, Abr.-Jun. 2019. tab
Article in Portuguese | LILACS (Americas) | ID: biblio-1023794


O objetivo do presente estudo foi comparar a percepção da qualidade de vida (QV) de atletas e paratletas das modalidades de atletismo e natação. Tratou-se de um estudo descritivo e de corte transversal com 127 atletas com média de idade de 20,6 (±3,1) anos, que treinavam em instituições esportivas de Recife-PE e que frequentando regularmente os treinamentos e competições há mais de 2 (dois) anos. Para avaliação da QV foi utilizado o questionário de avaliação abreviado da qualidade de vida da organização mundial de saúde (WHOQOL-BREF) e um questionário sociodemográfico a fim de caracterizar a amostra. Para análise dos dados, foi utilizado o teste de normalidade de Kolmogorov-Smirnov. Foi utilizado o teste "U" de Mann-Whitney para a comparação qualidade de vida em função dos grupos (modalidade, sexo e patrocínio). Foi adotada a significância de p < 0,05. Observou-se nos resultados uma menor percepção da Qualidade de Vida no domínio físico e de Qualidade de Vida geral entre os grupos de atletas e paratletas. Não houve diferença significativa quando comparamos os gêneros entre os grupos pesquisados. Foram constatadas diferenças significativas na percepção da Qualidade de Vida entre os atletas com e sem patrocínio, atletas e para-atletas nos domínios físico, psicológico e de Qualidade de Vida geral. Conclui-se que o estudo não revela evidências causais sobre o impacto da Qualidade de Vida em atletas e paratletas, entretanto o mesmo indica boas contribuições para uma maior preocupação das entidades esportivas com melhores condições de transporte, moradia, segurança e recursos financeiros aos atletas e paratletas....(AU)

The objective of the present study was to compare the perception of the quality of life (QoL) of athletes and parathletes of athletic and swimming modalities. It was a descriptive and cross-sectional study with 127 athletes with mean age of 20.6 (± 3.1) years, who trained in sport institutions in Recife-PE and who regularly attended training and competitions for more than 2 (two) years. To evaluate the QoL, the World Health Organization (WHOQOL-BREF) quality of life assessment questionnaire and a sociodemographic questionnaire were used to characterize the sample. For data analysis, the KolmogorovSmirnov normality test was used. The Mann-Whitney "U" test was used to compare quality of life according to the groups (modality, sex and sponsorship). The significance of p <0.05 was adopted. The results showed a lower perception of the Quality of Life in the physical domain and of General Quality of Life among the groups of athletes and parathletes. There was no significant difference when comparing the genders among the groups studied. There were significant differences in the perception of Quality of Life among athletes with and without sponsorship, athletes and para-athletes in the physical, psychological and General Quality of Life domains. It is concluded that the study does not reveal causal evidence on the impact of Quality of Life on athletes and parathletes, however, it indicates good contributions to a greater concern of sports entities with better conditions of transportation, housing, safety and financial resources to athletes and parathletes....(AU)

Humans , Male , Female , Perception , Quality of Life , Sports , Disabled Persons , Athletes , Physical Education and Training , Psychology
Licere (Online) ; 22(02): 268-296, junho.2019. ilus
Article in Portuguese | LILACS (Americas) | ID: biblio-1009555


O objetivo desta pesquisa foi mapear a produção científica em periódicos nacionais da área de Educação Física, entre os anos de 2006 ­ 2016, relacionadas à prática de atividades físicas de aventura na natureza para pessoas com deficiência. Como instrumento de coleta dos dados, foi realizada uma busca em periódicos nacionais da área de Educação Física, avaliados entre A1 e B2 pela WebQualis (2016), mais a Revista da Associação Brasileira de Atividade Motora Adaptada. Os resultados mostraram um número inexpressivo de pesquisas publicadas envolvendo pessoas com deficiência na prática de atividades físicas de aventura na natureza, ao mesmo tempo em que evidencia que a deficiência não é um impedimento para sua realização. Contudo essas experiências trazem benefícios como oportunizar a este grupo a vivência de atividades diferenciadas do dia a dia, ampliando as opções de lazer, além de potencializar as capacidades dos praticantes.

The goal of this research was to map the scientific production in national periodicals of the Physical Education area, between the years 2006 ­ 2016, related to the practice of physical adventure activities in nature for people with disabilities. As a data collection instrument, a search was conducted in national journals of the Physical Education area, evaluated between A1 and B2 by WebQualis (2016) and the Brazilian Association of Adapted Motor Activity journal. The results showed an inexpressive number of published researches involving people with disabilities in the practice of adventure physical activities in nature, while showing that the disability is not an impediment to their achievement. However, these experiences bring benefits such as giving this group the opportunity to experience different daily activities, expanding leisure options, and enhancing the skills of practitioners.

Humans , Exercise , Disabled Persons , Green Areas , Healthy Lifestyle , Leisure Activities , Architectural Accessibility , Mainstreaming (Education) , Tourism
J. bras. econ. saúde (Impr.) ; 11(1): 26-33, Abril/2019.
Article in Portuguese | LILACS (Americas), ECOS | ID: biblio-1005626


Objetivo: Calcular os custos adicionais da pessoa com deficiência física e investigar o seu impacto na renda familiar. Métodos: Seguindo a Classificação Internacional de Funcionalidade, identificaram-se quatro perfis de deficiência com graus diferentes de severidade quanto à mobilidade dos membros inferiores e superiores. Foi construída uma matriz de necessidades para estimar os custos adicionais, seguindo o Método de Padrão Orçamentário, a partir de grupos focais. Dados foram coletados em 2013. Utilizou-se o salário mínimo nacional de 2015 (R$ 816,52) para estimar os custos. Resultados: Os custos adicionais variaram de 2 a 14 vezes o salário mínimo nacional. O perfil de menor custo adicional foi o 2, seguido do 1, 3 e 4. O perfil 4 foi o de maior custo adicional devido à grande incapacidade das pessoas. Há exigência de alta intensidade de assistência pessoal e de oferta de equipamentos. Na assistência pessoal, calculou-se o trabalho dos cuidadores dividindo-o por um período de 2, 4, 8 e 24 horas, para São Paulo, Rio de Janeiro, Santa Catarina, Paraná e Brasil. Os custos com assistência pessoal são relevantes no total dos custos e variam conforme a região. Conclusões: Demonstrou-se que há um custo adicional para as pessoas com deficiência física em todos os perfis. Há risco de empobrecimento porque esses custos absorvem a renda dessas pessoas e de sua família, a qual não pode gastar em outros serviços. A renda pode ser, assim, insuficiente para as necessidades primordiais, ficando clara a necessidade de políticas públicas para prover serviços necessários ou benefícios financeiros.

Objective: To calculate the additional costs of living for people with physical disabilities and to investigate their impact on family income. Methods: We identified four profiles of deficiency with different grades of severity, according to the International Classification of Functioning, Disability and Health. They were related to the extent of mobility of upper and lower limbs. Additional costs were evaluated through focal groups following the Budgetary Pattern Method. We also set up a matrix to express the additional costs. Data were collected in 2013. The national minimum wage from 2015 (R$ 816,52) was considered to estimate the proportional costs. Results: Additional costs fluctuated between 2 to 14 times the national minimum wage. The profile with the minor additional cost was 2, succeeded by 1, 3 and 4. Profile 4 showed the highest additional cost since people with physical disabilities need huge intensity of personal assistance and equipment supply. In personal assistance, we calculated the work of caregivers by sharing it into 2, 4, 8 and 24 hours/day. Costs with personal assistance diversify amongst São Paulo, Rio de Janeiro, Santa Catarina, Paraná and Brazil due to distinct minimum wage. Conclusions: This research showed the presence of an additional cost for people with physical disabilities in all profiles. There is a risk of impoverishment with sacrifice in family's income since they cannot waste in other domestic services. Thus, it is clear that there is a strong need of public policies to underpin these families with more health services or financial benefit.

Humans , Cost of Illness , Disabled Persons
Pesqui. bras. odontopediatria clín. integr ; 19(1): 4057, 01 Fevereiro 2019. tab, graf
Article in English | LILACS (Americas), BBO | ID: biblio-998006


Objective: To characterize the profile of patients with special needs assisted at a Dentistry School of a Brazilian University. Material and Methods: A retrospective and descriptive study was carried out through the analysis of 329 dental records from individuals with special needs assisted at the Dentistry for Special Needs Patients discipline between 2012 and 2017. Data on gender, age, race, monthly family income, schooling, medical diagnosis of the disabling condition, drug used and type of dental procedures performed were reviewed. Data were analyzed by descriptive and inferential statistics (Shapiro-Wilk and t-student tests) with 5% significance level. Results: There was higher prevalence of females (50.5%) aged 45-54 years (18.7%), low schooling (36.2%) and monthly income of 1 minimum wage (61.9%). Most special needs were chronic systemic diseases (67.2%) and endocrine-metabolic diseases (16.7%). Among patients investigated, 66.3% used anti-hypertensive (38.3%) and anti-inflammatory (20.6%) drugs. Of dental procedures performed, curative procedures were the most prevalent in the majority of patients (90.6%). Conclusion: The profile of most patients with special needs was characterized by females with chronic systemic diseases and mean age of 39.6 years, low schooling and monthly family income of up to 1 minimum wage, whose main reason for the visit was the search for curative dental treatment.

Humans , Female , Middle Aged , Universities , Brazil , Disabled Persons , Dental Care for Disabled , Dental Health Services , Medical Records , Cross-Sectional Studies/methods , Retrospective Studies , Statistics, Nonparametric
Pesqui. bras. odontopediatria clín. integr ; 19(1): 4376, 01 Fevereiro 2019. tab, graf
Article in English | LILACS (Americas), BBO | ID: biblio-998181


Objective: To determine the occurrence of dental anomalies in patients with special needs from Barranquilla, Colombia. Material and Methods: An observational, cross-sectional descriptive study with a sample of 59 patients chosen at convenience for 6 months during the course of 2017. With prior approval by experts, an instrument that identified dental anomalies was applied, followed by an institutional clinical history, intraoral clinical examination and final evaluation of the study variables, with descriptive statistics. Results: With regards to age ranges, 25% of subjects were between 14 to 17 years, and 19% between 22 to 25 years. The average age was 14 (± 7.9). No cases were found in the age range of 26 to 29 years. In terms of gender, males predominated with 78%. The anomaly that predominated was fluorosis (50.8%), followed by agenesis (23.7%). The syndrome and / or disorder with the highest frequency of dental anomalies was mental retardation with 39%, followed by behavioral disorders (22%) Conclusion: The frequency of dental anomalies in patients with special needs was evidenced, showing higher prevalence of dental fluorosis in patients with mental retardation, and a higher incidence in males; in the patients with syndromes and / or disorders who were observed, there were a few oral findings unrelated to dental anomalies.

Humans , Male , Female , Adolescent , Adult , Tooth Abnormalities , Tooth, Supernumerary , Disabled Persons , Colombia , Disabled Children , Tooth Eruption , Cross-Sectional Studies/methods , Data Interpretation, Statistical , Observational Study
Pesqui. bras. odontopediatria clín. integr ; 19(1): 3819, 01 Fevereiro 2019. tab
Article in English | LILACS (Americas), BBO | ID: biblio-998189


Objective: To identify the profiles of patients with special needs attended at a Center for Dental Specialties. Material and Methods: This was a cross-sectional and quantitative study using an inductive approach, and a comparative and statistical procedure for analysis of the patients with special needs. Information concerning socioeconomic, medical and dental conditions was collected. The data were analyzed using IBM SPSS, adopting a significance level of 5%. Results: It was observed that 58.6% of the users were males, single (54.7%), in the age group from 19 to 59 years (41.1%), being 97.4% without schooling. The most frequent clinical diagnoses were: deviations in intelligence (18.4%), behavioral deviations (18.4%) and physical defects (17.9%). We observed for oral health the presence of gingivitis (33.0%), and healthy gums (47.8%); the presence of caries (64.9%), with restored teeth (28.5%), and edentulism (12.3%). Dental intervention procedures were initiated with emphasis on: fluoride applications (39.7%) and subgingival scraping (34.9%). Topical fluoride applications (p=0.010) and prophylaxis (p=0.010) were realized in patients without autism. Also, prophylaxis (p=0.007) was more frequently performed and gingival alterations were more often verified (p=0.020) in patients without Down's syndrome. Conclusion: The users of the patients with special needs dental service can be generally described as male, single, aged between 19 and 54 years, with the special conditions of intelligence and behavioral deviation.

Humans , Male , Female , Adult , Middle Aged , Specialties, Dental , Brazil , Oral Health , Disabled Persons/psychology , Dental Health Services , Health Services for Persons with Disabilities , Socioeconomic Factors , Health Profile , Cross-Sectional Studies/methods
Medisan ; 23(1)ene.-feb. 2019. tab
Article in Spanish | LILACS (Americas) | ID: biblio-990180


Se realizó un estudio observacional, descriptivo y transversal de 14 pacientes con lepra, diagnosticados y atendidos en la consulta de Dermatología del Hospital Nacional Guido Valadares, en Dili, Timor Oriental, de julio a diciembre del 2015, con vistas a caracterizarles y describir algunos aspectos clínicos y epidemiológicos de la enfermedad. En la serie se obtuvo una mayor frecuencia de pacientes en el grupo etario de 26 a 35 años y del sexo masculino, la forma clínica predominante fue la multibacilar y el tiempo de evolución de los síntomas hasta que fuera establecido el diagnóstico fue de menos de un año. Igualmente, en la mayoría existieron reacciones agudas, principalmente de tipo II o eritema nudoso leproso, y diferentes grados de discapacidad.

An observational, descriptive and cross-sectional study of 14 patients with leprosy, diagnosed and assisted in the Dermatology Service of Guido Valadares National Hospital, in Dili, Timor Lester was carried out from July to December, 2015, with the aim of characterizing them and to describe some clinical and epidemiological aspects of the disease. In the series a higher frequency of patient was obtained in the age group 26 to 35 years and of the male sex, the predominant clinical form was the multibacilar and the time of clinical course of the symptoms up to reaching the diagnosis was shorter than a year. Equally, in most of them acute reactions were presented, mainly of type II or from the erythema leprosy group, and different degrees of inability.

Humans , Male , Female , Adolescent , Adult , Middle Aged , Leprosy, Borderline , Leprosy, Lepromatous , Leprosy , Mycobacterium lepraemurium , Epidemiology, Descriptive , Cross-Sectional Studies , Disabled Persons , Observational Study
Article in Korean | WPRIM (Western Pacific) | ID: wprim-740596


OBJECTIVES: The purpose of this study was to investigate the job satisfaction level of the dental staff working at oral health centers for people with disabilities. METHODS: A questionnaire survey was conducted with 73 dentists and dental hygienists working at seven regional oral health centers for people with special needs and dental hospitals for people with disabilities in Seoul. The questionnaire consisted of seven questions across two subscales: general satisfaction (4 questions) and satisfaction with wage and welfare (3 questions). The internal consistency of the questionnaire items was assessed using Cronbach's alpha (0.80). The responses were analyzed using a t-test with SPSS (version 23.0). RESULTS: Of the 73 dental staff members, 50% were dentists, 64% were women, and participants' average age was 30 years. In total, 58% of the participants had up to five years of experience working with people with disabilities, 42% of them worked full-time, and each participant treated an average of 200 patients with disabilities per month. The participants reported that their salary was relatively low. Dental hygienists had higher satisfaction level than dentists in the institution's welfare work. The more full-time workers answered, the more suitable they are for their work. CONCLUSIONS: The job satisfaction level of most professionals working in oral health centers for people with disabilities was not very high but they felt rewarded by their welfare work. It was inferred that it is necessary to examine and improve institutional support aspects such as human resource support. Increasing the number of centers in the central region is also needed.

Dental Hygienists , Dental Staff , Dentists , Disabled Persons , Female , Humans , Job Satisfaction , Oral Health , Reward , Salaries and Fringe Benefits , Seoul
Article in English | WPRIM (Western Pacific) | ID: wprim-719496


BACKGROUND: Several studies have been conducted regarding people with disabilities, however no studies have estimated the disease burden due to premature death. As such, we aimed to compare the years of life lost (YLLs) due to premature death between a population with disabilities and the total population of Korea. METHODS: To calculate the YLLs in people with disabilities, we combined disability registration data from the 2002–2011 Ministry of Health and Welfare of Korea and the causes of mortality data by Statistics Korea for 3,158,231 people. RESULTS: YLLs of people with disabilities were 517,337, which accounted for 23.4% of YLLs of the total population. YLLs per 100,000 people with disabilities were approximately 3.8 times higher than those in the total Korean population. Ischemic stroke was associated with the highest YLLs per 100,000 people, followed by ischemic heart disease, hemorrhagic, and other non-ischemic stroke, diabetes mellitus, and self-harm. Among individuals with physical disabilities, ischemic heart disease was associated with the highest YLLs. For intellectual disability, epilepsy contributed to the most YLLs. For individuals with mental disability, self-harm was the largest contributor to YLLs. CONCLUSION: The burden of disease was higher in the population with disabilities than that in the general population. Cardiovascular diseases and cancer had a higher burden of disease than did other diseases in the population with disabilities; thus, overall, non-communicable diseases have a higher burden of disease than communicable diseases or injuries in the population with disabilities than in the general population.

Cardiovascular Diseases , Communicable Diseases , Diabetes Mellitus , Disabled Persons , Epilepsy , Humans , Intellectual Disability , Korea , Mortality , Mortality, Premature , Myocardial Ischemia , Stroke
Rio de Janeiro; s.n; 2019. 113 f p. graf, tab, fig.
Thesis in Portuguese | LILACS (Americas) | ID: biblio-997864


A artrite reumatoide é uma doença inflamatória crônica com prevalência mundial estimada entre 0,5 e 1%, caracterizada por dor, edema e rigidez matinal nas articulações. A doença não controlada leva à destruição articular progressiva, causando perda da qualidade de vida e da capacidade funcional. A manutenção da capacidade envolve estar apto a realizar atividades básicas do cotidiano, envolvendo higiene pessoal, carregar objetos, vestir-se, alimentar-se e locomover-se. Limitações ou impossibilidade de realizar estas atividades implica em alguma incapacidade funcional - geralmente mensurada, na artrite reumatoide, por um dos componentes do Questionário de Avaliação de Saúde. Esta dissertação teve como objetivo geral analisar a variação da capacidade funcional medida pelo Questionário de Avaliação de Saúde ­ Índice de Incapacidade em pacientes com artrite reumatoide acompanhados ambulatorialmente por um ano e propor um modelo preditivo, em função de fatores sociodemográficos e clínicos. Os objetivos específicos foram: (i) avaliar quais variáveis, previamente reportadas na literatura, têm impacto sobre a capacidade funcional dos pacientes com artrite reumatoide de uma coorte nacional; (ii) construir um modelo preditivo próprio à realidade brasileira utilizando variáveis de fácil obtenção; e (iii) avaliar se há modificação de efeito pela interação entre atividade de doença e o tempo no estudo. Avaliamos 1111 pacientes com artrite reumatoide atendidos em 11 centros de referência para tratamento de doenças reumáticas vinculados ao Sistema Único de Saúde, com coleta de dados prospectiva. Utilizamos modelos lineares de efeitos mistos para avaliar a variação da capacidade funcional, mensurada pelo Questionário de Avaliação de Saúde ­ Índice de Incapacidade, nos dados coletados em três momentos ao longo de um ano. Esta análise revelou que, na população avaliada, sexo, status socioeconômico, dor articular, uso prévio de medicamentos imunobiológicos, atividade e tempo de doença estavam associados à variação da capacidade funcional, com capacidade explicativa de 37% de nosso modelo. Ao definir as variáveis a analisar a partir de um referencial teórico estruturado com a revisão de literatura, identificamos que nossos achados apresentaram pontos comuns com estudos realizados na Europa e América do Norte. Alguns destes achados foram: pior capacidade funcional em pacientes com mais dor e doença em atividade, em pacientes do sexo feminino e naqueles que tenham feito uso prévio de medicamento imunobiológico. Também foram relevantes as curvas em formato de J relacionadas com mais tempo de doença e pior status socioeconômico. Levantamos algumas hipóteses para os escores de incapacidade encontrados nesta população, como a adaptação dos pacientes às limitações com o avanço do tempo de doença e a percepção de que estas limitações seriam parte do envelhecimento normal. Apesar de construído a partir de uma população com mais de uma década de doença, nosso modelo incluiu variáveis comumente associadas ao componente reversível da incapacidade funcional, como dor e atividade de doença. Neste cenário, o melhor controle da doença traria benefícios aos pacientes, com recuperação de ao menos parte da capacidade funcional

Rheumatoid arthritis is an inflammatory chronic disease with estimated global prevalence of 0.5 ­ 1%, characterized by morning stiffness, joint pain and swelling. If not controlled, the disease leads to progressive joint destruction, decreasing quality of life and functional capacity. To maintain this capacity involves being able to perform basic daily life activities, such as those related with personal hygiene, to carry objects, to get dressed, to eat and to deambulate. Limitations or to be unable to perform these activities implies in at least some functional disability ­ usually measured, in rheumatoid arthritis patients, by one of the Health Assessment Questionnaire components. This dissertation's general aim was to analyze functional capacity variation, measured by the Health Assessment Questionnaire ­ Disability Index, in a Brazilian cohort of rheumatoid arthritis patients followed at outpatients clinics for a year and to create a predictive model as result of several demographic and clinical features. The specific aims were: (i) to evaluate which of the variables that were previously reported in the literature have impact on the functional capacity of RA patients in a Brazilian cohort; (ii) to build a predictive model adjusted to the Brazilian reality with variables of feasible acquisition; and (iii) to evaluate if there is effect modification due to the interaction between disease activity and length of time in the study. We evaluated 1111 rheumatoid arthritis patients followed at 11 reference treatment centers for rheumatic diseases, all pertaining to the Unified Health System ­ SUS, with prospective data collection. We applied linear mixed effects models to evaluate the variation in functional capacity, measured by Health Assessment Questionnaire ­ Disability Index, within the data collected at three time points along one year. This analysis revealed that, in the evaluated population, sex, socioeconomic status, joint pain, previous use of immunobiological drugs, disease duration and activity were associated with functional capacity variation, in a model with a 37% explanatory capacity. After defining which database variables to use from a theorical model structured with the literature review, we identified that our findings presented common aspects with studies from Europe and North America. A few of the findings were: decrease of functional capacity with pain and disease activity, in female patients and also in those with previously reported immunobiological use. Also relevant were the J-shaped curves related with longer disease duration and worse socioeconomic status. Some hypotheses for the functional capacity scores found were patient adaptability to physical limitations accrued with disease duration and perception that those limitations would be part of a normal ageing process. Though built with data from a population with more than a decade of disease duration, our model included variables commonly associated with the reversible component of functional disability, such as pain and disease activity. In this scenario, tighter control of disease activity would benefit patients and bring the possibility of regaining, at least partially, their functional capacity

Humans , Arthritis, Rheumatoid/epidemiology , Quality of Life , Rheumatology , Unified Health System , Brazil , Cohort Studies , Disabled Persons , Mobility Limitation
Rio de Janeiro; s.n; 2019. 232 f p. fig, tab, graf.
Thesis in Portuguese | LILACS (Americas) | ID: biblio-998336


Esta tese tem como objeto analisar a Política Nacional de Saúde Bucal (PNSB) e a sua conexão com a Rede de Cuidados à Pessoa com Deficiência (RCPD) no estado do Amazonas. Para compreender a configuração da Política e a transversalidade com a Rede nessa localidade, os processos de pesquisa foram delineados para o cerne dessa questão e o enfoque dos referenciais teóricos e levantamento de dados obtidos a partir desse direcionamento. Os encaminhamentos metodológicos partiram de duas frentes de busca - configuração da Política e atenção à saúde bucal às pessoas com deficiência (PcD) no Amazonas, nos três níveis de atenção. Desta forma os dados foram coletados através dos bancos de dados oficias do governo federal - Sistemas de Informações Ambulatoriais (SIA/SUS), Sistema de Informações Hospitalares (SIH/SUS) e Cadastro Nacional de Estabelecimentos de Saúde (CNES), todos do Departamento de Informática do Sistema Único de Saúde (DATASUS), através das ferramentas TABNET e TABWIN. Os resultados das pesquisas verificaram que este estado possui os mesmos problemas de ordem nacional que os demais estados brasileiros, somados ao desfavorecimento regional e aos problemas locais, a falta de infraestrutura associada ao isolamento geográfico e político, a grande dispersão populacional e a dificuldade de locomoção são características peculiares desse estado. Além de existirem grandes desigualdades socioeconômicas entre os municípios amazonenses, expressas pela desigualdade de renda no Amazonas (maior que no Brasil) e pelos indicadores sociais insatisfatórios (40,3% dos municípios têm Índice de Desenvolvimento Humano (IDH) baixo e o estado possui o progresso social baixo ­ Índice de Progresso Social IPS/54,92). Essas adversidades não podem ser tratadas de maneira singular e, por consequência, esse estado demanda atenção diferenciada com necessidade de investimentos em diversos setores, incluindo a saúde. A configuração da PNSB está fortemente concentrada na cidade de Manaus, principalmente no que diz respeito a atenção terciária, pois os dois hospitais aderidos à RCPD estão localizados nessa cidade. A atenção à saúde bucal, na atenção básica (AB), no Amazonas, apresenta baixa cobertura populacional tanto no estado (36,1%) quanto na capital (14,0%), refletindo em baixo acesso à saúde bucal individualizada. E a lógica do SIA/SUS não permite separar a população individualmente, o que prejudica o planejamento, programação, regulação, avaliação, controle e auditoria dos serviços ambulatoriais de saúde bucal para as PcD na AB. Na média complexidade, constatamos que dos 62 municípios amazonenses apenas nove (14,5%) possuem oferta da atenção à saúde bucal especializada, sendo 13 Centros de Especialidades Odontológicas (CEO) no estado, o que significa que 35% da população do Amazonas (1.427.527 habitantes), encontra-se desassistida da atenção à saúde bucal nesse nível de atenção. Sendo assim apresentamos algumas sugestões com o intuito de aprimorar a PNSB e a atenção à saúde bucal das PcD

This thesis aims to analyze the National Oral Health Policy (PNSB) and its connection to the Care Network for the Disabled Person (RCPD) in the state of Amazonas. In order to understand the configuration of the Policy and the transversality with the Network in that locality, the research processes were delineated to the core of this issue and the focus of the theoretical references and data collection obtained from this targeting. The methodological guidelines started from two fronts of search - configuration of the Policy and Oral Health Care for People with Disabilities (PwD) in Amazonas, in the three levels of attention. In this way the data were collected through the official databases of the federal government - Outpatient Information Systems (SIA/SUS), Hospital Information System (SIH/SUS) and National Registry of Health Establishments (CNES), all from the Department of Informatics of the Unified Health System (DATASUS), through the tools TABNET and TABWIN. The results of the surveys verified that this state has the same problems of national order as other Brazilian states, together with regional disadvantage and local problems: the lack of infrastructure associated with the geographical and political isolation, a large population dispersion and the difficulty of locomotion are peculiar characteristics of this state. In addition to the large socioeconomic inequalities between Amazonas municipalities, expressed by income inequality in Amazonas (higher than in Brazil) and by unsatisfactory social indicators (40.3% of municipalities have a low Human Development Index (HDI), and the state has low social progress - Social Progress Index IPS/54,92). These adversities cannot be treated in a singular way and, as consequence, this state demands differentiated attention with the need of investments in several sectors, including health. The configuration of the PNSB is strongly concentrated in the city of Manaus, especially regarding tertiary care, as the two hospitals adhered to RCPD are located in that city. The oral health care in primary care (AB) in Amazonas has low population coverage in both the state (36.1%) and the capital (14.0%), reflecting low access to individualized oral health. And the SIA/SUS logic doesn't allow the separation of the individual population, which impairs the planning, programming, regulation, evaluation, control and audit of outpatient oral health services for the PwD in AB. In terms of complexity, we found that only nine (14.5%) of the 62 municipalities of Amazonas have specialized oral health care, 13 of which are Dental Specialty Centers (CEO) in the state, which means that 35% of the Amazonas population (1.427.527) is disassociated from oral health care at this level of care. Thus, we present some suggestions with the aim of improving the PNSB and the oral health care of PcD

Humans , Primary Health Care , Unified Health System , Brazil , Oral Health , Disabled Persons , Dental Care for Disabled/organization & administration , Dental Health Services/organization & administration , Health Policy