La figura de facilitación de acceso a la justicia. Comparación internacional de un reto formativo / Intermediaries in Access to Justice. International Comparison of a Training Challenge

El facilitador es un profesional que posibilita el ejercicio del derecho de acceso a la justicia a las personas con discapacidad intelectual y del desarrollo, favoreciendo los principios de equidad, participación, accesibilidad y autodeterminación. En el presente estudio, se realiza una revisión bibliográfica para determinar la presencia de esta figura en el panorama internacional y su perfil formativo. En el derecho internacional, actualmente, podemos encontrarla en algunos países nórdicos, Reino Unido, Israel, Azerbaiyán, Taiwán, Sudáfrica, Kenia, Canadá, varios estados de EE. UU., México y Chile, así como en parte del territorio australiano y Nueva Zelanda. En España, la figura aparece en la última reforma de la legislación civil y procesal (Ley 8/2021, de 2 de junio). En su perfil formativo encontramos tanto la educación formal como no formal de estos profesionales. El perfil del facilitador habrá de ajustarse a las necesidades de las personas con discapacidad intelectual y del desarrollo y del contexto que requiera la facilitación. (AU)

Intermediaries are professionals who enable the effective right of access to justice for people with intellectual and developmental disabilities, ensuring principles of equity, participation, accessibility and self-determination for them. This paper analyzes the presence and formative background of this figure from an international comparative perspective. Nowadays, we can find these professionals in the international law across different countries: some Nordic countries, United Kingdom, Israel, Azerbaijan, Taiwan, South Africa, Kenya, Canada, part of the USA, Mexico and Chile, Australia and New Zealand. In Spain, intermediaries are considered in the latest reform of the civil and procedural legislation (Law 8/2021, June the 2nd). This paper analyzes the formative background of this figure from an international comparative perspective. We find both formal and non-formal education in the background of these professionals. There is no doubt their profile must adjust to the needs of people with intellectual and developmental disabilities and the contexts that require the facilitation. (AU)

El trabajo social y sus intervenciones de apoyo a la capacidad jurídica de las personas, tras la Ley 8/2021 / Social Work and its Interventions to Support the Legal Capacity of People, after Law 8/2021

La relación del trabajo social con la Administración de Justicia adquiere una nueva dimensión en el campo de la discapacidad. La Ley 8/2021, por la que se reforma la legislación civil y procesal para el apoyo a las personas con discapacidad en el ejercicio de su capacidad jurídica, reconoce la importancia de esta profesión y la sitúa junto a la profesión médica en cuánto a la información pericial y la intervención a realizar con personas con discapacidad. La cuestión de los apoyos para mejorar la capacidad jurídica es una variable fundamental para que la valoración sociofamiliar sea necesaria. La aportación de este estudio es descriptiva y propositiva, sitúa la ley en relación con la situación social y con la profesión del trabajo social. Posteriormente, detalla las disciplinas o especialidades del trabajo social que pueden participar en estos procedimientos judiciales, con ejemplos de relaciones previas entre la regulación de la discapacidad y el trabajo social. Finalmente, realiza una propuesta de trabajo, un inicio de protocolo de actuación entre disciplinas para buscar la colaboración en forma de mesa redonda que recoge la ley. (AU)

The relationship between social work and the administration of justice acquires a new dimension in the field of disability. Law 8/2021, which reforms civil and procedural legislation to support people with disabilities in the exercise of their legal capacity, recognizes the importance of this profession and places it on a par with the medical profession in terms of expert information and intervention to be carried out with people with disabilities. The question of support to improve legal capacity is a fundamental variable for the socio-family assessment to be necessary. The contribution of this study is descriptive and propositional; it places the law concerning the social situation and the profession of social work. Subsequently, it details the disciplines or specialties of social work that can participate in these judicial proceedings, with examples of previous relationships between the regulation of disability and social work. Finally, it makes a work proposal, a beginning of the protocol of action between disciplines to seek collaboration in the form of a round table that includes the law. (AU)

Inclusión laboral: un compromiso pendiente de las organizaciones frente a las personas con discapacidad / Working Inclusion: A Pending Commitment of Organizations towards People with Disabilities

Las sociedades actuales se ven abocadas a fortalecer los procesos de inclusión laboral de personas con discapacidad, dando respuesta a las necesidades de reconocimiento de la diversidad de conocimientos, habilidades y capacidades de la fuerza laboral, sumado a la responsabilidad social corporativa de las organizaciones. Esta investigación se centró en identificar los procesos de inclusión laboral que se llevan a cabo en las organizaciones en Armenia, Quindío. Bajo un abordaje metodológico cuantitativo en prospectiva, de tipo transversal descriptivo, se contó con una muestra de 243 trabajadores relacionados con el área de gestión humana de las organizaciones. El instrumento utilizado fue la escala de inclusión laboral de personas con discapacidad –Working Inclusion Disability People Scale-WINDIPS–, que se basa en las dimensiones de apoyo y vinculación, permanencia y progreso, las cuales se desarrollan a partir de diferentes prácticas inclusivas. La versión final consta de 12 ítems con opción de respuesta tipo Likert. Finalmente, se obtuvo una puntuación total donde el 24.7 % tenían bajas prácticas de inclusión, el 53.5 % un nivel medio y el 21.8 % un nivel alto. Se logró identificar que más de la mitad de las organizaciones participantes aún requieren trabajar en sus prácticas de inclusión laboral. (AU)

Today’s societies are committed to strengthen the processes of labor inclusion of people with disabilities, responding to the needs of recognition of the diversity of knowledge, skills and abilities of the workforce, in addition to the social responsibility of organizations. This research focused on identifying the labor inclusion processes implemented in the organizations of Armenia, Quindío. Under a quantitative methodological approach of instrumental type, a sample of 143 workers related to the human management area of the organizations. The instrument used was the Working Inclusion Disability People Scale –WINDIPS– based on the dimensions of presence, permanence and progress, which are developed from different inclusive practices. The final version of 13 items with a Likert-type response option. Finally, a total score was obtained in which 24.7 % had low inclusion practices, 53.5 % medium and 21.8 % a high level. It was identified that more than half of the participating organizations still need to improve their working inclusion practices. (AU)

Calidad de vida en colombianos con discapacidad intelectual: efectos del confinamiento ocasionado por COVID-19 / The Quality of Life in Colombians with Intellectual Disabilities: Effects of Confinement Caused by COVID-19

La pandemia llevó a que se incrementaran las medidas de bioseguridad y se adoptara el confinamiento para evitar la propagación del virus, lo que repercutió en la calidad de vida de todas las personas, incluyendo a aquellas con discapacidad intelectual. El propósito de este estudio fue establecer cómo era la calidad de vida de las personas con discapacidad intelectual durante el confinamiento por la COVID-19, mediante la aplicación de un cuestionario en línea que fue completado por 78 familias de personas con discapacidad intelectual en Colombia. Los principales hallazgos dan cuenta de que al 91 % de las personas con discapacidad intelectual le explicaron sobre el confinamiento y el 79,5 % tuvo conocimiento acerca de las causas para dicho confinamiento; el 43.6 % presentó un nivel alto de participación en las actividades y rutinas familiares; el 80.8 % pudo elegir los espacios y tiempos para realizar sus actividades individuales; el 92.3 % tuvo acceso a los implementos y recursos necesarios para su vida diaria; el 71.8 % no experimentó cambios en los hábitos de alimentación; el 44.9 % reportó un estado regular de salud; el 64.1 % experimentó cambios en sus hábitos de sueño, y el 79.5 % no recibió apoyos gubernamentales. Las personas con discapacidad intelectual moderada tuvieron un mayor contacto con su familia extensa (52.50 %) y un 85.7 % de quienes presentaban discapacidad severa y profunda evidenciaron cambios en su estado de ánimo. En conclusión, las personas con discapacidad intelectual experimentaron una serie de adaptaciones en los entornos inmediatos, que tuvieron que llevar a cabo las familias y las instituciones, para minimizar el impacto del confinamiento en su calidad de vida. (AU)

The pandemic led to increased biosecurity measures and the adoption of confinement to prevent the spread of the virus, which impacted the quality of life of all people, including persons with intellectual disabilities. The purpose of this study was to establish what the quality of life of persons with intellectual disabilities was like during the confinement by COVID-19, through the application of an online questionnaire that was completed by 78 families of persons with intellectual disabilities in Colombia. The main findings show that 91 % of persons with intellectual disabilities explained about confinement and 79.5 % were aware of the causes for such confinement; 43.6 % presented a high level of participation in family activities and routines; 80.8 % were able to choose the spaces and times to carry out their individual activities; 92.3 % had access to the implements and resources necessary for their daily lives; 71.8 % experienced no changes in eating habits; 44.9 % reported a regular state of health; 64.1 % experienced changes in their sleep habits, and 79.5 % did not receive government support. Persons with moderate intellectual disability had greater contact with their extended family (52.50 %) and 85.7 % of those with severe and profound disability showed changes in their mood. In conclusion, persons with intellectual disabilities experienced several adaptations in the immediate environments, that families and institutions had to carry out, to minimize the impact of confinement on their quality of life. (AU)

Conocimiento y uso de los recursos dirigidos a los familiares de personas con discapacidad / Knowledge and Use of Resources for Family Members of Persons with Disabilities

Las políticas sociales buscan relevar a la familia de las personas con discapacidad y dependencia en su papel de cuidadores. Sin embargo, en numerosas ocasiones, estas familias no disponen de todos los recursos necesarios para afrontar estas situaciones de cuidado. El objetivo general del presente trabajo es conocer la percepción sobre los recursos de los que disponen los familiares de personas con discapacidad. Se trata de un estudio cualitativo mediante entrevista estructurada, no experimental ex post facto, de carácter descriptivo y de tipo transversal. La muestra total fueron 27 personas familiares de personas con discapacidad. Para el análisis de las respuestas se empleó el programa JASP y se realizó estadística descriptiva y correlacional. Los resultados indican que el recurso más reconocido y utilizado es el referido a las prestaciones económicas, así como la atención temprana y los colegios de educación especial. Las mujeres son mayoritarias en el cuidado de estas personas, señalando estas mujeres un gasto de energía, por lo que podría ser recomendable mejorar la eficiencia y la eficacia de los programas de respiro familiar. (AU)

Social policies seek to relieve the family of people with disabilities and dependency in their role as caregivers. However, on numerous occasions, these families do not have all the necessary resources to deal with these care situations. The general objective of this study is to find out the perception of the resources available to family members of people with disabilities in Spain. This is a qualitative study using a structured interview, non-experimental ex post facto, descriptive and cross-sectional in nature. The total sample consisted of 27 relatives of people with disabilities. The JASP programme was used to analyse the responses, and descriptive and correlational statistics were performed. The results indicate that the most recognized and used resource is the one referred to economic benefits, as well as early care and special education schools. Women are in the majority in the care of these people, who report an expenditure of energy, so it could be advisable to improve the efficiency and effectiveness of family respite programmes. (AU)

Model Disability Survey: results for Georgia 2022

This publication describes the results of the Model Disability Survey conducted in Georgia in 2022, on a sampleof 2298 adults and 705 children. The survey provided information on the health status, prevalence, distributionand degree of disability, well-being, capacity, environmental barriers and facilitators, and met and unmet needsfor assistive technology and health-care services for the population in Georgia. Results of the survey suggestedthe need for actions targeting women and elderly people and improving the economic situation of persons withdisabilities, as well as improving access to appropriate health-care and assistive products.

Can a disability studies-medical sociology rapprochement help re-value the work disabled people do within their rehabilitation?

This paper draws attention to the health-related work that disabled people do when engaging with rehabilitation services. Medical sociology has a rich history of looking at the 'illness work' that patients do, while disability studies scholars have explored the cultural value placed upon paid work and the effects on social status of being unable to work. Yet, a longstanding froideur between these two disciplines, which have fundamentally opposed ontologies of illness and disability, means that neither discipline has attended closely to the rehabilitation-related work that disabled people do. The concept of 'adjusting' to illness highlights seemingly irreconcilable disciplinary differences. Yet this article argues that the notion of 'adjustment work' can elucidate the socio-political character of the work disabled people do in their rehabilitation, which could create a more substantial and sustainable dialogue on this subject between disability studies and medical sociology. To make this case, we discuss interview data from the Rights-based Rehabilitation project, which sought to explore disabled people's lived experiences of rehabilitation.

Working it out: Will the improved management of leaky bodies in the workplace create a dialogue between medical sociology and disability studies?

This article focuses on the workplace as a significant site of convergence between the disciplines of medical sociology and disability studies. As disability remains on the margins of sociological exploration and theorising relating to health and work, disabled workers remain on the margins of the workforce, subject to disproportionate rates of unemployment, under employment and workplace mistreatment. The article focuses on the experiences of people with 'leaky bodies', focussing specifically on employees who experience troubling menstruation and/or have gynaecological health conditions. It brings together data from three studies conducted between 2017 and 2020; interviews with disabled academics (n = 75), university staff with gynaecological health conditions (n = 23), and key stakeholders in universities (n = 36) (including university executives, line managers and human resources staff). These studies had separate, but linked foci, on the inaccessibility of workplaces, managing gynaecological health conditions at work and supporting disabled people at work respectively. Drawing on the Social Relational Model of disability and theories of embodiment, we explore the experiences and management of workers with leaky bodies in UK University workplaces. Data illustrates how workplace practices undermine embodied experiences of workers with 'leaky' bodies by maintaining workplaces which ignore their material reality. We highlight that addressing embodied needs alongside acknowledging disabled people as an oppressed political category represents a theoretical meeting point for disability studies and medical sociology.

Epistemic injustice as a bridge between medical sociology and disability studies.

This paper explores the potential of the perspective of epistemic injustice to reconcile medical sociology's attention to the micro level of experience and interpersonal exchange, and disability studies' focus on the macro level of oppressive structures. The first part of the paper provides an overview of the concept of epistemic injustice and its key instances-testimonial, hermeneutical, and contributory injustice. We also consider previous applications of the concept in the fields of health care and disability, and we contextualise our investigation by discussing key features of postsocialism from the perspective of epistemic injustice. In the second part, we explore specific epistemic injustices experienced by people who use disability support by drawing on interviews and focus groups conducted with parents of disabled children in present-day Bulgaria. In our conclusion, we revisit our methodological and theoretical points about the potential of epistemic injustice to facilitate mutually beneficial exchanges between medical sociology and disability studies.

Місія технічної підтримки України з питань обмежень життєдіяльності, реабілітації та допоміжних технологій

З початку широкомасштабного вторгнення в Україну Російської Федерації, яке розпочалось в лютому 2022 р., потреба в реабілітації та допоміжних технологіях стала край значною, як ніколи. В той же час ВООЗ має зобов’язання щодо захисту найбільш вразливих верств населення, зокрема осіб з обмеженнями життєдіяльності. Оскільки ВООЗ вже підтримувала Україну щодо розвитку її реабілітаційних послуг протягом кількох років, вона надала відповідь негайно. Технічну місію було проведено в липні 2022 р. для оцінювання ситуації та вимог щодо реабілітації та допоміжних технологій, включно для осіб з обмеженнями життєдіяльності. Звіт підсумовує висновки та рекомендації місії для сприяння спільному, ефективному та інклюзивному реагуванню.

Technical support mission to Ukraine on disability, rehabilitation and assistive technology

Since the large-scale invasion of Ukraine by the Russian Federation, which began in February 2022, the need for rehabilitation and assistive technology has arguably never been greater, while WHO has a duty to protect the most vulnerable, including persons with disabilities. As WHO has been supporting Ukraine in development of its rehabilitation services for a number of years, it was able to respond immediately. A technical mission was undertaken in July 2022 to assess the situation and requirements for rehabilitation and assistive technology, including for people with disabilities. This report summarizes the findings and action points from the mission to contribute to and support a collaborative, effective, inclusive response.

Uso problemático de Internet y problemas psicológicos entre estudiantes universitarios con discapacidad / Problematic Internet Use and Psychological Problems among University Students with Disabilities

El uso problemático de internet (UPI) entre las personas con discapacidadha recibido muy poca atención en la literatura científica. El objetivo de estetrabajo es estudiar el UPI entre los estudiantes universitarios españoles condiscapacidad, y si se relaciona con malestar y problemas psicológicos. En elestudio participaron 432 universitarios españoles con discapacidad de seisuniversidades (35 %: discapacidad motora, 22,7 %: discapacidad sensorialy 42,1 %: otras discapacidades, excluyendo la discapacidad psíquicao intelectual). El UPI se evaluó mediante el Test de Adicción a Internet(IAT), mientras que los problemas psicológicos se evaluaron mediante elcuestionario Clinical Outcomes in Routine Evaluation-Outcome Measure(CORE-OM). La prevalencia del UPI fue del 6,3 %, y no hubo diferenciasestadísticamente significativas por sexo, tipo de discapacidad o estudios. Síhubo diferencias en función de la edad (< 22 mostraron una prevalencia 5veces mayor), origen de la discapacidad (discapacidad congénita mostraronuna prevalencia 3,7 veces mayor) y tipo principal de uso (recreativo). Laprevalencia de problemas psicológicos es significativamente mayor entre losusuarios problemáticos de Internet, en todas las dimensiones medidas porel CORE-OM (problemas psicológicos, bienestar subjetivo, funcionamientogeneral y riesgo de autolesión y de daño a otros). En conclusión, los estudiantesuniversitarios con discapacidad desde el nacimiento (independientementedel tipo de discapacidad y del sexo), menores de 22 años y que utilizanInternet principalmente con fines recreativos y las redes sociales tienenmayor riesgo de sufrir trastornos psicológicos y mayor vulnerabilidad aproblemas como ansiedad y dificultades en las relaciones sociales. (AU)

Problematic internet use (PIU) among people with disabilities has receivedvery little attention in scientific literature. The objective of this work isto study PIU among Spanish university students with disabilities, anddetermine whether it is related to the presence of psychological problemsand discomfort. A total of 432 Spanish university students with disabilitiesfrom six universities participated in the study (35% motor disability, 22.7%sensory disability and 42.1% other disabilities, excluding psychical orintellectual disability). PIU in the sample was assessed using the InternetAddiction Test (IAT), while psychological problems were assessed usingthe Clinical Outcomes in Routine Evaluation-Outcome Measure (COREOM). PIU prevalence was 6.3%, and significant differences were foundby age (< 22 had a PIU prevalence five times higher), onset of disability(prevalence was 3.7 times higher in those with congenital disability) andmain type of internet use (recreational). There were no differences by sex,level of education or type of disability. In all the dimensions measured byCORE-OM (psychological problems, subjective well-being, life functioningand risk of self-harm and harm to others), the prevalence of psychologicalproblems was significantly higher among problematic internet users. Inconclusion, university students who are disabled from birth (regardless oftheir type of disability and sex), under the age of 22, and use the internetmainly for social networking and recreational purposes are at greater risk ofpsychological distress and are more vulnerable to problems like anxiety anddifficulties with social relationships. (AU)

Desarrollo y validación de una escala de actitudes hacia la discapacidad en personal militar / Development and validation of an attitudes scale towards disability in military personnel

Antecedentes y objetivo: La concepción actual de la discapacidad, donde las características físicas de una persona son contempladas en su interacción con el entorno, requiere de estudios actitudinales de la población que faciliten la identificación de las barreras que limitan el ejercicio de los derechos en igualdad de oportunidades para las personas con discapacidad en contextos profesionales. El objetivo principal del estudio ha sido el diseño, construcción y validación de un instrumento de evaluación de las actitudes hacia la discapacidad en personal militar.Método:En el estudio han participado 204 militares de diferentes empleos y escalas, donde un 11,76 % fueron mujeres y un 88,24 % hombres. El desarrollo del trabajo estuvo dividido en dos fases. En la primera fase, se construye la escala y se somete a juicio de expertos analizando la concordancia entre los mismos con el fin de valorar la validez de contenido del cuestionario. En la segunda fase, se valoran las cualidades psicométricas de fiabilidad y validez (constructo y concurrente) de la escala.Resultados:Los resultados obtenidos reflejan propiedades psicométricas adecuadas y ajustadas del instrumento. En el análisis de la fiabilidad se observa que, tanto la escala en su conjunto (.87), como las dos subescalas que la conforman (.88 y .89), presentan una adecuada consistencia interna. En los análisis exploratorio y confirmatorio realizados, se obtiene un modelo con una solución de dos factores cuyos datos de bondad de ajuste (NFI = 0.94, GFI = 0.94, CFI = .97, RMSEA = .06 (IC 90 % = .048 - .070), RMR estandarizado = .091) garantizan una adecuada validez de constructo. Asimismo, se observa una adecuada validez concurrente (.76; p< .01).Conclusiones:Se concluye el uso justificado y óptimo del instrumento para la evaluación de las actitudes hacia la discapacidad en personal militar. (AU)

Background and objective: Currently, the conception of disability considers the physical characteristics of the person in their interaction with the environment. This understanding makes it necessary for the development of attitudinal studies of the population that facilitate the identification of barriers that limit the exercise of people with disabilities’ rights in equal opportunities in the professional field. The main objective of the study was the design, construction, and validation of an instrument to assess attitudes towards disability in the Armed Forces.Method:204 soldiers of different positions and scales participated in the study, where 11.76 % were women and 88.24 % were men. The study was divided into two phases. In the first phase, the scale was constructed and evaluated by a group of experts. The concordance between them was also analyzed in order to evaluate the validity of the content of the questionnaire. In a second phase, the psychometric qualities of reliability and validity (construct and concurrent) of the scale were evaluated.Results:The results obtained reflect appropriate psychometric properties adjusted to the instrument. The reliability analysis, shows that both, the scale as a whole (.87), and the two subscales that make it up(.88 and .89), present adequate internal consistency. In the exploratory and confirmatory analyses performed, it is obtained a model with a two-factor solution. Its goodness-of-fit data (NFI = 0.94, GFI = 0.94, CFI = .97, RMSEA = .06 (90 % CI = .048 - .070), standardized RMR = .091) guarantee adequate construct validity. Likewise, an appropriate concurrent validity is observed (.76; p<.01).Conclusions:In conclusion, the use of the instrument for the evaluation of attitudes towards disability in the Armed Forces is justified and optimal. (AU)

Exploring the intersection of critical disability studies, humanities and global health through a case study of scarf injuries in Bangladesh.

This article puts critical disability studies and global health into conversation around the phenomenon of scarf injury in Bangladesh. Scarf injury occurs when a woman wearing a long, traditional scarf called an orna rides in a recently introduced autorickshaw with a design flaw that allows the orna to become entangled in the vehicle's driveshaft. Caught in the engine, the orna pulls the woman's neck into hyperextension, causing a debilitating high cervical spinal cord injury and quadriplegia. The circumstances of the scarf injury reveal the need for more critical cultural analysis than the fields of global health and rehabilitation typically offer. First, the fatal design flaw of the vehicle reflects different norms of gender and dress in China, where the vehicle is manufactured, versus Bangladesh, where the vehicle is purchased at a low price and assembled on-site-a situation that calls transnational capitalist modes of production and exchange into question. Second, the experiences of women with scarf injuries entail many challenges beyond the injury itself: the transition to life with disability following the rehabilitation period is made more difficult by negative perceptions of disability, lack of resources and accessible infrastructure, and cultural norms of gender and class in Bangladesh. Our cross-disciplinary conversation about women with scarf injuries, involving critical disability studies, global health and rehabilitation experts, exposes the shortcomings of each of these fields but also illustrates the urgent need for deeper and more purposeful collaborations. We, therefore, argue that the developing subfield of global health humanities should include purposeful integration of a humanities-based critical disability studies methodology.

Prevalencia e incidencia de ictus en Europa: revisión sistemática y metaanálisis / Prevalence and incidence of ictus in Europe: systematic review and meta-analysis

Fundamento. El ictus es la segunda causa de muerte y la primera causa de discapacidad en Europa. El número de pacientes con ictus muestra una tendencia de crecimiento rápido debido al aumento de la población anciana. El objetivo de este metaanálisis es estimar la prevalencia e incidencia de ictus en Europa. Método. Se buscaron artículos en las bases de datos MEDLINE, SCOPUS, CINAHL Complete y EMBASE con los términos “stroke”, “cerebrovascular accident” combinadas con “epidemiology”, “prevalence”, “incidence” y “Europe”. La calidad y el riesgo de sesgo se analizó con las escalas Hoy modificada y Newcastle Ottawa para los artículos de prevalencia e incidencia, respectivamente. El metaanálisis utilizó un modelo de efectos aleatorios con intervalos de confianza del 95% (IC95%) y el estadístico I2 para estimar la heterogeneidad. Resultados. La prevalencia de ictus en Europa ajustada por sexo fue 9,2% (IC95%: 4,4-14,0); en hombres fue 9,1% (IC95%: 4,7-16,6) y en mujeres 9,2% (IC95%: 4,1-14,4); se encontró una tendencia creciente con el aumento de la edad. La incidencia de ictus ajustada por sexo fue 191,9 por 100.000 personas-año (IC95%: 156,4-227,3); en hombres fue de 195,7 por 100.000 personas-año (IC95%: 142,4-249,0) y en mujeres 188,1 por 100.000 personas-año (IC95%: 138,6-237,7), con igual tendencia creciente con el aumento de la edad. Conclusiones. La prevalencia de ictus en Europa alcanza un 9,2%. La incidencia se sitúa en 191,9 por 100.000 personas-año. La prevalencia de ictus ha aumentado mientras que la incidencia se mantiene estable en comparación con estudios realizados a comienzos del siglo XXI.(AU)

Background. Stroke is the second cause of death and the first cause of disability in Europe. The number of stroke patients shows a rapidly increasing due to the increase in the elderly population. The aim of this meta-analysis is to evaluate the prevalence and incidence of stroke in Europe. Method. We conducted a literature search in MEDLINE, SCOPUS, CINAHL Complete and EMBASE, using the keywords “stroke”, “cerebrovascular accident”, “epidemiology”, “prevalence”, “incidence” and “Europe”. In order to evaluate the quality and risk of bias, we used the Hoy’s modified scale for prevalence studies and the Newcastle Ottawa Scale for incidence studies. A random effects model with 95% confidence intervals (95%CI) was used for the meta-analysis. The I2 statistic was applied to assess heterogeneity. Results. The prevalence of stroke in Europe adjusted for sex was estimated at 9.2% (95%CI: 4.4-14.0). The prevalence was 9.1% (95%CI: 4.7-13.6) in men and 9.2% (95%CI: 4.1-14.4) in women, and increased with age. The incidence of stroke in Europe adjusted for sex was 191.9 per 100,000 person-years (95%CI: 156.4-227.3); it was 195.7 per 100,000 person-years (95%CI: 142.4-249.0) in men and 188.1 per 100,000 person-years (95%CI: 138.6-237.7) in women. Again, these rates increased with age. Conclusion. The prevalence of stroke in Europe is 9.2%. The incidence of stroke in Europe is 191.9 per 100000 person-years. The prevalence of stroke has increased, whereas the incidence of stroke is stable in comparison with studies conducted at the beginning of the 21st century.(AU)

¿Lejos del verano?: creencias de una muestra de maestros colombianos sobre discapacidad / Far from Summer?: Beliefs of a Sampleof Colombian Teachers on Disability

Este trabajo abordó las creencias de un grupo de maestros colombianos, en torno a cinco factores relacionados con la discapacidad, a saber: (1) las percepciones sobre el estudiante con discapacidad (EcD); (2) la labor del maestro en los procesos de aprendizaje de los EcD; (3) las adaptaciones pedagógicas y el trabajo en el aula con EcD; (4) la instalación de valores inclusivos en la escuela gracias, entre otros, a la participación de alumnado con discapacidad; y (5) las condiciones y requisitos que deben darse en las escuelas para la formación de EcD. Para ello, se diseñó un cuestionario on-line que constaba de 47 preguntas, el cual fue diligenciado por 61 docentes pertenecientes a diversos niveles del sistema educativo colombiano. Los resultados indican que poseer formación en educación inclusiva y discapacidad, así como tener un posgrado en educación y trabajar en entornos educativos que fomenten acciones tendientes al reconocimiento de la diversidad, son tres variables cruciales que arrojan diferencias significativas en las creencias de los profesores encuestados. Todo lo anterior se discute en función de los retos que enfrenta la educación colombiana en el camino de alcanzar una educación inclusiva que acoja plenamente a los EcD. (AU)

This paper addressed the beliefs of a group of Colombian teachers, around five factors related to disability, namely: (1) perceptions about the student with disability (EcD); (2) the work of the teacher in the learning processes of EcD; (3) peda-gogical adaptations and classroom work with EcD; (4) the installation of inclusive values in schools, inter alia, through the participation of pupils with disabilities; and (5) the conditions and requirements to be met in schools for the training of EcD. For this pur-pose, an on-line questionnaire consisting of 47 questions was designed, which was com-pleted by 61 teachers belonging to various levels of the Colombian education system. The results indicate that they have training in inclusive education and disability, as well as have a postgraduate degree in education and work in educational environments that promote actions to recognize diversity, are three crucial variables that show significant differences in the beliefs of valued teachers. All of the above is discussed in terms of the challenges facing Colombian education on the path to achieving an inclusive education that fully embraces EcD. (AU)