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Conceptual Models of Disability and Their Role in the Daily Routine of Clinical Rehabilitation
Donatella Rita Petretto,
Silvia Vinci,
Ivano Paolo Todde,
Paola Piras,
Ilenia Pistis,
Carmelo Masala
Issue:
Volume 2, Issue 4, November 2017
Pages:
75-81
Received:
17 August 2017
Accepted:
5 September 2017
Published:
30 September 2017
DOI:
10.11648/j.rs.20170204.11
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Abstract: The aim of this paper is to analyse how the different conceptual models of disability can help daily work of rehabilitation clinicians. Previous papers described the usefulness in rehabilitation psychology of the International classification of Functioning, Disability and Health (ICF) a worldwide-known conceptual model of disability [1-6] In this paper, we describe how other conceptual models could be useful for rehabilitation clinicians [7-8]. A Narrative review of the literature on conceptual models of disability was undertaken. Based on a previous history of Conceptual models of disability in the 20° century, we describe four groups of models and their impact on rehabilitation: models that analysed the role of pathology, models that analysed the relationship between pathology and its consequences, models that emphasized the role of the environment, and models that analysed the relationship between person and environment. In the daily routine of rehabilitation psychology and in general in rehabilitation sciences, as in the theoretical analysis, one can choose one or another of these options, although the history of the conceptual models of disability shows that the fourth option is the most advanced and the most worldwide-recognized (thanks to the ICF). As for rehabilitation clinicians, the awareness of the chosen option can help in understanding the focus of intervention and to modify it. The main aims of this process is to transform the disablement process into a positive one by which the person can be enabled.
Abstract: The aim of this paper is to analyse how the different conceptual models of disability can help daily work of rehabilitation clinicians. Previous papers described the usefulness in rehabilitation psychology of the International classification of Functioning, Disability and Health (ICF) a worldwide-known conceptual model of disability [1-6] In this p...
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Religiosity of Older People in Rural Bangladesh
Issue:
Volume 2, Issue 4, November 2017
Pages:
82-84
Received:
7 September 2017
Accepted:
21 September 2017
Published:
5 November 2017
DOI:
10.11648/j.rs.20170204.12
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Abstract: Older people are vulnerable because of age-related changes they experience which can cause a variety of physical, psychological and social problems. Older people may use their religiosity to counter these issues and improve their quality of life. The purpose of this study was to investigate older people’s religiosity and the association between religiosity and demographic variables in two southern districts of Bangladesh. Data were collected from 280 older people using Strength of Religious Faith Scale. Descriptive statistics were used to analyze demographic and religiosity data. One way classification of analysis of variance (ANOVA) was used to evaluate different groups of older people with different demographic variables. In this study, older people reported a high level of religiosity (M = 52.51, SD= 3.49). It was also found that gender, employment status, living arrangements, and income were significant variables related to older people’s religiosity. Further study of other potential variables is recommended.
Abstract: Older people are vulnerable because of age-related changes they experience which can cause a variety of physical, psychological and social problems. Older people may use their religiosity to counter these issues and improve their quality of life. The purpose of this study was to investigate older people’s religiosity and the association between rel...
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The Experience on Percutaneous Biliary Drainage in Malignant Biliary Obstruction and Associated Bilomas
Bilgin Kadri Aribas,
Cetin Imamoglu,
Ahmet Bayrak,
Hale Aydin,
Emrah Caglar
Issue:
Volume 2, Issue 4, November 2017
Pages:
85-90
Received:
25 September 2017
Accepted:
25 October 2017
Published:
3 December 2017
DOI:
10.11648/j.rs.20170204.13
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Abstract: Objective: To handle efficacy of percutaneous biliary drainage not only in cases with malignant biliary obstructive jaundice, but associated bilomas as well. Also, it is to evaluate our series with previous series in this review. Material and Method: Review of previous series in which between January 1998 and July 2008, percutaneous biliary drainage was performed in 47 men and 29 women, 76 patients with malignant biliary obstruction. Ages were between 29 and 80 years, mean age: 55.0 years. Our patients had pain, emesis, vomiting, itching, weakness, and weight loss, while jaundice was the clinical symptom in almost all. Biliary stent was put in 5 (6.6%). Biloma was seen in 3 (4.0%). Success was evaluated by referencing direct bilirubin levels before and after drainage and clinical recovery. These bilirubin levels were statistically compared via Wilcoxon signed ranks test. Results: It was succeeded in 70 patients. Mean bilirubin was 14.2±7.4 mg/dl (3.0-36.0) before drainage and 7.1±5.5 mg/dl (0.2-20.0) after drainage. Direct bilirubin levels decreased significantly (p<0.001). The procedure was failed in 2 (2.6%). Success was in 89.5% of malignant biliary drainages and all associated bilomas. Conclusion: Percutaneous biliary drainage is not only an effective interventional radiological method in palliation therapy of malignant biliary obstruction but also associated bilomas. Drainage type should be chosen on the grounds of clinical status of each patient and depending on expertise of operator or intervention a list and should be switched among percutaneous biliary drainage technique and endoscopic biliary drainage or surgical treatment technique.
Abstract: Objective: To handle efficacy of percutaneous biliary drainage not only in cases with malignant biliary obstructive jaundice, but associated bilomas as well. Also, it is to evaluate our series with previous series in this review. Material and Method: Review of previous series in which between January 1998 and July 2008, percutaneous biliary drainag...
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Factors Influencing Waste Segregation Among Staff in Chuka Level Four Hospital
Issue:
Volume 2, Issue 4, November 2017
Pages:
91-100
Received:
19 October 2017
Accepted:
15 November 2017
Published:
27 December 2017
DOI:
10.11648/j.rs.20170204.14
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Abstract: Proper segregation, handling and disposal of medical waste is an imperative component on preventing potential risk for injury, infection, and environmental pollution. Globally there are well defined set of rules for handling medical waste but unfortunately, laxity and lack of adequate training and awareness in the execution of these rules can lead to serious health implications. Thus, the main objective for this study was to investigate the factors affecting segregation of waste in Chuka hospital. Specifically the study aimed at identifying the health care waste generated in the hospital, determining the knowledge level of health workers on waste segregation, assessing the attitude of staff on waste segregation and establishing the structural support towards waste segregation in the hospital. The study applied the descriptive research design and the target population was 330 comprising of doctors, nurses, other health workers and support staff drawn from Chuka level four hospital. The study employed the simple random sampling technique to get the study sample size. Simple random sampling technique was used to select 66 participant respondents as the study sample size. The research instrument for data collection was a questionnaire consisting both open-ended and closed-ended questions as per study variables. Reliability of the research instruments was tested and improved by use of test-retest method. Quantitative data was coded and analyzed using the SPSS (Statistical Package for social Scientists) version 22 program. The descriptive statistics indices such as tables, frequencies distribution and percentages, pie charts and graphs were used to represent the data. The most common waste was the highly infectious waste infectious waste, sharps and the non-infectious waste which included food items, empty bottles for drinks, paper, and packaging material. Correct knowledge and safe practices of health care workers was very important when managing the health care waste. Few health care workers were trained on health care waste management and majority did not differentiate the different coded containers for disposing waste. The attitude of workers was aggravated by poor working condition, shortage of health care workers, overcrowded wards, poor communication and uncooperative behavior among some health care workers. There was a shortage of dust bines and bin liners in the hospital for waste segregation. In conclusion the hospital waste management practices should be improved at Chuka general hospital through training and provision of relevant equipment.
Abstract: Proper segregation, handling and disposal of medical waste is an imperative component on preventing potential risk for injury, infection, and environmental pollution. Globally there are well defined set of rules for handling medical waste but unfortunately, laxity and lack of adequate training and awareness in the execution of these rules can lead ...
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