Disability as a determinant of access to health care services in Colombia

The relationship between disability and poverty has been described in different contexts. Nevertheless, the basic characteristics of this relationship have not yet been fully established. The social exclusion and discrimination against people with disabilities increase the risk of poverty and reduce the access to basic opportunities such as health and education. This study examines the impact of a health limitation and poverty in the access to health care services in Colombia. Data from the Colombian National Health Survey (2007) was used in the analysis. Variables related with health condition and socio economic characteristics were first generated. Then interactions between health limitations and the lower levels of the asset index were created. This variable gave information related to the relationship between disability and poverty. A probabilistic model was estimated to examine the impact of a health condition and the relation between poverty and disability on the access to health care. The results suggest that living with a physical limitation increases by 10% the probability of access to health care services in Colombia. However, people with a disability and in the lowest quartile of the asset index have a 5% less probability of access to health care services. We conclude that people who live with a physical, mental or sensorial limitation have a higher probability of access to health care services. However, poor and disabled people have a lower probability in access, which increases the risk of having a severe disease and become chronically poor.

INFO2009 Disability and Legislation Guest Lecture by EA Draffan

Slides from guest lecture, provides an overview of current UK legislation, explores perceptions and attitudes and how legislation affects the role of the IT professional.

COMP1205 Disability and legislation

Slides from expert lecturer, provides an overview of current UK legislation, explores perceptions and attitudes and how legislation affects the role of the IT professional. Includes links to additional material.

Vignettes and self-reported work disability in the United States: Correction of report heterogeneity

Subjective measures of health tend to suffer from bias given by reporting heterogeneity. however, some methodologies are used to correct the bias in order to compare self-assessed health for respondents with different sociodemographic characteristics. One of the methods to correct this is the hierarchical ordered probit (hopit), which includes rates of vignettes -hypothetical individuals with a fixed health state- and where two assumptions have to be fulfilled, vignette equivalence and response consistency. this methodology is used for the self-reported work disability for a sample of the united states for 2011. The results show that even though sociodemographic variables influence rating scales, adjusting for this does not change their effect on work disability, which is only influenced by income. the inclusion of variables related with ethnicity or place of birth does not influence the true work disability. however, when only one of them is excluded, it becomes significant and affects the true level of work disability as well as income.

Intellectual Property, Copyright and the Web

Some material used with permission from Frank Bott

A prediction model for establishing the disability degree in adults with spinal cord injury: results based on WHO-DAS II perspective

Objective: To establish a prediction model of the degree of disability in adults with Spinal CordInjury (SCI ) based on the use of the WHO-DAS II . Methods: The disability degree was correlatedwith three variable groups: clinical, sociodemographic and those related with rehabilitation services.A model of multiple linear regression was built to predict disability. 45 people with sci exhibitingdiverse etiology, neurological level and completeness participated. Patients were older than 18 andthey had more than a six-month post-injury. The WHO-DAS II and the ASIA impairment scale(AIS ) were used. Results: Variables that evidenced a significant relationship with disability were thefollowing: occupational situation, type of affiliation to the public health care system, injury evolutiontime, neurological level, partial preservation zone, ais motor and sensory scores and number ofclinical complications during the last year. Complications significantly associated to disability werejoint pain, urinary infections, intestinal problems and autonomic disreflexia. None of the variablesrelated to rehabilitation services showed significant association with disability. The disability degreeexhibited significant differences in favor of the groups that received the following services: assistivedevices supply and vocational, job or educational counseling. Conclusions: The best predictiondisability model in adults with sci with more than six months post-injury was built with variablesof injury evolution time, AIS sensory score and injury-related unemployment.

SIDUR: development of an information system, using controlled vocabulary designed to the characterization and sample of population with and without disability, attended by Rehabilitation programs, University of Rosario

Introduction: the statistical record used in the Field Academic Programs (PAC for it’s initials in Spanish) of Rehabilitation denotes generalities in the data conceptualization, which complicates the reliable guidance in making decisions and provides a low support for research in rehabilitation and disability. In response, the Research Group in Rehabilitation and Social Integration of Persons with Disabilities has worked on the creation of a registry to characterize the population seen by Rehabilitation PAC. This registry includes the use of the International Classification of Functioning, Disability and Health (ICF) of the WHO. Methodology: the proposed methodology includes two phases: the first one is a descriptive study and the second one involves performing methodology Methontology, which integrates the identification and development of ontology knowledge. This article contextualizes the progress made in the second phase. Results: the development of the registry in 2008, as an information system, included documentary review and the analysis of possible use scenarios to help guide the design and development of the SIDUR system. The system uses the ICF given that it is a terminology standardization that allows the reduction of ambiguity and that makes easier the transformation of health facts into data translatable to information systems. The record raises three categories and a total of 129 variables Conclusions: SIDUR facilitates accessibility to accurate and updated information, useful for decision making and research.

Evaluation of effectiveness of the project ‘Caring caregivers of persons in disability situation’. Bogotá - second semester of 2007

The present paper presents the results of a transversal descriptive study which intended to estimate the contribution of the project “Caring for those who take care of people with disabilities” in the areas of: strength of personal and group competences, self care, life project, dexterity in the care process of people with disabilities, and communitarian auto management; that was implemented in 20 urban areas with caregivers of the city of Bogota in the year 2007. The study allowed the nresearches to acknowledge the little change perception that caregivers had in terms of self care, however, the caregivers perceived change in the four areas, although this were not statistically significant in comparison with the general population. There were only significant changes in the communitarian auto management area in 30% of the population. As a result, it is proposed that more extensive, continuous, and sustainable processes are implemented and that this process arises from contention spaces which can be created with the caregivers, from which they can be motivated to participate in other ´processes of collective and individual changes. Also there’s a need to rely on facilitators (professionals and change agents) who have stronger competences on the how to be and the how to interact competences, because there’s a need to manage the psychosocial components in this group of people. Also, we must make organizational processes and the social networks stronger, this is: collective actions are required, because disability is a social fact, and so, the individual issues are just a moment in the process of inclusion of the person with disability, his family and caregiver.

Disability and Identity Processes

This article presents a reflection about the Disability like a human phenomenon, which needs not only new definitions if not a criticism point of view as a Concept, with the end of indicate representations forms not only for people with disabilities if not for the citizens in general. Considers discourses that identify arguments from social sciences, appearing the Disability like a differentiate condition between human beings, mainly for an exclusion process that announce social behaviors in relations with the persons with disabilities.

Enriquiment intelúlectual a l'educació primària amb les TIC. 'Enriquecimiento intelectual en la educación primaria con las TIC'.

Resumen basado en el del autor

Enriquiment intelúlectual a l'educació primària amb les TIC.'Enriquecimiento intelectual en la Educación Primaria con las TIC'.

Conjunto de actividades con el objetivo de potenciar el desarrollo de las habilidades mentales del alumnado en primaria. Las actividades han sido creadas a través del programa Clic y pueden servir de complemento a las clases de informática.

La contribució intelúlectual dels Jesuites a la Universitat de Cervera. 'La contribución intelectual de los Jesuitas a la Universidad de Cervera'.

Investigar, verificar y exponer la realidad de la acción cultural que llevaron a cabo los Jesuitas en la Universidad de Cervera durante el periodo en el que fueron profesores (1714-1767), el hecho de su expulsión (1767) y las reacciones que este hecho suscitó en el ambiente de la Universidad. La figura de 23 Jesuitas profesores de la Universidad de Cervera en las Facultades de Filosofía y Teología y en la Escuela de Gramática y Humanidades: biografía, obras y contribución intelectual. Investigación histórica basada en fuentes manuscritas y en fuentes impresas. Se ha buscado en 19 archivos y bibliotecas. De los archivos aprovecha el material inédito. De las bibliotecas recoge las obras escritas por los Jesuitas profesores de Cervera. Estudia la documentación y bibliografía de cada personaje, su biografía, la relación con otras personalidades relevantes de la época, sus obras y bibliografía crítica completa. Bibliografía y material inédito. Unos aspectos cuantitativos muestran que los 23 Jesuitas estuvieron siempre presentes durante sus 53 años de permanencia en la Universidad. 5 no publicaron nada y 18 sí. El total de obras publicadas es de 113, de las cuales 56 se publicaron antes de su expulsión. Sólo uno ocupó un cargo de gobierno. Todos utilizaban el latín como vehículo de cultura. Su contribución intelectual principal es en el campo de las ciencias humanas. Del estudio de sus obras se desprende que todos ellos participaban de una mentalidad colectiva identificada con el espíritu del monarquismo, aunque no todos pensaban igual. Su expulsión no fue bien vista en la universidad.

Optimització del rendiment intellectual mitjançant instrucció informatitzada. 'Optimización del rendimiento intelectual mediante instrucción informatizada'.

Crear dos programas informáticos a partir de los test DAT y TRL que permitan razonar ejercicios por orden de dificultad con el objetivo de conseguir una optimización y aprovechamiento del rendimiento intelectual.. 64 niños de una escuela de Cerdanyola del Vallès, divididos en 4 grupos (3 experimentales y 1 de control) de 16 niños cada uno.. Elabora una base teórica de temas relacionados con la informática en la escuela. Plantea las siguientes hipótesis: 1. Los niños que pasen por el programa INFODAT mejorarán en la prueba DAT-AR; 2. Los niños que pasen por el programa INFOTRL mejorarán en el test TRL-L1; 3. La mejora en los test de los niños que pasen por los 2 programas será superior a los que solo pasen por uno; 4. El grupo control no mejorará; 5. Los niños que pasen por el programa INFODAT mejorarán más el PMA-R3 y el DOMINO D-48; 6. Los niños que pasen por el programa INFOTRL, no mejorarán en los test, exceptuando el TRL-L1; 7. En el caso de la prueba AMPE-R3 no se observará ninguna mejora significativa. Estudia las siguientes variables: programas informatizados INFODAT e INFOTRL (VI); medidas de la capacidad intelectual (VD). Pasa un pretest de pruebas que miden la capacidad intelectual. Aplica el programa informático INFODAT a un grupo, a otro grupo le pasa el programa informático INFOTRL y a un último grupo le pasa los dos programas. Después vuelve a pasar las pruebas que miden la capacidad intelectual y compara resultados.. Pruebas de medida de capacidad intelectual: DAT (Test de Aptitudes Diferenciales), TRL-L1 (Trabajo de relaciones lógicas), PMA-R3 (Test de aptitudes mentales primarias), AMPE-R3 (Test de aptitudes mentales primarias), RAVEN-Superior (Test de matrices progresivas-Escala superior RAVEN), DOMINO D-48. Investigación experimental. Diseño pretest posttest. Indices estadísticos.. Se aceptan las hipótesis planteadas.. Los 2 programas funcionan ya que se da una mejora de todos los niños que han pasado por ellos. Los procesos de tipo metacognitivo son los que se transfieren de forma genérica en cualquier test. Los programas permiten su uso de forma individualizada. Uno de los principales objetivos en la escuela tendría que ser no sólo aprender contenidos sino también optimizar el rendimiento intelectual de cada alumno, respetando los propios ritmos de aprendizaje ya que si se optimiza el rendimiento intelectual mejorarán también el resto de aprendizajes..

Conductas de dolor y discapacidad en migra??as y cefaleas tensionales : adaptaci??n espa??ola del Pain Behavior Questionaire (PBQ) y del Headache Disability Inventory (HDI)

Resumen de la revista

Applications of the World Health Organization (WHO) ICE and ICE-CY to communication disability. 'Aplicación de la ICF y la ICF-CY desarrolladas por la Organización Mundial de la Salud (OMS) para el estudio de los trastornos de la comunicación'.

Resumen en español