Masters of Science - Msc (Physiotherapy) / Rehabilitation services have been described as being necessary to maximize patient independence in order to enable them to participate fully in their communities. The Aim of the study was based on the problem statement and the research question, this study aims at exploring rehabilitation professionals' views on the experiences of patients with physical disabilities accessing CHCs in the Western. The objectives of the study were to explore the views of rehabilitation professionals regarding experiences by patients accessing rehabilitation services at the Community Health Centres (CHCs) in the Western Cape and to reach health experts consensus on how rehabilitation services should be provided at the CHCs based on the outcomes of objective 1. Methodology: This study used an exploratory design that used qualitative methods for data collection (workshops and focus group discussions (FGDs) and a Delphi study. The study was conducted at purposively selected CHCs in the Western Cape. The population in this study included all rehabilitation professionals who provide rehabilitation services in the CHCs, who were invited to participate in the study. Data collection: In the qualitative and the Delphi study, data was collected through workshops, focus group discussions and emails respectively. Data analysis: The workshops and the FGDs were audio recorded and then transcribed verbatim for content analysis.

<p> This dissertation examines the special issue of peer harassment of students with disabilities through a legal lens, exploring the legal standards used in cases involving three federal statutes&mdash;Section 504 of the Rehabilitation Act (&ldquo;Section 504&rdquo;), the Americans with Disabilities Act (&ldquo;ADA&rdquo;), and the Individuals with Disabilities Education Act ("IDEA"). Using legal research methods, litigation trends regarding the number of cases and the legal standard used and applied were explored. There has been no Supreme Court case on the legal standard to be used under Section 504, the ADA, or IDEA in peer harassment of students with disabilities, and circuit courts of appeals have not reached consensus on which legal standard should apply. Instead, courts have applied several different legal standards, including the Davis standard, a modified <i>Davis</i> standard, bad faith and gross misjudgment, deliberate indifference, disability discrimination, intentional discrimination, and denial of a Free Appropriate Public Education (FAPE). This dissertation synthesizes the relevant legal standards used in each federal circuit and identifies trends that might guide the future of this type of litigation.</p><p>

This thesis brings together two fields of theological ideas. On the one hand, at the heart of Christian theology and faith are the person and work of Jesus Christ, centred on God's initiative of Atonement through the cross. Here God addresses the whole condition of creation and humanity, usually expressed in terms of dealing with sin. On the other hand, the growing field of Christian disability theology is seeking a positive theological account of disability, viewing it as an integral part of the variety of humanity, and resisting normate assumptions that cast what is regarded as disability in a wholly negative light. Drawing these fields together, does the way we think about the Atonement, and what God addresses and achieves through the Atonement, need to be disrupted and re-formed in light of the insights of disability theology? Conversely, if disability theology is to be distinctively Christian, should the Atonement play a far more foundational role within it than it has to date? If so, given the often negative juxtaposition of disability and sin within theology and in biblical texts, how is all this to come about? The approach taken is first to examine both of these fields and the extent of their current interaction. In particular, their use of ideas and metaphor are explored, to determine whether these provide the means for making that interaction more fruitful. However, the interaction is found to be partial at best, and the ideas and metaphors shared are not found to provide the means for the task at hand. Based on that work, however, a proposal is developed for reconsidering what sort of event the Atonement is, and the nature of God's presence within it. Building on insights from Frances Young, Jurgen Moltmann, Eberhard Jungel and Paul Fiddes, it is proposed that the Atonement should be understood as God's deepest, once for all participation in the risk (both moral and contingent) of creation, through which all that alienates us from God and each other is addressed. This opens up a theological space to talk of disability, sin and the cross together, one that does not require all aspects of what we identify as disability to fit into a binary sin/not sin analysis. This Atonement-as-participation also provides an account of the Atonement that is inherently inclusive of humanity in all its variety, where disability is not a special case. This enables God's initiative of the Atonement to function as a foundation for the various themes within disability theology as these continue to develop.

<p> The social behavior and stigma of epilepsy in Korean nationals and Korean Americans throughout California are studied. This study seeks to explore the cultural differences in the social behavior of participants, their thoughts about epilepsy, their familiarity, social order, stigma, and educational knowledge about epilepsy between the Korean national and Korean American society. It argues that Americanization has influenced a positive change in the portrayal of neurological disorder and disease. The method of data collections and analysis were done through convenience sampling with the use of mixed methods. 56 face to face semi-structured audio recorded interviews were done to collect data. The findings of my study came to be of little difference between the two cultures. My hypothesis of the more Americanized a person is the more understanding, less stigmatic with fair social behavior towards epilepsy was correct but only at a baseline level. The key findings that education, cultural outlook and time gap were the main reasons of these results. Link and Phelan&rsquo;s model of stigmatization holds strongly toward the outlook of stigmatism and Americanization in the Korean national and Korean American cultures. In this research paper my created hypothesis will be backed up by theories and history of epilepsy, the methods of how I approached the interviews, the questions asked, how the results came to be, and the conclusion of if my hypothesis was correct or incorrect.</p><p>

Intellectual disability (ID) is categorised by a significant reduction in cognitive function and adaptive abilities that begin in childhood. ID is part of a heterogeneous group of neurodevelopmental conditions associated with impairment in developmental domains and a cause of particularly adverse socioeconomic impact worldwide. There have been many recent advances in identifying causative genetic mutations in previously unexplained ID cases. With these advances comes an increasing demand for understanding mechanisms underpinning these pathogenic pathways. In this PhD thesis, I have studied rare monogenic novel neurodevelopmental disorders associated with ID. The objective of the thesis was to model a subset of mutations associated with novel neurodevelopmental disorders in mice to demonstrate a causal link between mutation and phenotype and to further understand the mechanisms by which these mutations result in human neurodevelopmental disorders. In order to achieve this, I adopted a multi-phase approach. Firstly, I designed a phenotyping platform, by combining behavioural and cognitive tests with morphometric brain analysis and genome-wide transcriptional analysis. I then used this approach to study KPTN-related syndrome, a novel developmental disorder that to date has not been characterised in mice, successfully recapitulating the main phenotypes described in the patients. Moreover, I gained further insight into the underlying pathogenic mechanisms associated with the disorder, opening the possibility of a therapy that could treat some aspects of cognitive and morphological impairments identified in the patients with KPTN-related syndrome. Lastly, I determined whether such an approach could be scaled-up to study multiple novel neurodevelopmental disorders, each with a mutation associated with a haploinsufficient novel neurodevelopmental disorder. I identified specific phenotypes for each of the four mouse lines under investigation, providing a platform for comparison between several developmental disorders. These refinements contributed to a larger five-year project starting at the Sanger Institute, aimed at characterising a wider diversity of human neurodevelopmental disorders.

No description available.

The importance of Web sites that can be accessed and used regardless of an individual?s disability is critical. One barrier to improved accessibility of Web sites relates to the gap between Web authors? technical knowledge of Web accessibility guidelines and a broader understanding of the challenges facing disabled people when interacting with Web sites.This thesis describes the development and evaluation of a Web accessibility auditing methodology with the dual aims of accurately identifying accessibility barriers present in a Web site, and presenting the audit findings and recommended actions in a way that informs, educates and engenders an improved understanding of accessibility amongst the audience.The methodology was piloted amongst a sample of Web sites, validated against other published accessibility evaluation methodologies, and adopted for subsequent audits carried out on a commercial basis. The impact on recipient organisations and individuals of a sample of 14 commercially commissioned audits was then evaluated. Audit recipients were surveyed, and each Web site audited evaluated to identify any changes to accessibility, and the presence of evidence of changes or improvements to accessibility strategy.Strong indications were found that the audits had a positive impact both on individuals and on the commissioning organisations. The audits were identified as having a particularly positive educational and motivational impact on recipients who did not identify themselves as having expertise in Web accessibility. There was also evidence that the design approach promoted by the audits had been adopted and applied by some of the commissioning organisations. The majority of respondents cited the recommendations for improvement as the most valuable feature of the audit. This illustrates a tension between the importance of presenting specific recommendations for actions and providing richer narrative accounts of evaluation stages to encourage a more holistic appreciation of accessibility.The particular benefits of the study are found in the identification of evidence of impact of commercially-commissioned Web accessibility audits over a period of time to recipients of varying characteristics. A number of areas for further investigation have been identified, focusing on investigating the potential value of the accessibility audit in providing more ?experiential? evaluation stages.

O objetivo da pesquisa foi investigar a relação de uma família do grupo étnico-linguístico Yao com um filho deficiente. Para a coleta de dados foi realizado um trabalho de campo no Distrito de Sanga, província de Lichinga, Moçambique. Foram feitas cinco visitas a uma família, com duração aproximada de duas horas diárias, sendo realizadas observações da rotina e conversas com a família, principalmente com a mãe. A família é constituída por dez pessoas, sendo a mãe, seis filhos, entre eles um jovem de 16 anos com deficiência intelectual, e duas avós, uma materna e a outra paterna e um neto. A família apresenta um nível sócio-econômico baixo, não recebem nenhum auxílio financeiro governamental e o sustento vem basicamente da atividade agrícola de subsistência. Todos os membros da família são analfabetos e só falam a língua Yao, sendo necessário o auxílio de uma intérprete para a coleta de dados. Além das observações e conversas com a família, foram realizadas também entrevistas com o líder da comunidade, o curandeiro, a parteira e os agentes sociais. A partir da sistematização dos dados foram propostos os eixos de análise, a saber: dinâmica familiar e participação do jovem Bernardo na rotina da família e da comunidade; explicação da mãe sobre a condição do filho e aspectos referentes à relação entre a família e a pesquisadora. Sobre a dinâmica familiar pode se notar relações afetuosas entre todos membros da família e inclusive no tratamento em relação à Bernardo. Todavia, segundo relato da mãe, não confirmado pela observação, Bernardo fica acorrentado porque invade as casas da vizinhança e pega seus pertences. As interações entre Bernardo e os membros da família são esporádicos, pois o jovem não se comunica verbalmente e fica praticamente o tempo todo isolado, de pé, parado em um canto do terreno da casa. Não passou pelos rituais de iniciação comuns na cultura Yao. A condição de Bernardo, foi explicada pelo curandeiro à mãe, pois a mesma não obteve esclarecimento satisfatório dos médicos. Segundo o curandeiro, a doença de Bernardo é causada pela presença do espírito do irmão gêmeo falecido no momento do parto. A partir do confronto dos dados coletados com outros estudos pode-se notar que várias manifestações decorrentes da presença da deficiência apontadas pela literatura não foram observadas na relação entre a família o jovem Bernardo. Todavia, o pouco tempo de permanência no campo não permite afirmações mais seguras, assim como se torna difícil avaliar o quanto este jovem está incluído ou não na família e na comunidade sem conhecer mais profundamente as referencias culturais. Nesse sentido, esta pesquisa se encerra apontando a necessidade de se realizar mais estudos para se conhecer os significados da deficiência nos diversos grupos étnico-linguísticos de Moçambique e avaliar mais precisamente as condições necessárias para se promover uma melhor qualidade de vida das pessoas com deficiência / The aim of this work was to investigate the relationship of an ethnic-linguistic Yao family with a disabled adolescent. For data collection a fieldwork in Sanga District, province of Lichinga, Mozambique was done. There were five visits to a family, which last about two hours a day, the visits held routine observations and conversations with the family, especially with the mother. The family consists of ten members, including the mother, six children, a 16 year old with intellectual disabilities, and two grandmothers (one maternal and one paternal). The family has a low socioeconomic status, receive no financial aid from the government. Their support comes primarily from subsistence agricultural activity. All family members are illiterate and only speak the Yao language, requiring the assistance of an interpreter for the data collection. Besides observations and conversations with the family, interviews with community leader, healer, midwife and social agents were also carried out. After data systematization, axes of analysis were set: family dynamics and participation of the young Bernardo in the family routine and in the community; mothers description about the condition of child and aspects concerning the relationship between the family and the researcher. On family dynamics, it can be noted an affectionate relationships between all family members including Bernardo. However, according to the mothers\' reports, unconfirmed by observation, Bernardo is chained because he invades homes in the neighborhood and takes their belongings. Interactions between Bernardo and family members are sporadic because he cannot communicate verbally, and is almost constantly isolated, in his feet, standing in a corner of the house; he has not passed the initiation rites of culture Yao. The condition of Bernardo, was explained by the healer to the mother, because she did not obtain satisfactory clarification from doctors. According to the healer, Bernardos illness is caused by the presence of the spirit of his twin brother died at birth. Comparing data collected in this work with other studies it may be noted that various manifestations about the presence of disability by the literature were not observed in the relationship between young Bernardo and his family. However, the short time spent in the field does not allow definite statement , as it is difficult to assess how much this young man is included or not in the family and in the community without a deeper understanding of the cultural references. In this sense, this research concludes pointing out the need to perform more studies in order to know the meanings of disability in various ethno-linguistic groups from Mozambique and evaluate more precisely the necessary conditions to promote a better quality of life for people with disabilities

This work is concerned primarily with the five seasons the castrato soprano, Giovanni Battista Velluti spent in London between 1825 and 1829. This time-place is unique in operatic history insofar as it sees the meeting of the new, exhaustively detailed, descriptive musical-critical journalism that emerged in the nineteenth century as it encountered the last operatic castrato in the last decade of his public performing career. Beginning with a historiographical overview of writings about the castrati, spanning from the early eighteenth century to the present day, the introduction establishes the methodological and thematic placement of this dissertation. Chapter 1 details the events of the last fifteen years of Velluti's career. These almost exactly overlap the period of his presence in English periodicals and the focus of the next chapter, the late, English, literary Romantic. The Romantics were deeply interested in music and were the principal intellectual creators of the music critical style that arose in the 1820s. Their cognition will be explored to the extent it can found utilized in writing about the voice, the otherness of disability and horror and fear of the other intruding upon the personal space of the self. Chapters 3 and 4 will proceed from literarily expressed cognitive understanding to the operatic voice of the 1820s: not only the castrato, but female singers, tenors and countertenors. While chapter 4 establishes the manner in which these voices functioned in their various, clearly audible registers, chapter 5 will then explore the meanings that each of these registers conveyed, especially regarding perceived gender and disability. These meanings are reinforced by excerpts of poetry and prose, fact and fiction, from England and the Continent. Chapter 5 examines the two ornamentational styles of Velluti, as they survive in published and manuscript sources from the 1810s and 1820s, comparing them to other singers of his time and reading them as literary texts. Velluti's highly literary rather than purely melodic ornamentation lends itself particularly to this cross-disciplinary approach. The work concludes with a short chapter concerning the end of Velluti's life and the last two castrati, one undoubted, one dubious, to appear on the English concert stage.

Thesis(M.A. (Social Work)) -- University of Limpopo, 2018 / Disability is most prevalent in low income countries and communities. Cerebral palsy c is one of the disabilities that is affecting a sizeable number of children in low income countries. This study sought to explore the psycho-social challenges faced by caregivers of children with cerebral palsy in Dzivarasekwa Suburb in Zimbabwe. The study had the following objectives: to identify the psycho-social challenges facing caregivers of children with cerebral palsy, to appraise individual characteristics of caregivers which predispose them to stress, social exclusion and other psychosocial challenges, to establish which coping mechanisms are employed by caregivers of children living with cerebral palsy in response to the challenges they are facing and also to suggest possible solutions/ strategies social workers may employ to improve caregiving of children with cerebral palsy. The study used a qualitative approach in exploring the psychosocial challenges caregivers face. The qualitative approach was useful as participants were able to participate freely giving a more realistic picture of their challenges. The research used an exploratory-descriptive case study design in exploring challenges faced by caregivers of children with cerebral palsy in Dzivarasekwa Suburb. Data was then collected using in-depth interviews and Focus Group Discussions. Participants were caregivers of children with cerebral palsy, a hospital psychologist as well as social workers for a local NGO supporting the rehabilitation work at a local hospital. Data were analysed used the Thematic Context Analysis method. The research concludes that caregivers are subjected to stressing conditions, lack the financial means of caring for a child with CP; caregivers employ negative strategies to the problems they face which include using the children to beg, prostitution among others. The study recommends that, government should lead initiatives for supporting children with disabilities and their families, formation of support groups for parents of children with cerebral palsy, and continuous training of frontline workers in disability to avoid burn out.