Thesis (M.A.)--University of Nevada, Reno, 2008. / "August, 2008." Includes bibliographical references (leaves 45-51). Online version available on the World Wide Web.

It is the aim of this research to create a manual and programme for the reintegration of burn-injured primary-school learners in order to assist in their re-socialisation, and to act as a buffer against depression, conduct disorders, and academic lag. Additional aims of the programme included being resource-efficient, flexible, and compatible with Outcomes-Based Education (aBE) principles evidenced in Curriculum 2005. The final aim of the research involved designing the programme in order for teachers to be able to facilitate it. The manual and programme were evaluated through an embedded case study, encompassing a mildly disfigured burn-injured learner, his family, and his school environment by way of his class and teacher. The programme was found to be efficient in its use of resources, congruent with aBE principles, and engaging of the learners and teacher. Participation in the intervention seemed to afford the burn-injured learner with a buffer against depression, but did not prevent academic lag. Minimal teasing was encountered after the programme was implemented, which is contrary to the expected outcomes based on the literature available. Teacher facilitation was not achieved, however, numerous benefits were derived from the intervention for the majority of the participants.

nÃo hà / A hansenÃase à doenÃa crÃnica de manejo difÃcil e distribuiÃÃo geogrÃfica heterogÃnea, o que dificulta o seu controle. Exprime grande potencial para incapacidades fÃsicas, principalmente quando nÃo à diagnosticada precocemente e ocorre comprometimento dos nervos perifÃricos. Objetivou-se caracterizar o perfil sociodemogrÃfico, clÃnico-epidemiolÃgico e padrÃes de atendimento da hansenÃase no AmbulatÃrio de Dermatologia do Hospital UniversitÃrio Walter CantÃdio, no perÃodo de 2007 a 2011. Realizou-se um estudo descrito, retrospectivo. A populaÃÃo foi composta por 475 pessoas, acompanhadas no AmbulatÃrio de Dermatologia do referido Hospital. Os dados foram coletados dos prontuÃrios e complementados pelas fichas de NotificaÃÃo/InvestigaÃÃo do Sistema de InformaÃÃo de Agravos de NotificaÃÃo. Destacou-se a faixa etÃria de 45 a 59 anos 166 (35,0%), sexo feminino 246 (51,8%), ensino fundamental 162 (34,1%), cor branca 327 (69,0%) e residentes em Fortaleza 391(82,3%). Predominou a classificaÃÃo operacional multibacilar 311 (65,4%) casos no diagnÃstico e 314 (66,0%) na alta. O nervo ulnar foi mais acometido nos dois momentos da avaliaÃÃo. O total de 203 (42,7%) pessoas desenvolveu episÃdio reacional hansÃnico (ERH) dos tipos 1 e 2. O tipo 1 foi mais expressivo na forma clÃnica dimorfa 49 (77,7%), enquanto o tipo 2 foi mais evidente na forma clÃnica virchowiana 12 (80,0%). No diagnÃstico, as incapacidades fÃsicas predominaram nos multibacilares com 66 (21,2%) grau 1 e 31 (9,9%) grau 2; e na alta PQT, 67 (21,3%) grau 1, 36 (11,5%) grau 2. Dezessete (3,5%) e 87 (18,3%) nÃo foram avaliados no diagnÃstico e na alta, respectivamente. A evoluÃÃo dessas incapacidades apontou 355 (74,7%) que permaneceram, 21 (4,4%) pioraram, ao passo que 7 (1,4%) melhoraram o grau de incapacidade. Foram encaminhados para outros serviÃos do HUWC/UFC 184 (38,7%) participantes do estudo. Realizaram neurolise 24 (5,0%) pessoas. Dentre os 1.395 contatos registrados, 477 (34,0%) foram examinados. O acometimento dos troncos nervosos à o principal responsÃvel pelas incapacidades. Evidencia-se a necessidade de cuidado mais efetivo das aÃÃes de controle da doenÃa; objetivando reduzir incapacidades. O perfil das pessoas em acompanhamento e os padrÃes de atendimento no ambulatÃrio revelaram diagnÃstico tardio dos casos e ausÃncia de integraÃÃo com as UBS, comprometendo a integralidade da assistÃncia como ferramenta essencial para minimizar os danos desse agravo. / Leprosy is a chronic disease hard to handle and with heterogeneous geographic distribution which hinders its control. It has great potential for physical disabilities, especially when not diagnosed early, and occurrence of damages to the peripheral nerves. We aimed to characterize the socio-demographic and clinical-epidemiological profile and standards of leprosy in the dermatology outpatient clinic of the University Hospital Walter CantÃdio (HUWC/UFC), from 2007 to 2011. This is a descriptive retrospective study, in which the population consisted of 475 people monitored in the dermatology outpatient clinic of the hospital. Data collection happened through review of medical records, supplemented by records of the Notifiable Diseases Information System. In the socio-demographic and clinical-epidemiological characterization, there was prevalence of the age group 45-59 years 166 (35.0%), females 246 (51.8%), with elementary education 162 (34.1%), Caucasian 327 (69%), residing in Fortaleza-CE, Brazil 391 (82.3%). The multibacillary operational classification prevailed, with 311 (65.4%) cases at diagnosis and 314 (66%) at discharge. The ulnar nerve was more affected in both evaluation times. 203 (42.7%) people developed leprosy reactional episode (LRE) types 1 and 2. Type 1 was more significant in clinical dimorphous, 49 (77.7%), while type 2 was more evident in clinical dimorphous, 12 (52.1%), and lepromatous leprosy, 12 (80%). At diagnosis, physical disabilities predominated in multibacillary with 67 (21.3%) degree 1, and 36 (11.4%) degree 2, and MDT, at discharge, 67 (21.3%) degree 1, and 36 (11.4%) degree 2. 17 (3.5%) and 87 (18.3%) were not evaluated at diagnosis and discharge respectively. With regard to the outcome of these disabilities, 355 (74.7%) remained, 21 (4.4%) worsened, while seven (1.4%) improved the degree of disability. 184 (38.7%) participants of the study were referred to other services of the HUWC/UFC. 24 (5.0%) people underwent neurolysis. Among the 1,395 registered contacts, 477 (34.0%) were examined. The damaging of nerve trunks is the main responsible for disabilities. We highlight the need for more effective control of the disease control measures aimed at reducing disabilities. The profile of people in monitoring and standards of care at the clinic in study reveal late diagnosis of cases, incomplete multidisciplinary team, and lack of integration with basic health units compromising the comprehensiveness of care as an essential tool to minimize the damages of this condition.

M.Ed. (Educational Psychology) / Please refer to full text to view abstract.

M.Ed. (Educational Psychology) / In every classroom there are probably pupils with learning problems. If these children can be identified before they fail and appropriate assistance can be provided at that stage, learning failure can be prevented or curbed. This study was undertaken against the background of growing dissatisfaction with the current systems of remedial provision to a relatively limited number of pupils after learning problems have manifested and the prognostic outcome seems accordingly bleak, A study of the literature was undertaken to gain a perspective on the nature and extent of the current practices of identification, evaluation and remedial assistance as well as the sensibility of the implementation of a more preventive child guidance practice. Although prevention is the obvious answer in the fight against learning problems, a study of the relevant literature revealed that the accent within the field still lies on remediation after the manifestation of learning problems and scholastic underachievement - and not prevention. Intensive and time-consuming evaluation, diagnosis and subsequent categorization (according to certain definitions of so-called "remedial pupils"), deprive many pupils with learning problems of assistance. This is still to a great extent the reigning policy of the education departments in Southern Africa. Less than 5% of all pupils receive remedial help outside the regular classroom in addition to the work done in class. In the literature important changes are predicted in the remedial approach to learning problems. A pragmatic swing can be expected as more and more . experts in Southern Africa and abroad voice the opinion that it seems sensible to determine in general what a pupil can and cannot do, and then to try and stimulate what he cannot do by means of a specifically devised program. After a study of the literature to determine the sensibility of a more preventive approach to learning problems on a wider basis, a short test battery and a support program were compiled.

Handicapped Children's Services is a provincial program designed to support the families of children with disabilities to maintain their children at home. Recently, the government of Alberta has shifted responsibility and authority for the implementation of this program to regionally based Child and Family Services Authorities. This study examined Handicapped Children's Services from four perspectives. First, the legislation establishing the program was reviewed. Secondly, the program policy supporting the program was explored. Thirdly, the practice of workers in Handicapped Children's Services was examined. Finally, the experience of families who use the program was probed. The multiple perspectives were included in order to explore Handicapped Children's Services from legislation and policy to the experience of families. This study looked at the implementation of Handicapped Children's Services in one of the eighteen regions of the province. The examination suggests that a program, which is solidly based in legislation and policy, is not being implemented in accordance with the principles, values and desired outcomes on which it was established. Workers implementing the program, as well as the families using the program, have much to offer in the way of input. The challenge is to the regional authorities and their willingness to incorporate that input into future action. The applicability to other jurisdictional areas within Alberta is considered. As Alberta continues to embrace community governance, every opportunity should be taken to learn from those regional jurisdictions that have begun to incorporate this model of governance. / Graduate

Cultural representations of disability reveal a cultural value system which characterises the disadvantage experienced by disabled people in terms of personal tragedy, the impaired body and otherness. The reproduction of these disabling values in the dominant discourses of British policy making have resulted in a mode of welfare production based on 'care', individualism and segregation. More recently, implementation of the 1990 NHS and Community Care Act has tended to consolidate rather than challenge this policy tradition. By contrast, the emergence of a strong disabled peoples' movement offers significant forms of resistance to dominant policy discourses through the development of social models of disability. In particular, Centres for Independent/Integrated Living have promoted an alternative agenda for enabling community support systems based on the values of participation, social integration and equality. Disabled people's organisations in Derbyshire were at the forefront of these developments in Britain. Their attempts to implement integrated living solutions within the policy framework of community care demonstrate significant conflicts over the definition of quality in service processes and outcomes. The study employs co-participatory methods to involve local service users and disabled people's organisations in exploring these issues within an emancipatory research paradigm. The data from this research highlights specific barriers to policy change and suggests that effective self-organisation within a cohesive social movement is a necessary pre-requisite for the liberation of disabled people. Ultimately, the agenda for change promoted by the disabled peoples' movement challenges not only attitudes and values but also the social relations of production and reproduction within a capitalist economy.

No abstract available / Dissertation (MArch (Prof))--University of Pretoria, 2007. / Architecture / unrestricted

No description available.

No comprehensive data base concerning the adult developmentally disabled (ADD) population is available. The absence of theoretical formulations about aging, and particularly the aging ADD, make it difficult for service providers or professionals to incorporate a conceptual framework into their work.