The study was conducted to determine the current status and employment needs for therapeutic recreation personnel in selected agencies in the state of Texas. The study provided the first definitive information on therapeutic recreation manpower needs on a state-wide basis. The study determined the status of therapeutic recreation personnel and assisted in identifying projected training needs in the state of Texas. A survey was mailed to 114 Texas Department of Mental Health and Mental Retardation and parks and recreation agencies. Information was requested concerning General Agency Information, Recreation Services, Current Employment, Current Therapeutic Recreation Personnel, Projected Employment and Bilingual Employees and Client information.

Nous proposons à travers ce travail de thèse une analyse théorico-clinique en contexte écologique de la problématique des personnes adultes, sujettes au syndrome de l'autisme avec retard mental profond associé, accompagnées en structure médico-sociale, qui constituent une population spécifique du fait de la sévérité particulière de leur handicap et de la grande difficulté pour autrui à accéder à leur subjectivité. Suivant une double démarche éthique et épistémologique, nous avons élaboré de manière complémentaire une modélisation théorique compréhensive de la cognition de ces sujets, basé sur leur singularité développementale, et une méthode d'investigation de leur vécu et fonctionnement sur plusieurs niveaux, adaptée à la complexité de leur problématique et de leur cadre de vie. Suite à cinq études de cas et l'exemple d'une intervention systémique psycho-éducative, nous présentons une synthèse des facteurs susceptibles de contribuer à la situation de handicap de ces sujets. / We propose through this work of thesis a theoretical and clinical analysis in ecological context of the issue of the adult people, prone to the syndrome of autism with severe mental retardation, cared for within medico-social structures. These subjects constitute a specific population, because of the particular severity of their disabilities and of the great difficulty for others of reaching their subjectivity. According to a double ethical and epistemological approach, we worked out in a complementary way an understanding theoretical modeling of the cognition of these subjects, based on their developmental singularity, and a method of investigation of their experience and functioning, on several levels, adapted to the complexity of their issue and to their living environment. Following five case studies and an example of a psycho-educational systemic intervention, we present a synthesis of the factors likely to contribute to the disability situation of these subjects.

Abstract Metabolic syndrome is a constellation of metabolic abnormalities including abdominal obesity, glucose intolerance, insulin resistance, hypertension and dyslipidemia. Metabolic syndrome increases the risk of cardiovascular diseases and type 2 diabetes mellitus. A unifying pathophysiological mechanism behind these abnormalities has not been detected. The prevalence of cardiovascular diseases and type 2 diabetes mellitus is increasing all over the world. It is important to identify the factors contributing to these diseases. The aim of this thesis was to study how the peptide hormone resistin is associated with metabolic syndrome and find out whether intrauterine growth restriction predisposes to adverse changes in lipid and glucose metabolism and peptide hormones in a rat model. Resistin is secreted mainly from macrophages in humans. It possesses proinflammatory properties. Controversial results about its role on obesity, insulin resistance and metabolic syndrome have been reported. In the first study of this thesis, resistin levels were measured from 1500 Finnish subjects in the cross-sectional Health 2000 study. Higher resistin levels were detected in subjects fulfilling the criteria for metabolic syndrome compared to subjects without metabolic syndrome. Resistin was associated with several components of metabolic syndrome. Data derived from epidemiological studies show that low birth weight is associated with an increased risk for chronic diseases in adulthood. A rat model of intrauterine growth restriction was created. In the second study, unfavorable changes in the peptide hormones resistin and adiponectin were detected that may predispose rats to subsequent insulin resistance. In addition to intrauterine growth restriction, the effect of postnatal fructose-rich diet was explored in the third study. Intrauterine growth restriction and postnatal fructose diet decreased body weight and induced adverse changes in lipid and glucose metabolism in offspring. However, fetally growth-restricted rats were not more susceptible to the adverse effect of fructose diet. In conclusion, this study demonstrates that resistin is associated with metabolic syndrome and is increased by intrauterine growth restriction. Restricted maternal diet during pregnancy influences weight and lipid metabolism in rat offspring. / Tiivistelmä Metaboliseksi oireyhtymäksi kutsutaan sydän- ja verisuonitautien sekä tyypin 2 diabeteksen riskitekijöiden kasaumaa. Näitä riskitekijöitä ovat keskivartalolihavuus, heikentynyt glukoosin sieto, insuliiniresistenssi, korkea verenpaine sekä rasva-aineenvaihdunnan häiriöt, erityisesti korkea triglyseridipitoisuus ja matala HDL-taso. Näiden tekijöiden taustalta ei ole löydetty selkeää yhdistävää mekanismia. Tämän väitöskirjan tavoitteena oli tutkia resistiinin yhteyttä metaboliseen oireyhtymään sekä selvittää, altistaako raskauden aikainen aliravitsemus ja siihen liittyvä alhainen syntymäpaino häiriöille rasva- ja glukoosiaineenvaihdunnassa sekä peptidihormoneissa rotalla. Resistiini erittyy ihmisellä pääasiassa tulehdussoluista, erityisesti makrofageista. Sillä on todettu olevan tulehdusta edistäviä vaikutuksia. Resistiinin yhteydestä lihavuuteen, insuliiniresistenssiin ja metaboliseen oireyhtymään on julkaistu ristiriitaisia tuloksia. Väitöskirjan ensimmäisessä osatyössä plasman resistiinipitoisuudet määritettiin 1500 suomalaiselta poikkitieteellisessä Terveys 2000 -tutkimuksessa. Havaittiin, että resistiinipitoisuudet olivat korkeammat niillä tutkimushenkilöillä, joilla oli metabolinen oireyhtymä verrattuna henkilöihin, joilta oireyhtymä puuttui. Epidemiologisissa tutkimuksissa on havaittu, että alhainen syntymäpaino on yhteydessä korkeampaan riskiin sairastua moniin kroonisiin sairauksiin, kuten sydän- ja verisuonitauteihin aikuisiässä. Toisessa ja kolmannessa osatyössä tutkittiin rottamallissa raskauden aikaisen ravintorajoituksen vaikutusta jälkeläisten kasvuun, rasva- ja sokerimetaboliaan sekä peptidihormoneihin. Toisessa osatyössä todettiin, että rajoitettu ravinto raskauden aikana aiheutti haitallisia muutoksia resistiini- ja adiponektiinipitoisuuksissa altistaen jälkeläiset insuliiniresistenssille. Kolmannessa osatyössä tutkittiin lisäksi syntymänjälkeisen fruktoosipitoisen ravinnon vaikutuksia. Raskauden aikaisen aliravitsemuksen ja fruktoosiravinnon vaikutuksesta rotat olivat aikuisena pienempiä ja niillä havaittiin häiriöitä rasva- ja sokeriaineenvaihdunnassa. Tutkimus osoittaa, että korkea plasman resistiini-pitoisuus liittyy metaboliseen oireyhtymään. Lisäksi voidaan todeta, että rajoitettu ravinto raskauden aikana aiheuttaa rotalla korkeamman resistiini-pitoisuuden lisäksi muutoksia painossa ja rasva-aineenvaihdunnassa.

This diploma thesis deals with respite service and issues with providing respite services to parents of children and adults with autism and mental retardation. The opening chapters focus on autistic spectrum disorder in combination with mental retardation and potential challenging behaviour. This work describes therapeutic process for persons with autism and mental retardation and it also describes the issues with providing social service to these persons. This thesis focuses mainly on respite services. The empirical part describes the availability of respite services for families with autistic person and mental retardation in the Czech Republic.

The purpose of this study was to explore the nature and content of the social policy of "normalization" in community based services which have been used to meet the needs of deinstitutionalized mentally retarded adults. In the process it was hoped that data would be obtained to aid decision makers in planning community services for retarded adults. The study was directed to examine the relationship between the levels of normalization in services which had been provided for retarded adults who were discharged from the Provincial institution for mental retardation - Woodlands - under the medical administration of retardation services as well as after the assumption of same responsibility by the Ministry of Human Resources. These administrations represented the medical and the social systems of service delivery. "Normalization" had been adopted as "policy" soon after the transfer of responsibilities by the Ministries. Three areas of concern were examined: Levels of normalization of services; needs of subjects; and normalization as policy. These areas had been central to public discussion of retardation issues in British Columbia. In order to examine the three areas, normalization was defined in the Greater Vancouver Area of study using the explicit judgement of citizens and the implicit judgement of professionals. From their judgements, a criteria for measuring normalization was developed and used in scoring individual services according to the special features of those services. A total of seven service areas were scored: Residential, Social, Medical, Recreational, Educational, Psychological and Vocational. The needs of subjects were identified from institutional records and scored. Five service characteristics were further examined for normalization. These were the nature, type, name, location and degree of integration. An integrated framework for policy analysis as well as empirical results were then used to analyse findings. The study showed that community services were essentially deviant in orientation; that level of normalization were about the same for each five year period of study; that services were inadequate in meeting needs; that there was lack of coordination in delivery of services] and that "normalization" was a principle rather than a policy of the Provincial Government. Implications for policy development as well as areas for further research have been suggested. / Medicine, Faculty of / Population and Public Health (SPPH), School of / Graduate

No description available.

Thesis (M. A. (Psychology)) -- University of Limpopo, 2016 / The aim of this study was to determine the psychological experiences of family caregivers of children with an intellectual disability. The study was conducted along the lines of an exploratory sequential mixed-method design. Firstly, 15 family caregivers were purposively sampled as participants. They described their experiences of caring for children with a formal diagnosis of mild intellectual disability. The research question, which was used as a “grand-tour” question, was: “What are the psychological experiences of family caregivers of children with an intellectual disability?” Themes that emerged included the following: understanding intellectual disability; disclosure of the disability as a result of schooling difficulties; reaction to the disclosure of the disability; challenging behaviour of the child’s integration into the family system, unemployment and financial strains due to the child’s condition and community reaction; social support and stigmatisation. In the quantitative aspect of the study, the researcher used a close-ended questionnaire to collect data from one hundred self-declared primary family caregivers (one per household) of children with an intellectual disability. Results of regression analysis indicated that psychological wellbeing as measured by the Psychological General Well Being Index and its dimensions was predicted mainly by psychological stress and family support. Significant other support and support from friends only predicted life satisfaction. Policy recommendations are advanced based on the findings of the study.

The diploma thesis "Information literacy lessons and persons with mental disabilities in libraries of the Czech Republic" brings besides the basic concepts in the mental disablilities and information literacy field also their mutual context in the information education field. Further it presents results of the questionnaire survey, which focused on mapping of services for persons with mental disabilities in libraries in the Czech Republic and it brings a concept of a complex solution to providing these services in the Czech Republic.

Master’s thesis deals with study of fatigue crack growth retardation models. This document presents description, evaluation, verification and finally application of retardation models demonstrated on the damage tolerant structure. Analysis was provided on the L 410 NG aircraft in the location of the rear spar lower flange joint. Output of this thesis is comparison of the damage tolerance analysis with the current method using in the Aircraft Industry a. s., i.e. linear model without using load interaction models. The comparisons are fatigue crack growth curves, threshold and intervals of inspection program. AFGROW software was used for verification and application of retardation models.

This dissertation titled "Special catechesis. Theory and Practice" explores the methods of teaching religion to mentally handicapped children. The research focuses on the presentation of theoretical and practical methods introduced by D, Jucha, J. Madeja, D.Doroszewka, B. Janosz and other significant Polish catechists. The theoretical part, besides a systematicly processed terminology also deals with the actual content and the main aim of special-care catechesis. In addition, it provides an interpretation the dignity of man as it can be found in some church archives. Last, but not least, attention is drawn to the important role of families, parishes and catechists. The second, practical, part is inspired by the methods of B. Janosz - whether it is put to creative use along with new teaching materials as well as new communication tools that motivate mentally handicapped children for active participation in special-care classes. The author of this study concluded that even the weakest must be provided adequate catechesis as every human being, no matter how limited, is capable of growth to sanctity. These people feel the need and are entitled to life in faith. There is a need for oligo-catechesis and it is unquestionable.