Дисертації з теми "Disability and Functional Capacity"
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Kragnienė, Inga. "Skirtingos fizinės negalios neįgaliųjų plaukikų požiūris į klasifikacijos sistemą ir galimybės siekti rezultatų." Master's thesis, Lithuanian Academic Libraries Network (LABT), 2008. http://vddb.library.lt/obj/LT-eLABa-0001:E.02~2008~D_20080618_125536-62354.
Повний текст джерелаSport classification systems help to ensure that competition is equitable and individuals who, do so because of training and talent and not because their disability happens to be less severe then their opponents. For international competition the system changes. Since the late 1980”s international swimming for athletes with disabilities has used a functional classification system. It was a lot of proble in this disability system. Disability swimming is a complex social system with many individual actors interaction with each other to fulfill specific functions that are necessary to optimize disability swimming as a viable part of the disability sport movement. The purpose of this study was to determine of physical disable swimmer side and possibilities have a good result. Hypothesis of the research: • Sport classification system mast to help the person with different physical disable in the game; • the person with different physical disable in the same S4 class capacity mast to be the equable. The goals of this study: 1. ascertains and evaluate disabled swimmer side to classification systems; 2. ascertains and evaluate eight weeks aerobics training effect for S4 class disable swimmer; 3. ascertains and evaluate functional swimmers classification system capacity for S4 class different physical ddisable. Methods: • questioned; ��� testing; • exsperiment; • mathematical statistics. The research were carried out in Lithuanian academy of physical education in laboratory. In... [to full text]
SUBRAMANIAN, ANAND. "DEVELOPING MTM MODIFIERS FOR TASKS PERFORMED BY INDIVIDUALS WITH PERMANENT PARTIAL DISABILITY OF THE FINGERS." University of Cincinnati / OhioLINK, 2007. http://rave.ohiolink.edu/etdc/view?acc_num=ucin1186662098.
Повний текст джерелаSteffensen, Birgit F. "Functional ability in non-ambulatory people with Duchenne muscular dystrophy or spinal muscular atrophy assessed with the EK scale /." Stockholm, 2002. http://diss.kib.ki.se/2002/91-7349-252-3.
Повний текст джерелаLamarca, Casado Rosa. "Gender diferences in the association between disability and mortality in the elderly." Doctoral thesis, Universitat Pompeu Fabra, 2006. http://hdl.handle.net/10803/7097.
Повний текст джерелаLa discapacitat va evolucionar al llarg del temps empitjorant amb l'edat, però una proporció no menyspreable va ser capaç de recuperar-se. Es van observar diferències per gènere en l'evolució de la discapacitat: les dones tenien més dificultats en recuperar la seva capacitat funcional un cop esdevenien discapacitades. La força de l'associació entre la discapacitat i la mortalitat disminuia a edats avançades. Es van trobar diferencies per sexe: les dones depenents mostraven un risc de morir més alt que el homes depenents.
Polítiques de salut dirigides a dones discapacitades haurien de ser implementades degut a la proporció més elevada de dones discapacitades, la probabilitat menor que tenen de recuperar la capacitat funcional, i el risc de morir més elevat que presenten comparat amb homes dicapacitats.
This thesis evaluates the existence of gender differences in the relationship between disability and mortality, as well as methodological aspects of the survival analysis for elderly studies. Data from a cohort of 1,315 subjects aged 65 years and older followed-up 8 years was used. Disability was assessed by self-reported difficulty to perform basic activities of daily living.
Disability evolved over time worsening with age, but a non-negligible proportion was able to recover. There were gender differences in the evolution of disability: women were less able to regain functional capacity once they become disabled. The strength of the association between disability and mortality decreased in the older ages. But differences by gender were found: dependent elderly women showed a higher risk of dying compared to dependent men.
Health policies focusing on disabled women should be implemented, due to the higher proportion of disabled women, the lower probability of regaining functional capacity, and their higher risk of dying compared to disabled men.
Pepera, Garyfallia K. "Assessments of functional capacity in cardiac rehabilitation." Thesis, University of Essex, 2011. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.536959.
Повний текст джерелаHamilton, Arthur. "India and Intellectual Disability: An Intersectional Comparison of Disability Rights Law and Real Needs." Thesis, Université d'Ottawa / University of Ottawa, 2020. http://hdl.handle.net/10393/40282.
Повний текст джерелаKlineburger, Philip C. "The Dynamic Functional Capacity Theory: Music Evoked Emotions." Diss., Virginia Tech, 2014. http://hdl.handle.net/10919/50991.
Повний текст джерелаPh. D.
Charil, Arnaud. "Morphological and functional correlates of disability in multiple sclerosis." Thesis, McGill University, 2006. http://digitool.Library.McGill.CA:80/R/?func=dbin-jump-full&object_id=111891.
Повний текст джерелаThe extent of macroscopic brain tissue damage, as seen on T2-weighted MRI scans, is poorly correlated with measures of functional impairment in MS. We hypothesized that this might be due to the failure to take lesion location into account. By combining sophisticated lesion segmentation tools with the statistical and stereotaxic techniques of functional neuroimaging, we have shown a relationship between lesion location and the extent and type of physical and cognitive disability.
Brain atrophy is another manifestation of MS. We conducted the first large-scale study of focal cortical atrophy in MS that uses cortical thickness measurements across the entire cortex. We present evidence that cortical atrophy occurs relatively early in the course of the disease, despite the lack of severe disability in MS patients, as assessed by the Expanded Disability Status Scale (EDSS), and follows a pattern of focal thinning that is more pronounced in areas that are heavily inter-connected with other brain regions, such as anterior cingulate cortex and association areas, suggesting that interruption of white matter tracts by MS plaques might play a causative role in cortical atrophy.
Finally, we conducted an fMRI study of working memory in controls, cognitively unimpaired and impaired MS patients that revealed significant differences in the regions that were activated between the groups. Most interestingly, while both cognitively unimpaired MS patients and control subjects significantly activated the left dorsolateral prefrontal cortex and the left thalamus, cognitively impaired MS patients failed to significantly activate these areas. Levels of deactivation within the medial prefrontal/anterior cingulate cortices and posterior cingulate cortex were inferior in MS patients than in controls. This study suggests that with an increased white matter lesion volume there is an increased damage to a number of afferents and efferents to and from the thalamus (cortico-basal ganglia-thalamo-cortical loops and other thalamo-cortical projections) that ultimately causes the observed cognitive deficits. These cognitive deficits seem also to be dependent on a reduced capacity of MS patients to show task-related deactivations.
Boahen, Godfred Fordjour. "Ethnicity, learning disability, and the Mental Capacity Act 2005 : a social constructionist ethnography of an integrated learning disability service." Thesis, Open University, 2013. http://oro.open.ac.uk/54718/.
Повний текст джерелаBlomqvist, Sven. "Postural balance, physical activity and capacity among young people with intellectual disability." Doctoral thesis, Umeå universitet, Sjukgymnastik, 2013. http://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-71227.
Повний текст джерелаStrickler, Amy Ann. "Functional Capacity Outcomes following Coronary Artery Bypass Graft Surgery." Thesis, Virginia Tech, 1998. http://hdl.handle.net/10919/36680.
Повний текст джерелаMaster of Science
Read, Natalie. "Exploring constructs of capacity in learning disability contexts : power, protection and institutional practices." Thesis, University of East London, 2016. http://roar.uel.ac.uk/5398/.
Повний текст джерелаGoldsmith, Lesley. "Informed consent for pharmacogenomic testing in people with a learning disability." Thesis, University of Plymouth, 2011. http://hdl.handle.net/10026.1/316.
Повний текст джерелаHudson, Annette. "Low intensity exercise, functional capacity and lipoprotein metabolism in women." Thesis, Loughborough University, 1991. https://dspace.lboro.ac.uk/2134/27954.
Повний текст джерелаMoriello, Carolina. "Relation of muscle strength to functional walking capacity post stroke." Thesis, McGill University, 2005. http://digitool.Library.McGill.CA:80/R/?func=dbin-jump-full&object_id=97973.
Повний текст джерелаLaikind, Lawrence A. "The Application of Article 12 of the Convention on the Rights of Persons with Disabilities(CRPD) to decisions of Australian tribunals and court administering guardianship legislation." Thesis, Queensland University of Technology, 2016. https://eprints.qut.edu.au/101500/1/Lawrence_Laikind_Thesis.pdf.
Повний текст джерелаBadduke, Chansonette. "Functional genomic analysis of novel microdeletions and microduplications associated with intellectual disability." Thesis, University of British Columbia, 2015. http://hdl.handle.net/2429/56242.
Повний текст джерелаMedicine, Faculty of
Pathology and Laboratory Medicine, Department of
Graduate
Chaim, Isaac Alexander. "Functional DNA repair capacity assays : a focus on base excision repair." Thesis, Massachusetts Institute of Technology, 2016. http://hdl.handle.net/1721.1/104221.
Повний текст джерелаCataloged from PDF version of thesis.
Includes bibliographical references.
The integrity of our DNA is challenged by roughly 100,000 lesions per cell on a daily basis. Failure to cope with DNA damage can lead to cancer, immunodeficiency and degenerative disease. Quantitating and understanding an individual's DNA repair capacity may enable us to predict and prevent disease in a personalized manner. Base Excision Repair (BER) is known for the recognition and repair of endogenous and exogenous mutagenic non-helix-distorting lesions produced by DNA base alkylation, deamination and oxidation. BER is initiated by the action of one of eleven DNA glycosylases known-to-date. Many studies have shown that levels of these glycosylases can vary between individuals, suggesting a basis for inter-individual differences in DNA repair capacity. Moreover, the methods for measuring DNA repair capacity used so far are cumbersome, time consuming, low throughput and only allow for the analysis of one glycosylase at a time. We have taken a fluorescence-based multiplex flow-cytometric host cell reactivation assay wherein the activity of several DNA glycosylases and their immediate downstream endonuclease (APE1) can be tested simultaneously, at single-cell resolution, under physiological conditions. Taking advantage of the transcriptional properties of several DNA lesions we have designed and engineered specific fluorescent reporter plasmids for OGG1, AAG, MUTYH, UNG and APE1. Inter-individual differences in DNA repair capacity of a panel of cell lines derived from healthy individuals have been measured. Regression models that incorporate these measurements have been developed in order to predict cellular sensitivity to the chemotherapeutic and DNA damaging agents 5-FU, H₂O₂ and MMS, with the interest of understanding the contributions that these differences can have on personalized disease prevention and treatment. Finally, we have conducted a pilot population study with 56 healthy subjects where we implemented all the methods developed in order to determine the feasibility of measuring DNA repair capacity variations in a healthy human population. Additionally, we report the discovery of a novel in vivo role of the TC-NER pathway in the repair of the lipid-peroxidation product, 3,N⁴-etheno-cytosine.
by Isaac Alexander Chaim.
Ph. D.
Menezes, Karla Vanessa Rodrigues Soares. "Impact of hospitalization in functional and mobility capacity of older adults." PROGRAMA DE P?S-GRADUA??O EM CI?NCIAS DA SA?DE, 2017. https://repositorio.ufrn.br/jspui/handle/123456789/24122.
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Coordena??o de Aperfei?oamento de Pessoal de N?vel Superior (CAPES)
Introduction: As people get older, it remains a challenge maintaining functional capacity. Functioning consists of the ability to perform self-care activities (i.e. activities of daily living - ADLs) classified inside the level of ?activity and participation? of the International Classification of Functioning, Disability and Health (ICF). Previous studies have identified different risk factors for worsening functional capacity during hospitalization, including older age, sociodemographic characteristics, pre-existing impairment, cognitive loss, delirium, and comorbidity. In-hospital mobility has received particular attention due to its important association to loss of functional capacity. Few studies about hospitalization effects on older adults have been done in Brazil. Identifying older adults at risk for loss in functional capacity during hospitalization will help researchers and clinicians in order to make informed decisions. Objectives: This study contemplates three objectives: first, to provide an updated review to identify and appraise relevant instruments for measuring older adults? mobility based on the ICF conceptual framework in the context of an acute care or intensive geriatric rehabilitation unit, and to appraise and compare their measurement properties; second, to evaluate if in-hospital mobility assessed at admission is predictive of loss in functional capacity during hospitalization of older adults and to verify if other variables combined with in-hospital mobility can better predict loss in functional capacity; third, to assess functional changes of hospitalized older adults from pre-admission (baseline) until discharge and identify predictors of loss in functional capacity. Methods: This cohort prospective study was conducted at the Onofre Lopes University Hospital (HUOL), Natal/RN, Brazil, between January 1, 2014 and April 30, 2015. The study enrolled all consecutive patients aged 60 years and older who were acutely admitted and met the following inclusion criteria: 1) ability to provide informed consent; 2) admitted directly from the community; 3) screening for study eligibility performed in the first 24 hours of admission. Independent variables included personal characteristics, domestic living activities (i.e. instrumental activities of daily living ? IADL) evaluated by Lawton and Brody?s scale, cognition evaluated by Legan?s cognitive test, depression assessed by Geriatric Depression Scale (GDS-15), and in-hospital mobility evaluated by the Short Physical Performance Battery (SPPB). The dependent variable of functional capacity was assessed by the Katz scale. These instruments were applied at two different times: at admission (first 24 hours) and at discharge (12-24 hours before). Analysis included descriptive statistics, bivariate and multivariate analysis by means of frequencies, means ? standard error, receiver-operating characteristic (ROC), logistic binary regression and Generalized Estimating Equation (GEE). Data were entered into the Statistical Package for Social Sciences (SPSS) version 18.0 for Windows. Results: From the 1256 included at discharge, 65 (5.1%) died during hospitalization, thus the final sample consisted of 1191 older adults. The mean age was 70.02 (?7.34) and mean length of hospital stay was 7.65 days (?9.94). Our sample had a high prevalence of surgery (70.1%). Regarding the best instruments to assess mobility, the De Morton Mobility Index (DEMMI) and SPPB presented the best balance between mobility coverage, measurement properties and applicability to acute care and intensive geriatric rehabilitation units. A SPPB cutoff point of 6.5 (62% sensitivity, 54% specificity) identified 593 (49.8%) patients at risk for loss in functional capacity. In logistic regression, SPPB alone presented a statistically significant prediction loss of functional capacity between admission and discharge. Finally, regarding changes in functional capacity, 52.5% of the older adults were discharged with worse functional capacity than baseline. Being dependent for domestic life activities, presence of depression symptons, low levels of cognition and in-hospital mobility were risk factors for greater loss in functional capacity after a hospitalization event. Conclusion: We conclude that DEMMI and SPPB were the best instruments to assess mobility in hospitalized older adults. Regarding functional capacity, half the sample presented loss in functioning between baseline and discharge, while in-hospital mobility evaluated by SPPB can predict loss of function in hospitalized older adults. In addition to in-hospital mobility, dependence for domestic living activities, low levels of cognition and depression improve the detection of cases for being at risk of loss in functional capacity.
Introdu??o A medida que as pessoas envelhecem manter sua funcionalidade permanece um desafio. A funcionalidade consiste da habilidade do indiv?duo de realizar atividades de auto-cuidado (e.g. atividades de vida di?ria ? AVD?s) classificados dentro do n?vel de atividade e participa??o da Classifica??o Internacional de Funcionalidade, Incapacidade e Sa?de (CIF). Estudos anteriores identificaram fatores de risco para a diminui??o da capacidade funcional durante a hospitaliza??o que inclu?am idade avan?ada, caracter?sticas socioecon?micas, incapacidade preexistente, perda cognitiva, del?rio, co-morbidade. Mobilidade dentro do hospital tem recebido aten??o especial devido a sua importante rela??o com a perda da capacidade funcional. Poucos estudos foram realizados tendo como foco a avalia??o dos efeitos da hospitaliza??o em idosos brasileiros. Identificar idosos em risco para a perda funcional durante a hospitaliza??o poder? auxiliar pesquisadores e cl?nicos a tomar decis?es baseadas em evid?ncia. Objetivos Esse estudo contempla tr?s objetivos. Primeiro: promover uma atualiza??o a cerca dos instrumentos relevantes utilizados para avaliar a mobilidade de idosos baseado no conceito da CIF no contexto de hospitaliza??o ou unidades de reabilita??o geri?trica intensiva. Segundo: avaliar se a mobilidade avaliada dentro do hospital na admiss?o ? preditiva de perda funcional durante a hospitaliza??o em idosos e identificar fatores preditores de perda funcional. Terceiro: avaliar mudan?as funcionais desde antes da interna??o (medida de base) at? a alta hospitalar e identificar preditores de perda funcional. M?todos Esse estudo do tipo coorte prospectivo foi realizado no Hospital Universit?rio Onofre Lopes (HUOL), localizado em Natal/RN, Brasil entre primeiro de Janeiro de 2014 a 30 de Abril de 2015. Participaram do estudo pacientes com 60 anos ou mais de idade admitidos no hospital e que preencheram os crit?rios de inclus?o: 1) fornecer o termo de consentimento assinado; 2) advindo da comunidade; 3) ser abordado para participar do estudo dentro das primeiras 24 horas de interna??o. As vari?veis independentes incluem caracter?sticas pessoais, atividades de vida dom?stica (e.g. atividades instrumentais de vida di?ria ? AIVDs) avaliada pela escala de Lawton e Brody?s, a cogni??o foi avaliada pelo teste cognitivo de Legan?s, a depress?o foi investigada atrav?s da escala de depress?o geri?trica (GDS-15), a mobilidade dentro do hospital foi avaliada pela Short Physical Performance Battery (SPPB). A vari?vel dependente capacidade funcional foi avaliada pela escala de Katz. Esses instrumentos foram avaliados em dois momentos distintos: na admiss?o (primeiras 24 horas) e na alta hospitalar (12-24 horas antes). A an?lise estat?stica inclui an?lise descritiva, bivariada e multivariada, atrav?s de frequ?ncias, m?dias ? erro padr?o, receiver-operating characteristic (ROC), regress?o log?stica bin?ria e Equa??o de Estimativa Generalizada (EEG). Os dados foram inseridos atrav?s do SPSS vers?o 18.0 para Windows. Resultados Na alta hospitalar dos 1256 idosos inclu?dos na pesquisa 65 (5,1%) foram a ?bito durante a hospitaliza??o o que culminou em uma amostra final de 1191 idosos. A idade m?dia foi de 70,02 (?7,34), 684 (57,4%) dos participantes s?o homens e 790 eram casados (66,3%). A m?dia de dias de interna??o foi de 7,65 dias (?9,94). Nossa amostra apresentou uma frequ?ncia alta para abordagem cir?rgica (>70%). Em rela??o aos melhores instrumentos para avaliar mobilidade o De Morton Mobility Index (DEMMI) e o SPPB apresentaram o melhor equil?brio entre a cobertura do conceito de mobilidade, propriedades psicom?tricas e aplicabilidade em ambiente hospitalar e unidades de reabilita??o geri?trica. O ponto de corte do SPPB de 6.5 (62% sensibilidade, 54% especificidade) identificou 593 (49.8%) pacientes em risco para perda da capacidade funcional. Na regress?o log?stica o SPPB sozinho apresentou predi??o estatisticamente significante para perda funcional entre admiss?o e alta hospitalar. Finalmente em rela??o ?s mudan?as funcionais 52,5% dos idosos receberam alta hospitalar com uma capacidade funcional pior do que antes da interna??o. Ser dependente para as atividades instrumentais de vida di?ria, presen?a de sintomas depressivos, baixos n?veis de cogni??o e mobilidade dentro do hospital foram fatores de risco para perda funcional ap?s um evento de hospitaliza??o. Conclus?o Conclu?mos que DEMMI e SPPB foram os melhores instrumentos para avaliar mobilidade em idosos hospitalizados. Com rela??o a capacidade funcional metade da amostra apresentou perda da funcionalidade entre linha de base e alta hospitalar e a mobilidade dentro do hospital avaliada pelo SPPB pode predizer perda da capacidade funcional em idosos hospitalizados. Somando ? mobilidade dentro do hospital, depend?ncia para atividades dom?sticas, baixos n?veis de cogni??o e depress?o melhora a detec??o de casos de idosos em risco para perda da capacidade funcional
Zullo, Melissa D. "Cardiovascular Disease Management and Functional Capacity in Patients With Metabolic Syndrome." Case Western Reserve University School of Graduate Studies / OhioLINK, 2009. http://rave.ohiolink.edu/etdc/view?acc_num=case1232721609.
Повний текст джерелаPiersol, Catherine Verrier. "Examining Caregiver Appraisal of Functional Capacity in Family Members with Dementia." VCU Scholars Compass, 2013. http://scholarscompass.vcu.edu/etd/3131.
Повний текст джерелаNisar, Shiraz A., Raghunandan Muppidi, Sumit Duggal, Adrian V. Hernández, Vidyasagar Kalahasti, Wael Jaber, and Omar A. Minai. "Impaired Functional Capacity Predicts Mortality in Patients with Obstructive Sleep Apnea." The American Thoracic Society, 2014. http://hdl.handle.net/10757/337271.
Повний текст джерелаBackground: Obstructive sleep apnea (OSA) is associated with increased mortality, for which impaired functional capacity (IFC) has been established as a surrogate. We sought to assess whether IFC is associated with increased mortality in patients with OSA and whether IFC is predictive of increased mortality after accounting for coronary artery disease. Methods: Patients with OSA who underwent both polysomnography testing and exercise stress echocardiogram were selected. Records were reviewed retrospectively for demographics, comorbidities, stress echocardiographic parameters, and polysomnography data. Univariable and multivariable logistic regression analysis was used to evaluate the association between IFC and overall mortality. We then evaluated the variables associated with IFC in the overall population and in the subgroup with normal Duke treadmill score (DTS). Results: In our cohort, 404 (26%) patients had IFC. The best predictors of IFC were female sex, history of smoking, ejection fraction less than 55, increased body mass index, presence of comorbidities, abnormal exercise echocardiogram, abnormal heart rate recovery, and abnormal DTS. Compared with those without IFC, patients with IFC were 5.1 times more likely to die (odds ratio [OR], 5.1; 95% confidence interval [CI], 2.5–10.5; P , 0.0001) by univariate analysis and 2.7 times more likely to die (OR, 2.7; 95% CI, 1.2–6.1; P = 0.02) by multivariate analysis, when accounting for heart rate recovery, DTS, and sleep apnea severity. Among those without coronary artery disease, patients with IFC were at significantly increased risk of mortality (OR, 4.3; 95% CI, 1.35–13.79; P = 0.0088) compared with those with preserved functional capacity. Conclusions: In our OSA population, IFC was a strong predictor of increased mortality. Among those with normal DTS, IFC identified a cohort at increased risk of mortality.
Borea, Rieckhof Costanza. "Disability and human rights." THĒMIS-Revista de Derecho, 2015. http://repositorio.pucp.edu.pe/index/handle/123456789/108818.
Повний текст джерелаTodas las personas somos sujetos de Derecho, perono todos tenemos la “capacidad” para poder ejercerlos plenamente. Bajo este argumento, las personas con discapacidad han visto limitadas sus posibilidades de desarrollarse como seres humanos.¿Por qué las personas con discapacidad han sido históricamente marginadas por el Derecho? En el presente artículo, la autora nos presenta un detallado análisis sobre la materia, incluyendo el cambio de paradigma jurídico que supuso la adopción de la Convención sobre los Derechos de la Personacon Discapacidad.
Rytsälä, Heikki. "Functional and work disability and treatment received by patients with major depressive disorder." Helsinki : University of Helsinki, 2006. http://ethesis.helsinki.fi/julkaisut/laa/kliin/vk/rytsala/.
Повний текст джерелаClough, Beverley. "Exploring the potential of relational approaches to mental capacity law." Thesis, University of Manchester, 2015. https://www.research.manchester.ac.uk/portal/en/theses/exploring-the-potential-of-relational-approaches-to-mental-capacity-law(5054a274-bf7c-46e7-92ff-6c3fa665559a).html.
Повний текст джерелаJarrell, Loretta Anne. "Functional capacity in men and women during early recovery following myocardial infarction." Thesis, National Library of Canada = Bibliothèque nationale du Canada, 1997. http://www.collectionscanada.ca/obj/s4/f2/dsk2/ftp04/mq20657.pdf.
Повний текст джерелаWarman, Chardon Jodi. "The reliability and the validity of the Motility and Functional Capacity Evaluation." Thesis, National Library of Canada = Bibliothèque nationale du Canada, 2000. http://www.collectionscanada.ca/obj/s4/f2/dsk1/tape4/PQDD_0015/MQ52963.pdf.
Повний текст джерелаBoer, Pieter. "The functional fitness capacity of adults with Down Syndrome in South Africa." Thesis, Stellenbosch : University of Stellenbosch, 2010. http://hdl.handle.net/10019.1/5263.
Повний текст джерелаENGLISH ABSTRACT: Functional fitness refers to the physical capacity to perform normal everyday activities safely and independently without undue fatigue. More specifically, functional fitness refers to having adequate strength, flexibility, mobility and endurance to execute essential tasks efficiently and effortlessly. Being functionally fit is important for all populations, but even more so for populations at risk for loosing functional capacity such as the elderly, disabled, and those with chronic medical conditions. Down syndrome individuals form part of the intellectually disabled population and show even more marked reductions in physical and functional capacities when compared to this already functionally limited population. Most DS individuals live sedentary lives, are obese, and age prematurely. For these reasons it is important to develop their functional capacities optimally. Although standardised tests are available for youngsters with intellectual disability, this is not the case for DS individuals. This study therefore endeavoured to describe the physical and functional fitness capacity of DS adults and to determine how much individual physical attributes contribute to functional capacity. 17 items, of which the validity and reliability have been determined, were included in the test battery. This included 2 balance tests, 2 flexibility tests, 2 coordination tests, 5 muscular strength and endurance tests, 2 functional tasks and an aerobic test. A total of 371 individuals from DS centres and institutions across seven provinces in South Africa volunteered to participate in the study. The study sample was categorised according to gender and four different age groups (18-25, 26-35, 36-45, >45 years) for further analysis. DS men were taller, heavier and had a greater arm span and sitting height than DS women. The majority of the participants were either overweight or obese. DS men performed significantly better on all but three tests compared to the women. The women performed better on the sit- and- reach flexibility test and the chair stand test, however, differences were not statistically significant. Physical test items correlated significantly and strongly to functional performance in 9 items for DS men and 5 items for DS women. Importantly, balance items correlated stronger with functional performance in DS women than in DS men. This is not a new finding and suggests that separate training programs should be developed for DS men and DS women. This is the first study of its kind in South Africa and confirms the findings of previous studies that DS adults have both low physical and functional capacities. They are particularly weak in terms of basic endurance and strength, which have been shown are trainable variables in DS individuals. The study also provides valuable criterion referenced values for an adult DS population. This information will assist health professionals in tailoring appropriate training programs to address functional limitations, as well as the negative health consequences associated with ageing. This special population thus need the assistance of sport scientists, as well as the community, to integrate them into special training and activity programs to improve their quality of life.
AFRIKAANSE OPSOMMING : Funksionele fiksheid verwys na die fisieke kapasiteit om alledaagse aktiwiteite op ‘n veilige en onafhanklike wyse uit te voer sonder om oormatige vermoeienis te ervaar. Meer spesifiek beteken funksionele fiksheid dat ‘n person voldoende krag, lenigheid, beweeglikheid en uithouvermoë besit om essensiële take doeltreffend en moeiteloos te voltooi. Alle populasies behoort funksioneel fiks te wees, maar dit is self meer belangrik vir populasies wat die risiko het om hul funksionele kapasiteit te verloor, soos bejaardes, persone met gestremdhede en diegene met kroniese mediese toestande. Down sindroom individue is deel van die populasie met intellektueel gestremdhede en hulle het selfs meer fisieke en funksionele beperkinge as die intellektueel gestremdes. Die meeste persone met DS het ‘n onaktiewe leefstyl, is vetsugtig en ervaar premature veroudering. Vir hierdie redes is dit uiters belangrik om hulle funksionele kapasiteit optimaal te ontwikkel. Hoewel gestandaardiseerde toetse beskikbaar is vir jong persone met intellektueel gestremdhede, is dit nie die geval met DS individue nie. Hierdie studie was ‘n poging om die fisieke en funksionele fiksheidkapasiteit van DS volwassenes te beskryf en te bepaal tot watter mate fisieke eienskappe funksionele kapasiteit bepaal. 17 items, waarvan die geldigheid en herhaalbaarheid bepaal is, is ingelsuit in die toetsbattery. Dit het die volgende ingesluit: 2 balanstoetse, 2 lenigheidstoetse, 2 koordinasietoetse. 5 spierkrag en uithouvermoë toetse, 2 funksionale take en een aërobiese toets. ‘n Totaal van 371 individue van DS sentrums en instellings in sewe provinsies in Suid Afrika het vrywillig ingestem om aan die studie deel te neem. Die steekproef is volgens geslag en ouderdom in vier kategorieë verdeel (18-25, 26-35, 36-45, >45 jaar) vir verdere analise. DS mans was langer, swaarder en het ‘n langer armlengte en sithoogte gehad as DS vroue. Die meerderheid van die deelnemers was of oorgewig of vetsugtig. DS mans het beduidend beter as die vroue gevaar in al die toetse, behalwe drie. Die vroue het beter gevaar in die sit en strek lenigheidstoets en die stoel opstaan toets, maar die verskille was nie statisties betekenisvol nie. Nege fisieke toetsitems vir mans het sterk en betekenisvol gekorreleer met funksionele kapasiteit, terwyl 5 items vir vroue betekenisvolle korrelasies gewys het. Balans items het sterker met funksionele kapasiteit in vroue as in mans gekorreleer. Hierdie is nie ‘n nuwe bevinding nie en bevestig dat verskillende oefenprogramme vir DS mans en vroue ontwikkel moet word. Hierdie is die eerste studie van sy soort in Suid Afrika en bevestig die resultate van vorige studies dat DS volwassenes beide lae fisieke en funksionele kapasiteite het. Hulle is veral swak ten opsigte van basiese uithouvermoë en spierkrag, maar beide hierdie veranderlikes kan by DS persone ingeoefen word. Hierdie studie voorsien ook waardevolle kriterium verwysingswaardes vir ‘n volasse DS populasie. Hierdie inligting kan persone in die gesondheidsberoepe help om gepaste oefenprogramme saam te stel om die funksionele beperkings en negatiewe gesondheidsgevolge wat met veroudering geassosieer word, aan te spreek. Hierdie spesiale populasie benodig dus die hulp van sportwetenskaplikes, sowel as die gemeenskap, om hulle te integreer in spesiale oefen- en aktiwiteitsprogramme om sodoende hulle kwaliteit van lewe te verbeter.
Ned-Matiwane, Lieketseng. "A study to explore the capacity of family and service providers to facilitate participation of disabled youth in accessing opportunities in skills development and employment in Cofimvaba, Eastern Cape." Master's thesis, University of Cape Town, 2013. http://hdl.handle.net/11427/11007.
Повний текст джерелаIncludes bibliographical references.
The study aimed to explore the capacity of family and service providers to facilitate the participation of disabled youth in accessing skills development and employment opportunities in rural areas. The objectives were to describe the family and service providers' understanding of disability; identify visions and strategies for promoting inclusion of disabled youth in skills development and employment opportunities; analyse the provision of services related to the economic development of disabled youth; identify the gaps in skills in facilitating disabled youth's transition in the economic development; and identify the available material resources for economic development of disabled youth.
Cavuoto, Lora Anne. "Evaluating obesity-related differences in upper extremity and trunk muscular capacity." Diss., Virginia Tech, 2012. http://hdl.handle.net/10919/28345.
Повний текст джерелаPh. D.
Dürrheim, Erna Theresia. "Some physiological effects of deep underground mining and the relationship with physical work capacity and functional work capacity assessment outcomes." Thesis, North-West University, 2012. http://hdl.handle.net/10394/9019.
Повний текст джерелаThesis (MSc (Occupational Hygiene))--North-West University, Potchefstroom Campus, 2013.
Lindström, Camilla. "Föräldraskap och neuropsykiatriskt funktionshinder : upplevelse och påverkan av diagnos." Thesis, Stockholm University, Department of Social Work, 2006. http://urn.kb.se/resolve?urn=urn:nbn:se:su:diva-6692.
Повний текст джерелаThe aim in the study is to search for a deeper understanding of how parents experience a neurological diagnose of the child and how this affects the parenthood. Parenthood was seen in a systemtheoretical perspective as a social construction. The narrative method was used in two lifestory parentinterviews. The analysis was made from parenthood. The result formed stories about parenthood with children having neuropsyciatric functional disability who even came to be a woman’s struggle. Two stories became central, one about righteousness and commonship and one against diagnosis and network. The struggle for support and understanding from the surrounding network was central. There was also a fight between the network and the parent of the authority to decide the child’s normality. The parent and child early experience a segregation in society based on diagnose. Parents experienced insecurity and difficulties regarding dose and sideeffects in medication the child. The networks reception was central for the acceptance of diagnosis and for keeping the parentcompetence. The public debate of inherent or environment created doubt and insecurity. In the stories there was a tendency that the struggle went beside the child and parenthood and instead became a struggle for righteousness against society.
Puthoff, Michael Leonard. "The relationship between impairments in muscle performance, functional limitations, and disability in older adults." Diss., University of Iowa, 2006. http://ir.uiowa.edu/etd/73.
Повний текст джерелаMazzoni, Claudia F. "Impairment, disability, and functional assessment in individuals symptomatic of upper extremity cumulative trauma disorder." Thesis, National Library of Canada = Bibliothèque nationale du Canada, 1999. http://www.collectionscanada.ca/obj/s4/f2/dsk1/tape9/PQDD_0004/NQ42959.pdf.
Повний текст джерелаYu, Miao, Nanhai Huang, and Qianxin Xu. "Multi-functional adjustable table for people staying longer time in bed due to disability." Thesis, Blekinge Tekniska Högskola, Institutionen för maskinteknik, 2015. http://urn.kb.se/resolve?urn=urn:nbn:se:bth-813.
Повний текст джерелаGee, Christine Elizabeth. "The capacity for functional recovery in the flight system of Locusta migratoria migratorioides." Thesis, National Library of Canada = Bibliothèque nationale du Canada, 1998. http://www.collectionscanada.ca/obj/s4/f2/dsk3/ftp05/nq22458.pdf.
Повний текст джерелаCox, Alison. "Variations in behaviour function in individuals with intellectual disability and psychotropic medication." Wiley, 2015. http://hdl.handle.net/1993/30735.
Повний текст джерелаOctober 2015
Pritchard-Jones, Laura Gwynne. "Making health and welfare decisions in old age : challenging the adequacy of mental disability law and theory." Thesis, University of Manchester, 2016. https://www.research.manchester.ac.uk/portal/en/theses/making-health-and-welfare-decisions-in-old-age-challenging-the-adequacy-of-mental-disability-law-and-theory(f3f29f67-6454-4013-8d6e-e5a783ca97fd).html.
Повний текст джерелаNickel, Jennie T. "Functional disability and the use of health services by elderly women with coronary heart disease /." The Ohio State University, 1986. http://rave.ohiolink.edu/etdc/view?acc_num=osu1487323583620189.
Повний текст джерелаDechman, Gail Sterns. "The effect of lung volume below normal functional residual capacity on respiratory system mechanics." Thesis, McGill University, 1993. http://digitool.Library.McGill.CA:80/R/?func=dbin-jump-full&object_id=41568.
Повний текст джерелаLee, Fu-Hua Lawrence. "The use of functional capacity to predict postoperative outcomes in subjects undergoing colorectal resection." Thesis, McGill University, 2013. http://digitool.Library.McGill.CA:80/R/?func=dbin-jump-full&object_id=114185.
Повний текст джерелаIntroduction: Il existe un nombre croissant de preuves qui suggèrent que l'évaluation de la capacité fonctionnelle permet d'identifier les patients à hauts risques pour une chirurgie majeure. Toutefois, les études antérieures ont été basées sur des populations de patients hétérogènes. Nous avons cherché à étudier l'impact d'une faible capacité fonctionnelle sur l'incidence de complications postopératoires au sein d'une population de patients devant subir une chirurgie colorectale. Méthodes: Nous avons réalisé une étude de cohorte de patients adultes, ayant subi une résection colorectale entre 2005 et 2011 dans une même institution affiliée à une université, qui avaient participé à trois essais cliniques. La variable d'exposition principale était une faible capacité fonctionnelle telle que mesurée par l'épreuve fonctionnelle d'exercice (EFX) ou par le test de marche de six minutes (TDM6). Les objectifs principaux étaient les complications développées durant les 30 jours suivant l'opération indexée ainsi que la durée du séjour hospitalier. Les valeurs seuils corrélées avec les complications ont été identifiées à l'aide de courbes ROC. Les modèles de régression multiples ont permis d'estimer l'effet de l'exposition sur les objectifs principaux en ajustant pour les facteurs confondants Résultats: Un total de 296 patients ont été inclus dans la cohorte. Les résultats du TDM6 étaient disponibles pour tous les patients et ceux de l'EFX l'étaient pour 114 patients. L'incidence globale des complications postopératoires était de 42% (126/296). La valeur seuil corrélée avec les complications était un pic de consommation d'oxygène (VO2pic)inférieur au 72% de prédiction et un TDM6 inférieur à 392 mètres. Après l'ajustementpour les facteurs confondants, les chances de développer une complication majeure étaient 7.66 fois (intervalle de confiance à 95%: 1.57-37.44) plus élevées chez les patientsavec un VO2pic < 72% de prédiction. Un TDM6 < 392 mètres était indépendamment associé à une chance plus importante de développer une complication cardio-pulmonaire(OR ajusté 4.75, IC à 95% 1.46-15.44) ou une morbidité mineure (ORa 1.87, IC à 95%1.02-3.46), mais pas une complication majeure (ORa 1.10, IC à 95% 0.42-2.99). Conclusion: Une faible capacité fonctionnelle est associée à des risques péri-opératoires plus élevés chez les patients subissant une chirurgie colorectale. Une évaluation de la capacité fonctionnelle peut être réalisée à l'aide de l'EFX ou du TDM6.
Hayes, Sandra C. "Exercise, functional capacity and quality of life in peripheral blood stem cell transplant patients." Thesis, Queensland University of Technology, 2001. https://eprints.qut.edu.au/36758/7/36758_Digitised%20Thesis.pdf.
Повний текст джерелаWoodbury, Ryan Kenneth. "Investigating sit-to-stand velocity and power to assess functional capacity in older people." Thesis, Woodbury, Ryan Kenneth (2022) Investigating sit-to-stand velocity and power to assess functional capacity in older people. Masters by Research thesis, Murdoch University, 2022. https://researchrepository.murdoch.edu.au/id/eprint/66125/.
Повний текст джерелаMurphy, Rebecca Cowell. "Advocating for advance directives guidelines for health care professionals /." Thesis, Montana State University, 2009. http://etd.lib.montana.edu/etd/2009/murphy/MurphyR0509.pdf.
Повний текст джерелаRipat, Jacqueline Dawn. "The relationship between functional upper limb kinematics, pain and perceived disability in individuals with rheumatoid arthritis." Thesis, National Library of Canada = Bibliothèque nationale du Canada, 1998. http://www.collectionscanada.ca/obj/s4/f2/dsk2/tape17/PQDD_0008/MQ32234.pdf.
Повний текст джерелаÁvila-Funes, José Alberto. "Relations entre le risque nutritionnel, les symptômes dépressifs et la capacité fonctionnelle chez la personne âgée de la communauté une analyse secondaire des données de l'étude NuAge." Mémoire, Université de Sherbrooke, 2007. http://savoirs.usherbrooke.ca/handle/11143/3912.
Повний текст джерелаLeskinen, R. (Riitta). "Late-life functional capacity and health among Finnish war veterans:Veteran Project 1992 and 2004 surveys." Doctoral thesis, Oulun yliopisto, 2015. http://urn.fi/urn:isbn:9789526208671.
Повний текст джерелаTiivistelmä Tutkimuksen tarkoituksena oli arvioida suomalaisten toisen maailmansodan veteraanien terveydentilaa ja tutkia, mitkä tekijät vaikuttavat veteraanien itsearvioituun terveyteen ja toimintakykyyn (erityisesti kävelykykyyn) sekä tunnistaa ne riskitekijät ja tekijäyhdistelmät, jotka ennustavat kuolleisuutta. Tutkimuspopulaationa käytettiin Veteraaniprojekti 1992 ja Veteraaniprojekti 2004 -tutkimuksiin osallistuneita veteraaneja. Vuonna 1992 kysely lähetettiin postitse jokaiselle Suomessa tuolloin asuneelle 242 720 veteraanille. Seurantatutkimukseen valittiin 5 750 veteraanin satunnaisotos vuoden 1992 tutkimukseen osallistuneista. Veteraaniprojekti 1992 -tutkimukseen osallistui 177 989 miestä ja 48 745 naista ja seurantatutkimukseen 4 348 miestä ja 651 naista. Osallistumisprosentti oli 93 % (1992) ja 87 % (2004). Analyysit tehtiin erikseen veteraanimiehille joilla ei ollut invaliditeettia, invalidimiehille ja naisille. Poikkileikkaustutkimuksessa tarkasteltiin 80–84-vuotiaiden veteraanien terveyttä ja toimintakykyä vuosina 1992 ja 2004. Vuonna 2004 veteraanit arvioivat terveytensä ja toimintakykynsä paremmiksi kuin samanikäiset veteraanit vuonna 1992, vaikka monet sairaudet yleistyivät seuranta-aikana. Suurin osa molempiin kyselyihin vastanneista 4 999 veteraanista arvioi terveytensä joko parantuneen tai pysyneen ennallaan seuranta-aikana. Veteraanien kokemat kävelyvaikeudet, sydän- ja verisuonisairaudet, tuki-ja liikuntaelinsairaudet sekä neurologiset sairaudet ennustivat itsearvioidun terveyden heikkenemistä. Sydän- ja verisuonisairauksia lukuun ottamatta edellä mainitut tekijät ennustivat myös toimintakyvyn laskua jopa 12 vuotta etukäteen. Myös kävelykyvyn heikkeneminen ja sairauksien paheneminen seuranta-aikana ennustivat toimintakyvyn laskua. Kävelyvaikeudet joko yksin tai yhdessä multimorbiditeetin ja/tai jonkin kolmannen riskitekijän kanssa oli tärkein sekä kokonaiskuolleisuutta että sydän- ja verisuonitautikuolleisuutta ennustava tekijä kaikissa veteraaniryhmissä keskimäärin 9,9 vuoden seuranta-aikana. Yhteenvetona voidaan todeta, että enemmistö tutkimukseen osallistuneista veteraaneista arvioi terveytensä joko parantuneen tai pysyneen ennallaan seuranta-aikana. Koetut kävelyvaikeudet ovat erittäin tärkeä itsearvioitua terveyttä, toimintakykyä ja kuolleisuutta ennustava tekijä
Kowalik, Raph. "A review of surface Electromyography used to determine sincerity of effort in Functional Capacity Evaluations." Thesis, Högskolan i Halmstad, Biomekanik och biomedicin, 2013. http://urn.kb.se/resolve?urn=urn:nbn:se:hh:diva-23253.
Повний текст джерелаSimpson, Shmona. "Genetic, structural, and functional exploration of the restrictive capacity of TRIM proteins against immunodeficiency viruses." Thesis, University of Oxford, 2017. https://ora.ox.ac.uk/objects/uuid:1af588ba-603a-4f39-9443-bb1a95d983f5.
Повний текст джерелаBarker, Roger Alistair. "Factors important in the survival and functional capacity of intracerebral adrenal and embryonic nigral grafts." Thesis, University of Cambridge, 1994. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.336537.
Повний текст джерела