Country Profile on Disability: Republic of Uzbekistan

[Excerpt] The Law on Social Security of Disabled People in the Republic of Uzbekistan, Article 1 defines a person with disability as one who is in need of aid because he/she has physical or mental problems. Daily activities such as moving, orientation, speech, behavioral control, and/or work on one\u27s own are completely or partly limited. In Uzbekistan, persons with disabilities are screened in two steps. Firstly, a diagnosis is given by the hospitals where each person is registered according to his/her residential addresses. Secondly, persons with disabilities receive referrals to the Medicine Labour Expert Commissions (MLEC) of their respective district, which determines the grade of disability. Regarding reception of social security benefits, the MLEC defines persons with disabilities by legislature in accordance with national traditions, international norms, and the economic resources of Uzbekistan. According to the causes of disabilities, persons with disabilities are divided into three general groups: (1) Disability caused by genetic diseases, (2) Disability caused by acquired diseases, and (3) Disability caused by industrial injury such as traffic accidents, industrial accidents, and natural disasters

Healthcare Robotics

Robots have the potential to be a game changer in healthcare: improving health and well-being, filling care gaps, supporting care givers, and aiding health care workers. However, before robots are able to be widely deployed, it is crucial that both the research and industrial communities work together to establish a strong evidence-base for healthcare robotics, and surmount likely adoption barriers. This article presents a broad contextualization of robots in healthcare by identifying key stakeholders, care settings, and tasks; reviewing recent advances in healthcare robotics; and outlining major challenges and opportunities to their adoption.Comment: 8 pages, Communications of the ACM, 201

Training and Employment of People with Disabilities: India 2002

[Excerpt] Training and Employment of People with Disabilities: India 2002 is descriptive in nature. When the ILO commissioned the researchers for the Country Study Series, each was asked to follow the comprehensive research protocol appended to this document. The resulting report therefore includes country background information, statistics about people with disabilities and their organizations, a description of relevant legislation and policies and their official implementing structures, as well as the education, training and employment options available to people with disabilities. While few countries have such information readily available, researchers were asked to note the existence or lack of specific data points and to report data when it did exist. Since the lack of information about people with disabilities contributes to their invisibility and social exclusion, the information itself is important. The protocol called for limited analysis and did not specifically ask for the researchers recommendations, however, researchers were asked to report on existing plans and recommendations of significant national stakeholders

AmbienNet: An Intelligent Environment to Support People with Disabilities and Elderly People

AmbienNet is an ongoing project aiming to demonstrate the viability of accessible intelligent environments to support people with disabilities and elderly people living autonomously. Based on the Ambient Intelligence paradigm, it tries to study in depth its advantages and disadvantages for people with sensory, physical or cognitive restrictions. To this end diverse supporting technologies and applications have been designed, in order to test their accessibility, usability and validity. After introducing the objectives and findings of the project, in this paper a number of preliminary results are presented and discussed

An ideal model of an assistive technology assessment and delivery process

The purpose of the present work is to present some aspects of the Assistive Technology Assessment (ATA) process model compatible with the Position Paper 2012 by AAATE/EASTIN. Three aspects of the ATA process will be discussed in light of three topics of the Position Paper 2012: (i) The dimensions and the measures of the User eXperience (UX) evaluation modelled in the ATA process as a way to verify the efficient and the evidence-based practices of an AT service delivery centre; (ii) The relevance of the presence of the psychologist in the multidisciplinary team of an AT service delivery centre as necessary for a complete person-centred assistive solution empowering users to make their own choices; (iii) The new profession of the psychotechnologist, who explores users needs by seeking a proper assistive solution, leading the multidisciplinary team to observe critical issues and problems. Through the foundation of the Position Paper 2012, the 1995 HEART study, the Matching Person and Technology model, the ICF framework, and the pillars of the ATA process, this paper sets forth a concept and approach that emphasise the personal factors of the individual consumer and UX as key to positively impacting a successful outcome and AT solution

A comparative analysis of pregnancy outcomes for women with and without disabilities

In 2010 in the US, there were 4.7 million childbearing age (15-44 years) women with disabilities (WWD) defined as, being limited in any way in any activities because of physical, mental, or emotional problems. Although their proportion and pregnancy rates are growing, there is little empirical evidence about their health, healthcare needs, pregnancy experiences and outcomes. We examined differences and predictors of pregnancy outcomes for women with and without disabilities. We used 2009 Pregnancy Risk Assessment Monitoring System (PRAMS) data from 15,585 Massachusetts and Rhode Island women. We conducted χ2- and t –tests of pregnancy outcome differences for WWD and those without. Applying an economics’ health production framework, we conducted multivariate and partial correlation analysis to determine disability significance in predicting pregnancy outcomes. We found no significant differences in delivery types, the mother’s hospital stay or the likelihood of birth defects. However, relative to infants born to women without disabilities, those born to WWD had higher likelihoods of preterm birth, mortality, need for intensive care, low gestational age, and low birth weights. Health behavior, health capital stock and access to prenatal care were strong pregnancy outcome predictors, but disability was not. Therefore, having a disability is not a guarantee against positive pregnancy outcomes. Improved health behavior, health capital stock and access to prenatal care can improve pregnancy outcomes for WWD. A better understanding of interactions between disability and pregnancy, and between disability and other pregnancy outcome predictors could aid the identification of effective methods for improving outcomes for WWD

How a Diverse Research Ecosystem Has Generated New Rehabilitation Technologies: Review of NIDILRR’s Rehabilitation Engineering Research Centers

Over 50 million United States citizens (1 in 6 people in the US) have a developmental, acquired, or degenerative disability. The average US citizen can expect to live 20% of his or her life with a disability. Rehabilitation technologies play a major role in improving the quality of life for people with a disability, yet widespread and highly challenging needs remain. Within the US, a major effort aimed at the creation and evaluation of rehabilitation technology has been the Rehabilitation Engineering Research Centers (RERCs) sponsored by the National Institute on Disability, Independent Living, and Rehabilitation Research. As envisioned at their conception by a panel of the National Academy of Science in 1970, these centers were intended to take a “total approach to rehabilitation”, combining medicine, engineering, and related science, to improve the quality of life of individuals with a disability. Here, we review the scope, achievements, and ongoing projects of an unbiased sample of 19 currently active or recently terminated RERCs. Specifically, for each center, we briefly explain the needs it targets, summarize key historical advances, identify emerging innovations, and consider future directions. Our assessment from this review is that the RERC program indeed involves a multidisciplinary approach, with 36 professional fields involved, although 70% of research and development staff are in engineering fields, 23% in clinical fields, and only 7% in basic science fields; significantly, 11% of the professional staff have a disability related to their research. We observe that the RERC program has substantially diversified the scope of its work since the 1970’s, addressing more types of disabilities using more technologies, and, in particular, often now focusing on information technologies. RERC work also now often views users as integrated into an interdependent society through technologies that both people with and without disabilities co-use (such as the internet, wireless communication, and architecture). In addition, RERC research has evolved to view users as able at improving outcomes through learning, exercise, and plasticity (rather than being static), which can be optimally timed. We provide examples of rehabilitation technology innovation produced by the RERCs that illustrate this increasingly diversifying scope and evolving perspective. We conclude by discussing growth opportunities and possible future directions of the RERC program

Rehabilitation: The health strategy of the 21st century.

There is strong evidence that population ageing and the epidemiological transition to a higher incidence of chronic, non-communicable diseases will continue to profoundly impact societies worldwide, putting more pressure on healthcare systems to respond to the needs of the people they serve. These trends argue for the need to address what matters to people about their health: limitations in their functioning that affect their day-to-day actions and goals in life. From its inception, rehabilitation, 1 of the 4 health strategies identified in the Declaration of Alma Ata in 1978, has had functioning as its outcome of interest. Its practitioners are from fields that include physical and rehabilitation medicine, occupational therapy, physiotherapy, speech and language therapy, orthotics and prosthetics, psychology, and evaluators of functioning interventions, including assistive technologies. Demographic and epidemiological trends suggest that the key indicators of the health of populations will be not merely mortality and morbidity, but functioning as well. This, in turn, suggests that the primary focus of healthcare will need to respond to actual healthcare demands generated by the need for long-term management of chronic conditions, including, in particular, the scaling up and strengthening of rehabilitation. This is the case for thinking that rehabilitation will become the key health strategy of the 21st century

Vulnerable Youth: Background and Policies

[Excerpt] This report first provides an overview of the youth population and the increasing complexity of transitioning to adulthood for all adolescents. It also provides a separate discussion of the concept of “disconnectedness,” as well as the protective factors youth can develop during childhood and adolescence that can mitigate poor outcomes. Further, the report describes the evolution of federal youth policy, focusing on three time periods, and provides a brief overview of current federal programs targeted at vulnerable youth. (Table A-1, at the end of the report, enumerates the objectives and funding levels of such programs. Note that the table does not enumerate all programs that target, even in small part, vulnerable or disconnected youth.) The report then discusses the challenges of coordinating federal programs for youth, as well as federal legislation and initiatives that promote coordination among federal agencies and support programs with a positive youth development focus