There are about 83 million disabled people in China, accounting for 6.34% of the total population, according to a national survey in 2006. As a disadvantaged group, the rights and interests of the disabled are arousin...There are about 83 million disabled people in China, accounting for 6.34% of the total population, according to a national survey in 2006. As a disadvantaged group, the rights and interests of the disabled are arousing more concerns from all walks of society in the country. Following is Human Rights＇ interview with Shen Zhifei, deputy general director of the China Disabled Persons＇ Federation, on the legal guarantee of the special group＇s rights and interests, their rehabilitation, education and employment.展开更多
Purpose To explore the needs for basic community-based rehabilitation services for disabled persons in Xuanwu District, Beijing, China, and to identify factors which influence disabled persons to accept rehabilitation...Purpose To explore the needs for basic community-based rehabilitation services for disabled persons in Xuanwu District, Beijing, China, and to identify factors which influence disabled persons to accept rehabilitation services. Method One hundred and eight disabled persons were selected by systematic sampling and simple random sampling to assess their needs for community-based rehabilitation services. Results Of the interviewees, 57A% needed the community-based rehabilitation services, but only 13.9% took advantage of it. The main factors influencing the interviewees to accept these services were cost （P〈0.05）, knowledge about rehabilitation medicine （P〈0.05）; and the belief in the therapeutic benefit of the community-based rehabilitation service （P〈0.05）. Conclusion A considerable gap exists between the supply of community-based rehabilitation services in Beijing and the needs for these services by disabled residents underscoring the need for improved availability, and for additional research.展开更多
The human motion data collected using wearables like smartwatches can be used for activity recognition and emergency event detection.This is especially applicable in the case of elderly or disabled people who live sel...The human motion data collected using wearables like smartwatches can be used for activity recognition and emergency event detection.This is especially applicable in the case of elderly or disabled people who live self-reliantly in their homes.These sensors produce a huge volume of physical activity data that necessitates real-time recognition,especially during emergencies.Falling is one of the most important problems confronted by older people and people with movement disabilities.Numerous previous techniques were introduced and a few used webcam to monitor the activity of elderly or disabled people.But,the costs incurred upon installation and operation are high,whereas the technology is relevant only for indoor environments.Currently,commercial wearables use a wireless emergency transmitter that produces a number of false alarms and restricts a user’s movements.Against this background,the current study develops an Improved WhaleOptimizationwithDeep Learning-Enabled Fall Detection for Disabled People(IWODL-FDDP)model.The presented IWODL-FDDP model aims to identify the fall events to assist disabled people.The presented IWODLFDDP model applies an image filtering approach to pre-process the image.Besides,the EfficientNet-B0 model is utilized to generate valuable feature vector sets.Next,the Bidirectional Long Short Term Memory(BiLSTM)model is used for the recognition and classification of fall events.Finally,the IWO method is leveraged to fine-tune the hyperparameters related to the BiLSTM method,which shows the novelty of the work.The experimental analysis outcomes established the superior performance of the proposed IWODL-FDDP method with a maximum accuracy of 97.02%.展开更多
Objective:To determine the factors associated with activities of daily living(ADL)among the disabled elders post-stroke.Methods:A total of 158 patients were chosen from community health service stations in eighteen re...Objective:To determine the factors associated with activities of daily living(ADL)among the disabled elders post-stroke.Methods:A total of 158 patients were chosen from community health service stations in eighteen regions of Tianjin city by convenience sampling from March to November in 2013.The Barthel Index(BI)and the short-formmini-nutritional assessment(MNA-SF)were used to evaluate the ADL,the nutritional status respectively.Statistical analysis was performed using independent sample t-test,one-way ANOVA,Pearson correlation and multiple linear regression analysis.Barthel ADL index was the main outcome.Results:The mean score of ADL was 50.50±27.125.The multiple linear regression showed that the factors which had significant impact on ADL were stroke frequency,types of stroke,nutritional status,financial status,and age.Conclusions:Disabled elders with recurrent strokes,hemorrhagic stroke,dependent financial resources,older age,worse nutritional status and living with family had poorer strokerelated outcome.Healthcare providers can discover the high-risk groups of disability and implement individualized preventive interventions in accordance with the related factors.展开更多
Objective： To investigate the level of health-promoting lifestyle in the disabled elderly in a rural area and to provide useful countermeasures for health care workers and the government to improve the elderly＇ s li...Objective： To investigate the level of health-promoting lifestyle in the disabled elderly in a rural area and to provide useful countermeasures for health care workers and the government to improve the elderly＇ s lifestyle behaviors. Methods： A total of 446 disabled elderly people were recruited and examined using the General Questionnaire and Health-Promoting Lifestyle Profile II. Results： The mean score of the health-promoting lifestyle was 109.73（ SD = 16.80）, in which 90.6 percent of the disabled elderly demonstrated unhealthy lifestyle behaviors. The average score for each of the subscales includedthe following： interpersonal relations, stress management, nutrition, self-actualization, health responsibility, and sports activity. Conclusions： The health-promoting lifestyle of the disabled elderly needs to be improved; health care workers and the government should pay more attention to the countermeasures that can improve the lifestyle behaviors and promote the health of the disabled elderly.展开更多
Background: Accessibility enables the effective participation of disabled persons in public and private areas and the use of urban equipment and street furniture. Objective: This study aimed to analyze the physical ac...Background: Accessibility enables the effective participation of disabled persons in public and private areas and the use of urban equipment and street furniture. Objective: This study aimed to analyze the physical accessibility of toilet facilities in urban and rural primary health care units. Methods: It was a quantitative descriptive study conducted in 157 Primary Health Care Units of 16 municipalities in the Baturité Massif region, Ceará, Brazil. The study took place from August 2014 to May 2015, with a checklist type form, designed from the Technical Standard 9050 of the Brazilian National Standards Organization, specifying the ideal access conditions established by law to allow mobility of persons with physical disabilities. Data were processed through the Statistical Package for the Social Sciences software and organized into tables. Results: Toilets designed for physically disabled people were accessible as the location and signs (59.9%), identified with symbols for males and females (57.3%);however, the doorway width was smaller than needed to accommodate a wheelchair (77.7%). Inside the bathroom, only the forward approach was possible (59.9%). Grab bars positioned on the side and rear walls were inadequate or nonexistent (67.6%);toilet seats (91.1%) and toilet paper dispensers (96.2%) were mostly in inaccessible heights;flush controls in appropriate height (59.2%) and activated by light pressure (58%). Sinks without pedestal (51%), but higher than recommended (80.3%) and without single handle faucets (95.6%). It was verified that the toilets of basic health units located in urban areas had better accessibility conditions compared to those in rural areas. Conclusion: Results showed that the analyzed units presented physical inaccessibility in some toilet facilities, making it difficult or even impossible the accessibility for the disabled. The inclusion of accessibility features in health services for this clientele provides equal opportunities and social inclusion.展开更多
Henan Province is not only one of the provinces with the most POpulation, but also one of the provinces with the most disabled people in China. The characteristics of the disabled People, the distribution law of six t...Henan Province is not only one of the provinces with the most POpulation, but also one of the provinces with the most disabled people in China. The characteristics of the disabled People, the distribution law of six typeS of the disabled, and the reason c展开更多
Sign language recognition can be considered as an effective solution for disabled people to communicate with others.It helps them in conveying the intended information using sign languages without any challenges.Recen...Sign language recognition can be considered as an effective solution for disabled people to communicate with others.It helps them in conveying the intended information using sign languages without any challenges.Recent advancements in computer vision and image processing techniques can be leveraged to detect and classify the signs used by disabled people in an effective manner.Metaheuristic optimization algorithms can be designed in a manner such that it fine tunes the hyper parameters,used in Deep Learning(DL)models as the latter considerably impacts the classification results.With this motivation,the current study designs the Optimal Deep Transfer Learning Driven Sign Language Recognition and Classification(ODTL-SLRC)model for disabled people.The aim of the proposed ODTL-SLRC technique is to recognize and classify sign languages used by disabled people.The proposed ODTL-SLRC technique derives EfficientNet model to generate a collection of useful feature vectors.In addition,the hyper parameters involved in EfficientNet model are fine-tuned with the help of HGSO algorithm.Moreover,Bidirectional Long Short Term Memory(BiLSTM)technique is employed for sign language classification.The proposed ODTL-SLRC technique was experimentally validated using benchmark dataset and the results were inspected under several measures.The comparative analysis results established the superior performance of the proposed ODTL-SLRC technique over recent approaches in terms of efficiency.展开更多
Mobile communication and the Internet of Things(IoT)technologies have recently been established to collect data from human beings and the environment.The data collected can be leveraged to provide intelligent services...Mobile communication and the Internet of Things(IoT)technologies have recently been established to collect data from human beings and the environment.The data collected can be leveraged to provide intelligent services through different applications.It is an extreme challenge to monitor disabled people from remote locations.It is because day-to-day events like falls heavily result in accidents.For a person with disabilities,a fall event is an important cause of mortality and post-traumatic complications.Therefore,detecting the fall events of disabled persons in smart homes at early stages is essential to provide the necessary support and increase their survival rate.The current study introduces a Whale Optimization Algorithm Deep Transfer Learning-DrivenAutomated Fall Detection(WOADTL-AFD)technique to improve the Quality of Life for persons with disabilities.The primary aim of the presented WOADTL-AFD technique is to identify and classify the fall events to help disabled individuals.To attain this,the proposed WOADTL-AFDmodel initially uses amodified SqueezeNet feature extractor which proficiently extracts the feature vectors.In addition,the WOADTLAFD technique classifies the fall events using an extreme Gradient Boosting(XGBoost)classifier.In the presented WOADTL-AFD technique,the WOA approach is used to fine-tune the hyperparameters involved in the modified SqueezeNet model.The proposedWOADTL-AFD technique was experimentally validated using the benchmark datasets,and the results confirmed the superior performance of the proposedWOADTL-AFD method compared to other recent approaches.展开更多
Elderly or disabled people can be supported by a human activity recognition(HAR)system that monitors their activity intervenes and pat-terns in case of changes in their behaviors or critical events have occurred.An au...Elderly or disabled people can be supported by a human activity recognition(HAR)system that monitors their activity intervenes and pat-terns in case of changes in their behaviors or critical events have occurred.An automated HAR could assist these persons to have a more indepen-dent life.Providing appropriate and accurate data regarding the activity is the most crucial computation task in the activity recognition system.With the fast development of neural networks,computing,and machine learning algorithms,HAR system based on wearable sensors has gained popularity in several areas,such as medical services,smart homes,improving human communication with computers,security systems,healthcare for the elderly,mechanization in industry,robot monitoring system,monitoring athlete train-ing,and rehabilitation systems.In this view,this study develops an improved pelican optimization with deep transfer learning enabled HAR(IPODTL-HAR)system for disabled persons.The major goal of the IPODTL-HAR method was recognizing the human activities for disabled person and improve the quality of living.The presented IPODTL-HAR model follows data pre-processing for improvising the quality of the data.Besides,EfficientNet model is applied to derive a useful set of feature vectors and the hyperparameters are adjusted by the use of Nadam optimizer.Finally,the IPO with deep belief network(DBN)model is utilized for the recognition and classification of human activities.The utilization of Nadam optimizer and IPO algorithm helps in effectually tuning the hyperparameters related to the EfficientNet and DBN models respectively.The experimental validation of the IPODTL-HAR method is tested using benchmark dataset.Extensive comparison study highlighted the betterment of the IPODTL-HAR model over recent state of art HAR approaches interms of different measures.展开更多
BACKGROUND Oral candidiasis(OC)is an oral health disease that could influence patients’oral health quality of life.AIM To estimate prevalence of OC among disabled and non-disabled individuals and its potential risk f...BACKGROUND Oral candidiasis(OC)is an oral health disease that could influence patients’oral health quality of life.AIM To estimate prevalence of OC among disabled and non-disabled individuals and its potential risk factors in the Al-Baha region,Saudi Arabia.METHODS An observational cross-sectional study was carried out among 148 disabled and non-disabled participants.The technique of concentrated oral rinse employing the Sabouraud Dextrose Agar medium accompanied with 0.05%chloramphenicol was conducted to assess and isolate candida.Oral examination using the World Health Organization guidelines was conducted to examine participants’oral hea-lth status.A pre-designed questionnaire was also used to evaluate sociodemo-graphic,medical history,and oral hygiene habits of the studied population.RESULTS Out of 148 participants(n=57,38%)had colonized candida.None of the studied population had visible Candida lesions.However,Candida was found in the oral rinses without the subject presenting any lesions or issues caused by Candida(asymptomatic colonization).The most common prevalent OC among participants were Candida albicans,Candida glabrata,Candida dubliniensis,Candida krusei,Candida tropicalis,and Candida parapsilosis(n=35,61%;n=8,14%;n=6,10%;n=5,9%;n=2,4%;and n=1,2%)respectively.Diabetes,smoking,poor plaque,and gingival status were key potential risk factors that significantly associated with candida’s density and presence(P=0.001,P=0.001,P=0.01,and P=0.01)respectively.Disability status had no statistically significant effect on presence and density of Candida.CONCLUSION The prevalence of OC is almost third of the studied population;thus,may provoke a need to develop preventive strategies to reduce the OC rate and establish solid treatment plans.展开更多
Disabled people are the poorest in the rural poor with the biggest difficulty in getting rid of poverty and the highest rate of returning to poverty.They are one of the key groups in rural poverty alleviation work.Thi...Disabled people are the poorest in the rural poor with the biggest difficulty in getting rid of poverty and the highest rate of returning to poverty.They are one of the key groups in rural poverty alleviation work.This is the key and difficult point of winning the fight against poverty.Luquan County is a national poverty-stricken county with a large number of disabled people.Since the implementation of the fight against poverty in 2016,the county has introduced a series of policies and measures to help the disabled to get rid of poverty from housing,medical care,schooling for children of the disabled and income increase,and good results have been achieved in poverty alleviation,making important contributions to the poverty alleviation of the county.Based on field research and interviews,this paper analyzes and condenses the specific practices,main results and successful experience of the poverty alleviation model in Luquan County,Yunnan Province to provide necessary reference for the targeted poverty alleviation by helping the disabled in Yunnan Province and other provinces.展开更多
Sign language recognition can be treated as one of the efficient solu-tions for disabled people to communicate with others.It helps them to convey the required data by the use of sign language with no issues.The lates...Sign language recognition can be treated as one of the efficient solu-tions for disabled people to communicate with others.It helps them to convey the required data by the use of sign language with no issues.The latest develop-ments in computer vision and image processing techniques can be accurately uti-lized for the sign recognition process by disabled people.American Sign Language(ASL)detection was challenging because of the enhancing intraclass similarity and higher complexity.This article develops a new Bayesian Optimiza-tion with Deep Learning-Driven Hand Gesture Recognition Based Sign Language Communication(BODL-HGRSLC)for Disabled People.The BODL-HGRSLC technique aims to recognize the hand gestures for disabled people’s communica-tion.The presented BODL-HGRSLC technique integrates the concepts of compu-ter vision(CV)and DL models.In the presented BODL-HGRSLC technique,a deep convolutional neural network-based residual network(ResNet)model is applied for feature extraction.Besides,the presented BODL-HGRSLC model uses Bayesian optimization for the hyperparameter tuning process.At last,a bidir-ectional gated recurrent unit(BiGRU)model is exploited for the HGR procedure.A wide range of experiments was conducted to demonstrate the enhanced perfor-mance of the presented BODL-HGRSLC model.The comprehensive comparison study reported the improvements of the BODL-HGRSLC model over other DL models with maximum accuracy of 99.75%.展开更多
Falls are the most common concern among older adults or disabled peo-ple who use scooters and wheelchairs.The early detection of disabled persons’falls is required to increase the living rate of an individual or prov...Falls are the most common concern among older adults or disabled peo-ple who use scooters and wheelchairs.The early detection of disabled persons’falls is required to increase the living rate of an individual or provide support to them whenever required.In recent times,the arrival of the Internet of Things(IoT),smartphones,Artificial Intelligence(AI),wearables and so on make it easy to design fall detection mechanisms for smart homecare.The current study devel-ops an Automated Disabled People Fall Detection using Cuckoo Search Optimi-zation with Mobile Networks(ADPFD-CSOMN)model.The proposed model’s major aim is to detect and distinguish fall events from non-fall events automati-cally.To attain this,the presented ADPFD-CSOMN technique incorporates the design of the MobileNet model for the feature extraction process.Next,the CSO-based hyperparameter tuning process is executed for the MobileNet model,which shows the paper’s novelty.Finally,the Radial Basis Function(RBF)clas-sification model recognises and classifies the instances as either fall or non-fall.In order to validate the betterment of the proposed ADPFD-CSOMN model,a com-prehensive experimental analysis was conducted.The results confirmed the enhanced fall classification outcomes of the ADPFD-CSOMN model over other approaches with an accuracy of 99.17%.展开更多
Disability can occur to anyone and anyone can have difficulties in fulfilling daily activities in a certain part of their lives. Accessibility is a crucial matter and a basic human right for the disabled people in ord...Disability can occur to anyone and anyone can have difficulties in fulfilling daily activities in a certain part of their lives. Accessibility is a crucial matter and a basic human right for the disabled people in order to join the urban life. For this reason, the physical environment must be set, starting with the planning and design stage, in a form that can satisfy the utility and accessibility requirements of disabled people. One of the most important recent concepts to enable accessible and useful spaces for the disabled is the ＂universal design＂. Nowadays, even though there is an increase in the number of scientific publications, meetings and decisions taken, the regulatory process on our current living environment is developing slowly regarding the physical accessibility. At this point, the most important role regarding the handling of social and political paradigms of disability, addressing different users, application of the principals of universal design and creating knowledge in order to increase social awareness belongs to the departments of universities that offer design courses. The subject of the study in this context is to determine the contents and the proportion of the courses （compulsory and elective） related to ＂universal design and ＂disability design＂, which will ensure our living environment to be accessible and independently utilized for everyone, in the course plan of the architecture, interior architecture, urban planning and landscape architecture departments in Turkey.展开更多
This study aimed to analyze the evidence available in the literature about psychoactive substance use by persons with disabilities. We used integrative review of literature in SciELO, PubMed, SCOPUS, BDENF, and PsychI...This study aimed to analyze the evidence available in the literature about psychoactive substance use by persons with disabilities. We used integrative review of literature in SciELO, PubMed, SCOPUS, BDENF, and PsychINFO databases, with the descriptors: pessoas com deficiência;transtornos relacionados a uso de substancias;disabled persons;and substance-related disorders. Twelve articles were included in the sample. Data were analyzed and discussed descriptively. The studies’ results, with scientific evidence, were synthesized on two main themes: substance use by people with disabilities, and access of people with disabilities to treatment for substance-related disorders. The scientific evidences identified in studies reported disability as a risk factor for substance abuse, and also reported that disabled persons did not have access to treatment and rehabilitation services for substance abuse. Finally, the studies analyzed pointed to the need for scientific research on this topic.展开更多
Field survey of G Town in South Shaanxi indicates that current situations and existing problems of rural disabled elderly. According to these situations and problems,this paper analyzes difficulties in long-term care ...Field survey of G Town in South Shaanxi indicates that current situations and existing problems of rural disabled elderly. According to these situations and problems,this paper analyzes difficulties in long-term care of rural disabled elderly. From the perspective of welfare pluralism,it comes up with development paths for long-term care of rural disabled elderly with joint participation of government,communities,non-profit organizations on the basis of the family endowment.展开更多
The theme of the foregoing is evolution in the management of telework. In addition, seeking the answer to the question： what is working and how to change the model of personnel management in telework？ To find the an...The theme of the foregoing is evolution in the management of telework. In addition, seeking the answer to the question： what is working and how to change the model of personnel management in telework？ To find the answers to these questions, the author conducted a survey of managers of this type. In addition, research shows that management system has evolved significantly. And although still requirement changes, the activities are quite flexible, and adapted to the staff.展开更多
This article deals with collaborative development work between the public sector and the third sectorin an area of Southern Savo, Finland, from the perspective of disabled victims. The purpose was to create structures...This article deals with collaborative development work between the public sector and the third sectorin an area of Southern Savo, Finland, from the perspective of disabled victims. The purpose was to create structures for IPV （intimate partner violence） work, developing professionals＇ skills in both tackling IPV and service-user involvement. Five NGOs （non-goverumental organizations） for disabled people were involved. Professionals were trained to ask about IPV and to gainamore in-depth understanding of the issue （including thespecial features relating to disabled people） andof how to intervene. Care pathways, linking both basic and special services, were also modeled. A permanent and regional NEIPV （Network of Excellence in IPV） was established and is coordinated by both the public and third sectors, including Experts by Experience. Strong basic structures and care pathways are needed so that the special needs of disabled people can be recognized. Raising awareness of violence, routine enquiries modified according to the needs of organizations, and simple care pathways are needed--both in the public sector and for NGOs representing the disabled. Information gained through training will not necessarily be transferred into direct practice without a strong commitment from the managerial level. Establishing organizational guidelines is necessary. This will also promote professionals＇ openness toward user knowledge.展开更多
This paper presents a technological solution to promote and help independent access to work for disabled people. The aim is to develop a form of technical assistance that supports them in the control of schedules, pre...This paper presents a technological solution to promote and help independent access to work for disabled people. The aim is to develop a form of technical assistance that supports them in the control of schedules, prevention of dangerous areas in the work place, warnings and automatic alarm generation. The device chosen to exchange all this information is a smartphone based on Android Operating System and GPS （Global Positioning System） technology mainly. A set of Android applications has been developed using Java language, and controlling the device via Google-developed Java libraries. All of them are connected to the Server Application through the Communications Module. The Server Application Module provides the assistants or psychologists the possibility of supervise all the handicapped people activities. The assistants, psychologists and users have all evaluated the application very positively as it covers disabled people＇s needs perfectly.展开更多
文摘There are about 83 million disabled people in China, accounting for 6.34% of the total population, according to a national survey in 2006. As a disadvantaged group, the rights and interests of the disabled are arousing more concerns from all walks of society in the country. Following is Human Rights＇ interview with Shen Zhifei, deputy general director of the China Disabled Persons＇ Federation, on the legal guarantee of the special group＇s rights and interests, their rehabilitation, education and employment.
基金This research got support by Beijing Education Committee as a key-point project on humanities and social sciences (Grant No. SZ200410025005).
文摘Purpose To explore the needs for basic community-based rehabilitation services for disabled persons in Xuanwu District, Beijing, China, and to identify factors which influence disabled persons to accept rehabilitation services. Method One hundred and eight disabled persons were selected by systematic sampling and simple random sampling to assess their needs for community-based rehabilitation services. Results Of the interviewees, 57A% needed the community-based rehabilitation services, but only 13.9% took advantage of it. The main factors influencing the interviewees to accept these services were cost （P〈0.05）, knowledge about rehabilitation medicine （P〈0.05）; and the belief in the therapeutic benefit of the community-based rehabilitation service （P〈0.05）. Conclusion A considerable gap exists between the supply of community-based rehabilitation services in Beijing and the needs for these services by disabled residents underscoring the need for improved availability, and for additional research.
基金The authors extend their appreciation to the Deanship of Scientific Research at King Khalid University for funding this work through Large Groups Project under grant number(158/43)Princess Nourah bint Abdulrahman University Researchers Supporting Project number(PNURSP2022R77)+1 种基金Princess Nourah bint Abdulrahman University,Riyadh,Saudi ArabiaThe authors would like to thank the Deanship of Scientific Research at Umm Al-Qura University for supporting this work by Grant Code:(22UQU4310373DSR52).
文摘The human motion data collected using wearables like smartwatches can be used for activity recognition and emergency event detection.This is especially applicable in the case of elderly or disabled people who live self-reliantly in their homes.These sensors produce a huge volume of physical activity data that necessitates real-time recognition,especially during emergencies.Falling is one of the most important problems confronted by older people and people with movement disabilities.Numerous previous techniques were introduced and a few used webcam to monitor the activity of elderly or disabled people.But,the costs incurred upon installation and operation are high,whereas the technology is relevant only for indoor environments.Currently,commercial wearables use a wireless emergency transmitter that produces a number of false alarms and restricts a user’s movements.Against this background,the current study develops an Improved WhaleOptimizationwithDeep Learning-Enabled Fall Detection for Disabled People(IWODL-FDDP)model.The presented IWODL-FDDP model aims to identify the fall events to assist disabled people.The presented IWODLFDDP model applies an image filtering approach to pre-process the image.Besides,the EfficientNet-B0 model is utilized to generate valuable feature vector sets.Next,the Bidirectional Long Short Term Memory(BiLSTM)model is used for the recognition and classification of fall events.Finally,the IWO method is leveraged to fine-tune the hyperparameters related to the BiLSTM method,which shows the novelty of the work.The experimental analysis outcomes established the superior performance of the proposed IWODL-FDDP method with a maximum accuracy of 97.02%.
基金The study was funded by Tianjin Science and Technology Association,China(TJSKX2013-JC06).
文摘Objective:To determine the factors associated with activities of daily living(ADL)among the disabled elders post-stroke.Methods:A total of 158 patients were chosen from community health service stations in eighteen regions of Tianjin city by convenience sampling from March to November in 2013.The Barthel Index(BI)and the short-formmini-nutritional assessment(MNA-SF)were used to evaluate the ADL,the nutritional status respectively.Statistical analysis was performed using independent sample t-test,one-way ANOVA,Pearson correlation and multiple linear regression analysis.Barthel ADL index was the main outcome.Results:The mean score of ADL was 50.50±27.125.The multiple linear regression showed that the factors which had significant impact on ADL were stroke frequency,types of stroke,nutritional status,financial status,and age.Conclusions:Disabled elders with recurrent strokes,hemorrhagic stroke,dependent financial resources,older age,worse nutritional status and living with family had poorer strokerelated outcome.Healthcare providers can discover the high-risk groups of disability and implement individualized preventive interventions in accordance with the related factors.
文摘Objective： To investigate the level of health-promoting lifestyle in the disabled elderly in a rural area and to provide useful countermeasures for health care workers and the government to improve the elderly＇ s lifestyle behaviors. Methods： A total of 446 disabled elderly people were recruited and examined using the General Questionnaire and Health-Promoting Lifestyle Profile II. Results： The mean score of the health-promoting lifestyle was 109.73（ SD = 16.80）, in which 90.6 percent of the disabled elderly demonstrated unhealthy lifestyle behaviors. The average score for each of the subscales includedthe following： interpersonal relations, stress management, nutrition, self-actualization, health responsibility, and sports activity. Conclusions： The health-promoting lifestyle of the disabled elderly needs to be improved; health care workers and the government should pay more attention to the countermeasures that can improve the lifestyle behaviors and promote the health of the disabled elderly.
文摘Background: Accessibility enables the effective participation of disabled persons in public and private areas and the use of urban equipment and street furniture. Objective: This study aimed to analyze the physical accessibility of toilet facilities in urban and rural primary health care units. Methods: It was a quantitative descriptive study conducted in 157 Primary Health Care Units of 16 municipalities in the Baturité Massif region, Ceará, Brazil. The study took place from August 2014 to May 2015, with a checklist type form, designed from the Technical Standard 9050 of the Brazilian National Standards Organization, specifying the ideal access conditions established by law to allow mobility of persons with physical disabilities. Data were processed through the Statistical Package for the Social Sciences software and organized into tables. Results: Toilets designed for physically disabled people were accessible as the location and signs (59.9%), identified with symbols for males and females (57.3%);however, the doorway width was smaller than needed to accommodate a wheelchair (77.7%). Inside the bathroom, only the forward approach was possible (59.9%). Grab bars positioned on the side and rear walls were inadequate or nonexistent (67.6%);toilet seats (91.1%) and toilet paper dispensers (96.2%) were mostly in inaccessible heights;flush controls in appropriate height (59.2%) and activated by light pressure (58%). Sinks without pedestal (51%), but higher than recommended (80.3%) and without single handle faucets (95.6%). It was verified that the toilets of basic health units located in urban areas had better accessibility conditions compared to those in rural areas. Conclusion: Results showed that the analyzed units presented physical inaccessibility in some toilet facilities, making it difficult or even impossible the accessibility for the disabled. The inclusion of accessibility features in health services for this clientele provides equal opportunities and social inclusion.
文摘Henan Province is not only one of the provinces with the most POpulation, but also one of the provinces with the most disabled people in China. The characteristics of the disabled People, the distribution law of six typeS of the disabled, and the reason c
基金The authors extend their appreciation to the Deanship of Scientific Research at King Khalid University for funding this work under grant number(RGP 1/322/42)Princess Nourah bint Abdulrahman University Researchers Supporting Project number(PNURSP2022R77)Princess Nourah bint Abdulrahman University,Riyadh,Saudi Arabia.The authors would like to thank the Deanship of Scientific Research at Umm Al-Qura University for supporting this work by Grant Code:(22UQU4210118DSR02).
文摘Sign language recognition can be considered as an effective solution for disabled people to communicate with others.It helps them in conveying the intended information using sign languages without any challenges.Recent advancements in computer vision and image processing techniques can be leveraged to detect and classify the signs used by disabled people in an effective manner.Metaheuristic optimization algorithms can be designed in a manner such that it fine tunes the hyper parameters,used in Deep Learning(DL)models as the latter considerably impacts the classification results.With this motivation,the current study designs the Optimal Deep Transfer Learning Driven Sign Language Recognition and Classification(ODTL-SLRC)model for disabled people.The aim of the proposed ODTL-SLRC technique is to recognize and classify sign languages used by disabled people.The proposed ODTL-SLRC technique derives EfficientNet model to generate a collection of useful feature vectors.In addition,the hyper parameters involved in EfficientNet model are fine-tuned with the help of HGSO algorithm.Moreover,Bidirectional Long Short Term Memory(BiLSTM)technique is employed for sign language classification.The proposed ODTL-SLRC technique was experimentally validated using benchmark dataset and the results were inspected under several measures.The comparative analysis results established the superior performance of the proposed ODTL-SLRC technique over recent approaches in terms of efficiency.
基金The authors extend their appreciation to the King Salman Center for Disability Research for funding this work through Research Group no KSRG-2022-030.
文摘Mobile communication and the Internet of Things(IoT)technologies have recently been established to collect data from human beings and the environment.The data collected can be leveraged to provide intelligent services through different applications.It is an extreme challenge to monitor disabled people from remote locations.It is because day-to-day events like falls heavily result in accidents.For a person with disabilities,a fall event is an important cause of mortality and post-traumatic complications.Therefore,detecting the fall events of disabled persons in smart homes at early stages is essential to provide the necessary support and increase their survival rate.The current study introduces a Whale Optimization Algorithm Deep Transfer Learning-DrivenAutomated Fall Detection(WOADTL-AFD)technique to improve the Quality of Life for persons with disabilities.The primary aim of the presented WOADTL-AFD technique is to identify and classify the fall events to help disabled individuals.To attain this,the proposed WOADTL-AFDmodel initially uses amodified SqueezeNet feature extractor which proficiently extracts the feature vectors.In addition,the WOADTLAFD technique classifies the fall events using an extreme Gradient Boosting(XGBoost)classifier.In the presented WOADTL-AFD technique,the WOA approach is used to fine-tune the hyperparameters involved in the modified SqueezeNet model.The proposedWOADTL-AFD technique was experimentally validated using the benchmark datasets,and the results confirmed the superior performance of the proposedWOADTL-AFD method compared to other recent approaches.
文摘Elderly or disabled people can be supported by a human activity recognition(HAR)system that monitors their activity intervenes and pat-terns in case of changes in their behaviors or critical events have occurred.An automated HAR could assist these persons to have a more indepen-dent life.Providing appropriate and accurate data regarding the activity is the most crucial computation task in the activity recognition system.With the fast development of neural networks,computing,and machine learning algorithms,HAR system based on wearable sensors has gained popularity in several areas,such as medical services,smart homes,improving human communication with computers,security systems,healthcare for the elderly,mechanization in industry,robot monitoring system,monitoring athlete train-ing,and rehabilitation systems.In this view,this study develops an improved pelican optimization with deep transfer learning enabled HAR(IPODTL-HAR)system for disabled persons.The major goal of the IPODTL-HAR method was recognizing the human activities for disabled person and improve the quality of living.The presented IPODTL-HAR model follows data pre-processing for improvising the quality of the data.Besides,EfficientNet model is applied to derive a useful set of feature vectors and the hyperparameters are adjusted by the use of Nadam optimizer.Finally,the IPO with deep belief network(DBN)model is utilized for the recognition and classification of human activities.The utilization of Nadam optimizer and IPO algorithm helps in effectually tuning the hyperparameters related to the EfficientNet and DBN models respectively.The experimental validation of the IPODTL-HAR method is tested using benchmark dataset.Extensive comparison study highlighted the betterment of the IPODTL-HAR model over recent state of art HAR approaches interms of different measures.
基金the King Salman Center for Disability Research,No.KSRG-2023-169.
文摘BACKGROUND Oral candidiasis(OC)is an oral health disease that could influence patients’oral health quality of life.AIM To estimate prevalence of OC among disabled and non-disabled individuals and its potential risk factors in the Al-Baha region,Saudi Arabia.METHODS An observational cross-sectional study was carried out among 148 disabled and non-disabled participants.The technique of concentrated oral rinse employing the Sabouraud Dextrose Agar medium accompanied with 0.05%chloramphenicol was conducted to assess and isolate candida.Oral examination using the World Health Organization guidelines was conducted to examine participants’oral hea-lth status.A pre-designed questionnaire was also used to evaluate sociodemo-graphic,medical history,and oral hygiene habits of the studied population.RESULTS Out of 148 participants(n=57,38%)had colonized candida.None of the studied population had visible Candida lesions.However,Candida was found in the oral rinses without the subject presenting any lesions or issues caused by Candida(asymptomatic colonization).The most common prevalent OC among participants were Candida albicans,Candida glabrata,Candida dubliniensis,Candida krusei,Candida tropicalis,and Candida parapsilosis(n=35,61%;n=8,14%;n=6,10%;n=5,9%;n=2,4%;and n=1,2%)respectively.Diabetes,smoking,poor plaque,and gingival status were key potential risk factors that significantly associated with candida’s density and presence(P=0.001,P=0.001,P=0.01,and P=0.01)respectively.Disability status had no statistically significant effect on presence and density of Candida.CONCLUSION The prevalence of OC is almost third of the studied population;thus,may provoke a need to develop preventive strategies to reduce the OC rate and establish solid treatment plans.
基金Supported by Commissioned Project of Office of Rural Work Leading Group of Kunming Municipal Committee of the Communist Party of China "Study on the Poverty Alleviation Model of Kunming City in the Context of World Poverty Reduction"Construction Project of Party Branch Secretary’s Studio of "Double Leader" Teachers in Colleges and Universities of the Ministry of Education of China
文摘Disabled people are the poorest in the rural poor with the biggest difficulty in getting rid of poverty and the highest rate of returning to poverty.They are one of the key groups in rural poverty alleviation work.This is the key and difficult point of winning the fight against poverty.Luquan County is a national poverty-stricken county with a large number of disabled people.Since the implementation of the fight against poverty in 2016,the county has introduced a series of policies and measures to help the disabled to get rid of poverty from housing,medical care,schooling for children of the disabled and income increase,and good results have been achieved in poverty alleviation,making important contributions to the poverty alleviation of the county.Based on field research and interviews,this paper analyzes and condenses the specific practices,main results and successful experience of the poverty alleviation model in Luquan County,Yunnan Province to provide necessary reference for the targeted poverty alleviation by helping the disabled in Yunnan Province and other provinces.
基金The authors extend their appreciation to the King Salman centre for Disability Research for funding this work through Research Group no KSRG-2022-017.
文摘Sign language recognition can be treated as one of the efficient solu-tions for disabled people to communicate with others.It helps them to convey the required data by the use of sign language with no issues.The latest develop-ments in computer vision and image processing techniques can be accurately uti-lized for the sign recognition process by disabled people.American Sign Language(ASL)detection was challenging because of the enhancing intraclass similarity and higher complexity.This article develops a new Bayesian Optimiza-tion with Deep Learning-Driven Hand Gesture Recognition Based Sign Language Communication(BODL-HGRSLC)for Disabled People.The BODL-HGRSLC technique aims to recognize the hand gestures for disabled people’s communica-tion.The presented BODL-HGRSLC technique integrates the concepts of compu-ter vision(CV)and DL models.In the presented BODL-HGRSLC technique,a deep convolutional neural network-based residual network(ResNet)model is applied for feature extraction.Besides,the presented BODL-HGRSLC model uses Bayesian optimization for the hyperparameter tuning process.At last,a bidir-ectional gated recurrent unit(BiGRU)model is exploited for the HGR procedure.A wide range of experiments was conducted to demonstrate the enhanced perfor-mance of the presented BODL-HGRSLC model.The comprehensive comparison study reported the improvements of the BODL-HGRSLC model over other DL models with maximum accuracy of 99.75%.
文摘Falls are the most common concern among older adults or disabled peo-ple who use scooters and wheelchairs.The early detection of disabled persons’falls is required to increase the living rate of an individual or provide support to them whenever required.In recent times,the arrival of the Internet of Things(IoT),smartphones,Artificial Intelligence(AI),wearables and so on make it easy to design fall detection mechanisms for smart homecare.The current study devel-ops an Automated Disabled People Fall Detection using Cuckoo Search Optimi-zation with Mobile Networks(ADPFD-CSOMN)model.The proposed model’s major aim is to detect and distinguish fall events from non-fall events automati-cally.To attain this,the presented ADPFD-CSOMN technique incorporates the design of the MobileNet model for the feature extraction process.Next,the CSO-based hyperparameter tuning process is executed for the MobileNet model,which shows the paper’s novelty.Finally,the Radial Basis Function(RBF)clas-sification model recognises and classifies the instances as either fall or non-fall.In order to validate the betterment of the proposed ADPFD-CSOMN model,a com-prehensive experimental analysis was conducted.The results confirmed the enhanced fall classification outcomes of the ADPFD-CSOMN model over other approaches with an accuracy of 99.17%.
文摘Disability can occur to anyone and anyone can have difficulties in fulfilling daily activities in a certain part of their lives. Accessibility is a crucial matter and a basic human right for the disabled people in order to join the urban life. For this reason, the physical environment must be set, starting with the planning and design stage, in a form that can satisfy the utility and accessibility requirements of disabled people. One of the most important recent concepts to enable accessible and useful spaces for the disabled is the ＂universal design＂. Nowadays, even though there is an increase in the number of scientific publications, meetings and decisions taken, the regulatory process on our current living environment is developing slowly regarding the physical accessibility. At this point, the most important role regarding the handling of social and political paradigms of disability, addressing different users, application of the principals of universal design and creating knowledge in order to increase social awareness belongs to the departments of universities that offer design courses. The subject of the study in this context is to determine the contents and the proportion of the courses （compulsory and elective） related to ＂universal design and ＂disability design＂, which will ensure our living environment to be accessible and independently utilized for everyone, in the course plan of the architecture, interior architecture, urban planning and landscape architecture departments in Turkey.
文摘This study aimed to analyze the evidence available in the literature about psychoactive substance use by persons with disabilities. We used integrative review of literature in SciELO, PubMed, SCOPUS, BDENF, and PsychINFO databases, with the descriptors: pessoas com deficiência;transtornos relacionados a uso de substancias;disabled persons;and substance-related disorders. Twelve articles were included in the sample. Data were analyzed and discussed descriptively. The studies’ results, with scientific evidence, were synthesized on two main themes: substance use by people with disabilities, and access of people with disabilities to treatment for substance-related disorders. The scientific evidences identified in studies reported disability as a risk factor for substance abuse, and also reported that disabled persons did not have access to treatment and rehabilitation services for substance abuse. Finally, the studies analyzed pointed to the need for scientific research on this topic.
基金Supported by Special Fund for Humanities and Social Science Research Project of Northwest A&F University(2015RWYB15)Rural Fixed Observation Point Program of Northwest A&F University in 2015
文摘Field survey of G Town in South Shaanxi indicates that current situations and existing problems of rural disabled elderly. According to these situations and problems,this paper analyzes difficulties in long-term care of rural disabled elderly. From the perspective of welfare pluralism,it comes up with development paths for long-term care of rural disabled elderly with joint participation of government,communities,non-profit organizations on the basis of the family endowment.
文摘The theme of the foregoing is evolution in the management of telework. In addition, seeking the answer to the question： what is working and how to change the model of personnel management in telework？ To find the answers to these questions, the author conducted a survey of managers of this type. In addition, research shows that management system has evolved significantly. And although still requirement changes, the activities are quite flexible, and adapted to the staff.
文摘This article deals with collaborative development work between the public sector and the third sectorin an area of Southern Savo, Finland, from the perspective of disabled victims. The purpose was to create structures for IPV （intimate partner violence） work, developing professionals＇ skills in both tackling IPV and service-user involvement. Five NGOs （non-goverumental organizations） for disabled people were involved. Professionals were trained to ask about IPV and to gainamore in-depth understanding of the issue （including thespecial features relating to disabled people） andof how to intervene. Care pathways, linking both basic and special services, were also modeled. A permanent and regional NEIPV （Network of Excellence in IPV） was established and is coordinated by both the public and third sectors, including Experts by Experience. Strong basic structures and care pathways are needed so that the special needs of disabled people can be recognized. Raising awareness of violence, routine enquiries modified according to the needs of organizations, and simple care pathways are needed--both in the public sector and for NGOs representing the disabled. Information gained through training will not necessarily be transferred into direct practice without a strong commitment from the managerial level. Establishing organizational guidelines is necessary. This will also promote professionals＇ openness toward user knowledge.
文摘This paper presents a technological solution to promote and help independent access to work for disabled people. The aim is to develop a form of technical assistance that supports them in the control of schedules, prevention of dangerous areas in the work place, warnings and automatic alarm generation. The device chosen to exchange all this information is a smartphone based on Android Operating System and GPS （Global Positioning System） technology mainly. A set of Android applications has been developed using Java language, and controlling the device via Google-developed Java libraries. All of them are connected to the Server Application through the Communications Module. The Server Application Module provides the assistants or psychologists the possibility of supervise all the handicapped people activities. The assistants, psychologists and users have all evaluated the application very positively as it covers disabled people＇s needs perfectly.
