The authors regret that the declaration of Acknowledgement as below is missing in the paper:AcknowledgementWe are grateful to the Department of Biology and Postgraduate Sciences-Biology of the Universidad del Valle,Ca...The authors regret that the declaration of Acknowledgement as below is missing in the paper:AcknowledgementWe are grateful to the Department of Biology and Postgraduate Sciences-Biology of the Universidad del Valle,Cali-Colombia for their support of the project;to Wilmar Torres MSc.for his statistical advice;to the biologist Helen Burnham MSc.for the translation of the document;to Isabel Castro and all the members of the Ornithology and Animal Behaviour Laboratory-OYCA of Universidad del Valle for their invaluable support in the field.We sincerely thank the anonymous re-viewers for their invaluable feedback and contributions to our manuscript.展开更多
Non-obstacle design is critical to tailor physically handicapped workers in manufacturing system. Simultaneous consideration of variability in physically disabled users, machines and environment of the manufacturing s...Non-obstacle design is critical to tailor physically handicapped workers in manufacturing system. Simultaneous consideration of variability in physically disabled users, machines and environment of the manufacturing system is extremely complex and generally requires modeling of physically handicapped interaction with the system. Most current modeling either concentrates on the task results or functional disability. The integration of physical constraints with task constraints is far more complex because of functional disability and its extended influence on adjacent body parts. A framework is proposed to integrate the two constraints and thus model the specific behavior of the physical handicapped in virtual environment generated by product specifications. Within the framework a simplified model of physical disabled body is constructed, and body motion is generated based on 3 levels of constraints（effecter constraints, kinematics constraints and physical constraints）. The kinematics and dynamic calculations are made and optimized based on the weighting manipulated by the kinematics constraints and dynamic constraints. With object transferring task as example, the model is validated in Jack 6.0. Modelled task motion elements except for squatting and overreaching well matched with captured motion elements. The proposed modeling method can model the complex behavior of the physically handicapped by integrating both task and physical disability constraints.展开更多
Objective(s): The cutting-edge assessment of voice disorders includes objective and subjective methods in the daily clinical practice. The latter assessment is usually performed through the administration of self-repo...Objective(s): The cutting-edge assessment of voice disorders includes objective and subjective methods in the daily clinical practice. The latter assessment is usually performed through the administration of self-reported questionnaires. Voice Handicap Index (VHI) is one of the most widely used tools both in clinical practice and in research level. This tool-questionnaire was employed in this research along with the Voice Evaluation Template (VEF). In turn, the aim of this study was to analyse and produce the cut-off points of VHI for voice-disordered patients in Greece by using Receiver Operating Characteristic Curves (ROC Curves). Methods: Sixty-three participants (40 non-dysphonic and 23 with different types of dysphonia) were classified by ENT (Ear, Nose, and Throat) doctors and SLPs (Speech-Language Pathologists). The Hellenic VHI along with the translated Greek version of the VEF was administered to the subjects of this research. Results: The voice-disordered subjects exhibited higher overall VHI scores (in total and in its 3 subdomains) compared to the control group. Statistical significant differences were found between dysphonic and non-dysphonic participants for all VHI’s construct domains. The cut-off point of VHI total score was estimated at the value of 14.50 (sensitivity: 0.870, 1-specificity: 0.000). Moreover, the cut-off points of the three subdomains were computed as 7.50 for functional (sensitivity: 0.783, 1-specificity: 0.000), 8.50 for physical (sensitivity: 0.739, 1-specificity: 0.000) and 8.50 for emotional domain (sensitivity: 0.783, 1-specificity: 0.050). Conclusion: The preliminary statistical and ROC data analysis of VHI concluded that by using this type of assessment method, populations with or without voice disorders (in Greece) can be distinguished. Albeit this tool is a non-interventional method it could consequently offer an adequate screening and monitoring capability.展开更多
Macroamylasemia is a condition of elevated serum amylase levels in which normal serum amylase form a complex with high molecular weight proteins such as immunoglobulins. This is a case report on a patient with macroam...Macroamylasemia is a condition of elevated serum amylase levels in which normal serum amylase form a complex with high molecular weight proteins such as immunoglobulins. This is a case report on a patient with macroamylasemia following acute asthmatic bronchitis. A 5-year-old male with cerebral palsy and developmental retardation was admitted to our hospital because of high fever and severe cough. Treatment of the respiratory symptoms provided symptomatic improvement, but the serum amylase levels became suddenly elevated. Although acute pancreatitis associated with respiratory infection was initially suspected, a predominant salivary isoamylase, normal serum lipase level, low urine amylase level, and low amylase-creatinine clearance ratio (ACCR) (0.58%) indicated macroamylasemia. The serum amylase level decreased, and the ACCR increased within normal range 2 weeks after discharge. Both of these indicators have been within normal range over the past year. Transient macroamylasemia can be misdiagnosed as acute pancreatitis, especially in a severely multiple-handicapped child who is unable to complain. The ACCR is useful in the diagnosis of macroamylasemia.展开更多
Background:Tinnitus is a sound precepted without an external sound stimulus.Its background can be categorised into primary and secondary cases.The secondary cases include pathologies of the external,middle and inner e...Background:Tinnitus is a sound precepted without an external sound stimulus.Its background can be categorised into primary and secondary cases.The secondary cases include pathologies of the external,middle and inner ear.Tinnitus can be objective or subjective;the latter can only identified by the sufferer.Previous research results have shown that tinnitus significantly affects the quality of life and daily functioning.Objectives:To analyse the impact of tinnitus on the daily functioning and the possible influence of demographical data and tinnitus duration on it.Methods:630 patients(265 males and 365 females,25e85 years of age)suffering from primary tinnitus were enrolled.In the Hungarian language,these patients completed the Tinnitus Handicap Inventory(THI)questionnaire and underwent a complete otorhinolaryngological examination.IBM SPSS V24 software was used for data processing;correlation tests,the Mann-Whitney U and Kruskal-Wallis nonparametric tests were used.Results:According to the THI questionnaires outcomes,most patients(62.5%)were presented with a mild handicap.Based on statistical analysis,no significant correlation was observed between the total THI points and the age of the patients,along with the duration and localisation of the symptoms.However,the total THI scores of male and female patients significantly differed,indicating higher THI values in the female group(p=0.00052*).Conclusions:The tinnitus severity was not affected by the duration,localisation of the symptoms and age but by gender,indicating higher values in the case of females.展开更多
Introduction: We undertook enhanced surveillance of the 2015 Kinokuni Wakayama National Sports Games (70th National Sports Games) and the Kinokuni Wakayama Handicapped Sports Games (15th National Handicapped Sports Ga...Introduction: We undertook enhanced surveillance of the 2015 Kinokuni Wakayama National Sports Games (70th National Sports Games) and the Kinokuni Wakayama Handicapped Sports Games (15th National Handicapped Sports Games) held in Wakayama prefecture in 2015, for which this paper presented operational details and an evaluation. Methods: Enhanced surveillance conducted involved (Nursery) School Absenteeism Surveillance system ((N)SASSy), Prescription Surveillance, and Ambulance Transfer Surveillance from 30 August through 9 November. We evaluated those surveillances on all days including weekends, integrated the results as a daily report, and published it on the web. Results: We found no cluster or cases requiring more tracing and investigation except for suspected cases of rubella in (N)SASSy. Moreover, no moderate aberration was found for two consecutive days for the same area and symptom. Conclusion: Our experience with this enhanced surveillance presents important lessons for countermeasures by local governments for mass gatherings or politically important events.展开更多
Background: This is a retrospective study on a group of patients with early glottic carcinoma, treated with curative radiotherapy. The aim of the study is to assess voice quality after treatment. We also evaluated loc...Background: This is a retrospective study on a group of patients with early glottic carcinoma, treated with curative radiotherapy. The aim of the study is to assess voice quality after treatment. We also evaluated local recurrence, overall survival, disease free survival and toxicity. Material and Methods: We examined a total of 36 patients, out of which 27 were smokers: 10 females/5 smokers;26 males/22 smokers. The sample was observed from January 2007 to July 2012 (average follow-up period: 33.5 months, range 12 - 76). Diagnosis of early glottic carcinoma was eight during the two-year period 2007/2008, nine during 2009/2010, eleven during year 2011 and eight during year 2012. All patients suffering from early glottic carcinoma, histopathologically confirmed, were classified as follows: 24 patients T1a, 3 patients T1b, 6 patients T2 and 3 patients had a carcinoma in situ. They were treated only with conventional radiotherapy. After the treatment (total dose 70 Gy), patients were asked to fill out the Voice Handicap Index (VHI) questionnaire, composed of 30 questions that covered physical, emotional and functional areas. Results: The global VHI was evidenced with good voice quality (62% of patients: VHI < 30;34% of patients: VHI 31 - 60). Vocal disability was mild in over 70% of patients within the physical area and over 80% within the emotional area. We observed two local recurrences, one occurred five years after the end of radiation therapy and one six months after. In terms of toxicity, we observed that acute reactions, such as dysphonia, dysphagia and erythema, were relatively limited. Conclusions: The VHI index suggests that radiotherapy produces acceptable functional results, with limited repercussion on life quality. In line with literature, our data confirmed good cure rates and larynx preservation (94.4%).展开更多
Objective(s): Laryngeal inflammations lead to voice disorders. Medical conditions such as chronic laryngitis, gastroesophageal reflux, laryngopharyngeal reflux, Reinke edema and/or vocal folds hemorrhage, result in di...Objective(s): Laryngeal inflammations lead to voice disorders. Medical conditions such as chronic laryngitis, gastroesophageal reflux, laryngopharyngeal reflux, Reinke edema and/or vocal folds hemorrhage, result in diverse symptoms including chronic cough, throat cleaning and dysphonia (e.g. hoarseness). In turn, the dysphonic symptoms can be evaluated via subjective and objective procedures. The objective procedures usually include self-perceived questionnaires like the Voice Handicap Index (VHI). Studies reported that VHI can distinguish objectively dysphonic and non-dysphonic populations using the cut-off points of Receiver Operating Characteristic Curves. The purpose of this study was to calculate the cut-off points for individuals exhibiting voice symptoms which had been developed from laryngeal inflammatory diseases in Greece. Methods: One hundred and twelve participants (90 non-dysphonic and 22 dysphonic) filled in the Hellenic Voice Handicap Index (VHI) and the Greek translated version of Voice Evaluation Template (VEF) were administrated. All subjects were evaluated by an Otolaryngologist and a Speech-Language Pathologist. Results: The group with voice disorders exhibited higher VHI scores (in total and in its 3 subdomains) compared to non-dysphonic subgroup. Statistical significant differences were found for all VHI’s total cut-off point of 19.50 (sensitivity: 0.882, 1-specificity: 0.011) and for its three subdomains [functional 6.50 (sensitivity = 0.636, and 1-specificity = 0.022);physical 9.50 (sensitivity = 0.636, and 1-specificity = 0.000);emotional 6.50 (sensitivity = 0.455, and 1-specificity = 0.133)]. Conclusion: The preliminary results showed that VHI could discriminate individuals having voice disorders from laryngeal inflammations. The Voice Handicap Index can be used as a primary health care tool and a self-monitoring procedure in acute and sub-acute phases of the laryngeal inflammation.展开更多
In the human rights discourse of China, the terminology used for canfei(handicapped) was changed to canji(persons with disabilities) and then canzhang(physically challenged), which has literally manifested the unfoldi...In the human rights discourse of China, the terminology used for canfei(handicapped) was changed to canji(persons with disabilities) and then canzhang(physically challenged), which has literally manifested the unfolding of the new philosophy for the physically challenged. In particular, the achievements of the China physically-challenged programs in the new era shows that at both institutional and mindset dimensions, it has stepped beyond the definition of canji and entered into the higher level featured by the term canzhang. As for the future practical strategies of the national physically-challenged programs, it is important to hold on the ideas of socialist humanism, and to explore the constitutional model and human rights model for physically-challenged rights protection. This is also the major clue to conclude the achievements of the two "30 years" physically-challenged programs since the establishment of the PRC. Countries worldwide, particularly developing countries, can draw experience from this China model of developing the programs and strategies of human rights-based governance. The Chinese experience and theories also can be shared by community with a shared future for human beings.展开更多
The negative impact of the term canji ren("handicapped person")has gradually come to be recognized.The terms canzhang ren("person with disabilities")and canji ren("handicapped person")hav...The negative impact of the term canji ren("handicapped person")has gradually come to be recognized.The terms canzhang ren("person with disabilities")and canji ren("handicapped person")have been used interchangeably in academia.However,such interchangeable use causes difficulties for both law enforcement and the judiciary,and also gives rise to public confusion.Based on the etymology of"disabled",its Chinese translation,and a survey of the three models of the concept of"disability",it is apparent that the Convention on the Rights of Persons with Disabilities adopts an"integrated definition"of disability.Law of the People’s Republic of China on the Protection of Disabled Persons defines handicapped person in much the same way as the Convention on the Rights of Persons with Disabilities,with only minor deviations.Hence,to replace the term handicapped person with persons with disabilities is both in line with relevant provisions of the Convention as well as the legislative intent of China’s"Law on the Protection of Disabled Persons".In addition,this benefits the elimination of social discrimination and prejudice,as well as expanding the scope of legal protection.展开更多
The Chinese government attaches much importance to the protection of the rights and interests of the handicapped people. In 2001, it started to implement the Outlined Program for the Development of the Handicapped for...The Chinese government attaches much importance to the protection of the rights and interests of the handicapped people. In 2001, it started to implement the Outlined Program for the Development of the Handicapped for 2001-2005. With the protection of the basic living and strengthening the grassroots handicapped people as the emphasis, the program sets the tasks and targets and main measures for the cause of the handicapped people during the tenth five-year plan period. In the meanwhile, the state has strengthened legal protection of the rights and interests of the handi-展开更多
The handicapped, a special group in society, usually encounter many difficulties in employment, marriage, and daily life.Some difficulties are what they cannot conquer by themselves. It is also not easy for them to in...The handicapped, a special group in society, usually encounter many difficulties in employment, marriage, and daily life.Some difficulties are what they cannot conquer by themselves. It is also not easy for them to integrate into society. However, if there is a person who helps the hand- icapped find a job, build up confidence and make their life worth; if there is a person who helps them set up their families and incorporate in a harmonious community;展开更多
At the foot of the Great Wall northwest of Beijing, there is a special prison, called Yanqing Prison. It is special, because it gathers all theimprisoned old, sick and handicapped offenders in the Beijing area for the...At the foot of the Great Wall northwest of Beijing, there is a special prison, called Yanqing Prison. It is special, because it gathers all theimprisoned old, sick and handicapped offenders in the Beijing area for the purpose of facilitating management.展开更多
Yuncheng is a city in the southwestern part of North China＇s Shanxi Province. It has a handicapped population of 223,000 or 4.5% of the total population of 4.985 million. The city has made big progress in protecting ...Yuncheng is a city in the southwestern part of North China＇s Shanxi Province. It has a handicapped population of 223,000 or 4.5% of the total population of 4.985 million. The city has made big progress in protecting the rights and interests of handicapped people since the handicapped associations were set up at the city and county levels.展开更多
Developmental instability(DI)is a phenomenon whereby organisms are unable to buffer developmental disturbances,resulting in asymmetricvariation of paired traits.Previous research has demonstrated a negative relationsh...Developmental instability(DI)is a phenomenon whereby organisms are unable to buffer developmental disturbances,resulting in asymmetricvariation of paired traits.Previous research has demonstrated a negative relationship between DI,measured as forearm asymmetry,and survivalin the bat Carollia perspicillata.This study aims to test the hypothesis that individuals with higher DI exhibit a lower immune response.We measured a delayed-type hypersensitivity to the antigen phytohemagglutinin(PHA)on 74 males and 65 females of C.perspicillata before and after thebreeding season(BS).Linear models were used to predict the immunological response based on body mass(BM),forearm asymmetry,sex,BS,and testicle length.The best-ftting model accounted for 29% of the variation in immune response and included asymmetry,BM,sex,and BS aspredictors.The immune response was negatively associated with asymmetry and testicle length in males but positively related to asymmetryin females.Both sexes showed a reduced immune response in the late BS.Additionally,the association between immune response and BMchanged direction seasonally,with heavier individuals showing weaker responses early in the BS and stronger responses later.Individual variation in male immunity was predicted by individual attributes,whereas variation in immune response in females was mostly seasonal.Our resultssupport the link between DI,survival,and immune response in short-tailed bats,and suggest that the immunological component measured bythe PHA response may be under fner selection in males due to its stronger correlation with individual traits.展开更多
文摘The authors regret that the declaration of Acknowledgement as below is missing in the paper:AcknowledgementWe are grateful to the Department of Biology and Postgraduate Sciences-Biology of the Universidad del Valle,Cali-Colombia for their support of the project;to Wilmar Torres MSc.for his statistical advice;to the biologist Helen Burnham MSc.for the translation of the document;to Isabel Castro and all the members of the Ornithology and Animal Behaviour Laboratory-OYCA of Universidad del Valle for their invaluable support in the field.We sincerely thank the anonymous re-viewers for their invaluable feedback and contributions to our manuscript.
基金supported by National Natural Science Foundation of China(Grant No. 60975058)
文摘Non-obstacle design is critical to tailor physically handicapped workers in manufacturing system. Simultaneous consideration of variability in physically disabled users, machines and environment of the manufacturing system is extremely complex and generally requires modeling of physically handicapped interaction with the system. Most current modeling either concentrates on the task results or functional disability. The integration of physical constraints with task constraints is far more complex because of functional disability and its extended influence on adjacent body parts. A framework is proposed to integrate the two constraints and thus model the specific behavior of the physical handicapped in virtual environment generated by product specifications. Within the framework a simplified model of physical disabled body is constructed, and body motion is generated based on 3 levels of constraints（effecter constraints, kinematics constraints and physical constraints）. The kinematics and dynamic calculations are made and optimized based on the weighting manipulated by the kinematics constraints and dynamic constraints. With object transferring task as example, the model is validated in Jack 6.0. Modelled task motion elements except for squatting and overreaching well matched with captured motion elements. The proposed modeling method can model the complex behavior of the physically handicapped by integrating both task and physical disability constraints.
文摘Objective(s): The cutting-edge assessment of voice disorders includes objective and subjective methods in the daily clinical practice. The latter assessment is usually performed through the administration of self-reported questionnaires. Voice Handicap Index (VHI) is one of the most widely used tools both in clinical practice and in research level. This tool-questionnaire was employed in this research along with the Voice Evaluation Template (VEF). In turn, the aim of this study was to analyse and produce the cut-off points of VHI for voice-disordered patients in Greece by using Receiver Operating Characteristic Curves (ROC Curves). Methods: Sixty-three participants (40 non-dysphonic and 23 with different types of dysphonia) were classified by ENT (Ear, Nose, and Throat) doctors and SLPs (Speech-Language Pathologists). The Hellenic VHI along with the translated Greek version of the VEF was administered to the subjects of this research. Results: The voice-disordered subjects exhibited higher overall VHI scores (in total and in its 3 subdomains) compared to the control group. Statistical significant differences were found between dysphonic and non-dysphonic participants for all VHI’s construct domains. The cut-off point of VHI total score was estimated at the value of 14.50 (sensitivity: 0.870, 1-specificity: 0.000). Moreover, the cut-off points of the three subdomains were computed as 7.50 for functional (sensitivity: 0.783, 1-specificity: 0.000), 8.50 for physical (sensitivity: 0.739, 1-specificity: 0.000) and 8.50 for emotional domain (sensitivity: 0.783, 1-specificity: 0.050). Conclusion: The preliminary statistical and ROC data analysis of VHI concluded that by using this type of assessment method, populations with or without voice disorders (in Greece) can be distinguished. Albeit this tool is a non-interventional method it could consequently offer an adequate screening and monitoring capability.
文摘Macroamylasemia is a condition of elevated serum amylase levels in which normal serum amylase form a complex with high molecular weight proteins such as immunoglobulins. This is a case report on a patient with macroamylasemia following acute asthmatic bronchitis. A 5-year-old male with cerebral palsy and developmental retardation was admitted to our hospital because of high fever and severe cough. Treatment of the respiratory symptoms provided symptomatic improvement, but the serum amylase levels became suddenly elevated. Although acute pancreatitis associated with respiratory infection was initially suspected, a predominant salivary isoamylase, normal serum lipase level, low urine amylase level, and low amylase-creatinine clearance ratio (ACCR) (0.58%) indicated macroamylasemia. The serum amylase level decreased, and the ACCR increased within normal range 2 weeks after discharge. Both of these indicators have been within normal range over the past year. Transient macroamylasemia can be misdiagnosed as acute pancreatitis, especially in a severely multiple-handicapped child who is unable to complain. The ACCR is useful in the diagnosis of macroamylasemia.
文摘Background:Tinnitus is a sound precepted without an external sound stimulus.Its background can be categorised into primary and secondary cases.The secondary cases include pathologies of the external,middle and inner ear.Tinnitus can be objective or subjective;the latter can only identified by the sufferer.Previous research results have shown that tinnitus significantly affects the quality of life and daily functioning.Objectives:To analyse the impact of tinnitus on the daily functioning and the possible influence of demographical data and tinnitus duration on it.Methods:630 patients(265 males and 365 females,25e85 years of age)suffering from primary tinnitus were enrolled.In the Hungarian language,these patients completed the Tinnitus Handicap Inventory(THI)questionnaire and underwent a complete otorhinolaryngological examination.IBM SPSS V24 software was used for data processing;correlation tests,the Mann-Whitney U and Kruskal-Wallis nonparametric tests were used.Results:According to the THI questionnaires outcomes,most patients(62.5%)were presented with a mild handicap.Based on statistical analysis,no significant correlation was observed between the total THI points and the age of the patients,along with the duration and localisation of the symptoms.However,the total THI scores of male and female patients significantly differed,indicating higher THI values in the female group(p=0.00052*).Conclusions:The tinnitus severity was not affected by the duration,localisation of the symptoms and age but by gender,indicating higher values in the case of females.
文摘Introduction: We undertook enhanced surveillance of the 2015 Kinokuni Wakayama National Sports Games (70th National Sports Games) and the Kinokuni Wakayama Handicapped Sports Games (15th National Handicapped Sports Games) held in Wakayama prefecture in 2015, for which this paper presented operational details and an evaluation. Methods: Enhanced surveillance conducted involved (Nursery) School Absenteeism Surveillance system ((N)SASSy), Prescription Surveillance, and Ambulance Transfer Surveillance from 30 August through 9 November. We evaluated those surveillances on all days including weekends, integrated the results as a daily report, and published it on the web. Results: We found no cluster or cases requiring more tracing and investigation except for suspected cases of rubella in (N)SASSy. Moreover, no moderate aberration was found for two consecutive days for the same area and symptom. Conclusion: Our experience with this enhanced surveillance presents important lessons for countermeasures by local governments for mass gatherings or politically important events.
文摘Background: This is a retrospective study on a group of patients with early glottic carcinoma, treated with curative radiotherapy. The aim of the study is to assess voice quality after treatment. We also evaluated local recurrence, overall survival, disease free survival and toxicity. Material and Methods: We examined a total of 36 patients, out of which 27 were smokers: 10 females/5 smokers;26 males/22 smokers. The sample was observed from January 2007 to July 2012 (average follow-up period: 33.5 months, range 12 - 76). Diagnosis of early glottic carcinoma was eight during the two-year period 2007/2008, nine during 2009/2010, eleven during year 2011 and eight during year 2012. All patients suffering from early glottic carcinoma, histopathologically confirmed, were classified as follows: 24 patients T1a, 3 patients T1b, 6 patients T2 and 3 patients had a carcinoma in situ. They were treated only with conventional radiotherapy. After the treatment (total dose 70 Gy), patients were asked to fill out the Voice Handicap Index (VHI) questionnaire, composed of 30 questions that covered physical, emotional and functional areas. Results: The global VHI was evidenced with good voice quality (62% of patients: VHI < 30;34% of patients: VHI 31 - 60). Vocal disability was mild in over 70% of patients within the physical area and over 80% within the emotional area. We observed two local recurrences, one occurred five years after the end of radiation therapy and one six months after. In terms of toxicity, we observed that acute reactions, such as dysphonia, dysphagia and erythema, were relatively limited. Conclusions: The VHI index suggests that radiotherapy produces acceptable functional results, with limited repercussion on life quality. In line with literature, our data confirmed good cure rates and larynx preservation (94.4%).
文摘Objective(s): Laryngeal inflammations lead to voice disorders. Medical conditions such as chronic laryngitis, gastroesophageal reflux, laryngopharyngeal reflux, Reinke edema and/or vocal folds hemorrhage, result in diverse symptoms including chronic cough, throat cleaning and dysphonia (e.g. hoarseness). In turn, the dysphonic symptoms can be evaluated via subjective and objective procedures. The objective procedures usually include self-perceived questionnaires like the Voice Handicap Index (VHI). Studies reported that VHI can distinguish objectively dysphonic and non-dysphonic populations using the cut-off points of Receiver Operating Characteristic Curves. The purpose of this study was to calculate the cut-off points for individuals exhibiting voice symptoms which had been developed from laryngeal inflammatory diseases in Greece. Methods: One hundred and twelve participants (90 non-dysphonic and 22 dysphonic) filled in the Hellenic Voice Handicap Index (VHI) and the Greek translated version of Voice Evaluation Template (VEF) were administrated. All subjects were evaluated by an Otolaryngologist and a Speech-Language Pathologist. Results: The group with voice disorders exhibited higher VHI scores (in total and in its 3 subdomains) compared to non-dysphonic subgroup. Statistical significant differences were found for all VHI’s total cut-off point of 19.50 (sensitivity: 0.882, 1-specificity: 0.011) and for its three subdomains [functional 6.50 (sensitivity = 0.636, and 1-specificity = 0.022);physical 9.50 (sensitivity = 0.636, and 1-specificity = 0.000);emotional 6.50 (sensitivity = 0.455, and 1-specificity = 0.133)]. Conclusion: The preliminary results showed that VHI could discriminate individuals having voice disorders from laryngeal inflammations. The Voice Handicap Index can be used as a primary health care tool and a self-monitoring procedure in acute and sub-acute phases of the laryngeal inflammation.
基金the phased research achievement of the project of “Latest western Theories and practice of Human Rights Law and China’s Innovation in Human Rights Law”(project number:15JJd820023)of the Humanities and Social Sciences Key Research base(National Human Rights Education and Training base)under the Ministry of Educationministerial project “Research on the Institutions for the Equal Judicial Justice for the physically Challenged”(project No.CLS(2016)d04)of the China Law Society
文摘In the human rights discourse of China, the terminology used for canfei(handicapped) was changed to canji(persons with disabilities) and then canzhang(physically challenged), which has literally manifested the unfolding of the new philosophy for the physically challenged. In particular, the achievements of the China physically-challenged programs in the new era shows that at both institutional and mindset dimensions, it has stepped beyond the definition of canji and entered into the higher level featured by the term canzhang. As for the future practical strategies of the national physically-challenged programs, it is important to hold on the ideas of socialist humanism, and to explore the constitutional model and human rights model for physically-challenged rights protection. This is also the major clue to conclude the achievements of the two "30 years" physically-challenged programs since the establishment of the PRC. Countries worldwide, particularly developing countries, can draw experience from this China model of developing the programs and strategies of human rights-based governance. The Chinese experience and theories also can be shared by community with a shared future for human beings.
基金one of the phased achievements of“Research on the Design and Policy Intervention Mechanism of the Protection System for Persons with Disabilities’Right to Education in Western Rural Areas”,a fund of the Ministry of Education in 2016 to support young scholars in humanities and social sciences(16YJC880049).
文摘The negative impact of the term canji ren("handicapped person")has gradually come to be recognized.The terms canzhang ren("person with disabilities")and canji ren("handicapped person")have been used interchangeably in academia.However,such interchangeable use causes difficulties for both law enforcement and the judiciary,and also gives rise to public confusion.Based on the etymology of"disabled",its Chinese translation,and a survey of the three models of the concept of"disability",it is apparent that the Convention on the Rights of Persons with Disabilities adopts an"integrated definition"of disability.Law of the People’s Republic of China on the Protection of Disabled Persons defines handicapped person in much the same way as the Convention on the Rights of Persons with Disabilities,with only minor deviations.Hence,to replace the term handicapped person with persons with disabilities is both in line with relevant provisions of the Convention as well as the legislative intent of China’s"Law on the Protection of Disabled Persons".In addition,this benefits the elimination of social discrimination and prejudice,as well as expanding the scope of legal protection.
文摘The Chinese government attaches much importance to the protection of the rights and interests of the handicapped people. In 2001, it started to implement the Outlined Program for the Development of the Handicapped for 2001-2005. With the protection of the basic living and strengthening the grassroots handicapped people as the emphasis, the program sets the tasks and targets and main measures for the cause of the handicapped people during the tenth five-year plan period. In the meanwhile, the state has strengthened legal protection of the rights and interests of the handi-
文摘The handicapped, a special group in society, usually encounter many difficulties in employment, marriage, and daily life.Some difficulties are what they cannot conquer by themselves. It is also not easy for them to integrate into society. However, if there is a person who helps the hand- icapped find a job, build up confidence and make their life worth; if there is a person who helps them set up their families and incorporate in a harmonious community;
文摘At the foot of the Great Wall northwest of Beijing, there is a special prison, called Yanqing Prison. It is special, because it gathers all theimprisoned old, sick and handicapped offenders in the Beijing area for the purpose of facilitating management.
文摘Yuncheng is a city in the southwestern part of North China＇s Shanxi Province. It has a handicapped population of 223,000 or 4.5% of the total population of 4.985 million. The city has made big progress in protecting the rights and interests of handicapped people since the handicapped associations were set up at the city and county levels.
基金supported by Conselho Nacional de Desenvolvimento Cientifco e Tecnologico(CNPq),Fundacaode Amparoa Pesquisa do Rio de Janeiro(FAPERJ),Fundacaode Amparoa Pesquisa do Estado de Sao Paulo(FAPESPGrant nº2014/16/320-7)Coordenacao de Aperfeicoamentode Pessoal de Nível Superior(CAPES)-Finance Code 001+1 种基金by grants to LGHM and APCN from the Visiting Research Program of the FAPESP(nº2017-17607-6)supported by the PASPA-DGAPA program of the Universidad Nacional Autonoma de Mexico(nº814-2018).
文摘Developmental instability(DI)is a phenomenon whereby organisms are unable to buffer developmental disturbances,resulting in asymmetricvariation of paired traits.Previous research has demonstrated a negative relationship between DI,measured as forearm asymmetry,and survivalin the bat Carollia perspicillata.This study aims to test the hypothesis that individuals with higher DI exhibit a lower immune response.We measured a delayed-type hypersensitivity to the antigen phytohemagglutinin(PHA)on 74 males and 65 females of C.perspicillata before and after thebreeding season(BS).Linear models were used to predict the immunological response based on body mass(BM),forearm asymmetry,sex,BS,and testicle length.The best-ftting model accounted for 29% of the variation in immune response and included asymmetry,BM,sex,and BS aspredictors.The immune response was negatively associated with asymmetry and testicle length in males but positively related to asymmetryin females.Both sexes showed a reduced immune response in the late BS.Additionally,the association between immune response and BMchanged direction seasonally,with heavier individuals showing weaker responses early in the BS and stronger responses later.Individual variation in male immunity was predicted by individual attributes,whereas variation in immune response in females was mostly seasonal.Our resultssupport the link between DI,survival,and immune response in short-tailed bats,and suggest that the immunological component measured bythe PHA response may be under fner selection in males due to its stronger correlation with individual traits.
