Disabled access to information technology — a protable adaptable,multipurpose device

The technology exists to allow severely physically disabled people to have a far more indepentdent lifestyle than many handicapped people enjoy today. To use an ever increasing range of sophisticated domestic equipment, without special modifications, an individually tailored control system and a universal accessing device are required. A portable multipurpose device allows multiply handicapped, non-speaking people a means of operating a variety of general-purpose or specialized pieces of electronic equipment at home and elsewhere, safely and independently. The device also provides a means of communication through the medium of computer-computer communication over telephone lines and will interface to a powered chair for independent mobility. Various features are provided which are not available from conventional environmental control systems. Through a specialized adjustable multipurpose switch system and a universal control device the handicapped person should be able to enjoy the independence afforded by the intelligent home of the future.     

Apartment electrical wiring: a cause of extremely low frequency magnetic field exposure in residential areas

Extremely low frequency (ELF) magnetic fields (MFs) were measured at 696 points in a room of a Japanese apartment building. The building had 124 rooms with layouts and wiring identical to those of the studied room. ELF-MFs exceeded 0.4 microT in 24% of the living space, and the maximum value, 1.8 microT, was detected at floor level. Analysis of the MF distribution revealed that 60 Hz 100 V electrical wiring for room lights within the floor and ceiling had been laid out in large rectangles, equivalent to 1 turn coils. Further plotting of the vertical components every 0.01 m on the floor indicated that the depth of the cable was 0.23 m. Further studies should be conducted in order to confirm that the building investigated in this pilot study is typical of Japanese apartment buildings in terms of ELF-MFs.     

洞庭平原农房家鼠的栖息格局

洞庭平原农房主要有褐家鼠、小家鼠、黄胸鼠。鼠密度最高为厨房, 其次为杂屋, 卧室和堂屋较低。房屋的不同地面对鼠密度与鼠种组成都有影响, 地面用水泥硬化后房间的鼠密度明显低于普通未硬化泥土地面,硬化地面以小家鼠为主, 泥土地面以褐家鼠占优势。不同结构房屋的鼠密度亦有差异, 砖混结构的鼠密度明显低于土木结构; 其鼠种组成也不同, 砖混结构的房屋小家鼠占优势, 土木结构房屋则褐家鼠与小家鼠比例相当。房屋地面的硬化对害鼠的影响比房屋结构的改变要大。综合来看, 鼠密度最高的房间为泥土地面+ 土木结构的厨房; 鼠密度最低为硬化地面+ 砖混结构的堂屋。通常, 在家具等物品摆放整洁、食物与水源少的硬化地面的房间鼠密度较低, 且以小家鼠占优势; 在杂物堆放较多、脏乱差的泥土地面房间的鼠密度较高。因此, 在防治中应根据不同的环境条件、不同的鼠密度和优势鼠种, 采取相应的防治对策, 以取得最佳防治效果。     

Determinants of adolescent pregnancy in an urban area in Turkey: a population-based case-control study

The aim of this study was to determine the degree to which socioeconomic status is a risk factor for first birth at age 19 or younger in married women in an urban area of Turkey. The research was a population-based case-control study. The study group comprised all married and pregnant women aged 15-19 (adolescent pregnancies) attending primary care centres (144 subjects). Married women between 20 and 29 years of age, experiencing their first pregnancy (adult pregnancies), were determined as the control group (144 subjects). A questionnaire was completed for each subject during face-to-face interviews. Adolescent pregnancy was more frequent in women from families with a low socioeconomic status, as determined by occupation (class) and income; both were associated with adolescent pregnancy. Multiple logistic regression analysis identified seven factors associated with adolescent pregnancy: exposure to violence within the family prior to marriage; families partially opposed or unopposed to adolescent marriage; secondary school or lower education level; lack of social security; living in houses in which the number of persons per room was over 1; unemployed women; and having sisters with a history of adolescent pregnancy.     

The real life of aged persons living alone in a depopulated area--in case of village a in Nagano Prefecture

Japan adopted a high economic growth policy and developed rapid industrialization since the 1960s. Consequently, Japanese have gotten various positive influences and negative influences. In this paper, we describe various positive influences and also we describe the "real life" of aged persons living alone in depopulated areas as one of the typical negative influences. For the purpose of investigating the actual lives of aged person living alone in depopulated areas, we carried out repeated interviews, research and direct observations of their work and lives in Village A. Village A is located in a mountain area 20 kilometers from Nagano City. The total population of the village was 3,294 in 1993, while it was 6,312 in 1960. The ratio is increasing rapidly year by year. In the village, the number of aged persons over 65 years old living alone, without any family, was 116 in 1994. The highest age is 94 years old. The number is increasing year by year. Through our study, it is made clear that aged persons over 65 years old living alone in the village have to manage everything in their daily lives by themselves to maintain their own safety, while accepting the influences of economic and industrial developments.     

Prevalence and airborne spore levels of Stachybotrys spp. in 200 houses with water incursions in Houston, Texas

Two hundred homes with a history of water incursion were sampled for fungi to determine the prevalence and airborne spore levels of Stachybotrys spp. Sampling methods included room air, surface, and wall cavity air sampling. Stachybotrys spp. were detected with at least one of the methods in 58.5% of the houses tested, but only 9.6% of the room air samples contained Stachybotrys spores. Aerosolization of Stachybotrys spores was correlated with both wall cavity and surface contamination. However, after adjustment for the surface effect, Stachybotrys spores detected in wall cavities were not a significant factor contributing to spores detected in room air samples. We conclude that Stachybotrys spp. are commonly found on water-damaged building materials. In addition, the observations made in this study suggest that the impact on the living space air is low if the fungal spores are contained within a wall cavity.     

Vaccinations and the physically handicapped child.

The vaccination status of 98 physically handicapped children was examined to identify factors associated with an inadequate vaccination status. Of the 98 children, 57 had cerebral palsy, 14 had myelomeningocele, 3 had muscular dystrophy and 24 had myelomeningocele, 3 had muscular dystrophy and 24 had other motor disabilities. According to the available vaccination records, only 17 children had received all the recommended injections on schedule; 26 had missed at least one injection, and 3 of them had never been vaccinated. The overall rate of vaccination in our study group (63%) was lower than expected. The children with moderate to severe limitation of function due to cerebral palsy were significantly less likely (P less than 0.05) than those with less severe limitations to have received a basic series of vaccinations. Health departments must ensure that physically handicapped children receive the preventive health measures viewed normal and appropriate for other children.     

Comparative research on substance abuse and self-perception among adolescents with physical handicap

The research on substance (alcohol, tobacco and drug) abuse and on self-perception was done by comparing a test group of physically disabled adolescents and a test group of non-disabled adolescents. The respondents of the experimental group were students of the only special high school for physically handicapped persons in Croatia, Zagreb. The respondents of the control group were the students of two regular high schools in the capital of Croatia. The instrument used in this research was a self-reported, anonymous questionnaire. The respondents completed the questionnaire in the classroom. The data analysis regarding alcohol abuse indicated that physically disabled adolescents drink more often and out of quite different motives than their non-disabled peers. Regarding the prevalence, frequency, quantity and motives for smoking, no statistically significant difference has been found between the tested groups. On the contrary, significant differences between handicapped and non-disabled adolescents were evident regarding drug abuse. Only one physically disabled examinee used a drug--marijuana, only a few times a year. On the other hand, almost one quarter of the non-disabled adolescents use at least one, five at the most, type of drug sometimes or often. The results on the self-perception scale show that adolescent with physical disabilities have a much more negative attitude toward themselves than non-disabled controls. Their self-esteem and self-confidence are seriously diminished. Described findings could have a mighty impact on ways of preventing substance abuse, and on ways of increasing self-esteem among disabled and non-disabled adolescents.     

Distribution and abundance of house-dust mites (Acarina: Pyroglycphidae) in Rome,Italy

For the first time in Rome, house-dust mite infestation was studied in 90 randomly selected houses. In each house, mite infestation was assessed in three sites: mattress, bedroom and living room. In total, 87.8% of the sampled houses were positive for dust mites. In the houses infested, 11.4% showed densities of >100 mites/g of dust, 15.2% registered densities between 50 and 99, and in the remaining houses (73.4%), the densities were between 1 and 49 mites/g dust. The percentages of infested houses were positively correlated with the relative humidity (RH) values (r=0.89,P=0.02). At the lowest range of RH (between 46 and 50), the infestation was 50% and at the highest range of RH (between 73 and 78) it was 100%. The mattress was significantly the most infested (71.1%) of the tested sites. Only wool and spring mattresses were infested, and they did not show any significant differences in mite concentrations.Dermatophagoides farinae was the most abundant species (53.1%), followed byGlycyphagus domesticus (34.5%),D. pteronyssinus (5.2%), andEuroglyphus maynei (0.2%);D. farinae was also the most frequent species (56.9%). The remaining specimens (7.0%) were predator species commonly found in houses. The prevalence ofD. farinae in Rome is discussed.     

Hypernatraemic dehydration in patients in a large hospital for the mentally handicapped.

OBJECTIVE--To determine the prevalence of hypernatraemic dehydration and to assess the hydration and nutritional state of patients in a large hospital for the mentally and physically handicapped; also to assess the efficacy of an intervention programme to reduce the prevalence of hypernatraemic dehydration in the hospital. DESIGN--Prospective study of patients admitted with hypernatraemic dehydration from a large hospital for mentally and physically handicapped patients (hospital A) to a district general hospital between 1986 and 1988. In 1986 the hydration and nutritional state of a random sample of patients from hospital A was compared with a random sample of patients from a small hospital for the physically and mentally handicapped (hospital B) and with control groups from the community. The hydration of the patients from hospital A examined in 1986 was reassessed in 1988. PATIENTS--12 Patients were admitted from hospital A to the district general hospital during 1986-8 (seven women, five men; age range 29-82). In 1986, 72 patients were randomly selected for the assessment of hydration and nutritional state from hospital A, 33 who required help with feeding and 39 who could feed independently. Fifty patients were similarly selected from hospital B, half of them requiring help with feeding. In 1988 the hydration state of 60 of the 72 patients from hospital was reassessed. Control values were taken from two published studies. INTERVENTIONS--In 1987 nursing staff in hospital A were asked to provide between 2.5 and 3.0 litres of fluid daily for all patients. The use of hypertonic enemas was discontinued, and the ratio of staff to patients was increased. MAIN OUTCOME MEASURES--Serum concentrations of urea and electrolytes (hydration) and body mass index (nutritional state). RESULTS--Of the 10 patients admitted with hypernatraemic dehydration from hospital A to the district general hospital in 1986, four died of intercurrent infection. No patients were admitted from hospital B with hypernatraemic dehydration during the same time. In 1986 the hydration and nutritional state of patients in hospital A were inferior to those in patients from hospital B and control subjects from the community (serum urea concentrations were 6.1 (SD 1.8) mmol/l v 5.5 (1.9) and 5.6 (0.4) mmol/l, respectively) 50% (36/72) of patients in hospital A had a body mass index less than or equal to 20 compared with 34% (17/50) of patients from hospital B and 12% (1141/9434) of control subjects). After the initiation of the preventive programme only one patient was admitted with hypernatraemic dehydration in each of the years 1987 and 1988. The mean serum urea concentration of the 60 patients who were reassessed in 1988 fell significantly between 1986 and 1988 from 6.1 (SD 1.8) mmol/l to 5.7 (2.1) mmol/l, the value in a control group matched for age and sex. CONCLUSIONS--Hypernatraemic dehydration, subclinical underhydration, and undernutrition were common in a large hospital for the mentally and physically handicapped. The problem of hypernatraemic dehydration was successfully dealt with by the hospital management team. Similar problems may be encountered in hospitals for patients who are mentally and physically handicapped and mentally ill, including psychogeriatric units.     

Cytogenetic analyses in peripheral lymphocytes of persons living in houses with increased levels of indoor radon concentrations

Published data concerning the effects of indoor radon exposure on the frequency of chromosome aberrations in peripheral lymphocytes of residents are contradictory. Possible reasons for this may be the low radon concentration in dwellings and/or the limited number of investigated persons. We therefore studied the relationship of domestic radon exposure and the occurrence of chromosome aberrations in peripheral lymphocytes in 61 persons living in houses with radon concentrations from 80 up to 13,000 Bq/m3. We analyzed 60,000 cells from fluorescence plus Giemsa (FPG)-stained slides. It could be clearly demonstrated that in groups of persons living in dwellings with indoor radon concentrations >200 Bq/m3 the number of cells containing dicentrics and/or centric rings (C(dic + cr)) (2.45 +/- 0.50 x 10(-3)) was significantly increased (p < 0.05) in comparison to the control level (1.03 +/- 0.15 x 10(-3)). However, there was no difference in the mean frequency of C(dic + cr) between the groups living in dwellings with higher radon concentrations. Using the fluorescence in situ hybridization (FISH) technique for the detection of translocations, we analyzed 23,315 cells in 16 persons of the highest exposed group (>5,000 Bq/m3). The observed frequency of translocations was 3.9 +/- 0.64 x 10(-3). In comparison to the control group (2.02 +/- 0.18 x 10(-3)), there was a slight but not statistically significant increase in the exposed group (P = 0.055). If, however, the age of the examined persons is taken into account, the values are significantly increased (P < 0.05) in the exposed persons older than 40 years in comparison to the age-matched controls. Since most of the translocations were found in stable cells, it is concluded that translocations are also induced in blood-forming tissue and are transmitted to peripheral blood.     

The role of strength in rising from a chair in the functionally impaired elderly

Rising from a chair is a task essential for independent living. Many elderly persons have difficulty with this task. Previous studies have drawn conflicting conclusions as to the role of strength in limiting the ability to rise from a chair. The purpose of this study is to determine the role of knee extensor strength in rising from a chair in the functionally impaired elderly. It is hypothesized that knee extensor strength limits the minimum chair height from which a subject can rise in the functionally impaired elderly, but not in the young. Studying both young healthy adults and functionally impaired elderly showed that required joint moment increased monotonically with decreasing chair height. Further, the elderly used significantly more of their available strength to rise from any chair height, and their mean required knee moment was 97% of the available strength when rising from the lowest chair height from which they could successfully rise. These data suggest that strength is a limiting factor in determining the minimum chair height from which the functionally impaired elderly may rise     

Allometric comparison of recommendations of minimum floor areas for laboratory animals

The recommendations for minimum floor area given in the European Convention for the Protection of Vertebrate Animals used for Experimental and other Scientific Purposes (1986), as well as in the Publication on the Planning and Structure of Animal Facilities for Institutes Performing Animal Experiments of the Society for Laboratory Animal Science (GV-SOLAS 1989), are plotted in a double logarithmic system in order to get an allometric function of recommended floor area to body weight. Both recommendations correspond very well with the so-called metabolic body weight seen at the allometric exponent of 0.73 and 0.70 respectively. Thus the recommendations in general attribute the floor space according to the metabolic body weight of the animal. Nevertheless, despite this general rule, some species are recommended less space than others when measured on this allometric scale. Thus it must be questioned why, for example, rabbits, chicken and pigs are recommended less space than other species. The general allometric measure seems at least to be a good scale for the comparison of recommended floor space, and for the discussion of species-specific needs for more or less space.     

Managing ascriptive categories at an American cerebral palsy camp

Counselors at a summer camp for adults with cerebral palsy and other disabilities must deal with the contradictory ideas that campers are special people deserving special treatment and that they should be treated no differently from anyone else. This contradiction produces ambiguities affecting boundaries usually taken to exist between handicapped and non‐handicapped persons. This paper examines processes, evidenced in a number of activities, rules, linguistic conventions and other customs, which produce and regulate the impact of these ambiguities on social relations within a camp in the United States.     

市县土地生态-生产-生活承载力测度指标体系及核算模型解析

土地同时具有生态功能、生产功能和生活功能,相应地具有生态-生产-生活综合承载力,土地生态承载力、生产承载力和生活承载力是一个相互支持、相互依存的有机整体。土地生态-生产-生活系统承载力是指土地资源与生态环境的供容能力、经济活动能力和满足一定生活水平人口数量的社会发展能力的有机综合体,由处于支持层的生态承载力和处于表现层的生产承载力和生活承载力三部分组成,简称土地"三生"承载力。以党的"十八大"报告提出的"优化国土空间开发格局,促进生产空间集约高效,生活空间宜居适度,生态空间山清水秀"为目标,分析了土地生态-生产-生活综合承载力的基本构成及作用机制,在此基础上,以县级尺度作为测度对象,通过多方案比选,构建了由1个一级指标、3个二级指标、21个三级指标构成的土地生态-生产-生活综合承载力测度指标体系,给出了不同层级具体指标的量化辨识方法;进一步优选出土地生态-生产-生活综合承载力核算的SD情景模型。该研究从理论上旨在为推进国土生态、生产、生活空间集约高效利用提供科学判据,为开展全国市县尺度的土地综合承载力监测预警提供定量的科学依据。     

EMOTIONAL FACTORS IN PHYSICALLY HANDICAPPED CHILDREN

The staff of the Reiss-Davis Clinic for Child Guidance has been concerned with the emotional factors in physically handicapped or chronically ill children. It is felt by the staff that work with these children must include not only the known procedures to improve or correct their physical condition, but also efforts directed toward preventing or removing any evidence of emotional or psychological crippling.The symbolic or unconscious meaning of the disability is of great importance in this work. Attitudes of the parents may seriously interfere with the handicapped child''s ability to develop his maximum level of functioning and adjustment. Individual and group psychotherapy was found of value in helping these parents.     

The effect of house design and environment on fungal movement in homes of bronchial asthma patients

The effect of house building design and environment on the fungal movement in the houses of 41 bronchial asthma (BA) patients has been investigated by examining house dust. The presence and composition of fungi were determined and compared in relation to building structure, house age, size of living room, main flooring material, presence of a living-room rug or air purifier, and frequency of vacuum cleaning. Among these elements, fungal CFU apparently varied only between building structure: wooden-board houses had significantly higher numbers of fungi than reinforced concrete houses (p < 0.01), and wooden mortar or iron-framed prefabricated houses had significantly higher numbers of fungi than reinforced concrete houses (p < 0.05). Classification of the types of fungi present in the house dust of BA patients showed that, regardless of the building designs, there were high levels of osmophilic fungi (group A) and fungi that survive at relatively dry conditions (group B), whereas fungi that survive in very wet conditions (group D) were present at low frequency. This revised version was published online in August 2006 with corrections to the Cover Date.     

Physical Disability and Motivation

Motivating the physically handicapped individual to assist in his own rehabilitation is a complex problem. Difficulties in motivation are often based on disturbances in body image, which in turn are related both to the premorbid personality and the handicap. Treatment must be directed at the body image as well as the physical disability. Emotional disturbance following body injury should be expected and its absence is abnormal. Adequate rehabilitation entails a consideration of the effect of the rehabilitation process on the disabled person. The patient''s basic abilities must be used to improve motivation. Rehabilitation procedures must focus on practical ways of coping with everyday life. Physical disability can mobilize underlying inferiority feelings and increase the need for dependency. Judicious use must be made of success and frustration in the rehabilitation program.     

A week in the life of Mary: the impact of microtechnology on a severely handicapped person

Microtechnology has an important role to play in maximizing the indenpendence of severely handicapped people, especially those with few reliable voluntary movements. Such movements must be harnessed efficiently to provide control over all aspects of life including communication, mobility and the immediate environment. To highlight the role of microtechnology in the day to day life of a severely handicapped person living at home, a case study is presented. The systems Mary uses for communication and environmental control are described and their limitations discussed. Adaptive man-machine interfaces are proposed and foreseeable developments in the fields of speech technology and robotics are considered. Successful introduction of high technology devices requires a full appreciation of medical and social factors as well as those relating to the technology. This is achieved through close partnership between the clinical engineer and the rehabilitation consultant to the benefit of the severely handicapped person.     

The Educationally Handicapped Child—The Physician's Place in a Program to Overcome Learning Disability

Under California Assembly Bill 464, special classes may be provided by school districts for children designated as educationally handicapped. An educationally handicapped child is not mentally retarded or physically disabled. He may have neurological handicap or emotional disorder, but he must show impaired achievement in relation to his tested abilities.A physician may be asked to participate in the program, either as a specified member of the admissions committee of the school district or to provide a medical clearance for entrance of one of his own patients into the program.He does a thorough history and physical examination but adds special examination of attention, activity, coordination and attitudes.The educationally handicapped child is helped most by the physician who does not reject the idea of educational handicap even if the medical examination is negative; who treats his minor ills; who medicates, when it is indicated, for hyperactivity, distractibility or extreme anxiety; who cooperates with parents and school personnel.