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Background: Although malnutrition has been shown to influence the clinical outcome of poststroke disabled patients, the associated factors and the prediction model have yet to be uncovered., Objectives: This study aims to assess the current prevalence and factors associated with malnutrition in poststroke disabled patients and establish a prediction model., Methods: A multicenter cross-sectional survey among Chinese poststroke disabled patients (≥18 y old) was conducted in 2021. Information on patients' basic data, medical history, Barthel Index, dysphagia, and nutritional status was collected. A multivariable logistic regression model was used to identify the factors that influence malnutrition. Nomogram was developed and internal validation was conducted using 5-fold cross-validation. External validation was performed using the data from a preliminary survey. Receiver operating characteristic (ROC) analysis, calibration curves, and decision curve analysis (DCA) were used to analyze the predictive value of the nomogram., Results: Four hundred fifty-seven cases were enrolled, with the prevalence of malnutrition as 71.77%. Age (aOR = 1.039, 95% CI: 1.006-1.078), pulmonary infection (aOR = 4.301, 95% CI: 2.268-14.464), dysphagia (aOR = 24.605, 95% CI: 4.966-191.058), total intake volume (aOR = 0.997, 95% CI: 0.995-0.999), Barthel Index (aOR = 0.965, 95% CI: 0.951-0.980), and nasogastric tube (aOR = 16.529, 95% CI: 7.418-52.518) as nutrition support mode (compared to oral intake) were identified as the associated factors of malnutrition in stroke-disabled patients (P < 0.05). ROC analysis showed that the area under the curve (AUC) for nomogram was 0.854 (95% CI: 0.816-0.892). Fivefold cross-validation showed the mean AUC as 0.829 (95% CI: 0.784-0.873). There were no significant differences between predicted and actual probabilities. The DCA revealed that the model exhibited a net benefit when the risk threshold was between 0 and 0.4., Conclusions: Age, pulmonary infection, dysphagia, nutrition support mode, total intake volume, and Barthel Index were factors associated with malnutrition in stroke-related disabled patients. The nomogram based on the result exhibited good accuracy, consistency and values., Competing Interests: Declaration of competing interest The authors declare the following financial interests/personal relationships which may be considered as potential competing interests: Zeng Xi reports financial support was provided by Chinese Academy of Medical Sciences. Zeng Xi reports a relationship with The First Affiliated Hospital of Zhengzhou University that includes: employment. Cai Ang reports a relationship with The First Affiliated Hospital of Zhengzhou University that includes: employment. Zeng Hongji reports a relationship with Zhengzhou University that includes: employment. Wu Junfa reports a relationship with Huashan Hospital Fudan University that includes: employment. Ding Yu reports a relationship with Chinese PLA General Hospital that includes: employment. Zhao Weijia reports a relationship with Zhengzhou University that includes: employment. Zeng Xi has patent #CN109172380A with royalties paid to CN109172380A. If there are other authors, they declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper., (Copyright © 2024 Elsevier Inc. All rights reserved.)

Disability profession education for the disabled plays a vital role for their broad participation in society in the future. The United States pays highly attention to develop disabled people’s human resource and personal potential.They have integrated guarantee policies for the compensatory education, the vocational education of the disabled, and they also have perfect legislation and policy guarantees for the faculty construction and the school-industry cooperation.The approaches of the United States may provide a strong referential significance for China to strengthen the teachers’ training, to improve the pertinence, timeliness and operability of the laws related to special education by focusing on the issue of school-enterprise cooperation, which may further help China to construct an all-inclusive and sound vocational education system. [ABSTRACT FROM AUTHOR]

This article discusses the factors influencing development of legal aid for the disabled in China. While it is significant that China signed the 2006 UN Convention on Persons with Disabilities underpinned by the social model of disability, the monopoly of the China Disabled People's Federation over disability issues is pivotal. We argue that the monopoly which extends to legal aid for the disabled is a double-edged sword. We also suggest that the social model of disability has yet to underpin legal aid in China. Finally, non-government initiatives should challenge the monopoly to ensure genuine equal treatment and non-discrimination for the disabled. [ABSTRACT FROM AUTHOR]

While an inclusive society and equal opportunity for all have been more recognised and promoted in society in recent years, disabled people still face a lot of difficulties and some certain degree of exclusion in their daily lives. Thus, the need of research for disabled people should be more urged in academic and professional fields. Borrowing a case study in Chinese chess, a team of researchers and designers in Hong Kong adopted action, participatory and inclusive approaches in an applied research project. The project aimed to explore how to facilitate visually impaired people to have a better quality of leisure, social and cultural life. This paper first introduces the aims and objectives of the project. Borrowing the research findings and experience of the project, this paper discusses how the action, participatory and inclusive approaches should be considered together in the research for disabled. This paper aims at not only a report of a particular case study, but more to arouse the awareness of researchers a new and important trend in research that disabled people (i.e., users) must be not only considered, but also invited to participate in research actively in order to bring real benefit to the disabled people, and in turn also to bring an inclusive and harmonious society overall. [ABSTRACT FROM AUTHOR]

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, 57.4% 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. [ABSTRACT FROM AUTHOR]

Background: Successful performance in Paralympic Games (PGs) requires continuous monitoring of the athletes' health and optimal medical care., Objective: To present the health status and disability category of Polish athletes at the Beijing and London PGs, as well as to compare the injuries and illnesses incurred during both PGs in view of the more stringent healthcare guidelines implemented before London., Methods: The preparticipation examination (PPE) involved general medical/orthopaedic examination, ECG, blood and urine tests. The mandatory periodic health evaluation (PHE) introduced before London comprised general medical/orthopaedic/dental examination, anthropometric measurement, ECG, stress test, laryngological and ophthalmological consultations, and blood and urine tests. The incidence rate (IR) for all injuries/illnesses with 95% CI, incidence proportion and exposure data (athlete-days) were calculated., Results: There were 91 Polish Paralympians in Beijing and 100 in London. Medical consultations decreased from 151 to 74 (injuries: 57 vs 24 and illnesses: 94 vs 50). In both PGs, respiratory tract infections (RTIs) were the most frequent: IR increased from 15.2 in Beijing to 18.1 in London/1000 athlete-days (95% CI 9.7 to 20.7 vs 11.5 to 24.7). In both PGs, most injuries/illnesses concerned Paralympians with spinal cord injuries. The PPE before both PGs confirmed the disability type according to the general medical classification and revealed no health-related contraindications. Only 6.6% of athletes before Beijing but 100% before London had undergone the multispecialist PHE., Conclusions: In both PGs, illnesses were more frequent than injuries. RTIs presented a serious problem. Some groups of disabled athletes are at an increased risk of injury/illness. The more stringent medical care guidelines before London may have caused staggeringly better results.