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Copyright of Gériatrie et Psychologie Neuropsychiatrie du Vieillissement is the property of John Libbey Eurotext Ltd. and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Background and Objective: Traumatic injuries are amongst the leading causes of death and disability in the world across all age groups. This systematic review aimed to (1) describe the role of post-traumatic stress symptoms (PTSS) on the development of chronic pain and/or pain-related disability following musculoskeletal trauma and (2) report pain and or pain-related disability by injury severity/type. Database and Data Treatment: Electronic databases were searched, from inception to 31 November 2021 and updated on 10 May 2022, to identify studies in which: participants were adults aged >16 years sustaining any traumatic event that resulted in one or more musculoskeletal injuries; an outcome measure of PTSS was used within 3 months of a traumatic event; the presence of pain and/or pain-related disability was recorded at a follow-up of 3 months or more. Two reviewers independently screened papers and assessed the quality of included studies. Results: Eight studies were included. Owing to between-study heterogeneity, the results were synthesized using a narrative approach. Five studies investigated the relationship between PTSS and pain. Participants with PTSS were more likely to develop persistent pain for at least 12 months post-injury. Six studies assessed the relationship between PTSS and pain-related disability. The results suggest that patients with PTSS had significantly higher disability levels for at least 12 months post-injury. Conclusion: Findings from this comprehensive systematic review support a clear relationship between PTSS post-injury and future pain/disability, with the potential importance of certain PTSS clusters (hyper-arousal and numbing). Significance: The findings of this systematic review indicate an association between PTSS reported within 3 months of a traumatic musculoskeletal injury and the development of longer-term pain and disability. The PTSS clusters of 'hyper-arousal' and 'numbing' appear to be of particular importance in this relationship. Prospero Registration Number: CRD42021285243. [ABSTRACT FROM AUTHOR]

Laparoscopy was introduced in Cameroon in 1992. Minimally invasive surgery in gynaecology is becoming increasingly popular, thanks to lower hospital costs and a significant reduction in the length of hospital stay. Time off work after minimally invasive gynaecological surgery varies from 7 to 28 days. In this study, we determined the total temporary functional impairment and the cost of care associated with minimally invasive gynaecological surgery in a private hospital. We conducted a descriptive cross-sectional study with retrospective data collection from January 2021 to December 2022 at the Deo-Gracias Hospital in Emana. Records of patients operated on by laparoscopy or hysteroscopy in gynaecology were included. The data collected were entered into a database created using CS pro. Statistical analysis was performed using SPSS version 23.0 software. We enrolled 160 patients with a mean age of 35.97 ± 8.95 years. The main approach was laparoscopy (72.4%) followed by hysteroscopy (25.8%). The temporary functional deficit was 44.59 ± 18.55 days, i.e. an average hospital stay before surgery of 20.07 hours, an average hospital stay of 2.89±1.09 days and an average of 23 days off work. The average cost of surgery was estimated at 412328.77 ± 82292.46 CFA francs (1US Dollar= 580,31CFA f; 1Euro= 655,96CFA f). Minimally invasive surgery in gynaecology is becoming increasingly common, reducing the time patients spend in hospital despite the high cost of healthcare, which is still heavily borne by individuals [ABSTRACT FROM AUTHOR]

Introduction. Cette étude porte sur la prévalence des difficultés fonctionnelles et des facteurs connexes chez les enfants et les jeunes canadiens de 5 à 17 ans ayant reçu un diagnostic de trouble du spectre de l'autisme (TSA). Méthodologie. Nous avons analysé les données tirées de l'Enquête canadienne sur la santé des enfants et des jeunes (ECSEJ) de 2019, une enquête nationale représentative de la population canadienne d'enfants et de jeunes, qui utilisait l'ensemble abrégé de questions sur le fonctionnement du Groupe de Washington (Washington Group Short Set on Functioning, WG-SS) pour évaluer le fonctionnement dans le cadre de six tâches quotidiennes. Pour chaque domaine fonctionnel, des résultats binaires ont été générés (aucune difficulté/quelques difficultés, beaucoup de difficultés/n'y parvient pas du tout). Nous avons ensuite utilisé une régression logistique pour déterminer les associations entre, d'une part, les caractéristiques sociodémographiques, les expériences d'apprentissage et la santé générale et mentale perçue et, d'autre part, les difficultés fonctionnelles les plus courantes, celles liées à la mémoire/concentration, à la communication et aux soins personnels. Toutes les estimations ont été pondérées de façon à être représentatives de la population cible. Nous avons utilisé la méthode « bootstrap » pour établir les estimations de la variance. Résultats. L'analyse des données des 660 enfants et jeunes atteints d'un TSA a révélé que les difficultés fonctionnelles les plus courantes concernaient la mémoire/concentration (22 %; IC à 95 %: 18 à 27), la communication (19 %; IC à 95 %: 15 à 23) et les soins personnels (13 %; IC à 95 %: 10 à 17). Une moins bonne santé mentale perçue était associée à des difficultés fonctionnelles accrues liées à la mémoire/concentration. Un diagnostic de TSA à un plus jeune âge et une moins bonne santé générale perçue étaient associés à des difficultés fonctionnelles accrues liées à la communication. Le fait que les parents avaient des attentes en matière d'études postsecondaires était associé à des difficultés fonctionnelles réduites liées aux de soins personnels. Conclusion. L'étude a révélé que 39 % des enfants et des jeunes canadiens de 5 à 17 ans ayant reçu un diagnostic de TSA présentaient au moins une difficulté fonctionnelle citée dans l'ensemble de questions WG-SS, les difficultés fonctionnelles liées à la mémoire/concentration, à la communication et aux soins personnels étant les plus fréquentes. [ABSTRACT FROM AUTHOR]

Copyright of Romanian Review of Private Law / Revista Română de Drept Privat is the property of Universul Juridic Publishing House and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Canadian Journal of Occupational Therapy is the property of Sage Publications Inc. and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

L’enfant est toute personne âgée de moins de 18 ans ; il est aussi appelé « mineur » et désigné comme étant incapable. De ce fait, il est soumis à l’autorité parentale de ses parents jusqu’à sa majorité, quant à l’administration de sa personne et de son patrimoine et quant à sa protection, sa santé et sa moralité. L’incapacité est une restriction légale à l’aptitude d’une personne à être titulaire des droits et d’assumer des obligations ou à les exercer. A part la représentation, le mineur peut acquérir une capacité partielle par l’émancipation tout en demeurant sous le régime de la représentation en ce qui concerne les actes pour lesquels il est incapable. Cependant, l’exception confirmant la règle, il est des cas où le mineur devient capable sans être émancipé. Il pose certains actes dans les circonstances et conditions bien déterminés par le Code de la famille, de la loi portant protection de l’enfant et le Code du travail.

• Les scores de kinésiophobie étaient plus élevés dans le groupe polyarthrite rhumatoïde que dans le groupe témoin. • Des niveaux élevés de fatigue, de dépression et d'IMC constituaient des variables indépendantes de kinésiophobie chez les patients atteints de polyarthrite rhumatoïde. • La kinésiophobie est une variable prédictive des domaines « activité physique » et « douleur physique » de la QVLS et de l'incapacité fonctionnelle chez les patients souffrant de polyarthrite rhumatoïde. Cette étude avait pour objectif d'évaluer la kinésiophobie et les facteurs associés à la kinésiophobie dans une population de patients atteints de polyarthrite rhumatoïde (PR) afin de mieux comprendre la relation entre kinésiophobie et qualité de vie liée à la santé (QVLS). Au total, 88 patients (67 femmes, 21 hommes) atteints de PR et 93 volontaires sains (67 femmes, 26 hommes) ont été inclus dans cette étude entre mars et juillet 2020. Le score de kinésiophobie a été mesuré sur l'échelle de Tampa (TSK) et la QVLS à l'aide du questionnaire SF-36 (36-item Short-Form Health Survey). La Fatigue Severity Scale (FSS), l'inventaire de dépression de Beck (IDB), le questionnaire d'invalidité selon le HAQ (HAQ-DI) et le questionnaire international de l'activité physique (IPAQ) (version courte) ont été complétés par tous les participants. L'âge médian s'élevait à 52,0 (EI, 45,0–58,0) ans dans le groupe PR et à 50,0 (EI, 41,5–56,0) ans dans le groupe témoin. L'âge et le sexe n'étaient pas significativement différents entre les deux groupes (p > 0,05). Le score TSK médian était de 45,0 (EI, 39,0–49,75) dans le groupe PR et de 39,0 (EI, 37,0–43,0) dans le groupe témoin (p < 0,001). Le groupe PR affichait des scores FSS, IDB et HAQ-DI médians plus élevés et des scores QVLS médians plus bas que le groupe témoin (p < 0,05). D'après l'analyse par régression linéaire multivariée qui comprenait l'âge, le sexe, le niveau d'études, l'indice de masse corporelle (IMC), la durée des raideurs matinales, le DAS 28 et les scores FSS, IDB, EVA et IPAQ, les scores FSS (B = 1,07 ; p < 0,05), IDB (B = 0,24 ; p < 0,05) et l'IMC (B = 0,22 ; p < 0,05) étaient des facteurs indépendants de kinésiophobie chez les patients atteints de PR (R2 = 0,32). Le TSK était un facteur prédictif du HAQ-DI (B = 0,03 ; p < 0,001), des domaines « activité physique » (B = -1,18, p < 0,001) et « douleur physique » (B = -0,78 ; p < 0,05) de la QVLS, respectivement. Il apparaît essentiel de sensibiliser les médecins au risque de kinésiophobie chez les patients souffrant de PR. L'éducation du patient axée sur la kinésiophobie, les stratégies de prévention de la kinésiophobie et la prise en charge thérapeutique individualisée sont autant de mesures qui, dans le cadre d'une approche multidisciplinaire, contribuent à améliorer la QVLS et l'incapacité fonctionnelle chez les patients atteints de PR. [ABSTRACT FROM AUTHOR]

Copyright of Canadian Journal of Occupational Therapy is the property of Sage Publications Inc. and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Journal of Economic Sciences, Management & Commercial Sciences (JESMCS) is the property of Association of Arab Universities and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Background.: Achieving optimal outcomes for children in occupational therapy settings is influenced, in part, by their engagement. The nature of child engagement from the occupational therapy perspective remains relatively unexplored. Method.: A qualitative research methodology was adopted, using an interpretive description approach. Thirty-two occupational therapists participated in five focus groups and six individual interviews that were thematically analyzed. Findings.: Four themes emerged from the data: (i) signs of child engagement and disengagement; (ii) it's about the child feeling safe; (iii) a sense of meaning and purpose; and (iv) service and therapist factors influencing child engagement. Implications.: Helping the child feel safe; providing meaningful experiences; and being flexible and responsive were key means of connecting with, and supporting, child engagement. Strategies occupational therapists reportedly used to engage the child aligned with the tenets of self-determination theory (autonomy, relatedness, and competence). [ABSTRACT FROM AUTHOR]

Copyright of Physiotherapy Canada is the property of University of Toronto Press and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Objectives: Lack of access to safe surgery is seen as a major issue that needs to be addressed. The aim of this study was to understand which combinations of factors relate to high occurrences of unmet needs and disability in Nepal, and consequently, how to focus future work to maximise impact in this country.Methods: A large population-based survey was conducted in Nepal in 2014 to evaluate the unmet surgical needs that result in disability. Recorded factors included diseased anatomical areas, disease specifics, disease locations, injury types, reasons for having an unmet need and the types of disability.Results: Included in the study were 2695 individuals. The anatomical areas facing the highest disabling unmet surgical need were Head (3.9% of population), Groin/Genitalia (2.2% of population) and Extremities (3.6% of population). Four focus areas could be defined. Increase affordability, availability and acceptability of surgical care to non-traumatic disabling conditions of (i) the eye, and (ii) extremities, and (iii) to traumatic disabling conditions of extremities and finally (iv) increase acceptability of having surgical care for non-traumatic conditions in the groin and genital area. For the latter, fear/no trust was the main reason for receiving no surgical care despite the resulting shame.Conclusions: This study defined four focus areas that showed the largest unmet needs that resulted in a perceived disability. For those areas, affordability, availability and acceptability of surgical need to be addressed through technical developments, capacity building and raising awareness. [ABSTRACT FROM AUTHOR]

Copyright of Physiotherapy Canada is the property of University of Toronto Press and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Canadian Review of Social Policy / Revue Canadienne de Politique Sociale is the property of York University and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Background: Fetal alcohol spectrum disorder (FASD), a complex diagnosis that includes a wide range of neurodevelopmental disabilities, results from exposure to alcohol in the womb. FASD remains poorly understood by Canadians, which could contribute to reported stigma faced by both people with FASD and women who drink alcohol while pregnant. Methods: To better understand how information about FASD is presented in the public sphere, we conducted content analysis of 286 articles from ten major English-language Canadian newspapers (2002-2015). We used inductive coding to derive a coding guide from the data, and then iteratively applied identified codes back onto the sample, checking inter-coder reliability. Results: We identified six major themes related to clinical and scientific media content: 1) prevalence of FASD and of women's alcohol consumption; 2) research related to FASD; 3) diagnosis of FASD; 4) treatment of FASD and maternal substance abuse; 5) primary disabilities associated with FASD; and 6) effects of alcohol exposure during pregnancy. Discussion: Across these six themes, we discuss three instances of ethically consequential exaggeration and misrepresentation: 1) exaggeration about FASD rates in Indigenous communities; 2) contradiction between articles about the effects of prenatal alcohol exposure; and 3) scientifically accurate information that neglects the social context of alcohol use and abuse by women. Respectively, these representations could lead to harmful stereotyped beliefs about Indigenous peoples, might generate confusion about healthy choices during pregnancy, and may unhelpfully inflame debates about sensitive issues surrounding women's choices. [ABSTRACT FROM AUTHOR]

Résumé L'incapacité fonctionnelle générée par une séquelle imputable à un fait générateur est appréciée sous la forme d'un pourcentage établi d'après une définition et une appréciation, indicative ou impérative, en référence à un barème qui diffère selon le cadre juridique. Nous avons discuté dans un article précédent les barèmes applicables en droit commun, lesquels souffrent d'après nous d'imprécisions des descriptions cliniques et de sous-évaluations des pourcentages dans le domaine de la psychiatrie. Nous abordons dans ce nouveau travail deux cadres barémiques peu connus : le barème applicable au titre du code des pensions militaires et des victimes de la guerre et d'attentats (CPMIVG), et le barème applicable au titre de la législation du handicap relevant du code de l'action sociale et des familles. Dans le domaine de la psychotraumatologie, ces deux textes nous paraissent à l'heure actuelle les plus précis et les plus cohérents en termes de descriptions séquellaires et d'évaluation du taux d'incapacité : ils constituent des ressources utiles également mobilisables en droit commun. Abstract Functional incapacity is assessed with a percentage based on an indicative or mandatory definition and assessment, with reference to a scale that differs according to the legal code. We have discussed in a previous article the scales applicable in civil law, which we feel are inaccurate clinical descriptions and underestimates of the percentages in the field of psychiatry. In this new work, we approach two little-known scales: the scale applicable under the Code of Military Pensions and Victims of War and Attacks (CPMIVG), and the scale applicable under the disability legislation. In the field of psychotraumatology, these two texts seem to us at the moment the most precise and the most coherent in terms of sequential description and evaluation of the disability. [ABSTRACT FROM AUTHOR]

Résumé De définition différente selon le cadre juridique, l'incapacité fonctionnelle permanente est chiffrée sous la forme d'un pourcentage établi en référence à un barème indicatif ou impératif. En droit commun, l'évaluation du Déficit Fonctionnel Permanent de la nomenclature Dintilhac correspondant à l'Atteinte à l'Intégrité Physique et/ou Psychique peut être appréciée d'après plusieurs barèmes. Suivant leur chronologie d'apparition, nous abordons dans le champ de la psychiatrie, et parfois de la neurologie, les versions actualisées des barèmes du Concours Médical et de la Société Française de Médecine Légale avant d'évoquer le Guide Barème Européen. Puis, nous proposons une discussion transversale qui permettra peut-être de comprendre pourquoi le pourcentage affecté au déficit fonctionnel permanent des troubles psychiques post-traumatiques a diminué sans discontinuité d'une réédition à l'autre des barèmes de droit commun depuis près de cinquante ans. Abstract According to the legal civil code, the permanent functional incapacity is quantified with a percentage established with reference to an indicative or imperative scale. According to their chronology of appearance, we approach in the field of psychiatry, and sometimes neurology, the updated versions of the scales of the Concours Medical and the French Society of Legal Medicine before referring to the Guide Barème Européen. Then, we propose a transversal discussion, which will perhaps allow to understand why the percentage assigned to the permanent functional deficit of the post-traumatic psychic disorders has decreased without discontinuity from one republication to the other of the scales for nearly 50 years. [ABSTRACT FROM AUTHOR]

This article explores the many dimensions of sex which result in very strong moral and ethical responses. In support of practitioners who wish to feel more comfortable and competent discussing sexual matters, the article then introduces a hybrid conceptual model of practice. Combining one model originally from sexology and another from occupational therapy, the Ex-PLISSIT Enablement Model offers a flexible, progressively-staged framework to guide practitioners toward a plan to better understand and work within their own scope while also assessing if clients are ready and willing to engage with the subject to varying degrees. [ABSTRACT FROM AUTHOR]

INTRODUCTION: les objectifs étaient de dresser le profil épidémiologique des patients indemnisés pour asthme professionnel dans le centre tunisien, identifier leurs caractéristiques professionnelles et évaluer les pratiques d'indemnisation de cette maladie professionnelle. METHODES: étude exhaustive rétrospective, menée sur une période de huit ans, à propos des cas d'asthme professionnel reconnus et indemnisés au centre tunisien par les deux seules commissions médicales habilitées à fixer le taux d'incapacité partielle permanente aux victimes des accidents de travail et des maladies professionnelles dans les sept gouvernorats du centre. RESULTATS: au total, 129 travailleurs, d'âge moyen égal à 40,6 , 7,75 ans étaient indemnisés pour asthme professionnel durant la période d'étude. Le sexe ratio était de 0,66. Les agents étiologiques les plus incriminés ont été les poussières végétales textiles (75,2%), les poussières de bois, la farine et les isocyanates. Une hyperréactivité bronchique non spécifique a été retrouvée dans 38%, un taux élevé d'IgE dans 14% et des prick tests positifs dans 10,9% des cas. Le taux moyen d'incapacité partielle permanente était de 25,6'14,2%. Ce taux était corrélé, selon l'analyse analytique, à l'âge du patient et à la commission médicale ayant fixé ce taux. CONCLUSION: l'étude des cas d'asthme professionnels indemnisés, apportent des données pertinentes à propos des caractéristiques épidémiologiques et cliniques des patients atteints et des pratiques des comités notamment, en terme d'application du barème indicatif, mais ne permet pas l'appréciation de la prévalence, souvent sous-estimée, de cette pathologie.

One of the promises of the Canada Health Act is portability-the principle of equitable access to health services wherever you live. Services for young children in northern and rural communities are structured with a one-size-fits-all funding model that inadvertently disadvantages lower population density areas. We use a socio-cultural approach to explore the barriers to access to rural early childhood services. With data from two research projects that each covered diverse rural contexts, we focused on service providers' and parents' experiences in accessing early intervention and early development programs and services for children with typical development, and those with developmental delay and/or diagnosed disabilities. The results affirm the value of rural and small town life and provide information for developing a more effective rural service delivery model for families with children with typical and atypical development. We demonstrate the way providers and parents make rural services work through 'relational functionality.' Parents and service providers rely on key community agents to help organize and innovate collaborative solutions to address lack of access to information, intermodal travel demands, and administrative divides. In short, we confirm an urbanistic policy bias in the per capita funding model. [ABSTRACT FROM AUTHOR]

Introduction: Our study aimed to highlight the epidemiological profile of patients compensated for occupational asthma in the Tunisian Center, to identify their professional characteristics and to determine compensation practices for this occupational disease. Methods: We conducted an exhaustive retrospective study over a period of eight years. This case study included workers with occupational asthma diagnosed and compensated in the Tunisian Center by the only two medical commissions empowered to set rates for permanent partial disability caused by either a work-related injury or an occupational diseases in the seven central governorates. Results: A total of 129 workers, with average age of 40.6 ± 7.75 years were compensated for occupational asthma during the study period. Sex ratio was 0.66. The most incriminated etiologic agents were vegetable dust pollution in the textile industry (75.2%), wood dust, flour and isocyanates. Nonspecific bronchial hyperreactivity was found in 38% of cases, a high rate of IgE in 14% of cases and positive skin prick test in 10.9% of cases. The average rate of permanent partial disability was 25.6 ± 14.2%. On the basis of the analytical study, this rate was related to patient's age and to the medical commission which had set this rate. Conclusion: This study of workers compensated for occupational asthma provides relevant data about epidemiological and clinical features of diagnosed patients and committee practices in particular, in term of application of the voluntary indicative scale, but it does not allow an assessment of the prevalence of this pathology which is often underestimated. [ABSTRACT FROM AUTHOR]

Le projet d'Assurance autonomie (AA) visait à introduire une assurance publique des soins de longue durée dans le système de santé et de services sociaux du Québec. Développé à partir d'une revue des assurances de ce type implantées ailleurs dans le monde, ce projet a fait l'objet de travaux intensifs pour l'opérationnaliser dans le contexte québécois. Le projet s'appuyait sur des acquis du système québécois : la présence de gestionnaires de cas chargés de l'évaluation et du suivi des personnes âgées dans le cadre de réseaux intégrés de services, un outil d'évaluation standardisé permettant la classification des individus en 14 profils associés à une intensité de services requis et un système d'information. Suite à l'évaluation du besoin de l'usager et à la détermination du profil, une allocation de soutien à l'autonomie peut donc être attribuée et servir à financer les services publics ou à acheter des services à des organismes privés et communautaires. Le financement de l'AA était assuré par les impôts via un programme budgétaire spécifique dédié. Tous les aspects légaux, administratifs, financiers et informatiques liés à ce projet ont été traités par les autorités ministérielles. Le livre blanc fut bien accueilli par les parties intéressées en commission parlementaire et le projet de loi créant l'AA a été déposé à l'Assemblée nationale en décembre 2013. Des élections précipitées ont toutefois provoqué la mort du projet. The goal of the proposal for Long-term Care Insurance was to implement public coverage for long-term care into the health and social services system in Québec. Based on a review of similar schemes implemented in other countries, this proposal led to intensive efforts for contextualization and operationalization. The proposal built on what already existed in the Québec system: the availability of case managers in charge of assessing and following the elderly within the integrated services networks, a standardized assessment tool for the classification of individuals into 14 categories (« profils ») each associated with a level of intensity of services needed, and an information system. The assessment of individuals' needs and their assignment to a category of need (« profil ») lead to the determination of a benefit to support autonomy (ASA in French). The ASA could be used to receive services provided by public organizations or to buy private and/or community services. The scheme was to be financed out of taxes, through an earmarked fund. All legal, administrative and financial components, as well as the necessary information system associated with the proposal had been dealt with by competent Ministries. The White Book was well received by all stakeholders to a parliamentary commission and the bill was tabled at the National Assembly in December 2013. The bill was killed, however, by an early election.

Copyright of Les Cahiers de l'Année Gérontologique is the property of Lavoisier and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Romanian Review of Private Law / Revista Română de Drept Privat is the property of Universul Juridic Publishing House and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Objective The aim of this study was to adapt and validate the Tunisian version of the Oswestry Disability Index (ODI) within a Saudi Arabian population. Method The translation of items 8 and 10 taken out of the Tunisian version was conducted according to Beaton's method. Adaptations were made after a pilot study on 100 patients. The validation study included 100 patients suffering from chronic low back pain aged 18 to 65 years old. Intra-observer reliability was assessed using the intra-class coefficient (ICC). Spearman rank correlation coefficient, the Kruskall–Wallis test and factor analysis were used to evaluate construct validity (convergent and divergent validity). Internal consistency was assessed by Cronbach's alpha coefficient. Results One hundred Saudi patients were included in the study. Intra-observer reliability was excellent (ICC: 0.99). The correlations of the index with the VAS pain scale ( r = 0.708), the Roland–Morris Low Back Pain Disability ( r = 0.656), and the Quebec Back Pain Disability Scale ( r = 0.792) suggest good construct validity. Factor analysis unveiled two main factors explaining a cumulative percentage variance of 63.5%. The first factor represents static activities and the second factor represents dynamic activities. Conclusion The Arabic version of the ODI adapted to the Saudi population has high metrological qualities. Further studies assessing its responsiveness to change should be conducted. [ABSTRACT FROM AUTHOR]

Directly funded (DF) home care provides funding to home care recipients to coordinate their own care and supports, and is available across all Canadian provinces. Current research on DF home care focuses on the experiences of adults with disabilities self-directing their own care, but less is known about the experiences of family members managing services for adults 55 years of age and older. This article presents findings from a qualitative analysis of 24 semi-structured interviews with older adults and caregivers using the DF program in Manitoba, Canada, focusing on family manager experiences. We identify three themes in the interview data: (1) DF home care enhances choice and flexibility for older people and their caregivers, (2) choice and flexibility reduce caregiver strain , and (3) agency services reduce administrative burden. We discuss the importance of care relationships and the role of family managers. We recommend that traditional home care systems learn from DF, and that increased administrative support would reduce caregiver strain.

Résumé Partant des données collectées dans six pays de l'Union européenne (Autriche, Espagne, Grèce, Irlande, Italie et Portugal) entre 1995 et 2001, les auteurs étudient l'infuence du handicap sur l'absentéisme des travailleurs. Ils observent que les travailleurs handicapés sont plus souvent absents que les travailleurs valides, constat établi après contrôle des effets de l'état de santé des personnes interrogées, de la fréquence de leurs visites chez le médecin et du nombre de nuits d'hospitalisation. L'absentéisme s'accroît aussi avec la gravité du handicap. L'effet total du handicap représente une augmentation marginale de 6 à 26 jours d'absence par an, selon le pays. [ABSTRACT FROM AUTHOR]

Copyright of European Journal of Population is the property of Springer Nature and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Purpose: To identify the characteristics of people who use standing devices and to explore their degree of device use, experiences with and reasons for standing, and perceived impact of the use of standing devices on well-being and quality of life (QOL). Method: Anyone with a current prescription at the time for the study in any of five counties in Sweden (n=545), according to a national register of prescribed devices, was invited to participate in a descriptive survey; the questionnaire was mailed to respondents for self-rating. Results: People between 2 and 86 years old were represented among respondents. Standing time decreased with increased age. Respondents who were totally dependent for mobilization or who had received their standing device more than 5 years earlier used their device most frequently. The most common reasons given for standing were to improve circulation and well-being and to reduce stiffness. Conclusion: It is important to pay attention to the experiences of standing for this vulnerable group of people, as the use of a standing device has a positive impact on well-being and QOL. [ABSTRACT FROM AUTHOR]

nt mentionnes sur les 201 certificats. Sur les 201 certificats etudies, 170 mentionnaient les faits rapportes par la victime. En proposant de maniere comparative pour chacune des ITT fixees par le medecin, une ITT penale, nous trouvions des erreurs entre ITT penale et ITT civile (dans 95% des cas). CONCLUSION: Les certificats medicaux delivres sont incomplets. Les recommandations concernent la creation d�unites medico-judiciaires et de centres d�accueil des victimes d�agression.

Copyright of Ricoeur Studies / Etudes Ricoeuriennes is the property of University of Pittsburgh, University Library System and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Revista Virtual Universidad Católica del Norte is the property of Revista Virtual Universidad Catolica del Norte and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Studia Universitatis Babes-Bolyai, Iurisprudentia is the property of Babes-Bolyai University, Cluj-Napoca, Romania and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Abstract: Objectives: To establish the level of maximal aerobic capacity in patients with chronic pain of different etiologies and to compare these results with different parameters of disability. Patients and methods: A cycloergometer exercise test with VO2max measurement, fatigue assessment and objective and subjective disability parameter testing was performed on 155 patients (mean age 42.1±9.9 years) classified into three groups: patients with chronic lower back pain, patients with an upper limb musculoskeletal disorder, and patients with multifocal chronic pain. Results: The mean VO2max value was 22.18 mL/min/kg. There was no statistically significant difference in VO2max between the three groups. The patients with poorest aerobic condition were older (P <0.007), were on sick leave longer (P <0.03), had weaker Sorensen test (P <0.01) and P.I.L.E. (P <0.004) results, had more perceived fatigue (P <0.04), a higher mean BMI (P <0.0001) and gained more weight during sick leave (P <0.02). Discussion: Numerous studies have examined loss of aerobic capacity due to chronic low back pain with contradictory results. This is probably due to variability of in the methods used to measure or calculate VO2max as well as to the variability in the studied populations. Conclusion: It seems appropriate to offer patients with chronic pain multidisciplinary exercise rehabilitation programs. [Copyright &y& Elsevier]

Copyright of Romanian Review of Private Law / Revista Română de Drept Privat is the property of Universul Juridic Publishing House and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Résumé. Les auteurs évaluent la discrimination salariale à l'encontre des personnes handicapées après avoir contrôlé les effets des écarts de productivité liés au handicap. Partant de données relatives à 11 pays européens, ils estiment les équations salariales des personnes suivantes: celles qui sont handicapées jusque dans leurs activités quotidiennes, celles qui sont handicapées sans que cela affecte ces activités et celles qui ne souffrent pas de handicap. Dans la plupart des pays, on ne relève pas d'écart salarial significatif entre les deuxième et troisième catégories. Lorsque cet écart existe, il tient surtout à une moindre productivité et non à une discrimination. Toutefois, par comparaison avec les personnes sans handicap, celles qui sont affectées jusque dans leurs activités quotidiennes subissent une moindre productivité et une discrimination salariale. [ABSTRACT FROM AUTHOR]