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Resumo Introdução Acidentes de trânsito são importante problema de saúde pública, contudo pouco se conhece sobre as sequelas deles decorrentes. Objetivo Analisar as deficiências e incapacidades em vítimas de acidentes de trânsito. Método Estudo transversal com base em dados primários de uma amostra de vítimas de acidentes de trânsito não fatais atendidas em serviços selecionados de urgência e emergência de Mato Grosso em setembro de 2014. O instrumento de coleta foi baseado no Checklist da Classificação Internacional de Funcionalidade, Incapacidade e Saúde. Resultados Foram avaliadas 228 vítimas de acidentes de trânsito, predominando jovens, sexo masculino, motociclistas. Deficiências de função do corpo mais comprometidas foram as sensoriais e dor (49,3%) e neuromuscoloesqueléticas (45,8%), enquanto as de estrutura do corpo relacionavam-se ao movimento (85,5%); ambas apresentando gravidade moderada. Referente à limitação de atividade e restrição à participação, predominaram problemas relacionados à mobilidade (42,0%), prevalecendo gravidade moderada (30,5%). Dentre os fatores ambientais, destacaram-se como principais barreiras os serviços, sistemas e políticas (66,3%) e, como facilitadores, o apoio e relacionamento com familiares e amigos (40,9%). Conclusão Aproximadamente metade das vítimas de acidentes de trânsito apresentou deficiências e incapacidades. O estudo preenche uma lacuna importante para a compreensão deste problema de saúde pública.
Abstract Introduction Traffic accidents are an important public health problem; however, little is known about their consequences. Objective To analyze disabilities in traffic accident victims. Methods Cross-sectional study, based on primary data from a sample of victims of non-fatal traffic accidents, attended at selected emergency services in Mato Grosso in September 2014. The collection instrument was based on the International Classification Checklist Functionality, Disability, and Health. Results 228 victims of traffic accidents were evaluated, predominantly young men, motorcyclists. Body function deficiencies most affected were sensory and pain (49.3%) and neuromusculoskeletal (45.8%), while those of body structure were related to movement (85.5%); both presenting moderate severity. Regarding activity limitation and participation restriction, problems related to mobility predominated (42.0%), with moderate severity (30.5%). Among the environmental factors, services, systems, and policies stood out as barriers (66.3%) and the support and relationship with family and friends as facilitators (40.9%). Conclusion Approximately half of the victims of traffic accidents had disabilities. The study fills an important gap for understanding this public health problem.
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Management information platform of International Classification of Functioning, Disability and Health (ICF) was developed based on the Classification Markup Language (ClaML). The standard representative and management of the ICF structure, encoding system, classes and semantics had developed, and the functions such as the classification editing, modification, search, viewing and checking had been realized. This system can be used in classification import, export and application in other systems.
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@#International Classification of Functioning, Disability and Health (ICF) is one of core classifications launched by WHO. This paper discussed interactive model of functioning and disability and terminological system based on ICF and approaches of the developments of standardized measurement instruments.
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@#15 year literatures from databases such as MEDLINE, PUBMED, and CNKI were reviewed. The foundings indicate that there are a lot of scales to assess diabetic specific quality of life, but no one can involve the following aspects: body function, body structure, activity and participation, and environmental factors except ICF core sets for diabetes mellitus which involve the four aspects listed above. Nowadays an international multi-center validation study of the ICF core sets for 12 chronic conditions is ongoing, and so far there has been no report on the validation of the ICF core sets for diabetes mellitus yet. Through the validation study of the ICF core sets for diabetes mellitus, it is anticipated that the ICF core sets for diabetes mellitus can comprehensively describe health and functional status of diabetic patients, thus can create a valid and common tool or language to assess diabetes mellitus. It will facilitate communication between different disciplines and countries, provide effective interventions and finally improve health and functional level of diabetic patients.
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@# This research explored the rehabilitation of hearing and speech for children with hearing and speech impairments using the theory and method of International Classification of Functioning, Disability and Health. An evaluation system of rehabilitation for children with hearing and speech impairment, which consisted of the functions and structures of cognition and speech, verbal behaviors, activity and participation, and environments, had been developed.
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@# Objective To compare and investigate the criteria of impairment evaluation about eye injury.MethodsThe distill items, contents of these items and excursus of three criteria, Assessment and Gradation of Disability Caused by Work-related Injuries and Occupational Diseases (AGDCWIOD), Assessment for Body Impairment of the Injured in Road Traffic Accident (ABIIRTA) and Assessment and Gradation of Impairment Caused by Trauma (AGICT), commonly used in justice practice at present were compared.ResultsThere were essential differences among three criteria. AGDCWIOD was loose, ABIIRTA and AGICT were strict. AGDCWIOD and AGICT were religious, ABOIIRTA was oversight and non-religious. At the same time, there were differences between domestic and international criteria, and domestic criteria were behind the times.ConclusionThere are many problems in the criteria of impairment evaluation about eye injury; related items need recension and consummation.
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@#ObjectiveTo evaluate the reliability and validity of the of Disability Assessment Schedule Ⅱ of World Health Organization(WHO-DASⅡ) applied in assessment of the function of disabled athletes.Methods56 disabled people,26 wheelchair basketball athletes and 30 patients,were sampled and completed WHO-DASⅡ questionnaire.The test and re-test had been administrated in 10 days.Barthel Index(BI) and Sports Classification Test had been implemented for the functioning assessment.ResultsThe test-retest reliability for WHO-DASⅡ in six dimensions were: 0.978,0.807,0.938,0.877,0.998,0.935,0.986 and all were in very significant level(P<0.01).There were negative correlation between WHO-DASⅡ scores and BI in total and in every dimension,the correlation coefficients were:-0.77,-0.17,-0.71,-0.82,-0.33,-0.73,-0.61.The correlation coefficients between WHO-DASⅡ total and six dimensional scores and the grade of sports classification were:-0.741,-0.378,-0.806,(-0.541),-0.293,-0.510,-0.677.ConclusionWHO-DASⅡ can be used in assessing the function of disabled athletes.
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@#ObjectiveTo explore the reliability and validity of WHO ICF-Clinical Checklist for patients with spinal cord injuries.MethodsClinical testing, case records and check had been implemented for 50 patients with spinal cord injuries with ICF-Clinical Checklist, ADL and ASIA.Results and ConclusionThere were high test-retest reliability and validity in WHO ICF-Checklist for patients with spinal cord injuries.