Functional Diagnosis as a Strategy for Implementing Inclusive Education in Poland1 / Diagnóstico Funcional como Estratégia para Implementar a Educação Inclusiva na Polônia

ABSTRACT: The 25th anniversary of the Salamanca Statement is a good opportunity to summarize to what extent the challenges described in it have been implemented by the signatory countries, all of which are members of UNESCO. This article presents a balance of achievements in implementing inclusive education in Poland, as well as a catalog of challenges for the future. Although the commitments to provide inclusive education for children and young people with special educational needs (SEN) arise from the UN Convention on the Rights of the Child (1989) and the Convention on the Rights of Persons with Disabilities (2006), which have both been ratified by Poland, systematic work on the implementation began only in 2010. The key measure was the Regulation of the Ministry of National Education on the principles of planning and organization of psychological and pedagogical support for pupils with SEN. Currently, in cooperation with the European Agency for Special Needs and Inclusive Education intensive work is underway to create a coherent system for recognizing the needs and possibilities of children and adolescents based on the functional diagnosis model. Therefore, this article presents the assumptions of this model with reference to the implemented or planned changes to the educational law.

RESUMO: O 25º aniversário da Declaração de Salamanca é uma boa oportunidade para resumir até que ponto os desafios descritos nela foram implementados pelos países signatários, todos membros da UNESCO. Este artigo apresenta um balanço de realizações na implementação da educação inclusiva na Polônia, bem como um catálogo de desafios para o futuro. Embora os compromissos de oferecer educação inclusiva para crianças e jovens com necessidades educacionais especiais (NEE) surjam da Convenção dos Direitos da Criança das Nações Unidas (1989) e da Convenção dos Direitos das Pessoas com Deficiência (2006), os quais foram ratificados pela Polônia, o trabalho sistemático sobre a implementação começou apenas em 2010. A medida chave foi o Regulamento do Ministério da Educação Nacional sobre os princípios de planejamento e organização do apoio psicológico e pedagógico para alunos com NEE. Atualmente, em cooperação com a Agência Europeia para Necessidades Especiais e Educação Inclusiva, está em andamento um intenso trabalho para criar um sistema coerente de reconhecimento das necessidades e possibilidades de crianças e adolescentes com base no modelo de diagnóstico funcional. Portanto, este artigo apresenta as premissas desse modelo com referência às mudanças implementadas ou planejadas na lei educacional.

Diagnóstico cinesiológico-funcional de pacientes oncológicos internados no Hospital São José de Criciúma/SC / Kinesiologic-functional diagnosis of patient oncológicos interned at the hospital São José they Criciúma/SC

A Fisioterapia estuda a disfunção e suas consequências, pesquisa sua origem e se preocupa em restituir o movimento normal. Através do diagnóstico cinesiológico-funcional podemos decidir quais atos da fisioterapia serão adotados para reabilitação do paciente oncológico. O tratamento fisioterapêutico tem papel importante na reabilitação em busca da qualidade de vida melhor para esses pacientes. O objetivo desta pesquisa propõe caracterizar o diagnóstico cinesiológico-funcional dos pacientes oncológicos internados no Hospital São José no período de dezembro de 2006 a maio de 2007. A coleta dos dados foi realizada através de uma avaliação fisioterapêutica em 30 pacientes, contendo seis blocos temáticos incluindo: dados de identificação, história da doença, exame físico, palpação, tratamento e diagnóstico cinesiológico-funcional. A mesma, demonstrou que a maioria dos pacientes possui alterações cinesiológicas e funcionais. Após a coleta, os dados foram analisados de forma estatística onde os três tipos de neoplasias mais encontrados durante a pesquisa foram o câncer de pulmão, mama e esôfago, e assim comparados com o índice de incidência disponibilizado pelo Instituto Nacional Câncer, que nos mostra a inteira relação com esses dados. As complicações como dor, dificuldade em realizar suas atividades de vida diária, deambulação e força muscular estão presentes na maioria dos pacientes oncológicos.

The phisiotherapy studies the disfunction and consequences, search its origin and if it worries in restituting to the normal movement. Through the diagnosis kinesiológic-functionary we can decide which acts of the phisioterapy will be endowed for whitewashing of the oncologic patient. The physiotherapeutic treatment has important role in the whitewashing in search of the quality of better life for these patients. The objective of this research considers to characterize the diagnosis kinesitherapy- functionary of the interned oncologic patients in the Hospital São José in the period of December of 2006 until May of 2007. The collection of the data was carried through a physiotherapeutic evaluation in 30 patients, contends six thematic blocks including: data of identification, history of the illness, physical examination, palpation, treatment and diagnosis kinesitherapy -functionary. The same one, demonstrated that the majority of the patients possess and kinesitherapy functional alterations. After the collection, the data had been analyzed of form statistics where the three types of found neoplasias more during the research had been the lung, breast and esophagus cancer, thus compared with the index of incidence make available for the Instituto Nacional Câncer, who in the sample the entire relation with these data. The complications as pain, difficulty in carrying through its activities of daily life, deambulation and force muscular are gifts in the majority of the oncologic patients.

The diagnosis distribution in health examination and associated sociodemographic factors

BACKGROUND: According as people have an increased interest in early detection of disease and health promotion, people who take health examinations are increased. So this study is aimed to survey common problems about health in community and their frequency by way of investigation on diagnosis in health examination data and to evaluate the effects of health risk factors on each disease patterns. METHODS: The medical records of the clients who have taken health examinations for the first time from March 1995 to February 2000 at a health examination center of a university hospital in Seoul were reviewed. The category and number of judged diagnosis, sociodemographic factors are compared and analyzed. RESULTS: The selected medical records accounted to 22,393. The study subjects consist of 11,544(51.6%) male. Mean age is 52.0+/-10.5 years(range 16~90). Mean number of judged diagnosis is 4.04+/-2.13(range 0~9) per one person and female took more diagnosis than male on an average(4.09+/-2.17 Vs 3.99+/-2.09). The organic diagnosis(56.4%) is most in total and other diagnosis is 35.7%, functional diagnosis is 7.9%. The common diagnoses are liver disease(7.07%), decreased physical strength(6.68%), hyperlipidemia(6.53%), obesity(5.90%), osteoporosis or postmenopausal syndrome(4.72%), need for immunization against viral hepatitis(4.69%), hypertension(4.20 %), functional gastrointestinal disease(3.93%). The number of total diagnosis and organic diagnosis is larger in older age, no exercise, female, smoker, no spouse, lower education(p<0.05). The number of functional diagnosis is larger in female, younger age, non smoker, lower education(p<0.05). The number of other diagnosis is larger in no exercise, smoker, female, younger age(p<0.05). CONCLUSION: According to health examination, total diagnosis and organic diagnosis are influenced by age, exercise, sex, smoking, spouse, education, functional diagnosis is influenced by sex, age, smoking, education and other diagnosis is influenced by exercise, smoking, sex, age.

The Diagnosis Distribution in Health Examination of Old Aged People and Associated Sociodemographic Factors

BACKGROUND: According as old aged people have an increased interest in early detection of disease and health promotion, old aged people who take health examinations are increased. So this study is aimed to survey common problems about geriatric health in community and their frequency by way of investigation on diagnosis in health examination data and to evaluate the effects of health risk factors on each disease patterns. METHODS: The medical records of the clients who have taken health examinations for the first time from March 1995 to February 2000 at a health examination center of a university hospital in Seoul were reviewed. The category and number of judged diagnosis, sociodemographic factors are compared and analyzed. RESULTS: The selected medical records accounted to 22,393. The study subjects consist of 11,544(51.6%) male. Mean age is 52.0+/-10.5 years(range 16~90). 65 years or more old aged people of them are 2,612(11.7%), the number of judged diagnosis per one old person is 4.84+/-2.22(range 0~9) and young people took less diagnosis is 35.7%, functional diagnosis is 7.9%. The common diagnoses are liver disease(7.07%), decreased physical strength(6.68%), hyperlipidemin(6.53%),obesity(5.90%), osteoporosis or postmenopausal syndrome(4.72%), need for immunization against viral hepatitis(4.69%), hypertension(4.20%) functional gastrointestinal disease(3.93%). The number of total diagnosis and organic diagnosis is larger in older age, no exercise, female,smoker, no-spouse, lower education(p<0.05). The number of other diagnosis is larger in no exercise, smoker, female, younger age(p<0.05). CONCLUSION: According to health examination, total diagnosis and organic diagnosis are more in old aged group than in young. Functioinal diagnosis and other diagnosis is less in old aged group than in young.