Prevalence of Oral Health Status and Needs in Institutionlized Physically Challenged Children.

BACKGROUND: Oral hygiene has significant effect on the overall health of an individual as it has vital role in human life, so it is necessary to protect oral hygiene of all children since childhood. OBJECTIVES: The objectives were to evaluate and compare the prevalence of dental caries and oral hygiene status in institutionalized physically challenged children of Bihar. MATERIALS AND METHODOLOGY: A total of 700 (400 male and 300 female) children were included in the study that were physically handicapped and were institutionalized in various special schools. In this study, complete oral examination was done and was recorded by using Oral Hygiene Status-Simplified given by Greene and Vermillion, 1964, and all statistical analyses were done by using SPSS software. For statistical analysis, Chi-square test and ANOVA were used. RESULTS: Out of 700 children, 48.8% (342) had dental caries with mean Decayed, Missing, and Filled Teeth (DMFT) index of 0.86 (standard deviation [SD] ±1.37) and mean dmft index of 0.36 (SD ± 0.98). In this study, orthopedic, blind, deaf and dumb, and compound students were examined. It was observed that the dental caries prevalence was high in the blind group (71%) compared to that of the deaf and dumb group (40.2%), while oral hygiene status was observed as good in 42.2%, fair in 46.9%, and poor in 10.9% of children. CONCLUSION: Every dental professional should be aware of his/her responsibilities and provide both comprehensive and incremental dental care to improve the overall oral hygiene condition of physically handicapped children.

The lack of antiepileptic drugs and worsening of seizures among physically handicapped patients with epilepsy during the Great East Japan Earthquake.

BACKGROUND: Takuto Rehabilitation Center for Children is located in Sendai, the capital of the Miyagi prefecture, and faces the Pacific Ocean. The tsunami caused by the Great East Japan Earthquake resulted in tremendous damage to this region. Many physically handicapped patients with epilepsy who are treated at our hospital could not obtain medicine. We surveyed patients with epilepsy, using a questionnaire to identify the problems during the acute phase of the Great East Japan Earthquake. METHODS: After the earthquake, we mailed questionnaires to physically handicapped patients with epilepsy who are treated and prescribed medications at our hospital, or to their parents. RESULTS: A total of 161 respondents completed the questionnaire. Overall, 68.4% of patients had seven days or less of stockpiled medication when the earthquake initially struck, and 28.6% of patients had no medication or almost no medication during the acute phase after the earthquake. Six patients were forced to stop taking their medication and nine patients experienced a worsening of seizures. Most (93.6%) patients stated they require a stockpile of medication for more than seven days: 20months after the earthquake, 76.9% patients a supply of drugs for more than seven days. CONCLUSIONS: We suggest that physically handicapped patients with epilepsy are recommended to prepare for natural disasters by stockpiling additional medication. Even if the stock of antiepileptic drugs is sufficient, stress could cause worsening of seizures. Specialized support is required after a disaster among physically handicapped patients with epilepsy.

Contribuição de um programa de jogos e brincadeiras adaptados para a estimulação de habilidades motoras em alunos com deficiência física / Contribution of a program of games and plays adapted for the simulation of motor abilities for physically handicapped students

O objetivo deste estudo consiste em verificar a contribuição de um programa de jogos e brincadeiras adaptados para o desenvolvimento de alunos com deficiência física, realizado em uma Escola Estadual que possui salas especiais para deficientes físicos. Participaram deste estudo dois professores responsáveis pelas classes especiais de deficientes físicos, dois estagiários do Curso de Pedagogia e dezoito alunos deficientes físicos. Primeiramente, foi feita avaliação das habilidades e dificuldades dos alunos; a seguir foi elaborado e aplicado um programa de intervenção. O programa contou com 17 atividades adaptadas que foram desenvolvidas em vinte e duas aulas, com duração de uma hora cada. As atividades foram gravadas em fitas de vídeo. Os dados obtidos nas filmagens foram categorizados e discutidos com o propósito de identificar informações sobre a contribuição das atividades realizadas para o desenvolvimento dos alunos deficientes físicos. A analise permitiu identificar quatro classes: A) transferência de postura dos alunos, B) posicionamento corporal dos alunos durante a atividade, C) locomoção dos alunos durante a atividade, D) contribuição da atividade proposta para o desenvolvimento do aluno. A partir dos resultados observados, conclui-se que a proposta pode contribuir de maneira positiva para o desenvolvimento físico, acadêmico, emocional e social de alunos com deficiência física no ambiente escolar.(AU)

This survey aims to verify the contribution of a program of games and plays adapted to the development of physically handicapped students. Two teachers responsible for the physically handicapped student's class participated of this survey. The activities took place in a Public State School that has special classes for those students. The first step was an evaluation of the student's difficulties and skills, after that, an intervention program was elaborated and applied. The program had 17 adapted activities developed during 22 one hour classes. The activities were videotaped. The data seen in tapes was categorized and discussed with the purpose to identify information on the contribution of those activities for the physically handicapped students. This analysis allowed identifying four categories. A) transference of student's posture, B) body placement of students during the activity; C) student's locomotion during activity; D) contribution of the proposed activity for the student development. From the observations, we conclude that the proposal contributed in a positive way to the physical, academic, emotional and social development of the physically handicapped students within the school environment.(AU)

Contribuição de um programa de jogos e brincadeiras adaptados para a estimulação de habilidades motoras em alunos com deficiência física / Contribution of a program of games and plays adapted for the simulation of motor abilities for physically handicapped students

O objetivo deste estudo consiste em verificar a contribuição de um programa de jogos e brincadeiras adaptados para o desenvolvimento de alunos com deficiência física, realizado em uma Escola Estadual que possui salas especiais para deficientes físicos. Participaram deste estudo dois professores responsáveis pelas classes especiais de deficientes físicos, dois estagiários do Curso de Pedagogia e dezoito alunos deficientes físicos. Primeiramente, foi feita avaliação das habilidades e dificuldades dos alunos; a seguir foi elaborado e aplicado um programa de intervenção. O programa contou com 17 atividades adaptadas que foram desenvolvidas em vinte e duas aulas, com duração de uma hora cada. As atividades foram gravadas em fitas de vídeo. Os dados obtidos nas filmagens foram categorizados e discutidos com o propósito de identificar informações sobre a contribuição das atividades realizadas para o desenvolvimento dos alunos deficientes físicos. A analise permitiu identificar quatro classes: A) transferência de postura dos alunos, B) posicionamento corporal dos alunos durante a atividade, C) locomoção dos alunos durante a atividade, D) contribuição da atividade proposta para o desenvolvimento do aluno. A partir dos resultados observados, conclui-se que a proposta pode contribuir de maneira positiva para o desenvolvimento físico, acadêmico, emocional e social de alunos com deficiência física no ambiente escolar.

This survey aims to verify the contribution of a program of games and plays adapted to the development of physically handicapped students. Two teachers responsible for the physically handicapped student's class participated of this survey. The activities took place in a Public State School that has special classes for those students. The first step was an evaluation of the student's difficulties and skills, after that, an intervention program was elaborated and applied. The program had 17 adapted activities developed during 22 one hour classes. The activities were videotaped. The data seen in tapes was categorized and discussed with the purpose to identify information on the contribution of those activities for the physically handicapped students. This analysis allowed identifying four categories. A) transference of student's posture, B) body placement of students during the activity; C) student's locomotion during activity; D) contribution of the proposed activity for the student development. From the observations, we conclude that the proposal contributed in a positive way to the physical, academic, emotional and social development of the physically handicapped students within the school environment.

The investigation of the aged deformity in longevous area of Yunnan Province / 中华老年医学杂志

Objective To investigate on out the deformity in the elderly of longevous area and the characteristics of the regions in Yunnan Province. Methods According to the forth census information, using multistage sample typical survey to the 18 counties (cities) with centenarians over 1/100 000. The deformity types of people aged 60 and over and the deformity rate of various age groups and its distribution were investigated. Results Among the 6 477 people aged 60 and over investigated, a total of 1 928 people were in deformity, the deformity rate was 29 8%. The elder the people, the higher the deformity rate was. The highest deformity rate was in Kunming and Chuxiong prefectures. The audition deformity was highest among all types of deformity in elder people. The occurrence of fracture was highest in Miao Nation in Honghe prefecture, reaching 18.1%. About 14 % of the centenarian people sufferred from dementia. Conclusions Effective control in blood pressure and osteoporosis are important method to protect the elder people and to promote the level of quality of life of the elderly.