RESUMO
In the fight against discrimination, the IDF launched the first ever International Charter of Rights and Responsibilities of People with Diabetes in 2011: a balance between rights and duties to optimize health and quality of life, to enable as normal a life as possible and to reduce/eliminate the barriers which deny realization of full potential as members of society. It is extremely frustrating to suffer blanket bans and many examples exist, including insurance, driving licenses, getting a job, keeping a job and family affairs. In this article, an example is given of how pilots with insulin treated diabetes are allowed to fly by taking the responsibility of using special blood glucose monitoring protocols. At this time the systems in the countries allowing flying for pilots with insulin treated diabetes are applauded, particularly the USA for private flying, and Canada for commercial flying. Encouraging developments may be underway in the UK for commercial flying and, if this materializes, could be used as an example for other aviation authorities to help adopt similar protocols. However, new restrictions implemented by the new European Aviation Authority take existing privileges away for National Private Pilot Licence holders with insulin treated diabetes in the UK.
Assuntos
Diabetes Mellitus Tipo 1 , Hipoglicemiantes/uso terapêutico , Insulina/uso terapêutico , Seguro/estatística & dados numéricos , Licenciamento/estatística & dados numéricos , Direitos do Paciente/legislação & jurisprudência , Discriminação Social/estatística & dados numéricos , Atitude do Pessoal de Saúde , Condução de Veículo/legislação & jurisprudência , Aviação/legislação & jurisprudência , Canadá/epidemiologia , Diabetes Mellitus Tipo 1/epidemiologia , Emprego/legislação & jurisprudência , Família , Feminino , Humanos , Seguro/legislação & jurisprudência , Licenciamento/legislação & jurisprudência , Masculino , Política Pública , Discriminação Social/legislação & jurisprudência , Reino Unido/epidemiologia , Estados Unidos/epidemiologiaRESUMO
A comprehensive treatment program for chronic disability related to back disease has been presented. This program has used not only more traditional methods of medical care for the structural disabilities of chronic mechanical back disorders, but has used principles of active patient participation in the improvement process. The patients are educated in the manifestations of pain behavior in the phase II treatment program emphasis on pain sources is downgraded to allow positive reinforcement for healthy behavior to develop. By use of an organized team approach, a significant number of patients can be processed; and an overall reduction in use of alternative medical resources has occurred.
