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Experiences of Neurodivergent People When Playing an Educational Video Game About Their Own Diagnosis 神经分化者在玩关于自己诊断的教育电子游戏时的体验
Q2 REHABILITATION Pub Date : 2023-01-01 DOI: 10.16993/sjdr.1037
Lisanne Meinen
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引用次数: 0
An Overview on Low Back Pain and Functional Disability: Associated Risk Factors and Management 腰痛和功能障碍的综述:相关的危险因素和管理
Q2 REHABILITATION Pub Date : 2022-11-29 DOI: 10.57197/jdr-2022-0004
Walid Kamal, A. Sulieman
Recently, low back pain (LBP) has been a major contributor to disability worldwide. Chronic LBP affects 80% of the population at some point. The incidence of LBP is on the rise, especially among the elderly, and it is more common in men than in women. The different aspects of one’s life, such as a history of mental illness, being overweight, smoking, not getting enough exercise, getting older, and leading a sedentary lifestyle, all increase the likelihood of developing LBP. According to research, there are a number of causes and contributing factors that add up to a hefty price tag for disabled people. Functional disability in chronic LBP can be caused in part by causes other than the disease itself, such as psychological and professional variables, and can put restrictions on one’s personal life, work life, and family life. According to a recent study, more than 80% of those with a functional disability were classified as having a moderate-to-severe impairment. Therefore, we have proposed this review to clarify the appropriate assessment and interventional modalities for LBP and reduce disability. The diagnosis of LBP may need physical examination as well as imaging procedures to rule out the possibility of other ailments, such as broken bones. There is more than one technique to treat the underlying causes of LBP. Interventions include several modalities, including medication, physical therapy, manual therapy, injections, and surgery. In terms of pain treatment, we could choose between over-the-counter nonsteroidal anti-inflammatory drugs (NSAIDs) and prescribed drugs. Back spasms can be treated with other medications that relax the muscles in the back. Physiotherapy can help an individual build up the core muscles that protect the spine. Physical therapy can help individuals to stay injury-free by doing more than just increasing the range of motion. Tense muscles can be relaxed, pain can be lessened, and posture and alignment can be enhanced through a series of sessions.
最近,腰痛(LBP)已成为世界范围内致残的主要原因。80%的人在某种程度上患有慢性腰痛。腰痛的发病率呈上升趋势,尤其是在老年人中,男性比女性更常见。一个人生活的不同方面,如精神病史、超重、吸烟、缺乏锻炼、年龄增长、久坐不动的生活方式,都增加了患腰痛的可能性。根据研究,有许多原因和促成因素加在一起,为残疾人带来了沉重的代价。慢性腰痛的功能性残疾部分是由疾病本身以外的原因引起的,如心理和职业变量,并可能限制个人生活、工作生活和家庭生活。根据最近的一项研究,超过80%的功能性残疾患者被归类为中度至重度损伤。因此,我们提出了这一综述,以澄清适当的评估和干预方式,以减少残疾。腰痛的诊断可能需要体格检查和影像学检查,以排除其他疾病的可能性,如骨折。有不止一种技术来治疗下腰痛的潜在原因。干预措施包括几种方式,包括药物治疗、物理治疗、手工治疗、注射和手术。在疼痛治疗方面,我们可以在非处方非甾体抗炎药(NSAIDs)和处方药之间进行选择。背部痉挛可以用其他放松背部肌肉的药物来治疗。物理治疗可以帮助一个人建立保护脊柱的核心肌肉。物理治疗不仅可以增加活动范围,还可以帮助个人保持无损伤状态。紧张的肌肉可以放松,疼痛可以减轻,姿势和对齐可以通过一系列的会议加强。
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引用次数: 1
The Structure and Mechanical Properties of Type IV Collagen in Lens Basement Membrane: Deterioration with Age and Glycation Reviewed 晶状体基底膜中IV型胶原的结构和力学性能:随着年龄和糖基化的恶化
Q2 REHABILITATION Pub Date : 2022-11-29 DOI: 10.57197/jdr-2022-0003
D. A. Bradley
Biomedical physics seeks to confront the amazingly intricate sets of interlinked processes that when in synchrony sustain life. In so doing, questions arise regarding the functionality of cells, organised tissues and organs and the myriad interactional processes required, and also as to how the onset of disease limits viability and what possible repair processes can be caused to happen, including in biosynthetic routes. It is clearly a multidisciplinary field providing a multi-pronged array of endeavours, bringing into play concepts and tools within the armoury of physics, chemistry, engineering, mathematics, and all of the applied areas that arise from these. As expected, the pursuit is beset by ignorance and in the absence of a polymath, the ability to progress is clearly a team effort. Not least among the challenges are that oftentimes the medium under investigation no longer enjoys the vitality of life, including when using in vitro techniques acknowledging that in excised tissues repair processes are clearly inoperative. As such, questions inevitably arise as to whether the results of an investigation bear resemblance to that of the living entity. Here, we will focus on just one example of such a pursuit, namely investigations of degraded vision arising from alterations in the basement membrane (BM). We address alterations that may arise from diabetes and ageing, which are changes that bring about life-altering disability. In examining this one area of biophysical investigation, we hope that the reader will gain a degree of appreciation of the need for such studies even if, as here, we simply represent just one particular aspect of what are clearly complex areas. At the outset, we simply mention that the BM forming the eye lens capsule is a highly specialised form of extracellular matrix in which the major structural element is a network of type IV collagen. Changes in the structure and mechanical properties of the BM are believed to be associated with the pathophysiology of ageing and diseases, including diabetes and cancer.
生物医学物理学试图面对惊人的错综复杂的相互关联的过程,当它们同步维持生命时。在这样做的过程中,出现了关于细胞、有组织组织和器官的功能以及所需的无数相互作用过程的问题,也出现了关于疾病的发作如何限制生存能力以及可能导致哪些修复过程发生的问题,包括在生物合成途径中。它显然是一个多学科领域,提供了多管齐下的一系列努力,在物理、化学、工程、数学以及由此产生的所有应用领域的军械库中引入概念和工具。不出所料,这种追求被无知所困扰,在没有博学多才的情况下,进步的能力显然需要团队的努力。其中最重要的挑战是,经常被研究的培养基不再具有生命的活力,包括在使用体外技术时,承认在切除的组织中修复过程显然不起作用。因此,不可避免地会出现这样的问题,即调查的结果是否与生物实体的结果相似。在这里,我们将只关注这样一个追求的例子,即研究由基底膜(BM)改变引起的视力下降。我们处理可能由糖尿病和衰老引起的变化,这些变化会导致改变生活的残疾。在研究生物物理研究的这一领域时,我们希望读者能对这类研究的必要性有一定程度的理解,即使像这里一样,我们只是简单地代表了这一明显复杂领域的一个特定方面。首先,我们简单地提到,形成眼球晶状体囊的基底膜是一种高度特化的细胞外基质,其主要结构元素是IV型胶原网络。脑基结构和机械特性的变化被认为与衰老和疾病(包括糖尿病和癌症)的病理生理学有关。
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引用次数: 0
Collagen Structure Orientation at the Bone–Cartilage Interface 骨-软骨界面的胶原蛋白结构取向
Q2 REHABILITATION Pub Date : 2022-11-29 DOI: 10.57197/jdr-2022-0002
D. A. Bradley, O. Gundogdu, O. Bunk
The articular cartilage overlying subchondral bone consists of variously oriented collagen fibres, the detailed organisation of which is essential for cartilage integrity that has suffered damage in degenerative joint disease such as osteoarthritis (OA). A technique attracting particular interest is that of coherent small-angle X-ray scattering mapping; the present investigations are supported by PILATUS, a highly pixelated two-dimensional detector system developed at the Paul Scherrer Institute (PSI). The system has yielded information on the anatomical features that correspond to the large-scale organisation of collagen and the mineralised phase contained within the collagen fibres in the deep cartilage zone. Results obtained from a decalcified cartilage–bone sample have been plotted in terms of the orientation of cartilage and bone components for particular intervals of k-space, showing the organisation of collagen-II within superficial layers and collagen-X in the chondrocyte-rich deeper layers of cartilage. It is apparent in undamaged cartilage that there is a gradual reorientation of the collagen-II fibres of the cartilage, from parallel to the surface of the joint, to normal to the cartilage–bone interface. A similar pattern of orientation is seen below the cement line (the surface at which cartilage anchors to the bone), for the collagen type-I prevalent in bone. Changing the interval of k-space allows subchondral features such as the microvasculature to be seen.
覆盖在软骨下骨上的关节软骨由各种定向的胶原纤维组成,其详细组织对于软骨完整性至关重要,软骨完整性在退行性关节疾病(如骨关节炎)中受到损害。一种吸引特别兴趣的技术是相干小角x射线散射映射;目前的研究得到了皮拉图斯(PILATUS)的支持,这是一个由保罗·谢勒研究所(PSI)开发的高像素二维探测器系统。该系统已经产生了与胶原蛋白的大规模组织和深层软骨区胶原纤维内的矿化相对应的解剖学特征的信息。从脱钙软骨骨样本中获得的结果已根据特定k空间间隔的软骨和骨成分的方向绘制,显示了胶原- ii在表层的组织和胶原- x在富含软骨细胞的深层软骨中的组织。在未损伤的软骨中,很明显,软骨的胶原- ii纤维逐渐重新定向,从平行于关节表面到垂直于软骨-骨界面。在骨水泥线(软骨固定在骨上的表面)下面,也可以看到类似的方向模式,因为骨中普遍存在i型胶原蛋白。改变k空间的间隔可以看到软骨下的特征,如微血管。
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引用次数: 0
Launch of the Journal of Disability Research 《残疾研究杂志》创刊
Q2 REHABILITATION Pub Date : 2022-10-11 DOI: 10.57197/jdr-2022-0001
D. A. Bradley
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引用次数: 0
Lived Employment Experiences of Persons with Physical Disabilities in Nepal: A Phenomenological Study 尼泊尔身体残疾者的生活就业经历:一项现象学研究
Q2 REHABILITATION Pub Date : 2022-04-29 DOI: 10.16993/sjdr.860
Samridhi Rana, Nina Murray, K. Sapkota, P. Gurung
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引用次数: 1
Self-Employment for People with Disabilities: Barriers to and (Im)possibilities in Starting and Running Their Own Business 残障人士自雇:开办和经营自己企业的障碍和可能性
Q2 REHABILITATION Pub Date : 2022-01-01 DOI: 10.16993/sjdr.909
M. Norstedt, Per Germundsson
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引用次数: 1
‘A Limited Guardian Should First and Foremost Get to Know the Person He Helps’—Experiences of Having a Limited Guardian from the Perspective of Adults with Intellectual Disability “有限监护人首先应该了解他所帮助的人”——从智障成人的角度看有限监护人的经历
Q2 REHABILITATION Pub Date : 2022-01-01 DOI: 10.16993/sjdr.949
L. Hultman, M. Tideman, M. Eriksson
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引用次数: 0
Multidisciplinary Approaches to Disability in Iceland (Late 9th–Early 20th Century) 冰岛残疾研究的多学科方法(9世纪末至20世纪初)
Q2 REHABILITATION Pub Date : 2022-01-01 DOI: 10.16993/sjdr.868
Christopher Crocker, Eva Þórdís Ebenezersdóttir, S. Ólafsdóttir, Arndís Bergsdóttir, H. Haraldsson, Alice Bower, Yoav Tirosh, Hanna Björg Sigurjónsdóttir, J. Rice
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引用次数: 0
Is There an Ableist Paradox in Frontline Workers’ Success Stories About Disability and Work Inclusion? 一线员工关于残疾和工作包容的成功故事是否存在残疾主义悖论?
Q2 REHABILITATION Pub Date : 2022-01-01 DOI: 10.16993/sjdr.838
C. Lundberg
Frontline workers are tasked with enabling the employment of disabled people. They engage with an ableist narrative that constructs disabled people as less worthy, less productive, and subordinate when they formulate contrasting narratives of disabled people as productive and capable workers. To better understand how frontline workers engage with the ableist narrative, focus group interviews were conducted with frontline workers (counsellors, employment specialists, and market coordinators) within the Norwegian Labour and Welfare Administration. Focus group interviews generate interaction data resulting from discussions amongst informants revealing aspects of frontline work assumed to be otherwise less accessible, such as success stories. The primary finding is that frontline workers bring up success stories when they are talking about disability and work inclusion. Three narrative practices of these success stories are explored, each with specific contexts and circumstances: learning, motivating, and disability branding. While these narratives aim to redress disabled people’s subordinated position, they still display ableist norms, thus suggesting that an ableist paradox exists in frontline workers’ success stories.
前线工作人员的任务是协助残疾人士就业。当他们将残疾人描述为有生产力和有能力的工人时,他们参与了一种能力主义的叙事,这种叙事将残疾人构建为不那么有价值、生产力较低和从属的人。为了更好地了解一线工作者是如何参与ableist叙事的,我们对挪威劳工和福利管理局的一线工作者(辅导员、就业专家和市场协调员)进行了焦点小组访谈。焦点小组访谈产生了互动数据,这些数据来自于线人之间的讨论,揭示了一线工作的一些方面,这些方面被认为是不太容易接触到的,比如成功的故事。研究的主要发现是,一线员工在谈论残疾和工作包容时,会提到成功的故事。本文探讨了这些成功故事的三种叙事实践,每一种都有特定的背景和环境:学习、激励和残疾品牌。虽然这些叙述旨在纠正残疾人的从属地位,但它们仍然表现出残疾主义规范,从而表明一线工人的成功故事中存在着残疾主义悖论。
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引用次数: 3
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Scandinavian Journal of Disability Research
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