Impaired Research Articles

Legal Regulation of Employment Relations of the Disabled Workers in the BRICS Countries

According to the UN, more than one billion people in the world are people with disabilities, which is approximately 15 per cent of the total population. The number of the population with disabilities is also high in the BRICS countries. People with disabilities in the BRICS countries belong to the group of those who need special state care and the provision of additional guarantees and benefits, including labor relations. The concept of a person with a disability in the legislation of the BRICS countries has changed over time. As the practice of recent years shows, in our countries today one can observe uniformity on some issues of legal regulation of the work of disabled people. All countries in question have ratified the UN Convention on the Rights of Persons with Disabilities and implemented it into national law. However, the problems of implementing the norms on the legal regulation of the labor of disabled people remain, and they require further solutions. Obviously, further integration and joint development of the BRICS countries will help in overcoming them.

Fear of movement interacts with trunk mobility, and pain intensity to predict disability in patients with chronic low back pain: a classification and regression tree (CART) analysis.

Low back pain significantly impacts global health, particularly in low-income areas where primary care challenges are prevalent. Assessing both biophysical and psychological factors associated with low back pain-related disability is crucial for developing effective screening and management strategies. This study aimed to examine the association between fear of movement, trunk mobility, pain intensity, physical activity, and low back pain-related disability, and to identify key factors contributing to higher disability levels in patients with chronic low back pain. This cross-sectional study analyzed data from 381 chronic low back pain patients aged over 18, collected at a primary care ambulatory between 2015 and 2019. Variables measured included pain intensity, fear of movement, physical activity, trunk mobility, and disability. A Classification and Regression Tree approach was used to model disability predictors. Fear of movement was the main driver of high disability (OR = 17.3, 95%CI 8.9-33.7). Two profiles were particularly prone to higher disability: patients with high fear of movement (>47.5) and pain intensity > 1.5; and those with lower fear of movement but poor trunk mobility (>36.5 cm). Patients with better trunk mobility and low pain intensity (≤3.5) showed significantly less disability (OR = 0.06, 95%CI 0.02-0.17). The findings highlight the need for integrating better psychological and biophysical assessments in managing chronic low back pain. Understanding how fear of movement, trunk mobility, and pain interaction can improve screening accuracy and optimize care in resource-limited settings, using valid and feasible tools for these scenarios.

Capability Enhancement of People with Disability Through Leadership-driven CARE

This article aims to explore the conditions of people with disability (PwD) integration through the analysis of best practices of a successful Indian company that has adopted a singular PwD involvement policy since it was started. Our research question can be stated as follows: ‘What enablers or factors helped Vindhya in the successful inclusion of PwDs and simultaneously achieve commercial success?’ An exploratory study consisting of data triangulation of secondary data and in-depth interviews was done to get a detailed and deep understanding of the company’s successful inclusion of disabled employees. We found that a transformational leadership style prevents prejudice and expands the horizon of PwD’s capability. This is concretely implemented through a set of organizational practices involving communication, ambience, relationships, empathy, ethics and other aspects that are highlighted in this article. We briefly call the overall approach of the company ‘CARE’ (Communication, Ambience, Respect/Relatedness with employees/Recruitment, Ethics/Empathy/Enthusiasm/Engagement). The adoption of CARE-organizational practices at the studied company increased the capability set of PwDs, enhanced organizational citizenship behaviour and, as a whole, improved the organizational performance.

Toward a better understanding of barriers to wayfinding technology use for people with disabilities

ABSTRACT Wayfinding is the process of navigating from one’s present location to their desired location. While wayfinding technologies are increasingly used by people with disabilities, there is little understanding of the barriers specific to wayfinding technology. The objective of this study was to understand the wayfinding technology barriers experienced by Canadians with disabilities. A total of 213 participants with varying disabilities (i.e. mobility, visual, hearing, memory and learning disabilities) completed a survey of open-ended questions about their personal experiences with different types of technologies. Technologies were categorized into public (i.e. digital and tactile interfaces) and personalized (i.e. mobile/website applications, wearable devices, smart assistive devices), and qualitative content analysis was used. Main themes were identified and either common across both groups (i.e. compatibility, demands on personal resources, information provision, interactability) or specific to one technology type (i.e. stigma, specific to personalized technology). Detailed subthemes provided greater specificity on the types of barriers encountered. For example, infection risk was noted as a barrier to public technology and high costs was a barrier for personalized technology. Results support the inclusion of wayfinding technology within accessibility standards and provide insights to clinicians on how to best support people with disabilities and their use of technology.

The Problem of the Sexy Cyborg: The Ethics of Cyborg Imagery

In this article, I discuss two popular tropes about the cyborg in speculative fiction visual media: apotheosis — the pinnacle of human form and function; and grotesquerie — the violation of that perfection through fascinating horror. I look at these tropes in service of discussing the effects of such images and cultural understandings on actual cyborgs. The everyday or common cyborgs that are disabled people; the ones with prosthetics, who use wheelchairs, hearing aids, beta blockers, and Ritalin, who have artificial valves, knees, and pacemakers. I argue that the imagery of perfection and horror that surround cyborgs in media reinforce problematic tropes about disabled people, specifically the tropes of the super crip, pity, and bitter cripple narratives, and the ugly is evil trope where physical disfigurements and disabilities are often shorthand for moral failing. I connect these tropes to longstanding beliefs that were foundational to the eugenics movement of the 19th and 20th centuries, and that still cause resistance to robust social services for disabled people.

The purpose of life is a life of purpose: the work of the Independent Living Fund Scotland

The purpose of the Independent Living Fund Scotland is to empower disabled people to control their own support systems. Established as a ‘closed’ fund in 2015, it has been threatened with eventual closure through attrition. In response, a campaign was organised to open the fund, bolstered by two ‘social return on investment’ evaluations. As a result, the fund was opened in April 2024. This article discusses the background of the Independent Living Fund Scotland, celebrates its opening and attributes its success to being a purpose-led organisation that helps disabled people live purposeful lives.

Effects of disability employment on guest perceptions and behavioral intentions in the hotel sector

This study investigates the influence of employing persons with disabilities (PWD) in hotels on consumer behavior, with an emphasis on word of mouth and repurchase intention. The research delves into the underlying mechanisms behind these effects and examines potential boundary conditions using hotel characteristics. Utilizing two between-subject design experiments, 1443 responses were analyzed using the propensity score weighting scheme and multigroup analysis. Results reveal that PWD employment in the hotel industry has a positive impact on word of mouth and repurchase intention through the moral decision-making process, specifically progressing from moral judgement to moral obligation, and perceived corporate social responsibility (CSR). These effects remain consistent across different hotel star ratings and whether chain or independent. The findings enhance the literature on equality, diversity and inclusion by identifying the underlying mechanism of how hotel guests respond to PWD employment in the hotel industry, drawing insights from moral psychology and perceived CSR.

User Perception-Based Optimal Route Selection for Vehicles of Disabled Persons in Urban Centers of Saudi Arabia

People with disabilities (PWD), in their routine commutes, confront hindrances associated with road infrastructure in busy urban centers. The present study developed a user perception-based methodology to evaluate optimal routes for PWD in urban settlements in the Kingdom of Saudi Arabia (KSA). A survey captured the preferences for 105 PWD, consisting of 37 powered wheelchair users, 62 manual wheelchair users, and 6 artificial limb users. The multi-criteria decision analysis evaluated the accessibility index for PWD based on four criteria: length, number of junctions, absence of footpath, and slope. This study revealed that manual wheelchair users prefer the length criterion, powered wheelchair users emphasized the absence of footpaths, and artificial limb users were concerned about slope. The result showed that only two routes out of ten showed medium, while those remaining exhibited low accessibility. Most routes were relatively long for people with disabilities, focusing on the need for public transportation with special arrangements in most small and medium-sized cities, like the study area of Hail and Qassim province of the KSA, to reduce the distance and travel time. The proposed framework provides valuable insights to route evaluation for persons with special needs in the KSA and elsewhere.

Remote Kinematic Analysis for Mobility Scooter Riders Leveraging Edge AI

Current kinematic analysis for patients with upper or lower extremity challenges is usually performed indoors at the clin- ics, which may not always be accessible for all patients. On the other hand, mobility scooter is a popular assistive tool used by people with mobility disabilities. In this study, we introduce a remote kinematic analysis system for mobility scooter riders to use in their local communities. In order to train the human pose estimation model for the kinematic anal- ysis application, we have collected our own mobility scooter riding video dataset which captures riders’ upper-body move- ments. The ground truth data is labeled by the collaborating clinicians. The evaluation results show high system accuracy both in the keypoints prediction and in the downstream kine- matic analysis, compared with the general-purpose pose mod- els. Our efficiency test results on NVIDIA Jetson Orin Nano also validate the feasibility of running the system in real-time on edge devices.

Understanding Disabled Being in Terms of Corporeal Variability, Access, and Meaning

Many people conceive of disabled Being as a disadvantageous and undesirable way of existing but these characteristics are neither inherent nor immutable. Martin Heidegger’s hermeneutic phenomenology framework, with emphases on his notions of care and meaning formulation and revelation, guided the current exploration of disabled Being. In addition, the author consulted critical and crip phenomenology along with data gleaned from the lives of disabled people. The results of the exploration illuminated how interactions between bodies and entities impact access. In turn, access, defined as the ability to use entities in their intended manner, affects revealed meanings. Atypical bodies and entities generally do not mesh well which hinders access and leads to revealing negatively oriented and devalued meanings. In contrast, using entities in the intended manner to complete personally relevant activities and projects contributes to positively oriented meanings. The article concludes by outlining two concomitant actions that foster more favorable views of disabled Being. First, creating inclusive practices of care and second, promoting thoughtful, collaborative discourse that seeks valued meanings of and roles for impairments in people’s lives.

A qualitative analysis of derogatory labels used against persons with disabilities in Kashmir

ABSTRACT Approximately 15 per cent of the global population has disabilities, including 26 million people in India and 367,000 in Jammu and Kashmir. Persons with disabilities (PWD) face stigma worldwide, and derogatory labels in the Kashmiri language compound this problem. We applied stigma and labelling theories to analyse the effects of societal labels on PWD in Kashmir. Focusing on women participants, we explored the unique, gender-specific experiences of stigma they faced. We uncovered PWD’s experiences in the region through qualitative research and narrative analysis. We highlighted culturally specific labels deeply embedded in Kashmiri society, illustrating how these labels contribute to marginalisation. This approach offers a nuanced understanding of the social and emotional impacts of labelling on both men and women.

Please Understand My Disability: An Analysis of YouTubers' Discourse on Disability Challenges

Video-sharing platforms offer a unique avenue for people with disabilities (PWDs) to highlight their experiences, including the challenges and accessibility barriers they face. While creators with disabilities effectively use these platforms to share their life struggles and advocate for societal changes, the scope of research exploring the nature of the discourse activities related to disability challenges remains limited. Our study addresses this gap by conducting a comprehensive qualitative content analysis of 468 videos posted by YouTubers with a range of disabilities, including vision, speech, mobility, hearing, and cognitive and neural impairments. Our findings reveal a predominant discussion on stigma and lack of support. YouTube is also used to share difficulties related to communication and systemic problems. Creators with disabilities also share experiences with technologies and public and private environments, through which they discuss accessibility issues and solutions. Building on our analysis, we propose future research directions aimed at enhancing the experience and support for disability communities on video-sharing platforms.

Exploring public perception and utilization of medication home delivery services in the United Arab Emirates: a cross-sectional study

IntroductionThe Medication Home Delivery (MHD) service from community pharmacies involves the safe and efficient delivery of pharmaceuticals (prescription and non-prescription medications), and health products directly to the patient’s/consumer’s home. There are several issues encountered by the users of the MHD service that have an impact on their satisfaction with the service. The study aimed to assess the public’s perceptions of the MHD service in the United Arab Emirates (UAE), their willingness to utilize it, and the practical use of the service.MethodA cross-sectional exploratory study was conducted in the UAE using a validated online survey. The inclusion criteria were adults residing in the UAE. Statistical analysis was performed to identify the association between the variables, the service use, and the level of service efficiency.ResultsA total of 556 participants filled out the survey, with 69.4% of them using the service. The majority of participants were females (75.9%) and aged less than 40 years old (71.6%). Three variables showed a statistically significant association with the use of the MHD service (P < 0.05): the participant’s educational level, their medical/health background, and the frequency of visits to community pharmacies. The most common issues raised were receiving the wrong order, delay in delivery, and paying delivery fees. Most participants agreed that the MHD service reduces the risk of exposure during pandemics, serves the elderly, serves disabled people, makes it more comfortable for parents with children at home, and reduces overcrowding in health facilities, as well as the MHD service making pharmacy services more efficient.ConclusionThe study indicated positive perceptions among the public in the UAE towards the MHD service. However, there was a concern that this service may diminish the communication between pharmacists and patients, which potentially minimizes the amount of information received by patients regarding their treatments.

‘A lot of social workers don’t seem to understand or realize the harm that they cause’: Disabled young people’s experiences with sexual well-being in social work practice

Abstract Young disabled people are disproportionately excluded from equal control, access, and choices concerning their sexual and reproductive rights. While sexual citizenship is founded on a rights-based approach and is closely connected with social work values such as empowerment and entitlement to full participation, many social workers do not include dimensions of sexual well-being in their scope of practice. This phenomenological study explores how social workers address the intersection of sexual well-being and disability from the perspectives of young disabled people. A total of twenty-four semi-structured interviews were carried out with individuals between the ages of 17 and 24 in Ontario, Canada, who identify themselves as disabled and have had prior interactions with a social worker. Social workers adopting risk-averse approaches negatively impacted the trust between young people and their social workers. Young people expressed their discontent with sexual well-being being deprioritized in practice, as participants considered dimensions of sexual well-being to be closely related to their physical, mental, and emotional health. Participants overwhelmingly reported that social workers should discuss sexual well-being with service users using sex-positive perspectives. The findings highlight the importance of holistic and comprehensive social work practices, including sexual well-being and sex-positive perspectives.

Mobility Abilities Mediate the Association of a More Active Lifestyle With Mobility Disability in Older Adults.

Few studies have analyzed sensor-derived metrics of mobility abilities and total daily physical activity (TDPA). We tested whether sensor-derived mobility metrics and TDPA indices are independently associated with mobility disabilities. This cohort study derived mobility abilities from a belt-worn sensor that recorded annual supervised gait testing. TDPA indices were obtained from a wrist-worn activity monitor. Mobility disability was determined by self-report and inability to perform an 8-feet walk task. Baseline associations of mobility metrics and TDPA (separately and together) were examined with logistic regressions and incident associations (average 7 years follow-up) with Cox models. Mediation analysis quantified the extent mobility metrics mediate the association of TDPA with mobility disability. 724 ambulatory older adults (mean age 82 years, 77.4% female) were studied. In separate models, mobility abilities (eg, step time variability, turning angular velocity) and TDPA were related to mobility disabilities. Examined together in a single model, mobility abilities remained associated with mobility disabilities, while TDPA was attenuated. This attenuation of TDPA could be explained by mediation analysis that showed about 50% of TDPA associations with mobility disabilities is mediated via mobility abilities (prevalent mobility disability 54%, incident mobility disability 40%, incident loss of ambulation 50%; all p's < .001). Sensor-derived mobility metrics assess more diverse facets of mobility. These metrics mediate approximately half of the association of higher levels of daily physical activity with reduced mobility disability in older adults. Findings may inform the design of targeted interventions to reduce mobility disability in late life.

Inattention blindness during walking in people with MS is exacerbated by mobility disability and distraction: Preliminary evidence from a case series

Inattention blindness during walking in people with MS is exacerbated by mobility disability and distraction: Preliminary evidence from a case series

The Vocational Card Sort used in career counselling with disabled ex-services people

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Keep it Movin': Design and methods of a church-based physical activity program to improve physical function among midlife and older black adults.

Older Black adults have high rates of physical function (PF) limitations. Physical activity (PA) is effective for improving PF and reducing mobility disability risk; however, community-based PA interventions focused on improving PF for older Black adults are lacking. Given the importance of churches as trusted institutions in Black communities, church-based interventions developed through community collaborations may help increase access to PA interventions. Keep it Movin' is a church-based cluster randomized controlled trial testing the effectiveness of a 24-week group-based (intervention arm) versus a self-guided (comparator arm) program in improving PF among Black adults aged ≥40 years with PF limitations (short physical performance battery [SPPB] score ≤ 9). A church-wide virtual walking program is available to congregants in both arms. The intervention arm receives weekly group-based classes held at the church that include education, goal setting, and structured PA (walking, lower-extremity strength, balance, and stretching). The comparator arm receives educational materials about PA appropriate for people with PF limitations. Outcomes are assessed at 6 (program completion) and 12 months (maintenance). The primary outcome is PF change as measured by the SPPB at 6 months. Secondary outcomes include change in moderate-to-vigorous PA, social support and self-efficacy for PA, quality of life, and self-reported PF. Factors related to successful adoption, implementation, and maintenance are assessed using the Reach, Effectiveness, Adoption, Implementation, and Maintenance (RE-AIM) framework. This is the first study to evaluate the effectiveness of a group-based PA program delivered in Black churches to improve PF.

Biogenic silver nanoparticles synthesized using rose petals: Potential to inhibit multidrug-resistant bacterial pathogens in disabled patients

BackgroundDrug resistant bacterial infections can be fatal for disabled people needing multiple medications and new effective antibacterial drugs such as biosynthesized nanoparticles are needed. A cost-effective and green method was studied for the biosynthesis of silver nanoparticles using pink rose petals. Materials and methodsSilver nanoparticles (AgNP) were synthesized using the petals of pink rose flowers. The AgNPs were characterized using FITR, SEM, XRD, and EDS analyses. The antibacterial activity of the AgNPs against multidrug-resistant bacterial pathogens Staphylococcus aureus, Escherichia coli, Acinetobacter baumannii, and colistin-resistant Klebsiella pneumoniae were studied using the microplate method. ResultsTh AgNPs had a spherical shape and an average size of 26 nm. XRD analysis showed that the nanoparticles were Ag0. Antibacterial activity was the highest against the multidrug-resistant S. aureus the minimum inhibitory concentration (MIC) being 400 µg/ml AgNPs. The multidrug-resistant E. coli, multidrug-resistant A. baumannii, and colistin-resistant K. pneumoniae MICs were 800 µg/ml, 3200 µg/ml, and 1600 µg/ml, respectively. ConclusionThe green synthesized of AgNPS using pink rose petals and their antibacterial effects offer material for the treatments of common multidrug-resistant bacterial pathogens.

The needs and prioritization of nutrition and dietary support for individuals with disabilities: an exploratory study

Objectives: Based on a survey of officers, social workers, and dietitians involved in managing nutrition and welfare policies or projects for vulnerable groups in local governments or private welfare institutions, this study aimed to assess the need for nutritional and dietary support policies and programs for persons with disabilities (PWD), as well as to identify appropriate support measures. Methods: An online survey was conducted from March 2 to 15, 2021. The survey included 20 questions exploring perspectives on the nutritional status of PWD, their need for nutritional and dietary support policies and programs, and the prioritization of appropriate support measures. A total of 132 responses were analyzed. Results: Approximately 68.9% of the respondents rated the nutritional status of PWD as “bad” or “very bad.” A substantial number identified “difficulty in purchasing ingredients, cooking, and preparing meals independently due to disability,” and “limited knowledge about nutrition and recipes necessary for maintaining a healthy and balanced diet” as the primary challenges in the dietary and nutritional management of this population. Additionally, 97.0% of the respondents deemed that the introduction of nutritional and dietary support policies and programs for PWD was “needed” or “very much needed.” Priority strategies to implement and strengthen these policies and systems included the “development of customized programs and services tailored to the needs and demands of the target population” and the “establishment of a dedicated department with specialized personnel.” Conclusion: Comprehensive nutritional and dietary support policies and programs should be actively implemented to ensure a healthy and stable diet for PWD, tailored to meet their actual needs and demands.