75 research outputs found
Three Women/Three Margins: Political Engagement and the Art of Claude Cahun, Jeanne Mammen, and Paraskeva Clark
No full textEThOS - Electronic Theses Online ServiceGBUnited Kingdo
Legal Conscience to Legalize Euthanasia and Quality of Life in Polymorbid Patients with Permanent Disability // Правно съзнание за легализиране на евтаназията и качество на живот при полиморбидни пациенти с трайно намалена работоспособност
No full textИзследването на правното съзнание относно евтаназията и качеството на живот при уязвими групи, каквито са полиморбидните пациенти с трайно намалена работоспособност получава актуално и навременно звучене. В условията на едно демократично общество определянето на КЖ на отделната личност добива много по-важно значение, отколкото оценката на здравното обслужване чрез стандарти, медицински одит и т.н. Значителна част от пациентите, освидетелствани и преосвидетелствани от Общите ТЕЛК притежават полиморбидна патология. Поради ограничените ресурси в здравно-осигурителната система е наложително разпределението им да бъде съобразено с ясни критерии, съобразено с адекватно действащи правни норми. Едно такова проучване дава възможност да се определят значими фактори и области от качеството на живот, които въздействат при вземане на решение за евтаназия и готовността за нейното легализиране. Понастоящем действащото законодателство, касаещо въпроса за евтаназията в Република България, се изчерпва с категоричната й забрана в Закона за здравето. Конституционната разпоредба в на чл.4, ал.2 реално не възпира такава възможност, оставяйки избора изцяло в ръцете на законодателя, който ще трябва да реши проблема доколко допустима е евтаназията в български условия.Research on the legal consciousness about euthanasia and the quality of life in risk goups like the polymorbid patients with permanent disability is a contemorary and current subject matter. Defining individual quality of life in a democratic society is gaining much greater importance, compared to health services assessment through standards, medical audit, et cetera. Considerable part of patients, certified by the Disability Assessement Commission (DAC) present polymorbid pathology status. Due to limited resources of the health insurance system it is necessary to have clear cut and legally adequate criteria for fair distribution. A study like this one creates options to define appreciable factors and domains of quality of life which influence the decision making process for euthanasia and the readiness to legalize it. For the time being the current Bulgarian legislation treating the euthanasia issue is limitted to its unconditional banning in the Healthcare Law. The constitutional decree in article 4, paragraph 2 in fact does not restrain a possibility like that, thus leaving the choice into the hands of the law-maker, who should solve the dilemma how admissible euthanasia is in Bulgarian circumstances
Paraskeva, Joao M., Epistemicides: Toward and Itinerant Curriculum Theory, pp. 261-289 in Joao M. Paraskeva and Shirley R. Steinberg, eds., Curriculum: Decanonizing the Field. New York: Peter Lang, 2016.
No full textExplains the author\u27s conception of an Itinerant Curriculum Theory; relates this to several philosophical issues--primarily to issues of epistemology; advocates against a curriculum canon and the exclusion of epistemologies from non-western cultures
Preparing patients for handicap-stage assessment and the challenges for the general medical practice
No full textGeneral Practitioners (GPs) face a variety of administrative challenges during their daily work. One of them is the growing number of patients who demand assessment for a handicap stage from the Territory Expert Medical Commissions (TEMC). The General Medical Practice (GMP) is the starting point of the Expert Decision (ED) procedure. GMP is also the place where the patients come back with questions about the patients` rights which they obtain receiving ED. The people with disabilities have to traverse a difficult way in order to receive a handicap stage (percentage). The key to success is competent preparation of the patient by the GMP for the TEMC-examination. This also is a guarantee of the normal functioning of the whole System for Medical Expertise of Working capacity (MEW). The continuous medical education of the GPs is an opportunity to enrich and update their knowledge and competences about MEW-procedures. The long-term strategy is to guarantee the patient` rights which are explicitly formulated by the law. As a result, justified patients` complains will be avoided. The overall aim of the presented synopsis is to explore the process of preparing patients for handicap stage assessment by GMP and the challenges which face a GMP related to this process. The methods used are: meta-analysis of legal and medical documents for disability assessment; and participatory research method e.g. follow up of the patients` path and the procedures in TEMC. On the bases of this study recommendations are proposed referred to the effectiveness of the MEW-procedure and the role of GMP in the disability stage assessment process
MENTORING IN THE FIELDS OF PHYSIOTHERAPY AND INTEGRATED CARE
No full textcreativecommons
Index Copernicus Value:
2016 -90,65
SJIF (Scientific Journal Impact Factor):
2017 - 7,61
Global Impact Factor:
2015 - 0,787
JIFACTOR:
2015 - 0,5
back to 2018Jan-Mar;24(1)
Journal of IMAB - Annual Proceeding (Scientific Papers)
Publisher: Peytchinski Publishing
ISSN: 1312-773X (Online)
Issue: 2018, vol. 24, issue1
Subject Area: Medicine
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DOI: 10.5272/jimab.2018241.1923
Published online: 07 March 2018
Original article
J of IMAB. 2018 Jan-Mar;24(1):1923-1927
MENTORING IN THE FIELDS OF PHYSIOTHERAPY AND INTEGRATED CARE
Gergana Nenova1ORCID logo Corresponding Autoremail, Paraskeva Mancheva1ORCID logo, Todorka Kostadinova2, Kalin Mihov3ORCID logo, Svetoslav Dobrilov3ORCID logo,
1) Training and research sector of Rehabilitation, Medical College - Varna, Medical University of Varna, Bulgaria.
2) Department of Health Economics and Management, Faculty of Public Health, Medical University of Varna, Bulgaria.
3) Department of Orthopedics and Traumatology, Medical University of Varna, Bulgaria.
ABSTRACT:
A survey on the opinion of students studying Rehabilitation as a major subject on the role of their mentors and their qualities in the "Student Practice project.” The aim of the study is to investigate the point of view of the students, involved in the "Student Practice" project, about the role and the qualities that mentors and academic coaches (physiotherapists) should possess in order to be created a selection criteria. Subject of the survey are 14 students studying at the Medical College of MU-Varna which study "Rehabilitation". These students participated in the "Students practice" project for the period November 2016 - March 2017. A feedback was sought from them through a questionnaire method with an exclusively prepared for the survey questionnaire. The results of the feedback from trainees showed their increased confidence in dealing with patients and their better integration within the work team. The knowledge and skills acquired by students in the "Student practices" project are a prerequisite for the development of mentoring as a priority for the state’s education policy, with clear indications for choosing the most appropriate mentor and setting clear tasks for the acquisition of specific knowledge
Medico-social problems of Persons with Disabilities in the System of Disability Medical Assessment /// Медико-социални проблеми на инвалидността в системата на медицинската експертиза
No full textSolving of the problems of a persons with disability is one of the most important priorities in the social policies of European Union member states. The relevance of the problem in Bulgaria is defined by the increase of disability cases under the circumstances of rapidly ageing population in Bulgaria and the challenges faced by the system of disability medical assessment, the social services and the National Insurance Institute. Socio-economic and political changes after November 1989 changed the way the system of disability medical assessment (DMA) functions. The legislative prerequisites for social rights occur after an expert decision issued by the regional disability medical assessment commissions (DMAC). It is a long and rough way to the acquisition of DMA and works like a barrier to the rights and social integration of persons with disabilities. The complicated situation requires measures for improvement of social and health policies not only on behalf of the governmental but regional level as well. This requires the adoption of a disability strategy which aims complex biological, psychological and social evaluation and rehabilitation for persons with disabilities, their social inclusion and return to the labour market. Government and the society are trying to create conditions for a fair distribution of health and social resources by intermittent reforms in the system of disability medical assessment aiming strengthening of the social benefits. Attempts for solving the problem by legislation changes do not clarify the range of people affected and slow down the process of social integration of the people concerned. The system of disability medical assessment faces negative consequences as its occupation and professional, preventive and rehabilitation function is often overlooked. Revealing the roots for its ineffectiveness would create opportunities for a positive and adequate system change. Unequivocally, this will contribute to conclusive definition of the problematic sphere of disability/impairment in Bulgaria.Решаването на проблемите на човека с инвалидност/увреждане е един от най-важните приоритети в социалната политика на държавите членки на Европейския съюз. Актуалността на проблема в България се определя от нарастването на честотата на инвалидността в условията на бързо застаряване на населението у нас и предизвикателствата пред системата на медицинската експертиза, социалните служби и Националния осигурителен институт, които ги следват. Социално-икономическите и политически промени след ноември 1989 г. промениха начина на функциониране на системата на медицинската експертиза (МЕ). Законодателните предпоставки за социалните права възникват след експертното решение, издавано от териториалните експертни лекарски комисии (ТЕЛК). Пътят за сдобиването с него е дълъг и труден и препятства достъпа до правата и интеграцията в обществото. Усложнената ситуация изисква провеждането на мерки за усъвършенстване на социалната и здравната политики, както на държавно, така и на регионално ниво. Това налага приемане на стратегия за въздействие върху инвалидността, подчинена на една цел – комплексна биологична, психологична и социална оценка и рехабилитация на хората с увреждания, тяхното социално включване и връщане на пазара на труда. Държавата и обществото се опитват да създадат условия за справедливо разпределение на ресурсите на здравната и социалната системи, като периодично реформират системата на МЕ в посока подсилване на социалните ефекти от нея. Опитите да се реши проблема законодателно не изясняват кръга на лицата, попадащи в неговия обсег и имат за последица забавяне на процеса на социална интеграция на действително нуждаещите се лица. Системата на МЕ понася негативни последици, тъй като се забравя нейната трудово-професионална, профилактична и рехабилитационна функция. С разкриването на причините за неефективното й функциониране биха се създали възможности за позитивна и адекватна промяна във системата. Несъмнено това ще допринесе за определяне на проблемния кръг на инвалидността/увреждането в български условия
Itinerant curriculum theory in the making: Towards alternative ways to do alternative forms of teacher education
No full text[Excerpt] Introduction: Relying on critical, post-critical, and de/anti-colonial perspectives, this chap-ter will dissect the concept and practices of citizenship education in initial teacher education in Europe with a focus on Portugal. It is a case study that attempts to unveil how to produce alternative ways to do alternative forms (Santos, 2014) of teacher education as a way to challenge curriculum epistemi-cides (Paraskeva, 2016a, 2016b, 2016c, 2018) and to decolonize citizenship formations. In doing so, the chapter examines a teacher education project at a Portuguese university that places itinerant pedagogical and curriculum inquiry (Paraskeva, 2011) as the driving force for initial teacher education at a post-graduate level as one of the social engines of a just Union against the backdrop of rising xenophobia, islamophobia, and right wing extremist parties. […]the second author acknowledges the funding of her work by CIEd - Research Centre on Education, project UID/CED/01661/2019, Institute of Education, University of Minho, through national funds of FCT/MCTES-PT
Jupp, James C., Decolonizing and De-Cannonizing Curriculum Studies: An Engaged Discussion Organized Around Joao M. Paraskeva\u27s Recent Books, Journal of the Association for the Advancement of Curriculum Studies,12(No. 1, 2017), 1-25.
No full textIntroduces a group of articles related to two books by Paraskeva (Conflicts in Curriculum Theory, 2011; Curriculum Epistemicide, 2016); briefly explains the primary features of the author\u27s works and notes the highlights of the commentaries that follow is subsequent articles
SATISFACTION OF PATIENTS WITH ARTHROSIS FROM MULTIDISCIPLINARY COOPERATION
No full textINTRODUCTION: The research of patient satisfaction with arthrosis from multidisciplinary cooperation is related to clarifying the position and the role of the physiotherapist in public health and in the development of integrated care.
AIM OF THE STUDY: To investigate the satisfaction of patients with arthrosis from multidisciplinary cooperation.
MATERIAL AND METHODS: In this research study participated 30 patients of the Department of Orthopedics and Traumatology of University Hospital "St. Marina" EAD - Varna for the period 2012-2016 of which 13 were men and 17 women. A feedback from these patients was sought based on the 5-point Likert scale regarding their satisfaction after the completion of the work of the multidisciplinary task team that provides integrated care at home. The questionnaire includes 12 questions, grouped in the following areas: awareness, attitude / communication, time, physical activity, professionalism and benefit / effectiveness. The data were compared with the results from a study of the satisfaction of a control group of 30 patients who were treated in the same ward, but chose to continue their rehabilitation with NHIF.
RESULTS: The respondents from the test group are highly satisfied in the "awareness" area (respectively 4.80 and 4.90). They say that they have more freedom in daily activities after the procedure conducted by physiotherapist (4.93) and would seek the same physiotherapist if they need rehabilitation in the future. Patients appreciate the quality behavior/approach and communication skills displayed by the physiotherapist during the rehabilitation process (5.00), which enables them to better understand their illness (4.93). The respondents from the test group felt much better after each procedure performed by the physiotherapist (5.00) and would recommend him/her to other patients who have the same need (5.00). The satisfaction from the work of the physiotherapist is appreciated by patients extremely high, but only within the model of the multidisciplinary team providing integrated care, in contrast with the very low levels of satisfaction with the quality of rehabilitation provided by the NHIF (control group - 2:43 to issue "8" and 2.40 for question "10").
CONCLUSIONS: the leading role of the physiotherapist is definitely essential for the patient in the model of the integrated care provided by the multidisciplinary task team at home. The health problem is solved by a patient-centered approach in an environment that is familiar and close to him with almost identical costs in terms of money, time, emotions, etc. in comparison with the costs provided by NHIF
The Expert Decision - a Necessary Requirement for Social Integration of Disabled People
No full textThe realization of the rights of disabled people in Bulgaria is directly related to the activity of Medical Committee. The Expert decision published by Medical Committee is a necessary requirement for the usage of these rights. The insufficiency of a current informa- tion from available source slows down the process of social integration. Also these legal assumptions, which underline these rights are changing dynamically too. The general practice is the point of beginning, from which the procedure for certification starts. This is the place where disabled people come back and look for the answers of their questions, which are created from the Expert decision. The continuing education of general practitioners is an opportunity for improving their competence in this area
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