RESUMO

OBJECTIVE: To explore whether self-determination and family socioeconomic status (SES) mediate and/or moderate the relationship between mobility and community participation of adolescents and young adults with cerebral palsy (CP). DESIGN: Survey. SETTING: Online platform. PARTICIPANTS: Of 55 eligible adolescents/young adults with CP, 50 agreed to participate and 2 were excluded. The final convenience sample included 48 individuals (N=48), aged 15-32 years, levels I-IV of the Gross Motor Function Classification System and I-II of the Communication Function Classification System. MAIN OUTCOME MEASURES: The Temple University Community Participation Measure documented the amount, breadth, and insufficiency/sufficiency ratios of participation across 26 community settings. The ARC Self-determination Scale and the Mobility Scale of the Pediatric Evaluation of Disability Inventory-Computer Adaptive Test (PEDI-CAT) measured individuals' self-determination (ie, autonomy, psychological empowerment, self-realization) and mobility skills, respectively. The Brazilian Economic Classification Criteria-2021 assessed family SES. RESULTS: Analyses of mediating/moderating effects revealed that the influence of individuals' mobility skills on their breadth of community participation was mediated by autonomy. Family SES moderated the indirect effect of mobility on community participation breadth through autonomy. When the model was adjusted for participants' age, individuals with higher SES reported greater breadth in community participation than those from moderate and lower SES for all mobility levels. However, the magnitude of the differences among individuals of different SES levels diminished as mobility increased. CONCLUSIONS: The mobility skills of youths with CP influence their community participation through autonomy. To foster greater engagement of these individuals in the community, rehabilitation professionals should focus not only on improvement of mobility skills but also on the promotion of self-determined behaviors, especially autonomy.

Assuntos

RESUMO

Policy and legislation rarely acknowledge the importance of keeping intact ecosystems road- and railroad-free. By modeling Brazil's remaining roadless and railroad-less (RLRL) areas, we found that, although they hold the vast majority of the country's remaining native vegetation (81.5%), because of their limited protection status, only 38% of Brazil's remaining native vegetation is both protected and in RLRL areas. Current federal policy aims to develop transportation infrastructure designed with antiquated planning methods that threaten remaining intact ecosystems, while concurrently weakening the country's hallmark environmental protections and commitments. Where Brazil builds its new roads and railroads matters for conservation planning. The occurrence of native vegetation and anthropic land use is associated, at varying degrees, to transportation infrastructure throughout most of Brazil. We highlight that by pursuing conservation opportunities in RLRL areas, Brazil could instead make impactful steps for conservation, restoration planning, and tangible progress toward achieving national and international environmental and conservation commitments.

RESUMO

BACKGROUND: In Brazil, the number of physical therapy education programs and, consequently, of professionals has been growing for the past 20 years. OBJECTIVES: The objective of the study was to describe the evolution and distribution of physical therapist education programs in Brazil and to analyze the impact of workforce growth on the labor market for these professionals. DESIGN: This was a descriptive, exploratory, quantitative study. METHODS: Secondary data collected from official sources in Brazil were used. RESULTS: The first physical therapist education program was created in 1958, and, after significant growth, 536 programs were active in 2014. The historical series (1996-2014) shows a corresponding increase in the number of admissions by higher educational institutions. This expansion resulted in an increase in the number of professionals, with an impact on the labor market. The workforce in physical therapy is predominantly female, and women increased their participation in this labor market from 59% in 1996 to 81% in 2014. An increase in nominal monthly salaries was observed over the years from US $797.00 in 1996 to US $1056.00 in 2014. Nevertheless, the real average salaries, that is, salaries adjusted to inflation, have followed a trend of devaluation. LIMITATIONS: Results of this study must be interpreted in terms of overall trends rather than as precise absolute numbers due to the inherent nature of the varied secondary data sources. CONCLUSIONS: These data can support further discussion on training and the labor market in the field of physical therapy.

Assuntos

RESUMO

Transportation infrastructures are directly responsible for killing billions of animals worldwide. Although the understanding about road impacts have recently increased, the impact of railroads on wildlife has received less attention. The current knowledge concerning the impacts of railroads focuses mainly on large mammals although amphibians might be affected. Our study aims to unravel temporal and spatial patterns of Rhinella toad fatalities on a Brazilian Amazonian railroad, to comprehend how toads are killed and to estimate the magnitude of toad fatalities. Data collection was carried out on foot on an 871-km stretch of the Estrada de Ferro Carajás from 2013 to 2017. We identified different potential causes for fatalities: being run over, desiccated or with barotrauma signs. We estimated a surprisingly high carcass persistence probability of about 38 days. After correcting for the bias from carcass detection and removal, we estimated that approximately 10,000 toads are killed per year (≈ 11 fatalities/km/year). A GLM model showed that toads were more likely to be killed in the dry to wet transition. We identified critical zones of fatalities and prioritized them according to their intensity. The highly critical segments encompass >10% of all fatalities although they cover only 1.5% of the railroad. Our study is the first one to address carcass detection and persistence on railroads and to unravel patterns of fatalities of an amphibian species in a tropical climate. A better understanding of the patterns of animal fatality on railroads is of fundamental importance to manage and mitigate this impact.

Assuntos