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Despite national and international commitments to Education for
All, and the Millennium Development Goals to assure universal
primary education by 2015, over 90% of children with disabilities
remain excluded from regular education in countries of the south.
This book describes a three decade-long change initiative in India
to enable children with disabilities to move from segregation and
exclusion to inclusive education, and draws lessons for confronting
global exclusion. It examines the barriers to inclusion of children
with disabilities in the Indian sub-continent, estimated at 4% of
the population, or 40-50 million children, and implications of the
systemic failure within a human rights framework. The book
concludes with setting this initiative in a broader context of
inclusive education development efforts, and identifies lessons it
provides for a global development agenda for inclusive education,
including the importance of ensuring strategies that are culturally
appropriate and context-specific.
Despite national and international commitments to Education for
All, and the Millennium Development Goals to assure universal
primary education by 2015, over 90% of children with disabilities
remain excluded from regular education in countries of the south.
This book describes a three decade-long change initiative in India
to enable children with disabilities to move from segregation and
exclusion to inclusive education, and draws lessons for confronting
global exclusion. It examines the barriers to inclusion of children
with disabilities in the Indian sub-continent, estimated at 4% of
the population, or 40-50 million children, and implications of the
systemic failure within a human rights framework. The book
concludes with setting this initiative in a broader context of
inclusive education development efforts, and identifies lessons it
provides for a global development agenda for inclusive education,
including the importance of ensuring strategies that are culturally
appropriate and context-specific.
The optic canal, in particular its intracranial end, represents a
"locus minoris resistentiae" for optic nerve compression in a
variety of pathologic conditions. The intracranial optic nerve
shares the limited space within this narrow passage with the
carotid and ophthalmic artery, all being surrounded by bone and
rigid dura. Any pathological condition going along with an increase
of soft tissue volume, such as in optic nerve sheath tumors,
parasellar neoplasms, dolichoectasia of the carotid and/ or
ophthalmic artery, hematomas, etc. , or reduction of the lumen of
the bony optic canal by hyperpneumatization of the sphenoid sinus,
hyperostosis or developmental abnormalities must act as a
space-occupying lesion causing optic nerve compression either by
pressing the nerve against the vessel or the neighboring dura or
bone. The spectrum of clinical signs and symptoms of optic nerve
compression in this area is rather wide and includes acute as well
as slowly progressive visual loss and all kinds of visual field
defects in the presence of a normal disk, papilledema, pri- mary
optic atrophy or cavernous optic atrophy mimicking var- ious
clinical disease entities such as retrobulbar optic neuritis,
anterior and posterior ischemic optic neuropathy, soft glaucoma and
others. Some of the lesions causing optic nerve compression in this
area are rather small and need to be visualized or excluded by thin
section CT such as pneumosinus dilatans of the sphenoid bone,
dolichoectasia of the internal carotid artery, small men- ingiomas
around the optic foramen and others.
Die Zwangsstorung gilt als vierthaufigste psychische Storung (die
Lebenszeiterkrankung liegt bei 2,5 %). Neuere Forschungsergebnisse
weisen auf inhaltliche Beziehungen der Zwangsstorung mit anderen
psychischen Storungen hin, die auf einem dimensionalen Kontinuum
zwischen Kompulsivitat ("Zwanghaftigkeit") und Impulsivitat
("Dranghaftigkeit") angeordnet werden konnen. Zu diesen sogenannten
"Spektrumstorungen" zahlen unter anderem Essstorungen, Kaufrausch,
Hypochondrie, Trichotillomanie und selbstschadigendes Verhalten.
Neben Epidemiologie, Phanomenologie, Neurobiologie und Diagnostik
werden hier vor allem therapeutische Ansatze (medikamentos,
psychotherapeutisch) der Zwangsstorung und der oben genannten
Spektrumstorungen diskutiert. Das Buch vermittelt Hoffnung in der
Behandlung dieser schweren Storung und lange unterschatzten
Krankheit und betont einen integrativen Behandlungsansatz."
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