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Author: admin, 04.02.2014. Category: Tinnitus Causes And Cures

Inclusion Paradox Sightings – Every day evidence of the inclusion paradox all around us. As minorities become majorities, organizations must rethink the conventional dimensions of identity and inclusiveness.
Deep in the pristine laboratories of pharma giant Roche in Basel, Switzerland, molecular scientists are experimenting with and achieving breakthroughs on a new understanding of diversity. In this era, we need to invent “precision talent” strategies applying principles analogous to what pharmacologists are doing with drugs. The answers to these questions also challenge many current talent strategies that are failing to address the implications of ultradiversity. In recognition of National Coming Out Day, my thoughts about diversity and inclusion and those who are lesbian, gay, bisexual, or transgender were published by the Huffington Post. To be out or not to be out: a difficult, often agonizing decision that those who are lesbian, gay, bisexual, or transgender (LGBT) must grapple with continually.
Recent events would lead us to believe it’s safer to be out today than it was in the past. In fact, a 2011 survey by the Center for Work-Life Policy revealed that 48 percent of LGBT workers do not feel free to be out at work. In my work as a diversity practitioner and as president of Diversity Best Practices, I’ve seen companies pay a heavy productivity cost due to this disengagement.
On this day, thanks to the LGBT community, we have the opportunity to raise a banner on behalf of everyone who feels that they must hide who they are.
The LGBT community has led the way in illustrating both the impact of not being out and the power of being out.
According to a Washington Post article, Summitt’s coaching assistants will take on more of the day-to-day and game-day coaching responsibilities, as her role will transition into more of function of leading and teaching. As sad as this news may seem, Summitt said, “There’s not going to be any pity party, and I’ll make sure of that. Living her life is important for Summitt and for the 16 million Americans who are projected to get the disease by 2050. Employers will have to figure out how to deal with the increasing number of employees who are diagnosed with the disease or those who are also caregivers for affected seniors. In the Lisa Genova novel, Still Alice, readers follow the decline of Alice, a Harvard professor with early onset Alzheimer’s. Alzheimer’s disease, like many other disabilities, is an illness that no one really likes to think about.
Neither Summitt, nor her doctors or colleagues can predict how the disease will play out in her life.
It’s so easy for sensitive and inclusive diversity practitioners to not forget to include “disability” in the laundry list of diversity issues that must be addressed. For the organizational gyroscope on disability inclusion to be properly calibrated it’s vital to have a leader or change agent involved who also has a disability to ensure the readings of the visible and invisible oscillations are true and helpful to navigate through them. To break bread over a meal is always a choreography as we sit, serve, chew, talk, listen, gesture, sip, swallow. As much as Serasa Experian is a values-driven organization that believes in diversity, inclusion, and the financial power of having an engaged workforce, the catalyst for their extraordinary story around disability diversity was the law that set a quota for the percentage of people with a disability that should make up Brazilian companies’ workforces. And here’s a telling contrast between disability-related laws passed in Brazil and in the US, not only how compliance brings about change, but also on how the law is framed impacts the outcomes. So with this compliance framing, the US ends up with wheelchair accessible buildings and handicapped parking sprouting up systematically throughout the country yet not with very many people with disabilities in the workplace. Conversely, through compliance Brazil chose to emphasize representation but not so much accommodation in public spaces. As I heard the stories of Nancy, Diego, Felipe, Lais, Joao and observed their working environment it reinforced for me that in this upside down world we need to redefine what we need disabled and accommodation and instead talk about being differently abled. Before I elaborate, let me insert this caveat: In making the point that follows, I do not intend to equate all limitations as being equality difficult or easy or equally costly or painful. A little later a sign language interpreter comes in to further facilitate the conversation for Felipe’s benefit, particularly as I am asking questions of my new acquaintances. The first time around Joao and Tomas had shared their holistic diversity strategies with me and sought my reactions.
What unfolded during the conversation was a narrative about the intersection of disability with identity, prejudice, humanity, career, autonomy, freedom, and ambition.
Whether in words or in their stories, Felipe, Diego, Nancy, Lais, and Joao said the same thing: for those with disabilities, autonomy and independence which lead to freedom to pursue their goals are their greatest desire and what they pursue relentlessly. Of course, they avail themselves to technology such as the cochlear implant, the screen reader that magnifies text on computer screens, the TDD telephone, as well as other support mechanisms such as the sight dog, the translators, ramps, and doors that always open outwardly. Work also allows each of these individuals to pursue their inner passions and to now make a living off of them. Their stories make clear how affirming and dignifying it is to have a job, not just for those who have a disability but, when seen through their eyes, really for all of us.
Truly homogenous populations exist perhaps in only a few tiny regions in the world–in ancient, relatively untouched cultures. According to this Wall Street Journal analysis, China faces challenges fully integrating its Han culture, within which there are distinctions between Cantonese, Hakka, Fujianese, and others. As China seeks to expand its economic growth beyond its Tier 1 cities, minority cultures feel the crunch. A more obvious challenge for the Chinese is its ongoing gender imbalance, which threatens to get worse in coming decades. As Chinese companies go multinational, they’re falling into the same ethnocentric traps other economically expansive countries such as Britain, the US, and Spain have experienced throughout the centuries.
It was a first-time experience for me: the lecturer at a breakout session during the Indiana Conference on Cultural Competency for Behavioral Healthcare was presenting in American Sign Language (ASL) on deaf culture to a roomful of mostly hearing people like myself.
As I focused on watching the lecturer and listening to the translators, it dawned on me that anytime I had seen ASL being used in a public setting, it was to translate spoken English, Portuguese, or Spanish into ASL for the handful of deaf attendees.
In one of my keynotes speeches, I talk about our current upside-down world, and I make the point that to be disabled is instead to be differently abled. As I paid attention to Ann Riefel, the ASL chair at Vincennes University, I heard about the differences between hearing and deaf cultures and I began to enter a learning space where I awoke to a new paradigm.
Deafness is one of the most overlooked and misunderstood dimensions of diversity not just outside the diversity and inclusion field, but actually within it. Here is the clincher: the deaf don’t want to be seen as people with a disability, but rather as a linguistic minority with its own language and culture. Riefel’s lecture laid out ways in which ASL is not a manual way of turning English words into hand signs, but rather how ASL is a separate language altogether. Riefel also explained how the deaf form a different culture compared to that of the hearing. Riefel referred her listeners to a couple of books by Harlan Lane, which I downloaded into my iPhone’s Kindle app as she was wrapping up her lecture.
Lane also points out how in the name of helping the deaf (defined as those born deaf versus those who have become hearing impaired through illness, accident, or age), the interests of the deaf have not been met, as the hearing are the ones who decide what is best for them. And what happens when individuals cannot communicate in their native language or the world around them does not know their native language? Riefel, Lane, and others, take this even further in contending that deafness is not a disability. This mind-bending understanding of deaf culture raises questions not only of ways in which we may have been advocating—if we have at all—for deaf employees, but also where we may be having significant blind spots around other groups whose abilities are different from the majority’s.
Do we really understand what the blind need, what those with Down’s Syndrome need, what the quadriplegic need? Just because the deaf can’t hear, the blind can’t see, and those in wheelchairs cannot walk, their voices about their needs and their identities must be heard as the first and primary order of business. I hope you will carry this message with you as you strive to advance diversity and inclusion within your organizations. October is National Disability Employment Awareness Month (NDEAM) – a month-long event that takes aim at the barriers to employment that workers with disabilities still face and the workplace discrimination that continues to exist. Her words bring me to the central question at the heart of her poem, “What do we see when we look at each other?”  We seldom “see” or “think” of artist, performer, or writer when meeting someone with a disability. In her vocational choice, Ms. Overcoming the ancient caste system in India is one of the country’s difficult challenges: How can a country uproot a system that predates the Bhagavad Gita?
Through Indian eyes, an understanding of the caste system goes far deeper than what is described in most Western literature. More recently, skin color has become a basis for subtle discrimination in India and other Asian countries. But with the growing numbers of women attending college and with that finding their economic and social power rising, at least in modern India the lot of women is improving.
Unlike many of its Asian counterparts, a rapidly aging population is not a critical concern for India. India’s disability act, originally instituted in 1995, provides for children and adults with disabilities. That said, inadequacies exist, and attempts to broaden disability law as recently as February 2010 have failed.
Gay rights in India took a giant leap forward last July, when India’s high court decriminalized gay sex.
The explicit issue of diversity in workplace is starting to pop up more in corporate India with some organizations even appointing diversity leaders. You’ve likely heard reference to the dramatic rise in ADHD diagnoses, autism,  and learning disabilities. Roughly 15% of Americans have some form of learning disability—ranging from mild to severe. Nadine Vogel, Founder and President of Springboard Consulting LLC, reports in her blog that Avis has taken the lead in expanding their market to those with disabilities. Avis is taking steps to make addressing the needs of those with disability just another way in which they meet their diverse clients’ needs. For some of us, a variety of conditions—concealed or not—make work a difficult proposition. Unfortunately, fear will be an increasingly unproductive response to addressing disability in the workplace. Roughly 13% of adults between the ages of 21 and 64 have a disability—and the number climbs to 41% of adults age 65 and over, according to the 2009 Disability Compendium. Aging alone increases the risk of disability (the numbers above show disability rates tripling for those 65 and older). Not confined to the elderly or obese, arthritis is another disabler—in fact, it is the number one cause of disability in the United States.
Younger, seemingly healthy workers bring along issues as well, although theirs are sometimes more hidden. In 2007 disability advocacy organization Access Living opened the doors to one of the first buildings in the U.S. Everything about the new building, from its automatic front door, wide hallways, stadium style restroom access, light sensitivity controls, and video relay systems, to its significant use of post-consumer and post-industrial recycled materials, makes it stand apart as a model of accessibility and sustainability on the Chicago skyline. Situated in a visible, central location near converging lines of accessible public transit, Access Living can reach deeper into the Chicago community than ever before.
Brick by brick, the people within the building are working to tear down the shameful wall of exclusion that for so long has separated people with disabilities from equality, and replacing that wall with pride, dignity, and empowerment.
Instead, she left Taiwan to go to the School of the Art Institute of Chicago for her BA & MA.
Sandie also creates baby “onesies” with doodle-like representations of hands with varying numbers of fingers. That’s because strategy is about identifying the one or two things that are going to be pursued and, by inference, the 100 other things that could but will not be. What is hard is being able to pinpoint that linchpin issue — the one thing around which everything else gravitates.
Diversity & inclusion strategy is no different, even though it may seem hypocritical to declare what approaches to achieving inclusion are in and which ones are out. So in this spirit, here’s my stab at what I believe are the linchpin strategies for 9 different current diversity issues. For the LGBT community, the top priority should be to seek full equality through the courts and legislation–not at the referendum ballot box. Marine Corps reservist Mauricio Mota served in five combat zones between 1987 and 2008, the last one in Iraq, where he slept next to what he described as “deafening” field generators and rode in loud helicopters. Toward the end of his Iraq tour, the now-retired staff sergeant said he realized his hearing had gone bad. Hearing injuries are the most commonly documented trauma, said Forbes, a Marine veteran who has a doctorate in audiology and served during the Gulf War and Somalia conflicts.
Despite being such a prevalent condition, hearing problems don’t get much attention, because “in general, very few people die because of hearing loss,” said Theresa Schulz, a retired Air Force audiologist who now works in a similar capacity for Honeywell Safety Products.
Shortly after his discharge, Mota was with his family at a mall when he stopped at a hearing professional’s office to get tested. Last year at a Marine Corps ball, he noticed that many of his buddies seemed to have trouble hearing, too. One of his Marine buddies wears hearing aids in both ears; necessary, he said, because of noise exposure over his career. Peworski was exposed to several factors that cause hearing impairment for military personnel: loud noises from trucks and helicopters, as well as machine-gun bursts and artillery fire. In October 2008, Congress mandated a Pentagon-based office that would determine ways to prevent, diagnose, mitigate, treat, rehabilitate and research hearing loss and auditory issues for active-duty service members and veterans. Experts say too few returning veterans, like most people, don’t seek medical attention for their hearing loss when they first notice it. Prolonged excessive noise damages hearing, according to the National Institute of Deafness and Other Communication Disorders (NIDCD), a division of the National Institutes of Health. Loud noises also damage the auditory nerve, another hearing component that helps translate sound waves into signals the brain understands. Hearing also can be damaged significantly by a single impulse sound — gunfire, for example.
Normal conversation is considered to be “safe” at a sound level of 60 decibels, according to the NIDCD. On flight decks, noise levels are around 130 decibels and helicopter noise is around 100 decibels, according to military noise assessment.
Another feature of blast injury and hearing impairment is that it likely will show up later, often as part of blast-induced traumatic brain injury.
Brett Buchanan, an Army veteran, is a claims agent for Allsup, a Belleville, Ill.-based national disability representation company that helps veterans through their medical appeals. If veterans wait seven years, Buchanan said, their time discharged might be longer than the time they served on active duty.
Brogan uses a device called CapTel lets him hear and read a transcription of telephone conversations as he listens to them. The VA and the Defense Department had worked together for about a decade, but the formal establishment of the HCE and its “one voice,” Dennis said, “is a welcome development.” That focused effort also could lead to much-needed advances in technology. International Shipping - items may be subject to customs processing depending on the item's declared value. Your country's customs office can offer more details, or visit eBay's page on international trade. Estimated delivery dates - opens in a new window or tab include seller's handling time, origin ZIP Code, destination ZIP Code and time of acceptance and will depend on shipping service selected and receipt of cleared payment - opens in a new window or tab. This item will be shipped through the Global Shipping Program and includes international tracking. Will usually ship within 1 business day of receiving cleared payment - opens in a new window or tab.
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Not that they would characterize their quest for blockbuster designer drugs in terms of understanding diversity. Demographic changes have been so massive in the past generation—in nearly every country in the world—that while diversity is more relevant than ever, the way we think about it is obsolete.
The intentions may be benevolent or sinister, but either way they have a damaging effect on societal wellness as well as talent strategies. This comes at great personal cost, and it robs organizations of getting the best contributions from their LGBT talent, because closeted employees must divert a substantial amount of their creative and emotional energy toward obscuring and deflecting a fundamental aspect of their identity.


While not presuming any equivalency in the ways people address their hidden differences, people with hidden disabilities, for example, often weigh whether they should reveal what makes them different from their colleagues. It’s time to stop being bystanders and start pressing more forcefully for nurturing, welcoming environments that draw people out of their closets.
And with plenty of more wins still in her sights, the legendary University of Tennessee women’s basketball coach Pat Summitt was recently diagnosed with early onset Alzheimer’s disease. According to the Alzheimer’s Association, more than 5 million people in the United States have the disease — including 200,000 younger than 65 — and it is the sixth-leading cause of death in the country.
Societies across the globe will have to adjust to the increasing numbers of seniors with Alzheimer’s as its toll hits family and governmental budgets. Told from Alice’s perspective, the novel illustrates how everyone around the person with the disease has to adjust to the disease — her family, friends, and employer.
But how well do we, plus business and HR leaders and managers, truly know how to best meet their needs?
It’s no surprise then that under a diversity leader with a disability such as Joao, that Serasa Experian’s has become a benchmark for best practices for creating inclusion for salaried professionals with a disability. Without missing a beat, they joined the dance in anticipatory ways as they put placemats, salt and pepper shakers, glasses within the reach of the one who has blind, at times guiding his hands toward the desired object, ensuring line of sight with the one who was deaf so he could read their lips, cutting the meat into bite size pieces for easy access. It is the result of an explicit, deliberate strategy that has been well communicated and where all employees have been properly oriented to best create an inclusive environment for those with disabilities.
It was in response to this that they brought in Joao who then had the powerful combination of a compliance mandate plus a leadership team that wanted to go beyond doing just enough.
I see organizations and society resisting proactive and reactive accommodation because of cost and inconvenience, But let’s get some perspective about what accommodation really is. In essence all things above have to do with an element of limitation of the human body and mind.
In the executive dining room, engineer Felipe Trigueros could not hear me because he is deaf, so I turned to face marketing assistant Diego de Castro who could. But after a few communication gestures he stops and Diego picks up again with the silent mouthing.
I’m at Serasa Experian, a leading Brazilian global information services company, at the invitation of their diversity leader, Joao Baptista Ribas. On this visit we were going to dive specifically into their disability diversity work by, most importantly, meeting and having in-depth discussions with the talent with disabilities Serasa Experian had hired.
As I walked the hallways later I met and saw dozens of employees in wheelchairs, dozens who were blind, dozens who were deaf, carrying about the business of accounting, programming, writing, marketing, etc. When I ask Lais how she ended up being a proofreader she tells me enthusiastically, “I have always loved to read. Eight different languages make up the Han culture, and while Mandarin is officially spoken, it isn’t necessarily the language spoken at home. In 2009, ethnic tension resulted in bloody conflicts between China’s Hans and Turkish-speaking, Muslim Uighurs. For centuries, relative tolerance existed, but from the 1950s onward homosexuality was forbidden. Anthropologist Chan Wan, who is also assistant professor in the Department of Chinese at Lingnan University in Hong Kong says that China not tending to encourage or even acknowledge diversity hinders its business growth. But that afternoon, in Indianapolis, I understood this at an even more profound level than I had ever before.
As you continue to read think about how we may be inadvertently reinforcing audism—the discrimination of those who are deaf—even as we advocate on behalf of the deaf.
Like differences between various spoken languages, the syntax, word order, and even the words used in a sentence can be quite different between ASL and English. As I listened to her explanations, the descriptions matched the framework used by interculturalists such as Fons Trompenaars.
Body language is more expressive (featuring the highly animated use of all facial muscles, especially the eyes) and demonstrative (hugging is quite common).
When the Mind Hears: A History of the Deaf, compellingly describes how, for centuries, the deaf have been an oppressed language minority group. A New York Times article explores some of this controversy that is getting renewed attention because of state budget woes. It’s the hearing who own the schools for the deaf, have advocated for mainstreaming the deaf into classrooms for the hearing, and are most likely their teachers.
In fact, labeling deafness as a disability has done significant harm to deaf self determination and identity. It must be respected and understood as being as equally valid as other cultures, including such as the Asian-American, African-American, and hearing cultures. If not, those of us who are hearing, have vision, and can walk will not hear the message, see the possibilities, or walk the talk. Each year, NDEAM develops a theme and a poster that promotes awareness of the topic and emphasizes the many talents, skills, and viewpoints that employees with disabilities bring to work.
In addition to writing, performing, and creating imaginative computer generated compositions, Ms.
Hershey asks, basically, what people see when meeting her for the first time, and what fear do they “unlearn” by getting to know her.
Roughly three-quarters of its roughly 1.17 billion people are Indo-Aryan, and Dravidians make up another large chunk. It was, for centuries, a useful mechanism for absorbing nomadic populations from Central Asia providing peaceful, stratified socio-economic order. Skin whitening products in India generate $500 million annually, with most of the popular Bollywood stars endorsing one or another whitening product.
Sex-selection abortions are on the rise in some parts of India, with some women choosing to abort female fetuses. But even here, women face a very visible and strong glass ceiling for management and leadership positions. These include dyslexia, dyscalculia, and dysgraphia, (difficulties in reading, math, and writing respectively), auditory and visual processing disorders, and spatial disorders. All of them present challenges—for children in school, and, as they grow, for adults in the workplace. Added to traditional disabilities, the list of “conditions” to accommodate grows ever longer and more daunting.
According to business consultant Debra Brooks, the company recognizes and values the creativity that learning disabled workers can bring to the table. In my case, for example, three of my adult friends have more than 70% hearing loss in one ear. And yet, disability remains the diversity issue we fear most, as described in The Inclusion Paradox. This includes individuals with sensory disabilities, physical disabilities, and mental disabilities. People with rheumatoid arthritis, for example, are more likely to use sick days, have a greater rate of work-related physical limitations, and have a higher unemployment rate due to their disability, according to this Health Central report.
When facing declining mental stability or obesity, to name a few possibilities, the bar is raised. Every day, scores of people, both long-time members and new visitors, flow in and out of the building to use the mainline or video telephone service, extensive reference library, visit the history exhibit, or meet with staff to advocate for housing, transportation, job, and bias issues critical to people with disabilities. Access Living continues its efforts to create one Chicago — an integrated, accessible community where everyone has equal access to the cultural, educational, and employment opportunities the city has to offer. During her time there she learned about disability culture and began to think of her difference as a valuable attribute instead of a disability. The first story is one of cultural oppression, of people with physical disabilities being treated as invisible in Taiwanese culture as in so most cultures around the world. The ballot box strategy requires convincing majorities to change (or at the very least follow through on) their beliefs in the face of controversy. The most-widespread injury for veterans has been hearing loss and other auditory complications, according to interviews and benefits data.
Dan Benishek, R-Mich., chairman of the Subcommittee on Health of the House Veterans’ Affairs Committee, said in a telephone interview that 25 to 30 percent of VA disability claims involved hearing.
Charles Peworski’s last hearing test was in 2004 despite the fact that he knows his hearing is a problem. Out of the 10 guys in my unit, when we get together we say, ‘You know I can’t hear…talk to my good ear,” he said.
Loud noises destroy the ear’s special cells, called “hair cells.” The ear cannot grow new hair cells. A soldier near an M60 machine gun is exposed to 150 decibels and within 50 feet of an exploding grenade, 160 decibels. Eardrums can rupture at pressure as low as 5 pounds per square inch, a fraction of what it takes to damage internal organs.
After speaking at an association convention, he now is invited to speak on many speaking panels, for organizations such as the HLAA and the Veterans of Foreign Wars. Vickie Tuten, associate director for the Hearing Center of Excellence, and Kyle Dennis, the VA representative to the center, work together to assure veterans’ well-being. If you'd like to get the additional items you've selected to qualify for this offer, close this window and add these items to your cart. Contact the seller- opens in a new window or tab and request a shipping method to your location. You have read and agree to the Global Shipping Program terms and conditions - opens in a new window or tab.
Import charges previously quoted are subject to change if you increase you maximum bid amount. But their work is now guided by a scientifically evolved understanding that human beings are so genetically diverse that the future of curative and palliative care lies in moving away from the manufacture of mass-application drugs, in favor of drugs that are personalized to each individual patient’s chromosomal profile. The stalwart paradigms of group identity based only on race, gender, age, sexual orientation, or disability no longer cover the scope of our multidimensional identities. If we ignore the reality that these differences exist and are only getting more complex, and that they must therefore be addressed, we will contribute to mounting social and work force pressures.
What does it mean that those who are young have more experience with the supernova-hot trends of digitization, social media, and globalization than 25-year careerists do?
These then can serve as templates for exploring the implications for a much broader set of diversity issues such as globalism, nationality, faith, generational thinking styles and personality, to name just a few.
Nevertheless, despite this progress, bigotry and discrimination endure, and fear of judgment or rejection still prompts many to keep their LGBT identities hidden. Pronoun minefields must be navigated, weekend-plan conversations must be repositioned, and preferred ways of expression must be curtailed.
And for those who are feeling trapped, as these environments begin to change, it’s time for the courage to push the door open from the inside and step out of the shadows. And as far as I’m concerned, it’s not going to keep me from living my life, not going to keep me from coaching.” She made these remarks in an interview with The Knoxville News Sentinel. For instance, the cost of caring for people with Alzheimer’s will be $183 billion in 2011, an $11 billion increase over 2010. It attacks the very concept of who we are and ultimately robs its victims of their identities and sense of purpose. My sensory disorientation during my lunch time conversation with Felipe, Diego, and Joao was indicative of my being blind to the subtle needs of those who couldn’t see and unable to truly listen for the needs of those who couldn’t hear. Conversely, as tuned in as the waiters were to the special needs they needed to tend to as part of their job, the executives at the neighboring table carried on with their business, not in a oblivious or neglectful way, but rather in a casual way that indicated that the extraordinary choreography nearby was an ordinary part of life at the company.
Brazil ends up with a much better workplace representation story but poor accessibility of public spaces. But it was Felipe who needed me to look at him so he could read my lips while Diego couldn’t even tell which way I was facing.
I had met Joao and his boss, Tomas Carmona, the head of Sustainable Development, on a previous visit. Joining Joao, Felipe, and Diego in the conversation were Nancy Galvao who is a journalist and whose right hand withered when she contracted polio, and Lais Kari, who is a proofreader and blind — yes she is, and is among Serasa Experian’s best doing that kind of work. China has invested $100 billion in the remote Xinjiang region where the violence occurred, so addressing ongoing tension will be critical. Ironically, as noted by the Population Reference Bureau, only 25 years ago China thought it faced the opposite problem: too many children. In 2004, an estimated 5 to 10 million Chinese men between ages 15 and 49 reported being gay. When in comes to social events and time, the deaf tend to be more event oriented than clock oriented and they are more group oriented than individualistic when it comes to their sense of identity.
In his second book, The Mask of Benevolence: Disabling the Deaf Community, Lane makes the case that the deaf continue to be marginalized as he draws parallels between how ASL and spoken languages such as Tamil in India, Turkish in Denmark, Basque in Spain, Spanish in certain parts of the United States have been suppressed in societies where there is a different dominant language. This puts the deaf at a significant disadvantage by forcing them to operate with their second, and not their primary, language. Asking them to learn English and not teaching them in ASL is to impose the values and approaches of the hearing onto the deaf. This travesty was further reinforced when deafness was thrown into the Americans with Disability Act. Therefore, to engage with those who are deaf we all need to demonstrate greater crosscultural skills in order to be inclusive of one another. When making decisions that affect these communities, how much of a voice do they have in the decision-making process? The Inclusion Paradox’s chapter, Disability: The Diversity Issue We Fear the Most, suggests that what we really see is our own vulnerability.
Crimes against them, sometimes including rape and murder, but more frequently less violent crimes, can go unpunished.
While India recognizes that the system no longer applies, the societal movement away from it has been moving slowly. In southern India, lower castes have been struggling toward equality since the early part of the 20th Century, focusing particularly on education and business success, as noted in the New York Times. Earlier this year, Hindustan Unilever, which markets a Vaseline-brand whitening product, created an uproar when it launched a Facebook app that digitally lightens photos to be posted in social networking sites. Although it is illegal, some estimate that up to one million unborn girls are aborted every year in India.
For example, among developed countries, Ireland has the oldest mothers, at an average age of 31. Basic guarantees, such as protection from cruel and inhuman treatment, the right to marry, and the right to own property, currently are not addressed.
But as this quick survey piece shows, plenty of diversity topics are stirring in Indian society but its all prologue right now.
But another question, more pertinent for this blog: What is happening to tomorrow’s (and today’s) workforce? Some of these disabilities require accommodations, albeit not traditional disability accommodations. Employers are wise to remember that people with learning disabilities are not less intelligent—in fact, evidence suggests their disadvantages often are balanced by advantages in other areas, such as creativity and inventiveness. Pointing fingers, quietly cringing, or even simply trying to look the other way are counterproductive tactics.
Many local organizations use it to host public forums, hearings, symposiums and other events, helping raise the visibility of disability culture. Sandie has now returned to Taiwan as an art therapy teacher, assisting others with disabilities and in need. This is difficult to accomplish, not just because it requires knowledge of the big picture, but also because it requires discernment to identify interrelationships between myriad issues.
If we pursue it successfully, we will not just change whatever it was we were going after, but also lay the groundwork for resolving many other related issues.
Hearing maladies cost more than $1.4 billion in veterans disability payments annually, according to fiscal year 2010 data from the Hearing Center of Excellence, a part of the Department of Defense. The most common disability among all veterans is hearing related, according to a January 2011 Government Accountability Office report.
When he and his fellow reservists gather to celebrate the Marine Corps anniversary, they joke about their hearing, or rather, the lack of it. Explosives used in Iraq and Afghanistan create pressure that exceeds 60 psi, according to VA audiology research.
Brogan was severely wounded in Iraq when a suicide bomb attack blew away part of his skull. If you reside in an EU member state besides UK, import VAT on this purchase is not recoverable. The "inert" bond is of significant strength and longevity and has been clinically applied in the different clinical disciplines for their varied applications. What does it mean that it’s still a “man’s world” when two-thirds of undergraduates in the U.S.


So energy-draining is this closeted existence that LGBT employees who are not out report significantly greater feelings of being stalled in their careers and greater dissatisfaction with their rates of promotion and advancement. As we can see, there are many people limiting their potential because they don’t feel free to be who they truly are at work. The environment we create affects the coming-out experience and, for many, the decision of whether to come out at all. These figures don’t include the $203 billion in value of the unpaid care provided by family members and friends. That’s the financial side of the ledger, but all of us are more than our ability to make a living.
This fact was brought home by a group of homeowners in Minnesota who vehemently opposed an assisted living center that specialized in caring for people with Alzheimer’s. Our hands and arms poke, slice, bob, weave, undulate as we intermingle conversation with consumption.
At its core it was about mandating that companies be appropriately proactive in creating architectural accessibility to anyone who may show up on public sidewalks, lobbies, hallways, and restrooms so that those with disabilities could get around. And are there are myriad ways in which society, the workplace, those around us accommodate our needs without question?
Those with disability at some level have the same need to address some physical or mental limitation that may be less prevalent than, say. Then Diego turns to Felipe to say in Portuguese what I had just said in a combination of English and Spanish. Oh, yeah, duh, the interpreter is a Brazilian Sign Language interpreter and we are all mostly talking in English! Felipe has sought career advancement and gotten it, having been promoted three times in 2009 and 2010. Lais zips through the document she is proofreading and, like finding a needle in haystack, plucks out the typos and misspellings. Unfortunately, as the region grows in importance, so, too, grows the gap between the haves and the have-nots.
Today in China, 119 boys exist for every 100 girls; in some regions the ratio is 130 boys to 100 girls. A 2003 assessment, reported here, found that 84% of China’s disabled population was working. And yet, this analysis projects that 90% of LGBT people in China will marry a member of the opposite sex, due to familial and societal pressure. For example, there is Portuguese Sign Language and French Sign Language just to name a couple of the hundreds of different sign languages that exist.
And more likely than not, regardless of race, ethnicity, gender, age, and sexual orientation, the deaf tend to first identify with the deaf culture before they identify with their other multidimensional identities. Plus, they are instructed by a hearing teacher who often does not know ASL and, therefore, cannot fully communicate with them. As a registered artist with the VSA – The International Organization on Arts and Disability, her work is available to a broad audience. Thus, one can get close to a discussion of race, but it takes a bit of finesse to get all the way there. By contrast, neighboring Bangladesh has the youngest mothers among developing countries, at an average age of 25, per The Times of India.
Affirmative action prescribes land allotment such that appropriate facilities for disabled people can be developed. In fact, when many of these conditions are not easy to distinguish (and when workers often hide them), what can an employer realistically do? Consequently, they could more easily develop diabetes, arthritis, or other disabling conditions. In addition to local visitors, hundreds of people have toured Access Living, from across the country to as far away as India, Ireland, and Norway. At least $216 million was spent that same year for hearing aids and related devices, according to an advisory committee report to the VA. Benishek, who is a physician, has proposed that every service member gets a full audiology examination at discharge. Beyond his surviving that 2006 blast, Brogan said he is amazed by how much his hearing-assistive devices improved his life. This article explores the extraoral applications of osseointegration in the anchorage of hearing aids and cosmetic prostheses. They are 40-percent less likely than those who are out to trust their employers and 73-percent more likely to leave their companies within the next three years.
The choreography then becomes much more complex as a deaf, blind, quad, and clueless guy sit down to for white bean soup, sole, and filet mignon. It also mandated that reactively accommodations be made to enable someone with a disability to do their job. So why should we suddenly question request or needs that may be less common but are just a serious and important as those we address without question. We don’t work very well when its too hot or too cold so we need heating and air conditioning. Once he had implemented what is a truly groundbreaking approach with salaried professionals with disabilities he has been building out the more comprehensive diversity and inclusion efforts.
It is anticipated that by 2024, some 24 million men in China will have difficulty finding wives. India hosts 15% of the world’s population, and of those, 70% are agrarian, living in villages and farms. Rather, tradition requires expensive dowries from the families of brides, making girls an economic burden.
So, letting workers access job- and training-related resources and materials in a variety of ways benefits all workers, not just those with learning disorders. More insidious, Alzheimer’s and dementia are on the rise—and no workplace is immune to discovering aging staffers who increasingly forget and misplace things, as they slowly lose their edge.
Vested interests make it difficult for the many players to embrace a strategic direction that may not include something they hold most dear.
His bills have been sent to the Congressional Budget Office to determine their impact on federal spending. It covers the basic concepts, the indications for surgery and outlines the alternative options available and their advantages and disadvantages. What does “disability” mean when there are plentiful examples of people with disabilities outperforming those who are supposedly able-bodied? Unless there is an inclusive work environment (for example, one where LGBT employees feel free to put pictures of their partners on their desks, disabled employees feel free to discuss the help they need in addressing their disabilities, and introverted employees feel free to reveal their preferred introverted ways of sharing key insights), employees will continue to check an essential part of themselves at the door each day when they show up for work.
Yet facing the possibility of Alzheimer’s enables us to face the eventuality of the disability, should it come to that, and to be better prepared to adapt and adjust. Addressing disability is simply providing what workers need to be as efficient and effective as possible and with their talents have the best chance to come out flush for the sake of the organization and the individuals.
Exacerbating the problem, girls and young women in China are moving to urban areas for work, and often finding husbands there. Today, 9 working-age adults exist for every senior citizen in China, but by 2050 that ratio will decrease to 2.5 to 1.
Other laws, some addressing specific disabilities such as paralyzed or missing limbs, are in the works. None of these people have openly discussed the resulting workplace challenges with their employers. One in eight people over age 65 have Alzheimer’s, and some 200,000 people younger than 65 currently have the disease, per this report.
In addition with regards to children, it outlines the contemporary approach, issues and controversies applicable to the paediatric population.
What does it mean to be “closeted” in sexual orientation when Tim Cook, CEO of Apple, the biggest, most valuable and arguably most influential company in our daily lives, comes out as a gay man? According to Department of State data, India is only one-third the size of the United States.
One in five women and 14% of men who reach the age 55 are at risk for developing Alzheimer’s. We can’t work without resting so we need breaks during the work day and weekends every 5 days, and vacations at least once a year. So by being three times as populated, but one one-third as big, its population density is 9 times that of the US.
How does one sensitively—and within legal bounds—address a coworker or employee suspected of having Alzheimer’s? We have bodies that get fatigued and need the proper support so we have ergonomically sound chairs. How can employers help those workers keep their dignity and remain working for as long as is practical?
Titanium was used instead of the original tantalum for the inspection chambers as the latter was expensive and difficult to obtain - this was the first stroke of luck. To ensure that the observations were not affected by tissue damage, the inspection chambers were purposely screwed into the bone as gently as possible - this was the second dose of luck. After several months and having concluded his observations, the researcher now had to retrieve his "expensive" chambers. What happened next is indeed history and evolved our conceptual understanding of metals and bone, and especially titanium; the rabbit's bone had grown into the threads of the titanium chamber. The titanium chamber and bone behaved as a single unit; it was impossible to remove the chamber without drilling it off the bone. This was unheard of at the time; never before had bone formed such an intimate and strong bond with any metal. An orthopaedic surgeon by training, he ascribed the term "osseointegration" to describe the titanium-bone bonding. The luck of using titanium, a gentle surgical insertion technique and the recognition of the significant accidental findings has led development into the different applications of osseointegration in medicine and dentistry to what we know today. Many a times the need for treatment arises from parental anxiety and their wish for their child to appear, understandably, like other children. Multiple re-fashioning surgical procedures are usually required in an effort to achieve an acceptable result, which in a child will require a general anaesthesia at each occasion.
It is important here that parents receive a realistic appraisal of what is achievable and that surgical management may takes a course of few years to keep in step with the child's growth. Because of the tightness necessary for retention, they can cause pain and pressure necrosis at points of maximal contact. Undercuts (or grooves) cut onto the prosthesis as a retention technique is another method used.
It provides a basis for a secure anchor if and when other methods are not considered appropriate.
A gold alloy bar fixed onto at least two titanium abutments form a scaffolding onto which a prosthesis e.g.
This is not as difficult as it sounds as the implants can be treated very much like teeth, half within bone and half without, and a daily routine of gentle cleansing with soap and a soft toothbrush usually when taking their daily shower would normally suffice.
This is not so for the prosthesis which is required to be replaced approximately every 2-3 years as the colour fades. Many patients also request for two prosthesis with different skin complexions, one for Summer which is darker as their skin tans and another lighter coloured prosthesis to match their paler skin tone in Winter. However we need to balance the security of retention it provides against the cost bearing in mind that a cosmetic prosthesis is only invisible if it does not drop off. This certainly allows the child to fully participate and socialise more actively and physically e.g. This wax template will be used to form the plaster mould (Reproduced with the kind permission of Medical Progress5).
Congenital causes remain the commonest indication for seeking an osseointegrated solution, and practically, the reference here is almost always with regards to management of unilateral microtia, or bilateral microtia as seen in syndromic children e.g. In general, childrens' cranial bones are softer and thinner than adults and hence the decision to implant is often ideally delayed until after the age of 10 years.
By then, the bone should be sufficient thick to take the preferred 4 mm deep implant fixtures and of sufficient density (hardness) to achieve the expected implant success rate of 94% as seen in the adult population. In addition, by that age or thereafter, the child should also be relatively more matured and it is hope that they will be able to take an active part of the decision process together with their parents. In children, the BAHA could be offered for the following conditions:- Congenital bilateral auditory canal atresia. The BAHA has no role in this condition as myringotomy and grommets are easy to do and very effective. The audiogram (Figure 12) illustrates the hearing thresholds before and after aiding with a BAHA. In spite of their measured hearing impairment and potential hearing disability, some children cope and develop speech and language skills well and would not insist on a hearing aid; so to do nothing is a very reasonable and realistic option. Another observation to note is the relatively shy, withdrawn and introverted personalities of these bilateral atretic children who present for the first time to us in the teens ?perhaps years of not being able to fully interact with family and friends and to be fully involved may have been a contributing cause. This can be a visible identifier of a hearing disability like the "white cane" for the partially sighted but most users find them too conspicuous and use them only out of necessity to hear. Firm pressure at the vibrator-skin interface is important for good sound conduction and is achieved by the spring headband. 30 minutes to 2 hours and local skin pigmentation and pressure necrosis have been reported. Secondly pressure can be easily lost with movements of the head so physical participation in sports or a more active life-style whilst using the aid simultaneously can be impeded.
The facial nerve may be injured and a perilymph leak at the cochlea can result in a "dead" cochlea, and hearing is irreversibly lost.
Reconstruction of the ossicles may also be required as they may be congenitally fixed and the otological surgeon would be doing very well to achieve a closure of the conduction hearing difference to 10-20 dB HL from the preexisting 60 dB HL. A postoperative preventative measure may be to prescribe an in-the-canal hearing aid which stents open the ear canal and doubles up as a hearing aid to maximise the final hearing gain. Even though this does work, otologists must surely question their rationale for surgery in the first place. Their argument lie in the fact that the BAHA (which is described below) is a simple one-off procedure to undertake, without risks and has a consistent aided hearing gain of 50 dB HL. The average life of the hearing aid has been approximated to be three years depending on its use and care by the user. In children, the life expectancy may be anticipated to be shorter due to their more active and care-free play. Like the implants for the prostheses, daily attention of the implant site is also required and often can be cleansed during showers. The clarity of sound heard, a more active lifestyle with simultaneous unimpeded audio reception and easily hidden hearing aids were preferred by converts to the BAHA.
Recent studies have also shown a significant improvement in sound localisation and speech recognition when binaural (bilateral) BAHAs are implemented. Certainly otologists realise that inserting the BAHA younger could be more beneficial, and to date, the youngest BAHA recipient was implanted at age 6 months with some modification to the technique to account for the thinner bone.
In the author's own series of 10 paediatric BAHA implantees in Hong Kong Chinese children with bilateral ear canal atresia aged between 5 years and 15 years at implant, only one child required a second but successful revision BAHA due to his soft and thinner bone (he was the youngest of the group). All the children (and their parents) preferred the BAHA to their previous conventional bone conduction hearing aid claiming clarity of sound, comfort of use and inconspicuousness as their reasons.
Interestingly two from this BAHA converted group would not use their conventional bone-conduction hearing aids when their BAHAs were sent away for repair. Bilateral BAHAs in patients with bilateral microtia and ear canal atresia has been shown to improve speech recognition and sound localisation by 10%. Known as BAHA for single sided deafness (SSD), this is currently undergoing investigation in adult populations. The logic behind it is simple - the BAHA is implanted on the side of the "dead" ear; it processes the sound from the deaf side and conducts it through the bony cranium to the good cochlea on the contralateral side which is stimulated.
Adult recruits in SSD trials worldwide, including the author's, have been very excited with being able to "hear" again. If this proves to be as good as it sounds, it would only be a matter of time for our children with SSD to benefit from the extra-osseointegrated BAHA.



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