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EN
The article examines the main state-building acts adopted by the highest authorities of Ukraine and the Baltic states starting from 1990 (as a result of the first free election of deputies of these republics in the post-war period) and until 2004 (when significant changes took place in the internal political and geopolitical context, in particular – the accession of the Baltic states to NATO and the EU, as well as changes in the form of government in Ukraine in amendments to the Constitution as a result of the so-called «Orange Revolution»). The article reflects not only the legal part of the specified period, but also the institutional part, in particular, in the part of the formation of both legislative and executive power in the specified countries. The interaction of political, regulatory and historical components in this article forms a holistic vision of state-building processes in their synergistic unity. The purpose of the study is to conduct a chronological comparison of the main statebuilding acts of Ukraine and the Baltic countries in the period from 1990 to 2004. The methodological basis is a chronological comparison of the normative framework of countries in the context of the processes of state formation. It was determined that the parliaments of these countries, which were elected in the spring of 1990, immediately began to fight for their sovereignty and set a course for separation from the union center. The August 1991 putsch in Moscow became the «trigger mechanism» in the declaration of independence of the Baltic states and Ukraine. From that time, these countries began to build their states independently, in particular in the political and legal sphere. First, there is a change in the name of the state itself and its parliament (getting rid of the Soviet one) at the legislative level, as well as the complete subordination of power structures and other authorities exclusively to republican structures. Subsequently, the main state symbols (flag, coat of arms and anthem), constitutions are adopted, the course of states towards a market economy through the denationalization of property and privatization is introduced, each has its own currency, property is divided with other republics, international treaties and agreements are adopted, and countries The Baltics (but not Ukraine) manage to completely get rid of Russian troops from their territory through complex diplomatic efforts. The latter also contributed to the fact that the Baltic countries, having immediately taken a course towards the West, later became full members of NATO and the EU. During this period, Ukraine only decided on its geopolitical vector, that it intends to join these international associations in the future.
PL
Wstęp: Zgodnie z koncepcją Międzynarodowej Klasyfikacji Funkcjonowania, Niepełnosprawności i Zdrowia rehabilitacja osób z mózgowym porażeniem dziecięcym powinna być ukierunkowana na osiągnięcie maksymalnego poziomu funkcjonowania. Niezwykle ważne jest poznanie opinii samych pacjentów na temat ich potrzeb i oczekiwań. Cel pracy: Poznanie i przedstawienie opinii pacjentów z MPD dotyczących możliwości samodzielnego funkcjonowania w dorosłym życiu w kontekście ich oceny funkcjonalnej. Materiał i metody: Grupę badaną stanowiła młodzież w wieku 15-18 lat – 29 osób. Za pomocą skal opisujących możliwości poruszania się, funkcji rąk i komunikacji (GMFCS, MASC, CFCS) dokonano oceny funkcjonalnej. Ponadto posłużono się kwestionariuszem ankiety i kartą badania pacjenta. Wyniki badań: Ponad połowa badanych pacjentów (55,2%) wyobraża sobie egzystencję bez pomocy drugiej osoby. Stwierdzono ujemną korelację pomiędzy stopniem GMFCS a samodzielnością w dorosłym życiu. Tylko 34,5% pacjentów z MPD, jako przyczynę problemów w kontaktach z rówieśnikami podaje niepełnosprawność. Wśród przeszkód na drodze do samodzielnego życia, najczęściej chorzy wymieniali trudności w poruszaniu się (41,4%), problem ze znalezieniem pracy (24,1%), czy wreszcie bariery architektoniczne (20,7%). Wnioski: Poziom funkcjonowania pacjentów z MPD wpływa na ich wyobrażenie samodzielnego życia. Chorzy z poziomem funkcjonalnym GMFCS I i II oraz chorzy z hemiplegią łatwiej osiągają niezależność w dorosłym życiu niż chorzy z poziomem funkcjonalnym GMFCS IV i V oraz z di- czy tetraplegią.
EN
Background: According to the International Classification of Functioning, Disability and Health, the rehabilitation of patients with cerebral palsy should be aimed at achieving the maximum level of functioning. It is extremely important to know the opinions of the patients regarding their needs and expectations. Objective: The aim of the study was to identify and present the opinions of cerebral palsy patients on the possibility of independent functioning in adulthood within the context of their functional assessment. Materials and methods: The study included 29 people aged between 15 and 18. Functional assessments were performed using scales describing mobility, hand functions and communication. In addition, a questionnaire and a patient survey card were used. Results: More than half of the surveyed patients (55.2%) plan to live independently. A negative correlation between The Gross Motor Function Classification System (GMFCS) level and adult independence was observed. Only 34.5% of patients with cerebral palsy report disability as a cause of interpersonal problems. The most common obstacles to independent living were mobility difficulties (41.4%), job-finding problems (24.1%), and lack of accessibility (20.7%). Conclusions: The level of functioning of patients with CP affects their perception of independent living. Patients classified at a GMFCS level I and II and patients with hemiplegia are more likely to achieve independence in adulthood than those classified at a GMFCS level IV and V or those with diplegia and tetraplegia.
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