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Sample records for incident mobility disability

  1. Can failure on adaptive locomotor tasks independently predict incident mobility disability?

    PubMed

    Deshpande, Nandini; Metter, E Jeffrey; Guralnik, Jack; Ferrucci, Luigi

    2013-08-01

    This study examined whether inability to perform adaptive locomotor tests predicts self-reported incident mobility disability. InCHIANTI study participants (N = 611; age, 50-85 yrs) who could walk 7 m at self-selected speed and who had no self-reported mobility disability at baseline were included. The ability to complete four adaptive locomotor tests was assessed: fast walking, walking on a narrow path, crossing obstacles while walking, and talking while walking. Mobility disability was recorded again at 3-yr follow-up. Failure in the fast-walking and narrow-path walking tests predicted approximately 2.5 times likelihood of reporting incident mobility disability (P = 0.009 and P = 0.011, respectively). Failure in the obstacle-crossing test predicted approximately two times likelihood of reporting incident mobility disability; however, this result did not reach statistical significance (P = 0.077). Failure in talking while walking did not predict incident mobility disability. Those who failed both the fast-walking and narrow-path walking tests were almost nine times as likely to report incident mobility disability. PMID:23291600

  2. Education Predicts Incidence of Preclinical Mobility Disability in Initially High-Functioning Older Women. The Women’s Health and Aging Study II

    PubMed Central

    Gregory, Patricia C.; Xue, Qian-Li; Tian, Jing; Thorpe, Roland J.; Fried, Linda P.

    2011-01-01

    Background. To examine the impact of educational attainment on the incidence of preclinical mobility disability (PCD). Methods. The Women's Health and Aging II Study is a prospective observational cohort study of 436 initially high-functioning community-dwelling women aged 70–79 years at baseline in Baltimore, Maryland. We measured the association of highest attained education level with preclinical mobility disability (PCD) over an 11-year period. PCD is defined as self-reported modification in any of four tasks without reporting difficulty in those tasks. The tasks were walking ½ mile, climbing up steps, doing heavy housework, and getting in/out of bed or chair. Results. Participants with less than 9 years of education were more likely to acquire incident PCD (hazard ratio: 3.1, 95% confidence interval = 1.2–7.7) than their counterparts with more education after adjusting for income, marital status, number of diseases, and high self-efficacy. Conclusions. Lower education level is an independent predictor of incident preclinical mobility disability. This association has important implications for primary and secondary prevention and can be easily assessed in clinical encounters. PMID:21382883

  3. Mobility Disability and the Urban Built Environment

    PubMed Central

    Ailshire, Jennifer A.; Bader, Michael; Morenoff, Jeffrey D.; House, James S.

    2008-01-01

    Research on the effects of the built environment in the pathway from impairment to disability has been largely absent. Using data from the Chicago Community Adult Health Study (2001–2003), the authors examined the effect of built environment characteristics on mobility disability among adults aged 45 or more years (n = 1,195) according to their level of lower extremity physical impairment. Built environment characteristics were assessed by using systematic social observation to independently rate street and sidewalk quality in the block surrounding each respondent's residence in the city of Chicago (Illinois). Using multinomial logistic regression, the authors found that street conditions had no effect on outdoor mobility among adults with only mild or no physical impairment. However, among adults with more severe impairment in neuromuscular and movement-related functions, the difference in the odd ratios for reporting severe mobility disability was over four times greater when at least one street was in fair or poor condition (characterized by cracks, potholes, or broken curbs). When all streets were in good condition, the odds of reporting mobility disability were attenuated in those with lower extremity impairment. If street quality could be improved, even somewhat, for those adults at greatest risk for disability in outdoor mobility, the disablement process could be slowed or even reversed. PMID:18667526

  4. Mobility disability and the urban built environment.

    PubMed

    Clarke, Philippa; Ailshire, Jennifer A; Bader, Michael; Morenoff, Jeffrey D; House, James S

    2008-09-01

    Research on the effects of the built environment in the pathway from impairment to disability has been largely absent. Using data from the Chicago Community Adult Health Study (2001-2003), the authors examined the effect of built environment characteristics on mobility disability among adults aged 45 or more years (n = 1,195) according to their level of lower extremity physical impairment. Built environment characteristics were assessed by using systematic social observation to independently rate street and sidewalk quality in the block surrounding each respondent's residence in the city of Chicago (Illinois). Using multinomial logistic regression, the authors found that street conditions had no effect on outdoor mobility among adults with only mild or no physical impairment. However, among adults with more severe impairment in neuromuscular and movement-related functions, the difference in the odd ratios for reporting severe mobility disability was over four times greater when at least one street was in fair or poor condition (characterized by cracks, potholes, or broken curbs). When all streets were in good condition, the odds of reporting mobility disability were attenuated in those with lower extremity impairment. If street quality could be improved, even somewhat, for those adults at greatest risk for disability in outdoor mobility, the disablement process could be slowed or even reversed. PMID:18667526

  5. Comparison of Assessment Results of Children with Low Incidence Disabilities

    ERIC Educational Resources Information Center

    Campbell, Dennis J.; Reilly, AmySue; Henley, Joan

    2008-01-01

    This paper describes a research study that assessed young children with a low incidence disability, specifically Cri-du-Chat Syndrome (CDSC). A description of the concerns of assessing individuals with low incidence disabilities is described. Parent reports (using the Development Observation Checklist System) on the functioning of their children…

  6. Persistent Mobility Disability After Neurotoxic Chemotherapy

    PubMed Central

    Fitzgerald, G. Kelley; Studenski, Stephanie A.

    2010-01-01

    Background and Purpose The impact of cancer and its treatments on balance and functional mobility in older adults remains unknown but is increasingly important, given the evolution of cancer treatments. Subacute and more persistent side effects such as chemotherapy-induced peripheral neuropathy are on the rise, and the effects on mobility and balance, as well as the prognosis for resolution of any functional deficits, must be established before interventions can be trialed. The purpose of this case report is to describe the severity and long-term persistence of mobility decline in an older adult who received neurotoxic chemotherapy. To our knowledge, this is the first case report to describe an older adult with chemotherapy-induced peripheral neuropathy using results of standardized balance and mobility tests and to focus on prognosis by repeating these measures more than 2 years after chemotherapy. Case Description An 81-year-old woman received a neurotoxic agent (paclitaxel) after curative mastectomy for breast cancer. Baseline testing prior to taxane therapy revealed a socially active woman with no reported functional deficits or neuropathic symptoms, 1.2-m/s gait speed, and performance at the ceiling on balance and gait portions of a standardized mobility measure. Outcomes After 3 cycles, paclitaxel therapy was stopped by the oncologist because of neurotoxicity. Declines as large as 50% were seen in performance-based measures at 12 weeks and persisted at 2.5 years, and the patient reported recurrent falls, cane use, and mobility-related disability. Discussion This case highlights the extent to which function can decline in an older individual receiving neurotoxic chemotherapy, the potential for these deficits to persist years after treatment is stopped, and the need for physical therapy intervention and further research in this population. PMID:20813818

  7. Incidence of Dementia in Older Adults with Intellectual Disabilities

    ERIC Educational Resources Information Center

    Strydom, Andre; Chan, Trevor; King, Michael; Hassiotis, Angela; Livingston, Gill

    2013-01-01

    Dementia may be more common in older adults with intellectual disability (ID) than in the general population. The increased risk for Alzheimer's disease in people with Down syndrome (DS) is well established, but much less is known about dementia in adults with ID who do not have DS. We estimated incidence rates from a longitudinal study of…

  8. MAJOR MOBILITY DISABILITY-ASSESSMENT AND BASELINE PERFORMANCE IN LIFE

    Technology Transfer Automated Retrieval System (TEKTRAN)

    Major mobility disability has previously been defined by self-reported inability to walk ¼ mile. Observed inability to walk 400 meters provides a valid and objective disability endpoint for clinical trials that is relevant to community walking, future advanced disability and mortality. LIFE particip...

  9. The MAT-sf: Identifying Risk for Major Mobility Disability

    PubMed Central

    Rushing, Julia; Guralnik, Jack M.; Ip, Edward H.; King, Abby C.; Manini, Todd M.; Marsh, Anthony P.; McDermott, Mary M.; Fielding, Roger A.; Newman, Anne B.; Tudor-Locke, Catrine; Gill, Thomas M.

    2015-01-01

    Background. The assessment of mobility is essential to both aging research and clinical geriatric practice. A newly developed self-report measure of mobility, the mobility assessment tool-short form (MAT-sf), uses video animations as an innovative method to improve measurement accuracy/precision. The primary aim of the current study was to evaluate whether MAT-sf scores can be used to identify risk for major mobility disability (MMD). Methods. This article is based on data collected from the Lifestyle Interventions and Independence for Elders study and involved 1,574 older adults between the ages of 70–89. The MAT-sf was administered at baseline; MMD, operationalized as failure to complete the 400-m walk ≤ 15 minutes, was evaluated at 6-month intervals across a period of 42 months. The outcome of interest was the first occurrence of MMD or incident MMD. Results. After controlling for age, sex, clinic site, and treatment arm, baseline MAT-sf scores were found to be effective in identifying risk for MMD (p < .0001). Partitioning the MAT-sf into four groups revealed that persons with scores <40, 40–49, 50–59, and 60+ had failure rates across 42 months of follow-up of 66%, 52%, 35%, and 22%, respectively. Conclusions. The MAT-sf is a quick and efficient way of identifying older adults at risk for MMD. It could be used to clinically identify older adults that are in need of intervention for MMD and provides a simple means for monitoring the status of patients’ mobility, an important dimension of functional health. PMID:25680917

  10. Pain Characteristics Associated With the Onset of Disability in Older Adults: The MOBILIZE Boston Study

    PubMed Central

    Eggermont, Laura H.P.; Leveille, Suzanne G.; Shi, Ling; Kiely, Dan K.; Shmerling, Robert H.; Jones, Rich N.; Guralnik, Jack M.; Bean, Jonathan F.

    2014-01-01

    Background/Objectives To determine the effects of chronic pain on the development of disability and decline in physical performance over time among older adults. Design Longitudinal cohort study with 18 months follow-up. Setting Urban/suburban communities Participants 634 community-dwelling older adults aged >64 years. Measurements Chronic pain assessment consisted of musculoskeletal pain locations, and pain severity and pain interference by subscales of the Brief Pain Inventory. Disability was self-reported as any difficulty in mobility and basic and instrumental activities of daily living (ADL, IADL). Mobility performance was measured using the Short Physical Performance Battery (SPPB). Relationships between baseline pain and incident disability in 18 months were determined using risk ratios (RRs) from multivariable Poisson regression models. Results Almost 65% of participants reported chronic musculoskeletal pain at baseline. New onset of mobility difficulty at 18-months was strongly associated with baseline pain distribution: 7% (no sites), 18% (1 site), 24% (multisite) and 39% (widespread pain, p-value for trend <0.001). Similar graded effects were found for other disability measures. Elders with multisite or widespread pain had at least a three-fold increased risk for onset of mobility difficulty compared to their peers without pain after adjusting for disability risk factors (multisite pain: RR=2.95, 95%CI, 1.58–5.50; widespread pain: RR=3.57, 95%CI, 1.71–7.48). Widespread pain contributed to decline in mobility performance (1 point decline in SPPB, RR=1.47, 95%CI, 1.08–2.01). Similar associations were found for baseline pain interference predicting subsequent mobility decline and (I)ADL disability. Weaker and less consistent associations were observed with pain severity. Conclusion Older community-dwelling adults living with chronic pain in multiple musculoskeletal locations have a substantial increased risk for developing disability over time and for clinically meaningful decline in mobility performance. PMID:24823985

  11. Orientation and Mobility for Students with Multiple Severe Disabilities.

    ERIC Educational Resources Information Center

    McGregor, Duncan

    This paper addresses orientation and mobility (O&M) training for people with multiple severe disabilities including visual impairments. The historical origins of O&M training are reviewed, noting difficulties with applying the traditional curriculum with such groups as very young children, the elderly, and those with multiple disabilities. A

  12. Access to cancer screening for women with mobility disabilities.

    PubMed

    Angus, Jan; Seto, Lisa; Barry, Nancy; Cechetto, Naomi; Chandani, Samira; Devaney, Julie; Fernando, Sharmini; Muraca, Linda; Odette, Fran

    2012-03-01

    Women with mobility disabilities are less likely to access cancer screening, even when they have a primary care provider. The Gateways to Cancer Screening project was initiated to document the challenges for women with disabilities in their access and experiences of screening for breast, cervical and colorectal cancer. The study followed the tenets of participatory action research. Five peer-led focus groups were held with 24 women with mobility disabilities. Study participants identified multiple and interacting institutional barriers to cancer screening. Their discussions highlighted the complex work of (1) arranging and attending health-related appointments, (2) confronting normative assumptions about women's bodies and (3) securing reliable health care and information. These overlapping, mutually reinforcing issues interact to shape how women with disabilities access and experience cancer screening. We explore implications for redesign of cancer screening services and education of health providers, providing specific recommendations suggested by our participants and the findings. PMID:21927868

  13. Mathematics Placement Decisions for High School Students with High Incidence Disabilities: A Collective Case Study

    ERIC Educational Resources Information Center

    Murzyn, Amy Lee

    2013-01-01

    The purpose of this multiple case study is to describe the experiences of case managers making mathematics placement decisions of high school students with high incidence disabilities. There is much information about what should be happening when making mathematics placement decisions of high school students with high incidence disabilities, but…

  14. Understanding the Relationship between Transition Services and Postschool Outcomes for Students with High Incidence Disabilities

    ERIC Educational Resources Information Center

    Joshi, Gauri Salil

    2012-01-01

    Given the consistently poor postschool outcomes of individuals with high incidence disabilities, there is a need to examine the transition services provided to them while in school. This secondary data analysis explored the transition services received by individuals with high incidence disabilities through the National Longitudinal Transition…

  15. Mobility disability and life satisfaction in elderly people.

    PubMed

    Mollaoğlu, Mukadder; Tuncay, Fatma Özkan; Fertelli, Tülay Kars

    2010-01-01

    The objective of this descriptive and analytical study is to examine mobility disability and life satisfaction in elderly people living in nursing home residences and analyze the relationship between them. The study was conducted over 78 elderly people in two nursing home residences. The data of this study were obtained through a personal information form (PIF), the Rivermead mobility index (RMI) and the life satisfaction scale (LSS). It was detected that life satisfaction levels of elderly people were average, a great majority of them went through mobility disability and there was a significant correlation between mobility and life satisfaction. It was established that in elderly people mobility was affected by the age, gender and chronic diseases while life satisfaction was related to age, education level and health perception level. Disability is a factor that has a significant effect on the life satisfaction of elderly people. The findings of this study will be useful for planning interventions to improve mobility and satisfaction with life among nursing home elders in Turkey. PMID:20338645

  16. Chronic Kidney Disease Defined by Cystatin C Predicts Mobility Disability and Changes in Gait Speed: The Framingham Offspring Study

    PubMed Central

    2014-01-01

    Background. As creatinine-based estimates of renal function are inaccurate in older adults, an alternative is an estimated glomerular filtration rate (eGFRcys) based on cystatin C. We examined the prospective association between chronic kidney disease (CKDcys) as determined by eGFRcys with the primary outcome of incident mobility disability and the secondary outcome of change in gait speed. Methods. Framingham Offspring Study participants older than 60 years and free of mobility disability at baseline (1998–2001) were eligible. Baseline CKDcys was defined as eGFRcys less than 60 mL/min/1.73 m2. At follow-up (2005–2008), the outcomes of mobility disability, defined as self-reported inability to walk 1/2 mile and/or climb a flight of stairs, and gait speed were measured. Logistic and linear regression models were adjusted for age, sex, body mass index, smoking, diabetes, C reactive protein, and physical activity. Results. Of 1,226 participants, 230 (19%) had CKDcys at baseline. After a mean follow-up of 6.6 years, 185 (15%) developed mobility disability. Of those with CKDcys, 60 (26%) developed mobility disability. Those with CKDcys had greater odds of mobility disability in the age- and sex-adjusted (odds ratio [OR] 1.91, 95% CI 1.32, 2.75) and fully adjusted (OR 1.55, 95% CI 1.05, 2.31) models compared with those without CKDcys. In fully adjusted models, participants with CKDcys had greater gait speed declines than those without CKDcys (β = 0.07 [SE 0.02], p = .0022). Conclusion. CKDcys was associated with higher odds of incident mobility disability and greater decline in gait speed, highlighting the loss of physical independence in elders with CKD. PMID:23913929

  17. Is Kyphosis Related to Mobility, Balance and Disability?

    PubMed Central

    Eum, Regina; Leveille, Suzanne G.; Kiely, Dan K.; Kiel, Douglas P.; Samelson, Elizabeth J.; Bean, Jonathan F.

    2013-01-01

    Objective To determine the association of increased kyphosis with declines in mobility, balance and disability among community-living older adults. Design 18-month follow-up visit data from 2006–2009 for 620 participants from the population-based MOBILIZE Boston Study of older adults was used. Cross-sectional multivariable regression analyses were performed to assess the relationship between kyphosis (measured using the kyphosis index (KI)) and measures of mobility performance (Short Physical Performance Battery (SPPB)), balance (Berg Balance Score (BBS)) and disability (self-reported difficulty walking a quarter-mile or climbing a flight of stairs). We then evaluated men and women separately. Adjustment variables included demographic factors (age, gender, race, education), body-mass index, self-rated health, comorbidities (heart disease, diabetes, stroke, depressive symptoms), back pain, knee pain and falls self-efficacy. Results After full adjustment, greater KI was associated with lower SPPB scores (adj. β = −0.08, p = 0.01), but not BBS (adj. β = −0.09, p = 0.23) or self-reported disability (adj. β = 1.00, 95% CI, 0.93 –1.06). In gender-specific analyses, KI was only associated with SPPB in women. Conclusions Greater kyphosis is associated with poorer mobility performance, but not balance or self-reported disability. This association with SPPB was only observed among women. Mechanisms by which increased kyphosis influence physical performance should be explored prospectively. PMID:23636086

  18. Is the Use of Benzodiazepines Associated with Incident Disability?

    PubMed Central

    Gray, Shelly L.; LaCroix, Andrea Z.; Blough, David; Wagner, Edward H.; Koepsell, Thomas D.; Buchner, Dave

    2015-01-01

    OBJECTIVES This study examined the association between benzodiazepine use and incident disability with an emphasis on elucidating whether the underlying health conditions that result in benzodiazepine use (confounding factors) or intrinsic adverse effects of benzodiazepine use were responsible for functional decline. DESIGN Cohort study with follow-up of 4 to 5 years. SETTING A health maintenance organization (HMO) in western Washington. PARTICIPANTS Individuals aged 65 and older from a random sample of HMO enrollees who participated in a health promotion intervention trial (n = 1,519). MEASUREMENTS Benzodiazepine use was ascertained from computerized pharmacy records. Self-reported functional status was assessed using a six-item physical function scale ranging from vigorous activity to self-care activities of daily living (ADLs). Two outcomes were examined: decline in overall physical function and limitations in self-care ADLs. Multivariate models were examined that included demographic characteristics, health status, and health behaviors that were likely to be confounders. Several analyses were conducted to examine whether benzodiazepine use or confounding factors were responsible for functional decline. RESULTS Benzodiazepine use was significantly associated with incident loss of physical function (hazard ratio (HR) = 1.51, 95% confidence interval (CI) = 1.022.24) in the fully adjusted model. Although use of benzodiazepines was associated with limitations in ADLs, it was not significant when adjusting for other factors (HR = 1.71, 95% CI = 0.873.34). Several of our findings suggest that the health conditions leading to benzodiazepine use may partly or fully explain these associations: (1) use of anxiolytic benzodiazepines (HR = 1.95, 95% CI = 1.243.07), but not hypnotic agents (HR = 1.21, 95% CI = 0.732.00), was associated with functional decline; (2) adjustment for health status variables minimized these associations; and (3) there was little evidence of dose response. CONCLUSIONS A modestly increased risk for decline in physical function was associated with benzodiazepine use, especially of anxiolytic agents. The health conditions that result in benzodiazepine use may be more important in the pathogenesis of disability than benzodiazepine use itself. Although there are many reasons for avoiding benzodiazepines in older adults, it is still unclear whether use contributes independently to functional decline. PMID:12110059

  19. [Accessibility for people with disabilities or permanent mobility restrictions to the Unified Health System].

    PubMed

    Amaral, Fabienne Louise Juvêncio dos Santos; Holanda, Cristina Marques de Almeida; Quirino, Maria Aparecida Bezerra; Nascimento, João Paulo da Silva; Neves, Robson da Fonseca; Ribeiro, Kátia Suely Queiroz Silva; Alves, Simone Bezerra

    2012-07-01

    The scope of this study was to monitor the access of persons with disabilities and permanent mobility restrictions to the Unified Health System in João Pessoa, State of Pernambuco. This is a descriptive field study, consisting of a random sample of 523 people with disabilities or permanent mobility restrictions. Data collection occurred between August 2007 and December 2008 and consisted of home interviews. The neuromusculoskeletal functions and those related to movement (52%) were among the most affected body functions, with a higher incidence among body structures related to movement (44.2%) and those of the nervous system (39.2%), with special emphasis on the high number of cases (14%) due to the sequelae from strokes. Among the respondents, 63.9% stated that there had not been sufficient and appropriate means to lessen the physical obstacles between their homes and the places where they received healthcare, and 41.7% claimed that there were no special facilities for the handicapped in the healthcare offices. Brazilian law ensures rights for people with disabilities, which were not broadly respected. Action is necessary to prevent the development of disabilities, especially those resulting from the sequelae from strokes. PMID:22872345

  20. Reading Disability in an Epidemiological Context: Incidence and Environmental Correlates.

    ERIC Educational Resources Information Center

    Badian, Nathlie A.

    1984-01-01

    Among four-year groups of children in a school system (266 girls, 284 boys), 4 percent had a reading disability and 2.7 percent were "slow learners." Reading disabled boys tended to be later born in their families. Lower reading scores were associated with hot birth month temperatures for all socioeconomic groups. (Author/CL)

  1. Intermediate Work Outcomes for Adolescents with High-Incidence Disabilities

    ERIC Educational Resources Information Center

    Rojewski, Jay W.; Lee, In Heok; Gregg, Noel

    2014-01-01

    A longitudinal sample from the Educational Longitudinal Study of 2002 was used to determine differences in work outcomes between (a) individuals with learning disabilities or emotional-behavior disorders and (b) individuals with or without disabilities. Twelve factors were arranged into individual, family, school-peer, and community categories.

  2. Intermediate Work Outcomes for Adolescents with High-Incidence Disabilities

    ERIC Educational Resources Information Center

    Rojewski, Jay W.; Lee, In Heok; Gregg, Noel

    2014-01-01

    A longitudinal sample from the Educational Longitudinal Study of 2002 was used to determine differences in work outcomes between (a) individuals with learning disabilities or emotional-behavior disorders and (b) individuals with or without disabilities. Twelve factors were arranged into individual, family, school-peer, and community categories.…

  3. The Prevalence and Incidence of Mental Ill-Health in Adults with Autism and Intellectual Disabilities

    ERIC Educational Resources Information Center

    Melville, Craig A.; Cooper, Sally-Ann; Morrison, Jill; Smiley, Elita; Allan, Linda; Jackson, Alison; Finlayson, Janet; Mantry, Dipali

    2008-01-01

    The prevalence, and incidence, of mental ill-health in adults with intellectual disabilities and autism were compared with the whole population with intellectual disabilities, and with controls, matched individually for age, gender, ability-level, and Down syndrome. Although the adults with autism had a higher point prevalence of problem…

  4. Prospective Analyses of Childhood Factors and Antisocial Behavior for Students with High-Incidence Disabilities

    ERIC Educational Resources Information Center

    Chen, Chin-Chih; Symons, Frank J.; Reynolds, Arthur J.

    2011-01-01

    This prospective longitudinal study investigated the association between childhood factors (individual, family, and school characteristics) and later antisocial behavior (official juvenile delinquency and adult crime) for students identified with high-incidence disabilities (i.e., learning disabilities, emotional disturbance). The sample consisted…

  5. Community-Based Summer Work Experiences of Adolescents with High-Incidence Disabilities

    ERIC Educational Resources Information Center

    Carter, Erik W.; Trainor, Audrey A.; Ditchman, Nicole; Swedeen, Beth; Owens, Laura

    2011-01-01

    Although summer offers a natural context for adolescents to gain community-based work experience, little is known about the extent to which youth with disabilities are accessing these transition-related opportunities. We examined the summer employment experiences of 220 youth with high-incidence disabilities at two time points. Although more than…

  6. Effect of structured physical activity on prevention of major mobility disability in older adults: the LIFE Study randomized clinical trial

    PubMed Central

    Pahor, Marco; Guralnik, Jack M.; Ambrosius, Walter T.; Blair, Steven; Bonds, Denise E.; Church, Timothy S.; Espeland, Mark A.; Fielding, Roger A.; Gill, Thomas M.; Groessl, Erik J.; King, Abby C.; Kritchevsky, Stephen B.; Manini, Todd M.; McDermott, Mary M.; Miller, Michael E.; Newman, Anne B.; Rejeski, W Jack; Sink, Kaycee M.; Williamson, Jeff D.

    2014-01-01

    SUMMARY Importance In older adults reduced mobility is common and is an independent risk factor for morbidity, hospitalization, disability, and mortality. Limited evidence suggests that physical activity may help prevent mobility disability; however, there are no definitive clinical trials examining if physical activity prevents or delays mobility disability. Objective To test the hypothesis that a long-term structured physical activity program is more effective than a health education program (also referred to as a successful aging program) in reducing the risk of major mobility disability. Design, Setting, and Participants The Lifestyle Interventions and Independence for Elders (LIFE) study was a multicenter, randomized trial that enrolled participants between February 2010 and December 2011, who participated for an average of 2.6 years. Follow-up ended in December 2013. Outcome assessors were blinded to the intervention assignment. Participants were recruited from urban, suburban and rural communities at 8 field centers throughout the US. We randomized a volunteer sample of 1,635 sedentary men and women aged 70–89 years who had physical limitations, defined as a score on the Short Physical Performance Battery of 9 or below, but were able to walk 400 m. Interventions Participants were randomized to a structured moderate intensity physical activity program (n=818) done in a center and at home that included including aerobic, resistance and flexibility training activities or to a health education program (n=817) consisting of workshops on topics relevant to older adults and upper extremity stretching exercises. Main Outcomes and Measures The primary outcome was major mobility disability objectively defined by loss of ability to walk 400 m. Results Incident major mobility disability occurred in 30.1% (n=246/818) of physical activity and 35.5% (n=290/817) of health education participants (HR=0.82, 95%CI=0.69–0.98, p=0.03). Persistent mobility disability was experienced by 120/818 (14.7%) physical activity and 162/817 (19.8%) health education participants (HR=0.72; 95%CI=0.57–0.91; p=0.006). Serious adverse events were reported by 404/818 (49.4%) of the physical activity and 373/817 (45.7%) of the health education participants (Risk Ratio=1.08; 95%CI=0.98–1.20). Conclusions and Relevance A structured moderate intensity physical activity program, compared with a health education program, reduced major mobility disability over 2.6 years among older adults at risk of disability. These findings suggest mobility benefit from such a program in vulnerable older adults. Registration ClinicalsTrials.gov identifier NCT01072500. PMID:24866862

  7. Brief report: a growth mixture model of occupational aspirations of individuals with high-incidence disabilities.

    PubMed

    Lee, In Heok; Rojewski, Jay W

    2013-02-01

    A previous longitudinal study of the occupational aspirations of individuals with high-incidence disabilities revealed multiple longitudinal patterns for individuals with learning disabilities or emotional-behavioral disorders. Growth mixture modeling was used to determine whether individuals in these two high-incidence disabilities groups (N = 585) possessed heterogeneous aspirations trajectories. Two distinct classes emerged. Among selected covariates (inc., gender, SES, locus of control, self-concept, mathematics achievement), only gender and SES significantly distinguished group membership. While no covariates were significantly related to the growth factors for latent class 2 (low aspirations), math achievement and SES were significantly related to initial aspirations in latent class 1 (high aspirations). Moreover, for latent class 1, the occupational aspirations of individuals with learning disabilities became increasingly lower than adolescents with emotional-behavior disorders after high school. Possible explanations for this phenomenon are considered. PMID:23219251

  8. The Experiences of Students with Mobility Disabilities in Cypriot Higher Education Institutions: Listening to Their Voices

    ERIC Educational Resources Information Center

    Hadjikakou, Kika; Polycarpou, Vaso; Hadjilia, Anna

    2010-01-01

    This article explores the experiences of students with mobility disabilities in Cypriot higher education institutions. In order to obtain relevant information, in-depth semi-structured interviews were conducted with 10 Cypriot students with different forms of mobility disabilities, who attended different Cypriot higher education institutions and a…

  9. Relationship between Mobility Limitations and the Places where Older Adults with Intellectual Disabilities Live

    ERIC Educational Resources Information Center

    Cleaver, Shaun; Ouellette-Kuntz, Helene; Hunter, Duncan

    2008-01-01

    As the population ages, mobility limitations are associated with increased mortality and negative health-related states both in the general population and among people with intellectual disabilities. The influence of mobility limitations upon the lives and lifestyles of people with intellectual disabilities remains poorly understood. Specifically,…

  10. Factors Related to Hysterectomy in Women with Physical and Mobility Disabilities

    ERIC Educational Resources Information Center

    Lin, Lan-Ping; Hsieh, Molly; Chen, Si-Fan; Wu, Chia-Ling; Hsu, Shang-Wei; Lin, Jin-Ding

    2012-01-01

    This paper aims to identify self-report data for hysterectomy prevalence and to explore its correlated factors among women with physical and mobility disabilities in Taiwan. This paper was part of a larger study, "Survey on Preventive Health Utilizations of People with Physical and Mobility Disability in Taiwan," which is a cross-sectional survey…

  11. Seating and wheeled mobility in the disabled elderly population.

    PubMed

    Redford, J B

    1993-08-01

    Elderly persons constitute the largest among the populations regularly using wheelchairs. This is a review of the few studies specifically concerned with seating for the elderly; it identifies current problems, particularly in the seating for aged people who are in long-term care facilities. This review describes ways of matching currently available seating technology with the needs of disabled elderly persons. Two major barriers to greater use of newer seating technology are (1) the high cost of durable medical equipment and (2) the failure of most clinicians and institutional administrators to recognize the importance of posture and comfort to provide functional independence in wheelchair users. This review discusses seating for four groups of elderly persons: (1) the nonmobile, dependents who may be safety risks and are without energy or ability to wheel or walk by themselves; (2) mobile nonambulatory; and (3) ambulatory, but with special wheelchair needs. Research is needed in wheeled mobility in a number of areas: better matching of mobility to function, cheaper and more effective cushions, more modular seating systems, and better lifting and transfer devices. The American National Standards Institute in cooperation with Rehabilitation Engineering Society of North America has recently recommended standards for wheelchair performance that may be legislated in the next few years. PMID:8347074

  12. Clinical Psychopathology, Untoward Incidents and the Use of Restrictive Procedures in Adults with Intellectual Disability

    ERIC Educational Resources Information Center

    Chaplin, Eddie; Tsakanikos, Elias; Wright, Steve; Bouras, Nick

    2009-01-01

    Background: Previous evidence has suggested that clinical characteristics may predict use of restraint in adults with intellectual disability. However, the relationship between specific types of untoward incidents, corresponding interventions (restrictive procedures) and clinical psychopathology remains unclear. Method: We examined all untoward

  13. Clinical Psychopathology, Untoward Incidents and the Use of Restrictive Procedures in Adults with Intellectual Disability

    ERIC Educational Resources Information Center

    Chaplin, Eddie; Tsakanikos, Elias; Wright, Steve; Bouras, Nick

    2009-01-01

    Background: Previous evidence has suggested that clinical characteristics may predict use of restraint in adults with intellectual disability. However, the relationship between specific types of untoward incidents, corresponding interventions (restrictive procedures) and clinical psychopathology remains unclear. Method: We examined all untoward…

  14. Assistive Technology and Students with High-Incidence Disabilities: Understanding the Relationship through the NLTS2

    ERIC Educational Resources Information Center

    Bouck, Emily C.; Maeda, Yukiko; Flanagan, Sara M.

    2012-01-01

    Assistive technology use in secondary school and postschool has been shown to improve the educational attainment and life outcomes of students with high-incidence disabilities. This study used data from the National Longitudinal Transition Study-2--collected in the early to mid-2000s--to explore the relationship between receipt of assistive…

  15. On CALL: One Approach to Improving Services for Students with Low-Incidence Disabilities

    ERIC Educational Resources Information Center

    Bradley-Johnson, Sharon; Johnson, C. Merle; Drevon, Daniel D.

    2015-01-01

    Students with low-incidence disabilities frequently receive less than optimal psychoeducational services because the specialized tests and instructional materials required to meet their idiosyncratic needs often are unavailable due to budget constraints, inadequate training of school personnel, and the difficulty school personnel have keeping…

  16. Incidence and Trends in Psychopathology Symptoms over Time in Adults with Severe to Profound Intellectual Disability

    ERIC Educational Resources Information Center

    Horovitz, Max; Matson, Johnny L.; Sipes, Megan; Shoemaker, Mary; Belva, Brian; Bamburg, Jay W.

    2011-01-01

    Individuals with intellectual disability (ID) have a high risk for developing comorbid psychopathology. While researchers have shown that symptoms of psychopathology remain relatively stable in children with ID over time, little research has been conducted to demonstrate symptom stability for adults with ID. Incidence of psychopathology symptoms…

  17. Problem-Solving Model for Decision Making with High-Incidence Disabilities: The Minneapolis Experience.

    ERIC Educational Resources Information Center

    Marston, Doug; Muyskens, Paul; Lau, Matthew; Canter, Andrea

    2003-01-01

    This article describes the problem-solving model (PSM) used in the Minneapolis Public Schools to guide decisions regarding intervention in general education, special education referral, and evaluation for special education eligibility for high-incidence disabilities. Program evaluation indicates students received special education services earlier…

  18. Prevalence and Incidence of Myocardial Infarction and Cerebrovascular Accident in Ageing Persons with Intellectual Disability

    ERIC Educational Resources Information Center

    Jansen, J.; Rozeboom, W.; Penning, C.; Evenhuis, H. M.

    2013-01-01

    Background: Epidemiological information on age-related cardiovascular disease in people with intellectual disability (ID) is scarce and inconclusive. We compared prevalence and incidence of cerebrovascular accident and myocardial infarction over age 50 in a residential population with ID to that in a general practice population. Method: Lifetime

  19. Assessment of Cognitive Ability of Students with Severe and Low-Incidence Disabilities--Part 1

    ERIC Educational Resources Information Center

    Crepeau-Hobson, Franci; Vujeva, Hana

    2012-01-01

    Students with severe and low-incidence disabilities comprise a heterogeneous population that often presents a challenge to the professionals charged with evaluating their skills and abilities. This is especially true in conducting a valid assessment of the cognitive ability of these children. Often, school psychologists are limited to the use of…

  20. Prevalence of Weight Problems among Youth with High-Incidence Disabilities in Residential Care

    ERIC Educational Resources Information Center

    Trout, Alexandra L.; Lambert, Matthew C.; Nelson, Timothy D.; Thompson, Ronald W.

    2014-01-01

    The prevalence of weight problems among youth in general and youth in out-of-home care has been well documented; however, the prevalence of obesity/overweight among youth with high-incidence disabilities in more restrictive settings, such as residential care, has not been assessed. The purpose of the present study was to evaluate the prevalence of…

  1. Proportional Reasoning Word Problem Performance for Middle School Students with High-Incidence Disabilities (HID)

    ERIC Educational Resources Information Center

    Brawand, Anne Eichorn

    2013-01-01

    Schema-based instruction (SBI) was used to examine the solving of proportional reasoning word problems for middle school students with high-incidence disabilities (HID). Seventh- and eighth-grade students with HID participated in the study. Students were randomly assigned to one of three groups. A multiple-baseline-across-groups design was…

  2. Making Mathematics Placement Decisions for High School Students with High Incidence Disabilities: A Collective Case Study

    ERIC Educational Resources Information Center

    Murzyn, Amy; Hughes, Trudie

    2015-01-01

    This multiple case study described the experiences of case managers making mathematics placement decisions for high school students with high incidence disabilities. Participants included three parents, three students, three case managers, three mathematics teachers, and three administrators from different high schools across rural, suburban and…

  3. Prevalence and Incidence of Myocardial Infarction and Cerebrovascular Accident in Ageing Persons with Intellectual Disability

    ERIC Educational Resources Information Center

    Jansen, J.; Rozeboom, W.; Penning, C.; Evenhuis, H. M.

    2013-01-01

    Background: Epidemiological information on age-related cardiovascular disease in people with intellectual disability (ID) is scarce and inconclusive. We compared prevalence and incidence of cerebrovascular accident and myocardial infarction over age 50 in a residential population with ID to that in a general practice population. Method: Lifetime…

  4. Project Reaching Out: Technology Training for Minorities with Low Incidence Disabilities. Part I: African-American Curriculum.

    ERIC Educational Resources Information Center

    RESNA: Association for the Advancement of Rehabilitation Technology, Washington, DC.

    The purpose of this curriculum, part of Project Reaching Out, is to provide African-Americans with low incidence disabilities an overview of information on assistive technology in a manner that respects differences in beliefs, interpersonal styles, and behaviors. Low incidence disabilities are defined as deafness, blindness, deaf blindness,…

  5. Incidence of road traffic disabilities trending upwards in transitional China: a retrospective analysis from 1980 to 2005

    PubMed Central

    Liu, Lan; Du, Wei; Pang, Lihua; Chen, Gong; Zheng, Xiaoying

    2014-01-01

    Objective To evaluate the change in incidence rates of road traffic disabilities from 1980 to 2005 in China. Methods We employed the 2006 China National Sample Survey on Disability to derive weighted number of persons with disabilities resulting from road crashes and weighted age-gender-specific population at risk by disability occurrence year. The annual incidence rate of road traffic disabilities and corresponding 95% CI were estimated. We used the World Population Prospects (WPP) and the death rate of people with disabilities (PWD) to estimate potential earlier loss of lives before 2006. Both WPP-adjusted and PWD-adjusted incidence rates of road traffic disabilities were further adjusted using the life table analysis. Results The WPP-adjusted incidence rate for road traffic disabilities increased over time from 1.50 (95% CI 1.47 to 1.52) in 1980 to 11.19 (95% CI 11.13 to 11.25) per 100 000 persons in 2005. The PWD-adjusted incidence rate also increased from 1.71 (95% CI 1.68 to 1.73) to 11.51 (95% CI 11.45 to 11.57) per 100 000 persons. Conclusions Road crashes disable thousands of Chinese and remain a significant population health and development problem. The increasing burden of road traffic disabilities calls for more efforts and specific strategies to improve road safety in China. PMID:24833679

  6. Physical Mobility Limitations in Adults with Intellectual Disabilities: A Systematic Review

    ERIC Educational Resources Information Center

    Cleaver, S.; Hunter, D.; Ouellette-Kuntz, H.

    2009-01-01

    Background: Mobility limitations increase with age in the general population. Despite a growing population of older adults with intellectual disabilities (ID), mobility is rarely studied in the ID literature. The specific aim of this study was to identify and summarise primary literature investigating mobility limitations in adults with ID.…

  7. Country-specific estimates of the incidence of intellectual disability associated with prenatal exposure to methylmercury.

    PubMed

    Bellinger, David C; O'Leary, Keri; Rainis, Holly; Gibb, Herman J

    2016-05-01

    This paper describes country-specific estimates of the incidence of intellectual disability in children associated with prenatal exposure to methylmercury. A systematic review was undertaken to identify country-specific data on hair mercury concentrations in women of reproductive age. A variety of approaches were used to estimate biomarker concentrations for countries lacking such data. A dose-effect relationship derived on the basis of the data from three large prospective studies relating prenatal methylmercury exposure to IQ in children was used to estimate the country-specific incidences of mild, moderate, severe, and profound intellectual disability in children as a result of prenatal methylmercury exposure. The incidence of methylmercury-associated mild intellectual disability (IQ scores 50-70) varied nearly 40-fold across countries, with the greatest incidences generally in countries that are islands or that are coastal. Countries with high birth rates and greater consumption of foods that contribute most to methylmercury intake in humans (seafood, rice) can be expected to make the largest contributions to the worldwide burden of disease associated with methylmercury. The assumptions and limitations of the estimates are discussed. PMID:26874048

  8. SIMON: Integration of mobility and parking solutions for people with disabilities.

    PubMed

    Ferreras, Alberto; Barberà, Ricard; Durá-Gil, Juan Vicente; Solaz, José; Muñoz, Eva María; Serrano, Manuel; Marqués, Antonio

    2015-01-01

    Mobility and parking in urban areas are often difficult for people with disabilities. Obstacles include lack of accessible information on routes, transport alternatives and parking availability, as well as fraud in the use of the specific services intended for these citizens. The SIMON project aims to improve this situation through the integration of different ICT solutions. SIMON is enhancing the European Parking Card for disable people with contactless technologies and integrates mobile solutions to support user unique identification in existing parking areas whilst preserving privacy. SIMON will also promote better mobility solutions for mobility including information, navigation and access to restricted areas. PMID:26294493

  9. Strength and Speed Training for Elders With Mobility Disability

    PubMed Central

    Protas, Elizabeth J.; Tissier, Sandrine

    2010-01-01

    The purpose of this study was to pilot test a function-focused exercise intervention consisting of strength and gait-speed training in elders with reduced walking speed, decreased walking endurance, and functional impairment. Twelve participants, 77.2 years old (± 7.34), whose usual gait speed was <0.85 m/s, with walking endurance of <305 m in 5 min, and who were functionally impaired participated in a moderate-intensity exercise intervention. The training occurred 3 times per week, 75 min per session, for 3 months and combined 4 weeks of gait-speed training, walking exercise, and functional strengthening. The participants demonstrated mean usual gait speeds (≥1.0 m/s), endurance (≥350 m), and functional ability (≥10 score on performance battery) that were within normal limits after 12 weeks of training. Fastest gait speed (≥1.5 m/s) and muscle strength also improved significantly. Improvements were maintained during follow-up testing after 3–6 months. In summary, a 12-week intervention for frail, mobility-disabled participants led to improvements in walking, function, and strength. PMID:19799099

  10. The Prevalence and Severity of Physical Mobility Limitations in Older Adults with Intellectual Disabilities

    ERIC Educational Resources Information Center

    Cleaver, Shaun; Ouellette-Kuntz, Helene; Hunter, Duncan

    2009-01-01

    Background: The population of older adults with intellectual disabilities is growing, creating new challenges for individuals, families and service providers. Although there has been increased research into the ageing process for adults with intellectual disabilities, there is little focused research investigating physical mobility. Materials and…

  11. Associations of BMI and adipose tissue area and density with incident mobility limitation and poor performance in older adults123

    PubMed Central

    Murphy, Rachel A; Reinders, Ilse; Register, Thomas C; Ayonayon, Hilsa N; Newman, Anne B; Satterfield, Suzanne; Goodpaster, Bret H; Simonsick, Eleanor M; Kritchevsky, Stephen B; Harris, Tamara B

    2014-01-01

    Background: Obesity is a risk factor for disability, but risk of specific adipose depots is not completely understood. Objective: We investigated associations between mobility limitation, performance, and the following adipose measures: body mass index (BMI) and areas and densities of visceral adipose tissue (VAT), subcutaneous adipose tissue (SAT), and intermuscular adipose tissue (IMAT) in older adults. Design: This was a prospective population-based study of men (n = 1459) and women (n = 1552) initially aged 70–79 y and free from mobility limitation. BMI was determined from measured height and weight. Adipose tissue area and density in Hounsfield units were measured in the thigh and abdomen by using computed tomography. Mobility limitation was defined as 2 consecutive reports of difficulty walking one-quarter mile or climbing 10 steps during semiannual assessments over 13 y. Poor performance was defined as a gait speed <1 m/s after 9 y of follow-up (n = 1542). Results: In models adjusted for disability risk factors, BMI, and areas of VAT, abdominal SAT, and IMAT were positively associated with mobility limitation in men and women. In women, thigh SAT area was positively associated with mobility limitation risk, whereas VAT density was inversely associated. Associations were similar for poor performance. BMI and thigh IMAT area (independent of BMI) were particularly strong indicators of incident mobility limitation and poor performance. For example, in women, the HR (95% CI) and OR (95% CI) associated with an SD increment in BMI for mobility limitation and poor performance were 1.31 (1.21, 1.42) and 1.41 (1.13, 1.76), respectively. In men, the HR (95% CI) and OR (95% CI) associated with an SD increment in thigh IMAT for mobility limitation and poor performance were 1.37 (1.27, 1.47) and 1.54 (1.18, 2.02), respectively. Conclusions: Even into old age, higher BMI is associated with mobility limitation and poor performance. The amount of adipose tissue in abdominal and thigh depots may also convey risk beyond BMI. PMID:24522448

  12. Traumatic Brain Injury in the Netherlands: Incidence, Costs and Disability-Adjusted Life Years

    PubMed Central

    Scholten, Annemieke C.; Haagsma, Juanita A.; Panneman, Martien J. M.; van Beeck, Ed F.; Polinder, Suzanne

    2014-01-01

    Objective Traumatic brain injury (TBI) is a major cause of death and disability, leading to great personal suffering and huge costs to society. Integrated knowledge on epidemiology, economic consequences and disease burden of TBI is scarce but essential for optimizing healthcare policy and preventing TBI. This study aimed to estimate incidence, cost-of-illness and disability-adjusted life years (DALYs) of TBI in the Netherlands. Methods This study included data on all TBI patients who were treated at an Emergency Department (ED - National Injury Surveillance System), hospitalized (National Medical Registration), or died due to their injuries in the Netherlands between 2010–2012. Direct healthcare costs and indirect costs were determined using the incidence-based Dutch Burden of Injury Model. Disease burden was assessed by calculating years of life lost (YLL) owing to premature death, years lived with disability (YLD) and DALYs. Incidence, costs and disease burden were stratified by age and gender. Results TBI incidence was 213.6 per 100,000 person years. Total costs were €314.6 (USD $433.8) million per year and disease burden resulted in 171,200 DALYs (on average 7.1 DALYs per case). Men had highest mean costs per case (€19,540 versus €14,940), driven by indirect costs. 0–24-year-olds had high incidence and disease burden but low economic costs, whereas 25–64-year-olds had relatively low incidence but high economic costs. Patients aged 65+ had highest incidence, leading to considerable direct healthcare costs. 0–24-year-olds, men aged 25–64 years, traffic injury victims (especially bicyclists) and home and leisure injury victims (especially 0–5-year-old and elderly fallers) are identified as risk groups in TBI. Conclusions The economic and health consequences of TBI are substantial. The integrated approach of assessing incidence, costs and disease burden enables detection of important risk groups in TBI, development of prevention programs that target these risk groups and assessment of the benefits of these programs. PMID:25343447

  13. Effects of Increased Mobility Skills on Meaningful Life Participation for an Adult with Severe Multiple Disabilities

    ERIC Educational Resources Information Center

    Whinnery, Stacie B.; Whinnery, Keith W.

    2012-01-01

    This article presents a case study of an adult with severe, multiple disabilities and discusses issues affecting meaningful life participation. Emphasis is placed on the role of functional mobility skills to increase active engagement in age-appropriate activities and opportunities to make informed choices. MOVE for Adults (Mobility Opportunities…

  14. Effects of Functional Mobility Skills Training for Adults with Severe Multiple Disabilities

    ERIC Educational Resources Information Center

    Whinnery, Stacie B.; Whinnery, Keith W.

    2011-01-01

    This study investigated the effects of a functional mobility program on the functional standing and walking skills of five adults with developmental disabilities. The Mobility Opportunities Via Education (MOVE) Curriculum was implemented using a multiple-baseline across subjects design. Repeated measures were taken during baseline, intervention…

  15. The Prevalence, Incidence, and Factors Predictive of Mental Ill-Health in Adults with Profound Intellectual Disabilities

    ERIC Educational Resources Information Center

    Cooper, Sally-Ann; Smiley, Elita; Finlayson, Janet; Jackson, Alison; Allan, Linda; Williamson, Andrew; Mantry, Dipali; Morrison, Jillian

    2007-01-01

    Background: There are no previous studies of the prevalence and incidence of mental ill-health in adults with profound intellectual disabilities. Method: In this population-based prospective cohort study, adults with profound intellectual disabilities underwent psychiatric assessment (n = 184), with further assessment after 2 years (n = 131).…

  16. Online Reading Comprehension among Seventh Grade Students with High Incidence Disabilities in Inclusive Settings: A Mixed Methods Study

    ERIC Educational Resources Information Center

    Robbins, Katherine R.

    2010-01-01

    Because research exploring how students with disabilities read and comprehend on the Internet is scarce, a mixed methods study was implemented to determine if Internet Reciprocal Teaching (IRT) is an effective intervention for improving online reading comprehension among seventh grade students with high-incidence disabilities in inclusive…

  17. Incidence, prevalence, and hybrid approaches to calculating disability-adjusted life years

    PubMed Central

    2012-01-01

    When disability-adjusted life years are used to measure the burden of disease on a population in a time interval, they can be calculated in several different ways: from an incidence, pure prevalence, or hybrid perspective. I show that these calculation methods are not equivalent and discuss some of the formal difficulties each method faces. I show that if we don’t discount the value of future health, there is a sense in which the choice of calculation method is a mere question of accounting. Such questions can be important, but they don’t raise deep theoretical concerns. If we do discount, however, choice of calculation method can change the relative burden attributed to different conditions over time. I conclude by recommending that studies involving disability-adjusted life years be explicit in noting what calculation method is being employed and in explaining why that calculation method has been chosen. PMID:22967055

  18. Disability, mortality, and incidence of cancer among Geneva painters and electricians: a historical prospective study.

    PubMed

    Gubéran, E; Usel, M; Raymond, L; Tissot, R; Sweetnam, P M

    1989-01-01

    The 1916 painters and the 1948 electricians who resided in the Canton of Geneva at the time of the 1970 census were identified and followed up to 1984. During the study period 121 disability pensions were awarded to painters and 59 to electricians. Age standardised incidence of disability per 1000 man-years at risk was higher among painters than among electricians for all neuropsychiatric causes (1.23/1000 and 0.68/1000, respectively) and for all other causes (5.50/1000 and 3.41/1000, respectively). No case of presenile dementia was diagnosed among painters. There was inadequate evidence to indicate that the higher risk of neuropsychiatric disability for painters might have been due to their occupational exposure to organic solvents. A possible toxic effect of these substances on the central nervous system was confounded with alcoholism which was associated with disability from neuropsychiatric disease in 12 of 20 painters and in only one of 10 electricians. Mortality and incidence of cancer were assessed among both cohorts and compared with the expected figures calculated from Geneva rates. Among painters there was a significant increase in overall mortality (O = 254, E = 218.5), in mortality from all cancers (O = 96, E = 75.4), and in incidence from all cancers (O = 159, E = 132.0). For the specific cancer sites, there was a significant excess risk for lung cancer (mortality: O = 40, E = 23.0), which was possibly related to occupational exposure to asbestos and to zinc chromate, although cigarette smoking was not controlled. The significant excesses of biliary tract cancer and of bladder cancer were in accordance with previous observations among painters from other countries. There was also a significant increase in incidence from testicular cancer (O=5, E=1.6), which has not been reported before. For causes of death other than cancer the excesses for alcoholism (O=5, E=0.8). for liver cirrhosis (O=14, E=8.8), for motor vehicle accidents (O=12, E=5.9), and for cerebrovascular disease when allowing for ten years of latency (O=8, E=4.0), were consistent with a probable increased risk of alcohol abuse. Among electricians overall mortality was similar to that expected (O=137, E=139.0). No significant excess risk was found for all cancers or for any specific cancer site. Because of the small number of expected deaths the statistical power was low for the assessment of a possible risk for leukaemia or for brain tumour. PMID:2920139

  19. Robotic Communication Terminals as a Mobility Support System for Elderly and Disabled People(2)

    NASA Astrophysics Data System (ADS)

    Yairi, Ikuko Eguchi; Igi, Seiji

    We have been developing Robotic Communication Terminals (RCT) as a mobility support system for the elderly and disabled people, which assists for their impaired elements of mobility— recognition, actuation, and information access. The RCT consist of three types of terminals: “environment-embedded terminal”“user-carried mobile terminal”, and “user-carrying mobile terminal”. These terminals communicate with one another to provide the users with a comfortable means of mobility. In this paper, we introduce the overview of our research. The recent progress is also presented as well as the future plan.

  20. Mobility disability and the pattern of accelerometer-derived sedentary and physical activity behaviors in people with multiple sclerosis

    PubMed Central

    Ezeugwu, Victor; Klaren, Rachel E.; A. Hubbard, Elizabeth; Manns, Patricia (Trish); Motl, Robert W.

    2015-01-01

    Objective Low physical activity and high sedentary behavior levels are major concerns in persons with multiple sclerosis (MS) and these differ depending on the level of mobility disability. However, the manner in which daily activity is accumulated is currently unknown in this population. Methods A secondary analysis was performed on a combined data set of persons with MS from two previous investigations of physical activity and symptomatic or quality of life outcomes in the United States over a two year period (2007–2009). Mobility disability status was determined using the Patient Determined Disease Steps (PDDS) while activity behavior was objectively monitored using an ActiGraph accelerometer for 7 days. Results Persons with MS who have mobility disability were involved in sedentary behavior, light and moderate intensity activity for 65%, 34% and 1% of the day, respectively compared to 60%, 37%, and 3%, respectively in those without mobility disability (p < 0.05). Breaks in sedentary time did not differ by mobility disability status. Compared to those without mobility disability, the average number of sedentary bouts longer than 30 min was greater in those with mobility disability (p = 0.016). Conclusion Persons with MS with mobility disability are less active, engage in more sedentary behavior and accumulate prolonged sedentary bouts. PMID:26844077

  1. Factors Predictive of Type of Powered Mobility Received by Veterans with Disability

    PubMed Central

    Rabadi, Meheroz H.; Vincent, Andrea S.

    2015-01-01

    Background The goal of this observational study was to determine factors predictive of the type of powered mobility prescribed to veterans with disability. Material/Methods A retrospective chart review was conducted for all veterans (n=170) who received powered mobility from a designated power mobility clinic. Logistic regression analysis was used to determined factors predictive of the type of powered mobility provided. Results Sixty-four (38%) veterans were provided powered wheelchairs and 106 (62%) were provided powered scooters. Of the variables examined, only primary medical conditions for referral and disability severity (as measured by the 2-minute timed walk test; 2-MWT) were predictive of the types of powered mobility prescribed. Veterans who were able to walk longer distances were more likely to be prescribed powered scooters. Age, gender, race, level of education, marital and employment status, number of chronic medical conditions, and upper and lower limb muscle strength were not significant predictors. Conclusions This study suggests that the primary medical conditions for referral and 2-MWT can assist clinicians in the determination of the type of powered mobility to prescribe to veterans with disability. PMID:25955214

  2. Outdoor Built Environment Barriers and Facilitators to Activity among Midlife and Older Adults with Mobility Disabilities

    ERIC Educational Resources Information Center

    Rosenberg, Dori E.; Huang, Deborah L.; Simonovich, Shannon D.; Belza, Basia

    2013-01-01

    Purpose: To gain better understanding of how the built environment impacts neighborhood-based physical activity among midlife and older adults with mobility disabilities. Design and methods: We conducted in-depth interviews with 35 adults over age 50, which used an assistive device and lived in King County, Washington, U.S. In addition,

  3. Outdoor Built Environment Barriers and Facilitators to Activity among Midlife and Older Adults with Mobility Disabilities

    ERIC Educational Resources Information Center

    Rosenberg, Dori E.; Huang, Deborah L.; Simonovich, Shannon D.; Belza, Basia

    2013-01-01

    Purpose: To gain better understanding of how the built environment impacts neighborhood-based physical activity among midlife and older adults with mobility disabilities. Design and methods: We conducted in-depth interviews with 35 adults over age 50, which used an assistive device and lived in King County, Washington, U.S. In addition,…

  4. School Mobility, Dropout, and Graduation Rates across Student Disability Categories in Utah. REL 2015-055

    ERIC Educational Resources Information Center

    Barrat, Vanessa X.; Berliner, BethAnn; Voight, Adam; Tran, Loan; Huang, Chun-Wei; Yu, Airong; Chen-Gaddini, Min

    2014-01-01

    This report describes the characteristics of students with disabilities in Utah public schools, and presents the single-year mobility and dropout rates for students in grades 6-12, as well as the four-year cohort dropout and graduation rates, for students who started grade 9 for the first time in 2007/08 and constituted the 2011 cohort. Results…

  5. Obstacle Course Training Can Improve Mobility and Prevent Falls in People with Intellectual Disabilities

    ERIC Educational Resources Information Center

    Van Hanegem, E.; Enkelaar, L.; Smulders, E.; Weerdesteyn, V.

    2014-01-01

    Background: Persons with intellectual disabilities (ID) constitute a special-needs population at high risk of falling. This is the first study to evaluate whether obstacle course training can improve mobility and prevent falls in this population. Methods: The intervention was implemented as part of an institution-wide health care improvement plan…

  6. Effects of Disability on Pregnancy Experiences Among Women with Impaired Mobility

    PubMed Central

    Iezzoni, Lisa I.; Wint, Amy J.; Smeltzer, Suzanne C.; Ecker, Jeffrey L.

    2016-01-01

    Objective Little is known about how functional impairments might affect the pregnancies of women with mobility disability. We aimed to explore complications that arise during pregnancy specifically related to physical functional impairments of women with significant mobility disabilities. Design Qualitative descriptive analysis Setting Telephone interviews with women from 17 USA states Sample 22 women with significant mobility difficulties who had delivered babies within the prior 10 years; most participants were recruited through social networks. Methods We conducted 2-hour, in-depth telephone interviews using a semi-structured, open-ended interview protocol. We used NVivo software to sort interview transcript texts for conventional content analyses. Main outcome measures Functional impairment-related complications during pregnancy. Results The women’s mean (standard deviation) age was 34.8 (5.3) years. Most were white, well-educated, and higher income; 8 women had spinal cord injuries, 4 cerebral palsy, and 10 had other conditions; 18 used wheeled mobility aids; and 14 had cesarean deliveries (8 elective). Impairment-related complications during pregnancy included: falls; urinary tract and bladder problems; wheelchair fit and stability problems that reduced mobility and compromised safety; significant shortness of breath, sometimes requiring respiratory support; increased spasticity; bowel management difficulties; and skin integrity problems (this was rare, but multiple women greatly increased skin monitoring during pregnancy to prevent pressure ulcers). Conclusions In addition to other pregnancy-associated health risks, women with mobility disabilities appear to experience problems relating to their functional impairments. Pre-conception planning and in-depth discussions during early pregnancy could potentially assist women with mobility disabilities to anticipate and address these difficulties. PMID:25417861

  7. Food Access Patterns and Barriers among Midlife and Older Adults with Mobility Disabilities.

    PubMed

    Huang, Deborah L; Rosenberg, Dori E; Simonovich, Shannon D; Belza, Basia

    2012-01-01

    We examined where midlife and older adults with a mobility disability accessed food outside the home in King County, Washington, USA, how they travelled to these food destinations, and facilitators and barriers to food access using qualitative interviews. Thirty-five adults aged ≥50 years with a mobility disability (defined as use of an assistive device for mobility) were interviewed. Supplemental objective information was obtained from a Global Positioning System device worn by participants for 3 days. Participants primarily accessed food at grocery stores, restaurants, and coffee shops/cafés. The most common transportation modes were walking, obtaining a ride from friends, motorized chair/scooter, and public transit. Location and proximity of food destinations were factors affecting participants' ability to access these destinations. Adequate space, ease of entry, available amenities such as restrooms, and helpful people were facilitators for participants to access food outside the home. PMID:23056944

  8. Environmental and State-Level Regulatory Factors Affect the Incidence of Autism and Intellectual Disability

    PubMed Central

    Rzhetsky, Andrey; Bagley, Steven C.; Wang, Kanix; Lyttle, Christopher S.; Cook, Edwin H.; Altman, Russ B.; Gibbons, Robert D.

    2014-01-01

    Many factors affect the risks for neurodevelopmental maladies such as autism spectrum disorders (ASD) and intellectual disability (ID). To compare environmental, phenotypic, socioeconomic and state-policy factors in a unified geospatial framework, we analyzed the spatial incidence patterns of ASD and ID using an insurance claims dataset covering nearly one third of the US population. Following epidemiologic evidence, we used the rate of congenital malformations of the reproductive system as a surrogate for environmental exposure of parents to unmeasured developmental risk factors, including toxins. Adjusted for gender, ethnic, socioeconomic, and geopolitical factors, the ASD incidence rates were strongly linked to population-normalized rates of congenital malformations of the reproductive system in males (an increase in ASD incidence by 283% for every percent increase in incidence of malformations, 95% CI: [91%, 576%], p<6×10−5). Such congenital malformations were barely significant for ID (94% increase, 95% CI: [1%, 250%], p = 0.0384). Other congenital malformations in males (excluding those affecting the reproductive system) appeared to significantly affect both phenotypes: 31.8% ASD rate increase (CI: [12%, 52%], p<6×10−5), and 43% ID rate increase (CI: [23%, 67%], p<6×10−5). Furthermore, the state-mandated rigor of diagnosis of ASD by a pediatrician or clinician for consideration in the special education system was predictive of a considerable decrease in ASD and ID incidence rates (98.6%, CI: [28%, 99.99%], p = 0.02475 and 99% CI: [68%, 99.99%], p = 0.00637 respectively). Thus, the observed spatial variability of both ID and ASD rates is associated with environmental and state-level regulatory factors; the magnitude of influence of compound environmental predictors was approximately three times greater than that of state-level incentives. The estimated county-level random effects exhibited marked spatial clustering, strongly indicating existence of as yet unidentified localized factors driving apparent disease incidence. Finally, we found that the rates of ASD and ID at the county level were weakly but significantly correlated (Pearson product-moment correlation 0.0589, p = 0.00101), while for females the correlation was much stronger (0.197, p<2.26×10−16). PMID:24625521

  9. Environmental and state-level regulatory factors affect the incidence of autism and intellectual disability.

    PubMed

    Rzhetsky, Andrey; Bagley, Steven C; Wang, Kanix; Lyttle, Christopher S; Cook, Edwin H; Altman, Russ B; Gibbons, Robert D

    2014-03-01

    Many factors affect the risks for neurodevelopmental maladies such as autism spectrum disorders (ASD) and intellectual disability (ID). To compare environmental, phenotypic, socioeconomic and state-policy factors in a unified geospatial framework, we analyzed the spatial incidence patterns of ASD and ID using an insurance claims dataset covering nearly one third of the US population. Following epidemiologic evidence, we used the rate of congenital malformations of the reproductive system as a surrogate for environmental exposure of parents to unmeasured developmental risk factors, including toxins. Adjusted for gender, ethnic, socioeconomic, and geopolitical factors, the ASD incidence rates were strongly linked to population-normalized rates of congenital malformations of the reproductive system in males (an increase in ASD incidence by 283% for every percent increase in incidence of malformations, 95% CI: [91%, 576%], p<6×10(-5)). Such congenital malformations were barely significant for ID (94% increase, 95% CI: [1%, 250%], p = 0.0384). Other congenital malformations in males (excluding those affecting the reproductive system) appeared to significantly affect both phenotypes: 31.8% ASD rate increase (CI: [12%, 52%], p<6×10(-5)), and 43% ID rate increase (CI: [23%, 67%], p<6×10(-5)). Furthermore, the state-mandated rigor of diagnosis of ASD by a pediatrician or clinician for consideration in the special education system was predictive of a considerable decrease in ASD and ID incidence rates (98.6%, CI: [28%, 99.99%], p = 0.02475 and 99% CI: [68%, 99.99%], p = 0.00637 respectively). Thus, the observed spatial variability of both ID and ASD rates is associated with environmental and state-level regulatory factors; the magnitude of influence of compound environmental predictors was approximately three times greater than that of state-level incentives. The estimated county-level random effects exhibited marked spatial clustering, strongly indicating existence of as yet unidentified localized factors driving apparent disease incidence. Finally, we found that the rates of ASD and ID at the county level were weakly but significantly correlated (Pearson product-moment correlation 0.0589, p = 0.00101), while for females the correlation was much stronger (0.197, p<2.26×10(-16)). PMID:24625521

  10. Poor mobilizer: a retrospective study on proven and predicted incidence according to GITMO criteria.

    PubMed

    Piccirillo, Nicola; Vacca, Michele; Lanti, Alessandro; Ipsevich, Francesco; Maresca, Maddalena; Fiorelli, Elena; Bianchi, Maria; Adorno, Gaspare; Pierelli, Luca; Majolino, Ignazio; Leone, Giuseppe; Zini, Gina

    2012-10-01

    The Italian Group for Bone Marrow Transplantation (Gruppo Italiano Trapianto di Midollo Osseo, GITMO) recently formalized criteria for a shared definition of poor mobilizer in order to facilitate randomized clinical trials and study comparison focusing on the efficacy of current mobilizing regimens. The availability of a standardized tool for poor mobilizer definition suggested us to retrospectively test GITMO criteria feasibility and applicability. Therefore we analyzed medical and laboratory records of adult patients affected by myeloma (MM) or lymphoma undergoing mobilization for autologous peripheral blood HSC collection from January 2010 to June 2011, at Servizio di Emotrasfusione, Istituto di Ematologia, Università Cattolica Del Sacro Cuore, Roma, UOC SIMT AO S. Camillo Forlanini Roma and SIMT Fondazione Policlinico Tor Vergata Roma. We collected data about 227 patients (134 male, 93 female) affected by MM (31.3%) NHL (58.6%) e HD (10.1%). Thirty-nine patients, 21 male and 18 female met proven poor mobilizer criteria definition resulting in a incidence of 17.2% (12.7% in MM, 21.8% in NHL and 4.3% in HD). Eleven patients, seven affected by lymphoma and four affected by myeloma, were defined predicted PM according to major criteria. Eight patients, seven affected by lymphoma and one affected by myeloma, were define predicted PM according to minor criteria. Sixteen out of 39 patients defined as poor mobilizer either according to major or minor criteria underwent collection procedures and eight (20.5%) achieved a cell dose ⩾2×10(6)/kg CD34(+) cells. GITMO criteria application was easy and resulted in poor mobilizer incidence comparable to current literature. Definitions of proven poor mobilizer and predicted poor mobilizer according to major criteria were very effective while minor criteria were less predictive. These results came from a retrospective analysis and therefore should be validated in future prospective trial. On the other hand these data could be an early overall view of the foreseeable future of peripheral blood stem cell collection. In conclusion we believe that these criteria will be able to better characterize poor mobilizer phenomenon and, consequently, to identify patients taking advantage from new mobilizing agents. PMID:22784631

  11. Mobility Modification Alleviates Environmental Influence on Incident Mobility Difficulty among Community-Dwelling Older People: A Two-Year Follow-Up Study

    PubMed Central

    Portegijs, Erja; Viljanen, Anne; Iwarsson, Susanne; Rantanen, Taina

    2016-01-01

    Background Environmental barriers increase risk for mobility difficulties in old age. Mobility difficulty is preceded by a phase where people try to postpone a difficulty through mobility modification. We studied whether perceived environmental mobility barriers outdoors correlate with mobility modification and mobility difficulty, predict development of mobility difficulty over a two-year follow-up, and whether mobility modification alleviates the risk for difficulty. Methods At baseline, 848 people aged 75–90 were interviewed face-to-face. Telephone follow-up interviews were conducted one (n = 816) and two years (n = 761) later. Environmental barriers to mobility were self-reported using a15-item structured questionnaire at baseline, summed and divided into tertiles (0, 1 and 2 or more barriers). Mobility difficulty was assessed as self-reported ability to walk 2 km at all assessment points and categorized into ‘no difficulty’, ‘no difficulty but mobility modifications’ (reducing frequency, stopping walking, using an aid, slowing down or resting during the performance) and ‘difficulty’. Results At baseline, 212 participants reported mobility modifications and 356 mobility difficulties. Those reporting one or multiple environmental barriers had twice the odds for mobility modifications and up to five times the odds for mobility difficulty compared to those reporting no environmental barriers. After multiple adjustments for health and functioning, reporting multiple environmental barriers outdoors continued to predict the development of incident mobility difficulty over the two-year follow-up. Mobility modifications attenuated the association. Conclusion For older people who successfully modify their performance, environmental influence on incident mobility difficulty can be diminished. Older people use mobility modification to alleviate environmental press on mobility. PMID:27104750

  12. Secondary Disabilities among American Indians in Montana.

    ERIC Educational Resources Information Center

    Clay, Julie Anna; And Others

    1992-01-01

    A survey of incidence of secondary disabilities, completed by 75 disabled Native American adults on 3 Montana reservations, indicated fair to poor ratings for overall health and independence, high incidence/severity for problems of mobility and access, and problems with behavioral components, such as pain, fatigue, and depression. (SV)

  13. Causal Effects of Career-Technical Education on Postsecondary Work Outcomes of Individuals with High-Incidence Disabilities

    ERIC Educational Resources Information Center

    Lee, Heok In; Rojewski, Jay W.; Gregg, Noel

    2016-01-01

    Using data from the National Longitudinal Transition Study-2, a propensity score analysis revealed significant causal effects for a secondary career and technical education (CTE) concentration on the postsecondary work outcomes of adolescents with high-incidence disabilities. High school students identified as CTE concentrators (three or more high…

  14. Related Services Research for Students with Low-Incidence Disabilities: Implications for Speech-Language Pathologists in Inclusive Classrooms.

    ERIC Educational Resources Information Center

    Giangreco, Michael F.

    2000-01-01

    This article summarizes a team process for making related services decisions called VISTA (Vermont Interdependent Services Team Approach) and nine research studies on the use and impact of VISTA with students with low incidence disabilities. It also addresses team size, consumer perspectives, and paraprofessional supports. Five major conclusions…

  15. Incidence, Types and Characteristics of Aggressive Behaviour in Treatment Facilities for Adults with Mild Intellectual Disability and Severe Challenging Behaviour

    ERIC Educational Resources Information Center

    Tenneij, N. H.; Koot, H. M.

    2008-01-01

    Background: Inpatient aggression in treatment facilities for persons with intellectual disability (ID) can have aversive consequences, for co-clients and staff, but also for the aggressors themselves. To manage and eventually prevent inpatient aggressive incidents, more knowledge about their types and characteristics is necessary. Method: In four…

  16. Incidence, Types and Characteristics of Aggressive Behaviour in Treatment Facilities for Adults with Mild Intellectual Disability and Severe Challenging Behaviour

    ERIC Educational Resources Information Center

    Tenneij, N. H.; Koot, H. M.

    2008-01-01

    Background: Inpatient aggression in treatment facilities for persons with intellectual disability (ID) can have aversive consequences, for co-clients and staff, but also for the aggressors themselves. To manage and eventually prevent inpatient aggressive incidents, more knowledge about their types and characteristics is necessary. Method: In four

  17. Assessment of the Incidence and Prevalence of Developmental Disabilities in New Mexico and Associated Needs for Residential Services.

    ERIC Educational Resources Information Center

    Ashbaugh, John W.

    The document reports results of a needs assessment of the incidence and prevalence of developmental disabilities in New Mexico, in conjunction with estimates of the probable demand for residential services. An introductory section outlines the scope of the study and distinguishes among three types of demand for services: potential demand,…

  18. "Bring Your Textbook!" Using Secondary Texts to Assess Reading Demands and Skills Required for Students with High-Incidence Disabilities

    ERIC Educational Resources Information Center

    King-Sears, Margaret E.; Duke, Jodi M.

    2010-01-01

    It is important for special educators to have a strong repertoire of diagnostic methods to determine how well students with high-incidence disabilities are accessing, reading, and remembering content from textbooks used in their middle and high school classes. Suggestions for using the diagnostic information to guide specialized instruction…

  19. Effects of Self-Graphing on Written Expression of Fourth Grade Students with High-Incidence Disabilities

    ERIC Educational Resources Information Center

    Stotz, Kate E.; Itoi, Madoka; Konrad, Moira; Alber-Morgan, Sheila R.

    2008-01-01

    The purpose of this study was to determine the effects of self-graphing on the writing of 3 fourth grade students with high-incidence disabilities. Measures of written expression included total number of words written and number of correct word sequences. During intervention, students self-graphed their total number of words written in response to…

  20. Effects of an Adapted Physical Education Teaching Model on Special Educator Teaching Approaches for Students with Low Incidence Disabilities

    ERIC Educational Resources Information Center

    Laughlin, Michael K.

    2013-01-01

    The purpose of this study was to examine the effects of a training package, which consisted of the Flex Grid Teaching Model along with adapted physical education consultation, on special education teacher instruction of functional motor skill acquisition instruction to secondary students with low incidence disabilities. Special education teachers

  1. Effects of an Adapted Physical Education Teaching Model on Special Educator Teaching Approaches for Students with Low Incidence Disabilities

    ERIC Educational Resources Information Center

    Laughlin, Michael K.

    2013-01-01

    The purpose of this study was to examine the effects of a training package, which consisted of the Flex Grid Teaching Model along with adapted physical education consultation, on special education teacher instruction of functional motor skill acquisition instruction to secondary students with low incidence disabilities. Special education teachers…

  2. Health beliefs, low mood, and somatizing tendency: contribution to incidence and persistence of musculoskeletal pain with and without reported disability

    PubMed Central

    Vargas-Prada, Sergio; Martnez, Jos Miguel; Coggon, David; Delclos, George; Benavides, Fernando G; Serra, Consol

    2013-01-01

    Objective This study aims to investigate whether associations of psychological risk factors with the incidence and persistence of disabling musculoskeletal pain differ from those for non-disabling musculoskeletal pain. Methods As part of the international Cultural and Psychosocial Influences in Disability (CUPID) study, 1105 Spanish nurses and office workers were asked at baseline about health beliefs concerning pain, mental health, and somatizing tendency. Musculoskeletal pain in the past months at ten anatomical sites (back, neck, and left and right shoulder, elbow, wrist/hand, and knee) was ascertained at baseline and one year later. Pain was classed as disabling if it made one or more specified everyday activities difficult or impossible. Multilevel multinomial logistic regression modeling was used to explore associations of baseline risk factors with pain outcomes at follow-up, conditioned on pain status at baseline. Results A total of 971 participants (87.9%) completed follow-up. Among anatomical sites that were pain-free at baseline, the development of disabling musculoskeletal pain was predicted by pessimistic beliefs about pain prognosis [odds ratio (OR) 1.5, 95% confidence interval (95% CI) 1.02.1], poor mental health (OR 2.0, 95% CI 1.33.0), and somatizing tendency (OR 4.0, 95% CI 2.56.4). Adverse beliefs about prognosis were also associated with the transition from non-disabling to disabling musculoskeletal pain (OR 3.7, 95% CI 1.112.5) and the persistence of disabling musculoskeletal pain (OR 2.5, 95% CI 1.25.5), which was already present at baseline. Associations with non-disabling musculoskeletal pain were weaker and less consistent. Conclusion Our findings suggest that established psychological risk factors relate principally to the disability that arises from musculoskeletal pain. PMID:23955508

  3. Disability levels and correlates among older mobile home dwellers, an NHATS analysis

    PubMed Central

    Al-Rousan, Tala M.; Rubenstein, Linda M.; Wallace, Robert B.

    2016-01-01

    Background Although remarkably understudied, manufactured or mobile homes are the housing choice for nearly 20 million Americans and little is known about the health of older persons living in mobile homes. Objective We sought to investigate disability levels and other health correlates among older adults living in mobile or manufactured homes compared to their counterparts living in other types of homes. Methods We sampled non-institutional adults aged 65 years or older (n = 7609), of whom 344 lived in mobile homes, from the 2011 National Health and Aging Trends Study (NHATS). Results Respondents living in mobile homes (average age = 75.1 years; SD = 0.5) had lower education and income and medical insurance than older adults living in other types of community residence (average age = 77.5 years; SD = 0.2). They were more likely to smoke, have lung and heart disease, and report fair or poor general health status. Mobile home dwellers reported more difficulty or inability in performing the following activities of daily living when compared to their counterparts: stooping and kneeling (64.9% vs 60.8%, p = 0.007), walking 6 blocks (46.5% vs 41.5%, p = 0.001), walking 3 blocks (37.7% vs 33.5%, p = 0.002), and climbing up to 20 stairs (39.2% vs 34.8%, p = 0.02). Among those reporting disability, mobile home dwellers had fewer bathroom safety modifications. Conclusion There is higher prevalence of chronic conditions, functional and cognitive impairment in older mobile home dwellers compared to older adults living in other types of housing. PMID:25766655

  4. Universal accessibility of "accessible" fitness and recreational facilities for persons with mobility disabilities.

    PubMed

    Arbour-Nicitopoulos, Kelly P; Ginis, Kathleen A Martin

    2011-01-01

    This study descriptively measured the universal accessibility of "accessible" fitness and recreational facilities for Ontarians living with mobility disabilities. The physical and social environments of 44 fitness and recreational facilities that identified as "accessible" were assessed using a modified version of the AIMFREE. None of the 44 facilities were completely accessible. Mean accessibility ratings ranged between 31 and 63 out of a possible 100. Overall, recreational facilities had higher accessibility scores than fitness centers, with significant differences found on professional support and training, entrance areas, and parking lot. A modest correlation was found between the availability of fitness programming and the overall accessibility of fitness-center specific facility areas. Overall, the physical and social environments of the 44 fitness and recreational facilities assessed were limited in their accessibility for persons with mobility disabilities. Future efforts should be directed at establishing and meeting universal accessibility guidelines for Canadian physical activity facilities. PMID:21282844

  5. A Review of the Use of Touch-Screen Mobile Devices by People with Developmental Disabilities

    ERIC Educational Resources Information Center

    Stephenson, Jennifer; Limbrick, Lisa

    2015-01-01

    This article presents a review of the research on the use of mobile touch-screen devices such as PDAs, iPod Touches, iPads and smart phones by people with developmental disabilities. Most of the research has been on very basic use of the devices as speech generating devices, as a means of providing video, pictorial and/or audio self-prompting and…

  6. 78 FR 41824 - Enhanced Mobility for Seniors and Individuals With Disabilities: Proposed Circular

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-07-11

    ...The Federal Transit Administration (FTA) has placed in the docket and on its Web site, proposed guidance in the form of a circular to assist grantees in implementing the Enhanced Mobility for Seniors and Individuals with Disabilities Program. The Moving Ahead for Progress in the 21st Century Act (MAP-21, Pub. L. 112-141) blended the New Freedom Program (49 U.S.C. 5317) and the Elderly......

  7. A Mobile Robot for Remote Response to Incidents Involving Hazardous Materials

    NASA Technical Reports Server (NTRS)

    Welch, Richard V.

    1994-01-01

    This paper will describe a teleoperated mobile robot system being developed at JPL for use by the JPL Fire Department/HAZMAT Team. The project, which began in October 1990, is focused on prototyping a robotic vehicle which can be quickly deployed and easily operated by HAZMAT Team personnel allowing remote entry and exploration of a hazardous material incident site. The close involvement of JPL Fire Department personnel has been critical in establishing system requirements as well as evaluating the system. The current robot, called HAZBOT III, has been especially designed for operation in environments that may contain combustible gases. Testing of the system with the Fire Department has shown that teleoperated robots can successfully gain access to incident sites allowing hazardous material spills to be remotely located and identified. Work is continuing to enable more complex missions through enhancement of the operator interface and by allowing tetherless operation.

  8. Delaying Mobility Disability in People With Parkinson Disease Using a Sensorimotor Agility Exercise Program

    PubMed Central

    King, Laurie A; Horak, Fay B

    2009-01-01

    This article introduces a new framework for therapists to develop an exercise program to delay mobility disability in people with Parkinson disease (PD). Mobility, or the ability to efficiently navigate and function in a variety of environments, requires balance, agility, and flexibility, all of which are affected by PD. This article summarizes recent research identifying how constraints on mobility specific to PD, such as rigidity, bradykinesia, freezing, poor sensory integration, inflexible program selection, and impaired cognitive processing, limit mobility in people with PD. Based on these constraints, a conceptual framework for exercises to maintain and improve mobility is presented. An example of a constraint-focused agility exercise program, incorporating movement principles from tai chi, kayaking, boxing, lunges, agility training, and Pilates exercises, is presented. This new constraint-focused agility exercise program is based on a strong scientific framework and includes progressive levels of sensorimotor, resistance, and coordination challenges that can be customized for each patient while maintaining fidelity. Principles for improving mobility presented here can be incorporated into an ongoing or long-term exercise program for people with PD. PMID:19228832

  9. The incidence of cognitive disabilities in the siblings of autistic children.

    PubMed

    August, G J; Stewart, M A; Tsai, L

    1981-05-01

    Individual components of cognitive disability were assessed in the siblings of 41 autistic probands and compared with similar measures from a control group of siblings of Down's syndrome individuals. The results showed a significant familial clustering of cognitive disabilities in the siblings of autistic probands. These cognitive impairments included disturbances in expressive and receptive language, specific learning disabilities, and varying degrees of mental subnormality. PMID:6456787

  10. Exploring Mobility Options for Children with Physical Disabilities: A Focus on Powered Mobility

    ERIC Educational Resources Information Center

    Wiart, Lesley

    2011-01-01

    The study by Tefft et al. (2011, in this issue) is one of the few studies that have explored the impact of pediatric powered mobility on families. The parents who participated in their study reported increased satisfaction with their children's social and play skills, ability to move independently, sleeping patterns, and public perception of their…

  11. Adults with Intellectual Disabilities: Prevalence, Incidence and Remission of Aggressive Behaviour and Related Factors

    ERIC Educational Resources Information Center

    Cooper, S.-A.; Smiley, E.; Jackson, A.; Finlayson, J.; Allan, L.; Mantry, D.; Morrison, J.

    2009-01-01

    Introduction: Aggressive behaviours can be disabling for adults with intellectual disabilities (ID), with negative consequences for the adult, their family and paid carers. It is surprising how little research has been conducted into the epidemiology of these needs, given the impact they can have. This study investigates point prevalence, 2-year

  12. Adults with Intellectual Disabilities: Prevalence, Incidence and Remission of Aggressive Behaviour and Related Factors

    ERIC Educational Resources Information Center

    Cooper, S.-A.; Smiley, E.; Jackson, A.; Finlayson, J.; Allan, L.; Mantry, D.; Morrison, J.

    2009-01-01

    Introduction: Aggressive behaviours can be disabling for adults with intellectual disabilities (ID), with negative consequences for the adult, their family and paid carers. It is surprising how little research has been conducted into the epidemiology of these needs, given the impact they can have. This study investigates point prevalence, 2-year…

  13. The Impact of Placement on Reading and Mathematics Achievement of Students with High Incidence Disabilities

    ERIC Educational Resources Information Center

    Harrington, Jennifer Stell

    2011-01-01

    The question of where best to educate students with disabilities to maximize their academic achievement has been discussed and researched for over four decades, with inconsistent and contradictory results. This study focused on the mathematics and reading achievement of middle and high school students with mild disabilities in an urban district in…

  14. Social Capital during the Postsecondary Transition for Young Adults with High Incidence Disabilities

    ERIC Educational Resources Information Center

    Trainor, Audrey A.; Morningstar, Mary; Murray, Angela; Kim, Hyejung

    2013-01-01

    Social capital, relationships, and networks among people who share resources with one another, is essential to the successful transition into adulthood for all individuals--with or without disabilities. Social capital is particularly valuable for youth with disabilities because it has the potential to create access to other forms of capital as

  15. Social Capital during the Postsecondary Transition for Young Adults with High Incidence Disabilities

    ERIC Educational Resources Information Center

    Trainor, Audrey A.; Morningstar, Mary; Murray, Angela; Kim, Hyejung

    2013-01-01

    Social capital, relationships, and networks among people who share resources with one another, is essential to the successful transition into adulthood for all individuals--with or without disabilities. Social capital is particularly valuable for youth with disabilities because it has the potential to create access to other forms of capital as…

  16. Self-Determination Prospects of Youth with High-Incidence Disabilities: Divergent Perspectives and Related Factors

    ERIC Educational Resources Information Center

    Carter, Erik W.; Trainor, Audrey; Owens, Laura; Sweden, Beth; Sun, Ye

    2010-01-01

    Promoting student self-determination has emerged as a key component of recommended practices in the field of secondary transition. This article examined the self-determination prospects of 196 youth with emotional and behavioral disorders (EBD), learning disabilities (LD), and mild/moderate cognitive disabilities (CD) using the "AIR…

  17. Risk Assessment: Actuarial Prediction and Clinical Judgement of Offending Incidents and Behaviour for Intellectual Disability Services

    ERIC Educational Resources Information Center

    Lindsay, William R.; Beail, Nigel

    2004-01-01

    Background: Research on prediction of violent and sexual offending behaviour has developed considerably in the mainstream criminological literature. Apart from one publication [Quinsey (2004) "Offenders with Developmental Disabilities," pp. 131-142] this has not been extended to the field of intellectual disabilities. Methods: Work on actuarial…

  18. The Incidence and Nature of Letter Orientation Errors in Reading Disability.

    ERIC Educational Resources Information Center

    Terepocki, Megan; Kruk, Richard S.; Willows, Dale M.

    2002-01-01

    A study investigated letter orientation confusions (reversals) in the reading and writing of 10 children with reading disabilities and 10 typical readers (age 10). Individuals with reading disability made more orientation confusions. Orientation errors were more frequent for reversible than for nonreversible items in tasks involving long-term…

  19. The Effects of Obesity and Mobility Disability in Access to Breast and Cervical Cancer Screening in France: Results from the National Health and Disability Survey

    PubMed Central

    Bussière, Clémence; Sicsic, Jonathan; Pelletier-Fleury, Nathalie

    2014-01-01

    Objectives We aimed to disentangle the effects of obesity and mobility limitation on cervical and breast cancer screening among community dwelling women. Methods The data source was the French national Health and Disability Survey - Household Section, 2008. The Body Mass Index (BMI) was used to categorize obesity status. We constructed a continuous score of mobility limitations to assess the severity of disability (Cronbach's alpha = 0.84). Logistic regressions were performed to examine the association between obesity, mobility limitations and the use of Pap test (n = 8 133) and the use of mammography (n = 7 561). Adjusted odds ratios were calculated (AOR). Interaction terms between obesity and the disability score were included in models testing for effect modifications. Results Compared with non-obese women, the odds of having a Pap test in the past 3 years was 24% lower in obese women (AOR = 0.76; 95% CI: 0.65 to 0.89), the odds of having a mammogram in the past 2 years was 23% lower (AOR = 0.77; 95% CI: 0.66 to 0.91). Each time the disability score was 5 points higher, the odds of having a Pap test decreases by 20% (AOR = 0.96; 95% CI: 0.94 to 0.98), the odds of having a mammogram decreases by 25% (AOR = 0.95; 95% CI: 0.94 to 0.97). There was no significant interaction between obesity and disability score. Conclusion Obesity and mobility limitation are independently associated with a lower likelihood of cervical and breast cancer screening. Protective outreach and follow-up are necessary to reduce inequalities and thus to reduce health disparities in these vulnerable and high-risk populations of obese women with disabilities. PMID:25133662

  20. The Effect of Obesity on Incidence of Disability and Mortality in Mexicans Aged 50 Years and Older

    PubMed Central

    Kumar, Amit; Karmarkar, Amol M.; Tan, Alai; Graham, James E.; Arcari, Christine M.; Ottenbacher, Kenneth J.; Snih, Soham Al

    2015-01-01

    Objective To examine the effect of obesity on incidence of disability and mortality among non-disabled older Mexicans at baseline. Material and Methods The sample included 8,415 Mexicans aged ≥50 years from the Mexican Health and Aging Study (2001-2012), who reported no limitations in activities of daily living (ADLs) at baseline and have complete data on all covariates. Socio-demographics, smoking status, comorbidities, ADL activities, and body mass index (BMI) were collected. Results The lowest hazard ratio (HR) for disability was at BMI of 25 to <30 (HR=0.97; 95% confidence interval [CI], 0.85-1.12). The lowest HR for mortality were seen among participants with BMIs 25 to <30 (HR=0.85; 95% CI, 075-0.97), 30 to <35 (HR=0.86; 95 % CI, 0.72-1.02), and ≥35 (HR=0.92; 95 % CI, 0.70-1.22). Conclusion Mexican older adults with a BMI of 25 to <30 were at less risk for both disability and mortality. PMID:26172232

  1. (abstract) A Mobile Robot for Remote Response to Incidents Involving Hazardous Materials

    NASA Technical Reports Server (NTRS)

    Welch, Richard V.

    1994-01-01

    This paper will report the status of the Emergency Response Robotics project, a teleoperated mobile robot system being developed at JPL for use by the JPL Fire Department/HAZMAT Team. The project, which began in 1991, has been focused on developing a robotic vehicle which can be quickly deployed by HAZMAT Team personnel for first entry into an incident site. The primary goals of the system are to gain access to the site, locate and identify the hazard, and aid in its mitigation. The involvement of JPL Fire Department/HAZMAT Team personnel has been critical in guiding the design and evaluation of the system. A unique feature of the current robot, called HAZBOT III, is its special design for operation in combustible environments. This includes the use of all solid state electronics, brushless motors, and internal pressurization. Demonstration and testing of the system with HAZMAT Team personnel has shown that teleoperated robots, such as HAZBOT III, can successfully gain access to incident sites locating and identifying hazardous material spills. Work is continuing to enable more complex missions through the addition of appropriate sensor technology and enhancement of the operator interface.

  2. Outdoor Built Environment Barriers and Facilitators to Activity among Midlife and Older Adults with Mobility Disabilities

    PubMed Central

    Rosenberg, Dori E.

    2013-01-01

    Purpose: To gain better understanding of how the built environment impacts neighborhood-based physical activity among midlife and older adults with mobility disabilities. Design and methods: We conducted in-depth interviews with 35 adults over age 50, which used an assistive device and lived in King County, Washington, U.S. In addition, participants wore Global Positioning Systems (GPS) devices for 3 days prior to the interview. The GPS maps were used as prompts during the interviews. Open coding of the 35 interviews using latent content analysis resulted in key themes and subthemes that achieved consensus between coders. Two investigators independently coded the text of each interview. Results: Participants were on average of 67 years of age (range: 50–86) and predominantly used canes (57%), walkers (57%), or wheelchairs (46%). Key themes pertained to curb ramp availability and condition, sidewalk availability and condition, hills, aesthetics, lighting, ramp availability, weather, presence and features of crosswalks, availability of resting places and shelter on streets, paved or smooth walking paths, safety, and traffic on roads. Implications: A variety of built environment barriers and facilitators to neighborhood-based activity exist for midlife and older adults with mobility disabilities. Preparing our neighborhood environments for an aging population that uses assistive devices will be important to foster independence and health. PMID:23010096

  3. The Lifestyle Interventions and Independence for Elders (LIFE) study, randomized trial of physical activity: Effect on the prevention of major mobility disability

    Technology Transfer Automated Retrieval System (TEKTRAN)

    In older adults reduced mobility is common and is an independent risk factor for morbidity, hospitalization, disability, and mortality. Limited evidence suggests that physical activity may help prevent mobility disability; however, there are no definitive clinical trials examining if physical activi...

  4. Using Mobile Technology in an Urban High School to Decrease Adult Prompting during in School Transitions for Students Identified with Intellectual Disabilities

    ERIC Educational Resources Information Center

    Christman, Jennifer T.

    2013-01-01

    The aim of this study was to examine the application of video modeling on mobile technology to increase efficiency in the classroom for students identified with intellectual disabilities. Specially, this study sought to identify if video modeling on mobile technology could decrease adult prompting for students with intellectual disabilities during…

  5. The Effects of Mindfulness Meditation on Adolescents with High-Incidence Disabilities

    ERIC Educational Resources Information Center

    Solar, Ernest L., II

    2013-01-01

    Research has shown evidence that mindfulness-based meditation practices may be effective treatment interventions for mental, emotional, and medical disabilities in the adult population. There has been a limited number of research studies showing the effectiveness of meditation practices with secondary students who receive special education

  6. Incidence of and Risk Factors for Falls among Adults with an Intellectual Disability

    ERIC Educational Resources Information Center

    Cox, C. R.; Clemson, L.; Stancliffe, R. J.; Durvasula, S.; Sherrington, C.

    2010-01-01

    Background: Falls among people with intellectual disability (ID) occur at a younger age than the general population and are a significant cause of injury and hospitalisation. There is very limited research investigating risk factors for falls among people with ID and none with people living outside of formal care arrangements, either independently…

  7. Assessing the Transition-Related Strengths and Needs of Adolescents with High-Incidence Disabilities

    ERIC Educational Resources Information Center

    Carter, Erik W.; Trainor, Audrey A.; Sun, Ye; Owens, Laura

    2009-01-01

    Although meaningful assessment is considered the cornerstone of transition planning, little empirical guidance is available to inform this assessment process. This study examined the transition-related strengths and needs of 160 students with emotional and/or behavioral disorders (EBD) or learning disabilities (LD) from the perspectives of special…

  8. Injury Incidence and Patterns in Workers with Intellectual Disability: A Comparative Study

    ERIC Educational Resources Information Center

    Lysaght, Rosemary; Sparring, Cynthia; Ouellette-Kuntz, Helene; Marshall, Carrie Anne

    2011-01-01

    Background: Workplace safety is a concern in the employment of persons with intellectual disability, due to both real concerns for employee well-being, and the effect that negative perceptions of safety risk can have on hiring. Method: This study involved a retrospective analysis of workplace insurance claim records for workers with and without…

  9. Assessment of Cognitive Ability of Students with Severe and Low-Incidence Disabilities--Part 2

    ERIC Educational Resources Information Center

    Crepeau-Hobson, Franci; Vujeva, Hana

    2012-01-01

    The assessment of cognitive ability in students with the most severe disabilities presents a challenge to the clinicians who are charged with this task. This article is the second of a two-part series that summarizes what is currently known about effective assessment of the cognitive ability of students with significant impairments in order to…

  10. Factors Influencing the Self-Determination of Transition-Age Youth with High-Incidence Disabilities

    ERIC Educational Resources Information Center

    Pierson, Melinda R.; Carter, Erik W.; Lane, Kathleen Lynne; Glaeser, Barbara C.

    2008-01-01

    Recognizing the contributions of self-determination to improved outcomes for transition-age youth with disabilities, researchers are increasingly directing their efforts toward identifying factors associated with (a) these students' acquisition of skills that enhance self-determination and (b) educators' efforts to promote opportunities to be…

  11. The Effects of Mindfulness Meditation on Adolescents with High-Incidence Disabilities

    ERIC Educational Resources Information Center

    Solar, Ernest L., II

    2013-01-01

    Research has shown evidence that mindfulness-based meditation practices may be effective treatment interventions for mental, emotional, and medical disabilities in the adult population. There has been a limited number of research studies showing the effectiveness of meditation practices with secondary students who receive special education…

  12. Adult Protection of People with Intellectual Disabilities: Incidence, Nature and Responses

    ERIC Educational Resources Information Center

    Beadle-Brown, Julie; Mansell, Jim; Cambridge, Paul; Milne, Alisoun; Whelton, Beckie

    2010-01-01

    Background: There has been increasing recognition of the importance and extent of abuse of vulnerable adults, including people with intellectual disabilities, leading to the development of monitoring systems. This paper reports findings from one of the largest databases in the UK collected between 1998 and 2005. Method: Analysis of the 1926…

  13. Designing Clinical Trials of Intervention for Mobility Disability: Results from the Lifestyle Interventions and Independence for Elders (LIFE) Pilot Trial

    Technology Transfer Automated Retrieval System (TEKTRAN)

    Clinical trials to assess interventions for mobility disability are critically needed, however data for efficiently designing such trials are lacking. Our results are described from the LIFE pilot clinical trial, in which 424 volunteers aged 70-89 years were randomly assigned to one of two intervent...

  14. Time trends (1998-2007) in brain cancer incidence rates in relation to mobile phone use in England.

    PubMed

    de Vocht, Frank; Burstyn, Igor; Cherrie, John W

    2011-07-01

    Mobile phone use in the United Kingdom and other countries has risen steeply since the early 1990's when the first digital mobile phones were introduced. There is an ongoing controversy about whether radio frequency (RF) exposure from mobile phones increases the risk of brain cancer. However, given the widespread use and nearly two decades elapsing since mobile phones were introduced, an association should have produced a noticeable increase in the incidence of brain cancer by now. Trends in rates of newly diagnosed brain cancer cases in England between 1998 and 2007 were examined. There were no time trends in overall incidence of brain cancers for either gender, or any specific age group. Systematic increases in rates for cancers of the temporal lobe in men (0.04 new cases/year) and women (0.02/year) were observed, along with decreases in the rates of cancers of the parietal lobe (-0.03/year), cerebrum (-0.02/year) and cerebellum (-0.01/year) in men only. The increased use of mobile phones between 1985 and 2003 has not led to a noticeable change in the incidence of brain cancer in England between 1998 and 2007. The observed increase in the rate of cancers in the temporal lobe, if caused by mobile phone use, would constitute <1 additional case per 100,000 people in that period. These data do not indicate a pressing need to implement a precautionary principle by means of population-wide interventions to reduce RF exposure from mobile phones. PMID:21280060

  15. A Review of the Use of Touch-Screen Mobile Devices by People with Developmental Disabilities.

    PubMed

    Stephenson, Jennifer; Limbrick, Lisa

    2015-12-01

    This article presents a review of the research on the use of mobile touch-screen devices such as PDAs, iPod Touches, iPads and smart phones by people with developmental disabilities. Most of the research has been on very basic use of the devices as speech generating devices, as a means of providing video, pictorial and/or audio self-prompting and for leisure activities such as listening to music and watching videos. Most research studies were small-n designs that provided a preponderant level of research evidence. There is a clear need for more research with younger participants and with a much wider range of apps, including educational apps. PMID:23888356

  16. Relation of physical activity time to incident disability in community dwelling adults with or at risk of knee arthritis: prospective cohort study

    PubMed Central

    2014-01-01

    Objective To investigate whether objectively measured time spent in light intensity physical activity is related to incident disability and to disability progression. Design Prospective multisite cohort study from September 2008 to December 2012. Setting Baltimore, Maryland; Columbus, Ohio; Pittsburgh, Pennsylvania; and Pawtucket, Rhode Island, USA. Participants Disability onset cohort of 1680 community dwelling adults aged 49 years or older with knee osteoarthritis or risk factors for knee osteoarthritis; the disability progression cohort included 1814 adults. Main outcome measures Physical activity was measured by accelerometer monitoring. Disability was ascertained from limitations in instrumental and basic activities of daily living at baseline and two years. The primary outcome was incident disability. The secondary outcome was progression of disability defined by a more severe level (no limitations, limitations to instrumental activities only, 1-2 basic activities, or ?3 basic activities) at two years compared with baseline. Results Greater time spent in light intensity activities had a significant inverse association with incident disability. Less incident disability and less disability progression were each significantly related to increasing quartile categories of daily time spent in light intensity physical activities (hazard ratios for disability onset 1.00, 0.62, 0.47, and 0.58, P for trend=0.007; hazard ratios for progression 1.00, 0.59, 0.50, and 0.53, P for trend=0.003) with control for socioeconomic factors (age, sex, race/ethnicity, education, income) and health factors (comorbidities, depressive symptoms, obesity, smoking, lower extremity pain and function, and knee assessments: osteoarthritis severity, pain, symptoms, prior injury). This finding was independent of time spent in moderate-vigorous activities. Conclusion These prospective data showed an association between greater daily time spent in light intensity physical activities and reduced risk of onset and progression of disability in adults with osteoarthritis of the knee or risk factors for knee osteoarthritis. An increase in daily physical activity time may reduce the risk of disability, even if the intensity of that additional activity is not increased. PMID:24782514

  17. Childhood brain tumours and use of mobile phones: comparison of a case-control study with incidence data.

    PubMed

    Aydin, Denis; Feychting, Maria; Schüz, Joachim; Röösli, Martin

    2012-01-01

    The first case-control study on mobile phone use and brain tumour risk among children and adolescents (CEFALO study) has recently been published. In a commentary published in Environmental Health, Söderqvist and colleagues argued that CEFALO suggests an increased brain tumour risk in relation to wireless phone use. In this article, we respond and show why consistency checks of case-control study results with observed time trends of incidence rates are essential, given the well described limitations of case-control studies and the steep increase of mobile phone use among children and adolescents during the last decade. There is no plausible explanation of how a notably increased risk from use of wireless phones would correspond to the relatively stable incidence time trends for brain tumours among children and adolescents observed in the Nordic countries. Nevertheless, an increased risk restricted to heavy mobile phone use, to very early life exposure, or to rare subtypes of brain tumours may be compatible with stable incidence trends at this time and thus further monitoring of childhood brain tumour incidence rate time trends is warranted. PMID:22607537

  18. [Work-related disability among postal employees: incidence, duration, and social security costs in 2008].

    PubMed

    Mascarenhas, Flávia Alves Neves; Barbosa-Branco, Anadergh

    2014-06-01

    This study analyzed the characteristics of Brazilian postal workers that received sick leave benefits in 2008. The databases were from the Unified Benefits System (SUB) and the National Registry of Social Information (CNIS). The incidence rate was 556.5 benefits per 10,000 employees, and the leading causes of work-related sick leave were injuries, musculoskeletal disorders, and mental disorders. Areas most frequently reported in injuries were knees and legs, wrists and hands, ankles and feet, and shoulders and arms, with higher incidence rates in men. Women were more affected by musculoskeletal disorders and mental disorders. Average sick leave lasted longer in men, and the incidence of benefits increased with age. The States with the highest incidence rates were Mato Grosso do Sul, Goiás, and Santa Catarina, and security benefits averaged BRL 1,847.00. Postal work may involve additional risk of injuries to the limbs, due to the long distances carrying heavy weight, assault, and dog bites. PMID:25099054

  19. Motor vehicle driving in high incidence psychiatric disability: comparison of drivers with ADHD, depression, and no known psychopathology.

    PubMed

    Aduen, Paula A; Kofler, Michael J; Cox, Daniel J; Sarver, Dustin E; Lunsford, Erin

    2015-05-01

    Although not often discussed in clinical settings, motor vehicle driving is a complex multitasking endeavor during which a momentary attention lapse can have devastating consequences. Previous research suggests that drivers with high incidence psychiatric disabilities such as ADHD contribute disproportionately to collision rates, which in turn portend myriad adverse social, financial, health, mortality, and legal outcomes. However, self-referral bias and the lack of psychiatric comparison groups constrain the generalizability of these findings. The current study addressed these limitations and examined the unique associations among ADHD, Depression, and adverse driving outcomes, independent of self-selection, driving exposure, and referral bias. The Strategic Highway Research Program (SHRP-2) Naturalistic Driving Study comprises U.S. drivers from six sites selected via probability-based sampling. Groups were defined by Barkley ADHD and psychiatric diagnosis questionnaires, and included ADHD (n = 275), Depression (n = 251), and Healthy Control (n = 1828). Primary outcomes included self-reported traffic collisions, moving violations, collision-related injuries, and collision fault (last 3 years). Accounting for demographic differences, ADHD but not Depression portended increased risk for multiple violations (OR = 2.3) and multiple collisions (OR = 2.2). ADHD but not Depression portended increased risk for collision fault (OR = 2.1). Depression but not ADHD predicted increased risk for self-reported injury following collisions (OR = 2.4). ADHD appears uniquely associated with multiple collisions, multiple violations, and collision fault, whereas Depression is uniquely associated with self-reported injury following a collision. Identification of the specific mechanisms underlying this risk will be critical to designing effective interventions to improve long-term functioning for drivers with high incidence psychiatric disability. PMID:25843156

  20. “How did that happen?” Public responses to women with mobility disability during pregnancy

    PubMed Central

    Iezzoni, Lisa I.; Wint, Amy J.; Smeltzer, Suzanne C.; Ecker, Jeffrey L.

    2016-01-01

    Background Little is known about current societal attitudes toward women with significant mobility disability who are visibly pregnant. Objective To use qualitative descriptive analysis methods to examine perceptions of women with significant mobility disability about how strangers reacted to their visible pregnancies. Methods In late 2013, we conducted 2-h telephone interviews with 22 women with significant mobility difficulties who had delivered babies within the prior 10 years. The semi-structured, open-ended interview protocol addressed wide-ranging pregnancy-related topics, including statements from strangers. Most participants were recruited through social networks, coming from 17 states nationwide. We used NVivo to sort the texts for content analysis. Results The women’s mean (standard deviation) age was 34.8 (5.3) years; most were white, well-educated, and higher income, although half had Medicaid during their pregnancies; and 18 used wheeled mobility aids. Eighteen women described memorable interactions with strangers relating to their pregnancies or newborn babies. Strangers’ statements fell into six categories: (1) curious; (2) intrusively and persistently curious; (3) hostile, including concerns that taxpayers would end up supporting the mother and child; (4) questioning woman’s competence as a potential parent; (5) oblivious, not recognizing visible pregnancy or motherhood; and (6) positive. Many women reported strangers asking how their pregnancy had happened. The women doubted that visibly pregnant women without disabilities evoke the same reactions from strangers. Conclusions Women with mobility disability who are visibly pregnant may perceive reactions from strangers that appear intrusive. Planning ahead for handling such encounters could reduce the stresses of these interactions. PMID:25944504

  1. Interdisciplinary Graduate Program: Rural Early Intervention Specialists for Low Incidence Disabilities (REIS/LID). Final Grant Performance Report [and] REIS/LID Student Guide.

    ERIC Educational Resources Information Center

    Maine Univ., Orono. Center for Community Inclusion.

    This final report describes accomplishments and activities of a 3-year federally funded project of the University of Maine to develop and deliver a graduate Master's degree program in early intervention for infants and young children with low incidence disabilities. A curriculum was designed to prepare professionals to provide culturally relevant,…

  2. A Qualitative Study of Individual and Peer Factors Related to Effective Nonviolent versus Aggressive Responses to Problem Situations among Adolescents with High Incidence Disabilities

    ERIC Educational Resources Information Center

    Sullivan, Terri N.; Helms, Sarah W.; Bettencourt, Amie F.; Sutherland, Kevin; Lotze, Geri M.; Mays, Sally; Wright, Stephen; Farrell, Albert D.

    2012-01-01

    To enhance the positive adjustment of youths with high incidence disabilities, a better understanding of the factors that influence their use of effective responses in challenging situations is needed. In this qualitative study, adolescents described individual and peer factors that would influence their use of effective nonviolent or aggressive…

  3. The effects of inquiry-based science on the social and communicative skills of students with low-incidence disabilities

    NASA Astrophysics Data System (ADS)

    D'Angelo, Heather Hopkins

    This research utilized inquiry based science as a vehicle to implement and maintain social skills training for secondary students, ages 14 to 20, with low-incidence disabilities in a self-contained classroom. This three year action research study examined the effects of an inquiry based science curriculum on the level and quantity of social skills used by students with one or more of the following challenges: significant learning disability (functioning more than two grade levels below grade level), emotional/social disability, mental retardation, Autism, and/or varying degrees of brain damage. Through the use of video recording, the students in the study were analyzed based on the level of social interaction and the amount of socialization that took place during inquiry based science. The skills sought were based on the social and communication skills earmarked in the students' weekly social skills training class and their Individualized Education Plans (IEP). Based on previous research in social skills training it has been determined that where social skills training is lacking are in the areas of transfer and maintenance of skills. Due to the natural social behavior that must take place in inquiry based science this group of students were found to exhibit gains in (1) quantity of social interactions on topic; (2) developing higher levels of social interactions (sharing, taking other's suggestions, listening and responding appropriately, etc.); and (3) maintenance of social skills taught outside of formal social skills training. These gains were seen overall in the amount of student involvement during inquiry based science verses teacher involvement. Such increases are depicted through students' verbal exchanges, excerpts from field notes, and student reflections. The findings of this research is expected to guide special educators, administrators and directors of curriculum as to how to better create curriculum for this specific population where social skills training is utilized and maintained in all aspects of the academic day, thus helping this population of student achieve more independence and appropriate interactions in their live as citizens of society.

  4. Associations Between Fatigue and Disability, Functional Mobility, Depression, and Quality of Life in People with Multiple Sclerosis

    PubMed Central

    Bush, Steffani; Gappmaier, Eduard

    2016-01-01

    Background: Fatigue is a common symptom in people with multiple sclerosis (MS), but its associations with disability, functional mobility, depression, and quality of life (QOL) remain unclear. We aimed to determine the associations between different levels of fatigue and disability, functional mobility, depression, and physical and mental QOL in people with MS. Methods: Eighty-nine individuals with MS (mean [SD] disease duration = 13.6 [9.8] years, mean [SD] Expanded Disability Status Scale [EDSS] score = 5.3 [1.5]) and no concurrent relapses were retrospectively analyzed. Participants were divided into two groups based on five-item Modified Fatigue Impact Scale (MFIS-5) scores: group LF (n = 32, MFIS-5 score ≤10 [low levels of fatigue]) and group HF (n = 57, MFIS-5 score >10 [high levels of fatigue]). Results: Sixty-four percent of the sample reported high levels of fatigue. Compared with group LF, group HF demonstrated significantly (P < .05) greater impairments in the Timed Up and Go test, Activities-specific Balance Confidence scale, and 12-item Multiple Sclerosis Walking Scale scores; depression; and QOL but not in the EDSS scores, which were not significantly different between groups. Conclusions: Fatigue was found to be a predominant symptom in the study participants. Individuals reporting higher levels of fatigue concomitantly exhibited greater impairments in functional mobility, depression, and physical and mental QOL. Disability was not found to be related to level of fatigue. These findings can be important for appropriate assessment and management of individuals with MS with fatigue. PMID:27134580

  5. Association between Coffee Consumption and Incident Risk of Disabling Dementia in Elderly Japanese: The Ohsaki Cohort 2006 Study.

    PubMed

    Sugiyama, Kemmyo; Tomata, Yasutake; Kaiho, Yu; Honkura, Kenji; Sugawara, Yumi; Tsuji, Ichiro

    2015-12-01

    Epidemiological studies of the association between coffee consumption and dementia have yielded inconsistent results. Therefore, we investigated the association between coffee consumption and incident risk of dementia in an elderly Japanese population. 23,091 subjects aged ≥65 y living in Ohsaki City, northeastern Japan, responded to the baseline survey in 2006. Of these, we analyzed 13,137 subjects who gave informed consent and were not disabled at baseline. The outcome was the incidence of disabling dementia defined by usage of the Long-term Care Insurance database. We used the Cox proportional hazards regression model for multivariate analysis. During 5.7 y of follow-up period, we identified 1,107 cases of incident dementia. Overall, coffee consumption was significantly associated with a lower risk of incident dementia. The multivariate-adjusted HRs for the incidence of dementia according to coffee consumption categories (never, occasionally, 1-2 cups/d, and ≥3 cups/d) were 1.00, 0.73 (95% CI, 0.62-0.86), 0.72 (95% CI, 0.61-0.84), and 0.82 (95% CI, 0.65-1.02; p for trend = 0.009), respectively. In addition, this significant inverse association was more remarkable among women, non-smokers, and non-drinkers. Coffee consumption is significantly associated with a lower risk of incident dementia. PMID:26682686

  6. Empowered to Play: A Case Study Describing the Impact of Powered Mobility on the Exploratory Play of Disabled Children.

    PubMed

    Sonday, Amshuda; Gretschel, Pam

    2016-03-01

    Exploratory play is one of the most vital ways in which children learn about their environment and develop. It is well documented that limited mobility restricts a child's ability to engage in their environment through exploratory play. In this study, a qualitative, collective case study design explored the impact of powered mobility on the exploratory play of two children with physical disabilities. Data were collected from the children, their parents and their siblings through participant observation and in-depth, informal interviews. This paper focuses on two themes: Opportunity to Play revealed how powered mobility increased opportunities for the children to become more actively engaged in exploratory play with others across a wider array of contexts, and My Child was Transformed highlighted significant changes in the affect and motivation of each child, which seemed to be linked to their increased internal control over their play choices. The findings suggest that the provision of powered mobility is a key contributor promoting the participation of physically disabled children in exploratory play. Because of undergraduate curricular constraints, a limitation of this study was that data were only confined to 2 months; affecting the depth of data gained that prolonged engagement would have offered. The study recommends for occupational therapy practice that occupational therapists advocate for easier access to powered mobility through governmental and policy means. The study also recommends further research be conducted on the experiences of the caregivers on how these powered mobility devices have influenced their day-to-day occupations. Copyright © 2015 John Wiley & Sons, Ltd. PMID:26153363

  7. Assessment of toxic metal exposure following the Camelford water pollution incident: evidence of acute mobilization of lead into drinking water.

    PubMed

    Powell, J J; Greenfield, S M; Thompson, R P; Cargnello, J A; Kendall, M D; Landsberg, J P; Watt, F; Delves, H T; House, I

    1995-03-01

    Following the incident of acidic pollution of water by aluminium sulfate centred around Camelford in July 1988, we have carried out a retrospective analysis of the mobilization of toxic metals to residents of the area. An advanced nuclear technique was used to measure trace levels of elements within hair, thus, avoiding surface contamination. In contrast to controls, lead, but no other toxic metals, was consistently found within sections of hair that dated to mid-1988 from four residents; they must, therefore, have consumed this metal around the time of the incident. The source of this lead was probably local water pipe residue, and this was found on analysis to have a matrix specific to such soft-water areas that, prior to the incident, had slowly accumulated certain toxic metals such as cadmium and uranium and particularly lead. Lead is mobilized from such residues by acidic water and could, therefore, have heavily contaminated mains water after the incident. However, analyses of residents' plasma and whole blood, and of urine following a lead-chelation test, showed no evidence of either long-term increased body burdens of toxic metals or depletion of essential elements. In addition, we found no evidence of continued poor water quality in the area. In conclusion, during a short period following the pollution, some residents who consumed mains water would have been acutely exposed to lead and other toxic metals. Prediction of the scale of metal exposure to individuals was not possible owing to heterogeneity of the water distribution network, but long-term effects to residents from lead are not anticipated.(ABSTRACT TRUNCATED AT 250 WORDS) PMID:7741230

  8. Muscle strength and BMI as predictors of major mobility disability in the lifestyle interventions and independence for elders pilot (LIFE-P)

    Technology Transfer Automated Retrieval System (TEKTRAN)

    Muscle weakness and obesity are two significant threats to mobility facing the increasing number of older adults. To date, there are no studies that have examined the association of strength and body mass index (BMI) on event rates on a widely used performance measure of major mobility disability. T...

  9. "Urban Built Environments and Trajectories of Mobility Disability: Findings from a National Sample of Community-Dwelling American Adults (1986–2001)"

    PubMed Central

    Clarke, Philippa; Ailshire, Jennifer A; Lantz, Paula

    2009-01-01

    As people age, they become more dependent on their local communities, especially when they are no longer able to drive. Uneven or discontinuous sidewalks, heavy traffic, and inaccessible public transportation, are just some of the built environment characteristics that can create barriers for outdoor mobility in later adulthood. A small body of literature has been investigating the role of the built environment on disability, but has been limited to cross-sectional analyses. The purpose of this paper is to further advance this area of research by examining the role of the built environment on long term trajectories of mobility disability in a national sample of American adults (age 45+) followed over a 15 year period. Using multilevel logistic growth curve models with nationally representative data from the Americans’ Changing Lives Study (1986–2001) we find that trajectories of mobility disability are steeper in older age groups. Women and those with lower education had a higher odds of mobility disability over time. The presence of just one chronic health condition doubled the odds of mobility disability at each of the four study waves. Among older adults (age 75+), living in neighborhoods characterized by more motorized travel was associated with an odds ratio for mobility disability that was 1.5 times higher in any given year than for older adults living in environments that were more pedestrian friendly. These results suggest that the built environment can exacerbate mobility difficulties for older adults. When considering ways to minimize disability as the population ages, simple changes in the built environment may be easier to implement than efforts to change risk factors at the individual level. PMID:19643522

  10. Implementing Applied Behavior Analysis for Effective Orientation and Mobility Instruction of Students with Multiple Disabilities

    ERIC Educational Resources Information Center

    O'Mea, Melanie L.

    2013-01-01

    Working with children who have multiple disabilities that include visual impairments can be especially challenging. Many disabling conditions manifest into behavioral difficulties that may take away from learning. Acting out may be a student's way of expressing a lack of healthy coping mechanisms in relation to his or her environment. Implementing…

  11. Mobilizing Disability Experience to Inform Architectural Practice: Lessons Learned from a Field Study

    ERIC Educational Resources Information Center

    Vermeersch, Peter-Willem; Heylighen, Ann

    2015-01-01

    Through their bodily interaction with the designed environment, disabled people can detect obstacles and appreciate spatial qualities architects may not be attuned to. While designers in several disciplines acknowledge disabled people as lead or critical users, in architectural practice their embodied experience is hardly recognized as a valuable…

  12. Implementing Applied Behavior Analysis for Effective Orientation and Mobility Instruction of Students with Multiple Disabilities

    ERIC Educational Resources Information Center

    O'Mea, Melanie L.

    2013-01-01

    Working with children who have multiple disabilities that include visual impairments can be especially challenging. Many disabling conditions manifest into behavioral difficulties that may take away from learning. Acting out may be a student's way of expressing a lack of healthy coping mechanisms in relation to his or her environment. Implementing

  13. Incidence of revision after primary implantation of the Salto ® mobile version and Salto Talaris ™ total ankle prostheses: a systematic review.

    PubMed

    Roukis, Thomas S; Elliott, Andrew D

    2015-01-01

    The incidence of revision of total ankle replacement prostheses remains unclear. We undertook a systematic review to identify the material relating to the incidence of revision after implantation of the Salto(®) mobile version and Salto Talaris™ total ankle prostheses. Studies were eligible for inclusion only if they had involved primary total ankle replacement with these prostheses and had included the incidence of revision. Eight studies involving 1,209 Salto(®) mobile version prostheses, with a weighted mean follow-up period of 55.2 months, and 5 studies involving 212 Salto Talaris™ total ankle prostheses, with a weighted mean follow-up period of 34.9 months, were included. Forty-eight patients with Salto(®) mobile version prostheses (4%) underwent revision, of whom 24 (70.5%) underwent ankle arthrodesis, 9 (26.5%) metallic component replacement, and 1 (3%) below-the-knee amputation. Five (2.4%) Salto Talaris™ total ankle prostheses underwent revision (3 metallic component replacement and 2 ankle arthrodeses). Restricting the data to the inventor, design team, or disclosed consultants, the incidence of revision was 5.2% for the Salto(®) mobile version and 2.6% for the Salto Talaris™ total ankle prostheses. In contrast, data that excluded these individuals had an incidence of revision of 2.8% for the Salto(®) mobile version and 2.0% for the Salto Talaris™ total ankle prostheses. We could not identify any obvious difference in the etiology responsible for the incidence of revision between these mobile- and fixed-bearing prostheses. The incidence of revision for the Salto(®) mobile version and Salto Talaris™ total ankle prostheses was lower than those reported through systematic review for the Agility™ and Scandinavian Total Ankle Replacement™ systems without obvious selection (inventor) or publication (conflict of interest) bias. PMID:25907761

  14. Trial Development of a Mobile Feeding Assistive Robotic Arm for People with Physical Disabilities of the Extremities

    NASA Astrophysics Data System (ADS)

    Uehara, Hideyuki; Higa, Hiroki; Soken, Takashi; Namihira, Yoshinori

    A mobile feeding assistive robotic arm for people with physical disabilities of the extremities has been developed in this paper. This system is composed of a robotic arm, microcontroller, and its interface. The main unit of the robotic arm can be contained in a laptop computer's briefcase. Its weight is 5kg, including two 12-V lead acid rechargeable batteries. This robotic arm can be also mounted on a wheelchair. To verify performance of the mobile robotic arm system, drinking tea task was experimentally performed by two able-bodied subjects as well as three persons suffering from muscular dystrophy. From the experimental results, it was clear that they could smoothly carry out the drinking task, and that the robotic arm could firmly grasp a commercially available 500-ml plastic bottle. The eating task was also performed by the two able-bodied subjects. The experimental results showed that they could eat porridge by using a spoon without any difficulty.

  15. Increasing Dengue Incidence in Singapore over the Past 40 Years: Population Growth, Climate and Mobility

    PubMed Central

    Struchiner, Claudio Jose; Rocklöv, Joacim; Wilder-Smith, Annelies; Massad, Eduardo

    2015-01-01

    In Singapore, the frequency and magnitude of dengue epidemics have increased significantly over the past 40 years. It is important to understand the main drivers for the rapid increase in dengue incidence. We studied the relative contributions of putative drivers for the rise of dengue in Singapore: population growth, climate parameters and international air passenger arrivals from dengue endemic countries, for the time period of 1974 until 2011. We used multivariable Poisson regression models with the following predictors: Annual Population Size; Aedes Premises Index; Mean Annual Temperature; Minimum and Maximum Temperature Recorded in each year; Annual Precipitation and Annual Number of Air Passengers arriving from dengue-endemic South-East Asia to Singapore. The relative risk (RR) of the increase in dengue incidence due to population growth over the study period was 42.7, while the climate variables (mean and minimum temperature) together explained an RR of 7.1 (RR defined as risk at the end of the time period relative to the beginning and goodness of fit associated with the model leading to these estimates assessed by pseudo-R2 equal to 0.83). Estimating the extent of the contribution of these individual factors on the increasing dengue incidence, we found that population growth contributed to 86% while the residual 14% was explained by increase in temperature. We found no correlation with incoming air passenger arrivals into Singapore from dengue endemic countries. Our findings have significant implications for predicting future trends of the dengue epidemics given the rapid urbanization with population growth in many dengue endemic countries. It is time for policy-makers and the scientific community alike to pay more attention to the negative impact of urbanization and urban climate on diseases such as dengue. PMID:26322517

  16. Built environment attributes related to GPS measured active trips in mid-life and older adults with mobility disabilities

    PubMed Central

    Gell, Nancy M.; Rosenberg, Dori E.; Carlson, Jordan; Kerr, Jacqueline; Belza, Basia

    2015-01-01

    Background Understanding factors which may promote walking in mid-life and older adults with mobility impairments is key given the association between physical activity and positive health outcomes. Objective To examine the relationship between active trips and objective measures of the home neighborhood built environment. Methods Global positioning systems (GPS) data collected on 28 adults age 50+ with mobility disabilities were analyzed for active trips from home. Objective and geographic information systems (GIS) derived measures included Walk Score, population density, street connectivity, crime rates, and slope within the home neighborhood. For this cross-sectional observational study, we conducted mean comparisons between participants who took active trips from home and those who did not for the objective measures. Effect sizes were calculated to assess the magnitude of group differences. Results Nine participants (32%) took active trips from home. Walking in the home neighborhood was significantly associated with GIS derived measures (Walk Score, population density, and street density; effect sizes .9-1.2). Participants who used the home neighborhood for active trips had less slope within 1 km of home but the difference was not significant (73.5 meters±22 vs. 100.8 meters ±38.1, p=.06, d=0.8). There were no statistically significant differences in mean scores for crime rates between those with active trips from home and those without. Conclusions The findings provide preliminary evidence that more walkable environments promote active mobility among mid-life and older adults with mobility disabilities. The data suggest that this population can and does use active transportation modes when the built environment is supportive. PMID:25637503

  17. Free Computer-Based Assistive Technology to Support Students with High-Incidence Disabilities in the Writing Process

    ERIC Educational Resources Information Center

    Bouck, Emily C.; Meyer, Nancy K.; Satsangi, Rajiv; Savage, Melissa N.; Hunley, Megan

    2015-01-01

    Written expression is a neglected but critical component of education; yet, the writing process--from prewriting, to writing, and postwriting--is often an area of struggle for students with disabilities. One strategy to assist students with disabilities struggling with the writing process is the use of computer-based technology. This article…

  18. Dynamic biosignal management and transmission during telemedicine incidents handled by Mobile Units over diverse network types.

    PubMed

    Mandellos, George J; Koutelakis, George V; Panagiotakopoulos, Theodor C; Koukias, Andreas M; Koukias, Mixalis N; Lymberopoulos, Dimitrios K

    2008-01-01

    Early and specialized pre-hospital patient treatment improves outcome in terms of mortality and morbidity, in emergency cases. This paper focuses on the design and implementation of a telemedicine system that supports diverse types of endpoints including moving transports (MT) (ambulances, ships, planes, etc.), handheld devices and fixed units, using diverse communication networks. Target of the above telemedicine system is the pre-hospital patient treatment. While vital sign transmission is prior to other services provided by the telemedicine system (videoconference, remote management, voice calls etc.), a predefined algorithm controls provision and quality of the other services. A distributed database system controlled by a central server, aims to manage patient attributes, exams and incidents handled by different Telemedicine Coordination Centers (TCC). PMID:19163300

  19. A Transdisciplinary Training Program for Providing Seating Positioning and Mobility Intervention to Children with Developmental Disabilities Who Are 0-3 Years of Age.

    ERIC Educational Resources Information Center

    Sylvester, Lorrie; Shelden, M'Lisa

    The Oklahoma Assistive Technology Center was developed as an interagency collaborative effort, with one of its services being the delivery of positioning and mobility services to young children with developmental disabilities. The Center operates as an outpatient clinic and coordinates outreach services through two satellite centers in rural…

  20. Students with Disabilities Experience in Higher Education Online Courses: An Exploratory Study of Self-Efficacy, Use of Assistive Technologies and Mobile Media

    ERIC Educational Resources Information Center

    Francis, Chandinie Devi Parasram

    2012-01-01

    The overarching aim of this mixed methods study was to explore the online experiences of students with disabilities, with particular focus on students' use of assistive technologies, mobile media and self-efficacy. Using a multifaceted an integrative approach, this study considered a framework of universal design, Scherer's Matching…

  1. Overlapping Chat's Accessibility Requirements between Students with and without Disabilities Due to the Mobile Limitations

    ERIC Educational Resources Information Center

    Calvo, Rocío; Iglesias, Ana; Moreno, Lourdes

    2014-01-01

    The use of Chats has been extended to mobile-learning (m-learning) environments in the last decade. Students and teachers can communicate in real time and they do not need waiting till their next tutoring date to solve their problems and doubts. However, Chats have many accessibility barriers and many students cannot use this collaborative tool.…

  2. The Use of Mobile Phones by Itinerant Teachers of Students with Visual Disabilities.

    ERIC Educational Resources Information Center

    Corn, A. L.; And Others

    1994-01-01

    The use of mobile telephones by 25 itinerant teachers in Texas was evaluated. Factors considered included time management, costs, changes in use of various types of telephones, and feelings of security. With one outgoing call per day, teachers saved enough time to accumulate the equivalent of one week's service each year to their students.…

  3. Incidence and pattern of unintentional injuries and resulting disability among children under 5 years of age: results of the National Health Survey of Pakistan.

    PubMed

    Fatmi, Zafar; Kazi, Ambreen; Hadden, Wilbur C; Bhutta, Zulfiqar A; Razzak, Junaid A; Pappas, Gregory

    2009-05-01

    National estimates of injuries for children under 5 years based on population representative surveys are not readily available globally and have not been reported for developing countries. This study estimated the annual incidence, pattern and distribution of unintentional injuries according to age, gender, socio-economic status, urban/rural residence and disability caused among children aged under 5 years in Pakistan. The National Health Survey of Pakistan (NHSP 1990-94) is a nationally representative survey of households to assess the health profile of the country. A two-stage stratified design was used to select 3223 children under 5 years of age for interview and examination. Data were used for boys and girls in urban and rural areas over the preceding year. A community development index was developed to assess the relationship between socio-economic status and injuries. Weighted estimates were computed adjusting for complex survey design using surveyfreq and surveylogistic option of SAS 9.1 software. Post hoc power calculations were made for each variable keeping the design effect at 3.0. The overall annual incidence of unintentional injuries was 47.8 [95% CI 36.6, 59.0] per 1000 per year; 50.2 [95% CI 37.0, 63.4] and 45.2 [95% CI 29.4, 61.0] per 1000 per year among boys and girls under 5 years of age respectively. An estimated 1.1 million unintentional injuries occur in Pakistan annually among these children. Injury rates increase with age among the under-5s. Urban and rural injuries were 56.1 [95% CI 33.5, 78.7] and 44.1 [95% CI 31.1, 57.1] per 1000 per year respectively. The children living in least developed communities had almost 3 times higher risks of injuries than most developed communities. The annual incidence of types of injuries were: falls 28.7 [95% CI 19.5, 37.9], cuts/bruises 9.7 [95% CI 5.3, 14.1] and burns 6.6 [95% CI 3.0, 10.2] per 1000 per year. Falls were the most common type of injury (60%) followed by cuts/bruises (21%) and burns (14%). The majority of injuries occur at home (85%), with just 10% due to road traffic. Road traffic injuries and injuries to the female child were more likely to result in disability. There is a high burden of unintentional injuries and disability among children under 5 in Pakistan. These results are useful for planning further research and for prioritising prevention programmes nationally and in other developing countries with similar situation. PMID:19775384

  4. Incidence of ADL Disability in Older Persons, Physical Activities as a Protective Factor and the Need for Informal and Formal Care – Results from the SNAC-N Project

    PubMed Central

    Sjölund, Britt-Marie; Wimo, Anders; Engström, Maria; von Strauss, Eva

    2015-01-01

    Background The aim of the study was to examine 1) the incidence of disability in Activities of Daily Living (ADL), in persons 78 years and older 2) explore whether being physical active earlier is a significant predictor of being disability free at follow-up and 3) describe the amount of informal and formal care in relation to ADL-disability. Methods Data were used from a longitudinal community-based study in Nordanstig (SNAC-N), a part of the Swedish National Study on Aging and Care (SNAC). To study objectives 1) and 2) all ADL-independent participants at baseline (N = 307) were included; for objective 3) all participants 78 years and older were included (N = 316). Data were collected at baseline and at 3- and 6-year follow-ups. ADL-disability was defined as a need for assistance in one or more activities. Informal and formal care were measured using the Resource utilization in Dementia (RUD)-instrument. Results The incidence rates for men were similar in the age groups 78-81and 84 years and older, 42.3 vs. 42.5/1000 person-years. For women the incidence rate for ADL-disability increased significantly from the age group 78–81 to the age group 84 years and older, 20.8 vs.118.3/1000 person-years. In the age group 78–81 years, being physically active earlier (aOR 6.2) and during the past 12 month (aOR 2.9) were both significant preventive factors for ADL-disability. Both informal and formal care increased with ADL-disability and the amount of informal care was greater than formal care. The incidence rate for ADL-disability increases with age for women and being physically active is a protective factor for ADL-disability. Conclusion The incidence rate for ADL-disability increases with age for women, and being physical active is a protective factor for ADL-disability. PMID:26407207

  5. Oxidative Damage, Platelet Activation, and Inflammation to Predict Mobility Disability and Mortality in Older Persons: Results From the Health Aging and Body Composition Study

    PubMed Central

    Kritchevsky, Stephen B.; Nicklas, Barbara; Kanaya, Alka M.; Patrignani, Paola; Tacconelli, Stefania; Tranah, Gregory J.; Tognoni, Gianni; Harris, Tamara B.; Incalzi, Raffaele Antonelli; Newman, Anne B.; Pahor, Marco

    2012-01-01

    Background. Inflammation, oxidative damage, and platelet activation are hypothesized biological mechanisms driving the disablement process. The aim of the present study is to assess whether biomarkers representing these mechanisms predicted major adverse health-related events in older persons. Methods. Data are from 2,234 community-dwelling nondisabled older persons enrolled in the Health Aging and Body Composition study. Biomarkers of lipid peroxidation (ie, urinary levels of 8-iso-prostaglandin F2α), platelet activation (ie, urinary levels of 11-dehydro-thromboxane B2), and inflammation (serum concentrations of interleukin-6) were considered as independent variables of interest and tested in Cox proportional hazard models as predictors of (severe) mobility disability and overall mortality. Results. The sample’s (women 48.0%, whites 64.3%) mean age was 74.6 (SD 2.9) years. During the follow-up (median 11.4 years), 792 (35.5%), 269 (12.0%), and 942 (42.2%) events of mobility disability, severe mobility disability, and mortality occurred, respectively. Only interleukin-6 showed significant independent associations with the onset of all the study outcomes. Higher levels of urinary 8-iso-prostaglandin F2α and 11-dehydro-thromboxane B2 independently predicted increased risk of death (hazard ratio 1.10, 95% confidence interval 1.03–1.19 and hazard ratio 1.14, 95% confidence interval 1.06–1.23, respectively). No significant interactions of gender, race, cardiovascular disease, diabetes, and antiplatelet drugs were detected on the studied relationships. Conclusions. The inflammatory marker interleukin-6 is confirmed to be a robust predictor for the onset of negative health-related events. Participants with higher urinary levels of 8-iso-prostaglandin F2α and 11-dehydro-thromboxane B2 presented a higher mortality risk. PMID:22389462

  6. 14 CFR 382.121 - What mobility aids and other assistive devices may passengers with a disability bring into the...

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... 14 Aeronautics and Space 4 2014-01-01 2014-01-01 false What mobility aids and other assistive... Aids, and Other Assistive Devices § 382.121 What mobility aids and other assistive devices may... or collapsible wheelchairs; (2) Other mobility aids, such as canes (including those used by...

  7. 14 CFR 382.121 - What mobility aids and other assistive devices may passengers with a disability bring into the...

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... 14 Aeronautics and Space 4 2010-01-01 2010-01-01 false What mobility aids and other assistive... Aids, and Other Assistive Devices § 382.121 What mobility aids and other assistive devices may... or collapsible wheelchairs; (2) Other mobility aids, such as canes (including those used by...

  8. 14 CFR 382.121 - What mobility aids and other assistive devices may passengers with a disability bring into the...

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... 14 Aeronautics and Space 4 2011-01-01 2011-01-01 false What mobility aids and other assistive... Aids, and Other Assistive Devices § 382.121 What mobility aids and other assistive devices may... or collapsible wheelchairs; (2) Other mobility aids, such as canes (including those used by...

  9. 14 CFR 382.121 - What mobility aids and other assistive devices may passengers with a disability bring into the...

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... 14 Aeronautics and Space 4 2012-01-01 2012-01-01 false What mobility aids and other assistive... Aids, and Other Assistive Devices § 382.121 What mobility aids and other assistive devices may... or collapsible wheelchairs; (2) Other mobility aids, such as canes (including those used by...

  10. 14 CFR 382.121 - What mobility aids and other assistive devices may passengers with a disability bring into the...

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ... 14 Aeronautics and Space 4 2013-01-01 2013-01-01 false What mobility aids and other assistive... Aids, and Other Assistive Devices § 382.121 What mobility aids and other assistive devices may... or collapsible wheelchairs; (2) Other mobility aids, such as canes (including those used by...

  11. Disability in instrumental activities of daily living among older adults: gender differences

    PubMed Central

    Alexandre, Tiago da Silva; Corona, Ligiana Pires; Nunes, Daniella Pires; Santos, Jair Lício Ferreira; Duarte, Yeda Aparecida de Oliveira; Lebrão, Maria Lúcia

    2014-01-01

    OBJECTIVE To analyze gender differences in the incidence and determinants of disability regarding instrumental activities of daily living among older adults. METHODS The data were extracted from the Saúde, Bem-Estar e Envelhecimento (SABE – Health, Wellbeing and Ageing) study. In 2000, 1,034 older adults without difficulty in regarding instrumental activities of daily living were selected. The following characteristics were evaluated at the baseline: sociodemographic and behavioral variables, health status, falls, fractures, hospitalizations, depressive symptoms, cognition, strength, mobility, balance and perception of vision and hearing. Instrumental activities of daily living such as shopping and managing own money and medication, using transportation and using the telephone were reassessed in 2006, with incident cases of disability considered as the outcome. RESULTS The incidence density of disability in instrumental activities of daily living was 44.7/1,000 person/years for women and 25.2/1,000 person/years for men. The incidence rate ratio between women and men was 1.77 (95%CI 1.75;1.80). After controlling for socioeconomic status and clinical conditions, the incidence rate ratio was 1.81 (95%CI 1.77;1.84), demonstrating that women with chronic disease and greater social vulnerability have a greater incidence density of disability in instrumental activities of daily living. The following were determinants of the incidence of disability: age ≥ 80 and worse perception of hearing in both genders; stroke in men; and being aged 70 to 79 in women. Better cognitive performance was a protective factor in both genders and better balance was a protective factor in women. CONCLUSIONS The higher incidence density of disability in older women remained even after controlling for adverse social and clinical conditions. In addition to age, poorer cognitive performance and conditions that adversely affect communication disable both genders. Acute events, such as a stroke, disables elderly men more, whereas early deficits regarding balance disable women more. PMID:25119933

  12. Mobile applications for participation at the shopping mall: content analysis and usability for persons with physical disabilities and communication or cognitive limitations.

    PubMed

    Auger, Claudine; Leduc, Emilie; Labbé, Delphine; Guay, Cassioppée; Fillion, Brigitte; Bottari, Carolina; Swaine, Bonnie

    2014-01-01

    The aim of this exploratory study was to determine the important features in content and usability of existing mobile applications evaluating environmental barriers and facilitators (EBF) to participation for persons with physical disabilities presenting mild communication or cognitive limitations. A rigorous process based on a user-centered design approach led to the identification of two relevant mobile applications to evaluate the EBF. An accessibility expert, the research team as well as five users then tested the mobile applications in a shopping mall. A thematic content analysis of the research team's and users' comments established 10 categories of key features that adequately respond to the needs of the clientele targeted in this study. In terms of content, granularity and contextualization of the information provided were considered important. With respect to usability, relevant features were place finding, rating system, presentation of results, compatibility, user-friendliness, aesthetics, credibility of the information as well as connectivity/interactiveness. The research team and the users agreed on some aspects such as aesthetics, but had different perspectives on features such as the rating system or the connectivity/interactiveness of the application. The users proposed new features suggesting that the existing mobile applications did not correspond to all their needs. PMID:25513999

  13. Mobile applications for participation at the shopping mall: content analysis and usability for persons with physical disabilities and communication or cognitive limitations.

    PubMed

    Auger, Claudine; Leduc, Emilie; Labbé, Delphine; Guay, Cassioppée; Fillion, Brigitte; Bottari, Carolina; Swaine, Bonnie

    2014-12-01

    The aim of this exploratory study was to determine the important features in content and usability of existing mobile applications evaluating environmental barriers and facilitators (EBF) to participation for persons with physical disabilities presenting mild communication or cognitive limitations. A rigorous process based on a user-centered design approach led to the identification of two relevant mobile applications to evaluate the EBF. An accessibility expert, the research team as well as five users then tested the mobile applications in a shopping mall. A thematic content analysis of the research team's and users' comments established 10 categories of key features that adequately respond to the needs of the clientele targeted in this study. In terms of content, granularity and contextualization of the information provided were considered important. With respect to usability, relevant features were place finding, rating system, presentation of results,compatibility, user-friendliness, aesthetics, credibility of the information as well as connectivity/interactiveness. The research team and the users agreed on some aspects such as aesthetics, but had different perspectives on features such as the rating system or the connectivity/interactiveness of the application. The users proposed new features suggesting that the existing mobile applications did not correspond to all their needs. PMID:25587605

  14. Mobile Applications for Participation at the Shopping Mall: Content Analysis and Usability for Persons with Physical Disabilities and Communication or Cognitive Limitations

    PubMed Central

    Auger, Claudine; Leduc, Emilie; Labbé, Delphine; Guay, Cassioppée; Fillion, Brigitte; Bottari, Carolina; Swaine, Bonnie

    2014-01-01

    The aim of this exploratory study was to determine the important features in content and usability of existing mobile applications evaluating environmental barriers and facilitators (EBF) to participation for persons with physical disabilities presenting mild communication or cognitive limitations. A rigorous process based on a user-centered design approach led to the identification of two relevant mobile applications to evaluate the EBF. An accessibility expert, the research team as well as five users then tested the mobile applications in a shopping mall. A thematic content analysis of the research team’s and users’ comments established 10 categories of key features that adequately respond to the needs of the clientele targeted in this study. In terms of content, granularity and contextualization of the information provided were considered important. With respect to usability, relevant features were place finding, rating system, presentation of results, compatibility, user-friendliness, aesthetics, credibility of the information as well as connectivity/interactiveness. The research team and the users agreed on some aspects such as aesthetics, but had different perspectives on features such as the rating system or the connectivity/interactiveness of the application. The users proposed new features suggesting that the existing mobile applications did not correspond to all their needs. PMID:25513999

  15. The global burden of injury: incidence, mortality, disability-adjusted life years and time trends from the Global Burden of Disease study 2013

    PubMed Central

    Haagsma, Juanita A; Graetz, Nicholas; Bolliger, Ian; Naghavi, Mohsen; Higashi, Hideki; Mullany, Erin C; Abera, Semaw Ferede; Abraham, Jerry Puthenpurakal; Adofo, Koranteng; Alsharif, Ubai; Ameh, Emmanuel A; Ammar, Walid; Antonio, Carl Abelardo T; Barrero, Lope H; Bekele, Tolesa; Bose, Dipan; Brazinova, Alexandra; Catalá-López, Ferrán; Dandona, Lalit; Dandona, Rakhi; Dargan, Paul I; De Leo, Diego; Degenhardt, Louisa; Derrett, Sarah; Dharmaratne, Samath D; Driscoll, Tim R; Duan, Leilei; Petrovich Ermakov, Sergey; Farzadfar, Farshad; Feigin, Valery L; Gabbe, Belinda; Gosselin, Richard A; Hafezi-Nejad, Nima; Hamadeh, Randah Ribhi; Hijar, Martha; Hu, Guoqing; Jayaraman, Sudha P; Jiang, Guohong; Khader, Yousef Saleh; Khan, Ejaz Ahmad; Krishnaswami, Sanjay; Kulkarni, Chanda; Lecky, Fiona E; Leung, Ricky; Lunevicius, Raimundas; Lyons, Ronan Anthony; Majdan, Marek; Mason-Jones, Amanda J; Matzopoulos, Richard; Meaney, Peter A; Mekonnen, Wubegzier; Miller, Ted R; Mock, Charles N; Norman, Rosana E; Polinder, Suzanne; Pourmalek, Farshad; Rahimi-Movaghar, Vafa; Refaat, Amany; Rojas-Rueda, David; Roy, Nobhojit; Schwebel, David C; Shaheen, Amira; Shahraz, Saeid; Skirbekk, Vegard; Søreide, Kjetil; Soshnikov, Sergey; Stein, Dan J; Sykes, Bryan L; Tabb, Karen M; Temesgen, Awoke Misganaw; Tenkorang, Eric Yeboah; Theadom, Alice M; Tran, Bach Xuan; Vasankari, Tommi J; Vavilala, Monica S; Vlassov, Vasiliy Victorovich; Woldeyohannes, Solomon Meseret; Yip, Paul; Yonemoto, Naohiro; Younis, Mustafa Z; Yu, Chuanhua; Murray, Christopher J L; Vos, Theo

    2016-01-01

    Background The Global Burden of Diseases (GBD), Injuries, and Risk Factors study used the disability-adjusted life year (DALY) to quantify the burden of diseases, injuries, and risk factors. This paper provides an overview of injury estimates from the 2013 update of GBD, with detailed information on incidence, mortality, DALYs and rates of change from 1990 to 2013 for 26 causes of injury, globally, by region and by country. Methods Injury mortality was estimated using the extensive GBD mortality database, corrections for ill-defined cause of death and the cause of death ensemble modelling tool. Morbidity estimation was based on inpatient and outpatient data sets, 26 cause-of-injury and 47 nature-of-injury categories, and seven follow-up studies with patient-reported long-term outcome measures. Results In 2013, 973 million (uncertainty interval (UI) 942 to 993) people sustained injuries that warranted some type of healthcare and 4.8 million (UI 4.5 to 5.1) people died from injuries. Between 1990 and 2013 the global age-standardised injury DALY rate decreased by 31% (UI 26% to 35%). The rate of decline in DALY rates was significant for 22 cause-of-injury categories, including all the major injuries. Conclusions Injuries continue to be an important cause of morbidity and mortality in the developed and developing world. The decline in rates for almost all injuries is so prominent that it warrants a general statement that the world is becoming a safer place to live in. However, the patterns vary widely by cause, age, sex, region and time and there are still large improvements that need to be made. PMID:26635210

  16. The validity of spinal mobility for prediction of functional disability in male patients with low back pain

    PubMed Central

    Atya, Azza M.

    2012-01-01

    Clinical assessment of functional disability is an integral part of management in patients with low back pain (LBP). The range of spinal motion is one of LBP disability measure. The aim of this study was to investigate the validity of spinal range of motion as a predictable measure of disability and to analyze the intrarater reliability of back range of motion (BROM) instrument for measurement of active lumber spine range of motion. Forty men patients with chronic low back pain over 6 month’s duration were participated in the study. Their ages ranged from 20 to 40 years. Lumber range of motion was measured with BROM device and disability was evaluated by self reported Roland Morris disability questionnaire (RMDQ). Data were analyzed using Spearman’s correlation, multiple regression analysis models and ICC. Statistical analysis revealed that there was a highly significant moderate to good relation between forward trunk flexion and RMDQ score (rho = −0.59, p < 0.001). While there was a weak correlation between trunk extensions, lateral trunk flexion and trunk rotation with the RMDQ scores (p > 0.05). The main predictors of disability were forward and lateral trunk flexion. Furthermore, intrarater reliability for forward trunk flexion was good (ICC, 0.84), for extension was high (ICC, 0.91), for rotation was good (ICC range, 0.86–0.88), and for lateral flexion was good (ICC range, 0.81–0.82). It was suggested that spinal ROM do not appear to be a valid measure for prediction of the functional disability in patients with chronic low back pain. PMID:25685400

  17. The validity of spinal mobility for prediction of functional disability in male patients with low back pain.

    PubMed

    Atya, Azza M

    2013-01-01

    Clinical assessment of functional disability is an integral part of management in patients with low back pain (LBP). The range of spinal motion is one of LBP disability measure. The aim of this study was to investigate the validity of spinal range of motion as a predictable measure of disability and to analyze the intrarater reliability of back range of motion (BROM) instrument for measurement of active lumber spine range of motion. Forty men patients with chronic low back pain over 6 month's duration were participated in the study. Their ages ranged from 20 to 40 years. Lumber range of motion was measured with BROM device and disability was evaluated by self reported Roland Morris disability questionnaire (RMDQ). Data were analyzed using Spearman's correlation, multiple regression analysis models and ICC. Statistical analysis revealed that there was a highly significant moderate to good relation between forward trunk flexion and RMDQ score (rho = -0.59, p < 0.001). While there was a weak correlation between trunk extensions, lateral trunk flexion and trunk rotation with the RMDQ scores (p > 0.05). The main predictors of disability were forward and lateral trunk flexion. Furthermore, intrarater reliability for forward trunk flexion was good (ICC, 0.84), for extension was high (ICC, 0.91), for rotation was good (ICC range, 0.86-0.88), and for lateral flexion was good (ICC range, 0.81-0.82). It was suggested that spinal ROM do not appear to be a valid measure for prediction of the functional disability in patients with chronic low back pain. PMID:25685400

  18. Relationships between spinal mobility, physical performance tests, pain intensity and disability assessments in chronic low back pain patients.

    PubMed

    Grönblad, M; Hurri, H; Kouri, J P

    1997-03-01

    Correlations between the Oswestry Disability Questionnaire (ODQ), the Pain Disability Index (PDI), PDI subscales PDI factor 1 (PDI 1), PDI factor 2 (PDI 2) and visual analogue scale (VAS) pain intensity on the one hand and spine range of motion measures and static and dynamic functional performance tests on the other, were studied in 52 chronic low back pain patients. Comparable groups of male and female patients were studied. A moderately significant (p < 0.01) inverse correlation was observed between the ODQ and rotation to the left even after correction for age, but not when men and women were studied separately. A significant (r = -0.480, p < 0.001) inverse correlation was observed between the repeated squatting test and pain intensity and in men both pain intensity and disability correlated (r = -0.607, p < 0.001) with this particular test. Only for the women were there moderately significant (p < 0.01) inverse correlations between disability assessments and all the physical performance tests with the exception of the static back muscle test. In the women only the isometric lifting test showed a moderately significant inverse correlation (r = -0.504, p < 0.01) with pain intensity. Such apparent gender differences in the overlap between physical performance tests and self-report disability assessments and pain intensity may be clinically relevant. The results will, however, require confirmation on larger groups of chronic low back pain patients. PMID:9084101

  19. Defining a Technology Research Agenda for Elementary and Secondary Students with Learning and Other High-Incidence Disabilities in Inclusive Science Classrooms

    ERIC Educational Resources Information Center

    Marino, Matthew T.

    2010-01-01

    Increased numbers of elementary and secondary students with learning and other disabilities are participating in inclusive science classrooms. Unfortunately, many of these students struggle to achieve at a level commensurate with their peers. As a result, few students with disabilities pursue advanced scientific coursework or enter science,…

  20. Laying the Foundation for Connect to Protect®: A Multi-Site Community Mobilization Intervention to Reduce HIV/AIDS Incidence and Prevalence among Urban Youth

    PubMed Central

    Ziff, Mauri A.; Harper, Gary W.; Chutuape, Kate S.; Deeds, Bethany Griffin; Futterman, Donna; Francisco, Vincent T.; Muenz, Larry R.

    2006-01-01

    Despite the considerable resources that have been dedicated to HIV prevention interventions and services over the past decade, HIV incidence among young people in the United States remains alarmingly high. One reason is that the majority of prevention efforts continue to focus solely on modifying individual behavior, even though public health research strongly suggests that changes to a community's structural elements, such as their programs, practices, and laws or policies, may result in more effective and sustainable outcomes. Connect to Protect is a multi-city community mobilization intervention that focuses on altering or creating community structural elements in ways that will ultimately reduce youth HIV incidence and prevalence. The project, which spans 6 years, is sponsored by the Adolescent Medicine Trials Network for HIV/AIDS Interventions at multiple urban clinical research sites. This paper provides an overview of the study's three phases and describes key factors in setting a firm foundation for the initiation and execution of this type of undertaking. Connect to Protect's community mobilization approach to achieving structural change represents a relatively new and broad direction in HIV prevention research. To optimize opportunities for its success, time and resources must be initially placed into laying the groundwork. This includes activities such as building a strong overarching study infrastructure to ensure protocol tasks can be met across sites; tapping into local site and community expertise and knowledge; forming collaborative relationships between sites and community organizations and members; and fostering community input on and support for changes at a structural level. Failing to take steps such as these may lead to insurmountable implementation problems for an intervention of this kind. PMID:16739051

  1. Positioning, Access, and Mobility Module. Technology in the Classroom. Applications and Strategies for the Education of Children with Severe Disabilities.

    ERIC Educational Resources Information Center

    Trefler, Elaine

    This training module is part of a series that provides a basic introduction to using assistive technology with young children (ages 2 to 7) who have severe disabilities in more than one area of development. This module focuses on using appropriate technologies for positioning children comfortably so they can participate in the activities of life,…

  2. Profile of arthritis disability.

    PubMed Central

    Verbrugge, L. M.; Juarez, L.

    2001-01-01

    Using the 1994-95 National Health Interview Supplement Disability Supplement, the authors study levels of disabilities and accommodations among US adults with arthritis disability, compared to people with disability due to other conditions. Arthritis-disabled people are defined in two ways. One definition covers a broad range of arthritis and rheumatic conditions, and the other concentrates solely on arthritis. The authors find that arthritis-disabled people have more total disabilities than other-disabled peop e. However, their disabilities are less severe, have shorter durations, and accumulate more gradually over time. Despite more disabilities, people with arthritis disability use fewer assistive and service accommodations than other-disabled people. They do use more mobility aids. Because arthritis is the leading chronic condition for middle-aged and older adults, th s profile of extensive but mild-to-moderate disability is experienced by many millions of adults. Accommodations for arthritis may also be extensive but aimed more toward self-care than toward assistive and medical services. PMID:11889283

  3. Women, Work, and Disability.

    ERIC Educational Resources Information Center

    Hollingsworth, David K.; Mastroberti, Carol J.

    1983-01-01

    Presents a comprehensive review of women in the world of work, and then considers how disability affects women's work and home roles. Describes career development, labor market utilization, occupational and career mobility, achievement and attainment paths of women and disabled women as workers. (JAC)

  4. Orientation and Mobility with Persons Who Are Deaf-Blind: An Initial Examination of Single-Subject Design Research

    ERIC Educational Resources Information Center

    Parker, Amy T.

    2009-01-01

    Persons who are deaf-blind represent a heterogeneous, low-incidence population of children and adults who, at some point in life, regardless of the presence of additional disabilities, may benefit from formal orientation and mobility (O&M) instruction. Current national policies, such as the No Child Left Behind Act, which emphasize that

  5. Orientation and Mobility with Persons Who Are Deaf-Blind: An Initial Examination of Single-Subject Design Research

    ERIC Educational Resources Information Center

    Parker, Amy T.

    2009-01-01

    Persons who are deaf-blind represent a heterogeneous, low-incidence population of children and adults who, at some point in life, regardless of the presence of additional disabilities, may benefit from formal orientation and mobility (O&M) instruction. Current national policies, such as the No Child Left Behind Act, which emphasize that…

  6. Superheroes Social Skills: A Study Examining the Effects of Using an Evidence-Based Approach to Teach Social Skills to Children with High-Incidence Disabilities

    ERIC Educational Resources Information Center

    Hood, Julia Ann Kelly

    2011-01-01

    The current study evaluated the use of a manualized social skills program, Superheroes Social Skills, to increase the use of prosocial behaviors and decrease the use of aggressive behaviors for children with externalizing behaviors. The training was implemented by a school psychologist in a pullout group with four children with high-incidence

  7. Accommodating Students with Disabilities on State English Language Proficiency Assessments

    ERIC Educational Resources Information Center

    Albus, Debra; Thurlow, Martha L.

    2008-01-01

    All English language learners (ELLs) are to participate in an annual assessment of English language proficiency (ELP) under Title III of the No Child Left Behind Act of 2001. This includes ELLs with disabilities, regardless of whether they are high-incidence disabilities (e.g., learning disability) or low-incidence disabilities (e.g., deaf or hard

  8. Global, regional, and national incidence, prevalence, and years lived with disability for 301 acute and chronic diseases and injuries in 188 countries, 1990–2013: a systematic analysis for the Global Burden of Disease Study 2013

    PubMed Central

    2015-01-01

    Summary Background Up-to-date evidence about levels and trends in disease and injury incidence, prevalence, and years lived with disability (YLDs) is an essential input into global, regional, and national health policies. In the Global Burden of Disease Study 2013 (GBD 2013), we estimated these quantities for acute and chronic diseases and injuries for 188 countries between 1990 and 2013. Methods Estimates were calculated for disease and injury incidence, prevalence, and YLDs using GBD 2010 methods with some important refinements. Results for incidence of acute disorders and prevalence of chronic disorders are new additions to the analysis. Key improvements include expansion to the cause and sequelae list, updated systematic reviews, use of detailed injury codes, improvements to the Bayesian meta-regression method (DisMod-MR), and use of severity splits for various causes. An index of data representativeness, showing data availability, was calculated for each cause and impairment during three periods globally and at the country level for 2013. In total, 35 620 distinct sources of data were used and documented to calculated estimates for 301 diseases and injuries and 2337 sequelae. The comorbidity simulation provides estimates for the number of sequelae, concurrently, by individuals by country, year, age, and sex. Disability weights were updated with the addition of new population-based survey data from four countries. Findings Disease and injury were highly prevalent; only a small fraction of individuals had no sequelae. Comorbidity rose substantially with age and in absolute terms from 1990 to 2013. Incidence of acute sequelae were predominantly infectious diseases and short-term injuries, with over 2 billion cases of upper respiratory infections and diarrhoeal disease episodes in 2013, with the notable exception of tooth pain due to permanent caries with more than 200 million incident cases in 2013. Conversely, leading chronic sequelae were largely attributable to non-communicable diseases, with prevalence estimates for asymptomatic permanent caries and tension-type headache of 2·4 billion and 1·6 billion, respectively. The distribution of the number of sequelae in populations varied widely across regions, with an expected relation between age and disease prevalence. YLDs for both sexes increased from 537·6 million in 1990 to 764·8 million in 2013 due to population growth and ageing, whereas the age-standardised rate decreased little from 114·87 per 1000 people to 110·31 per 1000 people between 1990 and 2013. Leading causes of YLDs included low back pain and major depressive disorder among the top ten causes of YLDs in every country. YLD rates per person, by major cause groups, indicated the main drivers of increases were due to musculoskeletal, mental, and substance use disorders, neurological disorders, and chronic respiratory diseases; however HIV/AIDS was a notable driver of increasing YLDs in sub-Saharan Africa. Also, the proportion of disability-adjusted life years due to YLDs increased globally from 21·1% in 1990 to 31·2% in 2013. Interpretation Ageing of the world’s population is leading to a substantial increase in the numbers of individuals with sequelae of diseases and injuries. Rates of YLDs are declining much more slowly than mortality rates. The non-fatal dimensions of disease and injury will require more and more attention from health systems. The transition to non-fatal outcomes as the dominant source of burden of disease is occurring rapidly outside of sub-Saharan Africa. Our results can guide future health initiatives through examination of epidemiological trends and a better understanding of variation across countries. PMID:26063472

  9. Association among measures of mobility-related disability and self-perceived fatigue among older people: a population-based study

    PubMed Central

    Soares, Wuber J. S.; Lima, Camila A.; Bilton, Tereza L.; Ferrioli, Eduardo; Dias, Rosângela C.; Perracini, Monica R.

    2015-01-01

    Objective: To investigate the relationship between self-perceived fatigue with different physical functioning tests and functional performance scales used for evaluating mobility-related disability among community-dwelling older persons. Method: This is a cross-sectional, population-based study. The sample was composed of older persons with 65 years of age or more living in Cuiabá, MT, and Barueri, SP, Brazil. The data for this study is from the FIBRA Network Study. The presence of self-perceived fatigue was assessed using self-reports based on the Center for Epidemiologic Studies-Depression Scale. The Lawton instrumental activities of daily living scale (IADL) and the advanced activities of daily living scale (AADL) were used to assess performance and participation restriction. The following physical functioning tests were used: five-step test (FST), the Short Physical Performance Battery (SPPB), and usual gait speed (UGS). Three models of logistic regression analysis were conducted, and a significance level of α<0.05 was adopted. Results: The sample was composed of 776 older adults with a mean age (SD) of 71.9 (5.9) years, of whom the majority were women (74%). The prevalence of self-perceived fatigue within the participants was 20%. After adjusting for covariates, SPPB, UGS, IADL, and AADL remained associated with self-perceived fatigue in the final multivariate regression model. Conclusion: Our results suggest that there is an association between self-perceived fatigue and lower extremity function, usual gait speed and activity limitation and participation restriction in older adults. Further cohort studies are needed to investigate which physical performance measure may be able to predict the negative impact of fatigue in older adults. PMID:26039035

  10. 49 CFR 39.93 - What wheelchairs and other assistive devices may passengers with a disability bring onto a...

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... individuals with mobility disabilities in any areas open to pedestrian use. (b)(1) As A PVO subject to Title... must permit individuals with mobility disabilities to use wheelchairs and manually powered mobility... permit the use of other power-driven mobility devices by individuals with mobility disabilities,...

  11. 49 CFR 39.93 - What wheelchairs and other assistive devices may passengers with a disability bring onto a...

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... individuals with mobility disabilities in any areas open to pedestrian use. (b)(1) As A PVO subject to Title... must permit individuals with mobility disabilities to use wheelchairs and manually powered mobility... permit the use of other power-driven mobility devices by individuals with mobility disabilities,...

  12. Disability Identity--Disability Pride

    ERIC Educational Resources Information Center

    Martin, Nicola

    2012-01-01

    This paper discusses a way of thinking about disability which has emerged out of the UK Disabled People's Movement over the last three decades in opposition to the preceding medical model of disability which viewed disability as synonymous with problem. Disabled people are increasingly challenging the notion that their embodiment is inherently…

  13. Prevalence of Disability and Disability Type Among Adults--United States, 2013.

    PubMed

    Courtney-Long, Elizabeth A; Carroll, Dianna D; Zhang, Qing C; Stevens, Alissa C; Griffin-Blake, Shannon; Armour, Brian S; Campbell, Vincent A

    2015-07-31

    Understanding the prevalence of disability is important for public health programs to be able to address the needs of persons with disabilities. Beginning in 2013, to measure disability prevalence by functional type, the Behavioral Risk Factor Surveillance System (BRFSS), added five questions to identify disability in vision, cognition, mobility, self-care, and independent living. CDC analyzed data from the 2013 BRFSS to assess overall prevalence of any disability, as well as specific types of disability among noninstitutionalized U.S. adults. Across all states, disabilities in mobility and cognition were the most frequently reported types. State-level prevalence of each disability type ranged from 2.7% to 8.1% (vision); 6.9% to 16.8% (cognition); 8.5% to 20.7% (mobility); 1.9% to 6.2% (self-care) and 4.2% to 10.8% (independent living). A higher prevalence of any disability was generally seen among adults living in states in the South and among women (24.4%) compared with men (19.8%). Prevalences of any disability and disability in mobility were higher among older age groups. These are the first data on functional disability types available in a state-based health survey. This information can help public health programs identify the prevalence of and demographic characteristics associated with different disability types among U.S. adults and better target appropriate interventions to reduce health disparities. PMID:26225475

  14. Learning Disabilities.

    ERIC Educational Resources Information Center

    Clow, John, Ed.; Woolschlager, Ruth B., Ed.

    The learning disabilities monograph contains five brief articles dealing with various aspects of learning disabilities as they related to business education. "Learning Disabilities: A Challenge for the Vocational Business Educator" (Dorothy Munger) concerns screening students with learning disabilities into rather than out of business education…

  15. Is There Really a Difference? Distinguishing Mild Intellectual Disability from "Similar" Disability Categories

    ERIC Educational Resources Information Center

    Bouck, Emily C.; Satsangi, Rajiv

    2015-01-01

    Students with mild intellectual disability generally garner less individual attention in research, as they are often aggregated with students with moderate and severe intellectual disability or students with other high incidence disabilities. This study used the National Longitudinal Transition Study-2 (NLTS2) to look at the personal…

  16. Disability retirement

    NASA Technical Reports Server (NTRS)

    Eck, R. L.

    1975-01-01

    Eligibility for disability retirement is discussed. General guidelines and a few standards are given. Usually the same basic medical principles apply to the evaluation of claims for disability retirement as apply to determining medical suitability for initial employment.

  17. 49 CFR 39.29 - May PVOs limit the number of passengers with a disability on a passenger vessel?

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... Transportation TRANSPORTATION FOR INDIVIDUALS WITH DISABILITIES: PASSENGER VESSELS Nondiscrimination and Access... mobility disability on your vessel. However, if in the Captain's judgment, weight or stability issues are presented by the presence of mobility devices and would conflict with legitimate safety...

  18. Cancer Incidence

    EPA Science Inventory

    This indicator presents cancer incidence rates for the U.S. population from 1973 to 2008. Cancer is the second leading cause of death in the U.S., and many factors, including exposure to some environmental contaminants, are known or suspected of contributing to increased ca...

  19. Technology for Persons with Disabilities. An Introduction.

    ERIC Educational Resources Information Center

    IBM, Atlanta, GA. National Support Center for Persons with Disabilities.

    This paper contains an overview of technology, national support organizations, and IBM support available to persons with disabilities related to impairments affecting hearing, learning, mobility, speech or language, and vision. The information was obtained from the IBM National Support Center for Persons with Disabilities, which was created to…

  20. Architectural Barriers to the Physically Disabled.

    ERIC Educational Resources Information Center

    Kirkland, Sue-Anne

    Presented is evidence on the increasing need to plan for the accommodation of the physically handicapped in the design and construction of present and future public buildings and transportation facilities in Canada. Terms such as "architectural barriers" and "disability" are defined. Statistics on disability incidence in Canada (one out of seven…

  1. Learning Disabilities and Employment before and in the Americans with Disabilities Act Era: Progress or a Bridge Too Far?

    ERIC Educational Resources Information Center

    Gerber, Paul J.; Batalo, Cecilia G.; Achola, Edwin O.

    2011-01-01

    The Americans with Disabilities Act of 1990 (ADA) and its amendments have been in existence for a little more than twenty years. Title One, which pertains to employment, has had a bearing on employment for persons with disabilities, particularly the high incidence category of learning disabilities, who for the most part work in competitive

  2. Learning Disabilities and Employment before and in the Americans with Disabilities Act Era: Progress or a Bridge Too Far?

    ERIC Educational Resources Information Center

    Gerber, Paul J.; Batalo, Cecilia G.; Achola, Edwin O.

    2011-01-01

    The Americans with Disabilities Act of 1990 (ADA) and its amendments have been in existence for a little more than twenty years. Title One, which pertains to employment, has had a bearing on employment for persons with disabilities, particularly the high incidence category of learning disabilities, who for the most part work in competitive…

  3. 28 CFR 35.137 - Mobility devices.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... devices designed for use by individuals with mobility disabilities, in any areas open to pedestrian use... 28 Judicial Administration 1 2011-07-01 2011-07-01 false Mobility devices. 35.137 Section 35.137... LOCAL GOVERNMENT SERVICES General Requirements § 35.137 Mobility devices. (a) Use of wheelchairs...

  4. Medium-/Long-Term Effects of a Specific Exercise Protocol Combined with Patient Education on Spine Mobility, Chronic Fatigue, Pain, Aerobic Fitness and Level of Disability in Fibromyalgia

    PubMed Central

    Giannotti, Erika; Koutsikos, Konstantinos; Pigatto, Maurizia; Rampudda, Maria Elisa; Doria, Andrea

    2014-01-01

    Objective. To propose a rehabilitation protocol able to produce immediate and long-term beneficial effects on level of disability and overall performance in ADLs. Materials and Methods. Forty-one FM patients were randomized to an exercise and educational-behavioral programme group (experimental group, EG = 21) or to a control group (CG = 20). Each subject was evaluated before, at the end (T1), and after 6 months (T6) from the conclusion of the rehabilitation treatment using the Fibromyalgia Impact Questionnaire (FIQ), the visual analogue scale (VAS), the Health Assessment Questionnaire (HAQ), the fatigue severity scale (FSS), the 6-minute walking test (6MWT), tender points count (TPC), and spinal active range of motion. The exercise protocol included 20 sessions consisting in self-awareness, stretching, strengthening, spine flexibility, and aerobic exercises, which patients were subsequently educated to perform at home. Results. The two groups were comparable at baseline. At T1, the EG showed a positive trend in FIQ, VAS, HAQ, and FSS scales and significant improvement in 6MWT and in most spinal active range of motion measurements (P between 0.001 and 0.04). The positive results were maintained at the follow-up. Conclusion. The proposed programme was well tolerated and produced immediate and medium-term beneficial effects improving function and strain endurance. This trial is registered with DRKS00005071 on DRKS. PMID:24616894

  5. Learning Disabilities

    ERIC Educational Resources Information Center

    Sittiprapaporn, Wichian, Ed.

    2012-01-01

    Learning disability is a classification that includes several disorders in which a person has difficulty learning in a typical manner. Depending on the type and severity of the disability, interventions may be used to help the individual learn strategies that will foster future success. Some interventions can be quite simplistic, while others are

  6. Learning Disabilities.

    ERIC Educational Resources Information Center

    McCarthy, James J.; McCarthy, Joan F.

    An attempt to collate basic knowledge concerning learning disabilities, the text discusses the background and definition of learning disabilities, and its identification, etiology, and epidemiology. Guidelines for diagnostic evaluation are presented as are approaches from perceptual motor, developmental, visual, neurophysiological, linguistic, and

  7. Learning Disabilities

    ERIC Educational Resources Information Center

    Sittiprapaporn, Wichian, Ed.

    2012-01-01

    Learning disability is a classification that includes several disorders in which a person has difficulty learning in a typical manner. Depending on the type and severity of the disability, interventions may be used to help the individual learn strategies that will foster future success. Some interventions can be quite simplistic, while others are…

  8. Learning disabilities.

    PubMed

    Lyon, G R

    1996-01-01

    Approximately 5% of all public school students are identified as having a learning disability (LD). LD is not a single disorder, but includes disabilities in any of seven areas related to reading, language, and mathematics. These separate types of learning disabilities frequently co-occur with one another and with social skill deficits and emotional or behavioral disorders. Most of the available information concerning learning disabilities relates to reading disabilities, and the majority of children with learning disabilities have their primary deficits in basic reading skills. An important part of the definition of LD is its exclusions: learning disabilities cannot be attributed primarily to mental retardation, emotional disturbance, cultural difference, or disadvantage. Thus, the concept of LD focuses on the notion of a discrepancy between a child's academic achievement and his or her apparent capacity to learn. Recent research indicates, however, that disability in basic reading skills is primarily caused by deficits in phonological awareness, which is independent of any achievement-capacity discrepancy. Deficits in phonological awareness can be identified in late kindergarten and first grade using inexpensive, straightforward testing protocol. Interventions have varying effectiveness, depending largely on the severity of the individual child's disability. The prevalence of learning disability identification has increased dramatically in the past 20 years. The "real" prevalence of LD is subject to much dispute because of the lack of an agreed-upon definition of LD with objective identification criteria. Some researchers have argued that the currently recognized 5% prevalence rate is inflated; others argue that LD is still underidentified. In fact, it appears that there are both sound and unsound reasons for the increase in identification rates. Sound reasons for the increase include better research, a broader definition of disability in reading, focusing on phonological awareness, and greater identification of girls with learning disabilities. Unsound reasons for the increase include broad and vague definitions of learning disability, financial incentives to identify students for special education, and inadequate preparation of teachers by colleges of education, leading to overreferral of students with any type of special need. There is no clear demarcation between students with normal reading abilities and those with mild reading disability. The majority of children with reading disabilities have relatively mild reading disabilities, with a smaller number having extreme reading disabilities. The longer children with disability in basic reading skills, at any level of severity, go without identification and intervention, the more difficult the task of remediation and the lower the rate of success. Children with extreme deficits in basic reading skills are much more difficult to remediate than children with mild or moderate deficits. It is unclear whether children in the most severe range can achieve age- and grade-approximate reading skills, even with normal intelligence and with intense, informed intervention provided over a protracted period of time. Children with severe learning disabilities are likely to manifest an increased number of and increased severity of social and behavioral deficits. When children with disabilities in reading also manifest attention deficit disorder, their reading deficits are typically exacerbated, more severe, and more resistant to intervention. While severe reading disorders are clearly a major concern, even mild deficits in reading skills are likely to portend significant difficulties in academic learning. These deficits, too, are worthy of early identification and intervention. Even children with relatively subtle linguistic and reading deficits require the expertise of a teacher who is well trained and informed about the relationships between language development and reading development. PMID:8689262

  9. Course Completion and Attainment in Disabled Students Taking Courses with the Open University UK

    ERIC Educational Resources Information Center

    Richardson, John T. E.

    2010-01-01

    This investigation compared outcomes in disabled and non-disabled students taking courses by distance learning with the Open University UK in 2003. Students with mental health difficulties showed poorer course completion than non-disabled students. Students with restricted mobility and students with other disabilities showed lower pass rates than…

  10. Shakespeare on old age and disability.

    PubMed

    Covey, H

    2000-01-01

    The plays of William Shakespeare were reviewed for references to disabilities, aging and disability, and older characters with disabilities. Shakespeare's references draw from traditional cultural notions about older people with disabilities. These traditional notions include people with physical disabilities being evil, the entertainment value of disabilty, and those who were mentally ill being wild and animal-like. He viewed the aging process as disabling and old age as a time when individuals lost some abilities to function, particularly when it came to mental capacity and physical mobility. His writings show that he used disability as a literary tool to add dimension to characters and set them apart. Contemporary literature continues to share some of Shakespeare's view on aging and disability but also departs from them in important ways. For example, contemporary treatment of disabilities and aging places more emphasis on the human side of the affects of aging and disabilities. Disabilities and aging are not cast in the same negative terms as Shakespeare used. PMID:10987340

  11. Sexual Force at Sexual Debut. Swedish Adolescents with Disabilities at Higher Risk than Adolescents without Disabilities

    ERIC Educational Resources Information Center

    Brunnberg, Elinor; Bostrom, Margareta Linden; Berglund, Mats

    2012-01-01

    The aims of this study are first to compare the incidence of force on the first occasion of sexual intercourse reported by participants with disabilities to that of students without disabilities; second to determine whether there are significant differences in mental health, substance abuse, and school performance as reported by participants…

  12. Quantifying disability: data, methods and results.

    PubMed Central

    Murray, C. J.; Lopez, A. D.

    1994-01-01

    Conventional methods for collecting, analysing and disseminating data and information on disability in populations have relied on cross-sectional censuses and surveys which measure prevalence in a given period. While this may be relevant for defining the extent and demographic pattern of disabilities in a population, and thus indicating the need for rehabilitative services, prevention requires detailed information on the underlying diseases and injuries that cause disabilities. The Global Burden of Disease methodology described in this paper provides a mechanism for quantifying the health consequences of the years of life lived with disabilities by first estimating the age-sex-specific incidence rates of underlying conditions, and then mapping these to a single disability index which collectively reflects the probability of progressing to a disability, the duration of life lived with the disability, and the approximate severity of the disability in terms of activity restriction. Detailed estimates of the number of disability-adjusted life years (DALYs) lived are provided in this paper, for eight geographical regions. The results should be useful to those concerned with planning health services for the disabled and, more particularly, with determining policies to prevent the underlying conditions which give rise to serious disabling sequelae. PMID:8062403

  13. Complementary and alternative medicine in developmental disabilities.

    PubMed

    Brown, Kelly A; Patel, Dilip R

    2005-11-01

    Developmental disabilities (DD) are defined as a diverse group of severe chronic conditions due to mental and/or physical impairments. Individuals with developmental disabilities have difficulty with major life activities including language, mobility, and learning. Developmental disabilities can begin anytime during development--from prenatal up to 22 years of age, and the disability usually lasts throughout a person's lifetime. Autism spectrum disorders, cerebral palsy, mental retardation, and attention deficit hyperactivity disorder are common conditions falling within the definition of developmental disabilities. Complementary and alternative medicine (CAM) is becoming increasingly utilized in the general population for treatment of everything from the common cold to complex and chronic medical conditions. This article reviews the prevalence of different types of CAM used for various developmental disabilities. PMID:16391450

  14. Intellectual disability

    MedlinePlus

    ... malnutrition. Early intervention in situations involving abuse and poverty will also help. Toxic. Preventing exposure to lead, ... vaccination. Avoiding exposure to cat feces that can cause toxoplasmosis during pregnancy helps reduce disability from this ...

  15. Learning Disabilities

    MedlinePlus

    ... increase understanding of their biological basis. NIH Patient Recruitment for Learning Disabilities Clinical Trials At NIH Clinical Center Throughout the U.S. and Worldwide NINDS Clinical Trials Organizations Column1 Column2 CHADD - Children and Adults with Attention- ...

  16. Disability Insurance

    PubMed Central

    Williamson, Elliot A.

    1985-01-01

    A disability insurance policy provides specified income benefits when the insured person becomes unable to work because of illness or accident. With an individual policy, the insured person is generally the policy holder. With a group plan, the employer is the policy holder. An individual policy can provide several optional benefits in addition to disability benefits, which are not available in a group plan. In assessing risk, the insurer uses the application, the agent's report, a physical examination, the attending physician's report, and sometimes a consumer investigation company's inspection report. Records from the Medical Information Bureau, an association of American and Canadian life insurance companies, may also be used. The process of claims adjudication is described, as are differences between short-term and long-term disability claims. Many group policies have a rehabilitation provision; payments may continue while the claimant undergoes rehabilitation or retraining. Imagesp1928-a PMID:21274206

  17. Intellectual Disability

    MedlinePlus

    ... org/repository/transitionadult/ Back to top Tips for Teachers Learn as much as you can about intellectual disability. ... child’s needs. Keep in touch with your child’s teachers. Offer support. Find out how you can support your child’s school learning at home. Take pleasure in your beautiful one. ...

  18. Learning Disabilities

    MedlinePlus

    ... share your thoughts with a parent or a teacher. The first step in diagnosing a learning disability is ruling out vision or hearing problems. ... school might have a special classroom with a teacher who is trained to help students overcome learning problems. Some schools develop what is called an ...

  19. Learning Disabilities.

    ERIC Educational Resources Information Center

    Neuwirth, Sharyn

    This booklet uses hypothetical case examples to illustrate the definition, causal theories, and specific types of learning disabilities (LD). The cognitive and language performance of students with LD is compared to standard developmental milestones, and common approaches to the identification and education of children with LD are outlined.…

  20. Intellectual Disability

    MedlinePlus

    ... known causes of intellectual disability – like Down syndrome, fetal alcohol syndrome, fragile X syndrome, genetic conditions, birth defects, and infections – happen before birth. Others happen while a baby is being born or soon after ... fetal, el síndrome X frágil, afecciones genéticas, defectos congénitos ...

  1. with Disabilities

    ERIC Educational Resources Information Center

    Cote, Debra L.; Jones, Vita L.; Sparks, Shannon L.; Aldridge, Patricia A.

    2012-01-01

    Parents from culturally diverse backgrounds need to feel that they play a vital role in the future success of their sons or daughters with disabilities. Differences in culture and ethnicity can affect families' involvement in transition planning and the goals that they emphasize for their children. Families of diverse backgrounds were…

  2. Disablement, Disability and the Nigerian Society.

    ERIC Educational Resources Information Center

    Abang, Theresa B.

    1988-01-01

    The condition of the disabled in developing nations, particularly Nigeria, is considered. Discussed are prevention of disability by control of infectious diseases, effects of myth and superstition on attitudes toward the disabled, the lack of medical facilities, and the rights of the disabled to an education and building access. (Author/DB)

  3. Osteoarthritis: increasing mobility and reducing disability.

    PubMed

    Quinet, R J

    1986-02-01

    Older patients taking NSAIDs or high-dose aspirin should have complete laboratory evaluations of blood count, urinalysis, BUN/creatine, potassium, and serum transaminases several times yearly; more often if the clinical picture warrants. The use of aspirin, NSAIDs, and other medications should be reviewed in detail with the patient, particularly the rationale. The physician should stress the need to take the medications regularly, not "as needed." Physicians should also take time to warn patients against unorthodox medications and "treatments." PMID:3943721

  4. Disability in Patients Following Traumatic Brain Injury--Which Measure?.

    ERIC Educational Resources Information Center

    McPherson, K. M.; Pentland, B.

    1997-01-01

    This study of 54 individuals with head injuries compares a commonly used measure of physical disability, the Barthel Index, with three measures designed to assess intellectual functioning, communication, behavior, and mobility. The results indicate support for using scales other than the Barthel Index when describing disability following traumatic…

  5. Mobile Learning Using Mobile Phones

    ERIC Educational Resources Information Center

    Vicente, Paula

    2013-01-01

    The participation in mobile learning programs is conditioned by having/using mobile communication technology. Those who do not have or use such technology cannot participate in mobile learning programs. This study evaluates who are the most likely participants of mobile learning programs by examining the demographic profile and mobile phone usage…

  6. Common Pediatric Disabilities: Medical Aspects and Educational Implications.

    ERIC Educational Resources Information Center

    Tyler, Janet Siantz; Colson, Steven

    1994-01-01

    This paper presents definitions of common pediatric disabilities and information about incidence, causes, diagnosis, common characteristics, complications with educational implications, and multidisciplinary intervention approaches. It covers the following conditions: attention deficit hyperactivity disorder, cerebral palsy, Down syndrome, fragile

  7. Common Pediatric Disabilities: Medical Aspects and Educational Implications.

    ERIC Educational Resources Information Center

    Tyler, Janet Siantz; Colson, Steven

    1994-01-01

    This paper presents definitions of common pediatric disabilities and information about incidence, causes, diagnosis, common characteristics, complications with educational implications, and multidisciplinary intervention approaches. It covers the following conditions: attention deficit hyperactivity disorder, cerebral palsy, Down syndrome, fragile…

  8. Sleep and Developmental Disabilities: Assessment, Treatment, and Outcome Measures

    ERIC Educational Resources Information Center

    Doran, Scott M.; Harvey, Mark T.; Horner, Robert H.

    2006-01-01

    People with developmental disabilities sleep less and experience higher incidence of clinical sleep disorders than the general population. Exploring the neurophysiology linking sleep with daytime performance in patients with developmental disabilities is now possible using minimally sufficient sleep and sleep-sensitive behavioral assays. Although

  9. Sleep and Developmental Disabilities: Assessment, Treatment, and Outcome Measures

    ERIC Educational Resources Information Center

    Doran, Scott M.; Harvey, Mark T.; Horner, Robert H.

    2006-01-01

    People with developmental disabilities sleep less and experience higher incidence of clinical sleep disorders than the general population. Exploring the neurophysiology linking sleep with daytime performance in patients with developmental disabilities is now possible using minimally sufficient sleep and sleep-sensitive behavioral assays. Although…

  10. Speech and Language Disorders in Children with Intellectual Disability.

    ERIC Educational Resources Information Center

    Georgieva, Dobrinka; Cholakova, Maya

    This study of 148 Bulgarian children with mild intellectual disabilities investigated the incidence of various types of speech and language disorders in children with intellectual disabilities. A questionnaire was given to the parents and relatives of the children requiring information about the pupils' pre-, peri-, and early postnatal…

  11. Wake Up Call: Pregnant and Parenting Teens with Disabilities

    ERIC Educational Resources Information Center

    Jones, Karen H.; Woolcock-Henry, Constance O.; Domenico, Desirae M.

    2005-01-01

    Pregnancy among all teenagers is a major challenge facing the United States. A literature review indicated little research on the incidences of pregnancy and parenting among teenagers with disabilities, similarities and differences in their educational needs when compared to their non-disabled peers, and how programs address their specific…

  12. Risk Behaviors for Varying Categories of Disability in NELS:88

    ERIC Educational Resources Information Center

    Hollar, David

    2005-01-01

    A large body of research shows that youth with disabilities, who comprise about 13% of the country's school-aged population, report comparable to higher incidence rates of alcohol, tobacco, and other drug (ATOD) use than their peers. Furthermore, youth with disabilities who reported ATOD use or who engaged in binge drinking had significantly more…

  13. Learning Disability Prevalence and Adult Education Program Characteristics

    ERIC Educational Resources Information Center

    Patterson, Margaret Becker

    2008-01-01

    This study identifies adult education program characteristics associated with learning disability (LD) prevalence through statistical analyses of data from a single U.S. state (Kansas). Data indicate that several variables at the adult education (AE) program level are linked to LD prevalence, including disability incidence, educational background…

  14. The Multidomain Intervention to preveNt disability in ElDers (MINDED) project: rationale and study design of a pilot study.

    PubMed

    Cesari, Matteo; Demougeot, Laurent; Boccalon, Henri; Guyonnet, Sophie; Vellas, Bruno; Andrieu, Sandrine

    2014-05-01

    Disability is hardly reversible at old age, negatively impacts on the elders' quality of life, and significantly threatens the sustainability of public health services. Therefore, preventive interventions become necessary for successfully avoiding its onset. The translation of the successful clinical approach represented by the geriatric comprehensive assessment at the community-level and the specific targeting of frailty (a well-established geriatric syndrome) might represent a promising possibility. This approach may allow the implementation of preventive interventions before the irreversible features of disability onset. Unfortunately, there is a lack of evidence on the effectiveness of primary prevention programs against disability in community-dwelling elders. Moreover, the novelty of the topic makes it difficult for the immediate design and conduction of a full-scale trial. For these reasons, a pilot project aimed at obtaining the preliminary information for the design of a subsequent definitive trial is required. In the present article, we describe the objectives, design, and methods of the Multidomain Intervention to preveNt Disability in ElDers (MINDED) project. MINDED is articulated into three sequential phases. First, a screening tool for indentifying non-disabled frail older persons in the community (ideal target population for preventive interventions against disability) will be validated. Then, the organization of a multidisciplinary team in the development and design of a multidomain preventive plan against disability will be verified/optimized. Finally, a randomized controlled trial measuring the effect size of a multicomponent intervention (based on physical exercise, nutrition, and cognitive training) against incident mobility disability versus usual care in community-dwelling frail elders will be conducted. PMID:24768939

  15. 49 CFR 39.47 - May PVOs require passengers with a disability to sign waivers or releases?

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... TRANSPORTATION FOR INDIVIDUALS WITH DISABILITIES: PASSENGER VESSELS Nondiscrimination and Access to Services § 39... for damage to or loss of wheelchairs or other mobility or assistive devices....

  16. Social and Communicative Interventions and Transition Outcomes for Youth with Disabilities: A Systematic Review

    ERIC Educational Resources Information Center

    Alwell, Morgen; Cobb, Brian

    2009-01-01

    The relationship between social and communicative interventions and transition-related outcomes for secondary-aged youth with disabilities is explored in this systematic review. In all, 30 studies intervening with 316 youth with a broad range of disability labels (both high- and low-incidence disabilities) were reviewed. Subgroup analyses were…

  17. Facts about Developmental Disabilities

    MedlinePlus

    ... Children with kernicterus are more likely to have cerebral palsy, hearing and vision problems, and problems with their ... developmental disabilities, such as: ADHD , autism spectrum disorder , cerebral palsy , hearing loss , intellectual disability , learning disability, vision impairment , ...

  18. Supporting Homeless Students with Disabilities: Implementing IDEA

    ERIC Educational Resources Information Center

    National Center for Homeless Education at SERVE, 2007

    2007-01-01

    The Individuals with Disabilities Education Act (IDEA) guarantees rights and services for children and youth with special needs. This Q&A brief provides basic information about IDEA and specific ways the law applies to homeless and highly mobile students with special needs. In addition, the brief provides strategies recommended by homeless…

  19. Career Interests and Self-Estimated Abilities of Young Adults with Disabilities

    ERIC Educational Resources Information Center

    Turner, Sherri; Unkefer, Lesley Craig; Cichy, Bryan Ervin; Peper, Christine; Juang, Ju-Ping

    2011-01-01

    The purpose of this study was to ascertain vocational interests and self-estimated work-relevant abilities of young adults with disabilities. Results showed that young adults with both low incidence and high incidence disabilities have a wide range of interests and self-estimated work-relevant abilities that are comparable to those in the general…

  20. Cognitive Apprenticeship into the Discipline: Helping Students with Disabilities Think and Act Like Historians

    ERIC Educational Resources Information Center

    Bouck, Emily C.; Okolo, Cynthia M.; Englert, Carol Sue; Heutsche, Anne

    2008-01-01

    This study explored the apprenticeship of students with high-incidence disabilities into the discipline of history through mediation of a web-based instructional environment, the Virtual History Museum (VHM). Thirteen students with high-incidence disabilities spread across two co-taught classrooms participated. They engaged in two units of

  1. National Council on Disability

    MedlinePlus

    ... Emergency Management Employment Financial Assistance & Incentives Health Care Housing International Long Term Services & Support Technology Transportation Youth Perspectives Policy Toolkits Disabled Parents Toolkit Disabled Parents Toolkit (plain ...

  2. Effect of thoracic manipulation and deep craniocervical flexor training on pain, mobility, strength, and disability of the neck of patients with chronic nonspecific neck pain: a randomized clinical trial

    PubMed Central

    Lee, Kwan-Woo; Kim, Won-Ho

    2016-01-01

    [Purpose] To investigate the effects of thoracic manipulation and deep craniocervical flexor training on the muscle strength and endurance, range of motion, and the disability index of the neck of patients with chronic nonspecific neck pain. [Subjects and Methods] Forty-six patients with chronic neck pain participated. They received an intervention for 35 minutes a day, three times a week for 10 weeks. Subjects were randomly assigned to one control and two experimental groups: group A (thoracic manipulation combined with deep craniocervical flexor training, n=16), group B (deep craniocervical flexor training, n=15), and group C (active self-exercise as a control group, n=15). Muscle strength and endurance, pain, neck disability index, and range of motion of the cervical and thoracic spine were measured before and after the intervention. [Results] Group A showed significant increases in muscle strength, endurance, and cervical and thoracic range of motion, and significant decreases in the pain and neck disability index, compared with groups B and C. [Conclusion] Although deep craniocervical flexor training is effective at improving neck function, thoracic manipulation combined with deep craniocervical flexor training was a more effective intervention for pain relief and improving the range of motion, muscle function, and neck disability of patients with nonspecific chronic neck pain. PMID:26957752

  3. Incidents of Security Concern

    SciTech Connect

    Atencio, Julian J.

    2014-05-01

    This presentation addresses incidents of security concern and an incident program for addressing them. It addresses the phases of an inquiry, and it divides incidents into categories based on severity and interest types based on whether security, management, or procedural interests are involved. A few scenarios are then analyzed according to these breakdowns.

  4. Disabilities research in India

    PubMed Central

    Chandrashekar, H.; Naveen Kumar, C.; Prashanth, N. R.; Kasthuri, P.

    2010-01-01

    The objective of this paper is to review all articles related to psychiatric disability that have been published in the Indian Journal of Psychiatry since its inception till date. We have also added up some more relevant literature in the area of mental disability of Indian psychiatric patients. Finally the article ends up with discussion related to challenges associated with mental disability, persons with Disability Act and future directions in the area of psychiatric disability. PMID:21836695

  5. Orthoptic status and reading disability.

    PubMed

    Bishop, D V; Jancey, C; Steel, A M

    1979-12-01

    147 unselected 8-year-olds were given tests of intelligence, reading ability and orthoptic status, including the reference eye test described by Dunlop, Dunlop and Fenelon (1973). We failed to replicate their findings of a raised incidence of convergence deficiency, defective stereopsis and esophoria in children with specific reading disability. Furthermore, in contrast to their results, we found that crossed reference (i.e. reference eye on opposite side to preferred hand) was common in this sample and not associated with reading problems. PMID:548227

  6. 49 CFR 39.39 - How do PVOs ensure that passengers with disabilities are able to use accessible cabins?

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... Transportation TRANSPORTATION FOR INDIVIDUALS WITH DISABILITIES: PASSENGER VESSELS Nondiscrimination and Access... access to them. (b) You must, with respect to reservations made by any means (e.g., telephone, Internet... whom the cabin is being reserved) has a mobility disability or a disability that requires the use...

  7. General Information about Learning Disabilities (Fact Sheet Number 7) = Informacion General sobre Impedimentos en el Aprendizaje (Fact Sheet Number 19).

    ERIC Educational Resources Information Center

    Interstate Research Associates, Inc., Washington, DC.

    This fact sheet providing general information about learning disabilities is presented in both English and Spanish versions. It begins with the federal definition of learning disabilities and a discussion of its implications followed by estimates of incidence. Typical characteristics of students with learning disabilities are then summarized as…

  8. What is an Intellectual Disability?

    MedlinePlus

    ... Crushes What's a Booger? What Is an Intellectual Disability? KidsHealth > For Kids > What Is an Intellectual Disability? ... becoming an independent person. continue What Causes Intellectual Disabilities? Intellectual disabilities happen because the brain gets injured ...

  9. The violence of disablism.

    PubMed

    Goodley, Dan; Runswick-Cole, Katherine

    2011-05-01

    This article addresses the multi-faceted nature of violence in the lives of disabled people, with a specific focus on the accounts of disabled children and their families. Traditionally, when violence and disability have been considered together, this has emphasised the disabled subject whom inevitably exhibits violent challenging behaviour. Recently, however, more attention has been paid to violence experienced by disabled people, most notably in relation to hate crime. This article embraces theories that do not put the problems of disablism or violence back onto disabled people but magnify and expose processes of disablism that are produced in the relationships between people, which sometimes involve violence. This, we argue, means taking seriously the role of social relationships, institutions and culture in the constitution of violence. Disabled children, we argue, are enculturated by the violence of disablism. We follow Žižek's advice to step back from the obvious signals of violence to 'perceive the contours of the background which generates such outbursts', and identify four elements of the violence of disablism which we define as real, psychoemotional, systemic and cultural. We come to the conclusion that violence experienced by disabled children and their families says more about the dominant culture of disablism than it does of the acts of a few seemingly irrational, unreasonable, mean or violent individuals. We conclude that there is a need for extensive cultural deconstruction and reformation. PMID:21226732

  10. Disability and Obesity

    MedlinePlus

    ... CDC Employees and Reasonable Accommodations (RA) Disability and Obesity Language: English Español (Spanish) Recommend on Facebook Tweet ... and Disability at http://www.ncpad.org/ The Obesity Epidemic Obesity affects different people in different ways ...

  11. Incident analysis report

    SciTech Connect

    Gregg, D.W.; Buerer, A.; Leeds, S.

    1996-02-20

    This document presents information about a fire that occurred in January 1996 at Lawrence Livermore National Laboratory. This fire was caused by the spontaneous combustion of 100% fuming nitric acid. Topics discussed include: Summary of the incident; technical background; procedural background; supervision; previous incidents with 100% fuming nitric acid; and judgment of potential hazards.

  12. Substance Abuse and Disability.

    ERIC Educational Resources Information Center

    Sales, Amos

    A review of the literature provides the conclusion that individuals with a disability versus those without a disability are more likely to have a substance abuse problem and less likely to get effective treatment. Data suggest 10-40% of all individuals in treatment for substance abuse have a coexisting physical or mental disability. Alcohol rates…

  13. Work Disability in Appalachia.

    ERIC Educational Resources Information Center

    Greenwood, Judith

    This paper begins by examining the history of disability payments to disabled workers, specifically disability payments to coal workers. Efforts by the United Mine Workers of America made mine health and safety an issue in the 1960s, and continuing liberalization of the law continued through the 1970s. The identification of coal miners with…

  14. Social Psychoanalytic Disability Studies

    ERIC Educational Resources Information Center

    Goodley, Dan

    2011-01-01

    This paper explores connections and tensions between psychoanalysis and disability studies. The first part of the paper considers contemporaneous engagements with the psyche by a number of disability studies writers. These scholars have remained accountable to a politicised disability studies but have pushed for critical encounters with the…

  15. DISABILITY STATISTICS CENTER

    EPA Science Inventory

    The purpose of the Disability Statistics Center is to produce and disseminate statistical information on disability and the status of people with disabilities in American society and to establish and monitor indicators of how conditions are changing over time to meet their health...

  16. Disability Accommodation Handbook.

    ERIC Educational Resources Information Center

    Flick-Hruska, Connie, Comp.; Blythe, Gretchen, Comp.

    Designed as a resource for two-year college faculty and staff working with students with disabilities, this handbook contains facts about various disabilities, practical suggestions for improving services, and resource points for further information. Following a brief introduction, legal implications regarding disabled students are discussed for…

  17. Rural Economies and Disability.

    ERIC Educational Resources Information Center

    O'Donnell, Dennis

    Both the rural economy and the disability community in rural areas can benefit from a recognition that they are mutually dependent. With the decline of rural America, the economic base underpinning all aspects of disability support systems is weakening. In addition, rural disability services often are compartmentalized along functional lines with

  18. Learning Disabilities and ADHD

    MedlinePlus

    ... of learning disabilities: Learning disability What it means Dyslexia (say: diss-LEK-see-uh) Dyslexia makes it hard for people to understand and ... most common type of learning disability. People with dyslexia may: Have problems telling the difference between different ...

  19. Normalizing Disability in Families.

    PubMed

    Crossley, Mary

    2015-01-01

    This comment shifts Ouellette's frame of reference in linking prenatal selection against disability, laws prohibiting prenatal sex selection, and fertility specialists' discrimination against disabled adults. Viewing decisions about who can reproduce and what children will be born as fundamentally decisions about family suggests ways to promote acceptance of people with disabilities as valued family members — without limiting reproductive liberties. PMID:26242942

  20. 49 CFR 38.23 - Mobility aid accessibility.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 49 Transportation 1 2010-10-01 2010-10-01 false Mobility aid accessibility. 38.23 Section 38.23 Transportation Office of the Secretary of Transportation AMERICANS WITH DISABILITIES ACT (ADA) ACCESSIBILITY SPECIFICATIONS FOR TRANSPORTATION VEHICLES Buses, Vans and Systems § 38.23 Mobility aid accessibility....

  1. 49 CFR 38.125 - Mobility aid accessibility.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 49 Transportation 1 2010-10-01 2010-10-01 false Mobility aid accessibility. 38.125 Section 38.125 Transportation Office of the Secretary of Transportation AMERICANS WITH DISABILITIES ACT (ADA) ACCESSIBILITY SPECIFICATIONS FOR TRANSPORTATION VEHICLES Intercity Rail Cars and Systems § 38.125 Mobility aid...

  2. 49 CFR 38.159 - Mobility aid accessibility.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... Vehicle Safety Standards (49 CFR part 571), shall also be provided for use by wheelchair or mobility aid... 49 Transportation 1 2010-10-01 2010-10-01 false Mobility aid accessibility. 38.159 Section 38.159 Transportation Office of the Secretary of Transportation AMERICANS WITH DISABILITIES ACT (ADA)...

  3. 49 CFR 38.95 - Mobility aid accessibility.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 49 Transportation 1 2010-10-01 2010-10-01 false Mobility aid accessibility. 38.95 Section 38.95 Transportation Office of the Secretary of Transportation AMERICANS WITH DISABILITIES ACT (ADA) ACCESSIBILITY SPECIFICATIONS FOR TRANSPORTATION VEHICLES Commuter Rail Cars and Systems § 38.95 Mobility aid accessibility....

  4. 36 CFR 1192.159 - Mobility aid accessibility.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... Vehicle Safety Standards (49 CFR part 571), shall also be provided for use by wheelchair or mobility aid... 36 Parks, Forests, and Public Property 3 2010-07-01 2010-07-01 false Mobility aid accessibility... COMPLIANCE BOARD AMERICANS WITH DISABILITIES ACT (ADA) ACCESSIBILITY GUIDELINES FOR TRANSPORTATION...

  5. 49 CFR 38.83 - Mobility aid accessibility.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 49 Transportation 1 2010-10-01 2010-10-01 false Mobility aid accessibility. 38.83 Section 38.83 Transportation Office of the Secretary of Transportation AMERICANS WITH DISABILITIES ACT (ADA) ACCESSIBILITY SPECIFICATIONS FOR TRANSPORTATION VEHICLES Light Rail Vehicles and Systems § 38.83 Mobility aid accessibility....

  6. Disabled persons in Poland.

    PubMed

    Bejnarowicz, J

    1984-01-01

    It is generally considered that disability is an important social problem. This was expressed for example by the decision of the United Nations Organisation to nominate 1981 as the International Year of the Disabled. The number of disabled is one of the main problems. For social planning, the proper allocation of goods and resources for changes in the attitudes of society towards disability it is necessary to identify the prevalence, distribution and composition of the disabled. Prior to the 1978 Census, in Poland there was no information available on disability except the number of disabled persons legally classified by the Medical Board for Disability and Employment receiving disability pension, as well as the average amount of such pension, the number of disability certificates issued annually, the number of employed and the number employed in co-operatives for the disabled. The social criterion--major social role associated with psycho-physical state--was the main concept of the investigation on the frequency of disability in 1978 Census. Methodology used in this study of disability was based on the U.S. experience gained from the 1970 NC, as well as on the NCHS Survey of psychophysical causes of permanent limitation of social role performance and locomotion, performed since 1957. It should be explained, however, that the scope of disability investigated in NCHS Survey and in Polish Census is exactly the same and much wider than in U.S. Censuses. The Polish National Census revealed that there are 2,485,001 disabled persons in Poland, i.e. 7.1% of the total population. The urban population constituted 57.7% and the inhabitants of rural areas 42.5% of the total population.(ABSTRACT TRUNCATED AT 250 WORDS) PMID:6240770

  7. Beyond (Models of) Disability?

    PubMed

    Beaudry, Jonas-Sébastien

    2016-04-01

    The strategy of developing an ontology or models of disability as a prior step to settling ethical issues regarding disabilities is highly problematic for two reasons. First, key definitional aspects of disability are normative and cannot helpfully be made value-neutral. Second, if we accept that the contested concept of disability is value-laden, it is far from obvious that there are definitive reasons for choosing one interpretation of the concept over another. I conclude that the concept of disability is better left ethically open-ended or broad enough to encompass the examination of various ethical issues (such as oppression, minority rights, or physical discomfort). Alternatively, the concept of disability could be altogether abandoned in order to focus on specific issues without being hindered by debates about the nature of disability. Only political costs, rather than conceptual considerations internal to the models, could be weighed against such a conclusion. PMID:26892249

  8. Critical incidents in psychotherapy.

    PubMed

    Plutchik, R; Conte, H R; Karasu, T B

    1994-01-01

    The critical-incident technique was used to obtain a list of patient behaviors that create special difficulties for the psychotherapist. The list was prepared by a group of seven clinicians during a series of meetings. Included in the list were such items as: insulting the therapist; coming late to the session; threatening suicide; and offering gifts. The list was given to 21 experienced psychiatrists who were asked to rate both the importance and the frequency of occurrence of each incident in their experience. The critical incidents could be divided into five major categories: threat of harm from the patient; criticism of the therapist or the therapy; occurrence of a major life crisis; attempts by the patient to seek friendship or seduction, and miscellaneous incidents, such as being consistently late. When ratings by the experienced psychiatrists were compared with those of 10 third-year psychiatric residents, it was found that the inexperienced psychiatrists in almost every case rated the incident as less important and more frequent than did the experienced clinicians. In terms of implications, knowledge of critical incidents in psychotherapy may provide a source of material for training purposes, may enable the development of modeling procedures for training in communication skills, and may encourage supervisors to focus attention on important therapeutic issues. PMID:8179030

  9. Initiation and Generalization of Self-Instructional Skills in Adolescents with Autism and Intellectual Disability

    ERIC Educational Resources Information Center

    Smith, Katherine A.; Ayres, Kevin A.; Alexander, Jennifer; Ledford, Jennifer R.; Shepley, Collin; Shepley, Sally B.

    2016-01-01

    Self-instruction using videos or other supports on a mobile device is a pivotal skill and can increase independence for individuals with disabilities by decreasing a need for adult supports. This study evaluated the effects of progressive time delay (PTD) to teach four adolescents with autism and intellectual disability how to initiate…

  10. A Wheelchair User with Visual and Intellectual Disabilities Managing Simple Orientation Technology for Indoor Travel

    ERIC Educational Resources Information Center

    Lancioni, Giulio E.; O'Reilly, Mark F.; Singh, Nirbhay N.; Sigafoos, Jeff; Campodonico, Francesca; Oliva, Doretta

    2009-01-01

    Persons with profound visual impairments and other disabilities, such as neuromotor and intellectual disabilities, may encounter serious orientation and mobility problems even in familiar indoor environments, such as their homes. Teaching these persons to develop maps of their daily environment, using miniature replicas of the areas or some

  11. A Wheelchair User with Visual and Intellectual Disabilities Managing Simple Orientation Technology for Indoor Travel

    ERIC Educational Resources Information Center

    Lancioni, Giulio E.; O'Reilly, Mark F.; Singh, Nirbhay N.; Sigafoos, Jeff; Campodonico, Francesca; Oliva, Doretta

    2009-01-01

    Persons with profound visual impairments and other disabilities, such as neuromotor and intellectual disabilities, may encounter serious orientation and mobility problems even in familiar indoor environments, such as their homes. Teaching these persons to develop maps of their daily environment, using miniature replicas of the areas or some…

  12. Advocating in Schools for Children with Disabilities: What's New with IDEA?

    ERIC Educational Resources Information Center

    Altshuler, Sandra J.; Kopels, Sandra

    2003-01-01

    Article provides information regarding amended Individuals with Disabilities Education Act and the impact of those changes on children's education rights. Some changes and practice implications discussed include expansion of categories of children with disabilities; new requirements for mobile, homeless, or culturally diverse populations and…

  13. Support for Students with Disabilities in Community Colleges. UCLA Community College Bibliography

    ERIC Educational Resources Information Center

    Zarkesh, Maryam

    2004-01-01

    In discussing services for students with disabilities, it is important to emphasize that this term encompasses a variety of physical and cognitive challenges faced by individuals, including learning disabilities such as Attention Deficit Disorder (ADD) and Attention Deficit Hyperactivity Disorder (ADHD), mobility impairment, hearing/visual…

  14. "So Much Potential in Reading!" Developing Meaningful Literacy Routines for Students with Multiple Disabilities

    ERIC Educational Resources Information Center

    Fenlon, Amanda G.; McNabb, Jessica; Pidlypchak, Harmony

    2010-01-01

    Children with multiple disabilities, often experience challenges in communication, mobility, and learning. Despite these challenges, substantial research exists that documents successful educational methods and strategies for these students. Specifically, students with multiple disabilities have successfully been taught to use a voice output

  15. Reasonable Accommodations: A Faculty Guide to Teaching College Students with Disabilities.

    ERIC Educational Resources Information Center

    Professional Staff Congress of the City Univ. of New York, NY.

    This handbook is designed to provide City University of New York faculty with practical information and suggestions to help them meet the needs of disabled students in their classrooms. An overview on teaching students with disabilities is provided, followed by discussions of specific topics including coping with mobility and hand-function…

  16. Evaluation of an Application for Making Palmtop Computers Accessible to Individuals with Intellectual Disabilities

    ERIC Educational Resources Information Center

    Stock, Steven E.; Davies, Daniel K.; Davies, Katelyn R.; Wehmeyer, Michael L.

    2006-01-01

    Background: Palmtop computers provide a promising mobile platform to address barriers to computer-based supports for people with intellectual disabilities. This study evaluated a specially designed interface to make navigation and features of palmtop computers more accessible to users with intellectual disabilities. Method: The specialised

  17. 76 FR 47078 - Make Inoperative Exemptions; Vehicle Modifications To Accommodate People With Disabilities, Head...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-08-04

    ...This final rule updates and expands an existing exemption from certain requirements of our head restraints standard that is available in the context of vehicle modifications to accommodate people with disabilities. The rule facilitates the mobility of drivers and passengers with disabilities by updating the exemption to include the corresponding portions of a new, upgraded version of the......

  18. "So Much Potential in Reading!" Developing Meaningful Literacy Routines for Students with Multiple Disabilities

    ERIC Educational Resources Information Center

    Fenlon, Amanda G.; McNabb, Jessica; Pidlypchak, Harmony

    2010-01-01

    Children with multiple disabilities, often experience challenges in communication, mobility, and learning. Despite these challenges, substantial research exists that documents successful educational methods and strategies for these students. Specifically, students with multiple disabilities have successfully been taught to use a voice output…

  19. Childhood Disability and Disabled Childhoods: Agendas for Research.

    ERIC Educational Resources Information Center

    Priestley, Mark

    1998-01-01

    Research on childhood disability views disabled children as passive and dependent and excludes the voice of disabled children themselves. Because research has been preoccupied with impairment, vulnerability, and service usage, it has concealed disabled children's role as social actors. New approaches to disability and to childhood are needed to…

  20. Repositioning Mothers: Mothers, Disabled Children and Disability Studies

    ERIC Educational Resources Information Center

    Ryan, Sara; Runswick-Cole, Katherine

    2008-01-01

    In this article we set out to review the ways in which mothers of disabled children have been portrayed within disability studies and the more broader academic literature. We argue that within disability studies mothers of disabled children occupy a liminal position because they are often not disabled and yet they can experience forms of…

  1. Staying Mobile

    MedlinePlus

    ... wheelchairs bowl, fish, and play golf, tennis or basketball. Enable you to go places without having to ... Mobility Options To activate the closed captions when playing the videos on YouTube, click on the CC ...

  2. A secure operational model for mobile payments.

    PubMed

    Chang, Tao-Ku

    2014-01-01

    Instead of paying by cash, check, or credit cards, customers can now also use their mobile devices to pay for a wide range of services and both digital and physical goods. However, customers' security concerns are a major barrier to the broad adoption and use of mobile payments. In this paper we present the design of a secure operational model for mobile payments in which access control is based on a service-oriented architecture. A customer uses his/her mobile device to get authorization from a remote server and generate a two-dimensional barcode as the payment certificate. This payment certificate has a time limit and can be used once only. The system also provides the ability to remotely lock and disable the mobile payment service. PMID:25386607

  3. A Secure Operational Model for Mobile Payments

    PubMed Central

    2014-01-01

    Instead of paying by cash, check, or credit cards, customers can now also use their mobile devices to pay for a wide range of services and both digital and physical goods. However, customers' security concerns are a major barrier to the broad adoption and use of mobile payments. In this paper we present the design of a secure operational model for mobile payments in which access control is based on a service-oriented architecture. A customer uses his/her mobile device to get authorization from a remote server and generate a two-dimensional barcode as the payment certificate. This payment certificate has a time limit and can be used once only. The system also provides the ability to remotely lock and disable the mobile payment service. PMID:25386607

  4. Injuries and Individuals with Disabilities

    ERIC Educational Resources Information Center

    Waldman, H. Barry; Perlman, Steven P.; Chaudhry, Ramiz A.

    2009-01-01

    Children and adults with disabilities are at an increased risk of injury. Falls are the leading mechanism of injury regardless of the disability status and are even more common in those with moderate or severe disabilities. The setting for the injury differs with the disability status. Compared to individuals with moderate or no disabilities,…

  5. World Statistics on Disabled Persons.

    ERIC Educational Resources Information Center

    Renker, Karlheinz

    1982-01-01

    The report summarizes statistical data on the total number of disabled people in the world; national estimates of the number of disabled in 14 countries; the status of children, disabled women, and families of disabled people; and the mentally disabled. Also summarized are trends in various countries (both developed and developing). (Author/MC)

  6. Care of Adults With Intellectual and Developmental Disabilities: Developmental Disabilities.

    PubMed

    Weedon, Dean; Wilson, Benjamin; Jones, Kyle Bradford; Bilder, Deborah

    2015-12-01

    Approximately 4.8% of individuals in the United States are affected by developmental disabilities (DDs). These individuals have a spectrum of abilities in terms of communication, mobility, and activities of daily living (ADLs). Because there typically is no specific treatment for the underlying disability, the focus of care should be on diagnosing and managing co-occurring medical and mental or behavioral health conditions and improving function and quality of life. Care of patients with DDs is similar to care of patients without DDs, although adjustments may be needed in the physician's interactive approach, engagement of caregivers, and sensitivity to symptoms. Health care can be enhanced by obtaining information about caregivers and guardians, living and work situations, support services received, and functional and instrumental ADL levels. In managing acute conditions, physicians should assess change from baseline and identify and manage maladaptive behaviors that interfere with care. An individualized preventive care plan should be created that may include additional or adapted screening. Needs for consent/medical decision-making support should be identified and addressed, and consent obtained as appropriate. Providing caregiver support and becoming familiar with community resources are other aspects of caring for this population. PMID:26669210

  7. Predictors of the Decision to Place Developmentally Disabled Family Members in Residential Care.

    ERIC Educational Resources Information Center

    Sherman, Barry R.

    1988-01-01

    Comparison of 154 families who placed developmentally disabled family members in residential programs and 377 families who cared for family members at home suggested increased incidence of family problems as well as more severe impairment among families who placed the developmentally disabled. (Author/DB)

  8. RADIUS: Research Archive on Disability in the United States. [CD-ROMs].

    ERIC Educational Resources Information Center

    Sociometrics Corp., Los Altos, CA.

    This Research Archive on Disability in the United States (RADIUS), a database on CD-ROM, contains 19 data sets on the prevalence, incidence, correlates, and consequences of disability in the United States. The 19 data sets are: (1) 1991 National Maternal and Infant Health Follow-Up Survey; (2) National Pediatric Trauma Registry, 1988-1994; (3)…

  9. Differences in Self-Reported Trauma Symptomatology between Individuals with and without Disability: An Exploratory Analysis

    ERIC Educational Resources Information Center

    Strauser, David R.; Lustig, Daniel C.; Uruk, Ayse C.

    2007-01-01

    In this study, the authors examined whether individuals with disabilities report higher levels of trauma symptoms than their nondisabled counterparts. Based on trauma theory and prior research regarding the incidence rate of posttraumatic stress disorder, the authors hypothesized that individuals with disabilities would report higher levels of…

  10. The Evolution of Learning Disabilities in Children with Tourette Syndrome: Educational Implications.

    ERIC Educational Resources Information Center

    Harris, Deborah M.

    The paper examines implications of the high incidence of learning disabilities in children with Tourette Syndrome. Tourette Syndrome is a neurological disorder that causes involuntary muscle jerks and vocalizations. Approximately 60% of children with Tourette Syndrome are classified as learning disabled. It is possible that this high correlation…

  11. Sexual Abuse of Individuals with Disabilities: Prevention Strategies for Clinical Practice

    ERIC Educational Resources Information Center

    McEachern, Adriana G.

    2012-01-01

    Sexual abuse of individuals with disabilities occurs in alarming proportions, although the prevalence and incidence of such abuse is difficult to determine. Although all states maintain statistics on child sexual abuse, the rate of victimization for individuals with disabilities is not specific. This paper reviews several studies conducted on

  12. Mild Intellectual Disabilities: Legacies and Trends in Concepts and Educational Practices

    ERIC Educational Resources Information Center

    Polloway, Edward A.; Lubin, Jacqueline; Smith, J. David; Patton, James R.

    2010-01-01

    Intellectual disability has been considered a high incidence disability in special education since the inception of the field in the United States. The purpose of this article is to evaluate current educational programs and practices for students who historically and commonly have been referred to as having mild mental retardation. The article…

  13. Sexual Abuse of Individuals with Disabilities: Prevention Strategies for Clinical Practice

    ERIC Educational Resources Information Center

    McEachern, Adriana G.

    2012-01-01

    Sexual abuse of individuals with disabilities occurs in alarming proportions, although the prevalence and incidence of such abuse is difficult to determine. Although all states maintain statistics on child sexual abuse, the rate of victimization for individuals with disabilities is not specific. This paper reviews several studies conducted on…

  14. Mild Intellectual Disabilities: Legacies and Trends in Concepts and Educational Practices

    ERIC Educational Resources Information Center

    Polloway, Edward A.; Lubin, Jacqueline; Smith, J. David; Patton, James R.

    2010-01-01

    Intellectual disability has been considered a high incidence disability in special education since the inception of the field in the United States. The purpose of this article is to evaluate current educational programs and practices for students who historically and commonly have been referred to as having mild mental retardation. The article

  15. Reaching the unreached: Mobile surgical camps in a remote village of Himachal Pradesh

    PubMed Central

    Bathla, Sonal; Verghese, George; Kalla, Vinod; Sharma, T. C.; Dam, Subrat; Agarwal, Nirmala; Balani, Sweta; Dhamija, Priti Arora; Agarwal, Deepa; Kumar, Praveen

    2014-01-01

    Aims: The aim was to study the epidemiological factors responsible for pelvic organ prolapse (POP) in poor women of the remote village Shillai, do their POP quantification staging, to study the variety of surgeries conducted in mobile surgical camps in this area. Materials and Methods: Retrospective analysis of surgeries conducted in five mobile surgical camps in Shillai, Himachal Pradesh from 2009 to 2013, under “Project Prolapse”. Results: A total number of surgeries conducted in five camps from 2009 to 2013 were 490 including 192 gynecological surgeries. Eighty-two percent of gynecological surgery was conducted for POP. Poor nutritional status (mean weight 41.1 kg), multiparty (mean 3.5), early marriage (mean age 18.2 years), unassisted home deliveries (100%), premature bearing down (23.8%), early postpartum resumption of strenuous activity (54.7%) and smoking (33%) contribute to the high incidence of POP. Anterior compartment prolapse was seen in 99% of patients undergoing surgery while posterior compartment prolapse was seen in 4% of patients. Vaginal hysterectomy with anterior repair with culdoplasty was the most common procedure performed (73.4%), and vault suspension was done in 3.6% subjects. The complication rate was negligible. Conclusion: Uterovaginal prolapse is not only socially embarrassing and disabling; its surgical treatment is complex and costly too. The free mobile surgical camps under Project Prolapse in Shillai, Himachal Pradesh has provided relief to old neglected, disabled women suffering from prolapse in this remote village. Parallel counseling of women and dais for safe hospital delivery and training subordinates in prolapse surgery may help in addressing the problem of POP in this area in the long run. PMID:25317000

  16. Culture and Disability Behavior

    PubMed Central

    Brodsky, Carroll M.

    1983-01-01

    A substantial amount of literature suggests that illness behavior in the United States is a product of a patient's core culture; equally credible findings do not support this contention. Most students and graduates in the health care professions believe that illness and disability behavior are affected by a patient's culture, but they are hard put to find convincing examples of that relationship. In experience with medical students studying the social and cultural bases of illness behavior, with patients who are disabled and with persons who claim disability in the absence of physical disease or disabling psychopathology, I observed no deviant disability behavior that was typical for the members of any cultural group, and no behavior was displayed by the members of one cultural group that was not seen in members of other cultural groups. No cultural stereotypes were upheld. I did find evidence that disability behavior is influenced by personality factors, social situations and the gains derived from the disability status. Evolving concepts of “entitlement,” which are closely related to socioeconomic status, also have a significant influence. The impact of feedback from others in a person's many social and medical subcultures is a more crucial determinant of illness and disability behavior, except in those for whom illness and disability behavior is determined by the limitations imposed by the disease or by a personality structure resistant to cultural expectations and social feedback. PMID:6666106

  17. Disability and global development.

    PubMed

    Durocher, Joan; Lord, Janet; Defranco, Allison

    2012-07-01

    The United States invests billions of taxpayer dollars each year into foreign assistance programs that foster international diplomacy and development directed toward improving the quality of life for people around the world. These programs develop economies and combat poverty, promote democracy and governance, build new infrastructure, advance and protect human rights, among other development goals. The United States cannot effectively accomplish the goals of foreign assistance programs unless it undertakes measures to ensure that the programs are accessible to and inclusive of people with disabilities. The United States has been a leader in advancing the rights of people with disabilities and must continue to promote disability rights through its international development work. Overseas economic development will not be successful unless people with disabilities are included. Because of the significant number of people with disabilities in developing countries, if they are not included, the very economic growth the United States is trying to foster will be hindered. The goals of democracy and governance programs cannot be achieved without the inclusion of people with disabilities. In many countries, domestic law contains blatant discriminatory provisions for people with disabilities that undermine access to justice and full participation in society. The provisions that discriminate against people with disabilities include arbitrary exclusions in electoral codes, sweeping plenary guardianship laws with no due-process protections, discriminatory banking practices, and inaccessible court proceedings. National disability legal frameworks remain underdeveloped throughout the world. PMID:22726852

  18. Disability: a welfarist approach

    PubMed Central

    Savulescu, Julian; Kahane, Guy

    2011-01-01

    In this paper, we offer a new account of disability. According to our account, some state of a person's biology or psychology is a disability if that state makes it more likely that a person's life will get worse, in terms of his or her own wellbeing, in a given set of social and environmental circumstances. Unlike the medical model of disability, our welfarist approach does not tie disability to deviation from normal species’ functioning, nor does it understand disability in essentialist terms. Like the social model of disability, the welfarist approach sees disability as a harmful state that results from the interaction between a person's biology and psychology and his or her surrounding environment. However, unlike the social model, it denies that the harm associated with disability is entirely due to social prejudice or injustice. In this paper, we outline and clarify the welfarist approach, answer common objections and illustrate its usefulness in addressing a range of difficult ethical questions involving disability. PMID:22140353

  19. Mobile healthcare.

    PubMed

    Morgan, Stephen A; Agee, Nancy Howell

    2012-01-01

    Mobile technology's presence in healthcare has exploded over the past five years. The increased use of mobile devices by all segments of the US population has driven healthcare systems, providers, and payers to accept this new form of communication and to develop strategies to implement and leverage the use of mobile healthcare (mHealth) within their organizations and practices. As healthcare systems move toward a more value-driven model of care, patient centeredness and engagement are the keys to success. Mobile healthcare will provide the medium to allow patients to participate more in their care. Financially, mHealth brings to providers the ability to improve efficiency and deliver savings to both them and the healthcare consumer. However, mHealth is not without challenges. Healthcare IT departments have been reluctant to embrace this shift in technology without fully addressing security and privacy concerns. Providers have been hesitant to adopt mHealth as a form of communication with patients because it breaks with traditional models. Our healthcare system has just started the journey toward the development of mHealth. We offer an overview of the mobile healthcare environment and our approach to solving the challenges it brings to healthcare organizations. PMID:23330297

  20. Student Discipline: Individuals with Disabilities Education Act. Report to the Committees on Appropriations, U.S. Senate and House of Representatives.

    ERIC Educational Resources Information Center

    Shaul, Marnie S.

    This report discusses the outcomes of a study that investigated the incidence and impact of serious student misconduct on schools, whether students with disabilities are being disciplined differently from those without disabilities, and the role that the Individuals with Disabilities Education Act 1997 (IDEA) plays in schools' ability to properly…

  1. Office of Disability Employment Policy

    MedlinePlus

    ... LABOR Facebook Twitter RSS Email Office of Disability Employment Policy (ODEP) Menu About ODEP About ODEP Contact ... Publications for Order Disability Statistics April 2016 Disability Employment Statistics Ages 16 years and over Labor Force ...

  2. Disability Information & Awareness: Afghanistan. Version 2.2.

    ERIC Educational Resources Information Center

    Miles, M.

    This report focuses on a project in Afghanistan that coordinates the efforts of several agencies to develop community-directed disability, rehabilitation, and education services. The program stresses community mobilization aided by skills transfer from expatriate specialists, and includes physical therapy, prosthetics, living skills and mobility…

  3. Notions of Self: Lived Realities of Children with Disabilities

    ERIC Educational Resources Information Center

    Singh, Vanessa; Ghai, Anita

    2009-01-01

    To research children's notions of self, semi-structured interviews, drawings and focused group discussions were used with 14 children with mobility "impairments" aged 11-16 years. The objective was to capture children's "lived realities". Findings illuminated immense variation and fluidity in children's understanding of "disability". Children…

  4. Play Spaces to Accommodate Disabled Children. Research Project 14.

    ERIC Educational Resources Information Center

    Melvin, James H.

    This report deals primarily with the design of an integrated free play environment for both able-bodied and disabled children. First, the different types of handicaps (and their debilitating effects) which affect children, and the different mobility aids which are used by these children are discussed. Then, a number of guidelines concerning…

  5. Ubiquitous Yet Unique: Perspectives of People With Disabilities on Stress

    ERIC Educational Resources Information Center

    Iwasaki, Yoshitaka; Mactavish, Jennifer B.

    2005-01-01

    This exploratory study was grounded in a qualitative framework and used a focus group method to examine the meanings that individuals with disabilities (e.g., permanent mobility impairments, sensory impairments) attach to their experiences of stress, as well as major sources or causes of stress in these individuals' lives. Overall, the data showed…

  6. RAPID INCIDENT RESPONSE FRAMEWORK

    EPA Science Inventory

    Will discuss WERF Contract (RFP# 03-HHE-5PP), Protocols for the Timely Investigation of Potential Health Incidents Associated with Biosolids Land Application, as a member of the project advisory committee. The contractor, University of North Carolina, started work in early June, ...

  7. Incident meteoroid flux density

    NASA Technical Reports Server (NTRS)

    Badadjanov, P. B.; Bibarsov, R. SH.; Getman, V. S.; Kolmakov, V. M.

    1987-01-01

    Complex photographic and radar meteor observations were carried out. Using the available observational data, the density of incident flux of meteoroids was estimated over a wide mass range of 0.001 to 100 g. To avoid the influence of apparatus selectivity a special technique was applied. The main characteristics of this technique are given and discussed.

  8. Impact of physical frailty on disability in community-dwelling older adults: a prospective cohort study

    PubMed Central

    Makizako, Hyuma; Shimada, Hiroyuki; Doi, Takehiko; Tsutsumimoto, Kota; Suzuki, Takao

    2015-01-01

    Objective To examine the relationship between physical frailty and risk of disability, and to identify the component(s) of frailty with the most impact on disability in community-dwelling older adults. Design Prospective cohort study. Setting A Japanese community. Participants 4341 older adults aged ≥65 living in the community participated in a baseline assessment from 2011 to 2012 and were followed for 2 years. Main outcome measures Care-needs certification in the national long-term care insurance (LTCI) system of Japan, type of physical frailty (robust, prefrail, frail) and subitems (slowness, weakness, exhaustion, low activity, weight loss), adjusted for several potential confounders such as demographic characteristics, analysed with Kaplan-Meier survival curves for incidence of disability by frailty phenotype. Results During the 2-year follow-up period, 168 participants (3.9%) began using the LTCI system for incidence of disability. Participants classified as frail (HR 4.65, 95% CI 2.63 to 8.22) or prefrail (2.52, 1.56 to 4.07) at the baseline assessment had an increased risk of disability incidence compared with robust participants. Analyses for subitems of frailty showed that slowness (2.32, 1.62 to 3.33), weakness (1.90, 1.35 to 2.68) and weight loss (1.61, 1.13 to 2.31) were related to increased risk of disability incidence. In stratified analyses, participants who were classified as frail and who had lower cognitive function had the highest percentage (30.3%) of disability incidence during the 2 years after baseline assessment. Conclusions Physical frailty, even being prefrail, had a strong impact on the risk of future disability. Some components of frailty, such as slowness, weakness and weight loss, are strongly associated with incident disability in community-dwelling older adults. PMID:26338685

  9. Training reduces stuck pipe costs and incidents

    SciTech Connect

    Watson, B. ); Smith, R. )

    1994-09-19

    Properly administered initial and refresher stuck pipe training courses have dramatically reduced the cost and number of stuck pipe incidents for many companies worldwide. These training programs have improved operator and contractor crew awareness of stuck pipe risks and fostered a team commitment in averting such incidents. The success is evident in the achievements of the companies sponsoring such training. Preventing and minimizing stuck pipe is the most significant benefit of stuck pipe training, but crews also benefit from becoming more knowledgeable about the drilling program and equipment operation. The paper discusses stuck pipe costs, stuck pipe training, prevention of stuck pipes, well bore stability, geopressured formation, reactive formation, reactive formations, unconsolidated formations, mobile formations, fractured and faulted formations, differential sticking, 8 other causes of stuck pipe, and freeing stuck pipe.

  10. Note on Narrating Disability

    ERIC Educational Resources Information Center

    Clandinin, D. Jean; Raymond, Heather

    2006-01-01

    We outline a theoretical view of narrative inquiry as both phenomenon and method, and we explore the growth and development of narrative inquiry in the field of education. Drawing on research with participants labeled as developmentally disabled, we show how narrative inquiry can illuminate how disability is understood and lived out in social,…

  11. The Experience of Disability.

    ERIC Educational Resources Information Center

    Hastings, Elizabeth

    1981-01-01

    The author outlines the experiences of disability and demonstrates that generally unpleasant experiences are the direct result of a basic and false assumption on the part of society. Experiences of the disabled are discussed in areas the author categorizes as exclusion or segregation, deprivation, prejudice, poverty, frustration, and…

  12. Ghana: Disability and Spirituality

    ERIC Educational Resources Information Center

    Botts, Betsy H.; Evans, William H.

    2010-01-01

    This descriptive study explores the educational system and attitudes toward disability in the Volta Region of Ghana. Traditional, Christian, and Islamic beliefs toward disability are explored. Educators from Accra and three families from the Volta Region with children with special needs are interviewed in an effort to explore the connection…

  13. Beauty and Disability

    ERIC Educational Resources Information Center

    Anderson, David W.

    2015-01-01

    People often hold stereotypical notions about disability, assuming people with significant disabilities offer little in terms of friendship or contribution. Some are even repulsed by that person's physical appearance. Such responses, evident within the Christian community as well, fail to acknowledge the inherent worth of the person as created in…

  14. Learning about Disabilities.

    ERIC Educational Resources Information Center

    Popp, Rita Ann

    1983-01-01

    The author describes lessons provided for regular class elementary students to help them understand disabilities and disabled persons. Objectives, materials needed, and activities are outlined for six lessons focusing on the following topics: individual differences, wheelchairs; devices that help people walk; amputation, artificial limbs, and…

  15. Disciplining Students with Disabilities

    ERIC Educational Resources Information Center

    Burton, Janieth

    2012-01-01

    Discipline in schools can be difficult, especially when dealing with students with disabilities. In fact, Clash (2006) reported that working with students with disabilities under stringent legal demands has become a source of stress for many principals. The typical principal has not received extensive preservice or inservice training in this area.…

  16. Disability: Our Challenge.

    ERIC Educational Resources Information Center

    Hourihan, John P., Ed.

    Ten papers from a 1978 lecture series on employment, civil rights, education, social aspects, and recreation and leisure for disabled persons are presented. It is explained that as disabled persons, the lecturers presented role models to the students at the Regional Education Program for Handicapped College Students at Teachers College, Columbia.

  17. Learning Disabilities: Lifelong Issues.

    ERIC Educational Resources Information Center

    Cramer, Shirley C., Ed.; Ellis, William, Ed.

    This book contains papers on learning disabilities based on presentations made at the "Summit on Learning Disabilities: A National Responsibility," held in September 1994. The first section provides an overview and includes "The State of Research" (G. Reid Lyon). The second section focuses on education and includes: "Preventing Early Reading…

  18. Disability: A Pacific Experience

    ERIC Educational Resources Information Center

    Smith, Donna

    2008-01-01

    This paper is a personal perspective about the disability issues within the Cook Islands. It looks at how the needs of children and adults with disabilities have been addressed over the years and the vision of many people who have worked towards building an inclusive society, starting with mainstreaming in the schools to full inclusion. It…

  19. Disabilities in Written Expression

    ERIC Educational Resources Information Center

    Gardner, Teresa J.

    2011-01-01

    Regular education teachers may have received inadequate preparation to work with the variety of student disabilities encountered in the classroom, or they may have received limited training regarding the full range of learning disabilities and their effects on classroom performance. Along with problems in the area of math, students may also have…

  20. Transporting Students with Disabilities.

    ERIC Educational Resources Information Center

    Mawdsley, Ralph D.

    1998-01-01

    Under the 1973 Rehabilitation Act (Section 504) and the Individuals with Disabilities Education Act, school districts must transport students with disabilities to a site providing a free, appropriate education in the least restrictive environment. This article discusses federal and state laws governing student transportation, including wheelchair…

  1. Beauty and Disability

    ERIC Educational Resources Information Center

    Anderson, David W.

    2015-01-01

    People often hold stereotypical notions about disability, assuming people with significant disabilities offer little in terms of friendship or contribution. Some are even repulsed by that person's physical appearance. Such responses, evident within the Christian community as well, fail to acknowledge the inherent worth of the person as created in

  2. Disability Employment 101

    ERIC Educational Resources Information Center

    US Department of Education, 2005

    2005-01-01

    Business is about productivity and maintaining a competitive advantage. To do this, business needs qualified workers. Hiring people with disabilities adds value to a business and will attract new customers. Disability is not inability. President Bush's position is that he "will not be satisfied until every American who wants a job can find a job,…

  3. Disability Employment 101

    ERIC Educational Resources Information Center

    US Department of Education, 2007

    2007-01-01

    Business is about productivity and maintaining a competitive advantage. To do this, business needs qualified workers. Hiring people with disabilities adds value to a business and will attract new customers. Disability is not inability. Employers can make sound business decisions and gain a competitive advantage by using this guide to increase the…

  4. Disability Employment 101

    ERIC Educational Resources Information Center

    US Department of Education, 2006

    2006-01-01

    Business is about productivity and maintaining a competitive advantage. To do this, business needs qualified workers. Hiring people with disabilities adds value to a business and will attract new customers. Disability is not inability. President Bush's position is that he "will not be satisfied until every American who wants to work can find a…

  5. Learning Disabilities. Final Report.

    ERIC Educational Resources Information Center

    Delaware State Dept. of Education, Dover.

    This report responds to Delaware state legislation requiring the development of proposed revised regulations for the classification of students as learning disabled (LD). The report first describes the current system, noting that in 1997 15 percent of the student population were served under the Individuals with Disabilities Education Act and over…

  6. Disciplining Students with Disabilities.

    ERIC Educational Resources Information Center

    Dwyer, Kevin P.

    This report discusses disciplining children with disabilities in schools, in the context of the legal requirements of the Individuals with Disabilities Education Act. Practical concepts are explained in terms of the school's responsibility to: (1) maintain a safe environment; (2) teach a code of discipline to all students; (3) use the…

  7. Assessment of Learning Disabilities.

    ERIC Educational Resources Information Center

    Shepard, Lorrie A.

    The assessment and diagnosis of learning disabilities (LD) in the school is problematic. How do educators determine who is learning disabled? What practices are recommended? The main focus of the paper is on specific, relatively technical points that influence the validity of assessment. Since technical concerns are only one of the factors…

  8. An Incident Management Preparedness and Coordination Toolkit

    SciTech Connect

    Koch, Daniel B; Payne, Patricia W

    2012-01-01

    Although the use of Geographic Information Systems (GIS) by centrally-located operations staff is well established in the area of emergency response, utilization by first responders in the field is uneven. Cost, complexity, and connectivity are often the deciding factors preventing wider adoption. For the past several years, Oak Ridge National Laboratory (ORNL) has been developing a mobile GIS solution using free and open-source software targeting the needs of front-line personnel. Termed IMPACT, for Incident Management Preparedness and Coordination Toolkit, this ORNL application can complement existing GIS infrastructure and extend its power and capabilities to responders first on the scene of a natural or man-made disaster.

  9. A Review of Balance and Gait Capacities in Relation to Falls in Persons with Intellectual Disability

    ERIC Educational Resources Information Center

    Enkelaar, Lotte; Smulders, Ellen; van Schrojenstein Lantman-de Valk, Henny; Geurts, Alexander C. H.; Weerdesteyn, Vivian

    2012-01-01

    Limitations in mobility are common in persons with intellectual disabilities (ID). As balance and gait capacities are key aspects of mobility, the prevalence of balance and gait problems is also expected to be high in this population. The objective of this study was to critically review the available literature on balance and gait characteristics…

  10. Using iPads with Students with Disabilities: Lessons Learned from Students, Teachers, and Parents

    ERIC Educational Resources Information Center

    Draper Rodríguez, Cathi; Strnadová, Iva; Cumming, Therese

    2014-01-01

    The use of mobile technology has increased greatly in recent years. Although the research in this area is still in its infancy, preliminary studies are showing a positive impact on the skills and academic engagement of students with disabilities. This column provides an overview of a selection of research studies involving mobile devices such as…

  11. Maltreatment and Disabilities: A Population-based Epidemiological Study.

    ERIC Educational Resources Information Center

    Sullivan, Patricia M.; Knutson, John F.

    2000-01-01

    This study reviewed merged records of children (N=40,211, 3,262 disabled) in Omaha, Nebraska, during 1994-95. An electronic merger of school records with child abuse, foster care, and police records was followed by a review of maltreatment incidents. Findings indicated a 9 percent prevalence rate of maltreatment for nondisabled children and a 31…

  12. An Exploration of Community Learning Disability Nurses' Therapeutic Role

    ERIC Educational Resources Information Center

    Marsham, Marian

    2012-01-01

    This literature review and primary qualitative research explores therapeutic role from the perspective of Community Learning Disability Nurses. Semi-structured interviews, based on Critical Incident Technique ("Psychol Bull", 51, 1954, 327), and descriptive phenomenological methodology were adopted to elicit data amenable to systematic content…

  13. Dental Disease: A Continuing Education Problem for the Disabled Individual.

    ERIC Educational Resources Information Center

    Callahan, William P.

    1983-01-01

    The author cites the incidence and types of dental diseases among disabled persons; discusses such contributing factors as low income and absence of comprehensive dental services; and describes a low-cost model interdisciplinary dental hygiene program involving special education, rehabilitation, and dentistry. (MC)

  14. Injury and Disability in Matched Men's and Women's Intercollegiate Sports.

    ERIC Educational Resources Information Center

    Lanese, Richard R.; And Others

    1990-01-01

    Studied eight matched men's and women's intercollegiate teams for one year to determine the incidence of athletic injury and disability. Found no gender differences except in gymnastics, in which certain events may account for the greater rate of injuries and longer recovery time among female subjects. (DM)

  15. Workplace Factors Associated with Preventing and Managing Work Disability.

    ERIC Educational Resources Information Center

    Habeck, Rochelle V.; Hunt, H. Allan; VanTol, Brett

    1998-01-01

    Provides empirical evidence about the relationship between policies and practices and the incidence and outcomes of work disability, controlling for organizational factors. Describes the employer self-assessment survey instrument designed for the study and the eight independent variables explored within Michigan establishments (N=220) in seven…

  16. Vitamin D and Fractures in People with Intellectual Disability

    ERIC Educational Resources Information Center

    Vanlint, S.; Nugent, M.

    2006-01-01

    Background: People with intellectual disability (ID) are thought to be at an increased risk of fractures. The extent of this increase in risk has been incompletely documented in the literature, and the underlying reasons remain to be elucidated. Methods: The aims of our study were to document the vitamin D status and fracture incidence in an

  17. Vitamin D and Fractures in People with Intellectual Disability

    ERIC Educational Resources Information Center

    Vanlint, S.; Nugent, M.

    2006-01-01

    Background: People with intellectual disability (ID) are thought to be at an increased risk of fractures. The extent of this increase in risk has been incompletely documented in the literature, and the underlying reasons remain to be elucidated. Methods: The aims of our study were to document the vitamin D status and fracture incidence in an…

  18. Children and Youth with Intellectual Disabilities: Targets for Sexual Abuse.

    ERIC Educational Resources Information Center

    Goldman, Renitta L.

    1994-01-01

    This paper examines the characteristics and behaviors which may exacerbate the vulnerability of children with an intellectual disability toward sexually abusive relationships. It focuses on incidence, characteristics of offenders, characteristics of children, consequences of sexual abuse, and challenges for intervention and prevention. (JDD)

  19. Grading Students with Significant Disabilities in Inclusive Settings: Teacher Perspectives

    ERIC Educational Resources Information Center

    Kurth, Jennifer; Gross, Megan; Lovinger, Stephanie; Catalano, Tammy

    2012-01-01

    The present study describes teacher (K-12) opinions and practices related to grading and providing modified instruction, assignments, and assessments for students with low-incidence disabilities in inclusive settings. One hundred and thirty nine teachers working in K-12 inclusive schools in Arizona and California completed an on-line survey…

  20. Estimating national disability risk.

    PubMed

    Li, Nan

    2004-06-01

    In this article, I provide a method to rebuild the active and disabled life expectancy (ALE and DLE) on the basis of 'current' death and disability risks, and to measure disability risk. This method uses national-level data, and is based on two main assumptions. The first is the Gompertz assumption that death rate rises with age exponentially, and the second is the Cox assumption that death rates of active status are proportional to those of disabled status across age. Applying this method to the US data, I find that the disability risk has increased between 1970 and 1990 for both men and women aged 40 and older. Situations in which above assumptions could be removed are also discussed. PMID:15136013

  1. Disability and Health: Exploring the Disablement Experience of Young Adult African Americans

    PubMed Central

    Harrison, Tracie

    2013-01-01

    Purpose The objective of this study was to examine disablement as experienced by young adult African American men and women with permanent mobility impairment. Methods This study included a sample of 5 male and 5 female participants ranging in age from 22 to 39. An exploratory descriptive design and qualitative methods, including interviews and fieldnotes, were used. Interview data was analyzed using the process of inductive qualitative content analysis. Results Basic desires for independence, shared intimacy, and psychological and physical health were not diminished by physical limitations. The disablement experience of this group is reflected in the themes of “Cumulative Losses” and “Sustained Desires.” The findings of this study describe the high level of motivation that young adult African American men and women with disabilities have to improve levels of health and well-being within the context of their impairments. Conclusion This study provides a better understanding of the contextual factors and experiences that may contribute to the development of further disability and subsequent health-related problems over time. Increased knowledge of the disablement experience of these young men and women may assist health care entities and social service providers in improving health care and rehabilitation efforts targeting this group. PMID:23745770

  2. Exploring Postsecondary Education Disability Service's Standards: Alignment with Disability Studies

    ERIC Educational Resources Information Center

    Guzman, Alberto

    2009-01-01

    A study analyzing the perspectives held by higher education's disability service providers in regards to disability and/or students with disabilities in the implementation of program standards was carried out using a sequential mixed-methods design. Using the knowledge gather by Disability Studies scholars, the study used the constructs of…

  3. Does Learning Disabled Equal Language Disabled?

    ERIC Educational Resources Information Center

    Haber, Lyn

    Twenty-nine learning disabled (LD) students in grades 1-4 were compared with non-LD students on comprehension of relative clauses. Ss were given baseline, 2-way, and 3-way reversible sentences to test comprehension and examine strategy differences. Results showed that LD students performed more poorly than non-LD students for all sentence types at…

  4. Appendicular Fractures: A Significant Problem among Institutionalized Adults with Developmental Disabilities.

    ERIC Educational Resources Information Center

    Ryder, K. M.; Williams, J.; Womack, C.; Nayak, N. G.; Nasef, S.; Bush, A.; Tylavsky, F. A.; Carbone, L.

    2003-01-01

    This study found a high incidence of nontraumatic fractures in adults with developmental disabilities living in a state-run facility, a 7.3% incidence among 391 adults. Factors associated with fractures included use of antiepileptic medication. Although bone mineral density (BMD) by heel ultrasound did not predict fracture, values were much lower…

  5. Depression and Anxiety in Two Groups of Adults with Learning Disabilities.

    ERIC Educational Resources Information Center

    Hoy, Cheri; Gregg, Noel; Wisenbaker, Joseph; Manglitz, Elaine; King, Michael; Moreland, Elaine

    1997-01-01

    This study examined the incidence of depression and anxiety in 184 college students with learning disabilities (LD), 57 young adults with LD receiving rehabilitation services, and 140 college students without LD. Females with LD in the rehabilitation setting showed a higher incidence of depression and college students with LD demonstrated…

  6. Abuse and Intellectual Disability: A Potential Link or an Inescapable Reality.

    ERIC Educational Resources Information Center

    Conway, Robert N. F.

    1994-01-01

    This discussion of abuse of people with intellectual disabilities notes the varieties of abusive actions found, including sexual abuse; the possible incidence of such abuse; and reasons why this population is especially vulnerable to abuse. A current study to examine the incidence of abuse and reporting mechanisms is briefly described. (Author/DB)

  7. Paralympic Athletes and "Knowing Disability"

    ERIC Educational Resources Information Center

    Fitzgerald, Hayley

    2012-01-01

    This article explores non-disabled young people's understandings of Paralympic athletes and the disability sports they play. The article examines how society has come to know disability by discussing medical and social model views of disability. The conceptual tools offered by Pierre Bourdieu are utilised as a means of understanding the nature and…

  8. The Excessive Appearance of Disability

    ERIC Educational Resources Information Center

    Michalko, Rod

    2009-01-01

    This paper engages the appearance of disability in contemporary Western culture. Rather than taking disability for granted as a biomedical condition, I interrogate how disability is made to appear in our culture, including its appearance as a biomedical condition. Fundamentally, disability appears to us as a trouble and, as such, cultural…

  9. Reflections on Growing Up Disabled.

    ERIC Educational Resources Information Center

    Jones, Reginald L., Ed.

    The book offers firsthand accounts of the experiences and perceptions of disabled persons, as well as the views of parents of disabled children. Entries include the following titles: "Reflections of Disabled Children" (J. Umbreit and D. Baker); "The Handicap That Had No Name" (D. Brown); "Orthopedically Disabled: Determination on Wheels" (D.…

  10. Information Package on Disability Studies.

    ERIC Educational Resources Information Center

    Harris, Perri; Lewin, Lori

    This document is a resource guide to disabilities studies, an approach to disability which seeks to examine the social, economic, and political forces that for years have served to marginalize and oppress people with disabilities. Following an introduction that explains the field of disability studies, Section 1 is an annotated bibliography of 13…

  11. Dickens and disability.

    PubMed

    Wainapel, S F

    1996-12-01

    The novels of Charles Dickens include many vivid portraits of individuals with physical disabilities or deformities, and these conditions are often used symbolically to highlight some of the author's recurring themes. Disabled children are depicted as innocent victims, while their older counterparts are most often viewed as corrupt victimizers whose physical deformities are outward manifestations of their inner depravity. Punishment for moral failings in non-disabled characters frequently takes the form of paralysis and/or aphasia resulting from a cerebrovascular accident. In this context the wheelchair becomes a potent metaphor of imprisonment as a form of retributive justice. PMID:9007422

  12. High Tech Tots: Technology for Mobility, Manipulation, Communication, and Learning in Early Childhood.

    ERIC Educational Resources Information Center

    Butler, Charlene

    1988-01-01

    Increasingly, very young children with disabilities are using microcomputers, powered mobility, myoelectric prostheses, and augmentative communication devices. This article examines research, clinical experience, and issues in the field of advanced technology applied to disabled children, aged birth to three, and suggests future applications of…

  13. Mortality and disability among cotton mill workers.

    PubMed Central

    Koskela, R S; Klockars, M; Järvinen, E

    1990-01-01

    The mortality and disability of cotton mill workers were studied in five Finnish cotton mills. The population under study comprised all 1065 women exposed to raw cotton dust who had been hired between 1950 and 1971. The minimum exposure period was five years. For the study on disability, the cohort was followed up until the end of 1981. The follow up period for the mortality analysis was from 1950 to 1985. At the end of 1981 the observed number of prevalent disability pensions for respiratory disease was 15, whereas 3.9 were expected (p less than 0.01) on the basis of the national figures for women. There were 46 musculoskeletal diseases (27.7 expected, p less than 0.01), of which 24 were osteoarthritis (14.5 expected) and 13 rheumatoid arthritis (6.6 expected). The incidence rates of disability pensions were calculated for the period 1969-81. Comparison of incidence rates between cotton mill workers and the Finnish female population showed excessive rates for both respiratory diseases (p less than 0.001) and musculoskeletal diseases (p less than 0.01), with an excess of new cases of rheumatoid arthritis (p less than 0.05). By the end of 1985 the number of person-years was 31,678 and the number of deaths 95. The standardised mortality ratios for the total period of follow up (1950-85) showed no excess for respiratory diseases. Mortality from cardiovascular diseases was also lower than expected. The observed number of tumours was 33, the corresponding expected number 32.0. Thirteen tumours were in the digestive organs (6.6 expected, p<0.05) and three were lung cancers (1.9 expected). Five workers had died from renal disease; the expected number was 1.5 (p<0.05). PMID:2143077

  14. Advocating in schools for children with disabilities: what's new with IDEA?

    PubMed

    Altshuler, Sandra J; Kopels, Sandra

    2003-07-01

    All social workers who work with children and families, regardless of their practice setting, should be aware of the important educational rights to which children with disabilities and their families are entitled. The Individuals with Disabilities Education Act (P.L. 101-476), one of the most sweeping laws protecting children with disabilities, was substantially amended in 1997, and its regulatory provisions became legally effective in October 1999. This article provides information about the requirements of the law and the impact of those changes on children's educational rights. The changes discussed and their practice implications include expansion of categories of children with disabilities; new requirements for mobile, homeless, or culturally diverse populations and participants in the individualized education program process; payment for private school placements for children with disabilities; discipline of children with disabilities; and provision of social work services in the schools. PMID:12899279

  15. Research into telecommunications options for people with physical disabilities.

    PubMed

    Nguyen, Toan; Garrett, Rob; Downing, Andrew; Walker, Lloyd; Hobbs, David

    2007-01-01

    People with a disability do not have equitable access to the modern telecommunication medium. Many experience difficulty typing, handling the phone, dialing, or answering calls. For those who are unable to speak, the only option is to type messages using whatever functional control site exists on their body. The provision of accessible mobile phones for people with disabilities can significantly improve their quality of life through an increased range of accessible activities, and mobile phones can improve their independence, safety, security and self-esteem. This research was aimed at providing practical ways for people with a disability to participate in the extensive community of home and mobile phone users. The outcomes of 10 participants taking part in the evaluation and trial of off-the-shelf telecommunication options are presented. Nine out of 10 participants showed high to very high results in terms of their overall performance and satisfaction with the use of the telecommunication equipment provided. With the processes and support covering equipment matching, education, training, and delivery, current off-the-shelf solutions can help people with disabilities to effectively communicate with other members of our society and to access the same range of information systems and services enjoyed by able-bodied members of the community. PMID:17727075

  16. Recognizing Learning Disability.

    ERIC Educational Resources Information Center

    Weiner, Sally

    1979-01-01

    The regular classroom teacher's role in the identification of learning-disabled children is important but often difficult. Identification is facilitated, however, by recognition of a pattern of symptoms rather than one single sign. (Author/GC)

  17. Disability.gov

    MedlinePlus

    ... with Disabilities View all resources in Emergency Preparedness Employment Keyboard Users: Use the up and down arrow keys to select a subtopic A Guide to Employment A Guide to Self-Employment & Starting a Small ...

  18. Ethics in neurodevelopmental disability.

    PubMed

    Racine, Eric; Bell, Emily; Shevell, Michael

    2013-01-01

    Neurodevelopmental disabilities, like autism spectrum disorders and cerebral palsy are a common health problem in children. Given the impact of these conditions on children, families, and healthcare and social systems, the care of developmentally challenged children raises questions related to values and ethical principles. We review the common features of neurodevelopmental disorders that help understand the associated ethical questions. We focus on three major areas where ethical questions arise for clinicians and those involved in making decisions for or caring for these children: (1) the principles of decision-making and autonomy as they relate to developmental disability; (2) the issues related to quality of life that have long intersected with developmental disability; and (3) the use of unproven therapies and diagnostics that are particularly controversial given the extent that neurodevelopmental disabilities impact children and their families, yet active treatments options are limited. PMID:24182383

  19. What Are Learning Disabilities?

    MedlinePlus

    ... the most common learning disabilities include the following: Dyslexia. This condition causes problems with language skills, particularly reading. People with dyslexia may have difficulty spelling, understanding sentences, and recognizing ...

  20. Sexuality and Intellectual Disability

    MedlinePlus

    ... or developmental disabilities have been thought to be asexual, having no need for loving and fulfilling relationships ... decision-making, including education about such issues as reproduction, marriage and family life, abstinence, safe sexual practices, ...

  1. How to Find Good Apps: An Evaluation Rubric for Instructional Apps for Teaching Students with Learning Disabilities

    ERIC Educational Resources Information Center

    Ok, Min Wook; Kim, Min Kyung; Kang, Eun Young; Bryant, Brian R.

    2016-01-01

    Computers can be an effective teaching method for students with learning disabilities (LD). The use of mobile devices as education tools for students with disabilities has received considerable attention in special education recently. Parents, teachers, and professionals look for effective applications (i.e., apps) that meet the needs of their…

  2. Accuracy and Precision of the Pediatric Evaluation of Disability Inventory Computer-Adaptive Tests (PEDI-CAT)

    ERIC Educational Resources Information Center

    Haley, Stephen M.; Coster, Wendy J.; Dumas, Helene M.; Fragala-Pinkham, Maria A.; Kramer, Jessica; Ni, Pengsheng; Tian, Feng; Kao, Ying-Chia; Moed, Rich; Ludlow, Larry H.

    2011-01-01

    Aim: The aims of the study were to: (1) build new item banks for a revised version of the Pediatric Evaluation of Disability Inventory (PEDI) with four content domains: daily activities, mobility, social/cognitive, and responsibility; and (2) use post-hoc simulations based on the combined normative and disability calibration samples to assess the

  3. Accuracy and Precision of the Pediatric Evaluation of Disability Inventory Computer-Adaptive Tests (PEDI-CAT)

    ERIC Educational Resources Information Center

    Haley, Stephen M.; Coster, Wendy J.; Dumas, Helene M.; Fragala-Pinkham, Maria A.; Kramer, Jessica; Ni, Pengsheng; Tian, Feng; Kao, Ying-Chia; Moed, Rich; Ludlow, Larry H.

    2011-01-01

    Aim: The aims of the study were to: (1) build new item banks for a revised version of the Pediatric Evaluation of Disability Inventory (PEDI) with four content domains: daily activities, mobility, social/cognitive, and responsibility; and (2) use post-hoc simulations based on the combined normative and disability calibration samples to assess the…

  4. Part of Your General Public Is Disabled. A Handbook for Guides in Museums, Zoos, and Historic Houses.

    ERIC Educational Resources Information Center

    Majewski, Janice

    Addressed to docents, the manual presents general guidelines for making public tours of museums, historic buildings, and zoos more accessible to handicapped persons. Information on eight major disability groups is provided (mental retardation, learning disabilities, hearing impairments, visual handicaps, mobility impairments, cerebral palsy,…

  5. Racist Incident-Based Trauma

    ERIC Educational Resources Information Center

    Bryant-Davis, Thema; Ocampo, Carlota

    2005-01-01

    Racist incidents are potentially traumatizing forms of victimization that may lead to increased psychiatric and psychophysiological symptoms in targets. The magnitude of the problem of racist incidents in the United States is difficult to estimate; however, data from several sources permit the inference that the prevalence of racist incidents,…

  6. Incident Management: Process into Practice

    ERIC Educational Resources Information Center

    Isaac, Gayle; Moore, Brian

    2011-01-01

    Tornados, shootings, fires--these are emergencies that require fast action by school district personnel, but they are not the only incidents that require risk management. The authors have introduced the National Incident Management System (NIMS) and the Incident Command System (ICS) and assured that these systems can help educators plan for and…

  7. Disability Among Older American Indians and Alaska Natives: An Analysis of the 2000 Census Public Use Microdata Sample

    PubMed Central

    Goins, R. Turner; Moss, Margaret; Buchwald, Dedra; Guralnik, Jack M.

    2011-01-01

    Purpose We compared the prevalence of disability among older American Indians and Alaska Natives (AI/ANs) with that among their African American and White peers, then examined sociodemographic characteristics associated with disability among AI/ANs. Design and Methods We analyzed the 5% 2000 Census Public Use Microdata Sample. We assessed disability by functional limitation, mobility disability, and self-care disability for four age groups (55–64, 65–74, 75–84, and 85 years or older). Results For all age strata, AI/ANs reported the highest rates of functional limitation and African Americans the highest level of mobility disability. In the 55-to-64 age group, AI/ANs experienced the highest prevalence of self-care disability, and among those aged 65 years or older, African Americans reported the highest prevalence. Compared to Whites, the adjusted odds ratios for functional limitation, mobility disability, and self-care disability were significantly elevated in AI/ANs (1.62, 1.33, and 1.56, respectively) and African Americans (1.27, 1.54, and 1.56, respectively). For AI/ANs, being of increased age, being female, having lower educational attainment and household income, not being married or in the labor force, and residing in a metropolitan area were associated with disabilities. Implications This study contributes to researchers’ limited knowledge regarding disability among older AI/ANs. The lack of available empirical data poses obstacles to understanding the antecedents and consequences of disability for AI/ANs. More information on the nature and extent of disabilities among AI/AN elders would enhance the ability of advocates to document their needs and raise public awareness. Likewise, policy makers could enact prevention strategies and make comprehensive rehabilitative and long-term care services available to this population. PMID:17989411

  8. [Validity of care assessment in disabled and mentally retarded children].

    PubMed

    Häussler, M; Streit, A; Strassburg, H-M

    2002-10-01

    16 children with spastic cerebral palsy and 25 mentally retarded children were assessed via the scales "Self-Care" and "Mobility" of the Pediatric Evaluation of Disability Inventory (PEDI). Age-adjusted PEDI scores were compared with the classification according to the three levels of the German statutory nursing insurance. Good correlations and highly significant dependence were found in children with spastic cerebral palsy but no dependence was seen in mentally retarded children. Apparently, assessment guidelines of the German statutory nursing insurance do not guarantee a valid assessment in all disabled children. In conclusion, future assessments of nursing needs in children should employ standardised assessment methods. PMID:12375229

  9. Teaching Medical Students About Disability in Family Medicine

    PubMed Central

    Graham, Catherine Leigh; Brown, Rachel S.; Zhen, Huiling; McDermott, Suzanne

    2015-01-01

    We investigated whether a unique didactic focusing on delivering health care to patients with disabilities (PWDs) impacts medical students’ knowledge of specific disabilities and related concerns, attitudes about barriers to this populations’ health care, and behavior during typical primary care visits with PWDs. A 90-minute session for students during their third-year family medicine clerkship addressed clinical considerations for patients with mobility and cognitive impairments. Questionnaires were administered to students at the beginning and completion of the clerkship. Analyses of 71 matched questionnaires reveal that knowledge and attitudes were positively impacted. PMID:19724936

  10. Geriatric Impairments and Disability: The Cardiovascular Health Study

    PubMed Central

    Chaudhry, Sarwat I.; McAvay, Gail; Ning, Yuming; Allore, Heather G.; Newman, Anne B.; Gill, Thomas M.

    2010-01-01

    Objectives Our objective was to determine the relative importance of geriatric impairments (including those in muscle strength, physical capacity, cognition, vision, hearing and psychological status) and chronic diseases in predicting subsequent functional disability in longitudinal analyses. Design We analyzed longitudinal data from the Cardiovascular Health Study. Multivariable Cox hazards regression modeling was used to analyze associations between time-dependent predictors and onset of disability in Activities of Daily Living (ADL) and mobility. Setting/Participants 5888 community-dwelling elderly persons were followed for up to seven years. Intervention N/A Measurements Data were collected annually through in-person examinations. Results ADL disability developed in 15% of participants and mobility disability in 30%. A single multivariable model was developed that included demographics, marital status, body mass index, and number of impairments and diseases. The hazard ratios of having 1, 2, and ≥ 3 geriatric impairments (compared with none) for the outcome of ADL disability were 2.12 (95% CI 1.63–2.75), 4.25 (3.30–5.48), and 7.87 6.10–10.17), respectively, and for having 1, 2, and ≥ 3 chronic diseases were 1.75 (1.41–2.19), 2.45 (1.95–3.07), and 3.26 (2.53–4.19), respectively. Similarly, the hazard ratios of having 1, 2, and ≥ 3 impairments for the outcome of mobility disability were 1.48 (1.27–1.73), 2.08 (1.77–2.45), and 3.70 (3.09–4.42), and for having 1, 2, and ≥ 3 diseases were 2.06 (1.76–2.40), 2.80 (2.36–3.31), and 4.20 (3.44–5.14). Conclusion As compared with number of chronic diseases, the number of geriatric impairments was more strongly associated with subsequent ADL disability, and nearly as strongly associated with the subsequent mobility disability. PMID:20863328

  11. Grazing incidence beam expander

    SciTech Connect

    Akkapeddi, P.R.; Glenn, P.; Fuschetto, A.; Appert, Q.; Viswanathan, V.K.

    1985-01-01

    A Grazing Incidence Beam Expander (GIBE) telescope is being designed and fabricated to be used as an equivalent end mirror in a long laser resonator cavity. The design requirements for this GIBE flow down from a generic Free Electron Laser (FEL) resonator. The nature of the FEL gain volume (a thin, pencil-like, on-axis region) dictates that the output beam be very small. Such a thin beam with the high power levels characteristic of FELs would have to travel perhaps hundreds of meters or more before expanding enough to allow reflection from cooled mirrors. A GIBE, on the other hand, would allow placing these optics closer to the gain region and thus reduces the cavity lengths substantially. Results are presented relating to optical and mechanical design, alignment sensitivity analysis, radius of curvature analysis, laser cavity stability analysis of a linear stable concentric laser cavity with a GIBE. Fabrication details of the GIBE are also given.

  12. [Evaluation of functional status and disability of narcolepsy patients].

    PubMed

    Hublin, Christer; Kirjavainen, Turkka; Partinen, Markku; Ojala, Mikael; Saarenpää-Heikkilä, Outi

    2011-01-01

    Narcolepsy is a sleep-wake disorder with a multiple symptom picture of varying degree of severity. It has been rare in Finland, but its incidence among persons of less than 17 years of age increased in an unprecedented manner after the swine flu epidemic and vaccination. The evaluation of narcolepsy patients requires a broad insight and consideration of other than mere medical aspects. The extent of disability in distinct age periods may turn out to be different from what was previously expected, necessitating updating of the evaluation of the degree of disability. PMID:21995115

  13. Encouraging the Development of Disability Allies

    ERIC Educational Resources Information Center

    Evans, Nancy J.; Assadi, Jennifer L.; Herriott, Todd K.

    2005-01-01

    The authors advocate for a constructionist interpretation of disability, grounded in a social justice perspective, by discussing disability paradigms, factors that influence attitudes and attitude change regarding disability, and disability ally development and behaviors.

  14. Mobile shearography

    NASA Astrophysics Data System (ADS)

    Kalms, Michael; Jueptner, Werner

    2005-04-01

    By reason of their sensitivity, accuracy and non-contact as well as non-destructive characteristics, modern optical methods such as digital speckle shearography have found an increasing interest for NDT applications on the factory floor. With new carbon filter technologies and other lightweight constructions in aircraft and automotive manufacturing, adapted examination designs and especially developed testing methods are necessary. Shearography as a coherent optical method has been widely accepted as an useful NDT tool. It is a robust interferometric method to determine locations with maximum stress on various material structures. However, limitations of this technique can be found in the bulky equipment components, the interpretation of the complex sherographic result images and at the work with non-cooperative surfaces (dark absorber, bright shining reflectors). We report a mobile shearography system that was especially designed for investigations at aircraft and automotive constructions.

  15. Bridging the Gap between Disability Studies and Disability Services in Higher Education: A Model Center on Disability

    ERIC Educational Resources Information Center

    Strauss, Alan L.; Sales, Amos

    2010-01-01

    The professional field of Disability Services in Higher Education and the academic discipline of Disability Studies share a perspective on disability that considers disability as a socially constructed phenomenon. Despite this common underpinning, there has been little effort or inquiry into the ways that disability services and Disability Studies…

  16. The Impact of Early Powered Mobility on Parental Stress, Negative Emotions, and Family Social Interactions

    ERIC Educational Resources Information Center

    Tefft, Donita; Guerette, Paula; Furumasu, Jan

    2011-01-01

    Powered mobility has been found to have positive effects on young children with severe physical disabilities, but the impact on the family has been less well documented. We evaluated the impact of early powered mobility on parental stress, negative emotions, perceived social interactions, and parental satisfaction with wheelchair characteristics

  17. The Positive Effects of Early Powered Mobility on Children's Psychosocial and Play Skills

    ERIC Educational Resources Information Center

    Guerette, Paula; Furumasu, Jan; Tefft, Donita

    2013-01-01

    Powered mobility can have an important cognitive and psychosocial impact on young children who are unable to move independently. Twenty-three children with physical disabilities between the ages of 18 months and 6 years participated in this study. Data evaluating social skills, frequency of mobility play activities, frequency of interaction with…

  18. The Impact of Early Powered Mobility on Parental Stress, Negative Emotions, and Family Social Interactions

    ERIC Educational Resources Information Center

    Tefft, Donita; Guerette, Paula; Furumasu, Jan

    2011-01-01

    Powered mobility has been found to have positive effects on young children with severe physical disabilities, but the impact on the family has been less well documented. We evaluated the impact of early powered mobility on parental stress, negative emotions, perceived social interactions, and parental satisfaction with wheelchair characteristics…

  19. Disability Services Offices for Students with Disabilities: A Campus Resource

    ERIC Educational Resources Information Center

    Cory, Rebecca C.

    2011-01-01

    Section 504 of the 1973 Rehabilitation Act and the Americans with Disabilities Act (ADA) are often the starting places for conversations about students with disabilities in higher education. Section 504 and the ADA provide mandates for protection from discrimination and provision of reasonable disability accommodations (e.g., sign language…

  20. Disability Services Offices for Students with Disabilities: A Campus Resource

    ERIC Educational Resources Information Center

    Cory, Rebecca C.

    2011-01-01

    Section 504 of the 1973 Rehabilitation Act and the Americans with Disabilities Act (ADA) are often the starting places for conversations about students with disabilities in higher education. Section 504 and the ADA provide mandates for protection from discrimination and provision of reasonable disability accommodations (e.g., sign language

  1. Growing Up Physically Disabled: Factors in the Evaluation of Disability.

    ERIC Educational Resources Information Center

    Weinberg, Nancy

    1982-01-01

    Investigated how people with congenital orthopedic disabilities intially learn that they are different and how they learn the evaluative meaning associated with being disabled. Analyzed the content of 29 autobiographies. Results indicated that people born with orthopedic disabilities discover between ages 3 and 5 that they are different. (Author)

  2. Disability and Employment. Disability Statistics Abstract Number 11.

    ERIC Educational Resources Information Center

    LaPlante, Mitchell P.; Kennedy, Jae; Kaye, H. Stephen; Wenger, Barbara L.

    This statistical abstract summarizes recent data on the relationship between disability and employment. The statistics come from the Current Population Survey, the Census Bureau's Survey of Income and Program Participation, a poll of 1,000 Americans with disabilities, and administrative data on recipients of Social Security Disability Insurance…

  3. Thrice Disabling Disability: Enabling Inclusive, Socially Just Teacher Education

    ERIC Educational Resources Information Center

    Thompson, S. Anthony

    2012-01-01

    The goal of this inquiry was to create a social justice-oriented inclusive and enabling pedagogy by situating traditional individualised views of disability alongside three alternative understandings: a disability studies in education perspective, a First Nations view of disability and one based upon the autism pride/autism-as-culture movement.…

  4. Disability Studies, Disabled People and the Struggle for Inclusion

    ERIC Educational Resources Information Center

    Oliver, Mike; Barnes, Colin

    2010-01-01

    This paper traces the relationship between the emergence of disability studies and the struggle for meaningful inclusion for disabled people with particular reference to the work of a pivotal figure in these developments: Len Barton. It is argued that the links between disability activism and the academy were responsible for the emergence of

  5. Math Disabilities and Reading Disabilities: Can They Be Separated?

    ERIC Educational Resources Information Center

    Swanson, H. Lee; Jerman, Olga; Zheng, Xinhua

    2009-01-01

    This article synthesizes some of the published literature that selectively compares the cognitive functioning of children with math disabilities (MDs) with average-achieving children and poor readers (children with reading disabilities [RDs] or comorbid disabilities [RDs + MDs]). All studies in the synthesis report reading, IQ, and math scores for

  6. Disability Studies, Disabled People and the Struggle for Inclusion

    ERIC Educational Resources Information Center

    Oliver, Mike; Barnes, Colin

    2010-01-01

    This paper traces the relationship between the emergence of disability studies and the struggle for meaningful inclusion for disabled people with particular reference to the work of a pivotal figure in these developments: Len Barton. It is argued that the links between disability activism and the academy were responsible for the emergence of…

  7. Successful Aging as a Continuum of Functional Independence: Lessons from Physical Disability Models of Aging

    PubMed Central

    Lowry, Kristin A.; Vallejo, Abbe N.; Studenski, Stephanie A.

    2011-01-01

    Successful aging is a multidimensional construct that could be viewed as a continuum of achievement. Based on the disability model proposed by the WHO International Classification of Functioning, Disability and Health, successful aging includes not only the presence or absence of disease, but also aspects of mobility and social participation. Here we review definitions of successful aging and discuss relevance of the disability model in the evaluation of successful aging and frailty. In particular, we summarize evidences that highlight the importance of measures of mobility (ability to walk and perform activities of daily living), and social participation in identifying and locating older adults across the range of the successful aging continuum. Lastly, we discuss the role of inflammation in age-related decline and in frailty. Future research directions are proposed, including identifying causal pathways among inflammatory markers, disability, and frailty. A better understanding of immunological functioning in late life may help unlock novel ways to promote successful aging. PMID:22500268

  8. Delay Adjusted Incidence Infographic

    Cancer.gov

    This Infographic shows the National Cancer Institute SEER Incidence Trends. The graphs show the Average Annual Percent Change (AAPC) 2002-2011. For Men, Thyroid: 5.3*,Liver & IBD: 3.6*, Melanoma: 2.3*, Kidney: 2.0*, Myeloma: 1.9*, Pancreas: 1.2*, Leukemia: 0.9*, Oral Cavity: 0.5, Non-Hodgkin Lymphoma: 0.3*, Esophagus: -0.1, Brain & ONS: -0.2*, Bladder: -0.6*, All Sites: -1.1*, Stomach: -1.7*, Larynx: -1.9*, Prostate: -2.1*, Lung & Bronchus: -2.4*, and Colon & Rectum: -3/0*. For Women, Thyroid: 5.8*, Liver & IBD: 2.9*, Myeloma: 1.8*, Kidney: 1.6*, Melanoma: 1.5, Corpus & Uterus: 1.3*, Pancreas: 1.1*, Leukemia: 0.6*, Brain & ONS: 0, Non-Hodgkin Lymphoma: -0.1, All Sites: -0.1, Breast: -0.3, Stomach: -0.7*, Oral Cavity: -0.7*, Bladder: -0.9*, Ovary: -0.9*, Lung & Bronchus: -1.0*, Cervix: -2.4*, and Colon & Rectum: -2.7*. * AAPC is significantly different from zero (p<.05). Rates were adjusted for reporting delay in the registry. www.cancer.gov Source: Special section of the Annual Report to the Nation on the Status of Cancer, 1975-2011.

  9. Mothers' Perceptions of Their Children's Use of Powered Mobility

    ERIC Educational Resources Information Center

    Wiart, Lesley; Darrah, Johanna; Hollis, Vivien; Cook, Al; May, Laura

    2004-01-01

    Physical therapists and occupational therapists frequently assist parents with the exploration and use of powered wheelchairs for their children with physical disabilities. The purpose of this study was to explore parents' experiences and perceptions of their children's experiences with the receipt and use of powered mobility. Qualitative methods

  10. Teaching Mobility to a Bilaterally Hand-Amputated Blind Person.

    ERIC Educational Resources Information Center

    Poss, D.

    1991-01-01

    This article describes the methods used to teach mobility skills to a young man severely disabled (blind and bilaterally hand amputated) by an explosion. Stressed are the assistive devices developed and the therapist's and student's feelings during the training course. (DB)

  11. 36 CFR 1192.125 - Mobility aid accessibility.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ...(d) are provided, at stations or stops required to be accessible by 49 CFR part 37, the car is not... 36 Parks, Forests, and Public Property 3 2010-07-01 2010-07-01 false Mobility aid accessibility... COMPLIANCE BOARD AMERICANS WITH DISABILITIES ACT (ADA) ACCESSIBILITY GUIDELINES FOR TRANSPORTATION...

  12. 36 CFR 1192.23 - Mobility aid accessibility.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... passenger seat belt and shoulder harness, complying with all applicable provisions of 49 CFR part 571, shall... 36 Parks, Forests, and Public Property 3 2010-07-01 2010-07-01 false Mobility aid accessibility... COMPLIANCE BOARD AMERICANS WITH DISABILITIES ACT (ADA) ACCESSIBILITY GUIDELINES FOR TRANSPORTATION...

  13. 36 CFR 1192.95 - Mobility aid accessibility.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... with § 1192.93(d) are provided, at stations or stops required to be accessible by 49 CFR part 37, the... 36 Parks, Forests, and Public Property 3 2010-07-01 2010-07-01 false Mobility aid accessibility... COMPLIANCE BOARD AMERICANS WITH DISABILITIES ACT (ADA) ACCESSIBILITY GUIDELINES FOR TRANSPORTATION...

  14. 36 CFR 1192.83 - Mobility aid accessibility.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... accessible by 49 CFR part 37, the vehicle is not required to be equipped with a car-borne device. Where each... 36 Parks, Forests, and Public Property 3 2010-07-01 2010-07-01 false Mobility aid accessibility... COMPLIANCE BOARD AMERICANS WITH DISABILITIES ACT (ADA) ACCESSIBILITY GUIDELINES FOR TRANSPORTATION...

  15. Overcoming Challenges: "Going Mobile with Your Own Video Models"

    ERIC Educational Resources Information Center

    Carnahan, Christina R.; Basham, James D.; Christman, Jennifer; Hollingshead, Aleksandra

    2012-01-01

    Video modeling has been shown to be an effective intervention for students with a variety of disabilities. Traditional video models present problems in terms of application across meaningful settings, such as in the community or even across the school environment. However, with advances in mobile technology, portable devices with video capability…

  16. Overcoming Challenges: "Going Mobile with Your Own Video Models"

    ERIC Educational Resources Information Center

    Carnahan, Christina R.; Basham, James D.; Christman, Jennifer; Hollingshead, Aleksandra

    2012-01-01

    Video modeling has been shown to be an effective intervention for students with a variety of disabilities. Traditional video models present problems in terms of application across meaningful settings, such as in the community or even across the school environment. However, with advances in mobile technology, portable devices with video capability

  17. 36 CFR 1192.95 - Mobility aid accessibility.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... 36 Parks, Forests, and Public Property 3 2012-07-01 2012-07-01 false Mobility aid accessibility. 1192.95 Section 1192.95 Parks, Forests, and Public Property ARCHITECTURAL AND TRANSPORTATION BARRIERS COMPLIANCE BOARD AMERICANS WITH DISABILITIES ACT (ADA) ACCESSIBILITY GUIDELINES FOR TRANSPORTATION VEHICLES Commuter Rail Cars and Systems §...

  18. 36 CFR 1192.83 - Mobility aid accessibility.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... 36 Parks, Forests, and Public Property 3 2012-07-01 2012-07-01 false Mobility aid accessibility. 1192.83 Section 1192.83 Parks, Forests, and Public Property ARCHITECTURAL AND TRANSPORTATION BARRIERS COMPLIANCE BOARD AMERICANS WITH DISABILITIES ACT (ADA) ACCESSIBILITY GUIDELINES FOR TRANSPORTATION VEHICLES Light Rail Vehicles and Systems §...

  19. Working Together: Computers and People with Mobility Impairments.

    ERIC Educational Resources Information Center

    Washington Univ., Seattle.

    This brief paper describes several computing tools that have been effectively used by individuals with mobility impairments. Emphasis is on tasks to be completed and how the individuals abilities (not disabilities), with possible assistance from technology, can be used to accomplish them. Preliminary information addresses the importance of…

  20. Madness as disability.

    PubMed

    Gilman, Sander L

    2014-12-01

    How does society imagine mental illness? Does this shift radically over time and with different social attitudes as well as scientific discoveries about the origins and meanings of mental illness? What happens when we begin to think about mental illness as madness, as a malleable concept constantly shifting its meaning? We thus look at the meanings associated with 'general paralysis of the insane' in the nineteenth century and autism today in regard to disability. In this case study we examine the claims by scholars such as the anthropologist Emily Martin and the psychiatrist Kay Jamison as to the relationship between mental illness, disability and creativity. Today, the health sciences have become concerned with mental illness as a form of disability. How does this change the meaning of madness for practitioners and patients? PMID:25395442

  1. Commentary on measuring disability.

    PubMed

    Goldman, Howard H

    2013-09-01

    This is a commentary on 5 articles in this issue of Archives of Physical Medicine and Rehabilitation that report on several related studies of new approaches to measuring disability. The project was grounded in theory, beginning with the development of a conceptual framework enhanced by a literature review and expert consultation within and outside of the Social Security Administration. The investigators then used item response theory to develop test items, which they organized into computer adaptive testing instruments and tested them for their psychometric properties. All in all, it is a groundbreaking set of studies and an enormously valuable contribution to the field. Hopefully it will also be tested as an alternative approach to assessing disability in the Social Security Administration disability benefits programs. PMID:23770279

  2. Disability, Disorder, and Identity

    PubMed Central

    Wehmeyer, Michael L.

    2014-01-01

    The World Health Organizations International Classification of Diseases is the most important diagnostic tool, worldwide, to ensure that people with intellectual and developmental disabilities receive the supports they need to live richer, fuller lives. And yet, the ICD has naming conventions that create a conundrum for the field, requiring that all “conditions” in the ICD be named as a “disorder.” This article discusses the effect of naming on how people with intellectual disability are perceived by others and how they perceive themselves. The importance of continuing to move the field toward the adoption of functional/person-environment fit models of disability is discussed. “What’s in a name? That which we call a rose by any other name would smell as sweet.”William Shakespeare, Romeo and Juliet (II, ii, 1–2) PMID:23537360

  3. Recent trends in assistive technology for mobility.

    PubMed

    Cowan, Rachel E; Fregly, Benjamin J; Boninger, Michael L; Chan, Leighton; Rodgers, Mary M; Reinkensmeyer, David J

    2012-01-01

    Loss of physical mobility makes maximal participation in desired activities more difficult and in the worst case fully prevents participation. This paper surveys recent work in assistive technology to improve mobility for persons with a disability, drawing on examples observed during a tour of academic and industrial research sites in Europe. The underlying theme of this recent work is a more seamless integration of the capabilities of the user and the assistive technology. This improved integration spans diverse technologies, including powered wheelchairs, prosthetic limbs, functional electrical stimulation, and wearable exoskeletons. Improved integration is being accomplished in three ways: 1) improving the assistive technology mechanics; 2) improving the user-technology physical interface; and 3) sharing of control between the user and the technology. We provide an overview of these improvements in user-technology integration and discuss whether such improvements have the potential to be transformative for people with mobility impairments. PMID:22520500

  4. How Are Learning Disabilities Diagnosed?

    MedlinePlus

    ... Educators may use a process called "response to intervention" (RTI) to help identify children with learning disabilities. ... Center for Children with Disabilities. (2010). Response to intervention . Retrieved June 26, 2012, from http://nichcy.org/ ...

  5. Diabetes Steals Years, Adds Disabilities

    MedlinePlus

    ... news/fullstory_158312.html Diabetes Steals Years, Adds Disabilities Middle-aged adults will lose more than 3 ... with diabetes die earlier and suffer longer with disabilities than men and women without the blood-sugar ...

  6. 30 CFR 285.831 - What incidents must I report, and when must I report them?

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... activities, if they result in a fatality, injury, structural damage, or significant environmental damage; (7) Incidents that damage or disable safety systems or equipment (including firefighting systems); (8) Other... being able to return to work or to all of their normal duties the day after the injury occurred; and...

  7. 30 CFR 585.831 - What incidents must I report, and when must I report them?

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... activities, if they result in a fatality, injury, structural damage, or significant environmental damage; (7) Incidents that damage or disable safety systems or equipment (including firefighting systems); (8) Other... being able to return to work or to all of their normal duties the day after the injury occurred; and...

  8. 30 CFR 585.831 - What incidents must I report, and when must I report them?

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... activities, if they result in a fatality, injury, structural damage, or significant environmental damage; (7) Incidents that damage or disable safety systems or equipment (including firefighting systems); (8) Other... being able to return to work or to all of their normal duties the day after the injury occurred; and...

  9. The Tip of the Iceberg: A Red Flag Carry-in Incident.

    ERIC Educational Resources Information Center

    Long, Nicholas J.; Dorf, Ruth

    1994-01-01

    Describes Red Flag Carry-in Crisis in which 15-year-old girl with learning disabilities fought with another student and was actively resistant to help. Presents background information, incident itself, drainoff stage, timeline, and transcript of Red Flag intervention interview. Discusses outcome goals, describes student's return to class, offers…

  10. Screening for Developmental Disabilities

    PubMed Central

    Foster, Carol; Duran-Flores, Deborah; Dumars, Kenneth W.; Stills, Stanley

    1985-01-01

    Developmental disabilities are responsible for a combination of severe physical, mental, psychological and social deficits. They develop before age 22 years and involve a little more than 1% of the population. Screening for developmental disabilities is the first step in their prevention. Various screening instruments are available for use throughout the developmental years that are designed to detect the wide variety of developmental problems that interfere with a developing person's optimal adaptation to his or her environment. The screening instruments must be inexpensive, reproducible, widely available and cost effective to the child, family and society. PMID:2413633

  11. Cooperating mobile robots

    DOEpatents

    Harrington, John J.; Eskridge, Steven E.; Hurtado, John E.; Byrne, Raymond H.

    2004-02-03

    A miniature mobile robot provides a relatively inexpensive mobile robot. A mobile robot for searching an area provides a way for multiple mobile robots in cooperating teams. A robotic system with a team of mobile robots communicating information among each other provides a way to locate a source in cooperation. A mobile robot with a sensor, a communication system, and a processor, provides a way to execute a strategy for searching an area.

  12. Goiania incident case study

    SciTech Connect

    Petterson, J.S.

    1988-06-01

    The reasons for wanting to document this case study and present the findings are simple. According to USDOE technical risk assessments (and our own initial work on the Hanford socioeconomic study), the likelihood of a major accident involving exposure to radioactive materials in the process of site characterization, construction, operation, and closure of a high-level waste repository is extremely remote. Most would agree, however, that there is a relatively high probability that a minor accident involving radiological contamination will occur sometime during the lifetime of the repository -- for example, during transport, at an MRS site or at the permanent site itself during repacking and deposition. Thus, one of the major concerns of the Yucca Mountain Socioeconomic Study is the potential impact of a relatively minor radiation-related accident. A large number of potential impact of a relatively minor radiation-related accident. A large number of potential accident scenarios have been under consideration (such as a transportation or other surface accident which results in a significant decline in tourism, the number of conventions, or the selection of Nevada as a retirement residence). The results of the work in Goiania make it clear, however, that such a significant shift in established social patterns and trends is not likely to occur as a direct outcome of a single nuclear-related accident (even, perhaps, a relatively major one), but rather, are likely to occur as a result of the enduring social interpretations of such an accident -- that is, as a result of the process of understanding, communicating, and socially sustaining a particular set of associations with respect to the initial incident.

  13. Social Factors in Reading Disability.

    ERIC Educational Resources Information Center

    Bryan, Tanis H.

    The possibility that children with learning disabilities often have problems in social areas is evaluated. A study to determine the peer popularity of children classified as having learning disabilities is presented. An analysis of variance was computed for votes received on scales of social attraction and social rejection by learning-disabled and…

  14. Drama, Disability, and Your Classroom.

    ERIC Educational Resources Information Center

    McGookey, Kathleen

    1992-01-01

    Suggestions for using drama to help students learn about disabilities are given by a professional theatrical group in which actors portray disabled people and answer questions in character. Steps for developing a class skit about a person with a disability and for starting a similar acting troupe are given. (DB)

  15. Familial Patterns of Learning Disabilities.

    ERIC Educational Resources Information Center

    Smith, Sandra

    1992-01-01

    Pedigree analysis of 12 young adults (9 of whom had learning disabilities) indicated that learning disability (LD) was strongly familial but that the type of disability (reading or math) was not directly inherited. Autoimmune disorders were significantly correlated with LD. In seven of the LD families, adults failed to overcome earlier reading and…

  16. Literary Characters Who Are Disabled.

    ERIC Educational Resources Information Center

    Byrd, Keith; And Others

    1986-01-01

    Determines which specific disability categories appear most often in literature, when they appear, and which authors have contributed most to their appearance. Physical disabilities have been portrayed most often, followed by alcoholism and sensory disorders. Most portrayals of disabilities appeared between 1900 and 1949 and Charles Dickens wrote…

  17. The Gifted Learning Disabled Student.

    ERIC Educational Resources Information Center

    1994

    This collection of articles on gifted learning disabled students begins with an explanation of the philosophy of the Center for Talented Youth at Johns Hopkins University (Maryland), a list of characteristics of gifted disabled students, and three definitions of learning disabilities. The following papers are then provided: "Gifted but Learning

  18. The Gifted Learning Disabled Student.

    ERIC Educational Resources Information Center

    1994

    This collection of articles on gifted learning disabled students begins with an explanation of the philosophy of the Center for Talented Youth at Johns Hopkins University (Maryland), a list of characteristics of gifted disabled students, and three definitions of learning disabilities. The following papers are then provided: "Gifted but Learning…

  19. Disability Discrimination in Higher Education.

    ERIC Educational Resources Information Center

    Weber, Mark C.

    2000-01-01

    Reviews court cases in 1999 related to disability discrimination in higher education focusing on the Americans with Disabilities Act and section 504 of the Rehabilitation Act of 1973. The "Garrett" case regarding Eleventh Amendment immunity is the case most likely to be significant in the development of the law of disability discrimination. (SLD)

  20. Computers, Technology, and Disability. [Update.

    ERIC Educational Resources Information Center

    American Council on Education, Washington, DC. HEATH Resource Center.

    This paper describes programs and resources that focus on access of postsecondary students with disabilities to computers and other forms of technology. Increased access to technological devices and services is provided to students with disabilities under the Technology-Related Assistance for Individuals with Disabilities Act (Tech Act). Section…

  1. Entrepreneurship among People with Disabilities.

    ERIC Educational Resources Information Center

    Holub, Tamara

    This brief paper reviews the literature on entrepreneurship among people with disabilities. It notes that entrepreneurship by individuals with disabilities is often a consequence of disability discrimination in the workforce and provides both benefits and disadvantages such as independence and freedom from access-related obstacles (benefits) and

  2. Diagnosis in Severe Reading Disability.

    ERIC Educational Resources Information Center

    Schubert, Delwyn G.

    The relationship between neurological impairment or brain damage and severe reading disability is investigated. Symptoms and causes of neurological impairment are listed, and reading disability theories are discussed. Smith and Carrigan offer a neurochemical explanation of reading disability based on synaptic transmission problems. Orton,…

  3. Accommodating Workers with Learning Disabilities.

    ERIC Educational Resources Information Center

    Satcher, Jamie

    Someone who has a learning disability has difficulty in perceiving, understanding, and using information from the environment. This disability can cause problems in reading, listening, speaking, writing, spelling, or performing mathematics. Furthermore, learning disabilities may affect motor functioning, memory, and attention. Because a growing…

  4. Disability Studies and Art Education

    ERIC Educational Resources Information Center

    Derby, John

    2011-01-01

    This article promotes the field of disability studies as a valuable resource for expanding art education's concept of disability and as a promising venue for interdisciplinary dialogue. While art education has persistently supported special education since its inception, disability advocacy has advanced in the past two decades toward

  5. Challenging the Myth of Disability.

    ERIC Educational Resources Information Center

    Brightman, Alan

    1989-01-01

    Discussion of the rhetoric of disability, including physical, hearing, and visual impairments, highlights possible benefits that computer technology can provide. Designing for disabled individuals is discussed, and product development efforts by Apple Computer to increase microcomputer access to disabled children and adults are described. (LRW)

  6. Self Image and Learning Disabilities.

    ERIC Educational Resources Information Center

    Smith, Jill; Diller, Howard

    This book discusses the poor self-image of children with learning disabilities, reviews the history of identifying and serving children with learning disabilities, and addresses the need to serve children who are failing in school but do not qualify as having a learning disability. The book emphasizes the role and responsibility of the school for…

  7. Disabled People in Japanese Community.

    ERIC Educational Resources Information Center

    Kojima, Yoko, Ed.; And Others

    The volume is intended to give readers a glimpse of the day-to-day life of disabled people in Japan. Eight brief papers present life experiences of a mentally retarded preschooler, severely disabled children, a child with muscular dystrophy, a young girl with polio living in the community, visually disabled and recovering mentally ill people…

  8. Emerging Technologies and Cognitive Disability

    ERIC Educational Resources Information Center

    Braddock, David; Rizzolo, Mary C.; Thompson, Micah; Bell, Rodney

    2004-01-01

    Cognitive disability entails a substantial limitation in one's capacity to think, including conceptualizing, planning, and sequencing thoughts and actions, remembering, interpreting subtle social cues, and understanding numbers and symbols. Cognitive disabilities include intellectual disabilities and can also stem from brain injury, Alzheimer's…

  9. Disability Studies and Art Education

    ERIC Educational Resources Information Center

    Derby, John

    2011-01-01

    This article promotes the field of disability studies as a valuable resource for expanding art education's concept of disability and as a promising venue for interdisciplinary dialogue. While art education has persistently supported special education since its inception, disability advocacy has advanced in the past two decades toward…

  10. Mobile Schools for a Mobile World

    ERIC Educational Resources Information Center

    Booth, Susan

    2013-01-01

    Overwhelmingly, independent schools are embracing mobile devices--laptops, iPads or other tablets, and smartphones--to enhance teaching and learning. This article describes the results of the "NAIS 2012 Mobile Learning Survey." Among its findings were that 75 percent of NAIS-member schools currently use mobile learning devices in at…

  11. Intellectual Disability and Homelessness

    ERIC Educational Resources Information Center

    Mercier, C.; Picard, S.

    2011-01-01

    Background: The association between poverty and intellectual disability (ID) has been well documented. However, little is known about persons with ID who face circumstances of extreme poverty, such as homelessness. This paper describes the situation of persons with ID who were or are homeless in Montreal and are currently receiving services from a…

  12. Designing for the Disabled.

    ERIC Educational Resources Information Center

    Goldsmith, Selwyn

    Implications of the merits of normality and independence for the disabled, and their relevance to architectural design criteria are discussed. The introduction reflects the philosophical approach to the design and construction of public buildings and housing. Nine principle sections provide data and recommendations on the following topics:…

  13. Health Professionals with Disabilities

    ERIC Educational Resources Information Center

    Waldman, H. Barry; Perlman, Steven P.; Cinotti, Debra A.

    2009-01-01

    When it comes to education from K-12 and into the college years, the literature is replete with stories of the accomplishments of youngsters and adults with any number of disabilities who surpassed the expectations of their families and teachers. Similarly, there are an increasing number of examples of young men and women with a range of…

  14. Designing for the Disabled.

    ERIC Educational Resources Information Center

    Goldsmith, Selwyn

    Implications of the merits of normality and independence for the disabled, and their relevance to architectural design criteria are discussed. The introduction reflects the philosophical approach to the design and construction of public buildings and housing. Nine principle sections provide data and recommendations on the following topics:

  15. Understanding Learning Disabilities

    ERIC Educational Resources Information Center

    Walcot-Gayda, Elizabeth

    2004-01-01

    Knowledgeable persons within the field frequently criticize definitions of "learning disabilities" for the choice of vocabulary, phrasing and implied ideas. Although there may never be a universally accepted definition, a definition that reflects current research is used in this article to make evident some of the cognitive and behavioral…

  16. Disability, Disorder, and Identity

    ERIC Educational Resources Information Center

    Wehmeyer, Michael L.

    2013-01-01

    The World Health Organization's "International Classification of Diseases" ("ICD") is the most important diagnostic tool, worldwide, to ensure that people with intellectual and developmental disabilities receive the supports they need to live richer, fuller lives. And yet, the "ICD" has naming conventions that create a conundrum for the field,…

  17. Obesity and Intellectual Disability

    ERIC Educational Resources Information Center

    Rimmer, James H.; Yamaki, Kiyoshi

    2006-01-01

    While much of the industrialized world struggles for clues to the growing rise in obesity in their respective countries, researchers and service providers involved in understanding the health characteristics and health behaviors of persons with intellectual disability (ID) struggle with their own issues regarding the increased prevalence of…

  18. Autonomy, justice, and disability.

    PubMed

    Ball, C A

    2000-02-01

    In this Article, Professor Carlos A. Ball explores the philosophical foundations for the types of rights and benefits that our society currently provides to individuals with disabilities. The concept of autonomy places on society a moral obligation to assist individuals with disabilities when their basic human functional capabilities are impaired. The exercise of this obligation entails assisting individuals with crossing a minimum threshold of functional capabilities below which it is not possible to lead autonomous lives. In making this argument, Professor Ball responds to libertarian critics who contend that notions of freedom or liberty proscribe an activist role for government in this arena. He explains how even a libertarian state redistributes wealth in order to provide for some incapacities. Professor Ball also disputes the idea that the meeting of the needs of the disabled is enough to provide moral justification for the rights and benefits provided to individuals with disabilities. The problem with the concept of needs, Professor Ball argues, is that it fails to account sufficiently for the human good of personal autonomy. PMID:16273682

  19. Feminist Disability Studies Pedagogy

    ERIC Educational Resources Information Center

    Knoll, Kristina R.

    2009-01-01

    The goal of this paper is to raise awareness about systems of oppression and privilege, as related to ability and disability in the classroom, and to provide tools to create instructional and institutional transformation. Feminist analyses of privilege, oppression, and intersectionality provide a framework for looking at the diverse experiences of…

  20. Handbook of Developmental Disabilities

    ERIC Educational Resources Information Center

    Odom, Samuel L., Ed.; Horner, Robert H., Ed.; Snell, Martha E., Ed.; Blacher, Jan, Ed.

    2007-01-01

    This authoritative handbook reviews the breadth of current knowledge about developmental disabilities: neuroscientific and genetic foundations; the impact on health, learning, and behavior; and effective educational and clinical practices. Leading authorities analyze what works in intervening with diverse children and families, from infancy

  1. Disability and Health

    MedlinePlus

    ... ageing in their 40s and 50s. Engaging in health risk behaviours Some studies have indicated that people with disabilities have higher rates of risky behaviours such as smoking, poor diet and ... depending on the health condition. However an investigation in the United Kingdom ...

  2. Medication and Reading Disability.

    ERIC Educational Resources Information Center

    Humphries, Laurie L.

    1981-01-01

    The clinical syndrome which relates most frequently to the reading-disabled child is the attention deficity disorder. The child psychiatrist will generally resort to medication only when behavioral management techniques have failed. The two most frequently used medications are Ritalin and Dexedrine, central nervous system stimulants. (JN)

  3. Disability: The College's Challenge.

    ERIC Educational Resources Information Center

    Hourihan, John P., Ed.

    Fifteen author-contributed papers are presented to help campus personnel understand the difficulties encountered by disabled college students. Initial sections address issues and strategies involved, while a third section presents six case studies describing successful programs. A final chapter lists annotated resource guides on aspects of higher…

  4. Disability Employment 101

    ERIC Educational Resources Information Center

    US Department of Education, 2004

    2004-01-01

    The purpose of this guide is to acquaint business and industry with the programs and resources available to help diversify the workforce by hiring people with disabilities. It also provides information to businesses on how to access resources to better meet the growing need of business for a skilled workforce. This guide is the product of a joint

  5. Iowans with Disabilities.

    ERIC Educational Resources Information Center

    Ruth, Amy, Ed.

    1997-01-01

    "The Goldfinch" is a magazine aimed at introducing young people to Iowa history. Each issue has a different topic which is discussed in detail throughout that issue. There are articles which describe different aspects of the topic. The topic for this particular issue is "Iowans with Disabilities." Featured articles from this issue include:…

  6. Discrimination and Disabled Women.

    ERIC Educational Resources Information Center

    Benefield, Lynn; Head, David W.

    1984-01-01

    Discusses the impact of discrimination on the lives of disabled women, including rehabilitation, housing, employment and daily living. Reviews sources of discrimination and the influence of social values, as well as perceptual conflicts related to body image, motherhood, and sexuality. (JAC)

  7. Handbook of Developmental Disabilities

    ERIC Educational Resources Information Center

    Odom, Samuel L., Ed.; Horner, Robert H., Ed.; Snell, Martha E., Ed.; Blacher, Jan, Ed.

    2007-01-01

    This authoritative handbook reviews the breadth of current knowledge about developmental disabilities: neuroscientific and genetic foundations; the impact on health, learning, and behavior; and effective educational and clinical practices. Leading authorities analyze what works in intervening with diverse children and families, from infancy…

  8. Altitude Modulates Concussion Incidence

    PubMed Central

    Smith, David W.; Myer, Gregory D.; Currie, Dustin W.; Comstock, R. Dawn; Clark, Joseph F.; Bailes, Julian E.

    2013-01-01

    Background: Recent research indicates that the volume and/or pressure of intracranial fluid, a physiology affected by one’s altitude (ie, elevation above sea level), may be associated with the likelihood and/or severity of a concussion. The objective was to employ an epidemiological field investigation to evaluate the relationship between altitude and concussion rate in high school sports. Hypothesis: Because of the physiologies that occur during acclimatization, including a decline in intracranial compliance (a “tighter fit”), increased altitude may be related to a reduction in concussion rates in high school athletes. Study Design: Cohort study; Level of evidence, 3. Methods: Data on concussions and athlete exposures (AEs) between 2005-2006 and 2011-2012 were obtained from a large national sample of high schools (National High School Sports-Related Injury Surveillance System [High School RIO]) and were used to calculate total, competition, and practice concussion rates for aggregated sports and for football only. Results: Altitude of participating schools ranged from 7 to 6903 ft (median, 600 ft), and a total of 5936 concussions occurred in 20,618,915 exposures (2.88 per 10,000 AEs). When concussion rates were dichotomized by altitude using the median, elevated altitude was associated with a reduction in concussion rates overall (rate ratio [RR], 1.31; P < .001), in competition (RR, 1.31; P < .001), and in practice (RR, 1.29; P < .001). Specifically, high school sports played at higher altitude demonstrated a 31% reduction (95% confidence interval [CI], 25%-38%) in the incidence of total reported concussions. Likewise, concussion rates at increased altitude were reduced 30% for overall exposures, 27% for competition exposures, and 28% for practice exposures in football players (P < .001). Conclusion: The results of this epidemiological investigation indicate increased physiological responses to altitude may be associated with a reduction in sports-related concussion rates, especially in collision sports. Future research that focuses on the potential prophylactic effect of optimizing outflow impedance and thus reduction of intracranial compliance (a “tighter fit”) in humans is warranted to determine the most effective approaches to mitigate sport-related concussion, especially in football players. PMID:26535254

  9. Barriers and Facilitators to Community Mobility for Assistive Technology Users

    PubMed Central

    Layton, Natasha

    2012-01-01

    Mobility is frequently described in terms of individual body function and structures however contemporary views of disability also recognise the role of environment in creating disability. Aim. To identify consumer perspectives regarding barriers and facilitators to optimal mobility for a heterogeneous population of impaired Victorians who use assistive technology in their daily lives. Method. An accessible survey investigated the impact of supports or facilitators upon actual and desired life outcomes and health-related quality of life, from 100 AT users in Victoria, Australia. This paper reports upon data pertaining to community mobility. Results. A range of barriers and enablers to community mobility were identified including access to AT devices, environmental interventions, public transport, and inclusive community environs. Substantial levels of unmet need result in limited personal mobility and community participation. Outcomes fall short of many principles enshrined in current policy and human rights frameworks. Conclusion. AT devices as well as accessible and inclusive home and community environs are essential to maximizing mobility for many. Given the impact of the environment upon the capacity of individuals to realise community mobility, this raises the question as to whether rehabilitation practitioners, as well as prescribing AT devices, should work to build accessible communities via systemic advocacy. PMID:23029617

  10. Non-Disabled Children's Ideas about Disability and Disabled People

    ERIC Educational Resources Information Center

    Beckett, Angharad E.

    2014-01-01

    This article discusses findings from an Economic and Social Research Council-funded study exploring non-disabled children's ideas about disability. This represents the first in-depth sociological investigation of children's ideas about disabled people as members of wider society. Data are presented from focus group discussions with…

  11. Unidentified undescended testes in teenage boys with severe learning disabilities.

    PubMed

    Haire, A R; Flavill, Jenny; Groom, W D; Dhandapani, B

    2015-05-01

    Nine boys of secondary school age were referred with undescended testes (UDT) to paediatric surgeons over a period of 8 years. All were referred from the same community paediatric clinic for children with severe learning disabilities. UDT cause concern because of a threefold increase in the incidence of cancer. Cosmesis and reduced fertility were seen as less relevant issues for these boys. The late identification and incidence of UDT are discussed. It is suggested that awareness of this issue should be raised and screening introduced. Advice is needed on the appropriate management of UDT in this group of boys. PMID:25643706

  12. Assistance System for Disabled People: A Robot Controlled by Blinking and Wireless Link

    NASA Astrophysics Data System (ADS)

    Del Val, Lara; Jiménez, María I.; Alonso, Alonso; de La Rosa, Ramón; Izquierdo, Alberto; Carrera, Albano

    Disabled people already profit from a lot of technical assistance that improves their quality of life. This article presents a system which will allow interaction between a physically disabled person and his environment. This system is controlled by voluntary muscular movements, particularly those of face muscles. These movements will be translated into machine-understandable instructions, and they will be sent by means of a wireless link to a mobile robot that will execute them. Robot includes a video camera, in order to show the user the environment of the route that the robot follows. This system gives a greater personal autonomy to people with reduced mobility.

  13. Harnessing Critical Incidents for Learning

    ERIC Educational Resources Information Center

    Patahuddin, Sitti Maesuri; Lowrie, Tom

    2015-01-01

    A critical incident is a situation or event that holds significance for learning, both for the students and teachers. This paper presents four examples of critical incidents from a Year 7 teacher's lesson excerpts in Indonesia involving teaching of fractions, to show how they shaped classroom situation, brought forward elements of conflict, and…

  14. Sexual and Nonsexual Offenders With Intellectual and Learning Disabilities: A Comparison of Characteristics, Referral Patterns, and Outcome

    ERIC Educational Resources Information Center

    Lindsay, William R.; Smith, Anne H. W.; Law, Jacqueline; Quinn, Kathleen; Anderson, Andrew; Smith, Astrid; Allan, Ronald

    2004-01-01

    This article reports an evaluation of a community intellectual disability offender service over the period from 1990 to 2001. Men who committed sex offenses or sexually abusive incidents (n = 106) and men who committed other types of offenses and serious incidents (n = 78) are compared on personal characteristics, referral sources, forensic…

  15. Time allocation of disabled individuals.

    PubMed

    Pagán, Ricardo

    2013-05-01

    Although some studies have analysed the disability phenomenon and its effect on, for example, labour force participation, wages, job satisfaction, or the use of disability pension, the empirical evidence on how disability steals time (e.g. hours of work) from individuals is very scarce. This article examines how disabled individuals allocate their time to daily activities as compared to their non-disabled counterparts. Using time diary information from the Spanish Time Use Survey (last quarter of 2002 and the first three quarters of 2003), we estimate the determinants of time (minutes per day) spent on four aggregate categories (market work, household production, tertiary activities and leisure) for a sample of 27,687 non-disabled and 5250 disabled individuals and decompose the observed time differential by using the Oaxaca-Blinder methodology. The results show that disabled individuals devote less time to market work (especially females), and more time to household production (e.g. cooking, cleaning, child care), tertiary activities (e.g., sleeping, personal care, medical treatment) and leisure activities. We also find a significant effect of age on the time spent on daily activities and important differences by gender and disability status. The results are consistent with the hypothesis that disability steals time, and reiterate the fact that more public policies are needed to balance working life and health concerns among disabled individuals. PMID:23517707

  16. Disabled children and their families in Ukraine: health and mental health issues for families caring for their disabled child at home.

    PubMed

    Bridge, Gillian

    2004-01-01

    In the Eastern European countries included in the communist system of the USSR, parents of disabled children were encouraged to commit their disabled child to institutional care. There were strict legal regulations excluding them from schools. Medical assessments were used for care decisions. Nevertheless many parents decided to care for their disabled child at home within the family. Ukraine became an independent country in 1991, when communism was replaced by liberal democracy within a free market system. Western solutions have been sought for many social problems existing, but 'hidden,' under the old regime. For more of the parents of disabled children, this has meant embracing ideas of caring for their disabled children in the community, and providing for their social, educational, and medical needs, which have previously been denied. The issue of disability is a serious one for Ukraine where the nuclear disaster at Chernobyl in 1986 caused extensive radiation poisoning. This almost certainly led to an increase in the number of disabled children being born and an increase in the incidence of various forms of cancer. This paper is based on a series of observation visits to some of the many self-help groups established by parents, usually mothers, for their disabled children. It draws attention to the emotional stress experienced both by parents and their disabled children in the process of attempting to come to terms with the disabling conditions, and the denial of the normal rights of childhood resulting from prejudice, poor resources, ignorance, and restrictive legislation. Attempts have been made to identify the possible role and tasks of professional social workers within this context. International comparisons show that many parents and their children do not benefit from the medical model of disability, and that serious consequences include the development of depressive illness among those who find that little help is available from public services. PMID:15774386

  17. Chernobyl fallout and cancer incidence in Finland.

    PubMed

    Auvinen, Anssi; Seppä, Karri; Pasanen, Kari; Kurttio, Päivi; Patama, Toni; Pukkala, Eero; Heinävaara, Sirpa; Arvela, Hannu; Verkasalo, Pia; Hakulinen, Timo

    2014-05-01

    Twenty-five years have passed since the Chernobyl accident, but its health consequences remain to be well established. Finland was one of the most heavily affected countries by the radioactive fallout outside the former Soviet Union. We analyzed the relation of the estimated external radiation exposure from the fallout to cancer incidence in Finland in 1988-2007. The study cohort comprised all ∼ 3.8 million Finns who had lived in the same dwelling for 12 months following the accident (May 1986-April 1987). Radiation exposure was estimated using data from an extensive mobile dose rate survey. Cancer incidence data were obtained for the cohort divided into four exposure categories (the lowest with the first-year committed dose <0.1 mSv and the highest ≥ 0.5 mSv) allowing for a latency of 5 years for leukemia and thyroid cancer, and 10 years for other cancers. Of the eight predefined cancer sites regarded as radiation-related from earlier studies, only colon cancer among women showed an association with exposure from fallout [excess rate ratio per increment in exposure category 0.06, 95% confidence interval (CI) 0.02-0.11]. No such effect was observed for men, or other cancer sites. Our analysis of a large cohort over two decades did not reveal an increase in cancer incidence following the Chernobyl accident, with the possible exception of colon cancer among women. The largely null findings are consistent with extrapolation from previous studies suggesting that the effect is likely to remain too small to be empirically detectable and of little public health impact. PMID:24135935

  18. Mobility and Aging: New Directions for Public Health Action

    PubMed Central

    Guralnik, Jack M.; Jackson, Richard J.; Marottoli, Richard A.; Phelan, Elizabeth A.; Prohaska, Thomas R.

    2012-01-01

    Optimal mobility, defined as relative ease and freedom of movement in all of its forms, is central to healthy aging. Mobility is a significant consideration for research, practice, and policy in aging and public health. We examined the public health burdens of mobility disability, with a particular focus on leading public health interventions to enhance walking and driving, and the challenges and opportunities for public health action. We propose an integrated mobility agenda, which draws on the lived experience of older adults. New strategies for research, practice, and policy are needed to move beyond categorical promotion programs in walking and driving to establish a comprehensive program to enhance safe mobility in all its forms. PMID:22698013

  19. Changes in Disability Levels Among Older Adults Experiencing Adverse Events in Postacute Rehabilitation Care

    PubMed Central

    Gacto-Sánchez, Mariano; Medina-Mirapeix, Francesc; Navarro-Pujalte, Esther; Escolar-Reina, Pilar

    2015-01-01

    Abstract This study aimed to assess the relationship between adverse events (AEs) and changes in the levels of disability from admission to discharge during inpatient rehabilitation programs. A prospective cohort study was conducted among a cohort of inpatients (216 older adults) admitted to a rehabilitation unit. The occurrences of any AE were reported. The level of disability regarding mobility activities was estimated using the disability qualifiers from the International Classification of Functioning, Disability, and Health. Changes in the levels of disability between admission and discharge were assessed. Baseline-measured covariates were also selected. Regarding all 4 disability levels (“no limitation,” “mild,” “moderate,” “severe,” and “complete disability”), a total of 159 participants experienced an improvement at discharge (126 participants progressed 1 level, whereas 33 improved 2 disability levels), 56 made no change, and no participants experienced a decline. The occurrence of fall-related events and the diagnostic group (musculoskeletal system) are specific predictive factors of change in the level of disability. The odds of undergoing a change in any disability level between admission and discharge decreases by 68% (1–0.32) when patients experience fall-related events (odds ratio [OR] = 0.32, 95% confidence interval [CI] = 0.11–0.97, P = 0.041) and increases for individuals with musculoskeletal conditions (OR = 3.91, 95% CI = 1.34–11.38, P = 0.012). Our findings suggest that increased efforts to prevent the occurrence of these AEs, together with early interventions suited to the diagnosis of the affected system, may have a positive influence on the improvement of disability. Further studies should evaluate disability over time after discharge to obtain a better sense of how transient or permanent the associated disability may be. PMID:25715255

  20. The Modification of Educational Equipment and Curriculum for Maximum Utilization by Physically Disabled Persons; Design of a School for Physically Disabled Students.

    ERIC Educational Resources Information Center

    Yuker, Harold E.; And Others

    Elements of modified school design for the physically disabled are considered, including mobility, classrooms, science laboratories, applied skill areas, the library, the swimming pool, and sanitary facilities. Also discussed are the cafeteria (food service, seating, and other considerations), recreational areas (play grounds,…

  1. Processing of speech signals for physical and sensory disabilities.

    PubMed Central

    Levitt, H

    1995-01-01

    Assistive technology involving voice communication is used primarily by people who are deaf, hard of hearing, or who have speech and/or language disabilities. It is also used to a lesser extent by people with visual or motor disabilities. A very wide range of devices has been developed for people with hearing loss. These devices can be categorized not only by the modality of stimulation [i.e., auditory, visual, tactile, or direct electrical stimulation of the auditory nerve (auditory-neural)] but also in terms of the degree of speech processing that is used. At least four such categories can be distinguished: assistive devices (a) that are not designed specifically for speech, (b) that take the average characteristics of speech into account, (c) that process articulatory or phonetic characteristics of speech, and (d) that embody some degree of automatic speech recognition. Assistive devices for people with speech and/or language disabilities typically involve some form of speech synthesis or symbol generation for severe forms of language disability. Speech synthesis is also used in text-to-speech systems for sightless persons. Other applications of assistive technology involving voice communication include voice control of wheelchairs and other devices for people with mobility disabilities. Images Fig. 4 PMID:7479816

  2. Processing of Speech Signals for Physical and Sensory Disabilities

    NASA Astrophysics Data System (ADS)

    Levitt, Harry

    1995-10-01

    Assistive technology involving voice communication is used primarily by people who are deaf, hard of hearing, or who have speech and/or language disabilities. It is also used to a lesser extent by people with visual or motor disabilities. A very wide range of devices has been developed for people with hearing loss. These devices can be categorized not only by the modality of stimulation [i.e., auditory, visual, tactile, or direct electrical stimulation of the auditory nerve (auditory-neural)] but also in terms of the degree of speech processing that is used. At least four such categories can be distinguished: assistive devices (a) that are not designed specifically for speech, (b) that take the average characteristics of speech into account, (c) that process articulatory or phonetic characteristics of speech, and (d) that embody some degree of automatic speech recognition. Assistive devices for people with speech and/or language disabilities typically involve some form of speech synthesis or symbol generation for severe forms of language disability. Speech synthesis is also used in text-to-speech systems for sightless persons. Other applications of assistive technology involving voice communication include voice control of wheelchairs and other devices for people with mobility disabilities.

  3. Responding to computer security incidents: Guidelines for incident handling

    SciTech Connect

    Schultz, E.E. Jr.; Brown, D.S.; Longstaff, T.A.

    1990-07-23

    These guidelines do not comprise an exhaustive set of incident handling procedures. A lengthy set of guidelines would be too intimidating to read and to incorporate into site contingency response plans. The discipline of responding to incidents is also very much in its infancy. Because so much is yet to be learned about handling incidents, this version of these guidelines will necessarily lack some degree of sophistication and detail. In addition, it is impossible to specify specific technical procedures for responding to the many types and versions of computer systems within DOE. This guidelines document contains basic information about responding to incidents which can be used, regardless of hardware platform or operating system. For specific technical details necessary to implement many of the recommendations in these guidelines, consult your system administrator or vendor.

  4. Transitions in Mobility, ADLs, and IADLs among working-age Medicare beneficiaries

    PubMed Central

    Ciol, Marcia A.; Rasch, Elizabeth K.; Hoffman, Jeanne M.; Huynh, Minh; Chan, Leighton

    2013-01-01

    Background Disability is a dynamic process where functional status may change over time. Examination of the Medicare population suggests that, for those over age 65, disability status will fluctuate in 30% of beneficiaries each year. Less is known about those under age 65. The dynamic nature of disability is of relevance since it has important implications for social policies related to disability. Objectives To: 1) describe the characteristics of Medicare beneficiaries eligible due to disability; and 2) estimate the proportion of individuals with transitions in functional status over a one-year period stratified by baseline characteristics and diagnostic subgroups. Methods We used the Medicare Current Beneficiary Survey from 1995 to 2005 to examine transitions in mobility and daily activities among individuals who were eligible for Medicare coverage due to disability. Results From the standpoint of function in mobility and daily activities, the working-age Medicare population with disability is fairly stable. While 75%–90% of our sample reported no disability or stable disability from one year to the next, depending on the condition and disability metric, as many as 13–14% of individuals showed improvement or decline in their functional status. Conclusions In the working-age population with disability, a small percentage of individuals will improve or worsen from one year to the next. Since these transitions are associated with a variety of individual characteristics including health conditions, further research applied to larger samples is required to refine policy relevant models that might inform decisions related to ongoing eligibility for disability programs. PMID:24680050

  5. Adaptive mobility for rescue robots

    NASA Astrophysics Data System (ADS)

    Blitch, John G.

    2003-09-01

    It has often been observed that the most daunting aspect of any crisis response is managing the "unknown unknowns" that inevitably plague incident commanders and emergency personnel at all levels responsible for life and death decisions on a minute by minute basis. In structural collapse situations, for example, rescue crews rarely have even a coarse picture of the number or disposition of people or material scattered amongst the twisted beams and piles of concrete that typically entomb would-be survivors. How can the incident commander decide which beam to lift or even which section of the building to search first in the absence of information of what lies beneath. Even the slightest tug on a concrete slab can collapse potential life harboring void spaces below killing potential survivors in the process. In deploying mobile robots to assist in rescue operations we combined the traditional advantages of machine immunity to fatigue, hazardous materials and environmental controls, with the mechanical design freedom that allowed small platforms to penetrate deep into rubble to expand both situational awareness and operational influence of rescue services at the World Trade Center and mountainous snow-bound caves in Afghanistan. We learned a great deal from these experiences with regard to robot emloyment and design. This paper endeavors to share a few of our more prominent lessons learned regarding portable robot mobility as a means to manage user expectations and stimulate more innovative and adaptive design.

  6. Trajectory of Cognitive Decline after Incident Stroke

    PubMed Central

    Levine, Deborah A.; Galecki, Andrzej T.; Langa, Kenneth M.; Unverzagt, Frederick W.; Kabeto, Mohammed U.; Giordani, Bruno; Wadley, Virginia G.

    2015-01-01

    Importance Cognitive decline is a major cause of disability in stroke survivors. The magnitude of survivors’ cognitive changes after stroke is uncertain. Objective To measure changes in cognitive function among survivors of incident stroke, controlling for their prestroke cognitive trajectories. Design, Setting, and Participants Prospective study of 23,572 participants aged ≥45 years without baseline cognitive impairment from the Reasons for Geographic and Racial Differences in Stroke (REGARDS) cohort, residing in the continental United States, enrolled 2003–2007 and followed through March 31, 2013. Over a median follow-up of 6.1 years (25th–75th percentile: 5.0–7.1 years), 515 participants survived expert-adjudicated incident stroke and 23,057 remained stroke-free. Exposure Time-dependent incident stroke. Outcome Measures The primary outcome was change in global cognition (Six-Item Screener, SIS; range 0–6). Secondary outcomes were change in new learning (Consortium to Establish a Registry for Alzheimer’s Disease Word List Learning; range 0–30), verbal memory (Word List Delayed Recall; range 0–10), and executive function (Animal Fluency Test; range ≥0), and cognitive impairment (SIS<5/impaired vs. ≥5/unimpaired). For all tests, higher scores indicate better performance. Results Stroke was associated with acute decline in global cognition (0.10 points; 95% CI, 0.04–0.17), new learning (1.80 points; 95% CI, 0.73–2.86), and verbal memory (0.60 points; 95% CI, 0.13–1.07). Participants with stroke, compared to those without stroke, demonstrated faster declines in global cognition (0.06 points per year faster; 95% CI, 0.03–0.08) and executive function (0.63 points per year faster; 95% CI, 0.12–1.15), but not in new learning and verbal memory, compared to prestroke slopes. Among survivors, the difference in risk of cognitive impairment acutely after stroke was not statistically significant (odds ratio, 1.32; 95% CI, 0.95–1.83; P=0.097); however, there was a significantly faster poststroke rate of incident cognitive impairment compared to the prestroke rate (odds ratio, 1.23 per year; 95% CI, 1.10–1.38; P<0.001). For a 70 year-old black woman, stroke at year 3 was associated with greater incident cognitive impairment: absolute difference (95% CI) of 4.0% (−1.2%–9.2%) at year 3 and 12.4% (7.7%–17.1% at year 6). Conclusion Incident stroke was associated with an acute decline in cognition and also accelerated and persistent cognitive decline over 6 years. PMID:26151265

  7. Attending to America: Personal Assistance for Independent Living. A Survey of Attendant Service Programs in the United States for People of All Ages with Disabilities.

    ERIC Educational Resources Information Center

    Litvak, Simi; And Others

    Data were gathered from 154 U.S. programs providing personal assistance services for the disabled. The survey identified approximately 850,000 people receiving community-based, publicly-funded personal maintenance, hygiene, mobility, or household assistance services, with physically disabled individuals being the most often served. The report

  8. People with learning disabilities who have cancer: an ethnographic study

    PubMed Central

    Tuffrey-Wijne, Irene; Bernal, Jane; Hubert, Jane; Butler, Gary; Hollins, Sheila

    2009-01-01

    Background Cancer incidence among people with learning disabilities is rising. There have been no published studies of the needs and experiences of people with learning disabilities and cancer, from their own perspective. Aim To provide insight into the experiences and needs of people with learning disabilities who have cancer. Design of study Prospective qualitative study, using ethnographic methods. Setting Participants' homes, hospitals, nursing homes, and hospices in London and surrounding areas. Method The participants were 13 people with learning disabilities ranging from mild to severe, who had a cancer diagnosis. The main method of data collection was participant observation (over 250 hours). The median length of participation was 7 months. Results Participants' cancer experiences were shaped by their previous experience of life, which included deprivation, loneliness, and a lack of autonomy and power. They depended on others to negotiate contact with the outside world, including the healthcare system. This could lead to delayed cancer diagnosis and a lack of treatment options being offered. Most participants were not helped to understand their illness and its implications. Doctors did not make an assessment of capacity, but relied on carers' opinions. Conclusion Urgent action is warranted by findings of late diagnosis, possible discrimination around treatment options, and lack of patient involvement and assessment of capacity in decision making. There are significant gaps in knowledge and training among most health professionals, leading to disengaged services that are unaware of the physical, emotional, and practical needs of people with learning disabilities, and their carers. PMID:19566998

  9. The student with a visual disability and a learning disability.

    PubMed

    Erin, J N; Koenig, A J

    1997-01-01

    Existing studies indicate that between 14% and 65% of students with visual disabilities also have learning disabilities. The similar symptoms of the two conditions and the earlier identification of a visual disability often mask the presence of a learning disability. This article addresses definition, assessment, intervention, and future implications related to educational practices with students who have both learning and visual disabilities. The definitions of the two conditions are compared, emphasizing features that make identification difficult. The article examines common assessment procedures, describing approaches that are inappropriate for students who have low vision or blindness. Intervention approaches are described, including adaptations of the environment, enhancement of vision, instruction in compensatory skills, the use of learning strategies, and the availability of learning opportunities. Future directions include refinement of diagnostic approaches, and research related to the characteristics and instructional needs of students who have both visual and learning disabilities. PMID:9146097

  10. Prostitution, disability and prohibition.

    PubMed

    Thomsen, Frej Klem

    2015-06-01

    Criminalisation of prostitution, and minority rights for disabled persons, are important contemporary political issues. The article examines their intersection by analysing the conditions and arguments for making a legal exception for disabled persons to a general prohibition against purchasing sexual services. It explores the badness of prostitution, focusing on and discussing the argument that prostitution harms prostitutes, considers forms of regulation and the arguments for and against with emphasis on a liberty-based objection to prohibition, and finally presents and analyses three arguments for a legal exception, based on sexual rights, beneficence, and luck egalitarianism, respectively. It concludes that although the general case for and against criminalisation is complicated there is a good case for a legal exception. PMID:25079067

  11. Adolescent sexuality and disability.

    PubMed

    Neufeld, Jacob A; Klingbeil, Fred; Bryen, Diane Nelson; Silverman, Brett; Thomas, Anila

    2002-11-01

    Regardless of what our beliefs about sex and disability may be, as health care providers we can promote the health and well being of our patients with disabilities in several ways. First and perhaps foremost, physical and programmatic barriers to accessing general health care including routine gynecologic care must be dramatically reduced. The promise of Title III of the Americans with Disabilities Act must be aggressively extended to our health care system to ensure equal access to routine health care for all. Second, knowledge of community resources that can support the healthy development and exercise of responsible and satisfying sexuality is critical. For example, health care providers should know about adaptive and assistive technologies as well as the use of personal care assistants to support the healthy although sometimes nontypical expression of one's sexuality. Centers for Independent Living are community resources that are often underutilized by the medical profession. These centers--run by and for people with disabilities--are likely resources and allies for providing education, role models, and peer mentoring around relationships, intimacy, sexuality, sexual expression, and parenting with a disability. Finally, sex education is a must and should include the following: Basic facts of life, reproduction, and sexual intercourse; Human growth and development Human reproduction and anatomy Self-pleasuring/masturbation and the use of sexual aids Intimacy and privacy Pregnancy and child birth Contraception and abortion Family life and parenthood Sexual response and consensual sex Sexual orientation Sexual abuse HIV/AIDS and other sexually transmitted diseases. The question should not be whether sex education is provided to persons with disabilities, but rather how it is most effectively provided. Health sex education must include the development of effective communication skills, decision-making skills, assertiveness, and the ability to say "no." It must also include ways to create satisfying relationships. For more information about sex education as it relates to people with disabilities, the following abbreviated resource list may be helpful: http://www.sexualhealth.com http://www.lookingglass.com Ludwig S, Hingsburger, D. Being sexual: an illustrated series on sexuality and relationships. SIECCAN, 850 Coxwell, Aven., East York, Ontario, M4C 5R1 Tel: 416-466-5304; Fax: 416-778-0785. Sexuality Information and Education Council of the United States (SIECUS), 130 West 42nd Street, Suite 350, New York, NY 10036. Tel: 212-819-9770. National Information Center for Children and Youth with Disabilities (NICHCY), P.O. Box 1492, Washington, DC 20013; Tel/TTY: 800-695-0285; Fax: 202-884-8641; Internet: www.nichcy.org Non-Latex Supplies (Ask your pharmacist if not available) Trojan-Supra: http://www.trojancondoms.com Durex-Avanti: http://www.durex.com Female Health Company-FC Female Condom http://www.femalehealth.com Pasante--EzOn http://www.postalcondoms.co.uk (available in Canada and U.K.). PMID:12465564

  12. Main Idea Identification with Students with Mild Intellectual Disabilities and Specific Learning Disabilities: A Comparison of Explicit and Basal Instructional Approaches

    ERIC Educational Resources Information Center

    Miller, C. Alan; Darch, Craig B.; Flores, Margaret M.; Shippen, Margaret E.; Hinton, Vanessa

    2011-01-01

    Students with high-incidence disabilities struggle with reading comprehension due to difficulties in background knowledge and metacognitive skills, including use of self-monitoring and other strategies. In the United States, these students typically receive the majority of their instruction in general education settings. However, there is little

  13. Disabling Radiological Dispersal Terror

    SciTech Connect

    Hart, M

    2002-11-08

    Terror resulting from the use of a radiological dispersal device (RDD) relies upon an individual's lack of knowledge and understanding regarding its significance. Disabling this terror will depend upon realistic reviews of the current conservative radiation protection regulatory standards. It will also depend upon individuals being able to make their own informed decisions merging perceived risks with reality. Preparation in these areas will reduce the effectiveness of the RDD and may even reduce the possibility of its use.

  14. Disability Does Not Discriminate

    ERIC Educational Resources Information Center

    Alexander, Amy Elizabeth

    2008-01-01

    In this article, the author talks about the "it can't happen to me" mentality, which makes humans think they are physically invincible and have been guilty of thinking so. The author learned the danger of the "it can't happen to me" syndrome when she was disabled in a car accident in February 1994. The accident happened when she was 21 years old,…

  15. Unpacking intoxication, racialising disability.

    PubMed

    Chen, Mel Y

    2015-06-01

    This article examines concepts whose strictly medical applications have only partly informed their widespread use and suggests that demonstrably shared logics motivate our thinking across domains in the interest of a politically just engagement. It considers exchanges between the culturally complex concepts of 'toxicity' and 'intoxication', assessing the racialised conditions of their animation in several geopolitically--and quite radically--distinct scenarios. First, the article sets the framework through considering the racial implications of impairment and disability language of 'non-toxic' finance capital in the contemporary US financial crisis. Shifting material foci from 'illiquid financial bodies' to opiates while insisting that neither is 'more' metaphorically toxic than the other, the article turns to address the role of opium and temporality in the interanimations of race and disability in two sites of 19th-century British empire: Langdon Down's clinic for idiocy, and China's retort on opium to Queen Victoria. The article concludes with a provocation that suggests yet another crossing of borders, that between researcher and researched: 'intoxicated method' is a hypothetical mode of approach that refuses idealised research positions by 'critically disabling' the idealised cognitive and conceptual lens of analysis. PMID:26052116

  16. Nonverbal learning disability.

    PubMed

    Volden, Joanne

    2013-01-01

    Nonverbal learning disability (NLD) is described as a subtype of specific learning disability where the source of the disability is a difficulty in processing nonverbal information. The child with NLD presents with problems in visual, spatial, and tactile perception but with strengths in rote verbal skills. Traditionally, these children were recognized by their difficulties in arithmetic which presented a stark contrast with their strengths in spelling and decoding text. They also exhibited a split between their verbal IQ (VIQ) and performance IQ (PIQ) scores with the VIQ being significantly higher than PIQ. Over time, however, diagnostic criteria have evolved and the broadened definition of the NLD syndrome has led many to question the utility and uniqueness of the NLD diagnosis. In addition, shifting diagnostic standards have made research results difficult to replicate. In short, the research to date leaves many unanswered questions about (1) the definition of the NLD syndrome, (2) the pervasiveness of the academic, social and psychopathological difficulties, (3) the source of the NLD syndrome, and (4) the degree to which it overlaps with other conditions. This chapter outlines a brief history of the NLD syndrome, how it is currently conceptualized, and some of the current debate about the unanswered questions above. PMID:23622171

  17. Understanding Learning Disabilities and Substance Abuse.

    ERIC Educational Resources Information Center

    Star, Nonnie; Shadoff, Sander

    This guide is designed to assist people with learning disabilities to recognize their disabilities and the connection between learning disabilities and substance abuse. It begins by defining learning disabilities and providing a self-test checklist for common signs and symptoms of learning disabilities. Difficulties with organization, memory,…

  18. Ethical Analysis of the Concept of Disability

    ERIC Educational Resources Information Center

    Vehmas, Simo

    2004-01-01

    The concept of disability from an ethical viewpoint was examined. Whether disability results from the way society is built and the way ideas and judgments considering disability are established in a communal interaction was discussed (i.e., is disability socially created and constructed?). Although views on disability emphasizing its social nature…

  19. Incidence of Narcolepsy in Germany

    PubMed Central

    Oberle, Doris; Drechsel-Bäuerle, Ursula; Schmidtmann, Irene; Mayer, Geert; Keller-Stanislawski, Brigitte

    2015-01-01

    Study Objectives: Following the 2009 pandemic, reports of an association between an AS03 adjuvanted H1N1 pandemic influenza vaccine and narcolepsy were published. Besides determining background incidence rates for narcolepsy in Germany this study aimed at investigating whether there was a change in incidence rates of narcolepsy between the pre-pandemic, pandemic, and the post-pandemic period on the population level. Design: Retrospective epidemiological study on the incidence of narcolepsy with additional capture-recapture analysis. Setting: German sleep centers. Patients or Participants: Eligible were patients with an initial diagnosis of narcolepsy (ICD10 Code G47.4) within the period from January 1, 2007 to December 31, 2011. Interventions: None; observational study. Measurements and Results: A total of 342 sleep centers were invited to participate in the study. Adequate and suitable data were provided by 233 sleep centers (68.1%). A total of 1,198 patients with an initial diagnosis of narcolepsy within the observed period were included, of whom 106 (8.8%) were children and adolescents under the age of 18 years and 1,092 (91.2%) were adults. In children and adolescents, the age-standardized adjusted incidence rate significantly increased from 0.14/100,000 person-years in the pre-pandemic period to 0.50/100,000 person-years in the post-pandemic period (incidence density ratio, IDR 3.57; 95% CI 1.94–7.00). In adults, no significant change was detectable. This increase started in spring 2009. Conclusions: For the years 2007–2011, valid estimates for the incidence of narcolepsy in Germany were provided. In individuals under 18, the incidence rates continuously increased from spring 2009. Citation: Oberle D, Drechsel-Bäuerle U, Schmidtmann I, Mayer G, Keller-Stanislawski B. Incidence of narcolepsy in Germany. SLEEP 2015;38(10):1619–1628. PMID:25902804

  20. Summit on the National Effort To Prevent Mental Retardation and Related Disabilities. Summit Proceedings (Washington, D.C., February 6-7, 1991).

    ERIC Educational Resources Information Center

    President's Committee on Mental Retardation, Washington, DC.

    This document reports the proceedings of a summit to assess the adequacy of the U.S. effort to prevent mental retardation and related disabilities and to chart the course for future strategies to reduce the incidence and ameliorate the effects of these disabilities, particularly when caused by socioeconomic conditions. The document contains…

  1. Mobility impairments and use of screening and preventive services.

    PubMed Central

    Iezzoni, L I; McCarthy, E P; Davis, R B; Siebens, H

    2000-01-01

    OBJECTIVES: Primary care for people with disabilities often concentrates on underlying debilitating disorders to the exclusion of preventive health concerns. This study examined use of screening and preventive services among adults with mobility problems (difficulty walking, climbing stairs, or standing for extended periods). METHODS: The responses of non-institutionalized adults to the 1994 National Health Interview Survey, including the disability and Healthy People 2000 supplements, were analyzed. Multivariable logistic regressions predicted service use on the basis of mobility level, demographic characteristics, and indicators of health care access. RESULTS: Ten percent of the sample reported some mobility impairment; 3% experienced major problems. People with mobility problems were as likely as others to receive pneumonia and influenza immunizations but were less likely to receive other services. Adjusted odds ratios for women with major mobility difficulties were 0.6 (95% confidence interval [CI] = 0.4, 0.9) for the Papanicolaou test and 0.7 (95% CI = 0.5, 0.9) for mammography. CONCLUSIONS: More attention should be paid to screening and preventive services for people with mobility difficulties. Shortened appointment times, physically inaccessible care sites, and inadequate equipment could further compromise preventive care for this population. PMID:10846515

  2. Music reduces pain and increases functional mobility in fibromyalgia

    PubMed Central

    Garza-Villarreal, Eduardo A.; Wilson, Andrew D.; Vase, Lene; Brattico, Elvira; Barrios, Fernando A.; Jensen, Troels S.; Romero-Romo, Juan I.; Vuust, Peter

    2014-01-01

    The pain in Fibromyalgia (FM) is difficult to treat and functional mobility seems to be an important comorbidity in these patients that could evolve into a disability. In this study we wanted to investigate the analgesic effects of music in FM pain. Twenty-two FM patients were passively exposed to (1) self-chosen, relaxing, pleasant music, and to (2) a control auditory condition (pink noise). They rated pain and performed the “timed-up & go task (TUG)” to measure functional mobility after each auditory condition. Listening to relaxing, pleasant, self-chosen music reduced pain and increased functional mobility significantly in our FM patients. The music-induced analgesia was significantly correlated with the TUG scores; thereby suggesting that the reduction in pain unpleasantness increased functional mobility. Notably, this mobility improvement was obtained with music played prior to the motor task (not during), therefore the effect cannot be explained merely by motor entrainment to a fast rhythm. Cognitive and emotional mechanisms seem to be central to music-induced analgesia. Our findings encourage the use of music as a treatment adjuvant to reduce chronic pain in FM and increase functional mobility thereby reducing the risk of disability. PMID:24575066

  3. Cancer incidence in Western Samoa.

    PubMed

    Paksoy, N; Bouchardy, C; Parkin, D M

    1991-09-01

    This report presents the first data on cancer incidence in Western Samoa, which has one of the largest Polynesian communities in the world. Incidence estimates are based on a systematic retrospective survey of cancer cases identified in the laboratory of pathology, and from hospital records, for the period January 1980 to June 1988. The overall incidence rates are low in both sexes (age-standardized incidence rates are 93.7 for males and 95.7 per 100,000 for females). Although cases may have been missed, it seems likely that incidence rates among Samoans are substantially lower than those recorded in Polynesian populations elsewhere. It is notable that cancers related to tobacco are responsible for less than 17% of all cancers in males, compared to more than 30% in other Polynesians. Stomach cancer remains the most common cancer in males. In females, breast and cervix are equally common and make up almost 40% of all cancers. Liver cancer occurs more commonly in males, and the rates are slightly lower than those of other Polynesians. The high incidence of thyroid cancer seen in some Pacific Island populations is not seen among Samoans. PMID:1955247

  4. Pharmacological treatment of disabling tremor.

    PubMed

    Schadt, Courtney R; Duffis, Ennis I; Charles, P David

    2005-03-01

    Tremor is often a disabling primary condition or secondary to another disorder. No universally effective pharmacological agent exists for the treatment of essential tremor, and patients differ greatly in their response to therapies, thus requiring individualised regimens. Deep brain stimulation is the best option for patients with disabling, drug-resistant essential tremor. Resting tremor in Parkinson's disease is usually not the primary disabling feature, and in most cases, levodopa/carbidopa is satisfactory for many years. Young Parkinson's patients with dominant, disabling tremor benefit from anticholinergics in addition to dopaminergic therapies. However, older Parkinson's patients with more disabling tremor may suffer from dose-dependent side effects, and deep brain stimulation should be considered. This article outlines the available pharmacological agents and treatment considerations for various disabling tremors, including essential tremor and Parkinson's disease. PMID:15794733

  5. Cyber Incidents Involving Control Systems

    SciTech Connect

    Robert J. Turk

    2005-10-01

    The Analysis Function of the US-CERT Control Systems Security Center (CSSC) at the Idaho National Laboratory (INL) has prepared this report to document cyber security incidents for use by the CSSC. The description and analysis of incidents reported herein support three CSSC tasks: establishing a business case; increasing security awareness and private and corporate participation related to enhanced cyber security of control systems; and providing informational material to support model development and prioritize activities for CSSC. The stated mission of CSSC is to reduce vulnerability of critical infrastructure to cyber attack on control systems. As stated in the Incident Management Tool Requirements (August 2005) ''Vulnerability reduction is promoted by risk analysis that tracks actual risk, emphasizes high risk, determines risk reduction as a function of countermeasures, tracks increase of risk due to external influence, and measures success of the vulnerability reduction program''. Process control and Supervisory Control and Data Acquisition (SCADA) systems, with their reliance on proprietary networks and hardware, have long been considered immune to the network attacks that have wreaked so much havoc on corporate information systems. New research indicates this confidence is misplaced--the move to open standards such as Ethernet, Transmission Control Protocol/Internet Protocol, and Web technologies is allowing hackers to take advantage of the control industry's unawareness. Much of the available information about cyber incidents represents a characterization as opposed to an analysis of events. The lack of good analyses reflects an overall weakness in reporting requirements as well as the fact that to date there have been very few serious cyber attacks on control systems. Most companies prefer not to share cyber attack incident data because of potential financial repercussions. Uniform reporting requirements will do much to make this information available to Department of Homeland Security (DHS) and others who require it. This report summarizes the rise in frequency of cyber attacks, describes the perpetrators, and identifies the means of attack. This type of analysis, when used in conjunction with vulnerability analyses, can be used to support a proactive approach to prevent cyber attacks. CSSC will use this document to evolve a standardized approach to incident reporting and analysis. This document will be updated as needed to record additional event analyses and insights regarding incident reporting. This report represents 120 cyber security incidents documented in a number of sources, including: the British Columbia Institute of Technology (BCIT) Industrial Security Incident Database, the 2003 CSI/FBI Computer Crime and Security Survey, the KEMA, Inc., Database, Lawrence Livermore National Laboratory, the Energy Incident Database, the INL Cyber Incident Database, and other open-source data. The National Memorial Institute for the Prevention of Terrorism (MIPT) database was also interrogated but, interestingly, failed to yield any cyber attack incidents. The results of this evaluation indicate that historical evidence provides insight into control system related incidents or failures; however, that the limited available information provides little support to future risk estimates. The documented case history shows that activity has increased significantly since 1988. The majority of incidents come from the Internet by way of opportunistic viruses, Trojans, and worms, but a surprisingly large number are directed acts of sabotage. A substantial number of confirmed, unconfirmed, and potential events that directly or potentially impact control systems worldwide are also identified. Twelve selected cyber incidents are presented at the end of this report as examples of the documented case studies (see Appendix B).

  6. 20 CFR 416.1415 - Disability hearing-disability hearing officers.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... 20 Employees' Benefits 2 2010-04-01 2010-04-01 false Disability hearing-disability hearing... Reopening of Determinations and Decisions Reconsideration § 416.1415 Disability hearing—disability hearing officers. (a) General. Your disability hearing will be conducted by a disability hearing officer who...

  7. 20 CFR 416.1415 - Disability hearing-disability hearing officers.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... 20 Employees' Benefits 2 2011-04-01 2011-04-01 false Disability hearing-disability hearing... Reopening of Determinations and Decisions Reconsideration § 416.1415 Disability hearing—disability hearing officers. (a) General. Your disability hearing will be conducted by a disability hearing officer who...

  8. 20 CFR 416.1415 - Disability hearing-disability hearing officers.

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ... 20 Employees' Benefits 2 2012-04-01 2012-04-01 false Disability hearing-disability hearing... Reopening of Determinations and Decisions Reconsideration § 416.1415 Disability hearing—disability hearing officers. (a) General. Your disability hearing will be conducted by a disability hearing officer who...

  9. 20 CFR 416.1415 - Disability hearing-disability hearing officers.

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ... 20 Employees' Benefits 2 2014-04-01 2014-04-01 false Disability hearing-disability hearing... Reopening of Determinations and Decisions Reconsideration § 416.1415 Disability hearing—disability hearing officers. (a) General. Your disability hearing will be conducted by a disability hearing officer who...

  10. 20 CFR 416.1415 - Disability hearing-disability hearing officers.

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ... 20 Employees' Benefits 2 2013-04-01 2013-04-01 false Disability hearing-disability hearing... Reopening of Determinations and Decisions Reconsideration § 416.1415 Disability hearing—disability hearing officers. (a) General. Your disability hearing will be conducted by a disability hearing officer who...

  11. Mobile Router Technology Development

    NASA Technical Reports Server (NTRS)

    Ivancic, William D.; Stewart, David H.; Bell, Terry L.; Kachmar, Brian A.; Shell, Dan; Leung, Kent

    2002-01-01

    Cisco Systems and NASA have been performing joint research on mobile routing technology under a NASA Space Act Agreement. Cisco developed mobile router technology and provided that technology to NASA for applications to aeronautic and space-based missions. NASA has performed stringent performance testing of the mobile router, including the interaction of routing and transport-level protocols. This paper describes mobile routing, the mobile router, and some key configuration parameters. In addition, the paper describes the mobile routing test network and test results documenting the performance of transport protocols in dynamic routing environments.

  12. Quality of Life among Persons with Physical Disability in Udupi Taluk: A Cross Sectional Study

    PubMed Central

    Kuvalekar, Kunal; Kamath, Ramachandra; Ashok, Lena; Shetty, Bhartesh; Mayya, Shreemathi; Chandrasekaran, Varalakshmi

    2015-01-01

    Background: Disability is not just a health problem or attribute of individuals, but it reflects the problems individuals experience in their interaction with society and physical movements. Disabled persons remain neglected part of society and they also experience various barriers due to restriction of participation. Objectives: The aim was to assess the quality of life (QOL) of physically disabled persons, the impact of physical disability on activities of daily living (ADL) and to study the awareness about laws and facilities available for disabled persons. Materials and Methods: A cross-sectional community based study was conducted among 130 physical disabled persons who were selected using convenience sampling technique. The WHO BREF scale was used to assess QOL, while assessment of ADL was done using Barthel Index. Socio-demographic assessment was done using Udai Pareek scale. SPSS version 15.0 was used to analyze data. Categorical variables were expressed as frequencies and percentages. As per guidelines physical, psychological, social, and environmental domain scores for WHO BREF scale were calculated. Results: Among the study participants, 36.2% had a disability from birth that is, congenital. The second common cause of disability was found to be postpolio residual paralysis as it was found among 26.2% respondents. Other causes found were stroke/paralysis and accidents, in 19.2% and 18.5% respondents, respectively. Activities such as transfer, mobility, and stair climbing showed greater impact of physical disability. It was found that 11.5% respondents required help in one of the ADL. QOL score was found to be low under the psychological domain reflecting on negative feelings, bodily image, appearance, spirituality, and self-esteem of respondents. Conclusion: Physical disability had affected social participation as well as marriage of the respondents. However, it was found that very few of them are aware about facilities provided under persons with disability act. PMID:25810992

  13. The Americans With Disabilities Act of 1990 expands employment opportunities for persons with developmental disabilities.

    PubMed

    Schelly, C; Sample, P; Spencer, K

    1992-05-01

    The primary purpose of the ADA is the full inclusion of persons with disabilities within their communities. The ADA prohibits discrimination on the basis of disability in the areas of employment, transportation, public accommodations, telecommunications, and state and local government agencies. The person described in this report encountered some of this discrimination. He successfully obtained paid community-integrated employment only after overcoming major obstacles and barriers, the greatest being transportation. In our highly mobile society, reliable transportation is essential for the acquisition and maintenance of community-integrated employment. The participant was repeatedly denied access to public transportation on the basis of his disability. To help overcome this barrier, Transition Services had to provide needed transportation at great expense, which delayed opportunities for the participant to gain control of this aspect of his life. Enactment of the ADA makes it more difficult for public transportation agencies to deny services to persons with disabilities by claiming inconvenience or lack of accessible vehicles. When publicly funded transportation programs assume their full responsibility for transportation to the public, agencies like Transition Services can focus on individualized employment and training issues rather than on providing transportation. In the workplace, the employer's willingness to work cooperatively with the participant and the staff of Transition Services resulted in several low-cost and reasonable accommodations based on the participant's needs and abilities. A simple rearrangement of work space allowed the participant to perform his job while benefiting the other workers in the crowded restaurant kitchen.(ABSTRACT TRUNCATED AT 250 WORDS) PMID:1534457

  14. More Education May Limit Disability and Extend Life For People With Cognitive Impairment.

    PubMed

    Laditka, Sarah B; Laditka, James N

    2014-08-01

    Education is associated with longer life and less disability. Living longer increases risks of cognitive impairment, often producing disability. We examined associations among education, disability, and life expectancy for people with cognitive impairment, following a 1992 cohort ages 55+ for 23 063 person-years (Panel Study of Income Dynamics, n = 2165). We estimated monthly probabilities of disability and death for 7 education levels, adjusting for age, gender, ethnicity, and cognitive status. We used the probabilities to simulate populations with age-specific cognitive impairment incidence and monthly disability status through death. For those with cognitive impairment, education was associated with longer life and less disability. Among them, college-educated white women lived 3.2 more years than those with <8 years education, disabled 24.4% of life from age 55 compared with 36.7% (P< .0001). Increasing education will lengthen lives. Living longer, more people will have cognitive impairment. Education may limit their risk of disability and its duration. PMID:24413536

  15. Motorized wheelchair driving by disabled children.

    PubMed

    Butler, C; Okamoto, G A; McKay, T M

    1984-02-01

    Thirteen children with physical disabilities, normal intelligence and stable family situations were studied to learn whether children under age 4 years could learn competent control of a motorized wheelchair. Their mean age was 31.3 months (range 20 to 37 months). There were six girls and seven boys. Each child required adaptive seating to manipulate the control stick in a conventional motorized wheelchair. Without specific training instructions, parents introduced the wheelchairs under pleasant circumstances at home. Daily logs and engine-hour-meters indicate that 12 children learned seven pre-established driving skills within a mean cumulative period of 34.4 hours (range 6.6 to 168 hours) distributed over an average 16.3 days (range 3 to 50 days). Actual cumulative wheelchair movement averaged 8.1 hours (range 1.7 to 26.1 hours). All learned a cluster of four to five skills over a one to five day period. Start-stop and circling were the two initial skills in all but one case. In four children, the first skill appeared after a latent period of 5, 6, 12 and 43 days. Children as young as 24 months can learn to drive motorized wheelchairs. Because of the theoretical importance of approximating normal gross motor milestones, powered mobility should be considered an early rehabilitative intervention for physically disabled children. PMID:6230066

  16. 14 CFR 382.131 - Do baggage liability limits apply to mobility aids and other assistive devices?

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... respect to transportation to which 14 CFR part 254 applies, the limits to liability for loss, damage, or... mobility aids and other assistive devices? 382.131 Section 382.131 Aeronautics and Space OFFICE OF THE... BASIS OF DISABILITY IN AIR TRAVEL Stowage of Wheelchairs, Other Mobility Aids, and Other...

  17. 14 CFR 382.131 - Do baggage liability limits apply to mobility aids and other assistive devices?

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... respect to transportation to which 14 CFR Part 254 applies, the limits to liability for loss, damage, or... mobility aids and other assistive devices? 382.131 Section 382.131 Aeronautics and Space OFFICE OF THE... BASIS OF DISABILITY IN AIR TRAVEL Stowage of Wheelchairs, Other Mobility Aids, and Other...

  18. 14 CFR 382.131 - Do baggage liability limits apply to mobility aids and other assistive devices?

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... respect to transportation to which 14 CFR part 254 applies, the limits to liability for loss, damage, or... mobility aids and other assistive devices? 382.131 Section 382.131 Aeronautics and Space OFFICE OF THE... BASIS OF DISABILITY IN AIR TRAVEL Stowage of Wheelchairs, Other Mobility Aids, and Other...

  19. 14 CFR 382.131 - Do baggage liability limits apply to mobility aids and other assistive devices?

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ... respect to transportation to which 14 CFR part 254 applies, the limits to liability for loss, damage, or... mobility aids and other assistive devices? 382.131 Section 382.131 Aeronautics and Space OFFICE OF THE... BASIS OF DISABILITY IN AIR TRAVEL Stowage of Wheelchairs, Other Mobility Aids, and Other...

  20. 14 CFR 382.131 - Do baggage liability limits apply to mobility aids and other assistive devices?

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... respect to transportation to which 14 CFR Part 254 applies, the limits to liability for loss, damage, or... mobility aids and other assistive devices? 382.131 Section 382.131 Aeronautics and Space OFFICE OF THE... BASIS OF DISABILITY IN AIR TRAVEL Stowage of Wheelchairs, Other Mobility Aids, and Other...

  1. Prevalence and features of ICF-disability in Spain as captured by the 2008 National Disability Survey

    PubMed Central

    2011-01-01

    Background Since 1986, the study of disability in Spain has been mainly addressed by National Disability Surveys (NDSs). While international attempts to frame NDS designs within the International Classification of Functioning, Disability and Health (ICF) have progressed, in general, the ICF has hardly been used in either the NDS or epidemiological studies. This study sought to identify ICF Activity- and Participation-related content in the most recent Spanish NDS, the 2008 Survey on Disabilities, Independence and Dependency Situations (Encuesta sobre discapacidades, autonomía personal y situaciones de Dependencia - EDAD 2008), and estimate the prevalence of such ICF-framed disability. Methods EDAD 2008 methods and questions were perused. Of the 51 EDAD items analysed, 29 were backcoded to specific d2-d7 domains of the ICF Checklist and, by rating the recorded difficulty to perform specific tasks with or without help, these were then taken as performance and capacity respectively. A global ICF score was also derived, albeit lacking data for d1, "Learning and applying knowledge", d8, "Major Life Areas" and d9, "Community, Social and Civic Life". Data were grouped by sex, age, residence and initial positive screening, and prevalence figures were calculated by disability level both for the general population, using the originally designed weights, and for the population that had screened positive to disability. Data for institutionalised persons were processed separately. Results Crude prevalence of ICF severe/complete and moderate disability among the community-dwelling population aged ≥6 years was 0.9%-2.2% respectively, and that of severe/complete disability among persons living in sheltered accommodation was 0.3%. Prevalence of severe/complete disability was: higher in women than in men, 0.8% vs. 0.4%; increased with age; and was particularly high in domains such as "Domestic Life", 3.4%, "Mobility", 1.8%, and "Self-care", 1.9%, in which prevalence decreased when measured by reference to performance. Moreover, global scores indicated that severe/complete disability in these same domains was frequent among the moderately disabled group. Conclusions The EDAD 2008 affords an insufficient data set to be ICF-framed when it comes to the Activity and Participation domains. Notwithstanding their unknown validity, ratings for available ICF domains may, however, be suitable for consideration under the ADL model of functional dependency, suggesting that there are approximately 500,000 persons suffering from severe/complete disability and 1,000,000 suffering from moderate disability, with half the latter being severely disabled in domains capable of benefiting from technical or personal aid. Application of EDAD data to the planning of services for regions and other subpopulations means that need for personal help must be assessed, unmet needs ascertained, and knowledge of social participation and support, particularly for the mentally ill, improved. International, WHO-supported co-operation in ICF planning and use of NDSs in Spain and other countries is needed. PMID:22122806

  2. Ischemic stroke incidence in Santa Coloma de Gramenet (ISISCOG), Spain. A community-based study

    PubMed Central

    Alzamora, María Teresa; Sorribes, Marta; Heras, Antonio; Vila, Nicolás; Vicheto, Marisa; Forés, Rosa; Sánchez-Ojanguren, José; Sancho, Amparo; Pera, Guillem

    2008-01-01

    Background In Spain, stroke is one of the major causes of death and the main cause of severe disability in people over 65 years. We analyzed the incidence of ischemic stroke, stroke subtypes, case fatality and disability at 90 days after the event in a Spanish population. Methods A prospective community-based register of ischemic strokes was established in Santa Coloma de Gramenet (Barcelona) [116,220 inhabitants of all ages, according to the municipal census of December 31,2001], from January 1 to December 31, 2003. Standard definitions and case finding methods were used to identify all cases in all age groups. Every patient underwent a complete clinical evaluation and systematic tests including neuroimaging (CT/MRI) and vascular studies (carotid duplex ultrasound intra and extracranial and MR angiography). Results Over a one year period, 196 ischemic strokes were registered [107 men; median age = 76 years (range 39–98)], being the first event in 159 patients (81.1%) and a recurrent stroke in 37 (18.9%). After age-adjustment to the European population, the incidence of ischemic stroke per 100,000 inhabitants was 172 (95% CI, 148–196); 219 (176–261) in men and 133 (105–160) in women, with an annual incidence for first ischemic stroke of 139 (118–161); 165 (128–201) in men and 115 (89–140) in women. The incidence of stroke increased with age. Stroke subtypes (TOAST classification criteria) were lacunar in 28.8%, atherothrombotic in 18.6%, cardioembolic in 26.6% and undetermined in 26.0% of patients. At 90 days, the case-fatality was 12%, and among survivors, moderate-to-severe disability was present in 45 % at 3 months. Conclusion This prospective community-based study shows one of the lowest incidences of stroke in Europe, as well as one of the lowest case fatality and disability rates at 90 days after stroke. PMID:18371212

  3. Writing Disabilities and Reading Disabilities in Elementary School Students

    ERIC Educational Resources Information Center

    Costa, Lara-Jeane C.; Edwards, Crystal N.; Hooper, Stephen R.

    2016-01-01

    This longitudinal study was conducted to determine (a) the rate of co-occurrence of reading disabilities (RDs) in a writing disability (WD) population of students followed from first grade to fourth grade and (b) the cognitive burden that is assumed by having a WD and a RD (WD + RD). The sample included 137 first-grade students from a single…

  4. Constructing Disability in Online Worlds: Conceptualising Disability in Online Research

    ERIC Educational Resources Information Center

    Carr, Diane

    2010-01-01

    In this paper the online construction of disability is investigated and the implications for educators working in virtual worlds are considered. Based on the analysis of data collected through interviews with deaf residents of "Second Life", it is argued that research into online identity, disability and education needs to allow room for…

  5. Disabilities Information Flow: A Disabilities Information Management System

    ERIC Educational Resources Information Center

    Ling, Bin; Allison, Colin; Nicholl, J. Ross; Moodley, Luke; Roberts, Dave

    2006-01-01

    The Disabilities Information Flow (DIF) project at the University of St Andrews has sought to provide a means of efficiently managing all student disabilities information within the institution and provide appropriate role-based service interfaces for all staff who need to routinely interact with this information. This paper describes the software…

  6. Students with Learning Disabilities in Education: Managing a Disability.

    ERIC Educational Resources Information Center

    Barga, Nancy K.

    1996-01-01

    This study of nine college students with learning disabilities examined success and disability management factors. The students reported experiencing labeling, stigmatization, and gatekeeping throughout their school years. Positive coping strategies included relying on benefactors, implementing self-improvement techniques, and utilizing particular…

  7. Learning Disabled Students in Education: Managing a Disability.

    ERIC Educational Resources Information Center

    Barga, Nancy K.

    This qualitative study examined factors that have contributed to the educational success of nine college students with learning disabilities and explored how these students manage their disabilities in the educational arena. Data came from student academic records, interviews, and classroom observations over a 6-month period. Factors studied…

  8. The Law's Understanding of Intellectual Disability as a Disability

    ERIC Educational Resources Information Center

    Ellis, James W.

    2013-01-01

    Intellectual disability (ID) is differently yet validly described by different professions. Legal professionals find it most useful to consider ID as a disability rather than a disorder. Because the law regulates the actions of individuals in a society and the actions of society on an individual, the law's concern in dealing with a person with ID…

  9. HIV/AIDS, Disability, and Employment. Disability Statistics Report 6.

    ERIC Educational Resources Information Center

    Sebesta, Douglas S.; LaPlante, Mitchell P.

    This report on HIV/AIDS, disability, and employment analyzes data from the AIDS Cost and Services Utilization Survey of 1991-1992, a longitudinal study of 1,949 HIV-infected men and women. The report examines the diagnostic history of people living with HIV and its relation to function, disability, and labor force participation over time. Study…

  10. The World Report on Disability and People with Intellectual Disabilities

    ERIC Educational Resources Information Center

    Officer, Alana; Shakespeare, Tom

    2013-01-01

    The "World Report on Disability" was requested by the World Health Assembly, the governing body of the World Health Organization (WHO). Because disability is broader than health, WHO partnered with the World Bank. The "World Report" was published in 2011 and provides a comprehensive scientific analysis on the global situation…

  11. Mobility, Emotion, and Universality in Future Collaboration

    NASA Astrophysics Data System (ADS)

    Chignell, Mark; Hosono, Naotsune; Fels, Deborah; Lottridge, Danielle; Waterworth, John

    The Graphical user interface has traditionally supported personal productivity, efficiency, and usability. With computer supported cooperative work, the focus has been on typical people, doing typical work in a highly rational model of interaction. Recent trends towards mobility, and emotional and universal design are extending the user interface paradigm beyond the routine. As computing moves into the hand and away from the desktop, there is a greater need for dealing with emotions and distractions. Busy and distracted people represent a new kind of disability, but one that will be increasingly prevalent. In this panel we examine the current state of the art, and prospects for future collaboration in non-normative computing requirements. This panel draws together researchers who are studying the problems of mobility, emotion and universality. The goal of the panel is to discuss how progress in these areas will change the nature of future collaboration.

  12. Therapeutic Riding for a Student with Multiple Disabilities and Visual Impairment: A Case Study.

    ERIC Educational Resources Information Center

    Lehrman, Jennifer; Ross, David B.

    2001-01-01

    A 9-year-old with multiple disabilities and visual impairments was the focus of a 10-week developmental therapeutic riding program incorporating hippotherapy. The program has led to increased mobility, an increase in visual attention span and fixation time, signs of greater verbal communication, and the acquisition of new functional signs.…

  13. Guidelines for Organizing a Horseback Riding Program for Individuals with Disabilities. Bulletin 518A.

    ERIC Educational Resources Information Center

    Rich, Ginger A.; And Others

    This manual outlines a horseback riding program, conducted by the Larimer (Colorado) County Extension Service, for persons with disabilities. The program offers such benefits as the opportunity to learn horsemanship; strengthen and relax muscles; improve balance, coordination, and posture; and increase joint mobility. Designed to provide a

  14. Increasing Accessibility: Using Universal Design Principles to Address Disability Impairments in the Online Learning Environment

    ERIC Educational Resources Information Center

    Pittman, Candice N.; Heiselt, April K.

    2014-01-01

    With the increasing number of students enrolling in distance education, there is a need to consider the accessibility of course materials in online learning environments. Four major groups of disabilities: mobility, auditory, visual, and cognitive are explored as they relate to their implementation into instructional design and their impact on…

  15. Increasing Accessibility: Using Universal Design Principles to Address Disability Impairments in the Online Learning Environment

    ERIC Educational Resources Information Center

    Pittman, Candice N.; Heiselt, April K.

    2014-01-01

    With the increasing number of students enrolling in distance education, there is a need to consider the accessibility of course materials in online learning environments. Four major groups of disabilities: mobility, auditory, visual, and cognitive are explored as they relate to their implementation into instructional design and their impact on

  16. Feasibility of Quantitative Ultrasound Measurement of the Heel Bone in People with Intellectual Disabilities

    ERIC Educational Resources Information Center

    Mergler, S.; Lobker, B.; Evenhuis, H. M.; Penning, C.

    2010-01-01

    Low bone mineral density (BMD) and fractures are common in people with intellectual disabilities (ID). Reduced mobility in case of motor impairment and the use of anti-epileptic drugs contribute to the development of low BMD. Quantitative ultrasound (QUS) measurement of the heel bone is a non-invasive and radiation-free method for measuring bone…

  17. Variables Related to the Type of Postsecondary Education Experience Chosen by Young Adults with Learning Disabilities.

    ERIC Educational Resources Information Center

    Miller, Robert J.; And Others

    1991-01-01

    This study found that the postsecondary education experience (junior college, community college, 4-year college/university, military, or private training) chosen by 225 young adults with learning disabilities was related to use of community resources; community mobility; participation in vocational education while in high school; autonomy; peer…

  18. Independent Travel for Developmentally Disabled Persons: A Comprehensive Model of Instruction.

    ERIC Educational Resources Information Center

    LaGrow, Steven; And Others

    1990-01-01

    The paper proposes teaching travel skills to developmentally disabled persons based upon the principles used to teach orientation and mobility to blind people. The approach emphasizes success orientation, sequencing, fading, individualized instruction, and in vivo instruction. Content includes environmental concepts, recovery techniques,…

  19. Feasibility of Quantitative Ultrasound Measurement of the Heel Bone in People with Intellectual Disabilities

    ERIC Educational Resources Information Center

    Mergler, S.; Lobker, B.; Evenhuis, H. M.; Penning, C.

    2010-01-01

    Low bone mineral density (BMD) and fractures are common in people with intellectual disabilities (ID). Reduced mobility in case of motor impairment and the use of anti-epileptic drugs contribute to the development of low BMD. Quantitative ultrasound (QUS) measurement of the heel bone is a non-invasive and radiation-free method for measuring bone

  20. Effectiveness of Cognitive Skills-Based Computer-Assisted Instruction for Students with Disabilities: A Synthesis

    ERIC Educational Resources Information Center

    Weng, Pei-Lin; Maeda, Yukiko; Bouck, Emily C.

    2014-01-01

    Computer-assisted instruction (CAI) for students with disabilities can be categorized into the following categories: visual, auditory, mobile, and cognitive skills-based CAI. Cognitive-skills based CAI differs from other types of CAI largely in terms of an emphasis on instructional design features. We conducted both systematic review of…