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Sample records for major mobility disability

  1. 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...

  2. Antihypertensive use and the effect of a physical activity intervention in the prevention of major mobility disability among older adults: The LIFE study

    Technology Transfer Automated Retrieval System (TEKTRAN)

    BACKGROUND: This subgroup analysis of the Lifestyle Intervention and Independence for Elders trial evaluates the impact of a long-term physical activity (PA) intervention on rates of major mobility disability (MMD) among older adults according to their antihypertensive medication use. METHODS: Lifes...

  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. Socioeconomic differences in the benefits of structured physical activity compared with health education on the prevention of major mobility disability in older adults: the LIFE study

    PubMed Central

    Chen, Haiying; Bonell, Chris; Glynn, Nancy W; Fielding, Roger A; Manini, Todd; King, Abby C; Pahor, Marco; Mihalko, Shannon L; Gill, Thomas M

    2016-01-01

    Background Evidence is lacking on whether health-benefiting community-based interventions differ in their effectiveness according to socioeconomic characteristics. We evaluated whether the benefit of a structured physical activity intervention on reducing mobility disability in older adults differs by education or income. Methods The Lifestyle Interventions and Independence for Elders (LIFE) study was a multicentre, randomised trial that compared a structured physical activity programme with a health education programme on the incidence of mobility disability among at-risk community-living older adults (aged 70–89 years; average follow-up of 2.6 years). Education (≤ high school (0–12 years), college (13–17 years) or postgraduate) and annual household income were self-reported (<$24 999, $25 000 to $49 999 and ≥$50 000). The risk of disability (objectively defined as loss of ability to walk 400 m) was compared between the 2 treatment groups using Cox regression, separately by socioeconomic group. Socioeconomic group×intervention interaction terms were tested. Results The effect of reducing the incidence of mobility disability was larger for those with postgraduate education (0.72, 0.51 to 1.03; N=411) compared with lower education (high school or less (0.93, 0.70 to 1.24; N=536). However, the education group×intervention interaction term was not statistically significant (p=0.54). Findings were in the same direction yet less pronounced when household income was used as the socioeconomic indicator. Conclusions In the largest and longest running trial of physical activity amongst at-risk older adults, intervention effect sizes were largest among those with higher education or income, yet tests of statistical interactions were non-significant, likely due to inadequate power. Trial registration number NCT01072500. PMID:27060177

  5. 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

  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. MOBILITY, DISABILITY, AND SOCIAL ENGAGEMENT IN OLDER ADULTS

    PubMed Central

    Rosso, Andrea L.; Taylor, Jennifer A.; Tabb, Loni Philip; Michael, Yvonne L.

    2013-01-01

    Objective To examine cross-sectional associations between mobility with or without disability and social engagement in a community-based sample of older adults Methods Social engagement of participants (n=676) was outside the home (participation in organizations and use of senior centers) and in home (talking by phone and use of internet). Logistic or proportional odds models evaluated the association between social engagement and position in the disablement process (no mobility limitations, mobility limitations/no disability, and mobility limitations/disability). Results Low mobility was associated with lower level of social engagement of all forms (OR=0.59, CI: 0.41–0.85 for organizations; OR=0.67, CI: 0.42–1.06 for senior center; OR=0.47, CI: 0.32–0.70 for phone; OR=0.38, CI: 0.23–0.65 for internet). For social engagement outside the home, odds of engagement were further reduced for individuals with disability. Discussion Low mobility is associated with low social engagement even in the absence of disability; associations with disability differed by type of social engagement. PMID:23548944

  8. 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

  9. 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

  10. Multidisciplinary Procedures for Designing Housing Adaptations for People with Mobility Disabilities.

    PubMed

    Sukkay, Sasicha

    2016-01-01

    Based on a 2013 statistic published by Thai with Disability foundation, five percent of Thailand's population are disabled people. Six hundred thousand of them have mobility disability, and the number is increasing every year. To support them, the Thai government has implemented a number of disability laws and policies. One of the policies is to better disabled people's quality of life by adapting their houses to facilitate their activities. However, the policy has not been fully realized yet-there is still no specific guideline for housing adaptation for people with disabilities. This study is an attempt to address the lack of standardized criteria for such adaptation by developing a number of effective ones. Our development had 3 objectives: first, to identify the body functioning of a group of people with mobility disability according to the international classification functioning concept (ICF); second, to perform post-occupancy evaluation of this group and their houses; and third, with the collected data, to have a group of multidisciplinary experts cooperatively develop criteria for housing adaptation. The major findings were that room dimensions and furniture materials really had an impact on accessibility and toilet as well as bed room were the most difficult areas to access. PMID:27534326

  11. Cost effectiveness of the LIFE physical activity intervention for older adults at increased risk for mobility disability

    Technology Transfer Automated Retrieval System (TEKTRAN)

    BACKGROUND: Losing the ability to walk safely and independently is a major concern for many older adults. The Lifestyle Interventions and Independence for Elders study recently demonstrated that a physical activity (PA) intervention can delay the onset of major mobility disability. Our objective is ...

  12. The Assessment of Physical and Program Accessibility for Students with Physical (Mobility) Disabilities.

    ERIC Educational Resources Information Center

    Peterson, Deana R.

    A checklist and instructions are presented for evaluating the level of accessibility to school buildings, grounds, curricula, technology, and extracurricular activities for students with physical (mobility) disabilities. Legislative mandates (including The Americans with Disabilities Act of 1990, and Individuals with Disabilities Education Act)…

  13. 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…

  14. 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…

  15. Highly Mobile Children and Youth with Disabilities: Policies and Practices in Five States. inForum

    ERIC Educational Resources Information Center

    Pierce, Luzanne; Ahearn, Eileen

    2007-01-01

    This document's primary focus is on a subset of the population of mobile children--infants, preschoolers, children and youth with disabilities and their families who are highly mobile. First, a background section provides information about policies and practices developed for mobile children at the federal level under the McKinney-Vento Program.…

  16. Addressing the nonexercise part of the activity continuum: a more realistic and achievable approach to activity programming for adults with mobility disability?

    PubMed

    Manns, Patricia J; Dunstan, David W; Owen, Neville; Healy, Genevieve N

    2012-04-01

    Participation in physical activity is fundamental for the maintenance of metabolic health and the prevention of major chronic diseases, particularly type 2 diabetes and cardiovascular disease. A whole-of-day approach to physical activity promotion is increasingly advocated and includes not only increasing moderate-intensity physical activity but also reducing sedentary time and increasing light-intensity activity (the "nonexercise" part of the activity continuum). This whole-of-day approach to tackling the challenge of inactivity may be particularly relevant for adults with mobility disabilities, who are among the most inactive segment of the population. Focusing on nonexercise activity by striving to reduce sedentary time and increase light-intensity activity may be a more successful place to begin to change behavior in someone with mobility disability. This article discusses what is known about the metabolic health consequences of sedentary behavior and light-intensity activity in adults with and without mobility disability. The concept of inactivity physiology is presented, along with possible applications or evidence from studies with adults with mobility disability. Mobility disability discussions and examples focus on stroke and spinal cord injury. Finally, clinical implications and future research directions related to sedentary behavior in adults with mobility disability are discussed. PMID:22156025

  17. The Prevalence of Intellectual Disability in a Major UK Prison

    ERIC Educational Resources Information Center

    Hayes, Susan; Shackell, Phil; Mottram, Pat; Lancaster, Rachel

    2007-01-01

    Over-representation of people with learning disability in prisons has been demonstrated in many Western jurisdictions. This was the first comprehensive research in a UK prison. The research used a random 10% sample of a prison population (n = 140). A semi-structured interview, the Wechsler Adult Intelligence Scale-III (UK version) and the Vineland…

  18. 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

  19. 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…

  20. 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…

  1. 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…

  2. 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

  3. Socioeconomics and Major Disabilities: Characteristics of Working-Age Adults in Rwanda

    PubMed Central

    Kiregu, Joshua; Murindahabi, Nathalie K.; Tumusiime, David; Thomson, Dana R.; Hedt-Gauthier, Bethany L.; Ahayo, Anita

    2016-01-01

    Background Disability affects approximately 15% of the world’s population, and has adverse socio-economic effects, especially for the poor. In Rwanda, there are a number of government compensation programs that support the poor, but not specifically persons with disability (PWDs). This study investigates the relationship between poverty and government compensation on disability among working-age adults in Rwanda. Methods This was a secondary analysis of 35,114 adults aged 16 to 65 interviewed in the 2010/2011 Rwanda Household Wealth and Living Conditions survey, a national cross-sectional two-stage cluster survey, stratified by district. This study estimated self-reported major disability, and used chi-square tests to estimate associations (p<0.1) with income, government compensation, occupation type, participation in public works programs, and household poverty status. Non-collinear economic variables were included in a multivariate logistic regression, along with socio-demographic confounders that modified the relationship between any economic predictor and the outcome by 10% or more. All analyses adjusted for sampling weights, stratification, and clustering of households. Results Over 4% of working-age adults reported having a major disability and the most prevalent types of disability in order were physical, mental, and then sensory disability. In bivariate analysis, annual income, occupation type, and poverty status were associated with major disability (p<0.001 for all). Occupation type was dropped because it was collinear with income. Age, education, and urban/rural residence were confounders. In the multivariate analysis, adults in all income groups had about half the odds of disability compared to adults with no income (Rwf1-120,000 OR = 0.57; Rwf120,000–250,000 OR = 0.61; Rwf250,000–1,000,000 OR = 0.59; Rwf1,000,000+ OR = 0.66; p<0.05 for all), and non-poor adults had 0.77 the odds of disability compared to poor adults (p = 0.001). Conclusion Given

  4. Accessibility of Health Clubs for People with Mobility Disabilities and Visual Impairments

    PubMed Central

    Rimmer, James H.; Riley, Barth; Wang, Edward; Rauworth, Amy

    2005-01-01

    Objective. We sought to examine the accessibility of health clubs to persons with mobility disabilities and visual impairments. Methods. We assessed 35 health clubs and fitness facilities as part of a national field trial of a new instrument, Accessibility Instruments Measuring Fitness and Recreation Environments (AIMFREE), designed to assess accessibility of fitness facilities in the following domains: (1) built environment, (2) equipment, (3) swimming pools, (4) information, (5) facility policies, and (6) professional behavior. Results. All facilities had a low to moderate level of accessibility. Some of the deficiencies concerned specific Americans with Disabilities Act guidelines pertaining to the built environment, whereas other deficiency areas were related to aspects of the facilities’ equipment, information, policies, and professional staff. Conclusions. Persons with mobility disabilities and visual impairments have difficulty accessing various areas of fitness facilities and health clubs. AIMFREE is an important tool for increasing awareness of these accessibility barriers for people with disabilities. PMID:16254234

  5. 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.

  6. Physical Education Majors' Judgments about Inclusion and Teaching Students with Disabilities

    ERIC Educational Resources Information Center

    Hodge, Samuel R.; Elliott, Gloria

    2013-01-01

    The purpose of this study was to analyze the beliefs about inclusion and teaching students with disabilities of physical education (PE) majors from universities in North Carolina (NC). The participants were PE majors (n = 147) and other enrolled students (n = 30) at colleges and universities in NC. The research method was descriptive survey…

  7. Attitudes of physical education majors in Turkey towards disability are changed by adaptive physical education training.

    PubMed

    Gürsel, Ferda

    2007-02-01

    This study was designed to investigate the attitudes of university students who are prospective physical education teachers toward individuals with physical disabilities. 47 college students majoring in physical education (Study group) and 34 students from other sports-related departments, i.e., sports management and training (Control group), participated in the study. The study group took a 14-week course on Adapted Physical Education (APE), whereas the control group did not. The Attitude Toward Disabled Persons scale, Form O was used to compare the attitudes of the groups. Analyses showed no significant difference between the groups in terms of attitude towards individuals with physical disabilities at the beginning of the semester but a significant difference at semester end. Results indicated that the APE course positively influenced attitude of the prospective physical education teachers towards individuals with physical disabilities. PMID:17450977

  8. 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

  9. Use of Stance Time Variability for Predicting Mobility Disability in Community-Dwelling Older Persons: A Prospective Study

    PubMed Central

    Brach, Jennifer S.; Wert, David; VanSwearingen, Jessie M.; Newman, Anne B.; Studenski, Stephanie A.

    2012-01-01

    Background and Purpose Mobility disability is a serious and frequent adverse health outcome associated with aging. Early identification of individuals at risk for mobility disability is important if interventions to prevent disability are to be instituted. The objectives of this prospective study were to: 1) determine the magnitude of stance time variability (STV) that discriminates individuals who currently have mobility disability (prevalent mobility disability) and 2) determine the magnitude of STV that predicts a new onset of mobility disability at one year (incident mobility disability). Methods 552 community-dwelling older adults were evaluated as part of the Cardiovascular Health Study, a longitudinal cohort study. Stance time, in milliseconds (ms), was determined from 2 passes on a 4-meter computerized walkway at self-selected walking speed, and STV was defined as the standard deviation (SD) from approximately 12 individual steps. Mobility disability was defined as self-reported difficulty walking a half mile. Receiver operating characteristic (ROC) curves were plotted to determine an optimal cutoff value for stance time variability for prevalent and incident mobility disability, and the area under the ROC curve was computed. Results The optimal cut-off score for STV (maximizing sensitivity and specificity) for prevalent mobility disability was 0.037 sec(sensitivity = 65%, specificity = 65%, AUC = 0.70) and for incident 1 year mobility disability was 0.034 sec(sensitivity = 61%, specificity = 60%, AUC = 0.65). The use of likelihood ratios demonstrated a gradient of risk across values of STV, with mobility risk increasing as values of STV increased. Discussion and Conclusion Values of STV may be useful in identifying older adults with mobility disability and at risk for future disability. We recommend the more conservative estimate for identifying risk, STV=0.034 s, which maximizes the sensitivity and minimizes false negatives. The relatively modest values

  10. 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…

  11. 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,…

  12. Mobility Device Use in the United States. Disability Statistics Report 14.

    ERIC Educational Resources Information Center

    Kaye, H. Stephen; Kang, Taewoon; LaPlante, Michell P.

    This report provides data on the use of mobility devices in the United States by providing a detailed profile of the population using these devices. It covers their demographic characteristics; health and disability status, including diagnoses and impairments, physical functioning, and activities of daily living; and health insurance status. The…

  13. 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…

  14. 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

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

    PubMed Central

    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

  16. Neuroprostheses for increasing disabled patients' mobility and control.

    PubMed

    Mikołajewska, Emilia; Mikołajewski, Dariusz

    2012-01-01

    Neuroprostheses are electronic devices using electrophysiological signals to stimulate muscles, electronic/ mechanical devices such as substitutes for limbs or parts of limbs, or computers. The development of neuroprostheses was possible thanks to advances in understanding of the physiology of the human brain and in the capabilities of hardware and software. Recent progress in the area of neuroprosthetics may offer important breakthroughs in therapy and rehabilitation. New dedicated solutions for disabled people can lead to their increased participation in social, educational and professional areas. It is worth focussing particular attention on new solutions for people with paralysis, people with communication disorders and amputees. This article aims at investigating the extent to which the available opportunities are being exploited, including current and potential future applications of brain-computer interfaces. PMID:23214292

  17. 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

  18. 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…

  19. Sick Leave and Disability Across Three Decades After a Major Disaster.

    PubMed

    Holgersen, Katrine Høyer; Klöckner, Christian A; Bøe, Hans Jakob; Holen, Are

    2016-07-01

    Extended functional impairment characterized by sick leave and disability after a single disaster has not been documented before. This prospective, longitudinal, case-control study applied growth mixture modeling to predict trajectories of functional impairment in oil rig workers, survivors (n = 68) and a matched comparison group (n = 84), over 27 years after the 1980 North Sea oil rig disaster. In the initial 12 years post-disaster, survivors displayed higher rates of functional impairment than the comparison group. A minor group of survivors (n = 8, 11.8%) demonstrated persistent functional impairment from the start and remained unable to work during the subsequent three decades. Long-term sick leave and disability were related to perceived peritraumatic death threat and a propensity towards social withdrawal. Most survivors (n = 60) revealed no major functional impairment. The study indicates that functional impairment should be counteracted in the early support after a single disaster. PMID:27027657

  20. Developmental Disabilities: A Summary of Major Classifications and Glossary of Terms. Parent Awareness Program, 1982-1983. Revised.

    ERIC Educational Resources Information Center

    Knudstrup, Katherine; And Others

    Designed for use in adult education courses for parents of developmentally disabled children, this manual provides basic information about major categories of disabilities and a glossary of commonly encountered terms. After an introductory overview, the manual provides information about the characteristics and etiology of five disabling…

  1. Age of Majority and Mental Retardation: A Position Statement of the Division on Mental Retardation and Developmental Disabilities.

    ERIC Educational Resources Information Center

    Lindsey, Pam; Wehmeyer, Michael L.; Guy, Barbara; Martin, James

    2001-01-01

    This position statement of the Council for Exceptional Children's Division on Mental Retardation and Developmental Disabilities outlines federal regulations governing the transfer of legal rights to students with disabilities at the state-mandated age of majority. It discusses the importance of informed consent, self-determination and student…

  2. Reunion Is in Hand: Princeton Enhances a Major Alumni Event with Mobile Technology

    ERIC Educational Resources Information Center

    Gossen, Andrew

    2009-01-01

    Mobile technology is an effective way of conveying information to alumni, especially during a major event. Alumni appreciate not only access to information in a convenient medium, but also efforts to engage with them through new technology. Like so many of the best ideas at Princeton University, the creation of Reunions Mobile emerged from…

  3. 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…

  4. An Hypothesis Regarding The Commonality of Right-Hemisphere Involvement in Learning Disability, Attentional Disorder, and Childhood Major Depressive Disorder.

    ERIC Educational Resources Information Center

    Brumback, Roger A.; Staton, R. Dennis

    1982-01-01

    Three conditions of behavioral disturbances and impaired school performance (learning disability, attentional disorder, and childhood major depression) are suggested as being associated with dysfunction of the right cerebral hemisphere. (Author/PN)

  5. Evaluation of quality of life in individuals with severe chronic motor disability: A major challenge.

    PubMed

    Rousseau, Marie-Christine; Baumstarck, Karine; Billette de Villemeur, Thierry; Auquier, Pascal

    2016-05-01

    Diverse conditions causing a very heavy and chronic motor disability, such as an advanced amyotrophic lateral, advanced form of multiple sclerosis, high spinal cord injury or a locked-in syndrom, are now getting better medical care and benefit of life support technology with consequent prolonged survival. Quality of life (QoL) assessment is being considered increasingly important to globally apprehend their general well-being. However, the motor disability that affects them appears as a substantial limitation for the assessment of their QoL and consequently a major challenge for all the community that carries an interest for them. This review discussed several avenues to provide to patients and caregivers, clinicians and researchers, and health decision making authority: i) elements to determine the most appropriate QoL measure with regard to the interest of patient's point of view, the QoL instruments suitable for this category of patients and their acceptability, ii) some arguments of the clinical relevance and accuracy of QoL assessment: interpretations of the questionnaires, QoL determinants, particularity of QoL evaluation for individuals with cognitive impairment and the caregivers perceptions of patients QoL. In conclusion, evaluation of QoL in patients with severe chronic motor handicap is a challenge of major interest, with major ethical issues. It needs to use adapted QoL scales and longitudinal following because of adaptive phenomena to the degree of handicap. PMID:27195190

  6. Evaluation of quality of life in individuals with severe chronic motor disability: A major challenge

    PubMed Central

    Rousseau, Marie-Christine; Baumstarck, Karine; Billette de Villemeur, Thierry; Auquier, Pascal

    2016-01-01

    Summary Diverse conditions causing a very heavy and chronic motor disability, such as an advanced amyotrophic lateral, advanced form of multiple sclerosis, high spinal cord injury or a locked-in syndrom, are now getting better medical care and benefit of life support technology with consequent prolonged survival. Quality of life (QoL) assessment is being considered increasingly important to globally apprehend their general well-being. However, the motor disability that affects them appears as a substantial limitation for the assessment of their QoL and consequently a major challenge for all the community that carries an interest for them. This review discussed several avenues to provide to patients and caregivers, clinicians and researchers, and health decision making authority: i) elements to determine the most appropriate QoL measure with regard to the interest of patient's point of view, the QoL instruments suitable for this category of patients and their acceptability, ii) some arguments of the clinical relevance and accuracy of QoL assessment: interpretations of the questionnaires, QoL determinants, particularity of QoL evaluation for individuals with cognitive impairment and the caregivers perceptions of patients QoL. In conclusion, evaluation of QoL in patients with severe chronic motor handicap is a challenge of major interest, with major ethical issues. It needs to use adapted QoL scales and longitudinal following because of adaptive phenomena to the degree of handicap. PMID:27195190

  7. Middle-Aged and Mobility-Limited: Prevalence of Disability and Symptom Attributions in a National Survey

    PubMed Central

    Gardener, Elizabeth A; Huppert, Felicia A; Guralnik, Jack M; Melzer, David

    2006-01-01

    BACKGROUND Lower limb mobility disabilities are well understood in older people, but the causes in middle age have attracted little attention. OBJECTIVES To estimate the prevalence of mobility disabilities among noninstitutionalized adults in England and to compare the disabling symptoms reported by middle-aged and older people. DESIGN Cross-sectional data from the 2002 English Longitudinal Study of Ageing (ELSA). Mobility disability was identified by level of reported difficulty walking a quarter mile. PARTICIPANTS Eleven thousand two hundred sixteen respondents aged 50 years and older living in private households in 2002. RESULTS The prevalence of difficulty walking a quarter mile increases sharply with age, but even in the middle-aged (50 to 64 years age-group) 18% (95% confidence interval [CI]: 16% to 19%) of men and 19% (95% CI: 17% to 20%) of women reported some degree of difficulty. Of the 16 main symptoms reported as causing mobility disability in middle age, 2 dominated: pain in the leg or the foot (43%; 95% CI: 40% to 46%) and shortness of breath/dyspnea (21%; 95% CI: 18% to 23%). Fatigue or tiredness, and stability problems were cited by only 5% and 6%, respectively. These proportions were slightly different from those in the 65 to 79-year age group: 40%, 23%, 6%, and 8%, respectively. CONCLUSIONS Mobility (walking) disabilities in the middle-aged are relatively common. The symptoms reported as causes in this age group differ little from those reported by older groups, and are dominated by lower limb pain and shortness of breath. More clinical attention paid to disabling symptoms may lead to disability reductions in later life. PMID:16970558

  8. Health Status and Health Risks of the "Hidden Majority" of Adults with Intellectual Disability

    ERIC Educational Resources Information Center

    Emerson, Eric

    2011-01-01

    Little is known about the health status of and health risks faced by adults with intellectual disability who do not use intellectual disability services. Self-report data collected from 1,022 people with mild intellectual disability in England indicated that people who do not use intellectual disability services are more likely to smoke tobacco…

  9. 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

  10. 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…

  11. 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

  12. 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...

  13. 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

  14. Density and mobility effects of the majority carriers in organic semiconductors under light excitation

    SciTech Connect

    Vagenas, N.; Giannopoulou, A.; Kounavis, P.

    2015-01-21

    This study demonstrates that the effect of light excitation on the density and the mobility of the majority carriers can be explored in organic semiconductors by modulated photocurrent spectroscopy. The spectra of phase and amplitude of the modulated photocurrent of pentacene films indicate a significant increase in the density of the photogenerated mobile holes (majority carriers). This increase is accompanied by a comparatively much smaller increase of the steady state photocurrent response which can be reconciled with a decrease in the mobility (μ) of holes. The decrease of μ is supported from an unusual increase of the Y/μ ratio of the out-of-phase modulated photocurrent (Y) signal to the mobility under light excitation. It is proposed that the mobile holes, which are generated from the dissociation of the light-created excitons more likely near the pentacene-substrate interface by electron trapping, populate grain boundaries charging them and producing a downward band bending. As a result, potential energy barriers are build up which limit the transport of holes interacting through trapping-detrapping with deep partially occupied traps in the charged grain boundaries. On the other hand, the transport of holes interacting through trapping-detrapping with empty traps is found unaffected.

  15. 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. PMID:26153363

  16. “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

  17. Functional disability as an explanation of the associations between chronic physical conditions and 12-month major depressive episode

    PubMed Central

    Stegmann, Mariken E.; Ormel, Johan; de Graaf, Ron; Haro, Josep-Maria; de Girolamo, Giovanni; Demyttenaere, Koen; Kovess, Vivianne; Matschinger, Herbert; Vilagut, Gemma; Alonso, Jordi; Burger, Huibert

    2013-01-01

    Background The link between physical conditions and mental health is poorly understood. Functional disability could explain the association of physical conditions with major depressive episode (MDE) as an intermediary factor. Methods Data was analyzed from a subsample (N=8,796) of the European Study of the Epidemiology of Mental Disorders (ESEMeD), a cross-sectional general population survey. MDE during the last 12 months was assessed using a revision of the Composite International Diagnostic Interview (CIDI 3.0). Lifetime chronic physical conditions were assessed by self-report. Functional disability was measured using a version of the World Health Organization Disability Assessment Schedule (WHODAS). The associations of physical conditions with MDE and explanation by functional disability were quantified using logistic regression. Results All physical conditions were significantly associated with MDE. The increases in risk of MDE ranged from 30% for allergy to amply 100% for arthritis and heart disease. When adjusted for physical comorbidity, associations decreased and were no longer statistically significant for allergy and diabetes. Functional disability explained between 17 and 64% of these associations, most substantially for stomach or duodenum ulcer, arthritis and heart disease. Limitations Due to the cross-sectional nature of the study the temporal relationship of the variables could not be assessed and the amount of explanation can not simply be interpreted as the amount of mediation. Conclusions Our findings suggest that the association of chronic physical conditions with MDE is partly explained by functional disability. Such explanation is more pronounced for pain causing conditions and heart disease. Health professionals should be particularly aware of the increased risk of depressive disorder when patients experience disability from these conditions. PMID:19939461

  18. "It's been a long journey": Exploring educationally mobile students' transition into STEM majors at a university

    NASA Astrophysics Data System (ADS)

    Arreygue, Aimee

    Today, one third of all college students are considered educationally "mobile," which means they will change institutions during their undergraduate careers. The concept of educational mobility challenges the traditional idea of students moving through an educational pipeline in a linear fashion, and recognizes that many of today's students, including those in STEM fields (Science, Technology, Engineering, Mathematics), will have multiple transition points. The purpose of this qualitative study was to examine the transitional experiences of educationally mobile students moving into and through the STEM disciplines at a public university. Students who move from one educational environment to another undergo a significant transition process, and understanding this process for individual students and the institution's role in supporting transition has implications for educational policy. Grounded in the conceptual framework guided by Schlossberg's Transition Theory, and Swail, Redd, and Perna's Geometric Model for Student Persistence and Achievement, this study explores the following research question: How do students who are educationally mobile experience academic, social, and institutional support while transitioning into and through STEM disciplines at a four-year public university? Eighteen science and mathematics majors participated in this study, all of whom attended at least one institution of higher education prior to their current attendance at Mountain View University, a four-year comprehensive Hispanic Serving Institution (HSI) in Southern California. Participants were interviewed utilizing a semi-structured interview protocol and completed a demographic questionnaire as well. Trustworthiness measures included member checking and peer debriefing. The findings of this study show that educationally mobile students are savvy agents of their education, and make personal and professional sacrifices in their pursuit of a STEM degree. They want to connect to like

  19. Major inputs and mobility of potentially toxic elements contamination in urban areas.

    PubMed

    Cachada, A; Dias, A C; Pato, P; Mieiro, C; Rocha-Santos, T; Pereira, M E; Ferreira da Silva, E; Duarte, A C

    2013-01-01

    Soil quality in urban areas is affected by anthropogenic activities, posing a risk to human health and ecosystems. Since the pseudo-total concentrations of potentially toxic elements may not reflect their potential risks, the study of element mobility is very important on a risk assessment basis. This study aims at characterising the distribution and major sources of 34 elements in two Portuguese urban areas (Lisbon and Viseu), with different geological characteristics, industrial and urban development processes. Furthermore, the potential availability of As, Co, Cr, Cu, Ni, Pb and Zn was assessed, by measuring the fraction easily mobilised. Lisbon is enriched in elements of geogenic and anthropogenic origin, whereas in the smaller city, the high levels observed are mainly related to a geogenic origin. Background values can be more relevant than the dimension of the city, even when anthropogenic components may be present, and this parameter should be considered when comparing results from different cities. Regarding the potential available fraction, a high variability of results was observed for elements and for sampling sites with an influence of the soil's general characteristics. Elements showing very high concentrations due to geological reasons presented, in general, a low mobility and it was not dependent on the degree of contamination. For elements with major anthropogenic origin, only Zn was dependent on the pseudo-total content. Yet, the highest available fractions of some elements, both with major geogenic and anthropogenic origin, were observed in specific contaminated samples. Therefore, a site-specific evaluation in urban soils is important due to the high spatial variability and heterogeneity. PMID:22350347

  20. 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…

  1. 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…

  2. Nutritional determinants of mobility

    PubMed Central

    Milaneschi, Yuri; Tanaka, Toshiko; Ferrucci, Luigi

    2010-01-01

    Purpose of review In many countries, persons over 65 is one of the fastest growing segment of the population. Mobility disability is one of the major risk factors for morbidity and mortality in this age group. There is increasing evidence that improved nutrition can reduce the risk of developing disability in older age. This review summarizes the recent literature showing the associations between different nutrients and mobility-related outcomes in older adults. Recent findings Recent studies suggested an association between low intake and low serum concentrations of micronutrients, such as antioxidants and vitamins, with measures of physical performance, muscle strength and disability in older adults. Summary The role of low micronutrients as cross-sectional and longitudinal correlates of mobility disability is consistent with a growing number of studies showing that a diet rich in fruits and vegetables, such as the Mediterranean diet, has a beneficial role in healthy aging. PMID:20736822

  3. 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.

  4. 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

  5. Battlefield orthopaedic injuries cause the majority of long-term disabilities.

    PubMed

    Cross, Jessica D; Ficke, James R; Hsu, Joseph R; Masini, Brendan D; Wenke, Joseph C

    2011-01-01

    Extremity injuries make up 54% of combat wounds sustained in Operation Iraqi Freedom and Operation Enduring Freedom. In a cohort of war-wounded service members, we identified the conditions secondary to battle injury that result in disqualification from continued service. The Army Physical Evaluation Board records of 464 wounded service members who were injured between October 2001 and January 2005 were reviewed to determine the codes indicating unfitting conditions. Sixty-nine percent of these conditions were orthopaedic. Fifty-seven percent of the injured had unfitting conditions that were orthopaedic only. Of those evacuated from theater with a primary diagnosis of injury to the head, thorax, or abdomen and who suffered an orthopaedic injury as well, 76% had an orthopaedic diagnosis as the primary unfitting condition. Orthopaedic-related disability has a significant impact on the affected patient, the health care system, and, in the case of wounded service members, on military strength and readiness. PMID:21304041

  6. Follow that Bear! Encouraging Mobility in a Young Child with Visual Impairment and Multiple Disabilities.

    ERIC Educational Resources Information Center

    Tolla, Joan

    2000-01-01

    This article shows that unexpected gains can happen when teachers develop aggressive, innovative, and adaptive orientation and mobility (O&M) programming for children who are low-functioning. A case study illustrates strategies for using an adaptive mobility device, squaring-up, stepping out, and charting progress. Challenges to a successful O&M…

  7. Mobilization of major inorganic ions during experimental diagenesis of characterized peats

    USGS Publications Warehouse

    Bailey, A.M.; Cohen, A.D.; Orem, W.H.; Blackson, J.H.

    2000-01-01

    Laboratory experiments were undertaken to study changes in concentrations of major inorganic ions during simulated burial of peats to about 1.5 km. Cladium, Rhizophora, and Cyrilla peats were first analyzed to determine cation distributions among fractions of the initial materials and minerals in residues from wet oxidation. Subsamples of the peats (80 g) were then subjected to increasing temperatures and pressures in steps of 5??C and 300 psi at 2-day intervals and produced solutions collected. After six steps, starting from 30??C and 300 psi, a final temperature of 60??C and a final pressure of 2100 psi were achieved. The system was then allowed to stand for an additional 2 weeks at 60??C and 2100 psi. Treatments resulted in highly altered organic solids resembling lignite and expelled solutions of systematically varying compositions. Solutions from each step were analyzed for Na+, Ca2+, Mg2+, total dissolved Si (Si(T)), Cl-, SO42-, and organic acids and anions (OAAs). Some data on total dissolved Al (Al(T)) were also collected. Mobilization of major ions from peats during these experiments is controlled by at least three processes: (1) loss of dissolved ions in original porewater expelled during compaction, (2) loss of adsorbed cations as adsorption sites are lost during modification of organic solids, and (3) increased dissolution of inorganic phases at later steps due to increased temperatures (Si(T)) and increased complexing by OAAs (Al(T)). In general, results provide insight into early post-burial inorganic changes occurring during maturation of terrestrial organic matter. (C) 2000 Elsevier Science B.V. All rights reserved.

  8. Multi-pollutant mobile platform measurements of air pollutants adjacent to a major roadway

    PubMed Central

    Riley, Erin A.; Banks, Lyndsey; Fintzi, Jonathan; Gould, Timothy R.; Hartin, Kris; Schaal, LaNae; Davey, Mark; Sheppard, Lianne; Larson, Timothy; Yost, Michael G.; Simpson, Christopher D.

    2014-01-01

    A mobile monitoring platform developed at the University of Washington Center for Clean Air Research (CCAR) measured 10 pollutant metrics (10 s measurements at an average speed of 22 km/hr) in two neighborhoods bordering a major interstate in Albuquerque, NM, USA from April 18-24 2012. 5 days of data sharing a common downwind orientation with respect to the roadway were analyzed. The aggregate results show a three-fold increase in black carbon (BC) concentrations within 10 meters of the edge of roadway, in addition to elevated nanoparticle concentration and particulate matter with aerodynamic diameter < 1 μm (PN1) concentrations. A 30% reduction in ozone concentration near the roadway was observed, anti-correlated with an increase in the oxides of nitrogen (NOx). In this study, the pollutants measured have been expanded to include polycyclic aromatic hydrocarbons (PAH), particle size distribution (0.25-32 μm), and ultra-violet absorbing particulate matter (UVPM). The raster sampling scheme combined with spatial and temporal measurement alignment provide a measure of variability in the near roadway concentrations, and allow us to use a principal component analysis to identify multi-pollutant features and analyze their roadway influences. PMID:25364294

  9. Core Self-Evaluations as a Mediator between Functional Disability and Life Satisfaction in College Students with Disabilities Majoring in Science and Technology

    ERIC Educational Resources Information Center

    Smedema, Susan Miller; Pfaller, Joseph S.; Yaghmaian, Rana A.; Weaver, Hayley; da Silva Cardoso, Elizabeth; Chan, Fong

    2015-01-01

    Purpose: To examine the mediational effect of core self-evaluations (CSE) on the relationship between functional disability and life satisfaction. Methods: A quantitative descriptive design using multiple regression analysis. The participants were 97 college students with disabilities receiving services through Hunter College's Minority-Disability…

  10. A comparative study of the mobile population in Wuhan and other major cities.

    PubMed

    Zeng, Y

    1997-01-01

    This study examined population mobility among residents of 5 cities in China: Wuhan, Beijing, Shanghai, Guangzhou, and Shenzhen. Data were obtained from the 1995 Sample Survey of 1% of Wuhan Population and provincial Statistical Yearbooks. The total mobile population in China has increased from 20-80 million during 1982-95. Shanghai is the largest Chinese city. Beijing has a large proportion of international and internal migrants. Guangzhou is a capital city that was the first to adopt economic reforms. Migration fueled development in Shenzhen. A larger mobile population was related to larger population density. The mobile population was 20% in all cities, 30% of central city population, and 140.5% of the central city of Shenzhen. Beijing and Shanghai had the highest growth rates. Construction accounts for the largest percentage of business-related mobile population in Wuhan, Beijing, and Shanghai. Manufacturing accounts for the largest percentage in Guangzhou and Shenzhen. Most of the mobile population in capital cities such as Wuhan and Guangzhou, originates from within the provinces. The largest percentage of mobile population in Beijing and Shanghai come from adjacent provinces. Guangzhou receives many migrants from adjacent Hong Kong, Macao, and Taiwan. 47.8-78.8% of mobile population were farmers. More migrants are men. Educational levels are low. The mobile population contributes to industry and informational/cultural exchange. The migrants detract from urban areas in population pressure on housing and services, shortages of employment, illegal activities and crime, and unplanned births. PMID:12294143

  11. 78 FR 41824 - Enhanced Mobility for Seniors and Individuals With Disabilities: Proposed Circular

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-07-11

    ... review DOT's complete Privacy Act Statement published in the Federal Register on April 11, 2000 (65 FR...) and the Elderly Individuals and Individuals with Disabilities Program (49 U.S.C. 5310) into a new... I. Overview FTA is updating Circular 9070.1F, ``Elderly Individuals and Individuals...

  12. 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…

  13. Major element, trace element, nutrient, and radionuclide mobility in a mining by-product-amended soil.

    PubMed

    Douglas, G; Adeney, J; Johnston, K; Wendling, L; Coleman, S

    2012-01-01

    This study investigates the use of a mineral processing by-product, neutralized used acid (NUA), primarily composed of gypsum and Fe-oxyhydroxide, as a soil amendment. A 1489-d turf farm field trial assessed nutrient, trace element, and radionuclide mobility of a soil amended with ∼5% by mass to a depth of 15 cm of NUA. Average PO-P fluxes collected as subsoil leachates were 0.7 and 26.6 kg ha yr for NUA-amended and control sites, respectively, equating to a 97% reduction in PO-P loss after 434 kg P ha was applied. Total nitrogen fluxes in NUA-amended soil leachates were similarly reduced by 82%. Incorporation of NUA conferred major changes in leachate geochemistry with a diverse suite of trace elements depleted within NUA-amended leachates. Gypsum dissolution from NUA resulted in an increase from under- to oversaturation of the soil leachates for a range of Fe- and Ca-minerals including calcite and ferrihydrite, many of which have a well-documented ability to assimilate PO-P and trace elements. Isotopic analysis indicated little Pb addition from NUA. Both Sr and Nd isotope results revealed that NUA and added fertilizer became an important source of Ca to leachate and turf biomass. The NUA-amended soils retained a range of U-Th series radionuclides, with little evidence of transfer to soil leachate or turf biomass. Calculated radioactivity dose rates indicate only a small increment due to NUA amendment. With increased nutrient, trace element, and solute retention, and increased productivity, a range of potential agronomic benefits may be conferred by NUA amendment of soils, in addition to the potential to limit offsite nutrient loss and eutrophication. PMID:23128739

  14. Theory of mind disability in major depression with or without psychotic symptoms: a componential view.

    PubMed

    Wang, Yong-Guang; Wang, Yi-Qiang; Chen, Shu-Lin; Zhu, Chun-Yan; Wang, Kai

    2008-11-30

    Previous reports have conceptualized theory of mind (ToM) as comprising two components and questioned whether ToM deficits are associated with psychotic symptoms. We investigated 33 nonpsychotic depressed inpatients, 23 psychotic depressed inpatients, and 53 normal controls with the following measures: Eyes Task, Faux pas Task, Verbal Fluency Test (VFT), Digit Span Test (DST) and WAIS-IQ. The depressed patients were also evaluated with the Beck Depression Inventory-II (BDI-II) and the Brief Psychiatric Rating Scale (BPRS). The nonpsychotic depressed patients and the psychotic depressed individuals were significantly impaired on tasks involving ToM social-perceptual and social-cognitive components, as well as the VFT. The psychotic depressed patients performed significantly worse than nonpsychotic depressed patients on ToM tasks. An association was found between ToM performances and both BPRS total and hostile-suspiciousness scores in the depressed group. Both of the ToM components were impaired in depressed patients. Similar mechanisms and neurobiological substrate may contribute to schizophrenia and major depression. PMID:18926572

  15. Mobilization of major and trace constituents of highway runoff in groundwater potentially caused by deicing chemical migration

    USGS Publications Warehouse

    Granato, Gregory E.; Church, Peter E.; Stone, Victoria J.

    1995-01-01

    The quality of water in unsaturated zones and groundwater is affected by the major ions in deicing chemicals applied to roads and highways. The assessment of the environmental effects of highway runoff requires investigations to determine whether other major and trace constituents are mobilized during deicing chemical migration through the unsaturated zone and groundwater. In this regard, groundwater samples were analyzed in February and August 1991, and March, August, and November 1993 at a test site along Route 25 in southeastern Massachusetts. Analyses indicated that concentrations of major and trace chemical constituents of highway runoff in groundwater are substantially higher downgradient than upgradient from the highway.

  16. 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.…

  17. Graph Theory Analysis of Functional Brain Networks and Mobility Disability in Older Adults

    PubMed Central

    Burdette, Jonathan H.; Morgan, Ashley R.; Williamson, Jeff D.; Kritchevsky, Stephen B.; Laurienti, Paul J.

    2014-01-01

    Background. The brain’s structural integrity is associated with mobility function in older adults. Changes in function may be evident earlier than changes in structure and may be more directly related to mobility. Therefore, we assessed whether functional brain networks varied with mobility function in older adults. Methods. Short Physical Performance Battery (SPPB) and resting state functional magnetic resonance imaging were collected on 24 young (mean age = 26.4±5.1) and 48 older (mean age = 72.04±5.1) participants. Older participants were divided into three groups by SPPB score: Low SPPB (score = 7–9), Mid SPPB (score = 10), High SPPB (score = 11–12).Graph theory–based methods were used to characterize and compare brain network organization. Results. Connectivity in the somatomotor cortex distinguished between groups based on SPPB score. The community structure of the somatomotor cortex was significantly less consistent in the Low SPPB group (mean = 0.097±0.05) compared with Young (mean = 0.163±0.09, p = .03) SPPB group. Striking differences were evident in second-order connections between somatomotor cortex and superior temporal gyrus and insula that reached statistical significance. The Low SPPB group (mean = 140.87±109.30) had a significantly higher number of connections than Young (mean = 45.05±33.79, p = .0003) or High (mean = 49.61±35.31, p = .002) SPPB group. Conclusions. Older adults with poorer mobility function exhibited reduced consistency of somatomotor community structure and a greater number of secondary connections with vestibular and multisensory regions of the brain. Further study is needed to fully interpret these effects, but analysis of functional brain networks adds new insights to the contribution of the brain to mobility. PMID:24717331

  18. Functional disability and compromised mobility among older women with urinary incontinence

    PubMed Central

    Erekson, Elisabeth A.; Ciarleglio, Maria M.; Hanissian, Paul D.; Strohbehn, Kris; Bynum, Julie P.W.; Fried, Terri R.

    2014-01-01

    Objective Our objective was to determine the prevalence of functional disability among older women with urinary incontinence (UI). Methods We conducted a secondary analysis of the 2005-06 National Social Life, Health and Aging Project (NSHAP). Daily UI was defined as answering “daily” to the question, “How frequently...have you had difficulty controlling your bladder, including leaking small amounts of urine, leaking when you cough or sneeze, or not being able to make it to the bathroom on time?” We then explored functional status. Women were asked about seven basic activities of daily living (ADLs). Statistical analyses with percentage estimates and 95% confidence intervals (CI) were performed. Logistic regression was performed to assess the association between functional status and daily UI. Results In total, 1,412 women were included in our analysis. Daily UI was reported by 177 (12.5%) women. Functional dependence or disability with any ADLs was reported in 62.1% (95% CI 54.2%, 70.1%) of women with daily UI. Among women with daily UI, 23.6% (95% CI 16.8%, 30.5%) reported specific difficulty or dependence with using the toilet signifying functional limitations which may contribute to urine leakage. After adjusting for age category, race/ethnicity, education level, and parity, women with daily UI had 3.31 increased odds of functional difficulty or dependence compared with continent older women. Conclusion Over 60% of older women with daily UI reported functional difficulty or dependence and 1/4 of women with daily UI specifically reported difficulty or dependence with using the toilet. PMID:25185600

  19. 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

  20. Work disability remains a major problem in rheumatoid arthritis in the 2000s: data from 32 countries in the QUEST-RA Study

    PubMed Central

    2010-01-01

    Introduction Work disability is a major consequence of rheumatoid arthritis (RA), associated not only with traditional disease activity variables, but also more significantly with demographic, functional, occupational, and societal variables. Recent reports suggest that the use of biologic agents offers potential for reduced work disability rates, but the conclusions are based on surrogate disease activity measures derived from studies primarily from Western countries. Methods The Quantitative Standard Monitoring of Patients with RA (QUEST-RA) multinational database of 8,039 patients in 86 sites in 32 countries, 16 with high gross domestic product (GDP) (>24K US dollars (USD) per capita) and 16 low-GDP countries (<11K USD), was analyzed for work and disability status at onset and over the course of RA and clinical status of patients who continued working or had stopped working in high-GDP versus low-GDP countries according to all RA Core Data Set measures. Associations of work disability status with RA Core Data Set variables and indices were analyzed using descriptive statistics and regression analyses. Results At the time of first symptoms, 86% of men (range 57%-100% among countries) and 64% (19%-87%) of women <65 years were working. More than one third (37%) of these patients reported subsequent work disability because of RA. Among 1,756 patients whose symptoms had begun during the 2000s, the probabilities of continuing to work were 80% (95% confidence interval (CI) 78%-82%) at 2 years and 68% (95% CI 65%-71%) at 5 years, with similar patterns in high-GDP and low-GDP countries. Patients who continued working versus stopped working had significantly better clinical status for all clinical status measures and patient self-report scores, with similar patterns in high-GDP and low-GDP countries. However, patients who had stopped working in high-GDP countries had better clinical status than patients who continued working in low-GDP countries. The most significant

  1. Impacts of mobility disability and high and increasing body mass index on health-related quality of life and participation in society: a population-based cohort study from Sweden

    PubMed Central

    2014-01-01

    Background Increasing obesity in adults with mobility disability has become a considerable health problem, similar to the increasing trend of obesity in the general population. The aims of this study were to investigate the association of mobility disability with overweight status and obesity in a large population-based Swedish cohort of adults, and to investigate whether mobility disability, high body mass index (BMI), and increasing BMI over time are predictors of health-related quality of life and participation in society after 8 years of follow-up. Methods The study cohort included 13,549 individuals aged 18–64 years who answered questions about mobility disability, weight, height, health-related quality of life and participation in society in the Stockholm Public Health Survey 2002 and 2010. The cohort was randomly selected from the population of Stockholm County, and divided into six subgroups based on data for mobility disability and overweight status. Multiple binary logistic regression analyses were performed to assess the likelihood for low health-related quality of life and lack of participation. Results Respondents with mobility disability had a higher mean BMI than those without mobility disability. Respondents both with and without mobility disability increased in BMI, but with no significant difference in the longitudinal changes (mean difference: 0.078; 95% CI: -0.16 - 0.32). Presence of mobility disability increased the risk of low health-related quality of life and lack of participation in 2010, irrespective of low health-related quality of life and lack of participation in 2002. The risk of pain and low general health (parts of health-related quality of life) increased for every 5 units of higher BMI reported in 2010. In respondents without low general health at baseline, the risk of obtaining low general health increased for every 5 units of higher BMI in 2010 (OR:1.60; CI: 1.47 - 1.74). Conclusions The greatest risk of low general health

  2. Mobility and Mobility Aids for Visually Handicapped Individuals. Bibliography, No. 84-1.

    ERIC Educational Resources Information Center

    Library of Congress, Washington, DC. National Library Service for the Blind and Physically Handicapped.

    The bibliography lists approximately 150 references (1973-1983) on orientation and mobility for visually impaired individuals. Citations are organized alphabetically by author's name within five major topic areas: general works, manuals and curriculum guides, research literature, mobility for special populations (multiple disabilities, children…

  3. Mobility and fluxes of major, minor and trace metals during basalt weathering and groundwater transport at Mt. Etna volcano (Sicily)

    SciTech Connect

    Aiuppa, A.; Allard, P.; D'Alessandro, W.; Michel, A.; Parello, F.; Treuil, M.; Valenza, M.

    2000-06-01

    The concentrations and fluxes of major, minor and trace metals were determined in 53 samples of groundwaters from around Mt. Etna, in order to evaluate the conditions and extent of alkali basalt weathering by waters enriched in magma-derived CO{sub 2} and the contribution of aqueous transport to the overall metal discharge of the volcano. The authors show that gaseous input of magmatic volatile metals into the Etnean aquifer is small or negligible, being limited by cooling of the rising fluids. Basalt leaching by weakly acidic, CO{sub 2}-charged water is the overwhelming source of metals and appears to be more extensive in two sectors of the S-SW (Paterno) and E (Zafferana) volcano flanks, where out flowing groundwaters are the richest in metals and bicarbonate of magmatic origin. Thermodynamic modeling of the results allows evaluation of the relative mobility and chemical speciation of various elements during their partitioning between solid and liquid phases through the weathering process. At Mt. Etna, poorly mobile elements (Al, Th, Fe) are preferentially retained in the solid residue of weathering, while alkalis, alkaline earth and oxo-anion-forming elements (As, Se, Sb, Mo) are more mobile and released to the aqueous system. Transition metals display an intermediate behavior and are strongly dependent on either the redox conditions (Mn, Cr, V) or solid surface-related processes (V, Zn, Cu).

  4. 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

  5. Enabling Disabled Students.

    ERIC Educational Resources Information Center

    Murphy, Diane Makar; Murphy, John T.

    1997-01-01

    The Americans with Disabilities Act requires reasonable accommodations for the disabled in public and private colleges and universities. Faculty must understand the difference between equal opportunity and equal treatment. Specific suggestions are made for teaching learning-disabled, mobility- impaired, visually-impaired, and hearing-impaired…

  6. 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...

  7. 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...

  8. 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...

  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. 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

  11. 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

  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

    2014-12-01

    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

  13. 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

  14. Temporal and Spatial Variations of Particulate Emissions on Major Highways in Southern California: Lagrangian Approach Using Mobile Monitoring System.

    NASA Astrophysics Data System (ADS)

    Jung, H.; Grady, M.; Pham, L.

    2014-12-01

    In 2010 CARB reported 9,000 people in California die prematurely each year as a result of exposure to particulate emissions. Public's exposure to particulate emissions is known to be highest on highway during daily commute. Total particle concentrations vary temporarily and spatially due to many reasons including particle nucleation, traffic, and meteorological conditions. The stationary ambient monitoring sites are too sparsely located to measure these variations on highway. Also, emissions from highways can be included in the emission inventory which can improve modeler capability to predict at much finer scale. Emissions from highways are vary temporally and spatially. This study used a mobile platform to measure total particle number, total particle surface area and average particle diameter in Lagrangian approach. The study will report occurrence and frequency of hot spots for particle nucleation on highway and temporal/ spatial variations of particle concentrations on highway. This will enable better assessment of public's exposure to particulate emissions on highway by transportation and propose a methodology how to obtain emission inventory for major highways.

  15. Do disabled elderly Medicare beneficiaries with major depression make less use of a consumer-directed home care voucher benefit?

    PubMed

    Friedman, Bruce; Wamsley, Brenda R; Conwell, Yeates

    2015-01-01

    Older adults with major depression may underutilize consumer-directed long-term care. Systematic underutilization would create disparities in outcomes, undermining program effectiveness. The Medicare Primary and Consumer-Directed Care Demonstration included a consumer-directed indemnity benefit that paid for goods and services not financed by traditional Medicare. Overall and for most categories of goods and services there was little difference in use and expenditures between those with and without major depression. However, among those using the benefit to hire in-home workers, arguably the most important consumer-directed purchase, average spending for workers was about 30% lower for depressed persons. While our findings are generally reassuring for public policy, future research is needed to verify that major depression is associated with less spending on in-home workers. PMID:25300034

  16. 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…

  17. 49 CFR 39.39 - How do PVOs ensure that passengers with disabilities are able to use accessible cabins?

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... whom the cabin is being reserved) has a mobility disability or a disability that requires the use of... individual that accessible cabin is for a person who has a mobility disability or a disability that requires... accessible cabin, after having attested that he or she has a mobility disability, you may deny...

  18. 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

  19. 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

  20. Mobility of major and trace elements in andosols from Iceland: correlating extent of chemical weathering with climatic conditions at soil formation sites

    NASA Astrophysics Data System (ADS)

    Oskarsson, Birgir V.; Riishuus, Morten S.; Arnalds, Olafur

    2010-05-01

    Element mobility within volcanic soil profiles developed in diverse climatic conditions in Iceland is assessed. Soils were selected from areas with good monitoring of annual temperature and precipitation and the degree of weathering and elemental behavior was compared. Most soils in Iceland develop in parent materials of volcanic origin, including a variety of basaltic and andesitic tephras, hyaloclastites and glacial tillites. Most Icelandic soils are subject to considerable flux of eolian deposition and in times receive tephra ejecta from volcanic eruptions. In this study, samples were carefully extracted from brown and gleyic andosol horizons for major and trace element analysis. Each horizon is representative of a pedogenetic stage. Preliminary results show that the major elements TiO2, Al2O3 and Fe2O3 (T) (mean wt% = 3.4, 19.2, 17.3) appear immobile relative to the parent material (p.m. mean wt% = 1.6, 14.6, 10.9) and are found enriched within more mature horizons. The base cations MgO, CaO and Na2O (mean wt% = 4.11, 7.23, 1.8) are depleted in these horizons (p.m. mean wt% = 9.1, 11.8, 2.0) showing mobilization during pedogenesis. The trace elements reveal no strong enrichment/depletion trend with a range of mobility from mobile to immobile Rb, Zn, Y, Sr, Ba, Ni, La, Cr, Cu, Nd, V, Zr and Nb. Soils developed in colder and dryer climatic conditions in Iceland (MAT = -1°C and MAP = 1000mm) show higher levels of weathering (CIA-K = 50-65) and element mobilization. The parent materials have a CIA-K weathering index of 37. The relationship of the covariance of the climate parameters with extent of chemical weathering may be quantified as climofunctions to deliver proxy climate data under cool to subarctic conditions. Our results may yield reasonable tools for determining past climate variations from weathered tephras found as paleosols in the Neogene lava piles of Iceland and other volcanic provinces.

  1. School problems and solutions for students with disabilities: a qualitative examination.

    PubMed

    Sorani-Villanueva, Sandra; McMahon, Susan D; Crouch, Ronald; Keys, Christopher B

    2014-01-01

    The inclusion of students with disabilities is a process that requires collaboration among multiple individuals, with teachers, aides, parents, students, and school systems playing important roles in resolving student problems. In the current study, we examined data from 75 teachers concerning 126 students about problems that students with disabilities had following a transition from a school primarily serving students with disabilities to more inclusive schools. Reported problems were reviewed and five major themes emerged: academic, behavioral, mobility/accessibility, social, and transportation issues. Teachers typically resolved academic problems by working directly with the student or collaborating with school staff. Social problems were resolved through student and teacher initiatives. Behavioral, transportation, and mobility/accessibility problems were resolved through collaboration among many key school figures and family members. Implications for theory, research, and inclusive school practices related to academic curricula, resources, services, and architectural accommodations for students with disabilities are discussed. PMID:24447159

  2. 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

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

  3. Adaptive computing for people with disabilities.

    PubMed

    Merrow, S L; Corbett, C D

    1994-01-01

    Adaptive computing is a relatively new area, and little has been written in the nursing literature on the topic. "Adaptive computing" refers to the professional services and the technology (both hardware and software) that make computing technology accessible for persons with disabilities. Nurses in many settings such as schools, industry, rehabilitation facilities, and the community, can use knowledge of adaptive computing as they counsel, advise, and advocate for people with disabilities. Nurses with an awareness and knowledge of adaptive computing will be better able to promote high-level wellness for individuals with disabilities, thus maximizing their potential for an active fulfilling life. People with different types of disabilities, including visual, mobility, hearing, learning, communication disorders and acquired brain injuries may benefit from computer adaptations. Disabled people encounter barriers to computing in six major areas: 1) the environment, 2) data entry, 3) information output, 4) technical documentation, 5) support, and 6) training. After a discussion of these barriers, the criteria for selecting appropriate adaptations and selected examples of adaptations are presented. Several cases studies illustrate the evaluation process and the development of adaptive computer solutions. PMID:8082064

  4. A cross-sectional study of functional disabilities and perceived cognitive dysfunction in patients with major depressive disorder in South Korea: The PERFORM-K study.

    PubMed

    Kim, Jae Min; Chalem, Ylana; di Nicola, Sylvia; Hong, Jin Pyo; Won, Seung Hee; Milea, Dominique

    2016-05-30

    PERFORM-K was a cross-sectional observational study that investigated functional disability, productivity and quality of life in MDD outpatients in South Korea, and the associations of these with depressive symptoms, perceived cognitive dysfunction and other factors. A total of 312 outpatients who started antidepressant monotherapy underwent a single study interview. Physicians and patients assessed depression severity. Patients also assessed: perceived cognitive dysfunction, functional disability, impaired productivity and quality of life. Patients had moderate to severe depression (MADRS mean total score: 28.9±7.3), and reported marked functional disability (SDS mean total score: 16.7±8.6), impaired productivity (WPAI mean overall work productivity loss: 52.4±31.8%), perceived cognitive dysfunction (PDQ-D mean total score: 29.9±18.6) and impaired quality of life (EQ-5D mean utility index score of 0.726±0.192). Greater functional disability and impairment in daily activities were associated with more severe depression and greater perceived cognitive dysfunction. Irrespective of depression severity, patients with more severe perceived cognitive dysfunction reported worse work-related productivity outcomes (higher presenteeism and greater overall work productivity loss). PERFORM-K confirms the impact of MDD on functional status and well-being in South Korean patients, and highlights the importance of recognising cognitive dysfunction in clinical practice. PMID:26908289

  5. 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…

  6. Biogeochemical processes controlling the mobility of major ions and trace metals in aquitard sediments beneath an oil sand tailing pond: Laboratory studies and reactive transport modeling

    NASA Astrophysics Data System (ADS)

    Holden, A. A.; Haque, S. E.; Mayer, K. U.; Ulrich, A. C.

    2013-08-01

    Increased production and expansion of the oil sand industry in Alberta are of great benefit to the economy, but they carry major environmental challenges. The volume of fluid fine tailings requiring storage is 840 × 106 m3 and growing, making it imperative that we better understand the fate and transport of oil sand process-affected water (OSPW) seepage from these facilities. Accordingly, the current study seeks to characterize both a) the potential for major ion and trace element release, and b) the principal biogeochemical processes involved, as tailing pond OSPW infiltrates into, and interacts with, underlying glacial till sediments prior to reaching down gradient aquifers or surface waters. Objectives were addressed through a series of aqueous and solid phase experiments, including radial diffusion cells, an isotope analysis, X-ray diffraction, and sequential extractions. The diffusion cells were also simulated in a reactive transport framework to elucidate key reaction processes. The experiments indicate that the ingress and interaction of OSPW with the glacial till sediment-pore water system will result in: a mitigation of ingressing Na (retardation), displacement and then limited precipitation of exchangeable Ca and Mg (as carbonates), sulfate reduction and subsequent precipitation of the produced sulfides, as well as biodegradation of organic carbon. High concentrations of ingressing Cl (~ 375 mg L- 1) and Na (~ 575 mg L- 1) (even though the latter is delayed, or retarded) are expected to migrate through the till and into the underlying sand channel. Trace element mobility was influenced by ion exchange, oxidation-reduction, and mineral phase reactions including reductive dissolution of metal oxyhydroxides — in accordance with previous observations within sandy aquifer settings. Furthermore, although several trace elements showed the potential for release (Al, B, Ba, Cd, Mn, Pb, Si, Sr), large-scale mobilization is not supported. Thus, the present

  7. The Perilipins: Major Cytosolic Lipid Droplet-Associated Proteins and Their Roles in Cellular Lipid Storage, Mobilization, and Systemic Homeostasis.

    PubMed

    Kimmel, Alan R; Sztalryd, Carole

    2016-07-17

    The discovery by Dr. Constantine Londos of perilipin 1, the major scaffold protein at the surface of cytosolic lipid droplets in adipocytes, marked a fundamental conceptual change in the understanding of lipolytic regulation. Focus then shifted from the enzymatic activation of lipases to substrate accessibility, mediated by perilipin-dependent protein sequestration and recruitment. Consequently, the lipid droplet became recognized as a unique, metabolically active cellular organelle and its surface as the active site for novel protein-protein interactions. A new area of investigation emerged, centered on lipid droplets' biology and their role in energy homeostasis. The perilipin family is of ancient origin and has expanded to include five mammalian genes and a growing list of evolutionarily conserved members. Universally, the perilipins modulate cellular lipid storage. This review provides a summary that connects the perilipins to both cellular and whole-body homeostasis. PMID:27431369

  8. Mobility of major and trace elements in a coupled groundwater-surface water system: Merced River, CA

    NASA Astrophysics Data System (ADS)

    Wildman, R. A.; Domagalski, J. L.; Hering, J. G.

    2004-12-01

    Trace element transport in coupled surface water/groundwater systems is controlled not only by advective flow, but also by redox reactions that affect the partitioning of various elements between mobile and immobile phases. These processes have been examined in the context of a field project conducted by the U.S. Geological Survey (USGS) as part of the National Water-Quality Assessment (NAWQA) program. The Merced River flows out of Yosemite National Park and the Sierra Nevada foothills and into California's Central Valley, where it joins the San Joaquin River. Our field site is approximately twenty river kilometers from the confluence with the San Joaquin River. This deep alluvial plain has minimal topography. Agricultural development characterizes the land surrounding this reach of river; consequently, the hydrology is heavily influenced by irrigation. Riverbed groundwater samples were collected from ten wells aligned in two transects across the river located approximately 100 m apart. The wells were sampled from depths of 0.5 m, 1 m, and 3 m below the sediment-water interface. Groundwater flowpath samples were taken from wells positioned on a path perpendicular to the river and located 100 m, 500 m, and 1000 m from the river. The saturated groundwater system exists from 7 to 40 m below the surface and is confined below by a clay layer. Each well location samples from 3-5 depths in this surface aquifer. Samples were collected in December 2003, March-April, June-July, and October 2004. This served to provide an evenly-spaced sampling frequency over the course of a year, and also to allow observation of trends coinciding with the onset of winter, the spring runoff, and early and late summer irrigation. An initial survey of the elements in the riverbed samples was conducted using Inductively-Coupled Plasma Mass Spectrometry (ICP-MS). Elements for further study were selected based on variability in this survey, either with respect to depth or location, as well as to

  9. The Isthmus of Panama: a major physical barrier to gene flow in a highly mobile pantropical seabird.

    PubMed

    Steeves, T E; Anderson, D J; Friesen, V L

    2005-07-01

    To further test the hypothesis that the Isthmus of Panama is a major barrier to gene flow in pantropical seabirds, we applied phylogeographic methods to mitochondrial control sequence variation in masked booby (Sula dactylatra) populations on either side of the Isthmus of Panama and the southern tip of Africa. In accord with Steeves et al. (2003), we found that all Caribbean masked boobies with the 'secondary contact' cytochrome b haplotype (m-B) shared a control region haplotype (Sd_100), which grouped with Indian-Pacific haplotypes and not Caribbean-Atlantic haplotypes. In addition, Sd_100 was more closely related to control region haplotypes in the Indian Ocean than in the Pacific. We also found that the 'secondary contact' birds diverged more recently from extant populations in the Indian Ocean than in the Pacific. Thus, it appears that these masked boobies did not breach the Isthmus of Panama. Rather, birds likely dispersed around the southern tip of Africa during favourable oceanographic conditions in the Pleistocene. PMID:16033573

  10. Major depression.

    PubMed

    Bentley, Susan M; Pagalilauan, Genevieve L; Simpson, Scott A

    2014-09-01

    Major depression is a common, disabling condition seen frequently in primary care practices. Non-psychiatrist ambulatory providers are increasingly responsible for diagnosing, and primarily managing patients suffering from major depressive disorder (MDD). The goal of this review is to help primary care providers to understand the natural history of MDD, identify practical tools for screening, and a thoughtful approach to management. Clinically challenging topics like co-morbid conditions, treatment resistant depression and pharmacotherapy selection with consideration to side effects and medication interactions, are also covered. PMID:25134869

  11. Disability Awareness Training Manual for Park Personnel.

    ERIC Educational Resources Information Center

    Myers, Laurie C.

    Designed to increase the awareness and understanding of disabilities by Virginia park personnel, this guide provides information about the characteristics and needs of park visitors who have disabilities. Four different categories of disabilities are addressed: (1) mobility impairments; (2) visual impairments; (3) hearing impairments; and (4)…

  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. Intellectual disability

    MedlinePlus

    Intellectual disability is a condition diagnosed before age 18 that includes below-average intellectual function and a lack of ... Intellectual disability affects about 1 to 3% of the population. There are many causes of intellectual disability, but doctors ...

  14. Learning Disabilities

    MedlinePlus

    ... Enhancing Diversity Find People About NINDS NINDS Learning Disabilities Information Page Table of Contents (click to jump ... Español Additional resources from MedlinePlus What are Learning Disabilities? Learning disabilities are disorders that affect the ability ...

  15. Staging of mobility, transfer and walking functions of elderly persons based on the codes of the International Classification of Functioning, Disability and Health

    PubMed Central

    2013-01-01

    Background The International Classification of Functioning, Disability and Health (ICF) was introduced by the World Health Organization as a common taxonomy to describe the burden of health conditions. This study focuses on the development of a scale for staging basic mobility and walking functions based on the ICF. Methods Thirty-three ICF codes were selected to test their fit to the Rasch model and their location. Of these ICF items, four were used to develop a Guttman- type scale of “basic mobility” and another four to develop a“walking” scale to stage functional performance in the elderly. The content validity and differential item functioning of the scales were assessed. The participants, chosen at random, were Japanese over 65 years old using the services of public long-term care insurance, and whose functional assessments were used for scale development and scale validation. Results There were 1164 elderly persons who were eligible for scale development. To stage the functional performance of elderly persons, two Guttman-type scales of “basic mobility” and “walking” were constructed. The order of item difficulty was validated using 3260 elderly persons. There is no differential item functioning about study location, sex and age-group in the newly developed scales. These results suggested the newly developed scales have content validity. Conclusions These scales divided functional performance into five stages according to four ICF codes, making the measurements simple and less time-consuming and enable clear descriptions of elderly functioning level. This was achieved by hierarchically rearranging the ICF items and constructing Guttman-type scales according to item difficulty using the Rasch model. In addition, each functional level might require similar resources and therefore enable standardization of care and rehabilitation. Illustrations facilitate the sharing of patient images among health care providers. By using the ICF as a common

  16. Biogeochemical processes controlling the mobility of major ions and trace metals in aquitard sediments beneath an oil sand tailing pond: laboratory studies and reactive transport modeling.

    PubMed

    Holden, A A; Haque, S E; Mayer, K U; Ulrich, A C

    2013-08-01

    Increased production and expansion of the oil sand industry in Alberta are of great benefit to the economy, but they carry major environmental challenges. The volume of fluid fine tailings requiring storage is 840×10(6) m(3) and growing, making it imperative that we better understand the fate and transport of oil sand process-affected water (OSPW) seepage from these facilities. Accordingly, the current study seeks to characterize both a) the potential for major ion and trace element release, and b) the principal biogeochemical processes involved, as tailing pond OSPW infiltrates into, and interacts with, underlying glacial till sediments prior to reaching down gradient aquifers or surface waters. Objectives were addressed through a series of aqueous and solid phase experiments, including radial diffusion cells, an isotope analysis, X-ray diffraction, and sequential extractions. The diffusion cells were also simulated in a reactive transport framework to elucidate key reaction processes. The experiments indicate that the ingress and interaction of OSPW with the glacial till sediment-pore water system will result in: a mitigation of ingressing Na (retardation), displacement and then limited precipitation of exchangeable Ca and Mg (as carbonates), sulfate reduction and subsequent precipitation of the produced sulfides, as well as biodegradation of organic carbon. High concentrations of ingressing Cl (~375 mg L(-1)) and Na (~575 mg L(-1)) (even though the latter is delayed, or retarded) are expected to migrate through the till and into the underlying sand channel. Trace element mobility was influenced by ion exchange, oxidation-reduction, and mineral phase reactions including reductive dissolution of metal oxyhydroxides - in accordance with previous observations within sandy aquifer settings. Furthermore, although several trace elements showed the potential for release (Al, B, Ba, Cd, Mn, Pb, Si, Sr), large-scale mobilization is not supported. Thus, the present

  17. Confirmation of diosmetin 3-O-glucuronide as major metabolite of diosmin in humans, using micro-liquid-chromatography-mass spectrometry and ion mobility mass spectrometry.

    PubMed

    Silvestro, Luigi; Tarcomnicu, Isabela; Dulea, Constanta; Attili, Nageswara Rao B N; Ciuca, Valentin; Peru, Dan; Rizea Savu, Simona

    2013-10-01

    Diosmin is a flavonoid often administered in the treatment of chronic venous insufficiency, hemorrhoids, and related affections. Diosmin is rapidly hydrolized in the intestine to its aglicone, diosmetin, which is further metabolized to conjugates. In this study, the development and validations of three new methods for the determination of diosmetin, free and after enzymatic deconjugation, and of its potential glucuronide metabolites, diosmetin-3-O-glucuronide, diosmetin-7-O-glucuronide, and diosmetin-3,7-O-glucuronide from human plasma and urine are presented. First, the quantification of diosmetin, free and after deconjugation, was carried out by high-performance liquid chromatography coupled with tandem mass spectrometry, on an Ascentis RP-Amide column (150 × 2.1 mm, 5 μm), in reversed-phase conditions, after enzymatic digestion. Then glucuronide metabolites from plasma were separated by micro-liquid chromatography coupled with tandem mass spectrometry on a HALO C18 (50 × 0.3 mm, 2.7 μm, 90 Å) column, after solid-phase extraction. Finally, glucuronides from urine were measured using a Discovery HSF5 (100 × 2.1 mm, 5 μm) column, after simple dilution with mobile phase. The methods were validated by assessing linearity, accuracy, precision, low limit of quantification, selectivity, extraction recovery, stability, and matrix effects; results in agreement with regulatory (Food and Drug Administration and European Medicines Agency) guidelines acceptance criteria were obtained in all cases. The methods were applied to a pharmacokinetic study with diosmin (450 mg orally administered tablets). The mean C max of diosmetin in plasma was 6,049.3 ± 5,548.6 pg/mL. A very good correlation between measured diosmetin and glucuronide metabolites concentrations was obtained. Diosmetin-3-O-glucuronide was identified as a major circulating metabolite of diosmetin in plasma and in urine, and this finding was confirmed by supplementary experiments with differential ion-mobility

  18. 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…

  19. Studies on deaf mobile application

    NASA Astrophysics Data System (ADS)

    Nathan, Shelena Soosay; Hussain, Azham; Hashim, Nor Laily

    2016-08-01

    The deaf normally considered to be disabled that do not need any mobile technology due to the inabilities of hearing and talking. However, many deaf are using mobile phone in their daily life for various purposes such as communication and learning. Many studies have attempted to identify the need of deaf people in mobile application and level of usage of the applications. This study aims in studying the recent research conducted on deaf mobile application to understand the level of importance of mobile technology for this disabled community. This paper enable identification of studies conducted are limited and the need of more research done of this disabled people to ensure their privilege of using mobile technology and its application, which leads to the identification of deaf user requirement for mobile application as future study.

  20. The Age of Majority.

    ERIC Educational Resources Information Center

    Council of State Governments, Lexington, KY.

    During the past 2 years state laws lowering the age of majority to 18 and other statutes that confer some majority rights on minors have considerably altered the status of young people in our society. In 7 states, the age of majority has been lowered in an effort to relieve young people of the minority disabilities originally intended to protect…

  1. Freestyle race pacing strategies (400 m) of elite able-bodied swimmers and swimmers with disability at major international championships.

    PubMed

    Taylor, Joseph B; Santi, Giampaolo; Mellalieu, Stephen D

    2016-10-01

    Freestyle race pacing strategies (400 m) were compared between elite able-bodied swimmers and those with minimal physical (International Paralympic Committee S10 classification) and visual disabilities (International Paralympic Committee S13 classification). Data comprised 50-m lap splits and overall race times from 1176 400-m freestyle swims from World Championships, European Championships and Olympic/Paralympic Games between 2006 and 2012. Five pacing strategies were identified across groups (even, fast start, negative, parabolic and parabolic fast start), with negative and even strategies the most commonly adopted. The negative pacing strategy produced the fastest race times for all groups except for female S13 swimmers where an even strategy was most effective. Able-bodied groups swam faster than their S10 and S13 counterparts, with no differences between S10 and S13 groups. The results suggest adoption of multiple pacing strategies across groups, and even where impairments are considered minimal they are still associated with performance detriments in comparison to their able-bodied counterparts. The findings have implications for the planning and implementation of training related to pacing strategies to ensure optimal swimmer preparation for competition. Analogous performance levels in S10 and S13 swimmers also suggest a case for integrated competition of these classifications in 400-m freestyle swimming. PMID:26854943

  2. 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.

  3. Developmental Disabilities

    MedlinePlus

    Developmental disabilities are severe, long-term problems. They may be physical, such as blindness. They may affect mental ability, ... everyday living. There are many causes of developmental disabilities, including Genetic or chromosome abnormalities. These cause conditions ...

  4. Intellectual disability

    MedlinePlus

    ... page: //medlineplus.gov/ency/article/001523.htm Intellectual disability To use the sharing features on this page, please enable JavaScript. Intellectual disability is a condition diagnosed before age 18 that ...

  5. Reassessment of the Listeria monocytogenes pan-genome reveals dynamic integration hotspots and mobile genetic elements as major components of the accessory genome

    PubMed Central

    2013-01-01

    differential distribution of trans-encoded RNA, hinting at a diverse range of adaptations and regulatory impact. Conclusions This study determined commonly occurring hyper variable hotspots and mobile elements as primary effectors of quantitative gene-scale evolution of species L. monocytogenes, while gene decay and SNPs seem to represent major factors influencing long-term evolution. The discovery of common and disparately distributed genes considering lineages, serogroups, serotypes and strains of species L. monocytogenes will assist in diagnostic, phylogenetic and functional research, supported by the comparative genomic GECO-LisDB analysis server (http://bioinfo.mikrobio.med.uni-giessen.de/geco2lisdb). PMID:23339658

  6. Learning disabilities: an overview.

    PubMed

    Erenberg, G

    1991-03-01

    Children with learning disabilities form a large pool of patients seen by neurologists for help in understanding the disability and deciding which forms of remediation are appropriate. Learning disabilities may accompany a large variety of other neurologic disabilities, but the usual child with such a problem is in excellent health. A thorough office evaluation for possible medical problems is always necessary, but most children do not require laboratory testing. All children with learning disabilities, whether or not they have accompanying neurologic problems, should be seen for psychological and/or educational evaluation. Some children may also benefit from an evaluation by a speech and language pathologist, occupational therapist, or ophthalmologist. The neurologist, alone or in association with a child psychologist, should also investigate the possible association of learning disabilities with attention deficit hyperactivity disorder. It is only for children with this component of learning problems that the possibility of medication arises. Working closely with the family, the child's school system, and other involved professionals becomes an important aspect of providing full and necessary help to children with learning disabilities. A caring physician can be a major help to the child and his family in understanding this disorder and supporting them during a difficult time. PMID:2034911

  7. Disability pornography: the fetishization of women's vulnerabilities.

    PubMed

    Elman, R A

    1997-06-01

    This paper offers a critical exploration of a form of pornography consisting in sexual abuse and exploitation of women and girls with disabilities. This practice allows men to create and maintain their sexual dominance over the female gender. Disability pornography, like all other forms of pornography, but in its own way, contributes to the second-class status of all women, particularly those who are suffering from limitations in mobility and other disabilities. By promoting the castrating, dominant, violent image of women, pornography allows men to justify their abusive behaviors toward women. This form of pornography preys on the vulnerability of disabled women and increases the possibility that they will be abused. The sexually explicit lack of physical mobility is as celebrated in disability pornography as the political mobility of women is condemned in all genres of pornography. Amputee pornography is just one example of this brutal practice. PMID:12319742

  8. 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

  9. 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)

  10. Law Enforcement and the Disabled.

    ERIC Educational Resources Information Center

    Poelvoorde, Rose; And Others

    The training program examines the relationship between law enforcement personnel and persons with disabilities. The curriculum is organized into four sections dealing with specific concerns of people with hearing impairments, visual impairments, mental retardation, and mobility impairments. Background information is presented for each disability…

  11. 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…

  12. The Transformation of Disabilities Organizations

    ERIC Educational Resources Information Center

    Schalock, Robert L.; Verdugo, Miguel-Angel

    2013-01-01

    This article summarizes the five major characteristics of the transformation era and describes how intellectual and closely related developmental disabilities organizations can apply specific transformation strategies associated with each characteristic. Collectively, the characteristics and strategies provide a framework for transformation…

  13. Patients living with disabilities

    PubMed Central

    Lofters, Aisha; Guilcher, Sara; Maulkhan, Niraj; Milligan, James; Lee, Joseph

    2016-01-01

    Objective To compare the potential risk factors for lower-quality primary care, the potential markers of unmet needs in primary care, and the willingness to participate in future research among primary care patients with versus without physical disabilities. Design A waiting room survey using a convenience sample. Setting A family health team (FHT) in Kitchener-Waterloo, Ont, with a designated Mobility Clinic. Participants A total of 40 patients seen at the FHT Mobility Clinic and 80 patients from the general patient population of the same FHT. Main outcome measures Socioeconomic status and social capital, number of self-reported emergency department visits and hospitalizations in the preceding year, and willingness of the patients in the 2 groups to participate in future research studies. Results Patients from the Mobility Clinic were more than twice as likely to be receiving benefits or social assistance (75.0% vs 32.1%, P < .001), were twice as likely to report an annual household income of less than $40000 (58.6% vs 29.2%, P = .006), and were more likely to report their health status to be fair or poor (42.5% vs 16.2%, P = .002). Half of Mobility Clinic patients had visited the emergency department at least once in the preceding year, compared with 29.7% in the general patient population (P = .027). When asked if they would be willing to provide their health card number in the future so that it could be linked to health care data for research, 82.5% of Mobility Clinic patients agreed versus 55.0% of those in the general patient population (P = .004). Conclusion In this study, patients with disabilities were at a social disadvantage compared with their peers without disabilities and were more likely to use the emergency department, suggesting that they had unmet health needs. Future research should continue to explore this patient population and to investigate if an interprofessional primary health care team approach focused on patients with disabilities can

  14. 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

  15. 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…

  16. Characterization and evolution of dissolved organic matter in acidic forest soil and its impact on the mobility of major and trace elements (case of the Strengbach watershed)

    NASA Astrophysics Data System (ADS)

    Gangloff, Sophie; Stille, Peter; Pierret, Marie-Claire; Weber, Tiphaine; Chabaux, François

    2014-04-01

    Dissolved Organic Carbon (DOC) plays an important role in the behavior of major and trace elements in the soil and influences their transfer from soil to soil solution. The first objective of this study is to characterize different organic functional groups for the Water Extractable Organic Carbon (WEOC) fractions of a forest soil as well as their evolution with depth. The second objective is to clarify the influence of these organic functional groups on the migration of the trace elements in WEOC fractions compared to those in the soil solution obtained by lysimeter plates. All experiments have been performed on an acidic forest soil profile (five depths in the first meter) of the experimental spruce parcel in the Stengbach catchment. The Infra-red spectra of the freeze-dried WEOC fractions show a modification of the molecular structure with depth, i.e. a decrease of the polar compounds such as polysaccharides and an increase of the less polar hydro-carbon functional groups with a maximum value of the aromaticity at 30 cm depth. A Hierarchical Ascending Classification (HAC) of the evolution of Water Extractable Chemical Elements (WECE) with the evolution of the organic functional groups in the organic matter (OM) enriched soil compartments permits recognition of relationships between trace element behavior and the organic functional group variations. More specifically, Pb is preferentially bound to the carboxylic acid function of DOC mainly present in the upper soil compartment and rare earth elements (REE) show similar behavior to Fe, V and Cr with a good affinity to carboxy-phenolic and phenolic groups of DOC. The experimental results show that heavy REE compared to light REE are preferentially bound to the aromatic functional group. This different behavior fractionates the REE pattern of soil solutions at 30 cm depth due to the here observed aromaticity enrichment of DOC. These different affinities for the organic functional groups of the DOC explain some

  17. Characterization and evolution of dissolved organic matter in acidic forest soil and its impact on the mobility of major and trace elements (case of the Strengbach watershed)

    NASA Astrophysics Data System (ADS)

    Gangloff, Sophie; Stille, Peter; Pierret, Marie-Claire; Weber, Tiphaine; Chabaux, François

    2014-04-01

    Dissolved Organic Carbon (DOC) plays an important role in the behavior of major and trace elements in the soil and influences their transfer from soil to soil solution. The first objective of this study is to characterize different organic functional groups for the Water Extractable Organic Carbon (WEOC) fractions of a forest soil as well as their evolution with depth. The second objective is to clarify the influence of these organic functional groups on the migration of the trace elements in WEOC fractions compared to those in the soil solution obtained by lysimeter plates. All experiments have been performed on an acidic forest soil profile (five depths in the first meter) of the experimental spruce parcel in the Stengbach catchment. The Infra-red spectra of the freeze-dried WEOC fractions show a modification of the molecular structure with depth, i.e. a decrease of the polar compounds such as polysaccharides and an increase of the less polar hydro-carbon functional groups with a maximum value of the aromaticity at 30 cm depth. A Hierarchical Ascending Classification (HAC) of the evolution of Water Extractable Chemical Elements (WECE) with the evolution of the organic functional groups in the organic matter (OM) enriched soil compartments permits recognition of relationships between trace element behavior and the organic functional group variations. More specifically, Pb is preferentially bound to the carboxylic acid function of DOC mainly present in the upper soil compartment and rare earth elements (REE) show similar behavior to Fe, V and Cr with a good affinity to carboxy-phenolic and phenolic groups of DOC. The experimental results show that heavy REE compared to light REE are preferentially bound to the aromatic functional group. This different behavior fractionates the REE pattern of soil solutions at 30 cm depth due to the here observed aromaticity enrichment of DOC. These different affinities for the organic functional groups of the DOC explain some

  18. 28 CFR 36.311 - Mobility devices.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... 28 Judicial Administration 1 2011-07-01 2011-07-01 false Mobility devices. 36.311 Section 36.311... ACCOMMODATIONS AND IN COMMERCIAL FACILITIES Specific Requirements § 36.311 Mobility devices. (a) Use of..., or other similar devices designed for use by individuals with mobility disabilities in any areas...

  19. 28 CFR 35.137 - Mobility devices.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... 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 and... devices designed for use by individuals with mobility disabilities, in any areas open to pedestrian...

  20. 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

  1. National Council on Disability

    MedlinePlus

    ... Cradle report and issues new policy toolkit and plain language toolkit regarding the rights of parents with disabilities. ... Policy Toolkits Disabled Parents Toolkit Disabled Parents Toolkit (plain language version) Deinstitutionalization Disability in Indian Country Contact Us ...

  2. Changing the disability climate: promoting tolerance in the workplace.

    PubMed

    Matt, Susan B; Butterfield, Patricia

    2006-03-01

    Disability climate is a key determinant of the successful integration of individuals with disabilities into the work force and a major influence on the level of occupational stress experienced by this population. Industry-specific attitudes regarding disabilities have an effect on disability climate as perceived by workers, as do formal and informal policies, procedures, and practices. Occupational health nurses can impact organizational disability climates through implementation of disability climate programs, thus improving workplace conditions for workers with disabilities and reducing occupational stress. PMID:16562624

  3. Libraries and the Mobile Web

    ERIC Educational Resources Information Center

    Hanson, Cody

    2011-01-01

    In 2011, cell phones and mobile devices are ubiquitous. The vast majority of Americans now own cell phones, and over half of them have mobile access to the Internet through a phone or other mobile device. For libraries to stay relevant, they must be able to offer content and services through the mobile web. In this issue of "Library Technology…

  4. 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…

  5. Intellectual Disability

    MedlinePlus

    ... follows: _________________ Definition of “Intellectual Disability” under IDEA Until Rosa’s Law was signed into law by President Obama ... the term “mental retardation” instead of “intellectual disability.” Rosa’s Law changed the term to be used in ...

  6. 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 ...

  7. 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)

  8. 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

    ... must permit individuals with mobility disabilities to use wheelchairs and manually powered mobility aids, such as walkers, crutches, canes, braces, or other similar devices designed for use by individuals with mobility disabilities in any areas open to pedestrian use. (b)(1) As A PVO subject to...

  9. Deaf mobile application accessibility requirements

    NASA Astrophysics Data System (ADS)

    Nathan, Shelena Soosay; Hussain, Azham; Hashim, Nor Laily

    2016-08-01

    Requirement for deaf mobile applications need to be analysed to ensure the disabilities need are instilled into the mobile applications developed for them. Universal design is understandable to comply every user needs, however specific disability is argued by the authors to have different need and requirements. These differences are among the reasons for these applications being developed to target for a specific group of people, however they are less usable and later abandoned. This study focuses on deriving requirements that are needed by the deaf in their mobile applications that are meant specifically for them. Studies on previous literature was conducted it can be concluded that graphic, text, multimedia and sign language interpreter are among mostly required features to be included in their mobile application to ensure the applications are usable for this community.

  10. Impact, distress and HRQoL among Malaysian men and women with a mobility impairment

    PubMed Central

    Misajon, RoseAnne; Manderson, Lenore; Pallant, Julie F; Omar, Zaliha; Bennett, Elizabeth; Rahim, Rameezan Begam Abdul

    2006-01-01

    Background Although non-communicable and chronic disease now accounts for 47% of the global burden of disease, little is known of the everyday experiences and social aspects of disability and disablement in middle and low income countries. This article aims to address this gap by exploring the subjective experience of mobility impairment in Malaysia. Specifically, it examines health-related quality of life and the impact and distress related to impaired mobility, and investigates any gender differences in relation to the experience of disability. Methods The data were collected as part of an interdisciplinary, multi-country study known as RESILIENCE (Research into Social Inclusion, Locomotive Impairment and Empowerment through Networking, Collaboration and Education). Cluster sampling was used to administer the EQ-5D and the Perceived Impact of Problems Profile (PIPP) to 210 adults from Selangor state, west coast Peninsular Malaysia. Results The participants consisted of 94 males and 116 females, aged between 18–90 years (mean 60 years), with the majority being Malay. The majority of participants were also married, from rural areas and had primary education only. Very few participants lived alone. In addition, males were more likely to attribute their impaired mobility to an accident. The majority of participants with mobility impairment experienced a moderate to high level of pain/discomfort (79%) and anxiety/depression (72%), and at least some problems with performing usual activities (71%), as measured by the EQ-5D. In addition, using the Perceived Impact of Problems Profile (PIPP), participants also reported high levels of impact and distress related to participation in community life. In general, males reported higher impact and distress across several items, most significantly in regard to participation in community activities, moving around the neighbourhood, ability to live independently, and ability to assist their family members. Conclusion This paper

  11. Disability Experience and Measurement.

    PubMed

    Verbrugge, Lois M

    2016-10-01

    Top themes of international research on disability in the past three decades are discussed: disability dynamics, buffers and barriers for disability, disability trends, and disability among very old persons. Each theme is highlighted by research examples. Turning to measurement, I discuss traditional measures of disability, new longer and shorter ones, and composites like disability-free life expectancy, noting their merits. Contemporary models of disability are presented, ranging from visual images to formal theories. The article ends on how scientists can facilitate movement of disability science into health care practice and policy. PMID:27590795

  12. 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…

  13. Reliability of the Pediatric Evaluation of Disability Inventory (PEDI)

    ERIC Educational Resources Information Center

    Berg, Marie; Jahnsen, Reidun; Froslie, Kathrine Frey; Hussain, Aktahr

    2004-01-01

    Pediatric Evaluation of Disability Inventory (PEDI) is an instrument for evaluating function in children with disabilities aged 6 months to 7.5 years. The PEDI measures both functional performance and capability in three domains: (1) self-care, (2) mobility, and (3) social function. The PEDI has recently been translated into Norwegian. The purpose…

  14. The Aging Developmentally Disabled Person: A Review.

    ERIC Educational Resources Information Center

    Walz, Thomas; And Others

    1986-01-01

    Reviews major research data associated with aging among the developmentally disabled including prevalence, longevity patterns, morbidity profiles, mental decline, mental illness, comparative experiences of disabled persons in institutions and in community based living situations, and approaches used to define aging in this population. Discusses…

  15. Human Rights and People with Disabilities.

    ERIC Educational Resources Information Center

    Burdekin, Brian

    1995-01-01

    This lecture transcript discusses human rights issues related to people with disabilities in Australia, focusing on concepts of discrimination, legislation, and social justice. Findings from recent federal inquiries into homeless children and mental illness highlight major deficits in services for people with disabilities. (Author/DB)

  16. Prevention of Disabilities: Topic Paper D.

    ERIC Educational Resources Information Center

    National Council on the Handicapped, Washington, DC.

    As one of a series of topic papers assessing federal laws and programs affecting persons with disabilities, this paper describes the major components of a comprehensive program to prevent disabilities, including programs to maximize health care, programs to maximize educational growth and sound psychological development, and programs for public…

  17. Rewards of Fostering Children with Disabilities

    ERIC Educational Resources Information Center

    Brown, Jason D.

    2008-01-01

    A random sample of parents fostering children with disabilities in a major Canadian city was asked "what are the rewards you receive from fostering a child with a disability?" A total of 57 unique responses were obtained and grouped together by the foster parents. Two statistical analyses were applied to the grouping data: multidimensional scaling…

  18. Operational Definitions and Learning Disabilities: An Overview.

    ERIC Educational Resources Information Center

    Swanson, H. Lee

    1991-01-01

    The National Joint Committee for Learning Disabilities' definition of learning disabilities is presented, followed by a discussion of parameters to be considered in operationalizing the definition. Major definitional issues are then explored, including using testable and meaningful constructs, linking definitions to neuropsychological evidence,…

  19. Learning Disabilities In-Service Training Kit.

    ERIC Educational Resources Information Center

    Simpson, Bickley

    Included in the training kit for teachers in the area of learning disabilities are materials developed by Project Lighthouse for experimental field usage to test the materials. The problem of educating children with learning disabilities is summarized, as is Piaget's model of logical activity. The major divisions of the text then deal with the…

  20. Hidden Disability and an Academic Career

    ERIC Educational Resources Information Center

    Beretz, Elaine M.

    2003-01-01

    Is fighting a serious illness or recovering from a major injury mutually exclusive with being a professor? Trends in academic employment and societal attitudes toward disability answer that question with a resounding yes. This disturbing state of affairs will continue until people develop ways to accommodate the "hidden" disability of serious…

  1. Update on the Americans with Disabilities Act

    ERIC Educational Resources Information Center

    Russo, Charles J.; Osborne, Allan G.

    2009-01-01

    In 1990, Congress enacted the Americans with Disabilities Act as a comprehensive mandate to eliminate discrimination against individuals with disabilities. The ADA's primary intent was to extend the protection of Section 504 of the Rehabilitation Act of 1973. The major difference between the two laws is that Section 504 applies to programs that…

  2. Depression, Disability, and Rehabilitation Services for Women

    ERIC Educational Resources Information Center

    Cook, Judith A.

    2003-01-01

    The purpose of this paper is to review scientific evidence for the co-occurrence of major depressive illness and disability, and to examine this phenomenon specifically for women in the United States today. Following a discussion of different ways of operationalizing the concept of disability, the analysis addresses gender biases in disability…

  3. [From care to consideration of disabled people].

    PubMed

    Chossy, Jean-François

    2014-05-01

    The law of 11th February 2005 relating to the equality of the rights and opportunities, participation and citizenship of disabled people was a major step forward. Nevertheless, more progress is needed to ensure more consideration is given to disabled people. PMID:24941530

  4. Women with Disabilities: Issues, Resources, Connections.

    ERIC Educational Resources Information Center

    Traustadottir, Rannveig

    This four-part information package serves as an introduction to the lives of women and girls with disabilities and the social issues they specifically face. Part I comprises a paper which reviews the literature and major issues, titled "Obstacles to Equality: The Double Discrimination of Women with Disabilities." The paper examines three major…

  5. The Electronic Patient Reported Outcome Tool: Testing Usability and Feasibility of a Mobile App and Portal to Support Care for Patients With Complex Chronic Disease and Disability in Primary Care Settings

    PubMed Central

    Gill, Ashlinder; Khan, Anum Irfan; Hans, Parminder Kaur; Kuluski, Kerry; Cott, Cheryl

    2016-01-01

    Background People experiencing complex chronic disease and disability (CCDD) face some of the greatest challenges of any patient population. Primary care providers find it difficult to manage multiple discordant conditions and symptoms and often complex social challenges experienced by these patients. The electronic Patient Reported Outcome (ePRO) tool is designed to overcome some of these challenges by supporting goal-oriented primary care delivery. Using the tool, patients and providers collaboratively develop health care goals on a portal linked to a mobile device to help patients and providers track progress between visits. Objectives This study tested the usability and feasibility of adopting the ePRO tool into a single interdisciplinary primary health care practice in Toronto, Canada. The Fit between Individuals, Fask, and Technology (FITT) framework was used to guide our assessment and explore whether the ePRO tool is: (1) feasible for adoption in interdisciplinary primary health care practices and (2) usable from both the patient and provider perspectives. This usability pilot is part of a broader user-centered design development strategy. Methods A 4-week pilot study was conducted in which patients and providers used the ePRO tool to develop health-related goals, which patients then monitored using a mobile device. Patients and providers collaboratively set goals using the system during an initial visit and had at least 1 follow-up visit at the end of the pilot to discuss progress. Focus groups and interviews were conducted with patients and providers to capture usability and feasibility measures. Data from the ePRO system were extracted to provide information regarding tool usage. Results Six providers and 11 patients participated in the study; 3 patients dropped out mainly owing to health issues. The remaining 8 patients completed 210 monitoring protocols, equal to over 1300 questions, with patients often answering questions daily. Providers and patients

  6. The learning-disabled medical student.

    PubMed

    Accardo, P; Haake, C; Whitman, B

    1989-10-01

    Developmental pediatricians are being consulted by medical school promotion committees with regard to the course of action to be taken with learning-disabled medical students experiencing academic difficulties. Faculty attitude, a difficulty understanding the nature of learning disabilities, appears to be a major contributor to poor medical school performance on the part of learning-disabled adults. Utilizing the sequential-simultaneous information processing model as a simplified introduction to learning disability patterns, the authors argue that recommending intensive remediation of rote spelling and writing skills in students engaged in graduate education represents both a waste of time and a further emotional trauma to these young professionals. PMID:2808719

  7. Academic Performance in Math and English and Award Rates of Disabled Students.

    ERIC Educational Resources Information Center

    Gavilan Coll., Gilroy, CA.

    This document addresses characteristics students with a disability at Gavilan College (California). Over the past several years, a shift has occurred in the types of disability represented at Gavilan College. Learning disabled is the largest group, but has been proportionally declining as has mobility impaired students while developmentally…

  8. Models of Disability: Implications for the Counseling Profession

    ERIC Educational Resources Information Center

    Smart, Julie F.; Smart, David W.

    2006-01-01

    Because of the increasing number of people with disabilities, counselors of all specialties and theoretical orientations will be called on to provide services to clients with disabilities. The authors present a brief overview of 4 major models of disability to provide an introduction to the varying definitions and causal and responsibility…

  9. A Manual on the Primary Prevention of Developmental Disabilities.

    ERIC Educational Resources Information Center

    Whitley, Elizabeth B.; Skiles, Laura Lopater

    This manual presents information about major causes of developmental disabilities, discusses strategies to prevent development disabilities, and identifies relevant resources and reference material. Introductory information defines developmental disabilities and prevention (under Virginia statutes). The first section considers causes prior to and…

  10. Predicting Academic Success for Disabled Students in Higher Education.

    ERIC Educational Resources Information Center

    Wiseman, Richard L.; And Others

    In order to determine the effect of being disabled on the academic progress of disabled college students, a questionnaire assessing the social climate of a major western university, the quality of its programs and instruction, and student academic and career expectations was administered to 100 disabled students. Factors explored in the…

  11. 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 , ...

  12. Rural People with Disabilities

    MedlinePlus

    ... with Disabilities in Rural Areas . What are the requirements of the Americans with Disabilities Act for small ... U.S. Equal Employment Opportunity Commission. What are the requirements of the Americans with Disabilities Act for local ...

  13. What Are Learning Disabilities?

    MedlinePlus

    ... Research Information Clinical Trials Resources and Publications Learning Disabilities: Condition Information Skip sharing on social media links Share this: Page Content What are learning disabilities? Learning disabilities are conditions that affect how a ...

  14. Sexuality and Intellectual Disability

    MedlinePlus

    ... Curiae Briefs Legislative Goals Consortium for Citizens with Disabilities National Goals 2015 SIS Product Information Benefits of ... SIS Use Order SIS-A Contact Us Intellectual Disability Historical Context Definition FAQs on Intellectual Disability Diagnostic ...

  15. Pediatric Disability and Caregiver Separation

    ERIC Educational Resources Information Center

    McCoyd, Judith L. M.; Akincigil, Ayse; Paek, Eun Kwang

    2010-01-01

    The evidence that the birth of a child with a disability leads to divorce or separation is equivocal, with the majority of recent research suggesting that such a birth and childrearing may be stressful, but not necessarily toxic, to the caregiver relationship. Such research has been limited by small sample sizes and nonrepresentative samples and…

  16. The transformation of disabilities organizations.

    PubMed

    Schalock, Robert L; Verdugo, Miguel-Angel

    2013-08-01

    This article summarizes the five major characteristics of the transformation era and describes how intellectual and closely related developmental disabilities organizations can apply specific transformation strategies associated with each characteristic. Collectively, the characteristics and strategies provide a framework for transformation thinking, learning, and acting. Specific application examples are given. PMID:23909588

  17. Major depression

    MedlinePlus

    Depression - major; Depression - clinical; Clinical depression; Unipolar depression; Major depressive disorder ... Doctors do not know the exact causes of depression. It is believed that chemical changes in the ...

  18. 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…

  19. Environmental Barriers Experienced by Urban and Rural Disabled People in South Africa

    ERIC Educational Resources Information Center

    Maart, S.; Eide, A. H.; Jelsma, J.; Loeb, M. E.; Toni, M. Ka

    2007-01-01

    Impairments pose a certain degree of difficulty to disabled people, however the impact of the environment is the major cause of disability. Despite the fact that the disabling effect of environmental factors is acknowledged, little research has been done to explore the impact of the environment on varying degrees of disability and different…

  20. DISABILITY ASSOCIATED WITH ALCOHOL ABUSE AND DEPENDENCE

    PubMed Central

    Samokhvalov, Andriy V.; Popova, Svetlana; Room, Robin; Ramonas, Milita; Rehm, Jürgen

    2010-01-01

    BACKGROUND Alcohol use disorders (AUD), i.e., alcohol dependence and abuse are major contributors to burden of disease. A large part of this burden is due to disability. However, there is still controversy about the best disability weighting for alcohol use disorders. The objective of this study was to provide an overview of alcohol-related disabilities. METHODS Systematic literature review and expert interviews. RESULTS There is heterogeneity in experts’ descriptions of disabilities related to AUD. The major core attributes of disability related to AUD are changes of emotional state, social relationships, memory and thinking. The most important supplementary attributes are anxiety, impairments of speech and hearing. CONCLUSIONS This review identified the main patterns of disability associated with alcohol use disorders. However, there was considerable variability, and data on less prominent patterns were fragmented. Further and systematic research is required for increasing the knowledge on disability related to alcohol use disorders and for application of interventions for reducing the associated burden. OBJECTIVE To provide an overview of disabilities associated with AUD. PMID:20662803

  1. Challenging the Structural Discrimination of Psychiatric Disabilities: Lessons Learned from the American Disability Community

    ERIC Educational Resources Information Center

    Corrigan, Patrick W.; Lam, Chow

    2007-01-01

    Stigma is a major barrier to the life opportunities of people with disabilities, including those with psychiatric disabilities. Structural discrimination is stigma that results from social forces that develop over many years to diminish a group's resources and support needed to be successful. Affirmative action is a legal and political remedy to…

  2. Perspectives of people with psychiatric disabilities on employment disclosure.

    PubMed

    Dalgin, Rebecca Spirito; Gilbride, Dennis

    2003-01-01

    The Americans with Disabilities Act (ADA) of 1990 protects people with disabilities from employment discrimination. Under the ADA, employers must accommodate the known disabilities of a qualified employee or applicant. For persons with psychiatric disabilities, which are often invisible, the individual is required to make a conscious decision regarding disclosing their disability to an employer. The decision to disclose is very complex because the person needs to consider the possibility of confronting stigma and negative stereotypes. A qualitative study including a focus group and individual interviews was conducted to gather data from people with psychiatric disabilities/labels regarding employment disclosure. Major findings include the significant impact of disability identity (does the participant think they have a disability), and the importance of appropriate job matching as a disclosure strategy. PMID:12653452

  3. 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

  4. Mobile learning in medicine

    NASA Astrophysics Data System (ADS)

    Serkan Güllüoüǧlu, Sabri

    2013-03-01

    This paper outlines the main infrastructure for implicating mobile learning in medicine and present a sample mobile learning application for medical learning within the framework of mobile learning systems. Mobile technology is developing nowadays. In this case it will be useful to develop different learning environments using these innovations in internet based distance education. M-learning makes the most of being on location, providing immediate access, being connected, and acknowledges learning that occurs beyond formal learning settings, in places such as the workplace, home, and outdoors. Central to m-learning is the principle that it is the learner who is mobile rather than the device used to deliver m learning. The integration of mobile technologies into training has made learning more accessible and portable. Mobile technologies make it possible for a learner to have access to a computer and subsequently learning material and activities; at any time and in any place. Mobile devices can include: mobile phone, personal digital assistants (PDAs), personal digital media players (eg iPods, MP3 players), portable digital media players, portable digital multimedia players. Mobile learning (m-learning) is particularly important in medical education, and the major users of mobile devices are in the field of medicine. The contexts and environment in which learning occurs necessitates m-learning. Medical students are placed in hospital/clinical settings very early in training and require access to course information and to record and reflect on their experiences while on the move. As a result of this paper, this paper strives to compare and contrast mobile learning with normal learning in medicine from various perspectives and give insights and advises into the essential characteristics of both for sustaining medical education.

  5. Coping and positive perceptions in Irish mothers of children with intellectual disabilities.

    PubMed

    Greer, Felicity A; Grey, Ian M; McClean, Brian

    2006-09-01

    Thirty-six mothers of children aged between 5 and 8 years with intellectual disabilities completed five self-report questionnaires measuring variables related to behavioural and emotional difficulties, levels of care demand, family supports, coping and positive perceptions. The relationships among these variables were investigated using a working model proposed by Hastings and Taunt (2002). Child behavioural and emotional problems in the non-clinical range predicted low levels of care demand. Formal social support was an effective form of support for mothers; helpfulness of formal social support predicted mobilizing the family to acquire and accept help in the community; and mobilizing the family predicted levels of strength and family closeness. The majority of respondents rated agreement with statements that their child was: a source of happiness or fulfilment; a source of strength and family closeness; and a source of personal growth and maturity. The theoretical and clinical implications of these results are discussed. PMID:16916848

  6. REST based mobile applications

    NASA Astrophysics Data System (ADS)

    Rambow, Mark; Preuss, Thomas; Berdux, Jörg; Conrad, Marc

    2008-02-01

    Simplicity is the major advantage of REST based webservices. Whereas SOAP is widespread in complex, security sensitive business-to-business aplications, REST is widely used for mashups and end-user centric applicatons. In that context we give an overview of REST and compare it to SOAP. Furthermore we apply the GeoDrawing application as an example for REST based mobile applications and emphasize on pros and cons for the use of REST in mobile application scenarios.

  7. National Council on Disability Annual Report Volume 19, Fiscal Year 1998.

    ERIC Educational Resources Information Center

    National Council on Disability, Washington, DC.

    The annual report of the National Council on Disability (NCD) describes major activities of 1998 to promote policies, programs, practices, and procedures that guarantee equal opportunity for all individuals with disabilities, regardless of the nature or severity of the disability. NCD's major activities for 1998 are grouped into four areas: (1)…

  8. What is an Intellectual Disability?

    MedlinePlus

    ... White House Lunch Recipes 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. Mobile App to Assess Universal Access Compliance.

    PubMed

    Fransolet, Colette

    2016-01-01

    In terms of local legislation, South Africa has a handful of regulations that indirectly require Universal Access, which is then in itself largely described as facilities for people with disabilities. The most predominant set of regulations is the South African National Building Regulations, with a specific code which is deemed to satisfy standard titled South African National Standard (SANS) 10400 Part S: Facilities for Persons with Disabilities. Revised in 2011, this building regulation offers some technical guidelines specific to built infrastructure, and largely for people with functional mobility limitations. The description of the term "functional mobility limitations" in the context of this paper refers to people who make use of mobility aids to assist with their functionality in an environment, for example people who use walking aids (sticks, canes or walkers) and people who use wheelchairs. Albeit lacking in specifics around the requirements for other areas of functional limitations, including people who are blind, people who are deaf, and people with cognitive limitations, the SANS 10400 Part S is, to date, the most effective regulatory requirement in the country to assist with making facilities more accessible. With only a few experts in South Africa working in the field, the ability to offer clients Universal Access Reviews in terms of basic compliance with the SANS 10400 Part S is limited by two major factors. Firstly, the costs associated with employing experts in the field to review infrastructure is mostly too exorbitant for clients to carry. Secondly, the amount of time taken to perform reviews onsite and then collate the information into a coherent report for the client is far too long. These aspects result in a gap between clients wanting to meet the requirements, and being able to have the work completed in a reasonable amount of time. To overcome the challenge of larger institutions and organizations wanting to have their facilities reviewed in

  11. Social Support and Intellectual Disabilities: A Comparison between Social Networks of Adults with Intellectual Disability and Those with Physical Disability

    ERIC Educational Resources Information Center

    Lippold, T.; Burns, J.

    2009-01-01

    Background: Social support has been identified as a major protective factor in preventing mental health problems and also as a major contributor to quality of life. People with intellectual disabilities (ID) have been identified as having limited social support structures. Interventions have been focused on promoting their social presence and…

  12. FacingDisability.com

    MedlinePlus

    ... About Blog Facing Disability Jeff Shannon Donate A Spinal Cord Injury Affects the Entire Family FacingDisability was specifically created ... and insights on spinal cord injury issues Interactive Spinal Cord Injury Map Shows what areas are affected by spinal ...

  13. Intellectual and Developmental Disabilities

    MedlinePlus

    ... Clinical Trials Resources and Publications Intellectual and Developmental Disabilities (IDDs): Overview Skip sharing on social media links Share this: Page Content Intellectual and developmental disabilities (IDDs) are a primary focus of the NICHD’s ...

  14. National Disability Policy: A Progress Report

    ERIC Educational Resources Information Center

    National Council on Disability, 2008

    2008-01-01

    This National Council on Disability (NCD) annual progress report to the President and Congress covers the period December 2005 through December 2006. The report is divided into 13 chapters, each dealing with a major area of public policy. These subject-specific chapters are preceded by an introductory Major Trends section that identifies…

  15. Major Links.

    ERIC Educational Resources Information Center

    Henderson, Tona

    1995-01-01

    Provides electronic mail addresses for resources and discussion groups related to the following academic majors: art, biology, business, chemistry, computer science, economics, health sciences, history, literature, math, music, philosophy, political science, psychology, sociology, and theater. (AEF)

  16. 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...

  17. Integrating Disabled Children.

    ERIC Educational Resources Information Center

    Hanline, Mary Frances

    1985-01-01

    Discusses research on the effect of integrating disabled children into early childhood programs. Finds fears that nondisabled children will imitate the socially unacceptable behaviors of disabled children or will not make adequate progress to be unfounded. Social integration of disabled children was found to be dependent on the attitudes and…

  18. 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…

  19. 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…

  20. 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…

  1. 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…

  2. Disability and Rehabilitation Services in India: Issues and Challenges

    PubMed Central

    Kumar, S. Ganesh; Roy, Gautam; Kar, Sitanshu Sekhar

    2012-01-01

    Disability is an important public health problem especially in developing countries like India. The problem will increase in future because of increase in trend of non-communicable diseases and change in age structure with an increase in life expectancy. The issues are different in developed and developing countries, and rehabilitation measures should be targeted according the needs of the disabled with community participation. In India, a majority of the disabled resides in rural areas where accessibility, availability, and utilization of rehabilitation services and its cost-effectiveness are the major issues to be considered. Research on disability burden, appropriate intervention strategies and their implementation to the present context in India is a big challenge. Recent data was collected from Medline and various other sources and analyzed. The paper discusses various issues and challenges related to disability and rehabilitation services in India and emphasize to strengthen health care and service delivery to disabled in the community. PMID:24479007

  3. Adapting Art Instruction for Students with Disabilities.

    ERIC Educational Resources Information Center

    Platt, Jennifer M.; Janeczko, Donna

    1991-01-01

    This article presents adaptations for teaching art to students with disabilities. Various techniques, methods, and materials are described by category of disability, including students with mental disabilities, visual impairments, hearing impairments, learning disabilities, emotional disabilities, and physical disabilities. (JDD)

  4. Major Andre

    ERIC Educational Resources Information Center

    Henisch, B. A.; Henisch, H. K.

    1976-01-01

    If most Revolutionary era people seem two-dimensional their lives simpler to understand than ours, it may be only that history, with the benefit of hindsight, clarifies. Examines a profile of Major John Andre, the British liaison officer in Benedict Arnold's plan to surrender West Point, as both hero and villain to show the complexity of early…

  5. Identification and assessment of students with disabilities.

    PubMed

    Reschly, D J

    1996-01-01

    Students with disabilities or suspected disabilities are evaluated by schools to determine whether they are eligible for special education services and, if eligible, to determine what services will be provided. In many states, the results of this evaluation also affect how much funding assistance the school will receive to meet the students' special needs. Special education classification is not uniform across states or regions. Students with identical characteristics can be diagnosed as disabled in one state but not in another and may be reclassified when they move across state or school district lines. Most disabilities with a clear medical basis are recognized by the child's physician or parents soon after birth or during the preschool years. In contrast, the majority of students with disabilities are initially referred for evaluation by their classroom teacher (or parents) because of severe and chronic achievement or behavioral problems. There is evidence that the prevalence of some disabilities varies by age, the high-incidence disabilities such as learning disabilities and speech-language disabilities occur primarily at the mild level, the mild disabilities exist on broad continua in which there are no clear demarcations between those who have and those who do not have the disability, and even "mild" disabilities may constitute formidable barriers to academic progress and significantly limit career opportunities. Problems with the current classification system include stigma to the child, low reliability, poor correlation between categorization and treatment, obsolete assumptions still in use in treatment, and disproportionate representation of minority students. Both African-American and Hispanic students are disproportionately represented in special education but in opposite directions. The disproportionately high number of African Americans in special education reflects the fact that more African-American students than white students are diagnosed with

  6. Malnutrition and disability: unexplored opportunities for collaboration

    PubMed Central

    Groce, N; Challenger, E; Berman-Bieler, R; Farkas, A; Yilmaz, N; Schultink, W; Clark, D; Kaplan, C; Kerac, M

    2014-01-01

    There is increasing international interest in the links between malnutrition and disability: both are major global public health problems, both are key human rights concerns, and both are currently prominent within the global health agenda. In this review, interactions between the two fields are explored and it is argued that strengthening links would lead to important mutual benefits and synergies. At numerous points throughout the life-cycle, malnutrition can cause or contribute to an individual’s physical, sensory, intellectual or mental health disability. By working more closely together, these problems can be transformed into opportunities: nutrition services and programmes for children and adults can act as entry points to address and, in some cases, avoid or mitigate disability; disability programmes can improve nutrition for the children and adults they serve. For this to happen, however, political commitment and resources are needed, as are better data. PMID:25309998

  7. Conceptual foundation for measures of physical function and behavioral health function for Social Security work disability evaluation.

    PubMed

    Marfeo, Elizabeth E; Haley, Stephen M; Jette, Alan M; Eisen, Susan V; Ni, Pengsheng; Bogusz, Kara; Meterko, Mark; McDonough, Christine M; Chan, Leighton; Brandt, Diane E; Rasch, Elizabeth K

    2013-09-01

    Physical and mental impairments represent the 2 largest health condition categories for which workers receive Social Security disability benefits. Comprehensive assessment of physical and mental impairments should include aspects beyond medical conditions such as a person's underlying capabilities as well as activity demands relevant to the context of work. The objective of this article is to describe the initial conceptual stages of developing new measurement instruments of behavioral health and physical functioning relevant for Social Security work disability evaluation purposes. To outline a clear conceptualization of the constructs to be measured, 2 content models were developed using structured and informal qualitative approaches. We performed a structured literature review focusing on work disability and incorporating aspects of the International Classification of Functioning, Disability and Health as a unifying taxonomy for framework development. Expert interviews provided advice and consultation to enhance face validity of the resulting content models. The content model for work-related behavioral health function identifies 5 major domains: (1) behavior control, (2) basic interactions, (3) temperament and personality, (4) adaptability, and (5) workplace behaviors. The content model describing physical functioning includes 3 domains: (1) changing and maintaining body position, (2) whole-body mobility, and (3) carrying, moving, and handling objects. These content models informed subsequent measurement properties including item development and measurement scale construction, and provided conceptual coherence guiding future empirical inquiry. The proposed measurement approaches show promise to comprehensively and systematically assess physical and behavioral health functioning relevant to work. PMID:23548543

  8. 6220 institutionalised people with intellectual disability referred for visual assessment between 1993 and 2003: overview and trends

    PubMed Central

    van Isterdael, C E D; Stilma, J S; Bezemer, P D; Tijmes, N T

    2006-01-01

    Aims To summarise the results of visual performance tests and other data of institutionalised people with intellectual disability referred to a visual advisory centre (VAC) between 1993 and 2003, and to determine trends in these data. Methods A retrospective medical record review was undertaken of 6220 consecutive people examined ophthalmologically according to a standard protocol by one VAC that specialised in visual assessment and treatment of people with intellectual disability, between 1993 and 2003. χ2 test for linear trend was used and linear regression coefficients were calculated. Results The proportion of people aged ⩾50 years increased from 19.3% to 34.2% between 1995 and 2003 (p<0.001); the combined figure of severe or profound intellectual disability decreased from 80.0% to 52.6% (p<0.001); the proportion of mobile people increased from 52.1% to 98.0% (p<0.001); the combined proportion of people with visual impairment or blindness decreased from 70.9% to 22.9% (p<0.001), and that of people with visual disorders decreased from 89.6% to 75.3% (p<0.001). Causes of intellectual disability were identified in 58.4% people; 20.8% had Down's syndrome. Conclusion Many ocular diagnoses were found, indicating the need for ophthalmological monitoring. Specialised centres are helpful, because assessment and treatment of people with intellectual disability is complicated and time consuming. Protocols for efficient referral will have to be developed. A major task lies ahead to improve the treatment rates of refractive errors, cataract and strabismus, and to find specific causes of intellectual disability. PMID:16854828

  9. 49 CFR 38.125 - Mobility aid accessibility.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... 49 Transportation 1 2012-10-01 2012-10-01 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 accessibility. (a)(1) General. All...

  10. 49 CFR 38.159 - Mobility aid accessibility.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... 49 Transportation 1 2012-10-01 2012-10-01 false Mobility aid accessibility. 38.159 Section 38.159 Transportation Office of the Secretary of Transportation AMERICANS WITH DISABILITIES ACT (ADA) ACCESSIBILITY SPECIFICATIONS FOR TRANSPORTATION VEHICLES Over-the-Road Buses and Systems § 38.159 Mobility aid accessibility. (a)(1) General. All...

  11. 49 CFR 38.95 - Mobility aid accessibility.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... 49 Transportation 1 2012-10-01 2012-10-01 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. (a)(1) General. All new...

  12. 49 CFR 38.83 - Mobility aid accessibility.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... 49 Transportation 1 2012-10-01 2012-10-01 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. (a)(1) General. All new...

  13. 49 CFR 38.23 - Mobility aid accessibility.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... 49 Transportation 1 2012-10-01 2012-10-01 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. (a) General. All vehicles covered...

  14. 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…

  15. 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…

  16. 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…

  17. Disability and Democracy in Cambodia: An Integrative Approach to Community Building and Civic Engagement

    ERIC Educational Resources Information Center

    Zook, Darren C.

    2010-01-01

    The political framework through which the various communities of disabled persons in Cambodia advocate for and claim their rights is complex and confusing. Both governmental and non-governmental actors engage this political framework through the mobilization of persons from the various disabled communities, competing in the civic sphere through…

  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. Overweight and Obesity in Older People with Intellectual Disability

    ERIC Educational Resources Information Center

    de Winter, C. F.; Bastiaanse, L. P.; Hilgenkamp, T. I. M.; Evenhuis, H. M.; Echteld, M. A.

    2012-01-01

    Overweight and obesity are major health problems associated with increased cardiovascular disease risk, which is not sufficiently studied in people with intellectual disability yet. The present study was part of the Healthy Ageing in Intellectual Disability (HA-ID) study. The aim of this study was to establish (1) the prevalence of overweight,…

  20. 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…

  1. The Evolving Understanding of the Construct of Intellectual Disability

    ERIC Educational Resources Information Center

    Schalock, Robert L.

    2011-01-01

    This article addresses two major areas concerned with the evolving understanding of the construct of intellectual disability. The first part of the article discusses current answers to five critical questions that have revolved around the general question, "What is Intellectual Disability?" These five are what to call the phenomenon, how to…

  2. Poor Places: Disability-Related Housing and Support Services.

    ERIC Educational Resources Information Center

    G. Allan Roeher Inst., Toronto (Ontario).

    This book examines disability related housing and support services in Canada. It describes the major sources of funding supporting these services and analyzes associated problems. A variety of policy options for improving the availability and quality of disability-related housing and support services is offered. The first chapter briefly describes…

  3. Four Types of Disabilities: Their Impact on Online Learning

    ERIC Educational Resources Information Center

    Crow, Kevin L.

    2008-01-01

    This article introduced some of the issues and challenges faced by online learners who have disabilities by providing an overview of four major disability categories: visual impairments, hearing impairments, motor impairments, and cognitive impairments. It also discussed how assistive technologies and universal design are being incorporated in…

  4. Singaporean Parents' Curriculum Priorities for Their Children with Disabilities.

    ERIC Educational Resources Information Center

    Lim, Levan; Girl, Tan Ai; Quah, Marilyn M.

    2000-01-01

    A study examined the perspectives of 77 caregivers on how much they valued major curriculum skills areas for their children (ages 3-28) with disabilities. Parents of children with moderate, severe, and mild disabilities indicated the highest priority for self-help functional life skills, followed by community-based functional life skills.…

  5. National Disability Policy: A Progress Report, December 2001-December 2002.

    ERIC Educational Resources Information Center

    National Council on Disability, Washington, DC.

    This annual report of the National Council on Disability surveys major legal and policy developments during the year 2002 and offers recommendations for legal/policy measures and for research. The first chapter identifies legal and policy issues that cross traditional areas, focusing on six themes: (1) the mainstreaming of disability issues; (2)…

  6. 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,…

  7. Analysis of Handoff Mechanisms in Mobile IP

    NASA Astrophysics Data System (ADS)

    Jayaraj, Maria Nadine Simonel; Issac, Biju; Haldar, Manas Kumar

    2011-06-01

    One of the most important challenges in mobile Internet Protocol (IP) is to provide service for a mobile node to maintain its connectivity to network when it moves from one domain to another. IP is responsible for routing packets across network. The first major version of IP is the Internet Protocol version 4 (IPv4). It is one of the dominant protocols relevant to wireless network. Later a newer version of IP called the IPv6 was proposed. Mobile IPv6 is mainly introduced for the purpose of mobility. Mobility management enables network to locate roaming nodes in order to deliver packets and maintain connections with them when moving into new domains. Handoff occurs when a mobile node moves from one network to another. It is a key factor of mobility because a mobile node can trigger several handoffs during a session. This paper briefly explains on mobile IP and its handoff issues, along with the drawbacks of mobile IP.

  8. 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

  9. 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

  10. Syrtis Major

    NASA Technical Reports Server (NTRS)

    2002-01-01

    (Released 1 May 2002) The Science This image is from the region of Syrtis Major, which is dominated by a low-relief shield volcano. This area is believed to be an area of vigorous aeolian activity with strong winds in the east-west direction. The effects of these winds are observed as relatively bright streaks across the image, extending from topographic features such as craters. The brighter surface material probably indicates a smaller relative particle size in these areas, as finer particles have a higher albedo. The bright streaks seen off of craters are believed to have formed during dust storms. A raised crater rim can cause a reduction in the wind velocity directly behind it, which results in finer particles being preferentially deposited in this location. In the top half of the image, there is a large bright streak that crosses the entire image. There is no obvious topographic obstacle, therefore it is unclear whether it was formed in the same manner as described above. This image is located northwest of Nili Patera, a large caldera in Syrtis Major. Different flows from the caldera eruptions can be recognized as raised ridges, representing the edge of a flow lobe. The Story In the 17th century, Holland was in its Golden Age, a time of cultural greatness and immense political and economic influence in the world. In that time, lived a inquisitive person named Christian Huygens. As a boy, he loved to draw and to figure out problems in mathematics. As a man, he used these talents to make the first detailed drawings of the Martian surface - - only 50 years or so after Galileo first turned his telescope on Mars. Mars suddenly became something other than a small red dot in the sky. One of the drawings Huygens made was of a dark marking on the red planet's surface named Syrtis Major. Almost 350 years later, here we are with an orbiter that can show us this place in detail. Exploration lives! It's great we can study this area up close. In earlier periods of history

  11. Video Self-Modeling: A Job Skills Intervention with Individuals with Intellectual Disabilities in Employment Settings

    ERIC Educational Resources Information Center

    Goh, Ailsa E.

    2010-01-01

    A large majority of adults with intellectual disabilities are unemployed. Unemployment of adults with intellectual disabilities is a complex multidimensional issue. Some barriers to employment of individuals with intellectual disabilities are the lack of job experience and skills training. In recent years, video-based interventions, such as video…

  12. Monitoring for Accessibility and University Websites: Meeting the Needs of People with Disabilities

    ERIC Educational Resources Information Center

    Solovieva, Tatiana I.; Bock, Jeremy M.

    2014-01-01

    Under the Americans with Disabilities Act (ADA), people with disabilities are guaranteed access to all postsecondary programs and services. The purpose of this study, conducted by the Center for Excellence in Disabilities, was to evaluate the current status of a major university's web accessibility. The results indicated that in 2011 only 51%…

  13. Prevalence of Overweight and Obesity in Children with Intellectual Disabilities in Korea

    ERIC Educational Resources Information Center

    Choi, Eunsook; Park, HyunJu; Ha, Yeongmi; Hwang, Won Ju

    2012-01-01

    Background: Overweight and obesity in children with intellectual disabilities may be a major health threat. The purpose of this study was to examine the prevalence of overweight and obesity in Korean children with intellectual disabilities aged 7-18 years who did not have specific genetic syndromes or physical disabilities. Materials and methods:…

  14. Recruitment of Students with Disabilities: Exploration of Science, Technology, Engineering, and Mathematics

    ERIC Educational Resources Information Center

    Martin, Jay K.; Stumbo, Norma J.; Martin, Liam G.; Collins, Kimberly D.; Hedrick, Bradley N.; Nordstrom, Dan; Peterson, Michelle

    2011-01-01

    Individuals with disabilities are underrepresented in postsecondary education; in science, technology, engineering, and mathematics (STEM) majors; in graduate and post-doctoral work; and in faculty positions, particularly in STEM. Despite these lags behind their non-disabled counterparts, few organizations recruit persons with disabilities into…

  15. Dealing with Disabilities. H.E.W. 504 Regulations. General Information for Faculty and Teaching Assistants.

    ERIC Educational Resources Information Center

    State Univ. of New York, Albany.

    General guidelines for faculty members and teaching assistants are presented to aid them in taking whatever steps are necessary to reasonably accommodate students with disabilities. The difference between a disability and a handicap is explained, and the importance of a positive and helping attitude is stressed. Major disabilities are discussed…

  16. A Descriptive Study of Students with Disabilities at Montana State University Billings

    ERIC Educational Resources Information Center

    Dell, Thomas Francis

    2013-01-01

    The purpose of this study was to describe and analyze how the characteristics of age, major and type of disabilities for students who received services through Disability Support Services at Montana State University-Billings have changed from 1999 to 2011. Furthermore, this analysis contrasted local trends for types of disabilities with national…

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

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 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 requirements pertaining to the vessel and its passengers, then the number of passengers with mobility aids may be...

  18. 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

    ... 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 requirements pertaining to the vessel and its passengers, then the number of passengers with mobility aids may be...

  19. Disability Divides in India: Evidence from the 2011 Census

    PubMed Central

    Saikia, Nandita; Bora, Jayanta Kumar; Jasilionis, Domantas; Shkolnikov, Vladimir M.

    2016-01-01

    Background Understanding the socioeconomic and regional divides in disability prevalence in India has considerable relevance for designing public health policies and programs. Objectives The aim of the present study is to quantify the prevalence of disability by gender, region (rural and urban; states and districts), and caste. We also examine the association between disability prevalence and the major socio-demographic and socioeconomic characteristics of the districts in India. Methods Age-standardized disability prevalence (ASDP) was calculated using 2011 census data and applying the WHO World Standard Population. A regression analysis was carried out to examine the association between disability prevalence and demographic and socioeconomic characteristics across districts of India. Results The study found that ASDP varies substantially across districts and is higher among women, rural dwellers, and members of scheduled tribes (STs) and scheduled castes (SCs). The regression model showed that the disability rate in districts rises with increasing proportions of the population who are urban dwellers, aged 65 or older, members of STs, and living in dilapidated housing; and that the disability prevalence decreases with increasing proportions of the female population who are literate, and of the general population who are working and have access to safe drinking water. Conclusion As the burden of disability falls disproportionately across geographic regions and socioeconomic groups, public health policies in India should take this variation into account. The definition of disability used in the census should be modified to generate internationally comparable estimates of disability prevalence. PMID:27490469

  20. Shifting Patterns of Student Mobility in Asia

    ERIC Educational Resources Information Center

    Chan, Sheng-Ju

    2012-01-01

    During the past decade, Asia--traditionally one of the largest exporters of mobile students--has experienced major changes in student mobility within higher education. As the worldwide competition for international students has escalated, many Asian countries have adopted a wide range of mechanisms and strategies in facilitating student mobility.…

  1. Trends in Mobile Application Development

    NASA Astrophysics Data System (ADS)

    Holzer, Adrian; Ondrus, Jan

    Major software companies, such as Apple and Google, are disturbing the relatively safe and established actors of the mobile application business. These newcomers have caused significant structural changes by imposing and enforcing their own rules for the future of mobile application development. The implications of these changes do not only concern the mobile network operators and mobile phone manufacturers. This changed environment also brings additional opportunities and constraints for current mobile application developers. Therefore, developers need to assess what their options are and how they can take advantages of these current trends. In this paper, we take a developer’s perspective in order to explore how the structural changes will influence the mobile application development markets. Moreover, we discuss what aspects developers need to take into account in order to position themselves within the current trends.

  2. Syrtis Major

    NASA Technical Reports Server (NTRS)

    2002-01-01

    (Released 6 June 2002) The Science This image, located near the equator and 288W (72E), is near the southern edge of a low, broad volcanic feature called Syrtis Major. A close look at this image reveals a wrinkly texture that indicates a very rough surface that is associated with the lava flows that cover this region. On a larger scale, there are numerous bright streaks that trail topographic features such as craters. These bright streaks are in the wind shadows of the craters where dust that settles onto the surface is not as easily scoured away. It is important to note that these streaks are only bright in a relative sense to the surrounding image. Syrtis Major is one of the darkest regions on Mars and it is as dark as fresh basalt flows or dunes are on Earth. The Story Cool! It almost looks as if nature has 'painted' comets on the surface of Mars, using craters as comet cores and dust as streaky tails. Of course, that's just an illusion. As in many areas of Mars, the wind is behind the creation of such fantastic landforms. The natural phenomenon seen here gives this particular surface of Mars a very dynamic, fast-moving, almost luminous 'cosmic personality.' The bright, powdery-looking streaks of dust are in the 'wind shadows' of craters, where dust that settles onto the surface is not as easily scoured away. That's because the wind moves across the land in a particular direction, and a raised surface like the rim of a crater 'protects' dust from being completely blown away on the other side. The raised landforms basically act as a buffer. From the streaks seen above, you can tell the wind was blowing in a northeast to southwest direction. Why are the streaks so bright? Because they contrast with the really dark underlying terrain in this volcanic area of Mars. Syrtis Major is one of the darkest regions on Mars because it is made of basalt. Basalt is typically dark gray or black, and forms when a certain type of molten lava cools. The meaning of the word basalt

  3. Mobile-ip Aeronautical Network Simulation Study

    NASA Technical Reports Server (NTRS)

    Ivancic, William D.; Tran, Diepchi T.

    2001-01-01

    NASA is interested in applying mobile Internet protocol (mobile-ip) technologies to its space and aeronautics programs. In particular, mobile-ip will play a major role in the Advanced Aeronautic Transportation Technology (AATT), the Weather Information Communication (WINCOMM), and the Small Aircraft Transportation System (SATS) aeronautics programs. This report presents the results of a simulation study of mobile-ip for an aeronautical network. The study was performed to determine the performance of the transmission control protocol (TCP) in a mobile-ip environment and to gain an understanding of how long delays, handoffs, and noisy channels affect mobile-ip performance.

  4. 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…

  5. 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…

  6. 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…

  7. 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…

  8. 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,…

  9. 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…

  10. Transporting Students with Disabilities.

    ERIC Educational Resources Information Center

    Bluth, Linda F.; Hochberg, Susan N.

    1994-01-01

    Provides a brief description of the U.S. Constitutional provisions and public laws affecting transportation of students with disabilities. Lists suggested inservice training program elements to ensure the provision of adequate training necessary to safely transport students with disabilities. (MLF)