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1

Assessment of Learning Disabilities.  

ERIC Educational Resources Information Center

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

Shepard, Lorrie A.

2

[Medical assessment of psychosomatic illnesses in the field of short-term disability compensation insurance: advantages of a multidimensional structured guideline].  

PubMed

The aim of the medical report in the area of short-term disability claims caused by psychological and psychosomatic disorders is to make a valid prognosis on the further development of absenteeism and/or to estimate the return-to-work probability of the claimant. An analysis of the current practice of determining the validity of claims caused by psychosomatic illnesses shows that it is inadequate and unsatisfactory, mainly as a result of its reliance on a cross-sectional based judgement. The authors present a structured guideline (Multi-Axial-Psychodiagnostic for short-term disability claims, MAP-KTG), which supports, via a multi-dimensional diagnosis process, the validation of the psychological and psychosomatic symptoms of the claimant. It is also used to assess the amount of functional disability with a higher degree of accuracy. The determination of the prognosis, with regard to future work prospects, can be obtained by applying a list of empirically generated variables proven to be associated with the return-to-work probability. PMID:16800144

Svitak, M; Müller-Svitak, S; Rauh, E

2006-06-01

3

Swinburne University of Technology Disability / Medical Documentation Form Disability Services requires students to provide documentation of a disability or medical condition from a relevant professional, before  

E-print Network

Swinburne University of Technology Disability / Medical Documentation Form Disability Services requires students to provide documentation of a disability or medical condition from a relevant Guidelines" for more information). The information provided will remain confidential and be used

Liley, David

4

A Critique of "Controversial Medical Treatments of Learning Disabilities"  

ERIC Educational Resources Information Center

The author replies to the article titled "Controversial Medical Treatments of Learning Disabilities" (R. Sieben), and discusses research on the relationship between food additives and hyperactivity, and dietary treatments for learning disabled children. (IM)

Feingold, Benjamin F.

1977-01-01

5

Medical students' attitudes toward persons with disability: A comparative study  

Microsoft Academic Search

Tervo RC, Azuma S, Palmer G, Redinius P. Medical students' attitudes toward persons with disability: a comparative study. Arch Phys Med Rehabil 2002;83:1537-42. Objectives: To investigate first-year medical students' attitudes toward persons with disability and to examine whether gender and a background in disability determine attitudes toward persons with disability. Design: A cross-sectional survey. Setting: University settings in the United

Raymond C. Tervo; Scott Azuma; Glen Palmer; Pat Redinius

2002-01-01

6

Disability & Medical Leave Resources A Guide for Employees  

E-print Network

Disability & Medical Leave Resources A Guide for Employees This guide is a resource for you if you are experiencing difficulties at work related to a disability or chronic medical condition. For example, you may: have a serious health condition and need medical leave be returning to work with restrictions

Saffman, Mark

7

Medical education and disability discrimination: the law and future implications.  

PubMed

Students with disabilities who are preparing for careers in health care have been in the forefront of those bringing suit under Section 504 of the Rehabilitation Act of 1973. Passage of the Americans with Disabilities Act in 1990 broadened discrimination statutes and renewed attention to students with disabilities in medical education. Based on an analysis of the statutes and case law, the courts in conjunction with medical educators may be expected to refine policies to identify (1) when physicians with disabilities are otherwise qualified; (2) what the essential tasks performed by physicians are; (3) what accommodations to disabled students are reasonable; and (4) how communications about disabilities between program administrators, faculty, and students should be carried out. To ensure that physicians with disabilities are welcome and productive members of the profession, policy must expand from the legal foundation by means of proactive planning and evaluation to minimize the risks of litigation and enhance the environment of medical education. PMID:8018258

Helms, L B; Helms, C M

1994-07-01

8

Travelers with Disabilities and Medical Conditions  

MedlinePLUS

... Remove Shoes Have Metal Joint Implants Have Internal Medical Devices Needs Medication Have Medically Necessary Liquids Have Medically ... What to Expect with Ports, Catheters, and Other Medical Devices Has an External Medical Device Are Breast Cancer ...

9

Medical, environmental and personal factors of disability in the elderly in Spain: a screening survey based on the International Classification of Functioning  

Microsoft Academic Search

ObjectivesThe International Classification of Functioning, Disability and Health (ICF) advocates a multifactorial and multifaceted conceptualization of disability. The objective of this study was to ascertain major medical, environmental and personal determinants of severe\\/extreme disability among the elderly population in Spain. The assessment scheme was consistent with the ICF model of disability.

Javier Virués Ortega; Jesús de Pedro-Cuesta; Jose Luis del Barrio; Javier Almazan-Isla; Alberto Bergareche; Felix Bermejo-Pareja; Gloria Fernández-Mayoralas; Francisco Jose García; Josep Garre-Olmo; Jordi Gascon-Bayarri; Ignacio Mahillo; Pablo Martínez-Martín; Raimundo Mateos; Fernanda Rodríguez; Fermina Rojo-Pérez; Fuencisla Avellanal; Pedro Saz; Manuel Seijo-Martínez

10

Disability Support Workers' Knowledge and Education Needs about Psychotropic Medication  

ERIC Educational Resources Information Center

Disability support workers are the predominant workforce employed to support people with an intellectual disability in Australia. Many support workers are required to assist people they support to take psychotropic medications in the form of chemical restraint. Support workers in Australia receive limited education and training in this area and as…

Donley, Mandy; Chan, Jeffrey; Webber, Lynne

2012-01-01

11

76 FR 27380 - Proposed Information Collection (Report of Medical Examination for Disability Evaluation...  

Federal Register 2010, 2011, 2012, 2013, 2014

...Information Collection (Report of Medical Examination for Disability...claimants prior to undergoing a VA medical examination for disability...other forms of information technology. Title: Report of Medical Examination for...

2011-05-11

12

Medical Costs Associated with Children with Disabilities or Chronic Illness.  

ERIC Educational Resources Information Center

Recent developments in medical technology have increased survival rates of children with disabling conditions and chronic illnesses. These children incur direct and indirect medical costs, and existing private and public resources leave gaps in payment and service delivery. New systems are necessary to ensure coordinated community care for all…

Moore, Judith A.; McLaughlin, John F.

1988-01-01

13

Disabled Readers: Insight, Assessment, Instruction.  

ERIC Educational Resources Information Center

Focusing on helping teachers to understand and help children who have reading disabilities, the 13 papers in this volume were prepared by practitioners at various levels from public school, community, and university settings. The papers included in part one offer insights into the concomitant aspects of reading difficulties. Specific topics…

Sawyer, Diane J., Ed.

14

JAMA Patient Page: Assessing Disability  

MedlinePLUS

... may contribute to an increased burden in both quality of life and health care costs. FOR MORE INFORMATION • Administration on Aging Eldercare Locator www.eldercare.gov • National Council on Disability www.ncd.gov • Centers for Disease Control and Prevention www.cdc.gov/nchs • Workers’ Compensation ...

15

Intellectual disability nursing assessment: student reflections.  

PubMed

Nursing students, Paula and Lynda, reflect on their first academic assessment of their 4-year intellectual disability nursing course. The reflection is conducted by the second and third authors of this article, and is guided by Gibbs' (1998) cycle, highlighting the positive and negative aspects of their 'workbook' assignment during their first academic semester. Overall, the use of the workbook as an assessment method enabled the students to discover the importance of time management, attendance at lectures, database searching, referencing and academic writing. The assignment enabled the students to be more prepared for clinical practice placement, and develop a basis for future learning and knowledge of intellectual disability. PMID:22584930

Doody, Owen; McInerney, Paula; Linnane, Lynda

16

20 CFR 404.1051 - Payments on account of sickness or accident disability, or related medical or hospitalization...  

Code of Federal Regulations, 2014 CFR

... Payments on account of sickness or accident disability, or related medical or hospitalization... Payments on account of sickness or accident disability, or related medical or hospitalization...behalf, on account of your sickness or accident disability, or related medical...

2014-04-01

17

20 CFR 404.1051 - Payments on account of sickness or accident disability, or related medical or hospitalization...  

Code of Federal Regulations, 2012 CFR

... Payments on account of sickness or accident disability, or related medical or hospitalization... Payments on account of sickness or accident disability, or related medical or hospitalization...behalf, on account of your sickness or accident disability, or related medical...

2012-04-01

18

20 CFR 404.1051 - Payments on account of sickness or accident disability, or related medical or hospitalization...  

Code of Federal Regulations, 2010 CFR

... Payments on account of sickness or accident disability, or related medical or hospitalization... Payments on account of sickness or accident disability, or related medical or hospitalization...behalf, on account of your sickness or accident disability, or related medical...

2010-04-01

19

20 CFR 404.1051 - Payments on account of sickness or accident disability, or related medical or hospitalization...  

Code of Federal Regulations, 2011 CFR

... Payments on account of sickness or accident disability, or related medical or hospitalization... Payments on account of sickness or accident disability, or related medical or hospitalization...behalf, on account of your sickness or accident disability, or related medical...

2011-04-01

20

20 CFR 404.1051 - Payments on account of sickness or accident disability, or related medical or hospitalization...  

Code of Federal Regulations, 2013 CFR

... Payments on account of sickness or accident disability, or related medical or hospitalization... Payments on account of sickness or accident disability, or related medical or hospitalization...behalf, on account of your sickness or accident disability, or related medical...

2013-04-01

21

The Challenge of Disability and Access: Reconceptualizing the Role of the Medical Model  

Microsoft Academic Search

The fields of social work and disability seek to optimize well-being and life experience for clients with disabilities. The field of disability has defined and explored several frameworks for understanding disability, which are currently polarized between the problem-centered “medical” models and the social “disability as construction” models. The differences and the interplay between them affects both individuals and society. Four

Juliet C. Rothman

2010-01-01

22

Accessible Reading Assessments for Students with Disabilities  

ERIC Educational Resources Information Center

Assessments developed and field tested for the mainstream student population may not be accessible for students with disabilities (SWDs) as a result of the impact of extraneous variables, including cognitive features, such as depth of knowledge required, grammatical and lexical complexity, lexical density, and textual/visual features. This study…

Abedi, Jamal; Bayley, Robert; Ewers, Nancy; Mundhenk, Kimberly; Leon, Seth; Kao, Jenny; Herman, Joan

2012-01-01

23

The Assessment of Severely Intellectually Disabled Students  

ERIC Educational Resources Information Center

The aim of this study was to gather information on the tools used by special education teachers for the assessment of severely intellectually disabled students (SID), preparing an individual education plan, and about the methodology used for monitoring their learning progress. The survey included all Finnish special education teachers working with…

Kontu, Elina; Pirttimaa, Raija

2008-01-01

24

20 CFR 220.110 - Medically disabled.  

Code of Federal Regulations, 2011 CFR

...are based on medically acceptable clinical and laboratory techniques. (c) Addiction to alcohol or drugs. If a claimant has a condition diagnosed as addiction to alcohol or drugs, this condition will not, by itself, be a basis for...

2011-04-01

25

20 CFR 220.110 - Medically disabled.  

Code of Federal Regulations, 2014 CFR

...are based on medically acceptable clinical and laboratory techniques. (c) Addiction to alcohol or drugs. If a claimant has a condition diagnosed as addiction to alcohol or drugs, this condition will not, by itself, be a basis for...

2014-04-01

26

20 CFR 220.110 - Medically disabled.  

Code of Federal Regulations, 2013 CFR

...are based on medically acceptable clinical and laboratory techniques. (c) Addiction to alcohol or drugs. If a claimant has a condition diagnosed as addiction to alcohol or drugs, this condition will not, by itself, be a basis for...

2013-04-01

27

20 CFR 220.110 - Medically disabled.  

Code of Federal Regulations, 2010 CFR

...are based on medically acceptable clinical and laboratory techniques. (c) Addiction to alcohol or drugs. If a claimant has a condition diagnosed as addiction to alcohol or drugs, this condition will not, by itself, be a basis for...

2010-04-01

28

20 CFR 220.110 - Medically disabled.  

Code of Federal Regulations, 2012 CFR

...are based on medically acceptable clinical and laboratory techniques. (c) Addiction to alcohol or drugs. If a claimant has a condition diagnosed as addiction to alcohol or drugs, this condition will not, by itself, be a basis for...

2012-04-01

29

Measurement of Environmental Constructs in Disability Assessment Instruments  

ERIC Educational Resources Information Center

The International Classification of Functioning, Disability and Health (ICF) assumes a biopsychosocial basis for disability and provides a framework for understanding how environmental factors contribute to the experience of disability. To determine the utility of prevalent disability assessment instruments, the authors examined the extent to…

Guscia, Roma; Ekberg, Stuart; Harries, Julia; Kirby, Neil

2006-01-01

30

Assessing Calculators as Assessment Accommodations for Students with Disabilities  

ERIC Educational Resources Information Center

This study explored the performance of 75 seventh-grade students with and without disabilities, educated in inclusive mathematics classes, on open-ended, problem-solving mathematics assessments. In the study, approximately half of the students used a graphing calculator on the first assessment and not on the second assessment (n = 35; 46.7%),…

Bouck, Emily C.; Yadav, Aman

2008-01-01

31

Multidisciplinary Approach to Optimizing Pharmacological and Behavioral Interventions for Persons with Developmental Disabilities Who are on Psychotropic Medications  

Microsoft Academic Search

Psychiatric, pharmacological, and behavioral assessments and interventions were provided to consumers with developmental disabilities\\u000a who were on psychotropic medications. In addition, training programs on the steps in psychiatric assessment, implementation\\u000a of behavioral interventions, and administration of medication procedures were conducted for service providers working with\\u000a this population. Following assessments and interventions, 20 of 40 participating consumers (50%) received fewer psychotropic

Weihe Huang; H. R. Christopher O’Brien; Constance M. Kalinowski; Robert G. Vreeland; Lisa Kleinbub; Genae A. Hall

2007-01-01

32

Assessing Individuals with Disabilities in Educational, Employment, and Counseling Settings.  

ERIC Educational Resources Information Center

This book is designed to assist testing professionals as they face the challenge of how best to assess and test people with disabilities. Chapters include: (1) "Testing Individuals with Disabilities: Reconciling Social Science and Social Policy" (Diana Pullin); (2) "The Psychometrics of Testing Individuals with Disabilities" (Kurt F. Geisinger and…

Ekstrom, Ruth B., Ed.; Smith, Douglas K., Ed.

33

Assessing Functional Impairment in Siblings Living With Children With Disability  

PubMed Central

OBJECTIVE: The purpose of this study was to empirically test if siblings of children with disability had higher levels of parent-reported behavioral and emotional functional impairment compared with a peer group of siblings residing with only typically developing children. METHODS: This was a retrospective secondary analysis of data from the Medical Expenditure Panel Survey. We included only households with at least 2 children to ensure sibling relationships. Two groups of siblings were formed: 245 siblings resided in households with a child with disability and 6564 siblings resided in households with typically developing children. Parents responded to questions from the Columbia Impairment Scale to identify functional impairment in their children. RESULTS: On the basis of parent reports and after adjusting for sibling demographic characteristics and household background, siblings of children with disability were more likely than siblings residing with typically developing children to have problems with interpersonal relationships, psychopathological functioning, functioning at school, and use of leisure time (P < .05). The percentage of siblings of children with disability classified with significant functional impairment was 16.0% at the first measurement period and 24.2% at the second (P < .001). For siblings of typically developing children there was a smaller percentage increase from 9.5% to 10.3% (P < .001). CONCLUSIONS: Functional impairment is a key indicator for the need of mental health services and, as such, early assessment and interventions to limit increasing severity and short- to long-term consequences need to be addressed. Health care professionals need to consider a family-based health care approach for families raising children with disability. PMID:23897909

Havercamp, Susan; Jamieson, Barry; Sahr, Timothy

2013-01-01

34

MEDICAL SUPPLEMENT DIRECTIONS--This form assists students in providing documentation of a medical or disability condition when petitioning for  

E-print Network

MEDICAL SUPPLEMENT DIRECTIONS--This form assists students in providing documentation of a medical with the Medical Supplement. This form must be completed by the medical provider or by Disability Services if the student is currently registered with and has provided medical documentation surrounding their condition

Amin, S. Massoud

35

Concurrent Medical Conditions and Health Care Use and Needs among Children with Learning and Behavioral Developmental Disabilities, National Health Interview Survey, 2006-2010  

ERIC Educational Resources Information Center

Studies document various associated health risks for children with developmental disabilities (DDs). Further study is needed by disability type. Using the 2006-2010 National Health Interview Surveys, we assessed the prevalence of numerous medical conditions (e.g. asthma, frequent diarrhea/colitis, seizures), health care use measures (e.g. seeing a…

Schieve, Laura A.; Gonzalez, Vanessa; Boulet, Sheree L.; Visser, Susanna N.; Rice, Catherine E.; Braun, Kim Van Naarden; Boyle, Coleen A.

2012-01-01

36

Requesting Accommodation for a Disability: A Telephone Survey of American Medical Schools  

ERIC Educational Resources Information Center

Members of the committee on disabilities of the Group for the Advancement of Psychiatry (GAP) contacted 107 of 126 American Medical Schools to determine the number of students requesting accommodation for a disability, the time at which the request was made, the type of disability, and the type of accommodation offered. The survey determined that…

Sack, William; Gale, John; Gulati, Sanjay; Gunther, Michael; Nesheim, Robert; Stoddard, Frederick; St. John, Rachel

2008-01-01

37

Guidelines for Assessment of and Intervention With Persons With Disabilities  

ERIC Educational Resources Information Center

The goal of these "Guidelines for Assessment of and Intervention With Persons With Disabilities" is to help psychologists conceptualize and implement more effective, fair, and ethical psychological assessments and interventions with persons with disabilities. The guidelines provide suggestions on ways psychologists can make their practices more…

American Psychologist, 2012

2012-01-01

38

A Model for Learning Disability Assessment at the State University.  

ERIC Educational Resources Information Center

Learning Skills Services, a federally funded student support service program, is responsible for learning disability assessment and provision of a continuum of services at Sonoma State University in Northern California. In response to the perceived lack of assessment and procedures standards for identifying learning-disabled students at the state…

Barrows, Patricia L.; And Others

1989-01-01

39

Comparison of Assessment Results of Children with Low Incidence Disabilities  

ERIC Educational Resources Information Center

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

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

2008-01-01

40

Including Students with Disabilities in the Missouri Assessment Program.  

ERIC Educational Resources Information Center

This training manual is designed to provide information that will help Missouri educators understand and implement new state requirements regarding the inclusion of students with disabilities in the Missouri Assessment Program (MAP). It addresses the following topics: (1) reasons for including students with disabilities in a state assessment

Edgley, Mary

41

Assessment methods in medical education  

Microsoft Academic Search

Since the 1950s, there has been rapid and extensive change in the way assessment is conducted in medical education. Several new methods of assessment have been developed and implemented over this time and they have focused on clinical skills (taking a history from a patient and performing a physical examination), communication skills, procedural skills, and professionalism. In this paper, we

John J. Norcini; Danette W. McKinley

2007-01-01

42

The Use of Psychotropic Medication with Adults with Learning Disabilities: Survey Findings and Implications for Services  

ERIC Educational Resources Information Center

This paper describes the findings of a survey into prescribing of psychotropic medication with adults with learning disabilities in a British city. A self-completion questionnaire was sent to staff in dispersed housing and community learning disability teams to gather information about the number of people prescribed psychoactive medication, the…

Chapman, Melanie; Gledhill, Paul; Jones, Phillip; Burton, Mark; Soni, Saroj

2006-01-01

43

26 CFR 31.3306(b)(4)-1 - Payments on account of sickness or accident disability, or medical or hospitalization expenses.  

Code of Federal Regulations, 2011 CFR

... Payments on account of sickness or accident disability, or medical or hospitalization... Payments on account of sickness or accident disability, or medical or hospitalization...account of the employee's sickness or accident disability or the medical or...

2011-04-01

44

26 CFR 31.3121(a)(4)-1 - Payments on account of sickness or accident disability, or medical or hospitalization expenses.  

Code of Federal Regulations, 2013 CFR

... Payments on account of sickness or accident disability, or medical or hospitalization... Payments on account of sickness or accident disability, or medical or hospitalization...account of the employee's sickness or accident disability or the medical or...

2013-04-01

45

26 CFR 31.3121(a)(4)-1 - Payments on account of sickness or accident disability, or medical or hospitalization expenses.  

Code of Federal Regulations, 2010 CFR

... Payments on account of sickness or accident disability, or medical or hospitalization... Payments on account of sickness or accident disability, or medical or hospitalization...account of the employee's sickness or accident disability or the medical or...

2010-04-01

46

26 CFR 31.3306(b)(4)-1 - Payments on account of sickness or accident disability, or medical or hospitalization expenses.  

Code of Federal Regulations, 2012 CFR

... Payments on account of sickness or accident disability, or medical or hospitalization... Payments on account of sickness or accident disability, or medical or hospitalization...account of the employee's sickness or accident disability or the medical or...

2012-04-01

47

26 CFR 31.3306(b)(4)-1 - Payments on account of sickness or accident disability, or medical or hospitalization expenses.  

Code of Federal Regulations, 2013 CFR

... Payments on account of sickness or accident disability, or medical or hospitalization... Payments on account of sickness or accident disability, or medical or hospitalization...account of the employee's sickness or accident disability or the medical or...

2013-04-01

48

26 CFR 31.3121(a)(4)-1 - Payments on account of sickness or accident disability, or medical or hospitalization expenses.  

Code of Federal Regulations, 2014 CFR

... Payments on account of sickness or accident disability, or medical or hospitalization... Payments on account of sickness or accident disability, or medical or hospitalization...account of the employee's sickness or accident disability or the medical or...

2014-04-01

49

26 CFR 31.3306(b)(4)-1 - Payments on account of sickness or accident disability, or medical or hospitalization expenses.  

Code of Federal Regulations, 2010 CFR

... Payments on account of sickness or accident disability, or medical or hospitalization... Payments on account of sickness or accident disability, or medical or hospitalization...account of the employee's sickness or accident disability or the medical or...

2010-04-01

50

26 CFR 31.3121(a)(4)-1 - Payments on account of sickness or accident disability, or medical or hospitalization expenses.  

Code of Federal Regulations, 2011 CFR

... Payments on account of sickness or accident disability, or medical or hospitalization... Payments on account of sickness or accident disability, or medical or hospitalization...account of the employee's sickness or accident disability or the medical or...

2011-04-01

51

26 CFR 31.3121(a)(4)-1 - Payments on account of sickness or accident disability, or medical or hospitalization expenses.  

Code of Federal Regulations, 2012 CFR

... Payments on account of sickness or accident disability, or medical or hospitalization... Payments on account of sickness or accident disability, or medical or hospitalization...account of the employee's sickness or accident disability or the medical or...

2012-04-01

52

26 CFR 31.3306(b)(4)-1 - Payments on account of sickness or accident disability, or medical or hospitalization expenses.  

Code of Federal Regulations, 2014 CFR

... Payments on account of sickness or accident disability, or medical or hospitalization... Payments on account of sickness or accident disability, or medical or hospitalization...account of the employee's sickness or accident disability or the medical or...

2014-04-01

53

Assessment of Risk Manageability of Intellectually Disabled Sex Offenders  

ERIC Educational Resources Information Center

Background: There are no validated risk assessment tools for intellectually disabled (ID) sex offenders, with the exception of the work of Lindsay et al. ["Journal of Applied Research in Intellectual Disabilities" (2004) 17: 267] regarding the prediction of risk for aggressive behaviour of ID offenders in residential settings. ID sex offenders…

Boer, Douglas P.; Tough, Susan; Haaven, James

2004-01-01

54

Assessment of Children with Intellectual Giftedness and Reading Disabilities  

ERIC Educational Resources Information Center

This article discusses the current issues involved in the evaluation of children who have both intellectual gifts and a specific learning disability (SLD) in reading. Given recent changes in federal special education law (i.e., the Individuals With Disabilities Education Improvement Act of 2004), the use of a unified assessment model that…

Volker, Martin A.; Lopata, Christopher; Cook-Cottone, Catherine

2006-01-01

55

Comprehensive Assessment and Evaluation of Students with Learning Disabilities: A Paper Prepared by the National Joint Committee on Learning Disabilities  

ERIC Educational Resources Information Center

The National Joint Committee on Learning Disabilities (NJCLD) strongly supports comprehensive assessment and evaluation of students with learning disabilities by a multidisciplinary team for the identification and diagnosis of students with learning disabilities. Comprehensive assessment of individual students requires the use of multiple data…

Learning Disability Quarterly, 2011

2011-01-01

56

Development of medical garments and apparel for the elderly and the disabled  

Microsoft Academic Search

The paper critically reviews medical garments with various functions and development aspects. Textiles used and developing technologies are systematically introduced. Medical garment products are described according to three major functions: protective, treatment and caring functions. Although the main theme of this paper discusses products for the elderly and the disabled, it also contains major parts on medical garments, which include

Ng Sau-Fun; Hui Chi-Leung; Wong Lai-Fan

2011-01-01

57

Psychotropic Medication Adherence among Community-Based Individuals with Developmental Disabilities and Mental Illness  

ERIC Educational Resources Information Center

Psychotropic medications are a common treatment for mental illness in people with developmental disabilities. Medication adherence is a critical determinant of the effectiveness of psychotropic drugs, but psychotropic medication adherence research specific to this population remains limited. This retrospective study analyzed Marketscan®…

Tan, Xi; Marshall, Vincent D.; Balkrishnan, Rajesh; Patel, Isha; Chang, Jongwha; Erickson, Steven R.

2015-01-01

58

The Kaufman Assessment Battery for Children (K-ABC) in the Assessment of Learning Disabled Children.  

ERIC Educational Resources Information Center

Examined whether Kaufman Assessment Battery for Children (K-ABC) could discriminate between learning disabled and normal preadolescents. Tested 43 learning disabled (LD) students and 20 students without learning disabilities. Results indicated that the Achievement score relative to the Mental Processing Composite score was the only measure to…

Rethazi, Maya; Wilson, Anne Keeton

1988-01-01

59

26 CFR 31.3121(a)(2)-1 - Payments on account of sickness or accident disability, medical or hospitalization expenses, or...  

Code of Federal Regulations, 2012 CFR

... Payments on account of sickness or accident disability, medical or hospitalization... Payments on account of sickness or accident disability, medical or hospitalization...on account of— (1) Sickness or accident disability of an employee or any...

2012-04-01

60

26 CFR 31.3121(a)(2)-1 - Payments on account of sickness or accident disability, medical or hospitalization expenses, or...  

Code of Federal Regulations, 2011 CFR

... Payments on account of sickness or accident disability, medical or hospitalization... Payments on account of sickness or accident disability, medical or hospitalization...on account of— (1) Sickness or accident disability of an employee or any...

2011-04-01

61

26 CFR 31.3121(a)(2)-1 - Payments on account of sickness or accident disability, medical or hospitalization expenses, or...  

Code of Federal Regulations, 2013 CFR

... Payments on account of sickness or accident disability, medical or hospitalization... Payments on account of sickness or accident disability, medical or hospitalization...on account of— (1) Sickness or accident disability of an employee or any...

2013-04-01

62

26 CFR 31.3121(a)(2)-1 - Payments on account of sickness or accident disability, medical or hospitalization expenses, or...  

Code of Federal Regulations, 2010 CFR

... Payments on account of sickness or accident disability, medical or hospitalization... Payments on account of sickness or accident disability, medical or hospitalization...on account of— (1) Sickness or accident disability of an employee or any...

2010-04-01

63

26 CFR 31.3121(a)(2)-1 - Payments on account of sickness or accident disability, medical or hospitalization expenses, or...  

Code of Federal Regulations, 2014 CFR

... Payments on account of sickness or accident disability, medical or hospitalization... Payments on account of sickness or accident disability, medical or hospitalization...on account of— (1) Sickness or accident disability of an employee or any...

2014-04-01

64

Psychiatric Services for Individuals with Intellectual and Developmental Disabilities: Medication Management  

ERIC Educational Resources Information Center

The purpose of this study was to describe the medication management and treatment provided in a specialty outpatient psychiatry clinic for 198 community-residing children and adults with intellectual disability and other developmental disabilities (IDD) referred to the clinic and discharged between 1999 and 2008. Using a descriptive design, data…

Russell, Andrew T.; Hahn, Joan Earle; Hayward, Katharine

2011-01-01

65

Antipsychotic Medication Prescription Patterns in Adults with Developmental Disabilities Who Have Experienced Psychiatric Crisis  

ERIC Educational Resources Information Center

Antipsychotic medication rates are high in adults with developmental disability. This study considered rates of antipsychotic use in 743 adults with developmental disability who had experienced a psychiatric crisis. Nearly half (49%) of these adults were prescribed antipsychotics. Polypharmacy was common with 22% of those prescribed antipsychotics…

Lunsky, Yona; Elserafi, Jonny

2012-01-01

66

People with Developmental Disabilities Teaching Medical Students--Does It Make a Difference?  

ERIC Educational Resources Information Center

Background: Negative attitudes towards people with developmental disabilities, including intellectual disabilities (ID), have the potential to contribute to the poor healthcare received by this group. The aim of this study was to evaluate changes in the attitudes of fourth year undergraduate medical students towards interacting with people with…

Tracy, Jane; Iacono, Teresa

2008-01-01

67

Preventive effectiveness of pre-employment medical assessments.  

PubMed Central

OBJECTIVE AND METHODS: Health gain, prevention of health loss, and avoidance of financial risk all seem to be driving forces for the use of pre-employment medical assessment. An attempt is made to measure the effect of implementing the pre-employment medical assessment on these end points. The anticipated maximum preventive effect (preventive effectiveness) of selection by means of pre-employment medical assessments for work related risks and the potential for disablement in individual workers can be calculated or estimated. Necessary parameters include test validity characteristics and epidemiological data for both the adverse outcome to be prevented, and risk factors of concern. RESULTS: The preventive effectiveness can be expressed as the effort (number of actions) needed to prevent one adverse event-for example, one case of occupational disease or one case of long term disablement. Actions include: a pre-employment health assessment, rejection of the candidate, individual precautions, adjustments of the job, and adjustments of the job environment. It seems that the preventive effectiveness of many actions can be low, implying that large numbers of actions are needed to prevent one adverse outcome. DISCUSSION: The medical assessment should consist of no more questions and tests than are required relevant to the stated aim. Particularly, when the pre-employment medical assessment is used to reject candidates at risk, the use of tests should be carefully weighed. If the preventive effectiveness is considered to be too low, then the question or test should not be incorporated for selection purposes. The application of a so called "expert judgment" should be based on professional guidelines wherever possible and should be made clear. The benefit of reducing the incidence of a serious adverse event by one may outweigh the costs of rejecting many candidates. CONCLUSIONS: The concept of preventive effectiveness may help to reach evidence based occupational medicine, which starts at the pre-employment medical assessment. PMID:9072026

de Kort, W; van Dijk, F

1997-01-01

68

Graduate Medical Education Committee (GMEC) Policy on Accommodations for Disabilities  

E-print Network

_the_employability_and_retention_of_persons_with_disabilities_policy http://intranet.wvu.edu/human_resources/procedures/wvuhr37.htm We will work with the University Department of Human Resources and the ADA Coordinator in determining if a resident has a disability and what

Mohaghegh, Shahab

69

Assessing Anger in People with Intellectual Disability  

ERIC Educational Resources Information Center

Background: There is a growing interest in the use of cognitive approaches for the treatment of psychological difficulties with people who have intellectual disability. The aim of the present study was to investigate the properties of an anger inventory, the relationship between self-reported and staff-reported levels of anger, and the…

Rose, John L.; Gerson, Danielle F.

2009-01-01

70

Documentation of a Medical or Psychological Disability At Rensselaer, students who request accommodations for a disability are required to submit documentation to verify  

E-print Network

Documentation of a Medical or Psychological Disability At Rensselaer, students who request for students who seek accommodations and/or services for a psychological or medical disability. Please fill out diagnostic code/s, if appropriate) that describes how the condition was diagnosed, provides information

Linhardt, Robert J.

71

The Assessment of Sexual Knowledge in People with Intellectual Disability  

ERIC Educational Resources Information Center

The aims of this study were to evaluate components of a new tool, the Assessment of Sexual Knowledge (ASK), and to use it to assess the sexual knowledge of adults with intellectual disability. The ASK consists of a Knowledge Section, an Attitudes Section, a Quick Knowledge Quiz and a Problematic Socio-Sexual Behaviours Checklist. A sample of 96…

Galea, Jennifer; Butler, Jenny; Iacono, Teresa; Leighton, Daniel

2004-01-01

72

Medical research: assessing the benefits to society  

E-print Network

May 2006 Medical research: assessing the benefits to society A report by the UK Evaluation Forum; enhance public understanding of the medical sciences and their impact on society; and advise on issues: assessing the benefits to society A report by the UK Evaluation Forum, supported by the Academy of Medical

Rambaut, Andrew

73

Medical Surveillance n Based on risk assessment  

E-print Network

2.12 #12;Medical Surveillance Criteria n Based on risk assessment n Pre-placement n evaluate of numbers exists n Predict an outcome given similar events Medical Surveillance Risk Assessment 2.12 #12;n Infectious for normal healthy adult? n What if adult is immunocompromised? Medical Surveillance Risk

Collins, Gary S.

74

Functional disability in medication management and driving among individuals with HIV: A 1-year follow-up study  

PubMed Central

Approximately 50% of individuals with HIV report cognitive deficits that can affect social or occupational functioning. The present study used a longitudinal design (1 year) to examine the relationship between cognitive factors and incidental functional deficits in medication management and driving ability among a cohort of 101 HIV+ participants. Participants were classified into groups of functionally “stable” and “disabled” for each laboratory-based functional task (i.e., Medication Management Task–Revised, MMT–R, and PC-based driving simulator). We hypothesized that participants who exhibited a functional deficit in either MMT–R or driving at follow-up assessment would demonstrate significantly poorer baseline cognitive performance at study entry than participants who remained functionally stable. As hypothesized, participants who demonstrated significantly lower baseline performance in learning/memory and executive functioning also demonstrated functional disability on the MMT–R at follow-up when compared to functionally stable participants. Poor baseline performance in speed of information processing was associated with a deficit in driving ability at follow-up assessment. Our results suggest that lower baseline cognitive functioning predicts downstream functional disability, and that deficits in learning/memory and information processing speed are particularly predictive of deficits in medication management and driving ability. PMID:23237014

Thames, April D.; Arentoft, Alyssa; Rivera-Mindt, Monica; Hinkin, Charles H.

2013-01-01

75

Implications of the 2008 amendments to the Americans with Disabilities Act for medical education.  

PubMed

The statutory language of the Americans with Disabilities Act (ADA) affords antidiscrimination protection to persons who have a physical or mental impairment that substantially limits one or more of the major life activities. The ADA comprises two major aspects: (1) whether one has a disability that qualifies for protection, and (2) if one does have a protected disability, whether the accommodations requested by the person with a disability are reasonable or unreasonable. Historically, many students who have challenged an institution's denial of accommodations in a court of law have been unsuccessful because they have been determined not to qualify as legally disabled. However, recent amendments to the ADA will affect how accommodation issues are handled by courts and, therefore, how medical colleges and other institutions make strategic decisions involving persons requesting special accommodations for learning disabilities under the ADA.In this article, the authors examine how the amendments to the ADA will affect the cases of persons with learning impairments who request special accommodations in medical education. This article focuses primarily on the issue of what constitutes a protected disability rather than on the reasonableness of accommodations. To examine this issue, the authors consider the narrow interpretations of the ADA that led to Congress enacting the amendments. The authors then discuss how the amendments might have influenced Wong v Regents of the University of California (2004). Finally, they examine the implications of the amendments for medical education and consider how they may affect a current case. PMID:21512367

Smith, W Thomas; Allen, William L

2011-06-01

76

Common Pediatric Disabilities: Medical Aspects and Educational Implications.  

ERIC Educational Resources Information Center

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

Tyler, Janet Siantz; Colson, Steven

1994-01-01

77

Antipsychotic Medication and People with Intellectual Disabilities: Their Knowledge and Experiences  

ERIC Educational Resources Information Center

Background: Antipsychotics are the most frequently prescribed psychotropic medication for people with intellectual disabilities. Many people are prescribed this medication for "challenging behaviours" without having had a formal diagnosis of a psychiatric disorder. Antipsychotics have been reported to have severe side-effect profiles, which can…

Crossley, Rachel; Withers, Paul

2009-01-01

78

Chronic migraine with medication overuse: Association between disability and quality of life measures, and impact of disease on patients' lives.  

PubMed

Patients with chronic migraine with medication overuse (CM-MO) have decreased quality of life (QoL) and increased disability: the degree to which these outcomes are connected to disease severity and the pattern of MO towards disease severity are unclear. Patients under withdrawal were administered the Migraine Disability Assessment (MIDAS), the WHO Disability Assessment Schedule (WHODAS), and the Migraine-Specific Quality of Life Questionnaire (MSQ). They overused NSAIDs, triptans, NSAIDs and triptans, and other drugs (ergotamine, caffeine, opioids/barbiturates). We calculated the correlations between MIDAS, WHODAS, and MSQ; compared WHODAS to normative scores; compared MIDAS, WHODAS, and MSQ in patients with different CM-MO severity; and run a logistic regression to predict CM-MO severity based on overused drugs. One hundred ninety-four patients were enrolled: correlations between WHODAS, MSQ, and MIDAS were moderate; wide differences on WHODAS against normative were found; and no trend was found across severity groups. Compared to triptans overusers, patients overusing NSAID and other drugs had higher odds of severe CM-MO. Coupling different disability measures with QoL assessment offered different insights on the lived experience of CM-MO. Future studies are needed to clarify the relationship between overused drugs and CM-MO severity: we added evidence that NSAIDs do not have protective effect in high-frequency CM-MO. PMID:25434715

Raggi, Alberto; Schiavolin, Silvia; Leonardi, Matilde; Giovannetti, Ambra Mara; Bussone, Gennaro; Curone, Marcella; Di Fiore, Paola; Grazzi, Licia; Usai, Susanna; D'Amico, Domenico

2015-01-15

79

Sexual Risk Assessment for People with Intellectual Disabilities  

ERIC Educational Resources Information Center

Given that sexually offensive behavior on the part of people with intellectual disabilities has been identified as a significant problem, we developed a risk assessment questionnaire, that takes not only various static and dynamic factors into account but also environmental risk variables. Psychologists and staff members completed this Risk…

Embregts, P.; van den Bogaard, K.; Hendriks, L.; Heestermans, M.; Schuitemaker, M.; van Wouwe, H.

2010-01-01

80

Pica in persons with developmental disabilities: Characteristics, diagnosis, and assessment  

Microsoft Academic Search

Pica is a very serious and often life threatening problem which occurs largely in persons with developmental disabilities. The topic has received sporadic attention from researchers for several decades. This paper reviews definitions, diagnostic implications, causes, prevalence, and assessment methods that have been described in the research literature. A review of available studies is presented and the current state of

Johnny L. Matson; Brian Belva; Megan A. Hattier; Michael L. Matson

2011-01-01

81

Pica in Persons with Developmental Disabilities: Characteristics, Diagnosis, and Assessment  

ERIC Educational Resources Information Center

Pica is a very serious and often life threatening problem which occurs largely in persons with developmental disabilities. The topic has received sporadic attention from researchers for several decades. This paper reviews definitions, diagnostic implications, causes, prevalence, and assessment methods that have been described in the research…

Matson, Johnny L.; Belva, Brian; Hattier, Megan A.; Matson, Michael L.

2011-01-01

82

Discrepancy Dinosaurs and the Evolution of Specific Learning Disability Assessment  

ERIC Educational Resources Information Center

Identifying Specific Learning Disability (SLD) has been an arduous task. Until IDEA 2004, diagnosing SLD was limited to IQ discrepancy models lacking in both empirical evidence and contributing to minority over-representation. This paper examines the history of SLD assessment, the phenomena of minority over-representation, and the implementation…

Moores-Abdool, Whitney; Unzueta, Caridad H.; Vazquez Donet, Dolores; Bijlsma, Eduard

2008-01-01

83

Pick One! Conducting Preference Assessments with Students with Significant Disabilities  

ERIC Educational Resources Information Center

Research has demonstrated that people with significant intellectual, developmental, and physical disabilities can indicate clear preferences through methodologically rigorous assessments. Once preferred items have been identified, they can be used to reinforce new behaviors, which can assist in the development of a meaningful learning experience.…

Cannella-Malone, Helen I.; Sabielny, Linsey M.; Jimenez, Eliseo D.; Miller, Megan M.

2013-01-01

84

State-Wide Assessment Programs: Including Students with Disabilities.  

ERIC Educational Resources Information Center

In response to new provisions in the Individuals with Disabilities Education Act (IDEA), this issue describes the promising special education research that is helping all students participate successfully in large-scale testing programs. The first article, "State-Wide Assessment Programs," discusses the new provisions in IDEA that require states…

Research Connections in Special Education, 1998

1998-01-01

85

Unreasonable adjustments: medical education, mental disorder, disability discrimination and public safety.  

PubMed

Recently the Civil and Administrative Tribunal of New South Wales found that the, University of Newcastle had discriminated against a medical student with borderline personality disorder and bipolar disorder on the grounds of her disability. This column summarises the case, and integrates a psychodynamic account of borderline personality disorder with Fulford's conceptual analysis of mental disorder as action failure, that is no different in principle from physical illnesses, some instances of which appear to uncontroversially rule out of contention some applicants for medical training. It is argued that some applicants for medical and health care programs with mental disorders should not be selected, because their disabilities are not amenable to satisfactory accommodation in the university training period, and they are incompatible with clinical training and practice. Universities should develop "Inherent Requirement" policies that better integrate their responsibility to support disabled students with the responsibility, currently reserved entirely to regulators, to ensure safe practice by their graduates. PMID:25341318

Parker, Malcolm

2014-09-01

86

Hospitalizations of Adults with Intellectual Disability in Academic Medical Centers  

ERIC Educational Resources Information Center

Individuals with intellectual disability (ID) represent a small but important group of hospitalized patients who often have complex health care needs. Individuals with ID experience high rates of hospitalization for ambulatory-sensitive conditions and high rates of hospitalizations in general, even when in formal community care systems; however,…

Ailey, Sarah H.; Johnson, Tricia; Fogg, Louis; Friese, Tanya R.

2014-01-01

87

Why We Need Reliable, Valid, and Appropriate Learning Disability Assessments: The Perspective of a Postsecondary Disability Service Provider  

ERIC Educational Resources Information Center

This paper discusses issues regarding the validity and reliability of psychoeducational assessments provided to Disability Services Offices at Canadian Universities. Several vignettes illustrate some current issues and the potential consequences when university students are given less than thorough disability evaluations and ascribed diagnoses.…

Wolforth, Joan

2012-01-01

88

Medical Expenditures Attributable to Cerebral Palsy and Intellectual Disability among Medicaid-Enrolled Children  

ERIC Educational Resources Information Center

This study estimated medical expenditures attributable to cerebral palsy (CP) among children enrolled in Medicaid, stratified by the presence of co-occurring intellectual disability (ID), relative to children without CP or ID. The MarketScan[R] Medicaid Multi-State database was used to identify children with CP for 2003-2005 by using the…

Kancherla, Vijaya; Amendah, Djesika D.; Grosse, Scott D.; Yeargin-Allsopp, Marshalyn; Van Naarden Braun, Kim

2012-01-01

89

Atypical Antipsychotic Medication Improves Aggression, but Not Self-Injurious Behaviour, in Adults with Intellectual Disabilities  

ERIC Educational Resources Information Center

Objective: Atypical antipsychotic medications have largely supplanted their typical counterparts, both for psychosis and for the treatment of aggression and/or self-injurious behaviour (SIB), in persons with intellectual disabilities (ID). However, with the exception of risperidone, little systematic research supports their use in such persons.…

Ruedrich, S. L.; Swales, T. P.; Rossvanes, C.; Diana, L.; Arkadiev, V.; Lim, K.

2008-01-01

90

Comorbid Diagnosis and Concomitant Medical Treatment for Children with Emotional and Behavioral Disabilities  

ERIC Educational Resources Information Center

The purpose of the current study was to determine the types of psychiatric disorders and the corresponding medications prescribed to children enrolled in elementary Emotional Behavioral Disability (EBD) programs. The project employed a questionnaire that was distributed to elementary level teachers (EBD) to: (a) determine the proportion of …

Hall, Kristina M.; Bowman, Krista A.; Ley, Katie; Frankenberger, William

2006-01-01

91

The Relationship among Side Effects Associated with Anti-Epileptic Medications in Those with Intellectual Disability  

ERIC Educational Resources Information Center

Seizures are fairly common in those with intellectual disabilities. In order to treat these seizures, antiepileptic drugs (AEDs) are often used and in many cases are effective. However, these medications often create a variety of associated side effects. In order to monitor these side effects, measures such as the SEIZES-B have been used. While…

Sipes, Megan; Matson, Johnny L.; Belva, Brian; Turygin, Nicole; Kozlowski, Alison M.; Horovitz, Max

2011-01-01

92

An Approach to Meeting the Needs of Medical Students with Learning Disabilities.  

ERIC Educational Resources Information Center

A study at the Albert Einstein College of Medicine (Yeshiva University, New York) has identified students from each medical class with previously unidentified learning disabilities. In three case studies, the importance of early identification and support is illustrated. In each case, dramatic improvement occurred with student awareness and…

Walters, Janice A.; Croen, Lila G.

1993-01-01

93

Viewing Disability through Differing Lenses: Medical, Political, and Psychological  

ERIC Educational Resources Information Center

This article was originally presented as part of a symposium conducted during the annual convention of the American Psychological Association in Toronto, Ontario, on August 8, 2003. The symposium, sponsored by the Board of Affairs of Psychology in the Public Interest, was titled "The Over-Medicalization of Psychology." Whereas this article…

Vash, C. L.

2004-01-01

94

Addressing assessment in libyan medical education.  

PubMed

ASSESSMENT IS A POWERFUL DRIVER OF STUDENT LEARNING: it gives a message to learners about what they should be learning, what the learning organisation believes to be important, and how they should go about learning. Assessment tools allow measurement of student achievement and thereby give teachers insight into their students' learning, and enable teachers to make systematic judgements about progress and achievement. It is vital then that assessment tools drive students to learn the right things as well as measure student learning appropriately. Any attempts to reform curricula and teaching methods must consider the role of assessment in the learning process.Libyan doctors and medical students have been calling for changes to teaching and assessment methods at undergraduate and postgraduate levels. A team from the Academic Centre for Medical Education at University College, London have been running workshops in conjunction with the Libyan Board of Medical Specialties since 2006 to discuss strategic aims of assessment in medical education in Libya for the 21st century and to deliver an assessment skills course to Libyan educators. This article outlines the course and the outcomes of preliminary discussions between academics from the UK, participants in the assessment courses and representatives from the Libyan Board of Medical Specialties. As a result of these discussions it was agreed by all that Libyan Medical School assessment methods need updating and, despite significant challenges, changes in assessment must be made as soon as possible. There is a real need for support in both addressing these changes and for practical training for assessors in contemporary assessment methods. PMID:21483506

Richardson, J; Gill, D; Woolf, K

2009-01-01

95

Assessing Early Language Development in Children with Vision Disability and Motor Disability  

ERIC Educational Resources Information Center

This article describes a method for identifying test items as disability neutral for children with vision and motor disabilities. Graduate students rated 130 items of the Preschool Language Scale and obtained inter-rater correlation coefficients of 0.58 for ratings of items as disability neutral for children with vision disability, and 0.77 for…

Hennessey, Stephen

2011-01-01

96

Assessing Stress in Disability: Developing and Piloting the Disability Related Stress Scale  

PubMed Central

Background Stress negatively influences health, but few scales capture the unique stressors encountered by people with physical disability. Objective/Hypothesis Conduct a pilot study to develop and evaluate the factor structure of a stress measure targeting unique stressors facing people with physical limitations due to impaired movement of the upper and lower extremities. Methods Development of the Disability Related Stress Scale (DRSS) included: (1) obtaining input regarding content and items from focus groups and outside experts and (2) piloting the instrument. Participants recruited from an independent living center attended a focus group or completed the pilot survey. The piloted measure was a 107 item two-part survey. Part 1 assessed stressors encountered over the past week and Part 2 assessed stressors encountered over the past six months. Participants included a convenience sample of 143 adults who experienced a physical limitation; 26 attended focus groups and 117 completed the instrument. Respondents were predominantly women (60%), Caucasian (58%), and unemployed (92%). Respondents’ were 50.51 ± 14.46 years old and had lived with their disability for 15.64 ± 13.04 years. Results Exploratory factor analyses revealed a four factor solution for Part 1 and a two factor solution for Part 2 of the DRSS. Estimates of both scales’ internal consistency (Part 1 Cronbach’s ? = .78 – 84; Part 2 Cronbach’s ? = .72) and factor loadings (.40–1.00 for Part 1; .43–.87 for Part 2) indicate adequate reliability. Conclusions Preliminary results provide initial support for the instrument’s reliability and factor structure although further validation studies are warranted. PMID:22726857

Rhode, Paula C.; Froehlich-Grobe, Katherine; Hockemeyer, Jill R.; Carlson, Jordan A.; Lee, Jaehoon

2013-01-01

97

Disability retirement  

NASA Technical Reports Server (NTRS)

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.

Eck, R. L.

1975-01-01

98

Frames of Reference for the Assessment of Learning Disabilities: New Views on Measurement Issues.  

ERIC Educational Resources Information Center

This book offers 27 papers addressing critical issues in the assessment of students with all kinds of learning disabilities. Papers have the following titles and authors: "Critical Issues in the Measurement of Learning Disabilities" (G. Reid Lyon); "A Matrix of Decision Points in the Measurement of Learning Disabilities" (Barbara K. Keogh);…

Lyon, G. Reid, Ed.

99

National survey 2007 on medical services for persons with intellectual disability in residential care in Israel.  

PubMed

In Israel, the Office of the Medical Director of the Ministry of Social Affairs is responsible for the medical service in residential-care centers for persons with intellectual disability (ID). A standard annual questionnaire was developed during 1997-1998, and the first national survey study was conducted in 1998. This present paper presents the findings of the seventh national survey in 2007, for which the following information was gathered via questionnaires: age, gender, and level of intellectual disability of persons served at the residential care center in question, status of the population served, functional profile, nursing, medical, and allied professional staff, number of annual examinations, preventive medicine aspects, medications, number of annual cases of infectious disease, annual unintentional injuries, number of deaths, number of hospitalizations, internal residential center hospitalization, ambulatory out-patient use, use of outside laboratory examinations, and dental care. In 2007, 6,872 persons were served in 9 government, 37 private, and 13 public centers. The average number of persons served per center was 116.47 (range 24 to 341). The survey in 2007 showed that 79% of the population with ID in residential care in Israel was between the ages of 20 and 60 years old, 44% with severe or profound ID, 43% with moderate and 13% with mild ID. Twenty-seven percent were nursing patients, and 18% were confined to a wheelchair, 34% had epilepsy, 86% were found to be receiving medication daily for chronic illness, and 51% received psychotropic medication for psychiatric illness. PMID:21404888

Merrick, Joav; Kandel, Isack; Lotan, Meir; Aspler, Shoshana; Fuchs, Brian Seth; Morad, Mohammed

2010-01-01

100

Medical Conditions and Healthcare Utilization among Adults with Intellectual Disabilities Living in Group Homes in New York City  

ERIC Educational Resources Information Center

The shift in living situations for adults with intellectual and other developmental disabilities (IDDD) from family homes to group homes has raised questions about their healthcare needs and access to appropriate healthcare services. This study was undertaken to describe the disability characteristics and medical conditions in a sample of adults…

Levy, Joel M.; Botuck, Shelly; Damiani, Marco R.; Levy, Philip H.; Dern, Thomas A.; Freeman, Stephen E.

2006-01-01

101

Longitudinal Prescribing Patterns for Psychoactive Medications in Community-Based Individuals with Developmental Disabilities: Utilization of Pharmacy Records  

ERIC Educational Resources Information Center

Little is known about longitudinal prescribing practices for psychoactive medications for individuals with intellectual disabilities and developmental disabilities (IDDD) who are living in community settings. Computerized pharmacy records were accessed for 2344 community-based individuals with IDDD for whom a total of 3421 prescriptions were…

Lott, I. T.; McGregor, M.; Engelman, L.; Touchette, P.; Tournay, A.; Sandman, C.; Fernandez, G.; Plon, L.; Walsh, D.

2004-01-01

102

The Medicaid Medically Improved Group: Losing Disability Status and Growing Earnings  

PubMed Central

Objectives Under the Ticket to Work and Work Incentives Improvement Act (PL 106-170), states may extend Medicaid Buy-In coverage to a medically improved group. Improved group coverage allows adults with disabilities to retain Medicaid coverage even once they lose disability status due to medical improvement, as long as they retain the original medical impairment. The goal of this paper is to describe who participated, the patterns of their participation, and employment outcomes. Methods The study population consists of all individuals (n = 315) who participated in medically improved group coverage 2002–2009 in the seven states with coverage by 2009 (Arizona, Connecticut, Kansas, New York, North Carolina, Pennsylvania, and West Virginia). Linked data from state Medicaid Buy-In finder files and Social Security Administration Ticket Research and Master Earnings Files were used to describe improved group participants and their patterns of enrollment. Results Although enrollment has been limited, with 255 participants in 2009, it has doubled annually on average with little churning and drop-out. Participants’ earnings grew nearly 200 dollars per month after two years, likely reflecting increased work hours and/or higher pay rates. Conclusions Improved group participants represent an unusually successful group of individuals with disabilities, many of whom have recently moved off Social Security cash benefit rolls or who were diverted from them. Specifics of insurance eligibility and coverage for improved group participants are uncertain under the Affordable Care Act. The challenge remains to provide a pathway for adults with disabilities to increase work and assets without loss of adequate health insurance. PMID:24918022

Thomas, Kathleen C; Hall, Jean P

2014-01-01

103

Behavioral and Psychiatric Differences in Medication Side Effects in Adults with Severe Intellectual Disabilities  

ERIC Educational Resources Information Center

Participants were 109 adults with severe intellectual disabilities and long histories of psychotropic drug use. Side effect profiles were examined in the context of types of mental health disorders observed using the Diagnostic Assessment for the Severely Handicapped-Revised (DASH-II) and the Behavior Problems Inventory-Revised (BPI-01). The best…

Matson, Johnny L.; Fodstad, Jill C.; Rivet, Tessa T.; Rojahn, Johannes

2009-01-01

104

38 CFR 3.361 - Benefits under 38 U.S.C. 1151(a) for additional disability or death due to hospital care, medical...  

Code of Federal Regulations, 2014 CFR

...1151(a) for additional disability or death due to hospital care, medical or surgical...1151(a) for additional disability or death due to hospital care, medical or surgical...respect to claims alleging disability or death due to compensated work therapy,...

2014-07-01

105

38 CFR 3.361 - Benefits under 38 U.S.C. 1151(a) for additional disability or death due to hospital care, medical...  

Code of Federal Regulations, 2012 CFR

...1151(a) for additional disability or death due to hospital care, medical or surgical...1151(a) for additional disability or death due to hospital care, medical or surgical...respect to claims alleging disability or death due to compensated work therapy,...

2012-07-01

106

38 CFR 3.361 - Benefits under 38 U.S.C. 1151(a) for additional disability or death due to hospital care, medical...  

Code of Federal Regulations, 2013 CFR

...1151(a) for additional disability or death due to hospital care, medical or surgical...1151(a) for additional disability or death due to hospital care, medical or surgical...respect to claims alleging disability or death due to compensated work therapy,...

2013-07-01

107

Urgent Medical Assessment after Child Sexual Abuse  

ERIC Educational Resources Information Center

Background: Immediate medical assessment has been recommended for children after sexual abuse to identify physical injuries, secure forensic evidence, and provide for the safety of the child. However, it is unclear whether young children seen urgently within 72 hours of reported sexual contact would have higher frequencies of interview or…

Palusci, Vincent J.; Cox, Edward O.; Shatz, Eugene M.; Schultze, Joel M.

2006-01-01

108

Self-Report Assessment of Executive Functioning in College Students with Disabilities  

ERIC Educational Resources Information Center

This study presents a unique assessment of executive functioning (EF) among postsecondary students with disabilities, with the aim of understanding the extent to which students with different disabilities and in different age groups assess their own difficulties with relevant and educationally-adaptive skills such as planning, initiating, managing…

Grieve, Adam; Webne-Behrman, Lisa; Couillou, Ryan; Sieben-Schneider, Jill

2014-01-01

109

Large-Scale Assessment and Accountability Systems: Positive Consequences for Students with Disabilities. Synthesis Report 51  

ERIC Educational Resources Information Center

When investigators document the consequences of high stakes assessments for students with disabilities, many negative consequences are cited. Both empirical and anecdotal evidence for positive consequences of large-scale high-stakes assessments for students with disabilities were examined for this study. Multiple methodologies were used to gather…

Ysseldyke, Jim; Dennison, Amanda; Nelson, Ruth

2004-01-01

110

MAJOR MOBILITY DISABILITY-ASSESSMENT AND BASELINE PERFORMANCE IN LIFE  

Technology Transfer Automated Retrieval System (TEKTRAN)

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

111

Avoiding genetic genocide: understanding good intentions and eugenics in the complex dialogue between the medical and disability communities.  

PubMed

The relationship between the medical and disability communities is complex and is influenced by historical, social, and cultural factors. Although clinicians, health-care researchers, and people with disabilities all work from the standpoint of the best interest of disabled individuals, the notion of what actually is "best" is often understood quite differently among these constituencies. Eugenics campaigns, legal restrictions on reproductive and other freedoms, and prenatal testing recommendations predicated on the lesser worth of persons with disabilities have all contributed toward the historic trauma experienced by the disability community, particularly with respect to medical genetics. One premise of personalized medicine is that different individuals require different solutions. Disabled persons' experiences are a reminder that these solutions can be best realized by maintaining awareness and sensitivity in a complex ethical and moral terrain. Geneticists should recognize that their research may have implications for those with disabilities; they should recognize the impact of the historical trauma of the eugenics movement, and seek to involve people with disabilities in discussions about policies that affect them. Dialogue can be messy and uncomfortable, but it is the only way to avoid the mistakes of the past and to ensure a more equitable, and healthful, future. PMID:22899092

Miller, Paul Steven; Levine, Rebecca Leah

2013-02-01

112

The Effects of Training on the Ability of Adults with an Intellectual Disability to Give Informed Consent to Medication  

ERIC Educational Resources Information Center

Background: This study had two aims: to investigate the capacity of individuals with intellectual disabilities (ID) to make decisions about their medications, and to evaluate whether the provision of training (information) sessions on medications would increase their capacity. Method: Twenty-eight adults (18 male and 10 female), with a mild to…

Ferguson, L.; Murphy, G. H.

2014-01-01

113

The documentation of health problems in relation to prescribed medication in people with profound intellectual and multiple disabilities  

Microsoft Academic Search

Background Persons with profound intellectual and multiple disabilities (PIMD) suffer from a wide range of health problems and use a wide range of different drugs.This study investigated for fre- quently used medication whether there was a health problem documented in the medical notes for the drug prescribed. Method Persons with PIMD with an estimated intelligence quotient of 25 and profound

D. C. van der Heide; A. A. J. van der Putten; P. B. van den Berg; K. Taxis; C. Vlaskamp

2009-01-01

114

The Documentation of Health Problems in Relation to Prescribed Medication in People with Profound Intellectual and Multiple Disabilities  

ERIC Educational Resources Information Center

Background: Persons with profound intellectual and multiple disabilities (PIMD) suffer from a wide range of health problems and use a wide range of different drugs. This study investigated for frequently used medication whether there was a health problem documented in the medical notes for the drug prescribed. Method: Persons with PIMD with an…

van der Heide, D. C.; van der Putten, A. A. J.; van den Berg, P. B.; Taxis, K.; Vlaskamp, C.

2009-01-01

115

Stereotyping of medical disability claimants' communication behaviour by physicians: towards more focused education for social insurance physicians  

PubMed Central

Background Physicians who hold medical disability assessment interviews (social insurance physicians) are probably influenced by stereotypes of claimants, especially because they have limited time available and they have to make complicated decisions. Because little is known about the influences of stereotyping on assessment interviews, the objectives of this paper were to qualitatively investigate: (1) the content of stereotypes used to classify claimants with regard to the way in which they communicate; (2) the origins of such stereotypes; (3) the advantages and disadvantages of stereotyping in assessment interviews; and (4) how social insurance physicians minimise the undesirable influences of negative stereotyping. Methods Data were collected during three focus group meetings with social insurance physicians who hold medical disability assessment interviews with sick-listed employees (i.e. claimants). The participants also completed a questionnaire about demographic characteristics. The data were qualitatively analysed in Atlas.ti in four steps, according to the grounded theory and the principle of constant comparison. Results A total of 22 social insurance physicians participated. Based on their responses, a claimant's communication was classified with regard to the degree of respect and acceptance in the physician-claimant relationship, and the degree of dominance. Most of the social insurance physicians reported that they classify claimants in general groups, and use these classifications to adapt their own communication behaviour. Moreover, the social insurance physicians revealed that their stereotypes originate from information in the claimants' files and first impressions. The main advantages of stereotyping were that this provides a framework for the assessment interview, it can save time, and it is interesting to check whether the stereotype is correct. Disadvantages of stereotyping were that the stereotypes often prove incorrect, they do not give the complete picture, and the claimant's behaviour changes constantly. Social insurance physicians try to minimise the undesirable influences of stereotypes by being aware of counter transference, making formal assessments, staying neutral to the best of their ability, and being compassionate. Conclusions We concluded that social insurance physicians adapt their communication style to the degree of respect and dominance of claimants in the physician-claimant relationship, but they try to minimise the undesirable influences of stereotypes in assessment interviews. It is recommended that this issue should be addressed in communication skills training. PMID:21044354

2010-01-01

116

Medical faculties educational network: multidimensional quality assessment.  

PubMed

Today, World Wide Web technology provides many opportunities in the disclosure of electronic learning and teaching content. The MEFANET project (MEdical FAculties NETwork) has initiated international, effective and open cooperation among all Czech and Slovak medical faculties in the medical education fields. This paper introduces the original MEFANET educational web portal platform. Its main aim is to present the unique collaborative environment, which combines the sharing of electronic educational resources with the use tools for their quality evaluation. It is in fact a complex e-publishing system, which consists of ten standalone portal instances and one central gateway. The fundamental principles of the developed system and used technologies are reported here, as well as procedures of a new multidimensional quality assessment. PMID:22640818

Komenda, Martin; Schwarz, Daniel; Feberová, Jitka; Stípek, Stanislav; Mihál, Vladimír; Dušek, Ladislav

2012-12-01

117

Assessment Principles and Guidelines for ELLs with Disabilities  

E-print Network

orientation, gender identity, or gender expression. This document is available in alternative formats upon, national origin, gender, age, marital status, disability, public assistance status, veteran status, sexual

Blanchette, Robert A.

118

Differentials of a State Reading Assessment: Item Functioning, Distractor Functioning, and Omission Frequency for Disability Categories  

ERIC Educational Resources Information Center

Large data sets from a state reading assessment for third and fifth graders were analyzed to examine differential item functioning (DIF), differential distractor functioning (DDF), and differential omission frequency (DOF) between students with particular categories of disabilities (speech/language impairments, learning disabilities, and emotional…

Kato, Kentaro; Moen, Ross E.; Thurlow, Martha L.

2009-01-01

119

Teaching and Assessing Low-Achieving Students with Disabilities: A Guide to Alternate Assessments Based on Modified Achievement Standards  

ERIC Educational Resources Information Center

For lower-achieving students with disabilities, effective and appropriate alternate assessment based on modified achievement standards (AA-MAS) can open the door to greater expectations and opportunities. State policymakers have the option of providing certain students who have disabilities with AA-MAS aligned with grade-level content--and now…

Perie, Marianne, Ed.

2010-01-01

120

Measuring Disability and Its Predicting Factors in a Large Database in Taiwan Using the World Health Organization Disability Assessment Schedule 2.0  

PubMed Central

The definition of disability had been unclear until the International Classification of Functioning, Disability, and Health was promulgated in 2001 by the World Health Organization (WHO). Disability is a critical but relatively neglected public-health concern. We conducted this study to measure disabilities by using the WHO Disability Assessment Schedule 2.0 (WHODAS 2.0) and identify the factors that contribute to disabilities. We obtained and analyzed the data on people who applied to Taiwan’s disability registration system between September 2012 and August 2013. A total of 158,174 cases were selected for this study. Among the people included in this study, 53% were male, and the females were on average 3 years older than the males. More males than females were of a low socioeconomic status, but the rate of employment was higher among the males than among the females. Age, sex, place of residence, and types and severity of impairment were all determined to be factors that independently contributed to disability. This study has demonstrated that disability can be measured and compared using WHODAS 2.0. Increasing the public-health attention devoted to disability and identifying the factors associated with disability can promote independence and social participation in people with disabilities. PMID:25429682

Chi, Wen-Chou; Chang, Kwang-Hwa; Escorpizo, Reuben; Yen, Chia-Feng; Liao, Hua-Fang; Chang, Feng-Hang; Chiou, Hung-Yi; Teng, Sue-Wen; Chiu, Wen-Ta; Liou, Tsan-Hon

2014-01-01

121

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

ERIC Educational Resources Information Center

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

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

2006-01-01

122

Assessment, Prevention, and Intervention for Abuse among Individuals with Disabilities  

ERIC Educational Resources Information Center

Individuals with disabilities are at increased risk for abuse by their parents, caretakers, and the staff who are entrusted with their care as well as from the general population. Many individuals with disabilities have cognitive or communication impairments that place them at even higher risk for abuse. These limitations also make it more…

Wilczynski, Susan M.; Connolly, Sarah; Dubard, Melanie; Henderson, Amanda; Mcintosh, David

2015-01-01

123

A Report of a Standard Setting Method for Alternate Assessments for Students with Significant Disabilities. Synthesis Report.  

ERIC Educational Resources Information Center

This report describes one approach toward setting standards to determine performance level cut scores for an alternative assessment for students with disabilities. First, it considers requirements for inclusion of students with disabilities in educational assessments under the Individuals with Disabilities Education Act. The proposed methodology…

Olson, Barbara; Mead, Ronald; Payne, David

124

Measuring disability experienced by adults living with HIV: assessing construct validity of the HIV Disability Questionnaire using confirmatory factor analysis  

PubMed Central

Objectives To assess the construct validity of the HIV Disability Questionnaire (HDQ), a self-administered questionnaire that describes the presence, severity and episodic nature of disability experienced by people living with HIV. Design We conducted a confirmatory factor analysis. We hypothesised that domains in the HDQ characterised six dimensions of disability, each represented by HDQ items: physical symptoms and impairments (20 items); cognitive symptoms and impairments (3 items); mental and emotional health symptoms and impairments (11 items); uncertainty (14 items); difficulties with day-to-day activities (9 items) and challenges to social inclusion (12 items). We developed a measurement model to test these hypotheses. We used maximum likelihood methods of estimation to determine model fit. We considered a threshold for the Root Mean Square Error of Approximation (RMSEA) of <0.05 as an indication of overall goodness of model fit. We considered variables with factor loadings of >0.30 as representing a given domain of disability. Setting We recruited adults with HIV from hospital clinics, AIDS service organisations and a specialty hospital in Ontario. Participants Of the 361 adults with HIV who completed the HDQ, 80% were men, 36% were 50 or older and 77% reported living with at least two concurrent health conditions in addition to HIV. Outcome Measures We administered the HDQ followed by a demographic questionnaire. Results The model achieved good overall fit as indicated by a RMSEA of 0.030 (90% CI 0.028 to 0.033). All HDQ items represented our hypothesised dimensions of disability (factor loadings >0.30). Factor loadings ranged from 0.34 to 0.90. Domains of disability correlated with each other ranging from r=0.47 (between difficulties with day-to-day activities and uncertainty) to r=0.88 (between mental-emotional health challenges and challenges to social inclusion). Conclusions The six domain structure of the HDQ demonstrated construct validity when administered to adults living with HIV. PMID:25180054

O'Brien, Kelly K; Solomon, Patricia; Bayoumi, Ahmed M

2014-01-01

125

Violence risk assessment as a medical intervention: ethical tensions  

PubMed Central

Risk assessment differs from other medical interventions in that the welfare of the patient is not the immediate object of the intervention. However, improving the risk assessment process may reduce the chance of risk assessment itself being unjust. We explore the ethical arguments in relation to risk assessment as a medical intervention, drawing analogies, where applicable, with ethical arguments raised by general medical investigations. The article concludes by supporting the structured professional judgement approach as a method of risk assessment that is most consistent with the respect for principles of medical ethics. Recommendations are made for the future direction of risk assessment indicated by ethical theory. PMID:25237503

Roychowdhury, Ashimesh; Adshead, Gwen

2014-01-01

126

Unhealthy Body Weight, Illness Absence, Presenteeism, Medical Payments, and Disability Leave: A Longitudinal View.  

PubMed

Abstract The objective of this study is to examine how much of the relationships between unhealthy body weight, and health and productivity outcomes are attributable to health status, and how much can be ameliorated by weight loss or improvements in health. Cross-sectional and first-difference regressions were conducted of employees' body mass index (BMI) category, illness absences, presenteeism, medical spending, and disability leaves. Employees in the obese BMI category have significantly worse outcomes than employees in the healthy and overweight BMI categories. Controlling for physical and emotional health status mediates much of the observed relationships. Improved health, stress, and psychological distress are associated with reduced illness absence and presenteeism among overweight and obese employees. Obese employees who lost weight experienced reduced presenteeism. The findings suggest that overweight and obese employees can realize improved productivity without weight loss. (Population Health Management 2014;xx:xxx-xxx). PMID:25375972

Gifford, Brian

2014-11-01

127

Employment and Disability: Evidence From the 1996 Medical Expenditures Panel Survey  

PubMed Central

The relationship between employment and disability has gained national attention, as the ability to maintain employment is inconsistent among those with limitations. This cross-sectional study of employment among individuals (N = 1691, age 21–62 years) with self-reported limitations in the 1996 Medical Expenditures Panel Survey seeks to identify predictors of employment despite physical and/or cognitive limitations. Two predictive models of employment including 10 variables are explored; 1 included insurance (?2 = 3856.85, p ? 0.00) and the other removed the insurance variable (?2 = 280.21, p ? 0.00). Individuals with limitations who are employed are more likely to have a college-level education, have better physical and mental health perceptions and have private insurance. This analysis demonstrates that people do work despite reported activity, functional or sensory limitations and that socioeconomic factors are crucial in why someone is able to attain employment. PMID:15055500

Findley, Patricia A.; Sambamoorthi, Usha

2007-01-01

128

Use of Medication for the Management of Behavior Problems among Adults with Intellectual Disabilities: A Clinicians' Consensus Survey  

ERIC Educational Resources Information Center

Current prescribing preferences among relevant experts regarding the use of psychotropic medication for the management of behavior problems in adults with intellectual disabilities in the absence of a diagnosed psychiatric illness was defined. We used a questionnaire design to synthesize the preferences of a large group, namely, clinical…

Unwin, Gemma Louise; Deb, Shoumitro

2008-01-01

129

Medication Use among Australian Adults with Intellectual Disability in Primary Healthcare Settings: A Cross-Sectional Study  

ERIC Educational Resources Information Center

Background: There is concern about widespread medication use by people with intellectual disability (ID), especially psychotropic and anticonvulsant agents. However, there is sparse information on prescribing patterns in Australia. Method: This cross-sectional study was conducted between 2000 and 2002 among adults with ID who live in the community…

Doan, Tan N.; Lennox, Nicholas G.; Taylor-Gomez, Miriam; Ware, Robert S.

2013-01-01

130

78 FR 12130 - Social Security Ruling, SSR 13-3p; Appeal of an Initial Medical Disability Cessation...  

Federal Register 2010, 2011, 2012, 2013, 2014

...FURTHER INFORMATION CONTACT: Susan Dunigan...Appeal of an Initial Medical Disability...considered to be at the time of the most recent...condition was at the time of the initial cessation determination...ceased at the time of the initial cessation...

2013-02-21

131

Use of Portfolio Assessment with Students with Cognitive Disabilities/Mental Retardation  

ERIC Educational Resources Information Center

Portfolio assessment has gained momentum as educators search for more authentic ways to document student performance. Many aspects of portfolio assessment are beneficial for students with cognitive disabilities/mental retardation. This article explores various benefits the portfolio assessment process offers diagnosticians and other educators…

Klein-Ezell, Colleen; Ezell, Dan

2005-01-01

132

Model for a web based medical technology assessment system  

E-print Network

. In an era of managed care, the very survival of healthcare facilities is linked to the efficient use and application of medical technology. This project will provide a model for implementing a medical technology assessment system. A database of information...

Prabhu, Gopal

2012-06-07

133

Multi-level modelling of the factors that influence the participation of disabled rural individuals in social medical insurance in China  

PubMed Central

Background The Second China National Sample Survey on Disability in 2006 showed that the participation rate of disabled Chinese rural individuals in social medical insurance participation was less than 30%. However, there has been limited number of studies on the influencing factors, especially contextual factors, affecting their participation in social medical insurance. Therefore, this study aimed to analyze the factors influencing the participation of disabled rural individuals in social medical insurance, including contextual factors. Methods Based on data derived from the Second China National Sample Survey on Disability, chi-square test and two-level logistic regression model were used to analyze the influencing factors. Results The results showed that the disabled rural individuals in the New Rural Cooperative Medical System pilot counties who lived in communities with rehabilitation stations or with higher per capita income of villagers were more likely to participate in the social medical insurance. Meanwhile, those employed, with less severe disability degree or with less severe barriers in participation in society were more likely to participate in the social medical insurance. Conclusions Contextual factors including economic and policy contexts were important factors influencing their participation in social medical insurance before 2006 in China. Unemployment, severer disability degree and social isolation might also prevent them from gaining equal access to social medical insurance. PMID:23402275

2013-01-01

134

Assessment of Global Functioning in Adolescents with Autism Spectrum Disorders: Utility of the Developmental Disability-Child Global Assessment Scale  

ERIC Educational Resources Information Center

Assessment of global functioning is an important consideration in treatment outcome research; yet, there is little guidance on its evidence-based assessment for children with autism spectrum disorders. This study investigated the utility and validity of clinician-rated global functioning using the Developmental Disability-Child Global Assessment

White, Susan W.; Smith, Laura A.; Schry, Amie R.

2014-01-01

135

Toward Impacting Medical and Psychiatric Comorbidities in Persons with Intellectual/Developmental Disabilities: An Initial Prospective Analysis  

PubMed Central

Objective: The purpose of this study was to determine the effectiveness of psychiatric medical services, counseling, and behavioral treatments for adult patients with intellectual disabilities plus behavioral disorders and/or emotional distress. Methods: Behavioral and medical data were collected at six and 12 months for a consecutive series of 141 adult patients with mild, moderate, or severe/profound intellectual disabilities who had been referred to a dual diagnosis mental health clinic, and treatment outcomes were compared. Results: Most improvement in behavioral problem severity occurred at six months, then plateaued. Treatment improvement for subjects with anxiety disorders was statistically significant across all interventions. In this sample, as expected, patients with intellectual disability had higher incidences of medical illnesses than the general population. Conclusions: Subjects with more behavioral (overt) symptoms tended to receive referrals for behavioral support, and subjects with less overt symptoms were referred to counseling. In a follow-up study, similar individuals with moderate intellectual disabilities will be seen psychiatrically, but then randomly assigned to either supportive counseling or behavior support, or both. They will be followed prospectively, to determine the relative benefits of supportive psychotherapy, behavior support, or a combination, and for what duration of time the treatment should be continued.

Gentile, Julie P.; Stinson, Kelly; Jensen, Jeremy

2014-01-01

136

Dis/Abling States, Dis/Abling Citizenship: Young Aboriginal Mothers and the Medicalization of Fetal Alcohol Syndrome  

ERIC Educational Resources Information Center

This article draws on data collected in group interviews with six young, urban Aboriginal mothers whose lives have included substance use and Fetal Alcohol Syndrome/ Fetal Alcohol Effects (hereafter FAS/FAE) to highlight the multiple and often contradictory ways in which disability as a constituent of social relations is defined in public policy…

Salmon, Amy

2007-01-01

137

20 CFR 410.424 - Determining total disability: Medical criteria only.  

Code of Federal Regulations, 2010 CFR

... Employees' Benefits SOCIAL SECURITY ADMINISTRATION FEDERAL COAL MINE HEALTH AND SAFETY ACT OF 1969, TITLE IV-BLACK LUNG BENEFITS (1969- ) Total Disability or Death Due to Pneumoconiosis § 410.424 Determining total disability:...

2010-04-01

138

20 CFR 410.424 - Determining total disability: Medical criteria only.  

Code of Federal Regulations, 2011 CFR

... Employees' Benefits SOCIAL SECURITY ADMINISTRATION FEDERAL COAL MINE HEALTH AND SAFETY ACT OF 1969, TITLE IV-BLACK LUNG BENEFITS (1969- ) Total Disability or Death Due to Pneumoconiosis § 410.424 Determining total disability:...

2011-04-01

139

Major Depression and Emergency Medical Services Utilization in Community-Dwelling Elderly Persons with Disabilities  

PubMed Central

Objective To examine the association between major depression and emergency medical services (EMS) use by community-dwelling older adults with disabilities. Methods A prospective observational.study including 1,444 participants age 65+ in 19 counties in three U.S. states that participated in the Medicare Primary and Consumer-Directed Care Demonstration. Eligibility criteria included needing or receiving help with either 2+ activities of daily living (ADLs) or 3+ instrumental ADLs, and having received recent significant healthcare services use. The presence of major depression was measured at baseline by the MINI Major Depressive Episode module. EMS utilization data for the following 2 years were obtained from a daily journal concurrently completed by each subject or a caregiver. Results More persons with major depression (43%) than without (35%) reported EMS use. When other factors were controlled in a logistic regression model, this effect was no longer statistically significant. However, of those with at least one episode of EMS transport, the depressed reported significantly (25%) more episodes (mean=2.10) than the non-depressed (mean=1.68). Major depression was significantly associated with more EMS episodes in both Poisson (Z=1.99; p=0.047) and ordinary least squares (t=2.08; p=0.038) regression models. Conclusions Depressed disabled older adults who utilize EMS have more EMS episodes than those without depression. This higher use may be driven in part by affective illness. Research is needed to determine whether more EMS episodes are necessary to address symptoms of major depression, especially suicidal ideation, or whether they are due to other illnesses that are exacerbated by symptoms of major depression. PMID:18613268

Lee, Benjamin W.; Conwell, Yeates; Shah, Manish N.; Barker, William H.; Delavan, Rachel L.

2008-01-01

140

An Assessment of Intellectual Disability Among Aboriginal Australians  

ERIC Educational Resources Information Center

Background: The health and well-being of Indigenous people is a significant global problem, and Aboriginal Australians suffer from a considerably higher burden of disease and lower life expectancy than the non-Indigenous population. Intellectual disability (ID) can further compromise health, but there is little information that documents the…

Glasson, E. J.; Sullivan, S. G.; Hussain, R.; Bittles, A. H.

2005-01-01

141

Educational Assessment: A Guide for Teachers of the Learning Disabled. Revised Edition. Bulletin No. 5232.  

ERIC Educational Resources Information Center

Intended for teachers of the learning disabled (LD), the guide addresses philosophical and procedural issues in assessment. The first section introduces a philosophical framework which views assessment as an ongoing, goal-directed, integral part of the overall educational process. The remainder of the guide focuses on Wisconsin's procedures for…

Wisconsin State Dept. of Public Instruction, Madison. Div. for Handicapped Children and Pupil Services.

142

Children with Reading Disabilities: Does Dynamic Assessment Help in the Classification?  

ERIC Educational Resources Information Center

This study was conducted to determine whether the cognitive performance of reading disabled and poor readers can be separated under dynamic assessment procedures, and whether measures related to dynamic assessment add unique variance, beyond IO, in predicting reading achievement scores. The sample consisted of 70 children (39 females and 31…

Swanson, H. Lee; Howard, Crystal B.

2005-01-01

143

Discrimination Skills Predict Effective Preference Assessment Methods for Adults with Developmental Disabilities  

ERIC Educational Resources Information Center

We examined the relationship between three discrimination skills (visual, visual matching-to-sample, and auditory-visual) and four stimulus modalities (object, picture, spoken, and video) in assessing preferences of leisure activities for 7 adults with developmental disabilities. Three discrimination skills were measured using the Assessment of…

Lee, May S. H.; Nguyen, Duong; Yu, C. T.; Thorsteinsson, Jennifer R.; Martin, Toby L.; Martin, Garry L.

2008-01-01

144

Rating Performance Assessments of Students with Disabilities: A Study of Reliability and Bias  

ERIC Educational Resources Information Center

Inclusion of students with disabilities in district-wide and state assessments is mandated by federal regulations, and teachers sometimes play an important role in rating these students' work. In this study, trained teachers rated student proficiency in performance assessments in language arts and mathematics in third, fifth, and ninth grades. The…

Mastergeorge, Ann M.; Martinez, Jose Felipe

2010-01-01

145

Preparing Students with Learning Disabilities for Large-Scale Writing Assessments  

ERIC Educational Resources Information Center

This article provides recommendations for teachers to better prepare 3rd through 12th grade students with learning disabilities for large-scale writing assessments. The variation across large-scale writing assessments and the multiple needs of struggling writers indicate the need for test preparation to be embedded within a comprehensive,…

Olinghouse, Natalie G.; Colwell, Ryan P.

2013-01-01

146

Pain Management in Intellectually Disabled Children: Assessment, Treatment, and Translational Research  

ERIC Educational Resources Information Center

The primary focus of pain research in intellectually disabled individuals is still on pain assessment. Several observational pain assessment scales are available, each with its own characteristics, its own target group and its own validated use. Observational studies report differences in the treatment of intra- and postoperative pain of…

Valkenburg, Abraham J.; van Dijk, Monique; de Klein, Annelies; van den Anker, Johannes N.; Tibboel, Dick

2010-01-01

147

School-Based Functional Assessments for Children with Physical Disabilities in Grades K-12  

ERIC Educational Resources Information Center

The purpose of this study was to develop three school-based assessments and determine the content validity for each assessment. The School Activities and Participation Analysis-Elementary (SAPA-E) measures functional movement performance in children with physical disability attending the elementary school, and the School Activities and…

Johnson, Richard W.

2012-01-01

148

Assessment of Job Application and Employment Interview Skills for Job Seekers with Disabilities: Assessor's Manual.  

ERIC Educational Resources Information Center

The job application form and interview skills assessment procedures presented in this manual were developed to serve as one component of the Diagnostic Employability Profile, designed to serve disabled clients of vocational rehabilitation services. Since the overall objective of the job application is to secure a job interview, assessment

Hinman, Suki; And Others

149

Assessment of Deviant Arousal in Adult Male Sex Offenders with Developmental Disabilities  

ERIC Educational Resources Information Center

Ten individuals, residing in a treatment facility specializing in the rehabilitation of sex offenders with developmental disabilities, participated in an arousal assessment involving the use of the penile plethysmograph. The arousal assessments involved measuring change in penile circumference to various categories of stimuli both appropriate…

Reyes, Jorge R.; Vollmer, Timothy R.; Sloman, Kimberly N.; Hall, Astrid; Reed, Robert; Jansen, Greg; Carr, Sam; Jackson, Kevin; Stoutimore, Michael

2006-01-01

150

Relationship between Assessed Emotion, Personality, Personality Disorder and Risk in Offenders with Intellectual Disability  

Microsoft Academic Search

In mainstream studies on offenders and on individuals with psychopathology, relationships have been found between personality characteristics, emotional problems and personality disorders. This study reviewed the relationships between the Emotional Problems Scale, two circumplex measures of personality, personality disorder assessments and risk assessments in 212 offenders with intellectual disability. Previous studies had established the reliability and validity of these measures

William R. Lindsay; John L. Taylor; Todd E. Hogue; Paul Mooney; Lesley Steptoe; Catrin Morrissey

2010-01-01

151

When Coping Strategies Fail: Assessing and Counseling Learning Disabled Adults Facing New Challenges.  

ERIC Educational Resources Information Center

The Kingsbury Center in Washington, D.C. works with adult learning disabled persons providing assessment, remediation, and counseling services. Assessment emphasizes taking a detailed history, along with formal testing, informal testing, and behavioral observation. Intervention focuses on specific coping strategies and remediation in specific…

Zangwill, Judith; Greene, Felice

152

Teacher Perspectives on Inclusion of Students with Disabilities in High-Stakes Assessments.  

ERIC Educational Resources Information Center

Fifty-seven general and special education teachers shared their perceptions about inclusion of students with disabilities in large-scale assessment programs. The majority of teachers shared apprehensions about the inclusion of all students in statewide assessment programs, while a few exhibited enthusiasm for the process. Teachers were primarily…

Crawford, Lindy; Almond, Patricia; Tindal, Gerald; Hollenbeck, Keith

2002-01-01

153

Case Study of the Influences on Alternate Assessment Outcomes for Students with Disabilities  

Microsoft Academic Search

The purpose of this year-long, collective case study was to investigate what influences contributed to alternate assessment outcomes for students with significant disabilities. This study of seven students and teachers in two school districts revealed seven main factors that contributed to students' scores on the state's alternate assessment, including resources, curriculum, instructional effectiveness, teacher and student charac- teristics, data collection

Meagan Karvonen; Claudia Flowers; Diane M. Browder; Shawnee Y. Wakeman; Bob Algozzine

2006-01-01

154

Clinical Decision Making and Preference Assessment for Individuals with Intellectual and Developmental Disabilities  

ERIC Educational Resources Information Center

Individuals with intellectual or developmental disabilities are able to reliably express their likes and dislikes through direct preference assessment. Preferred items tend to function as rewards and can therefore be used to facilitate the acquisition of new skills and promote task engagement. A number of preference assessment methods are…

Virués-Ortega, Javier; Pritchard, Kristen; Grant, Robin L.; North, Sebastian; Hurtado-Parrado, Camilo; Lee, May S. H.; Temple, Bev; Julio, Flavia; Yu, C. T.

2014-01-01

155

A Medical Ethics Assessment of the Case of Terri Schiavo  

ERIC Educational Resources Information Center

The social, legal, and political discussion about the decision to stop feeding and hydration for Terri Schiavo lacked a medical ethics assessment. The authors used the principles of medical indications, quality of life, patient preference, and contextual features as a guide to medical decision-making in this case. Their conclusions include the…

Preston, Tom; Kelly, Michael

2006-01-01

156

Empowerment of disability benefit claimants through an interactive website: design of a randomized controlled trial  

Microsoft Academic Search

BACKGROUND: Individuals claiming a disability benefit after long-term sickness absence, have to undergo medical disability assessments. These assessments, often carried out by specialized physicians, can be complicated by wrong expectations or defensive attitudes of disability benefit claimants. It is hypothesized that empowerment of these claimants will enhance the physician-patient relationship by shifting claimants from a passive role to a more

David Samoocha; David J Bruinvels; Johannes R Anema; Romy Steenbeek; Allard J van der Beek

2009-01-01

157

Usefulness of the Medical Research Council (MRC) dyspnoea scale as a measure of disability in patients with chronic obstructive pulmonary disease  

Microsoft Academic Search

BACKGROUNDMethods of classifying chronic obstructive pulmonary disease (COPD) depend largely upon spirometric measurements but disability is only weakly related to measurements of lung function. With the increased use of pulmonary rehabilitation, a need has been identified for a simple and standardised method of categorising disability in COPD. This study examined the validity of the Medical Research Council (MRC) dyspnoea scale

J C Bestall; E A Paul; R Garrod; R Garnham; P W Jones; J A Wedzicha

1999-01-01

158

REPLICATIONS AND EXTENSIONS IN AROUSAL ASSESSMENT FOR SEX OFFENDERS WITH DEVELOPMENTAL DISABILITIES  

PubMed Central

Three adult male sex offenders with developmental disabilities participated in phallometric assessments that involved repeated measures of arousal when exposed to various stimuli. Arousal assessment outcomes were similar to those obtained by Reyes et al. (2006). Additional data-analysis methods provided further information about sexual preferences, thus replicating and extending previous research. The results provide preliminary data for establishing a preference gradient by age. Implications for the use of repeated measures and preference gradients in arousal assessments are discussed. PMID:21709795

Reyes, Jorge R; Vollmer, Timothy R; Hall, Astrid

2011-01-01

159

Medical Devices Assess, Treat Balance Disorders  

NASA Technical Reports Server (NTRS)

You may have heard the phrase as difficult as walking and chewing gum as a joking way of referring to something that is not difficult at all. Just walking, however, is not all that simple physiologically speaking. Even standing upright is an undertaking requiring the complex cooperation of multiple motor and sensory systems including vision, the inner ear, somatosensation (sensation from the skin), and proprioception (the sense of the body s parts in relation to each other). The compromised performance of any of these elements can lead to a balance disorder, which in some form affects nearly half of Americans at least once in their lifetimes, from the elderly, to those with neurological or vestibular (inner ear) dysfunction, to athletes with musculoskeletal injuries, to astronauts returning from space. Readjusting to Earth s gravity has a significant impact on an astronaut s ability to balance, a result of the brain switching to a different "model" for interpreting sensory input in normal gravity versus weightlessness. While acclimating, astronauts can experience headaches, motion sickness, and problems with perception. To help ease the transition and study the effects of weightlessness on the body, NASA has conducted many investigations into post-flight balance control, realizing this research can help treat patients with balance disorders on Earth as well. In the 1960s, the NASA-sponsored Man Vehicle Laboratory at the Massachusetts Institute of Technology (MIT) studied the effects of prolonged space flight on astronauts. The lab s work intrigued MIT doctoral candidate Lewis Nashner, who began conducting NASA-funded research on human movement and balance under the supervision of Dr. Larry Young in the MIT Department of Aeronautics and Astronautics. In 1982, Nashner s work resulted in a noninvasive clinical technique for assessing the cooperative systems that allow the body to balance, commonly referred to as computerized dynamic posturography (CDP). CDP employs a series of dynamic protocols to isolate and assess balance function deficiencies. The technology was based on Nashner s novel, engineering-inspired concept of balance as an adaptable collaboration between multiple sensory and motor systems. CDP proved useful not only for examining astronauts, but for anyone suffering from balance problems. Today, CDP is the standard medical tool for objectively evaluating balance control.

2009-01-01

160

Assessing Perceived Professionalism in Medical School Applicants  

ERIC Educational Resources Information Center

One way of assuring professional behavior in doctors is to ensure that only those students who are likely to behave professionally are admitted to medical school. The purpose of this study is to evaluate the usefulness of an instrument to evaluate the professional bearing of applicants at the time of the medical school interview. Specifically,…

Elam, Carol I.; Ziegler, Craig H.; Greenberg, Ruth B.; Bailey, Beth A.

2009-01-01

161

A Medical Data Reliability Assessment Model  

Microsoft Academic Search

There is currently a strong focus worldwide on the potential of large-scale Electronic Health Record (EHR) systems to cut costs and improve patient outcomes through increased efficiency. This is accomplished by aggregating medical data from isolated Electronic Medical Record databases maintained by different healthcare providers. Concerns about the privacy and reliability of Electronic Health Records are crucial to healthcare service

Bandar Alhaqbani; Audun Jøsang; Colin J. Fidge

2009-01-01

162

Differences between patient and proxy reports in the assessment of disability after stroke  

Microsoft Academic Search

Objective : To determine whether the assessment of disability level including basic activities of daily living (ADL) and instrumental ADL varies between patients' and proxy respondents' reports, and to explore the factors influencing proxy agreement. Design : Patient—proxy agreement study. Setting: Hospital settings.Subjects : Fifty-two stroke patients with mild or without cognitive impairments and their primary caregivers voluntarily participated in

Mei-Hsiang Chen; Ching-Lin Hsieh; Hui-Fen Mao; Sheau-Ling Huang

2007-01-01

163

Review of the Choice and Preference Assessment Literature for Individuals with Severe to Profound Disabilities  

ERIC Educational Resources Information Center

Since 2002, the body of literature examining choice interventions and preference assessments for individuals with severe to profound disabilities has grown substantially. This paper is an extension of the Lancioni, O'Reilly, & Emerson (1996) and Cannella, O'Reilly, & Lancioni (2005) papers and reviews 50 studies conducted between 2002 and 2010…

Tullis, Christopher A.; Cannella-Malone, Helen I.; Basbigill, Abby R.; Yeager, Amanda; Fleming, Courtney V.; Payne, Daniel; Wu, Pei-Fang

2011-01-01

164

Pain Assessment and Management in Infants and Young Children with Developmental Disabilities.  

ERIC Educational Resources Information Center

This article reviews the nature and source of pain in young children with disabilities, challenges facing the clinician, and approaches for assessing and managing pain in infants and young children with significant neurologic impairments. The need for continued research to improve professional awareness and establish practice guidelines is urged.…

Oberlander, Tim F.

2001-01-01

165

Influence of Disability and Gender on Transition Assessment and Goal Generator (TAGG) Scores  

ERIC Educational Resources Information Center

Legislators mandated transition education for students with disabilities to improve their post-school outcomes. Each student with an IEP should have an annual transition plan at or before his or her 16th birthday. IDEA mandated the utilization of age appropriate transition assessment to develop students' post-secondary transition goals based…

El-Kazimi, Nidal

2012-01-01

166

Communication-Based Assessment of Developmental Age for Young Children with Developmental Disabilities  

ERIC Educational Resources Information Center

Purpose: In this study, the authors compared a multiple-domain strategy for assessing developmental age of young children with developmental disabilities who were at risk for long-term reliance on augmentative and alternative communication (AAC) with a communication-based strategy composed of receptive language and communication indices that may…

DeVeney, Shari L.; Hoffman, Lesa; Cress, Cynthia J.

2012-01-01

167

Actuarial Risk Assessment and Recidivism in a Sample of UK Intellectually Disabled Sexual Offenders  

ERIC Educational Resources Information Center

This study examines the effectiveness of three risk assessment instruments: Static-99, Risk Matrix 2000 (RM2000) and the Rapid Risk of Sex Offender Recidivism (RRASOR), in predicting sexual recidivism among 27 intellectually disabled sex offenders. The overall sexual offence reconviction rate was 30%, while non-recidivists remained offence-free…

Wilcox, Dan; Beech, Anthony; Markall, Helena F.; Blacker, Janine

2009-01-01

168

Assessing the Communication Skills of Carers Working with Multiple Learning Disabilities: A Case Study  

ERIC Educational Resources Information Center

Background: Speech and language therapists (SLTs) working with adults who have multiple learning disabilities and complex communication needs often deliver their care via indirect therapy where SLTs train carers to communicate with their clients. Yet, very little is known about how SLTs assess the carers' communication skills prior to the training…

Koski, Katja; Launonen, Kaisa

2012-01-01

169

Eliciting a Distal Gesture via Dynamic Assessment among Students with Moderate to Severe Intellectual Disability  

ERIC Educational Resources Information Center

This study attempted to elicit distal gestures within dynamic assessment structured sampling events from six children with moderate to severe intellectual disability (ages 8-13). Using four communication temptations and a least-to-most prompting hierarchy across three sessions, three participants who had both pre-symbolic and preintentional…

McLaughlin, Katherine; Cascella, Paul W.

2008-01-01

170

An Evaluation of a Stimulus Preference Assessment of Auditory Stimuli for Adolescents with Developmental Disabilities  

ERIC Educational Resources Information Center

Previous researchers have used stimulus preference assessment (SPA) methods to identify salient reinforcers for individuals with developmental disabilities including tangible, leisure, edible and olfactory stimuli. In the present study, SPA procedures were used to identify potential auditory reinforcers and determine the reinforcement value of…

Horrocks, Erin; Higbee, Thomas S.

2008-01-01

171

Psychometric Comparisons of Three Measures for Assessing Motor Functions in Preschoolers with Intellectual Disabilities  

ERIC Educational Resources Information Center

Background: Deficit in motor performance is common in children with intellectual disabilities (ID). A motor function measure with sound psychometric properties is indispensable for clinical and research use. The purpose of this study was to compare the psychometric properties of three commonly used clinical measures for assessing motor function in…

Wuang, Y-P.; Su, C-Y.; Huang, M-H.

2012-01-01

172

Assessing Opportunity-to-Learn for Students with Disabilities in General and Special Education Classes  

ERIC Educational Resources Information Center

Current legislation encourages schools to educate students with disabilities (SWDs) in general education settings to the greatest extent appropriate. However, it is unclear whether inclusion in general education settings provides SWDs a sufficient opportunity to learn the academic content assessed by accountability measures. This initial study was…

Kurz, Alexander; Elliott, Stephen N.; Lemons, Christopher J.; Zigmond, Naomi; Kloo, Amanda; Kettler, Ryan J.

2014-01-01

173

Aligning Assessment and Instruction with State Standards for Children with Significant Disabilities  

ERIC Educational Resources Information Center

This article presents a classroom teacher's perspective on one of the important requirements of the No Child Left Behind Act of 2001 (NCLB) legislation and aligned language found in the Individuals With Disabilities Education Improvement Act (IDEA 2004)--that of aligning assessment and instructional practices with state academic content standard…

Parrish, Polly R.; Stodden, Robert A.

2009-01-01

174

Automated assessment of medical training evaluation text.  

PubMed

Medical post-graduate residency training and medical student training increasingly utilize electronic systems to evaluate trainee performance based on defined training competencies with quantitative and qualitative data, the later of which typically consists of text comments. Medical education is concomitantly becoming a growing area of clinical research. While electronic systems have proliferated in number, little work has been done to help manage and analyze qualitative data from these evaluations. We explored the use of text-mining techniques to assist medical education researchers in sentiment analysis and topic analysis of residency evaluations with a sample of 812 evaluation statements. While comments were predominantly positive, sentiment analysis improved the ability to discriminate statements with 93% accuracy. Similar to other domains, Latent Dirichlet Analysis and Information Gain revealed groups of core subjects and appear to be useful for identifying topics from this data. PMID:23304426

Zhang, Rui; Pakhomov, Serguei; Gladding, Sophia; Aylward, Michael; Borman-Shoap, Emily; Melton, Genevieve B

2012-01-01

175

10 CFR 712.14 - Medical assessment.  

Code of Federal Regulations, 2010 CFR

...suicide, homicide, or physical harm; or (5) Medical conditions such as cardiovascular disease, endocrine disease, cerebrovascular or other neurologic disease, or the use of drugs for the treatment of conditions that may adversely...

2010-01-01

176

10 CFR 712.14 - Medical assessment.  

Code of Federal Regulations, 2013 CFR

...suicide, homicide, or physical harm; or (5) Medical conditions such as cardiovascular disease, endocrine disease, cerebrovascular or other neurologic disease, or the use of drugs for the treatment of conditions that may adversely...

2013-01-01

177

10 CFR 712.14 - Medical assessment.  

Code of Federal Regulations, 2012 CFR

...suicide, homicide, or physical harm; or (5) Medical conditions such as cardiovascular disease, endocrine disease, cerebrovascular or other neurologic disease, or the use of drugs for the treatment of conditions that may adversely...

2012-01-01

178

10 CFR 712.14 - Medical assessment.  

Code of Federal Regulations, 2014 CFR

...suicide, homicide, or physical harm; or (5) Medical conditions such as cardiovascular disease, endocrine disease, cerebrovascular or other neurologic disease, or the use of drugs for the treatment of conditions that may adversely...

2014-01-01

179

10 CFR 712.14 - Medical assessment.  

Code of Federal Regulations, 2011 CFR

...suicide, homicide, or physical harm; or (5) Medical conditions such as cardiovascular disease, endocrine disease, cerebrovascular or other neurologic disease, or the use of drugs for the treatment of conditions that may adversely...

2011-01-01

180

Assessment and Characteristics of Older Adults with Intellectual Disabilities Who Are Not Accessing Specialist Intellectual Disability Services  

ERIC Educational Resources Information Center

Background: Individuals with intellectual disabilities (I.D.) who are not accessing any specialist services are a vulnerable group, especially with advancing age. In Ireland, the National Intellectual Disability Database (N.I.D.D.) records the current and future service needs of people with intellectual disabilities, as well as those individuals…

Dodd, Philip; Guerin, Suzanne; Mulvany, Fiona; Tyrrell, Janette; Hillery, John

2009-01-01

181

A Medical Interviewing Curriculum Intervention for Medical Students' Assessment of Suicide Risk  

ERIC Educational Resources Information Center

Objective: Effective communication strategies are required to assess suicide risk. The authors determined whether a 2-hour simulated-patient activity during a psychiatry clerkship improved self-assessment of medical interviewing skills relevant to suicide risk-assessment. Methods: In the 2-hour simulated-patient intervention, at least one…

Fiedorowicz, Jess G.; Tate, Jodi; Miller, Anthony C.; Franklin, Ellen M.; Gourley, Ryan; Rosenbaum, Marcy

2013-01-01

182

Teaching and assessing medical ethics: where are we now?  

Microsoft Academic Search

Objectives: To characterise UK undergraduate medical ethics curricula and to identify opportunities and threats to teaching and learning.Design: Postal questionnaire survey of UK medical schools enquiring about teaching and assessment, including future perspectives.Participants: The lead for teaching and learning at each medical school was invited to complete a questionnaire.Results: Completed responses were received from 22\\/28 schools (79%). Seventeen respondents deemed

K Mattick; J Bligh

2006-01-01

183

Internal consistency & validity of Indian Disability Evaluation and Assessment Scale (IDEAS) in patients with schizophrenia  

PubMed Central

Background & objectives: The Indian Disability Evaluation and Assessment Scale (IDEAS) has been recommended for assessment and certification of disability by the Government of India (GOI). However, the psychometric properties of IDEAS as adopted by GOI remain understudied. Our aim, thus, was to study the internal consistency and validity of IDEAS in patients with schizophrenia. Methods: A total of 103 consenting patients with residual schizophrenia were assessed for disability, quality of life (QOL) and psychopathology using the IDEAS, WHO QOL-100 and Positive and Negative symptom scale (PANSS) respectively. Internal consistency was calculated using Cronbach's alpha. For construct validity, relations between IDEAS, and psychopathology and QOL were studied. Results: The inter-item correlations for IDEAS were significant with a Cronbach's alpha of 0.721. All item scores other than score on communication and understanding; total and global IDEAS scores correlated significantly with the positive, negative and general sub-scales, and total PANSS scores. Communication and understanding was significantly related to negative sub-scale score only. Total and global disability scores correlated negatively with all the domains of WHOQOL-100 (P<0.01). The individual IDEAS item scores correlated negatively with various WHOQOL-100 domains (P< 0.01). Interpretation & conclusions: This study findings showed that the GOI-modified IDEAS had good internal consistency and construct validity as tested in patients with residual schizophrenia. Similar studies need to be done with other groups of patients. PMID:25579145

Grover, Sandeep; Shah, Ruchita; Kulhara, Parmanand; Malhotra, Rama

2014-01-01

184

Making sense of assessment in medical ethics and law.  

PubMed

Are curricula in medical ethics and law effective in producing ethical doctors? Assessment is central to this question, both in setting the standards that students are expected to meet and in establishing the extent to which learning correlates with these. Medical ethics and law: a practical guide to the assessment of the core content of learning from the Education Steering Group of the Institute of Medical Ethics is an excellent guide for educators in approaching this curriculum task. If the teaching moment is temporally antecedent to assessment, it is not logically prior to assessment decisions as if these were simply retrospective, and we cannot speak meaningfully of assessment without also speaking of intended learning. The IME assessment guide places emphasis on the alignment of learning, teaching and assessment in curriculum design; on specifying in advance the learning opportunities available to students; on delivering these via appropriate forms of learning; and on matching suitable methods for testing this learning in both summative and formative modes. Variety in assessment is essential across the cognitive, the affective and the psychomotor domains of learning, and the IME assessment guide provides illustrative examples of, and templates for, types of assessment that are relevant to these. The practical advice offered is as applicable in schools of nursing and in dental schools as it is in medical education. PMID:24812334

Dowie, Al

2014-10-01

185

Assessment of global functioning in adolescents with autism spectrum disorders: utility of the Developmental Disability-Child Global Assessment Scale.  

PubMed

Assessment of global functioning is an important consideration in treatment outcome research; yet, there is little guidance on its evidence-based assessment for children with autism spectrum disorders. This study investigated the utility and validity of clinician-rated global functioning using the Developmental Disability-Child Global Assessment Scale in a sample of higher functioning adolescents with autism spectrum disorders and comorbid anxiety disorders enrolled in a randomized controlled trial (n = 30). Pretreatment Developmental Disability-Child Global Assessment Scale scores correlated with severity of autism spectrum disorders core symptoms (r = -.388, p = .034), pragmatic communication (r = .407, p = .032), and verbal ability (r = .449, p = .013) and did not correlate with severity of anxiety symptoms or with parent-reported adaptive behavior. Change in Developmental Disability-Child Global Assessment Scale scores during treatment was associated with autism spectrum disorders symptomatic improvement (r = .414, p = .040) and with improved general communication (r = .499, p = .013). Results support the importance of assessing global functioning in addition to symptom change and treatment response in clinical trials. PMID:23965288

White, Susan W; Smith, Laura A; Schry, Amie R

2014-05-01

186

Assessment of Clinical Skills in Medical Practice  

ERIC Educational Resources Information Center

The introduction of a clinical skills examination (CSE) to Step 2 of the U.S. Medical Licensing Examination (USMLE) has focused attention on the design and delivery of large-scale standardized tests of clinical skills and raised the question of the appropriateness of evaluation of these competencies across the span of a physician's career. This…

Scoles, Peter V.; Hawkins, Richard E.; LaDuca, Anthony

2003-01-01

187

20 CFR 416.993 - Medical evidence in continuing disability review cases.  

Code of Federal Regulations, 2011 CFR

...physician, psychologist, or other medical sources. See § 416.912...examination while awaiting receipt of medical source evidence. Before deciding...ended, we will develop a complete medical history covering at least the 12...

2011-04-01

188

20 CFR 404.1593 - Medical evidence in continuing disability review cases.  

Code of Federal Regulations, 2011 CFR

...physician, psychologist, or other medical sources. See § 404.1512...examination while awaiting receipt of medical source evidence. Before deciding...ended, we will develop a complete medical history covering at least the 12...

2011-04-01

189

Efficacy of Atypical Antipsychotic Medication in the Management of Behaviour Problems in Children with Intellectual Disabilities and Borderline Intelligence: A Systematic Review  

ERIC Educational Resources Information Center

The use of medications to manage problem behaviours is widespread. However, robust evidence to support their use seems to be lacking. The aim was to review research evidence into the efficacy of atypical antipsychotic medication in managing problem behaviour in children with intellectual disabilities and borderline intelligence. A systematic…

Unwin, Gemma L.; Deb, Shoumitro

2011-01-01

190

The Effect of an Intervention Aimed at Reducing Errors when Administering Medication through Enteral Feeding Tubes in an Institution for Individuals with Intellectual Disability  

ERIC Educational Resources Information Center

Background: Previous studies, both in hospitals and in institutions for clients with an intellectual disability (ID), have shown that medication errors at the administration stage are frequent, especially when medication has to be administered through an enteral feeding tube. In hospitals a specially designed intervention programme has proven to…

Idzinga, J. C.; de Jong, A. L.; van den Bemt, P. M. L. A.

2009-01-01

191

Assessing Preferences of Individuals With Developmental Disabilities: A Survey of Current Practices  

PubMed Central

Although professionals working with individuals with developmental disabilities have much to gain from using systematic methods of reinforcer identification, practitioner knowledge and use of stimulus preference assessments (SPA) has rarely been examined. The purpose of this survey was to assess awareness and implementation of SPAs among professionals who serve people with developmental disabilities within and outside the field of applied behavior analysis. A total of 406 individuals responded to the survey; 246 respondents were recruited via direct email, and 160 respondents were recruited from Internet postings. Fewer than 60% of respondents across all disciplines (i.e., applied behavior analysis, psychology, and special education) reported knowledge of the term stimulus preference assessment. While nearly 90% of behavior analysts reported using at least one direct method of SPA (i.e., an assessment involving direct observation and measurement of behavior), many reported personal lack of knowledge (18.6%) and lack of time (81.4%) as barriers to conducting these assessments on a regular basis. Survey results are discussed in terms of (1) the need for greater awareness and acceptance of reinforcer identification methods among behavior analysts, educators, and other service providers and (2) barrier-specific solutions to potentially increase the regularity of SPA usage in the education and treatment of individuals with developmental disabilities. PMID:23730465

Graff, Richard B.; Karsten, Amanda M.

2012-01-01

192

The Psychiatric Assessment Schedule for Adult with Developmental Disability (PAS-ADD) Checklist: Reliability and Validity of French Version  

ERIC Educational Resources Information Center

Background: The lack of psychometric measures of psychopathology especially in intellectual disabilities (ID) population was addressed by creation of the Psychiatric Assessment Schedule for Adult with Developmental Disability (PAS-ADD-10) in Moss et?al. This schedule is a structured interview designed for professionals in psychopathology. The…

Gerber, F.; Carminati, G. Galli

2013-01-01

193

Assessing accuracy of an electronic provincial medication repository  

PubMed Central

Background Jurisdictional drug information systems are being implemented in many regions around the world. British Columbia, Canada has had a provincial medication dispensing record, PharmaNet, system since 1995. Little is known about how accurately PharmaNet reflects actual medication usage. Methods This prospective, multi-centre study compared pharmacist collected Best Possible Medication Histories (BPMH) to PharmaNet profiles to assess accuracy of the PharmaNet profiles for patients receiving a BPMH as part of clinical care. A review panel examined the anonymized BPMHs and discrepancies to estimate clinical significance of discrepancies. Results 16% of medication profiles were accurate, with 48% of the discrepant profiles considered potentially clinically significant by the clinical review panel. Cardiac medications tended to be more accurate (e.g. ramipril was accurate >90% of the time), while insulin, warfarin, salbutamol and pain relief medications were often inaccurate (80–85% of the time). 1215 sequential BPMHs were collected and reviewed for this study. Conclusions The PharmaNet medication repository has a low accuracy and should be used in conjunction with other sources for medication histories for clinical or research purposes. This finding is consistent with other, smaller medication repository accuracy studies in other jurisdictions. Our study highlights specific medications that tend to be lower in accuracy. PMID:22621690

2012-01-01

194

Peer Assessment among First Year Medical Students in Anatomy  

ERIC Educational Resources Information Center

Peer assessment has been shown to be an effective tool to promote professionalism in medical students. Peer assessment may be particularly useful in anatomy dissection laboratory as the required close collaboration and long hours of anatomy laboratory provide students insights into their peers' work habits and interpersonal skills. The…

Spandorfer, John; Puklus, Tanya; Rose, Victoria; Vahedi, Mithaq; Collins, Lauren; Giordano, Carolyn; Schmidt, Richard; Braster, Chris

2014-01-01

195

Assessing the Attitudes of Administrators to Include Students with Disabilities  

ERIC Educational Resources Information Center

The purpose of this research was to assess the attitudes of administrators in a medium sized school district in the Southeastern region of the United States. The researcher used a quantitative descriptive comparative pre-test and post-test design with a convenience sampling of the district administrators. There were 21 administrators at the…

Abernathy, Frederick Douglas

2012-01-01

196

Virtual reality in medical education and assessment  

NASA Technical Reports Server (NTRS)

The NASA Johnson Space Center (JSC)/LinCom Corporation, the University of Texas Medical Branch at Galveston (UTMB), and the Galveston Independent School District (GISD) have teamed up to develop a virtual visual environment display (VIVED) that provides a unique educational experience using virtual reality (VR) technologies. The VIVED end product will be a self-contained educational experience allowing students a new method of learning as they interact with the subject matter through VR. This type of interface is intuitive and utilizes spatial and psychomotor abilities which are now constrained or reduced by the current two dimensional terminals and keyboards. The perpetual challenge to educators remains the identification and development of methodologies which conform the learners abilities and preferences. The unique aspects of VR provide an opportunity to explore a new educational experience. Endowing medical students with an understanding of the human body poses some difficulty challenges. One of the most difficult is to convey the three dimensional nature of anatomical structures. The ideal environment for addressing this problem would be one that allows students to become small enough to enter the body and travel through it - much like a person walks through a building. By using VR technology, this effect can be achieved; when VR is combined with multimedia technologies, the effect can be spectacular.

Sprague, Laurie A.; Bell, Brad; Sullivan, Tim; Voss, Mark; Payer, Andrew F.; Goza, Stewart Michael

1994-01-01

197

Assessment of Patients with Intellectual Disability using the International Classification of Functioning, Disability and Health to Evaluate Dental Treatment Tolerability  

ERIC Educational Resources Information Center

Patients with serious intellectual disability (ID) are occasionally unable to tolerate dental treatment when intravenous sedation or general anaesthesia (IVSGA) is involved. In order to make a decision regarding the application of IVSGA, the International Classification of Functioning, Disability and Health (ICF) is useful. Therefore, in this…

Maeda, S.; Kita, F.; Miyawaki, T.; Takeuchi, K.; Ishida, R.; Egusa, M.; Shimada, M.

2005-01-01

198

Parent assessments of self-determination importance and performance for students with autism or intellectual disability.  

PubMed

Fostering student self-determination is now considered an essential element of special education and transition services for children and youth with intellectual disability and/or autism. Yet, little is known about the pivotal role parents might play beyond the school campus in fostering self-determination among their children with developmental disabilities. We examined how 627 parents of children with intellectual disability or autism attending one of 34 randomly selected school districts (a) rated the importance of 7 component skills associated with self-determination, (b) assessed their children's performance in relation to those 7 skills, and (c) evaluated the overall self-determination capacities of their children. Although parents highly valued all of the self-determination skills, the degree to which their children were reported to perform the skills well was fairly low. Several factors predicted higher levels of self-determination, including educational setting, the presence of challenging behaviors, and perceived disability severity. We conclude by offering recommendations for equipping parents to better support their children's self-determination development. PMID:23301900

Carter, Erik W; Lane, Kathleen Lynne; Cooney, Molly; Weir, Katherine; Moss, Colleen K; Machalicek, Wendy

2013-01-01

199

Developing the World Health Organization Disability Assessment Schedule 2.0  

PubMed Central

Abstract Objective To describe the development of the World Health Organization Disability Assessment Schedule 2.0 (WHODAS 2.0) for measuring functioning and disability in accordance with the International Classification of Functioning, Disability and Health. WHODAS 2.0 is a standard metric for ensuring scientific comparability across different populations. Methods A series of studies was carried out globally. Over 65?000 respondents drawn from the general population and from specific patient populations were interviewed by trained interviewers who applied the WHODAS 2.0 (with 36 items in its full version and 12 items in a shortened version). Findings The WHODAS 2.0 was found to have high internal consistency (Cronbach's alpha, ?: 0.86), a stable factor structure; high test-retest reliability (intraclass correlation coefficient:?0.98); good concurrent validity in patient classification when compared with other recognized disability measurement instruments; conformity to Rasch scaling properties across populations, and good responsiveness (i.e. sensitivity to change). Effect sizes ranged from 0.44 to 1.38 for different health interventions targeting various health conditions. Conclusion The WHODAS 2.0 meets the need for a robust instrument that can be easily administered to measure the impact of health conditions, monitor the effectiveness of interventions and estimate the burden of both mental and physical disorders across different populations. PMID:21076562

Chatterji, Somnath; Kostanjsek, Nenad; Rehm, Jürgen; Kennedy, Cille; Epping-Jordan, Joanne; Saxena, Shekhar; von Korff, Michael; Pull, Charles

2010-01-01

200

Assessing the Likelihood of Rare Medical Events in Astronauts  

NASA Technical Reports Server (NTRS)

Despite over half a century of manned space flight, the space flight community is only now coming to fully assess the short and long term medical dangers of exposure to reduced gravity environments. Further, as new manned spacecraft are designed and with the advent of commercial flight capabilities to the general public, a full understanding of medical risk becomes even more critical for maintaining and understanding mission safety and crew health. To address these critical issues, the National Aeronautics and Space Administration (NASA) Human Research Program (HRP) has begun to address the medical hazards with a formalized risk management approach by effectively identifying and attempting to mitigate acute and chronic medical risks to manned space flight. This paper describes NASA Glenn Research Center?s (GRC) efforts to develop a systematic methodology to assess the likelihood of in-flight medical conditions. Using a probabilistic approach, medical risks are assessed using well established and accepted biomedical and human performance models in combination with fundamentally observed data that defines the astronauts? physical conditions, environment and activity levels. Two different examples of space flight risk are used to show the versatility of our approach and how it successfully integrates disparate information to provide HRP decision makers with a valuable source of information which is otherwise lacking.

Myers, Jerry G., Jr.; Leandowski, Beth E.; Brooker, John E.; Weaver, Aaron S.

2011-01-01

201

The Effectiveness of Antipsychotic Medication in the Management of Behaviour Problems in Adults with Intellectual Disabilities  

ERIC Educational Resources Information Center

Background: Psychopharmacological intervention in the management of behaviour problems in adults with intellectual disabilities (ID) has become a common treatment strategy. This has become a cause for concern, given that the evidence for its effectiveness is uncertain and most drugs are not licensed for this use. Methods: A comprehensive…

Deb, S.; Sohanpal, S. K.; Soni, R.; Lenotre, L.; Unwin, G.

2007-01-01

202

The Human Rights Context for Ethical Requirements for Involving People with Intellectual Disability in Medical Research  

ERIC Educational Resources Information Center

Background: The history of ethical guidelines addresses protection of human rights in the face of violations. Examples of such violations in research involving people with intellectual disabilities (ID) abound. We explore this history in an effort to understand the apparently stringent criteria for the inclusion of people with ID in research, and…

Iacono, T.; Carling-Jenkins, R.

2012-01-01

203

Using Disablement Models and Clinical Outcomes Assessment to Enable Evidence-Based Athletic Training Practice, Part II: Clinical Outcomes Assessment  

PubMed Central

Objective: To provide an overview of clinical outcomes assessment, discuss the classification of outcomes measures, present considerations for choosing outcomes scales, identify the importance of assessing clinical outcomes, and describe the critical link between the utilization of disablement models and clinical outcomes assessment. Background: Clinical outcomes are the end result of health care services. Clinical outcomes assessment is based on the conceptual framework of disablement models and serves as the measurement method for the collection of patient-oriented evidence, a concept central to evidence-based practice. Description: Clinical outcomes management refers to the use of outcomes measures in the course of routine clinical care and provides athletic trainers with a mechanism to assess treatment progress and to measure the end results of the services they provide. Outcomes measures can be classified as either clinician based or patient based. Clinician-based measures, such as range of motion and strength, are taken directly by clinicians. Patient-based measures solicit a patient's perception as to health status in the form of questionnaires and survey scales. Clinician-based measures may assist with patient evaluation, but patient-based measures should always be included in clinical assessment to identify what is important to the patient. Clinical and Research Advantages: Evidence-based athletic training practice depends on clinical outcomes research to provide the foundation of patient-oriented evidence. The widespread use of clinical outcomes assessment, based on the disablement model framework, will be necessary for athletic trainers to demonstrate the effectiveness of therapies and interventions, the provision of patient-centered care, and the development of evidence-based practice guidelines. PMID:18668177

Valovich McLeod, Tamara C; Snyder, Alison R; Parsons, John T; Curtis Bay, R; Michener, Lori A; Sauers, Eric L

2008-01-01

204

Multidisciplinary Assessment and Treatment of Self-Injurious Behavior in Autism Spectrum Disorder and Intellectual Disability: Integration of Psychological and Biological Theory and Approach.  

PubMed

The objective of this review is to consider the psychological (largely behavioral) and biological [neurochemical, medical (including genetic), and pharmacological] theories and approaches that contribute to current thinking about the etiology and treatment of self-injurious behavior (SIB) in individuals with autism spectrum disorder and/or intellectual disability. Algorithms for the assessment and treatment of SIB in this context, respectively, from a multidisciplinary, integrative perspective are proposed and challenges and opportunities that exist in clinical and research settings are discussed. PMID:25395094

Minshawi, Noha F; Hurwitz, Sarah; Morriss, Danielle; McDougle, Christopher J

2014-11-14

205

Validation of the "World Health Organization Disability Assessment Schedule, WHODAS-2" in patients with chronic diseases  

PubMed Central

Background The WHODAS-2 is a disability assessment instrument based on the conceptual framework of the International Classification of Functioning, Disability, and Health (ICF). It provides a global measure of disability and 7 domain-specific scores. The aim of this study was to assess WHODAS-2 conceptual model and metric properties in a set of chronic and prevalent clinical conditions accounting for a wide scope of disability in Europe. Methods 1,119 patients with one of 13 chronic conditions were recruited in 7 European centres. Participants were clinically evaluated and administered the WHODAS-2 and the SF-36 at baseline, 6 weeks and 3 months of follow-up. The latent structure was explored and confirmed by factor analysis (FA). Reliability was assessed in terms of internal consistency (Cronbach's alpha) and reproducibility (intra-class correlation coefficients, ICC). Construct validity was evaluated by correlating the WHODAS-2 and SF-36 domains, and comparing known groups based on the clinical-severity and work status. Effect size (ES) coefficient was used to assess responsiveness. To assess reproducibility and responsiveness, subsamples of stable (at 6 weeks) and improved (after 3 moths) patients were defined, respectively, according to changes in their clinical-severity. Results The satisfactory FA goodness of fit indexes confirmed a second order factor structure with 7 dimensions, and a global score for the WHODAS-2. Cronbach's alpha ranged from 0.77 (self care) to 0.98 (life activities: work or school), and the ICC was lower, but achieved the recommended standard of 0.7 for four domains. Correlations between global WHODAS-2 score and the different domains of the SF-36 ranged from -0.29 to -0.65. Most of the WHODAS-2 scores showed statistically significant differences among clinical-severity groups for all pathologies, and between working patients and those not working due to ill health (p < 0.001). Among the subsample of patients who had improved, responsiveness coefficients were small to moderate (ES = 0.3-0.7), but higher than those of the SF-36. Conclusions The latent structure originally designed by WHODAS-2 developers has been confirmed for the first time, and it has shown good metric properties in clinic and rehabilitation samples. Therefore, considerable support is provided to the WHODAS-2 utilization as an international instrument to measure disability based on the ICF model. PMID:20482853

2010-01-01

206

Beyond Misconceptions: Assessing Pain in Children with Mild to Moderate Intellectual Disability  

PubMed Central

To assess and manage pain in children and adolescents with mild to moderate intellectual disability, healthcare providers need access to updated tools and current knowledge. Recent studies show that these children can verbally express pain and use self-assessment tools accurately. Moreover, they know pain coping strategies. Finally, they show mental imaging skills and are able to recall autobiographical memories. These new data suggest that such children and adolescents could be candidates to for hypno-analgesia protocols and behavioral relaxation. PMID:24350192

Zabalia, Marc

2013-01-01

207

Functional assessment of pediatric pain patients: psychometric properties of the functional disability inventory.  

PubMed

The Functional Disability Inventory (FDI; Walker LS, Greene JW. The functional disability inventory: measuring a neglected dimension of child health status. J Pediatr Psychol 1991;16:39-58) assesses activity limitations in children and adolescents with a variety of pediatric conditions. This study evaluated the psychometric properties of the FDI in pediatric pain patients. Participants included 596 patients with chronic abdominal pain, ages 8-17, and a subset of their parents (n = 151) who completed the FDI and measures of pain, limitations in school activities, and somatic and depressive symptoms at a clinic visit. Test-retest reliability was high at 2 weeks (child report, .74; parent-report, .64) and moderate at 3 months (child report, .48; parent report, .39). Internal consistency reliability was excellent, ranging from .86 to .91. Validity was supported by significant correlations of child- and parent-report FDI scores with measures of school-related disability, pain, and somatic symptoms. Study results add to a growing body of empirical literature supporting the reliability and validity of the FDI for functional assessment of pediatric patients with chronic pain. PMID:16480823

Claar, Robyn Lewis; Walker, Lynn S

2006-03-01

208

Diabetes Mellitus Related Morbidity, Risk of Hospitalization and Disability  

Microsoft Academic Search

Objective.—To investigate the rates of complications, hospitaliza- tions and disabilities attributable to type 1 and type 2 diabetes mel- litus (DM) combined, unless otherwise noted. Methodology.—Risk assessment of DM-related morbidity, hospi- talizations and disabilities using data from the medical literature and health statistics on the population. Calculation of morbidity, hospitalization, and disability ratios (MbR, HR, DR) will allow com- parison

Abdelouahed Naslafkih; Francois Sestier

209

New Technology Provides Urgent Medical Information and Protects Privacy: Providing Important Information in Medical Situations for the Developmentally Disabled  

ERIC Educational Resources Information Center

Fernando Viesca has a 24-year-old son who suffers from Angelman Syndrome, a little known chromosomal disorder that has left him with significant functional deficiencies. When Nando lived at home, his father took care of him full time, thus alleviating any worries about medical care. However, now that Nando lives in a group home, his father is no…

Seelig, Richard

2006-01-01

210

Assessment in undergraduate medical education: a review of course exams  

PubMed Central

Introduction The purpose of this study is to describe an approach for evaluating assessments used in the first 2 years of medical school and report the results of applying this method to current first and second year medical student examinations. Methods Three faculty members coded all exam questions administered during the first 2 years of medical school. The reviewers discussed and compared the coded exam questions. During the bi-monthly meetings, all differences in coding were resolved with consensus as the final criterion. We applied Moore's framework to assist the review process and to align it with National Board of Medical Examiners (NBME) standards. Results The first and second year medical school examinations had 0% of competence level questions. The majority, more than 50% of test questions, were at the NBME recall level. Conclusion It is essential that multiple-choice questions (MCQs) test the attitudes, skills, knowledge, and competency in medical school. Based on our findings, it is evident that our exams need to be improved to better prepare our medical students for successful completion of NBME step exams. PMID:23469935

Vanderbilt, Allison A.; Feldman, Moshe; Wood, Isaac K.

2013-01-01

211

A real-time assessment of factors influencing medication events.  

PubMed

Reducing medical error is critical to improving the safety and quality of healthcare. Physician stress, fatigue, and excessive workload are performance-shaping factors (PSFs) that may influence medical events (actual administration errors and near misses), but direct relationships between these factors and patient safety have not been clearly defined. This study assessed the real-time influence of emotional stress, workload, and sleep deprivation on self-reported medication events by physicians in academic hospitals. During an 18-month study period, 185 physician participants working at four university-affiliated teaching hospitals reported medication events using a confidential reporting application on handheld computers. Emotional stress scores, perceived workload, patient case volume, clinical experience, total sleep, and demographic variables were also captured via the handheld computers. Medication event reports (n = 11) were then correlated with these demographic and PSFs. Medication events were associated with 36.1% higher perceived workload (p < .05), 38.6% higher inpatient caseloads (p < .01), and 55.9% higher emotional stress scores (p < .01). There was a trend for reported events to also be associated with less sleep (p = .10). These results confirm the effect of factors influencing medication events, and support attention to both provider and hospital environmental characteristics for improving patient safety. PMID:23551380

Dollarhide, Adrian W; Rutledge, Thomas; Weinger, Matthew B; Fisher, Erin Stucky; Jain, Sonia; Wolfson, Tanya; Dresselhaus, Timothy R

2014-01-01

212

Assessment of Critical Thinking Ability in Medical Students  

ERIC Educational Resources Information Center

In this study conducted with 80 first-year students in a graduate medical course at the Australian National University, Canberra, students' critical thinking skills were assessed using the Watson-Glaser Critical Thinking Appraisal (Forms A and B) in a test-retest design. Results suggested that overall subjects retained consistent patterns of…

Macpherson, Karen; Owen, Cathy

2010-01-01

213

ASSESSMENT ARRANGEMENTS FOR DISABLED STUDENTS A General principles applying to the approved variation of assessment for  

E-print Network

to the University. The Act says a disabled person is "someone with a physical or mental impairment which has, dyscalculia, Attention Deficit Hyperactivity Disorder (ADHD) and Asperger's Syndrome. Conditions or multiple sclerosis is covered from the point of diagnosis rather than once symptoms start to show. Students

214

Validation of the “World Health Organization Disability Assessment Schedule for Children, WHODAS-Child” in Rwanda  

PubMed Central

Overview The World Health Organization Disability Assessment Schedule for children (WHODAS-Child) is a disability assessment instrument based on the WHO's International Classification of Functioning, Disability and Health for children and youth. It is modified from the original adult version specifically for use with children. The aim of this study was to assess the WHODAS-Child structure and metric properties in a community sample of children with and without reported psychosocial problems in rural Rwanda. Methods The WHODAS-Child was first translated into Kinyarwanda through a detailed committee translation process and back-translation. Cognitive interviewing was used to assess the comprehension of the translated items. Test-retest reliability was assessed in a group of 64 children. The translated WHODAS-Child was then administered to a final sample of 367 children in southern Kayonza district in rural southeastern Rwanda within a larger psychosocial assessment battery. The latent structure was assessed through confirmatory factor analysis. Reliability was evaluated in terms of internal consistency (Cronbach's alpha) and test-retest reliability (Pearson's correlation coefficient). Construct validity was explored by examining convergence between WHODAS-Child scores and mental disorder status, and divergence of WHODAS-Child scores with protective factors and prosocial behaviors. Concordance between parent and child scores was also assessed. Results The six-factor structure of the WHODAS-Child was confirmed in a population sample of Rwandan children. Test-retest and inter-rater reliability were high (r?=?.83 and ICC?=?.88). WHODAS-Child scores were moderately positively correlated with presence of depression (r?=?.42, p<.001) and post-traumatic stress disorder (r?=?.31, p<.001) and moderately negatively correlated with prosocial behaviors (r?=?.47, p<.001). The Kinyarwanda version of the WHODAS-Child was found to be a reliable and acceptable self-report tool for assessment of functional impairment among children largely referred for psychosocial problems in the study district in rural Rwanda. Further research in low-resource settings and with more general populations is recommended. PMID:23505437

Scorza, Pamela; Stevenson, Anne; Canino, Glorisa; Mushashi, Christine; Kanyanganzi, Fredrick; Munyanah, Morris; Betancourt, Theresa

2013-01-01

215

The Paralympic Games and 60 years of change (1948–2008): unification and restructuring from a disability and medical model to sport-based competition  

Microsoft Academic Search

The Paralympic Games began officially in 1960 and have evolved to become the second largest multisport event in the world, and the pinnacle of sporting achievement for athletes with disability. The transformation from a medical model in which sport was used for the purposes of rehabilitation to one focusing on elite athlete performance has occurred due to a myriad of

David Legg; Robert Steadward

2011-01-01

216

Quantifying Morbidity Burdens and Medical Utilization of Children with Intellectual Disabilities in Taiwan: A Nationwide Study Using the ACG Case-Mix Adjustment System  

ERIC Educational Resources Information Center

The purpose of this study was to quantify morbidity burdens of children with intellectual disability (ID) and to examine its association with total medical utilization and expenditure on a national basis in Taiwan. People under 18 years of age that had been continuously enrolled in the National Health Insurance (NHI) between year 2008 and 2010…

Lee, Wui-Chiang; Chen, Tzeng-Ji

2012-01-01

217

A Multi-Centre Audit of the Use of Medication for the Management of Behavioural Problems in Adults with Intellectual Disabilities  

ERIC Educational Resources Information Center

The aim was to investigate prescribing practices surrounding the use of medication for the management of behavioural problems in adults with intellectual disabilities with reference to a national guideline development project. A case note review methodology was employed to explore adherence to the audit criteria that were derived from the…

Unwin, Gemma L.; Deb, Shoumitro

2008-01-01

218

Transferring Young People with Profound Intellectual and Multiple Disabilities from Pediatric to Adult Medical Care: Parents' Experiences and Recommendations  

ERIC Educational Resources Information Center

Many children with profound intellectual and multiple disabilities (PIMD) now reach adulthood. The aim of this study was to elicit parents' experiences with the transfer from pediatric to adult medical care. A convenience sample of 131 Dutch parents of young people with PIMD (16--26 years) completed a web-based questionnaire. Twenty-two…

Bindels-de Heus, Karen G. C. B.; van Staa, AnneLoes; van Vliet, Ingeborg; Ewals, Frans V. P. M.; Hilberink, Sander R.

2013-01-01

219

Shared agency and collaboration between the family and professionals in medical rehabilitation of children with severe disabilities.  

PubMed

Implementation of medical rehabilitation for children with severe disabilities, arranged by the Social Insurance Institution of Finland, is based on collaboration of the family with several professionals and organizations providing the necessary services. Therefore, it sets special challenges for service provision. Parents' experiences of shared agency and participation during children's rehabilitation process were analyzed in relation to the following research questions: what factors, describing the planning and implementation of rehabilitation, were associated with (a) the parents' satisfaction with planning, (b) the correspondence between the plans and the needs of the child, and (c) the correspondence between the received rehabilitation and the needs and wishes of the child and the parents. A questionnaire survey for the children's parents (n=496) included items on rehabilitation planning and implementation of services. The results were analyzed using cross-tabulations and logistic regression analyses. Taking into account of the parents' and children's preferences in rehabilitation and active participation of the rehabilitation counselor and the therapist were positively associated with parents' satisfaction with planning and the correspondence between the plan and the needs. The rehabilitation process was considered as more successful if the information received was sufficient, the parents were heard in all phases of the process, and the child was motivated to participate. Several stakeholders have responsibilities in medical rehabilitation for individuals with severe disabilities. Parents' experience of good rehabilitation planning in healthcare requires shared agency; that is, rehabilitation professionals listening to the family's preferences in decision making. Parents' experience with a successful rehabilitation process is dependent on information sharing, becoming heard, and collaboration in all phases of the process. PMID:22842781

Järvikoski, Aila; Martin, Marjatta; Autti-Rämö, Ilona; Härkäpää, Kristiina

2013-03-01

220

The development of instruments to measure the work disability assessment behaviour of insurance physicians  

PubMed Central

Background Variation in assessments is a universal given, and work disability assessments by insurance physicians are no exception. Little is known about the considerations and views of insurance physicians that may partly explain such variation. On the basis of the Attitude - Social norm - self Efficacy (ASE) model, we have developed measurement instruments for assessment behaviour and its determinants. Methods Based on theory and interviews with insurance physicians the questionnaire included blocks of items concerning background variables, intentions, attitudes, social norms, self-efficacy, knowledge, barriers and behaviour of the insurance physicians in relation to work disability assessment issues. The responses of 231 insurance physicians were suitable for further analysis. Factor analysis and reliability analysis were used to form scale variables and homogeneity analysis was used to form dimension variables. Thus, we included 169 of the 177 original items. Results Factor analysis and reliability analysis yielded 29 scales with sufficient reliability. Homogeneity analysis yielded 19 dimensions. Scales and dimensions fitted with the concepts of the ASE model. We slightly modified the ASE model by dividing behaviour into two blocks: behaviour that reflects the assessment process and behaviour that reflects assessment behaviour. The picture that emerged from the descriptive results was of a group of physicians who were motivated in their job and positive about the Dutch social security system in general. However, only half of them had a positive opinion about the Dutch Work and Income (Capacity for Work) Act (WIA). They also reported serious barriers, the most common of which was work pressure. Finally, 73% of the insurance physicians described the majority of their cases as 'difficult'. Conclusions The scales and dimensions developed appear to be valid and offer a promising basis for future research. The results suggest that the underlying ASE model, in modified form, is suitable for describing the assessment behaviour of insurance physicians and the determinants of this behaviour. The next step in this line of research should be to validate the model using structural equation modelling. Finally, the predictive value should be tested in relation to outcome measurements of work disability assessments. PMID:21199570

2011-01-01

221

Emotional intelligence assessment in a graduate entry medical school curriculum  

PubMed Central

Background The management of emotions in the workplace is a skill related to the ability to demonstrate empathic behaviour towards patients; to manage emotional reactions in oneself and to lead others as part of a team. This ability has been defined as emotional intelligence (EI) and doctor’s EI may be related to communication skills and to patient satisfaction levels. This study reports on the use of two assessments of EI as part of a course on Personal and Professional Development (PPD) in a graduate medical school curriculum. Methods Fifty one graduate entry medical students completed an eight session course on PPD between December 2005 and January 2006. Students completed two measures of EI: self-report (EQ-i) and ability (MSCEIT V2.0) over a two year study period. The data gathered were used to explore the relationship between self-report and ability EI and between EI and student demographics, academic performance and change over time. Results Analysis of the EI data demonstrated that self-report EI did not change over time and was not related to ability EI. Females scored higher than males on a number of self-report and ability EI scores. Self-reported self-awareness was found to deteriorate in males and females over time. High self-reported EI was found to be associated with poor performance on clinical competency assessments but with good performance on a number of bio-medical knowledge based assessments. Conclusions This report concludes that assessments of EI can be incorporated into a medical school curriculum as part of a PPD programme and that the concept of EI may be associated with performance in medical school. PMID:23497237

2013-01-01

222

An Analysis of Assessment Instruments in Use by the California Community Colleges to Identify and Assess Students with Specific Learning Disabilities.  

ERIC Educational Resources Information Center

In 1982, a survey of California community colleges was conducted to determine the formal and informal devices used to identify and assess learning disabled average (LDA) students; the characteristics, skills, and behaviors measured; the personnel who administered the assessment instruments; and the intake process and identification and assessment

Ostertag, Bruce A.; Baker, Ronald E.

223

In Systemic Sclerosis, Anxiety and Depression Assessed by Hospital Anxiety Depression Scale Are Independently Associated with Disability and Psychological Factors  

PubMed Central

Background. Anxious and depressive symptoms are frequent in Systemic Sclerosis (SSc). Our objective is to assess their prevalence and association with district and global disability and psychological variables. Methods. 119?SSc patients were assessed by Hospital Anxiety Depression Scale (HADS). Clinical depression and anxiety were defined for HADS score cutoff ?8. Patients were assessed for psychological symptoms (RSES, COPE-NIV), hand (HAMIS, CHFDS, fist closure, and hand opening) and face disability (MHISS, mouth opening), global disability, and fatigue (HAQ, FACIT). Results. Both depression and anxiety in SSc are 36%. Depressive patients with comorbid anxiety have higher HADS-D score than patients with depression only (P = 0.001). HADS-A and -D are positively correlated with global disability, hands and mouth disability, fatigue, self-esteem and avoidance coping strategy, and, only HADS-A, also with social support (P < 0.05). By multiple regression, HADS-D is independently associated with FACIT-F (P < 0.001), RSES (P < 0.001), and MHISS total score (P = 0.016), together explaining 50% of variance. HADS-A is independently associated with RSES (P = 0.006), COPE-NIV SA (P = 0.003), COPE-NIV SS (P = 0.008), FACIT-F (P = 0.022), and MHISS mouth opening (P = 0.029), explaining 41% of variance. Conclusions. In SSc depression and anxiety correlate to local and global disabilities and psychological characteristics. Depressive patients with comorbid anxiety have higher level of depressive symptoms. PMID:23984376

Del Rosso, Angela; Mikhaylova, Svetlana; Baccini, Marco; Lupi, Ilaria; Matucci Cerinic, Marco; Maddali Bongi, Susanna

2013-01-01

224

Associated Medical Disorders and Disabilities in Children with Autistic DisorderA Population-based Study  

Microsoft Academic Search

A population-based survey was conducted among 152,732 Finnish children and adolescents aged under 16 years and living in northern Finland. Diagnoses and associated medical conditions were derived from the hospital and institutional records of this area. One hundred and eighty-seven children with DSM-IV autistic disorder were identified. Associated medical disorders or associated disorders of known or suspected genetic origin were

Marko Kielinen; Heikki Rantala; Eija Timonen; Sirkka-Liisa Linna; Irma Moilanen

2004-01-01

225

Validating Dynamic Assessment of Triadic Gaze for Young Children with Severe Disabilities  

PubMed Central

Purpose This research investigated a dynamic assessment (DA) to identify differences among young children with severe disabilities, which would predict progress in learning behaviors indicating coordinated joint attention (CJA). Method Six children 11–24 months of age were enrolled in a 16-week treatment for behaviors indicating CJA, specifically triadic gaze (TG), a three-point gaze shift between object and adult. An initial static assessment documented eligibility and baseline performance of TG. DA procedures were then implemented to determine each child’s performance with examiner support in producing behaviors suggesting joint attention (i.e., tracking, gaze toward an object or an adult, scanning between objects, scanning an object and adult, and TG). Results Results demonstrated differences among children during the DA via a DA score and a behavioral profile. Further, these results were predictive of differences among children in subsequent learning of TG. Conclusions These data support the validity of DA for describing heterogeneity among young children with severe disabilities who look similar on static assessment but appear differently ready to learn behaviors associated with joint attention. This knowledge will assist clinicians in planning more efficacious services for young children who struggle to communicate and are at risk for extended therapeutic needs. PMID:23813200

Olswang, Lesley B.; Feuerstein, Julie L.; Pinder, Gay Lloyd; Dowden, Patricia

2013-01-01

226

Utility of the structured inventory of malingered symptomatology (SIMS) and the assessment of depression inventory (ADI) in screening for malingering among disability seeking outpatients.  

E-print Network

??Sixty-four individuals undergoing a social security disability evaluation were administered the Structured Interview of Reported Symptoms (SIRS), Structured Inventory of Malingered Symptomatology (SIMS), and Assessment… (more)

Clegg, Carl B., 1977-

2007-01-01

227

Evidence of the Validity of "Teaching Strategies GOLD[R]" Assessment Tool for English Language Learners and Children with Disabilities  

ERIC Educational Resources Information Center

Research Findings: This study examined the measurement equivalence of the "Teaching Strategies GOLD[R]" assessment system across subgroups of children based on their primary language and disability status. This study is based on teacher-collected assessment data for 3-, 4-, and 5-year-old children for the fall of 2010, winter of 2010, and spring…

Kim, Do-Hong; Lambert, Richard G.; Burts, Diane C.

2013-01-01

228

A Multimethod Assessment of Anxiety and Problem Behavior in Children with Autism Spectrum Disorders and Intellectual Disability  

ERIC Educational Resources Information Center

Despite the increased risk for anxiety disorders in children with autism spectrum disorders (ASD), there is a lack of research on the assessment and treatment of anxiety in this population, particularly for those with an intellectual disability (ID). The present study evaluated a multimethod strategy for the assessment of anxiety and problem…

Moskowitz, Lauren J.; Mulder, Emile; Walsh, Caitlin E.; McLaughlin, Darlene Magito; Zarcone, Jennifer R.; Proudfit, Greg Hajcak; Carr, Edward G.

2013-01-01

229

Measuring Cognition of Students with Disabilities Using Technology-Enabled Assessments: Recommendations for a National Research Agenda  

ERIC Educational Resources Information Center

This article represents one outcome from the "Invitational Research Symposium on Technology-Enabled and Universally Designed Assessments," which examined technology-enabled assessments (TEA) and universal design (UD) as they relate to students with disabilities (SWD). It was developed to stimulate research into TEAs designed to better understand…

Bechard, Sue; Sheinker, Jan; Abell, Rosemary; Barton, Karen; Burling, Kelly; Camacho, Christopher; Cameto, Renee; Haertel, Geneva; Hansen, Eric; Johnstone, Chris; Kingston, Neal; Murray, Elizabeth; Parker, Caroline E.; Redfield, Doris; Tucker, Bill

2010-01-01

230

Assessment of Medical Risks and Optimization of their Management using Integrated Medical Model  

NASA Technical Reports Server (NTRS)

The Integrated Medical Model (IMM) Project is a software-based technique that will identify and quantify the medical needs and health risks of exploration crew members during space flight and evaluate the effectiveness of potential mitigation strategies. The IMM Project employs an evidence-based approach that will quantify probability and consequences of defined in-flight medical risks, mitigation strategies, and tactics to optimize crew member health. Using stochastic techniques, the IMM will ultimately inform decision makers at both programmatic and institutional levels and will enable objective assessment of crew health and optimization of mission success using data from relevant cohort populations and from the astronaut population. The objectives of the project include: 1) identification and documentation of conditions that may occur during exploration missions (Baseline Medical Conditions List [BMCL), 2) assessment of the likelihood of conditions in the BMCL occurring during exploration missions (incidence rate), 3) determination of the risk associated with these conditions and quantify in terms of end states (Loss of Crew, Loss of Mission, Evacuation), 4) optimization of in-flight hardware mass, volume, power, bandwidth and cost for a given level of risk or uncertainty, and .. validation of the methodologies used.

Fitts, Mary A.; Madurai, Siram; Butler, Doug; Kerstman, Eric; Risin, Diana

2008-01-01

231

Validity and Reliability of the Bahasa Melayu Version of the Migraine Disability Assessment Questionnaire  

PubMed Central

Background. The study was designed to determine the validity and reliability of the Bahasa Melayu version (MIDAS-M) of the Migraine Disability Assessment (MIDAS) questionnaire. Methods. Patients having migraine for more than six months attending the Neurology Clinic, Hospital Universiti Sains Malaysia, Kubang Kerian, Kelantan, Malaysia, were recruited. Standard forward and back translation procedures were used to translate and adapt the MIDAS questionnaire to produce the Bahasa Melayu version. The translated Malay version was tested for face and content validity. Validity and reliability testing were further conducted with 100 migraine patients (1st administration) followed by a retesting session 21 days later (2nd administration). Results. A total of 100 patients between 15 and 60 years of age were recruited. The majority of the patients were single (66%) and students (46%). Cronbach's alpha values were 0.84 (1st administration) and 0.80 (2nd administration). The test-retest reliability for the total MIDAS score was 0.73, indicating that the MIDAS-M questionnaire is stable; for the five disability questions, the test-retest values ranged from 0.77 to 0.87. Conclusion. The MIDAS-M questionnaire is comparable with the original English version in terms of validity and reliability and may be used for the assessment of migraine in clinical settings. PMID:25121099

Shaik, Munvar Miya; Hassan, Norul Badriah; Bhaskar, Shalini; Gan, Siew Hua

2014-01-01

232

Associated Medical Disorders and Disabilities in Children with Autistic Disorder: A Population-Based Study  

ERIC Educational Resources Information Center

A population-based survey was conducted among 152,732 Finnish children and adolescents aged under 16 years and living in northern Finland. Diagnoses and associated medical conditions were derived from the hospital and institutional records of this area. One hundred and eighty-seven children with DSM-IV autistic disorder were identified. Associated…

Kielinen, Marko; Rantala, Heikki; Timonen, Eija; Linna, Sirkka-Liisa; Moilanen, Irma

2004-01-01

233

Assessing computer skills in Tanzanian medical students: an elective experience  

PubMed Central

Background One estimate suggests that by 2010 more than 30% of a physician's time will be spent using information technology tools. The aim of this study is to assess the information and communication technologies (ICT) skills of medical students in Tanzania. We also report a pilot intervention of peer mentoring training in ICT by medical students from the UK tutoring students in Tanzania. Methods Design: Cross sectional study and pilot intervention study. Participants: Fourth year medical students (n = 92) attending Muhimbili University College of Health Sciences, Dar es Salaam, Tanzania. Main outcome measures: Self-reported assessment of competence on ICT-related topics and ability to perform specific ICT tasks. Further information related to frequency of computer use (hours per week), years of computer use, reasons for use and access to computers. Skills at specific tasks were reassessed for 12 students following 4 to 6 hours of peer mentoring training. Results The highest levels of competence in generic ICT areas were for email, Internet and file management. For other skills such as word processing most respondents reported low levels of competence. The abilities to perform specific ICT skills were low – less than 60% of the participants were able to perform the core specific skills assessed. A period of approximately 5 hours of peer mentoring training produced an approximate doubling of competence scores for these skills. Conclusion Our study has found a low level of ability to use ICT facilities among medical students in a leading university in sub-Saharan Africa. A pilot scheme utilising UK elective students to tutor basic skills showed potential. Attention is required to develop interventions that can improve ICT skills, as well as computer access, in order to bridge the digital divide. PMID:15306029

Samuel, Miriam; Coombes, John C; Miranda, J Jaime; Melvin, Rob; Young, Eoin JW; Azarmina, Pejman

2004-01-01

234

Medication Safety of Five Oral Chemotherapies: A Proactive Risk Assessment  

PubMed Central

Purpose: Oral chemotherapies represent an emerging risk area in ambulatory oncology practice. To examine the hazards associated with five oral chemotherapies, we performed a proactive risk assessment. Methods: We convened interdisciplinary teams and conducted failure mode and effects analyses (FMEAs) for five oral chemotherapy agents: capecitabine, imatinib, temozolomide, 6-mercaptopurine, and an investigational agent. This involved the creation of process maps for each medication, identification of failure modes, selection of high-risk failure modes, and development of recommendations to mitigate these risks. We analyzed the number of steps and types of failure modes and compared this information across the study drugs. Results: Key vulnerabilities include patient education about drug handling and adverse effects, prescription writing, patient self-administration and medication adherence, and failure to monitor and manage toxicities. Many of these failure modes were common across the five oral chemotherapies, suggesting the presence of common targets for improvement. Streamlining the FMEA itself may promote the dissemination of this method. Conclusion: Each stage of the medication process poses risks to the safe use of oral chemotherapies. FMEAs may identify opportunities to improve medication safety and reduce the risk of patient harm. PMID:21532801

Weingart, Saul N.; Spencer, Justin; Buia, Stephanie; Duncombe, Deborah; Singh, Prabhjyot; Gadkari, Mrinalini; Connor, Maureen

2011-01-01

235

Biodosimetry medical recording-use of the Biodosimetry Assessment Tool.  

PubMed

Effective and dynamic recording of radiation exposure and medical diagnostic information for individuals suspected or known to have been exposed to ionizing radiation contributes to appropriate formulation of medical treatment strategies and radiation protection management. The objectives of this article are to report the database entry templates or screens, provide general use guidelines, and discuss the application to selected radiation exposure scenarios for the Armed Forces Radiobiology Research Institute's software application, Biodosimetry Assessment Tool (BAT). BAT data entry screens were developed based on consensus generic guidance and organized into discrete categories (i.e., physical dosimetry, contamination, prodromal symptoms, hematology, lymphocyte cytogenetics, erythema/wound, and infection) to facilitate its practical use during the early-phase response for radiological incidents. The summary report provides a concise output of information on radiation exposure, radionuclide contamination, dose assessment based on biological indicators (i.e., cytogenetic chromosome aberration bioassays, time to onset of vomiting, lymphocyte cell counts or depletion kinetics), and relevant clinical signs and symptoms. The BAT report template is compliant with NATO and international guidance for recording ionizing radiation exposures for medical purposes. PMID:20938228

Blakely, William F; Madrid, John P; Sandgren, David J

2010-11-01

236

Doctors or technicians: assessing quality of medical education  

PubMed Central

Medical education institutions usually adapt industrial quality management models that measure the quality of the process of a program but not the quality of the product. The purpose of this paper is to analyze the impact of industrial quality management models on medical education and students, and to highlight the importance of introducing a proper educational quality management model. Industrial quality management models can measure the training component in terms of competencies, but they lack the educational component measurement. These models use performance indicators to assess their process improvement efforts. Researchers suggest that the performance indicators used in educational institutions may only measure their fiscal efficiency without measuring the quality of the educational experience of the students. In most of the institutions, where industrial models are used for quality assurance, students are considered as customers and are provided with the maximum services and facilities possible. Institutions are required to fulfill a list of recommendations from the quality control agencies in order to enhance student satisfaction and to guarantee standard services. Quality of medical education should be assessed by measuring the impact of the educational program and quality improvement procedures in terms of knowledge base development, behavioral change, and patient care. Industrial quality models may focus on academic support services and processes, but educational quality models should be introduced in parallel to focus on educational standards and products. PMID:23745059

Hasan, Tayyab

2010-01-01

237

A White Paper on the medical and social needs of people with epilepsy and intellectual disability: The Task Force on Intellectual Disabilities and Epilepsy of the International League Against Epilepsy.  

PubMed

This White Paper builds on the publication of the International League Against Epilepsy (ILAE) and International Bureau for Epilepsy (IBE) report "Listening for a change-medical and social needs of people with intellectual disability who have epilepsy" (Listening for a change the medical and social needs of people with epilepsy and intellectual disability, ILAE, 2013). The Paper presents an overview of the recommendations of the report, which aim to improve the health and social care of this important population of people with epilepsy worldwide. Actions in four domains are indicated: (1) the development of standards and initiatives that would enhance diagnosis, pathways to investigation, and treatment; (2) the development of guidelines for treatment, specifically best practice in the management of antiepileptic drugs including rescue medication; (3) the development of standards for primary care, multidisciplinary teamwork, and clinical consultations, with emphasis on the need to enhance communication and improve access to information; and (4) the enhancement of links among different stakeholders including medical services, educational establishments, employment services, organizations providing opportunities for social engagement, and family members. The breadth of needs of this population is a challenge to the epilepsy world, spanning all the professional groupings, care providers, and the research modalities in epilepsy. PMID:25378101

Kerr, Mike; Linehan, Christine; Thompson, Rose; Mula, Marco; Gil-Nagal, Antonio; Zuberi, Sameer M; Glynn, Mike

2014-12-01

238

Paralympic Athletes and "Knowing Disability"  

ERIC Educational Resources Information Center

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

Fitzgerald, Hayley

2012-01-01

239

Concurrent Validity of the Stanford-Binet: Fourth Edition and Kaufman Assessment Battery for Children with Learning-Disabled Students.  

ERIC Educational Resources Information Center

Examined the concurrent validity of the composite and area scores of the Stanford-Binet Intelligence Scale: Fourth Edition (SBIV) and the Mental Processing Composite and global scale scores of the Kaufman Assessment Battery for Children in Black, learning-disabled elementary school students (N=30). Findings demonstrated adequate concurrent…

Knight, B. Caleb; And Others

1990-01-01

240

Serving Clientele with Disabilities: An Assessment of Texas FCS Agents' Needs for Implementing Inclusive Programs  

ERIC Educational Resources Information Center

This article reports on a qualitative study to assess Texas Family Consumer Science (FCS) Extension professionals' experiences working with individuals with disabilities and their perceived skills in promoting and delivering inclusive educational programming for this audience. Study results indicate that overall Extension educators viewed…

Peterson, Rick L.; Grenwelge, Cheryl; Benz, Michael R.; Zhang, Dalun; Resch, J. Aaron; Mireles, Gerardo; Mahadevan, Lakshmi

2012-01-01

241

Concordance of the Mini-Psychiatric Assessment Schedule for Adults Who Have Developmental Disabilities (PASADD) and the Brief Symptom Inventory  

ERIC Educational Resources Information Center

Background: When assessing the mental health needs of people who have intellectual disabilities (ID) it is important to use measures that have good validity and reliability to ensure accurate case recognition and reliable and valid outcome data. Measures developed for this purpose tend to be self-report or by informant report. Multi-trait…

Beail, N.; Mitchell, K.; Vlissides, N.; Jackson, T.

2015-01-01

242

Assessing the Effects of Automatically Delivered Stimulation on the Use of Simple Exercise Tools by Students with Multiple Disabilities.  

ERIC Educational Resources Information Center

This study assessed the effects of automatically delivered stimulation on the activity level and mood of three students with multiple disabilities during their use of a stepper and a stationary bicycle. Stimuli from a pool of favorite stimulus events were delivered electronically while students were actively exercising. Findings indicated the…

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

2003-01-01

243

Prevalence of headache in an elderly population: attack frequency, disability, and use of medication  

Microsoft Academic Search

OBJECTIVESTo assess the 1 year prevalence of tension-type headache (TTH), migraine headache (MH), and chronic daily headache (CDH), as well as of headache in general in a rural elderly population.METHODSA door to door two phase survey was carried out on all elderly (?65 years) residents in three villages in central Italy. Participants completed a standardised headache questionnaire and underwent a

M Prencipe; A R Casini; C Ferretti; M Santini; F Pezzella; N Scaldaferri; F Culasso

2001-01-01

244

Stroke, disability, and unconscious bias: interrelationships and over-determination in medical decisions.  

PubMed

Many factors influence what and how we communicate with patients after stroke. As physicians, we have a responsibility to examine our medical decisions and prognostication regarding each stroke patient. We must understand how many factors come into play in decisions regarding care, including perspectives that reflect the specific training of physicians in various specialties. How the physician responds to the patient with a stroke is highly individual. The more familiar the physician is with stroke recovery and the more time he or she has for individualized and less automatic approaches, the less likely decisions will be reflexive, based on bias. By examining our unconscious biases, we can provide individualized care that gives patients more latitude to create their own stories of recovery. PMID:21371985

Sandel, M Elizabeth

2011-01-01

245

A Bayesian computational model for online character recognition and disability assessment during cursive eye writing  

PubMed Central

This research involves a novel apparatus, in which the user is presented with an illusion inducing visual stimulus. The user perceives illusory movement that can be followed by the eye, so that smooth pursuit eye movements can be sustained in arbitrary directions. Thus, free-flow trajectories of any shape can be traced. In other words, coupled with an eye-tracking device, this apparatus enables “eye writing,” which appears to be an original object of study. We adapt a previous model of reading and writing to this context. We describe a probabilistic model called the Bayesian Action-Perception for Eye On-Line model (BAP-EOL). It encodes probabilistic knowledge about isolated letter trajectories, their size, high-frequency components of the produced trajectory, and pupil diameter. We show how Bayesian inference, in this single model, can be used to solve several tasks, like letter recognition and novelty detection (i.e., recognizing when a presented character is not part of the learned database). We are interested in the potential use of the eye writing apparatus by motor impaired patients: the final task we solve by Bayesian inference is disability assessment (i.e., measuring and tracking the evolution of motor characteristics of produced trajectories). Preliminary experimental results are presented, which illustrate the method, showing the feasibility of character recognition in the context of eye writing. We then show experimentally how a model of the unknown character can be used to detect trajectories that are likely to be new symbols, and how disability assessment can be performed by opportunistically observing characteristics of fine motor control, as letter are being traced. Experimental analyses also help identify specificities of eye writing, as compared to handwriting, and the resulting technical challenges. PMID:24273525

Diard, Julien; Rynik, Vincent; Lorenceau, Jean

2013-01-01

246

Developing and Assessing Curriculum on the Physics of Medical Instruments  

PubMed Central

Undergraduate educational settings often struggle to provide students with authentic biologically or medically relevant situations and problems that simultaneously improve their understanding of physics. Through exercises and laboratory activities developed in an elective Physics in Biomedicine course for upper-level biology or pre–health majors at Portland State University, we aim to teach fundamental physical concepts, such as light absorption and emission and atomic energy levels, through analysis of biological systems and medical devices. The activities address the properties of electromagnetic waves as they relate to the interaction with biological tissue and make links between physics and biomedical applications such as microscopy or laser eye surgery. We report on the effect that engaging students in tasks with actual medical equipment has had on their conceptual understanding of light and spectroscopy. These initial assessments indicate that students’ understanding improves in some areas as a result of taking the course, but gains are not uniform and are relatively low for other topics. We also find a promising “nonshift” in student attitudes toward learning science as a result of taking the course. A long-term goal of this work is to develop these materials to the extent that they can eventually be imported into an introductory curriculum for life sciences majors. PMID:23737632

Christensen, Warren; Johnson, James K.; Van Ness, Grace R.; Mylott, Elliot; Dunlap, Justin C.; Anderson, Elizabeth A.; Widenhorn, Ralf

2013-01-01

247

[Work disability in public press professions].  

PubMed

In this study more than 1,000 cases of long-term disability among members of the press and media were evaluated. Mental disorders were the main cause of disability in almost every fourth case. In women psychiatric illnesses were even more important. The most common diagnosis was that of a depressive disorder which accounted for more than half of all psychiatric cases. The causes of disability of other insurance systems such as the German social security scheme and the pension and disability plan for the medical profession were compared. Mental illnesses are the leading cause of disability in white collar workers and orthopaedic illnesses, especially disorders of the vertebral column, are the leading cause in blue collar workers, as one might have expected. In females mental disorders are even more common than in men whereas men tend to have more cardiovascular problems than women. In this study also some interesting features regarding disability caused by various illnesses after long-term follow-up were found. This opens unknown perspectives allowing new assessment of diseases and eventually will enable the actuary to price medical diagnoses for disability insurance. PMID:12242775

Akermann, S

2002-09-01

248

The Integrated Medical Model - A Risk Assessment and Decision Support Tool for Human Space Flight Missions  

NASA Technical Reports Server (NTRS)

The Integrated Medical Model (IMM) is a decision support tool that is useful to space flight mission planners and medical system designers in assessing risks and optimizing medical systems. The IMM employs an evidence-based, probabilistic risk assessment (PRA) approach within the operational constraints of space flight.

Kerstman, Eric; Minard, Charles G.; Saile, Lynn; FreiredeCarvalho, Mary; Myers, Jerry; Walton, Marlei; Butler, Douglas; Lopez, Vilma

2010-01-01

249

Preventive medicine: self-assessment of knowledge, skills and attitudes of medical students at the Medical University of Vienna.  

PubMed

Prevention and health promotion are gaining importance in modern medical curricula. Aim of this study was to evaluate the self-assessment of knowledge, skills and attitudes of medical students towards health promotion and prevention. In 2012, at the Medical University of Vienna, 27% of the 633 fourth-year medical students (50.3% male and 49.7% female; mean age: 24 years) completed a questionnaire. Results show a high assessment of prevention in most respondents. Knowledge gaps were detected on occupational health and mother-child pass examinations. However, almost all students reported sufficient knowledge on screening and risk assessment of developing cardiovascular diseases. Almost all respondents estimated to be able to identify risky behaviours. Overall, estimation towards prevention of tomorrow's physicians is very positive. However, only 40% believed to have been adequately trained on preventive medicine so far. Relevant preventive aspects were added to the medical curriculum in 2012-2013 with the new block 'Public Health'. PMID:24468828

Borsoi, Livia; Rieder, Anita; Stein, Katharina Viktoria; Hofhansl, Angelika; Dorner, Thomas Ernst

2014-04-01

250

Specialist geriatric medical assessment for patients discharged from hospital acute assessment units: randomised controlled trial  

PubMed Central

Objective To evaluate the effect of specialist geriatric medical management on the outcomes of at risk older people discharged from acute medical assessment units. Design Individual patient randomised controlled trial comparing intervention with usual care. Setting Two hospitals in Nottingham and Leicester, UK. Participants 433 patients aged 70 or over who were discharged within 72 hours of attending an acute medical assessment unit and at risk of decline as indicated by a score of at least 2 on the Identification of Seniors At Risk tool. Intervention Assessment made on the acute medical assessment unit and further outpatient management by specialist physicians in geriatric medicine, including advice and support to primary care services. Main outcome measures The primary outcome was the number of days spent at home (for those admitted from home) or days spent in the same care home (if admitted from a care home) in the 90 days after randomisation. Secondary outcomes were determined at 90 days and included mortality, institutionalisation, dependency, mental wellbeing, quality of life, and health and social care resource use. Results The two groups were well matched for baseline characteristics, and withdrawal rates were similar in both groups (5%). Mean days at home over 90 days’ follow-up were 80.2 days in the control group and 79.7 in the intervention group. The 95% confidence interval for the difference in means was ?4.6 to 3.6 days (P=0.31). No significant differences were found for any of the secondary outcomes. Conclusions This specialist geriatric medical intervention applied to an at risk population of older people attending and being discharged from acute medical units had no effect on patients’ outcomes or subsequent use of secondary care or long term care. PMID:24103444

2013-01-01

251

Development and assessment of learning objects about intramuscular medication administration  

PubMed Central

OBJECTIVES: to develop and assess a learning object about intramuscular medication administration for nursing undergraduates and nurses. METHOD: a random, intentional and non-probabilistic sample was selected of nurses from a Brazilian social network of nursing and students from the Undergraduate Program at the University of São Paulo School of Nursing to serve as research subjects and assess the object. RESULTS: the participants, 8 nurses and 8 students, studied the object and answered an assessment instrument that included the following criteria: educational aspects (relevance of the theme, objectives and texts/hypertexts), interface of the environment (navigation, accessibility and screen design) and didactic resources (interactivity and presentation of resources). In total, 128 significant answers were obtained, 124 (97%) of which were positive, assessed as excellent and satisfactory, considered as a flexible, dynamic, objective resources that is appropriate to the nursing learning process. CONCLUSION: the educational technology shows a clear and easily understandable language and the teaching method could be applied in other themes, contributing to the education and training of nursing professionals, positively affecting nursing teaching, stimulating the knowledge, autonomous and independent learning, aligned with the new professional education requirements. PMID:25493665

Tamashiro, Lilian Mayumi Chinen; Peres, Heloisa Helena Ciqueto

2014-01-01

252

Assessing Children with Traumatic Brain Injuries: Integrating Educational and Medical Issues.  

ERIC Educational Resources Information Center

This overview of traumatic brain injuries discusses (1) incidence and prevalence; (2) characteristics; (3) the recovery process; and (4) educational/medical assessment, including premorbid functioning, current functioning, educationally relevant medical issues, and amount and type of family support. (JDD)

Shaw, Steven R.; Yingst, Christine A.

1992-01-01

253

Assessment and Remediation of Oral Language. Academic Assessment and Remediation of Adults with Learning Disabilities: A Resource Series for Adult Basic Education Teachers.  

ERIC Educational Resources Information Center

The third of seven booklets on adults with learning disabilities, this manual addresses the evaluation and remediation of oral language difficulties. An assessment section focuses on behaviors and disorders which adult education teachers should look for as well as informal diagnostic tasks in auditory discrimination, grammar, vocabulary, social…

Hoy, Cheri A.; Gregg, K. Noel

254

Improving the validity of assessment results for English language learners with disabilities  

E-print Network

, gender identity, or gender expression. This document is available in alternative formats upon request. ii, gender, age, marital status, disability, public assistance status, veteran status, sexual orientation

Blanchette, Robert A.

255

Accessible Reading Assessments for Students with Disabilities: The Role of Cognitive, Grammatical, Lexical, and Textual/Visual Features. CRESST Report 785  

ERIC Educational Resources Information Center

The purpose of this study was to examine the characteristics of reading test items that may differentially impede the performance of students with disabilities. The findings suggest that there are certain revisions that can be done on current assessments to make them more accessible for students with disabilities. Features such as words per page,…

Abedi, Jamal; Leon, Seth; Kao, Jenny; Bayley, Robert; Ewers, Nancy; Herman, Joan; Mundhenk, Kimberly

2011-01-01

256

Assessment and Accommodation Issues Under the No Child Left Behind Act and the Individuals With Disabilities Education Improvement ActInformation for IEP Teams  

Microsoft Academic Search

Including students with disabilities in the new standards and accountability systems is one of the key challenges facing school districts around the nation. In this article, the authors first address the evolving assessment and accommodations requirements of both the No Child Left Behind Act of 2001 (NCLB) and the Individuals with Disabilities Education Improvement Act of 2004 (IDEIA), with specific

James G. Shriner; Rahul Ganguly

2007-01-01

257

Rapid Assessment Medical Support (RAMS) for Active Shooter Incidents.  

PubMed

Abstract This country has witnessed a steady increase in the number of active shooter incidents in recent years. The traditional emergency medical services (EMS) response to such incidents has been to stage at a safe distance until the scene has been secured by law enforcement. Such an approach may lead to unnecessary delays in medical care and potentially needless loss of life. To address this issue locally, the Philadelphia Fire Department (PFD) and the Philadelphia Police Department (PPD) collaborated to develop the Rapid Assessment Medical Support (RAMS) program. All PFD paramedics have been equipped and trained to move with PPD officers into a scene that has been cleared by police but not yet secured in order to initiate emergency care, with an emphasis on hemorrhage control. Patients are then extracted to awaiting EMS resources in the cold zone. The history behind the program and the challenges and obstacles that had to be addressed in its development are described. These included initial and ongoing training and funding sources; buy-in from risk management, labor, and the individual providers; whether only paramedics should be included in the RAMS program or if the PFD's firefighter-EMTs should be included as well; the potential for mission creep as police recognized the value of this asset and its potential application to other scenarios; and how to involve the many nonmunicipal ambulance services that are not involved in the routine operation of Philadelphia's 9-1-1 system. To date, RAMS teams have been activated on multiple occasions, but fortunately the incidents were resolved without injury or loss of life. However, the program provides another valuable tool with which the City of Philadelphia can respond should another active shooter incident occur. PMID:25291188

Mechem, C Crawford; Bossert, Richard; Baldini, Christopher

2014-10-01

258

Medical libraries and the assessment of user needs.  

PubMed

Users of information in science and technology have been studied in great detail with respect to material read, amount of time spent in reading and searching the literature, categories of questions asked, and so on. Probing for this information has been undertaken by means of structured and unstructured interviews, diaries, surveys, and questionnaires.Although a large amount of data has emerged on information usage and flow, the subjective response of scientists furnishes comment only on the satisfaction produced by present information services and does not yield insight into the extent to which needs remain unsatisfied. Relevance figures based upon the response of systems to questions cannot be equated with satisfaction of needs, since questions constitute, in most cases, inadequate representations of underlying information needs. Assessment of the needs of users of medical libraries and information systems must, in fact, be made in relation to the observed behavior and experience of biomedical scientists. There is room for well-designed experimentation which can explore the interaction of both psychological and environmental factors. Significant differences in information needs exist among and between individuals such as researchers and clinicians in the same environment. With respect to environment, it is hypothesized that the information needs of medical practitioners in remote areas might differ significantly from those of their colleagues working in large metropolitan centers in close proximity to medical schools, research institutions, and other rich sources of information fallout. It is anticipated that experimentation will eventually result in a methodology which will permit the determination and prediction of the information needs of any identified groups of users in a specific environment. PMID:5910386

Rees, A M

1966-04-01

259

Oral Assessment and Postgraduate Medical Examinations: Establishing Conditions for Validity, Reliability and Fairness  

ERIC Educational Resources Information Center

The purpose of this review was to examine the practice of oral assessment in postgraduate medical education in the context of the core assessment constructs of validity, reliability and fairness. Although oral assessment has a long history in the certification process of medical specialists and is a well-established part of such proceedings for a…

Memon, Muhammed Ashraf; Joughin, Gordon Rowland; Memon, Breda

2010-01-01

260

Investigating Computer-Based Formative Assessments in a Medical Terminology Course  

ERIC Educational Resources Information Center

Research has been conducted on the effectiveness of formative assessments and on effectively teaching medical terminology; however, research had not been conducted on the use of formative assessments in a medical terminology course. A quantitative study was performed which captured data from a pretest, self-assessment, four module exams, and a…

Wilbanks, Jammie T.

2012-01-01

261

How to Evaluate Disability  

PubMed Central

A disability assessment for non-therapeutic reasons is the most common evaluation requested of treating psychiatrists. Mental disorders affect approximately 20 percent of Americans each year. People who are unable to work need some financial assistance. As part of the system, it’s our goal to assist them in this process. When a disability claim is filed, psychiatrists take into account the individual’s impairments and disabilities. A psychiatrist’s evaluation of disability involves knowledge and experience. There are many ethics related challenges, especially when performing disability evaluation of their own patients. Disability training should therefore be part of residency curriculum for training of psychiatry residents. PMID:23785336

Sohail, Zohaib; Bailey, Rahn Kennedy; Richie, William D.

2013-01-01

262

Development and utilization of vignettes in assessing medical students' support of older and younger patients' medical decisions.  

PubMed

Currently no appropriate vignettes exist to examine issues of age-based care among students early in their medical careers. This paper addresses that issue in two parts. First, as the development of vignettes, widely used in medical research, is rarely described, suggestions for developing reliable and valid vignettes are presented. These suggestions are derived from the development of a series of vignettes assessing the support of older and younger patients' medical decisions among first year medical students. Second, the responses to the vignettes were analyzed quantitatively and qualitatively to assess potential age-based biases. Results indicate that students do not differ in their level of support for older and younger patients' medical decisions. However, students are more supportive of patients who desired aggressive treatments than of those who wished to end treatment. Many students did not focus on the age of the patient, but instead on the patient's quality of life. PMID:15312285

Schigelone, Amy Schiller; Fitzgerald, James T

2004-09-01

263

Evaluating mastery of biostatistics for medical researchers: need for a new assessment tool.  

PubMed

Research training has enabled academic clinicians to contribute significantly to the body of medical research literature. Biostatistics represents a critical methodological skill for such researchers, as statistical methods are increasingly a necessary part of medical research. However, there is no validated knowledge and skills assessment for graduate level biostatistics for academic medical researchers. In this paper, I review graduate level statistical competencies and existing instruments intended to assess physicians' ability to read the medical literature and for undergraduate statistics for their alignment with core competencies necessary for successful use of statistics. This analysis shows a need for a new instrument to assess biostatistical competencies for medical researchers. PMID:22212227

Enders, Felicity

2011-12-01

264

Profile of arthritis disability.  

PubMed Central

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

Verbrugge, L. M.; Juarez, L.

2001-01-01

265

Rapid Assessment of Severe Cognitive Impairment in Individuals with Developmental Disabilities  

ERIC Educational Resources Information Center

Background: Most standardized intelligence tests require more than 1hour for administration, which is problematic when evaluating individuals with intellectual disabilities and developmental disabilities (IDDD), because a significant proportion of these individuals can not tolerate lengthy evaluations. Furthermore, most standardized intelligence…

Walsh, D. M.; Finwall, J.; Touchette, P. E.; McGregor, M. R.; Fernandez, G. E.; Lott, I. T.; Sandman, C. A.

2007-01-01

266

The Development of an Assessment Tool for the Bereavement Needs of People with Learning Disabilities  

ERIC Educational Resources Information Center

Many people with learning disabilities are not well supported when someone close to them dies. This can make it an even more difficult time than it needs to be. This is about how staff can help people with learning disabilities when somebody close to them dies. It has some questions for them to think about. It is well documented that the death of…

Blackman, Noelle

2008-01-01

267

Assessing Components of Empathy in Sex-Offenders with Intellectual Disabilities  

ERIC Educational Resources Information Center

Background: Because of a lack of research investigating empathy in sex offenders with intellectual disabilities, this study explored empathy in sex offenders and non-offenders with intellectual disabilities. Specific aims were to explore differences between these groups on measures of the components of empathy. Methods: The scores of 21…

Ralfs, Sonya; Beail, Nigel

2012-01-01

268

Offenders with Intellectual Disability: Characteristics, Prevalence, and Issues in Forensic Assessment  

ERIC Educational Resources Information Center

Although the problem of people with disabilities as victims of crime has been well recognized, the known characteristics of people with intellectual disabilities (ID) also make them vulnerable to becoming perpetrators of crimes. Most such crimes are minor, but the 2002 "Atkins v. Virginia" decision called national attention to people with ID and…

Salekin, Karen L.; Olley, J. Gregory; Hedge, Krystal A.

2010-01-01

269

Subtypes of learning disabilities  

Microsoft Academic Search

Aim of the present study was two fold: (1) to evaluate the course of referring and diagnosing Learning Disabilities (LD) and\\u000a the contribution of multidisciplinary assessment and (2) to describe characteristics of three LD subtypes: Attention with\\u000a or without Motor function Disabilities (AMD), Verbal Learning Disabilities (VLD) and Non-Verbal Learning Disabilities (NVLD).\\u000a Diagnostics, behavioural and neuropsychological data from 495 children

Jos G. M. Hendriksen; Esther H. H. Keulers; Frans J. M. Feron; Renske Wassenberg; Jelle Jolles; Johan S. H. Vles

2007-01-01

270

20 CFR 416.996 - Continued disability or blindness benefits pending appeal of a medical cessation determination.  

Code of Federal Regulations, 2010 CFR

...disability or blindness benefits because the physical or mental impairment...basis of which such benefits were payable is found...substantial gainful activity in order to be eligible for special benefits under § 416.261...

2010-04-01

271

20 CFR 416.996 - Continued disability or blindness benefits pending appeal of a medical cessation determination.  

Code of Federal Regulations, 2012 CFR

...disability or blindness benefits because the physical or mental impairment...basis of which such benefits were payable is found...substantial gainful activity in order to be eligible for special benefits under § 416.261...

2012-04-01

272

20 CFR 416.996 - Continued disability or blindness benefits pending appeal of a medical cessation determination.  

Code of Federal Regulations, 2011 CFR

...disability or blindness benefits because the physical or mental impairment...basis of which such benefits were payable is found...substantial gainful activity in order to be eligible for special benefits under § 416.261...

2011-04-01

273

20 CFR 416.996 - Continued disability or blindness benefits pending appeal of a medical cessation determination.  

Code of Federal Regulations, 2013 CFR

...disability or blindness benefits because the physical or mental impairment...basis of which such benefits were payable is found...substantial gainful activity in order to be eligible for special benefits under § 416.261...

2013-04-01

274

20 CFR 416.996 - Continued disability or blindness benefits pending appeal of a medical cessation determination.  

Code of Federal Regulations, 2014 CFR

...disability or blindness benefits because the physical or mental impairment...basis of which such benefits were payable is found...substantial gainful activity in order to be eligible for special benefits under § 416.261...

2014-04-01

275

14 CFR 382.23 - May carriers require a passenger with a disability to provide a medical certificate?  

Code of Federal Regulations, 2012 CFR

...REGULATIONS NONDISCRIMINATION ON THE BASIS OF DISABILITY IN AIR TRAVEL Nondiscrimination and Access to Services and Information...the certificate significantly understates the passenger's risk to the health of other persons on the flight. If the...

2012-01-01

276

14 CFR 382.23 - May carriers require a passenger with a disability to provide a medical certificate?  

Code of Federal Regulations, 2010 CFR

...REGULATIONS NONDISCRIMINATION ON THE BASIS OF DISABILITY IN AIR TRAVEL Nondiscrimination and Access to Services and Information...the certificate significantly understates the passenger's risk to the health of other persons on the flight. If the...

2010-01-01

277

14 CFR 382.23 - May carriers require a passenger with a disability to provide a medical certificate?  

Code of Federal Regulations, 2014 CFR

...REGULATIONS NONDISCRIMINATION ON THE BASIS OF DISABILITY IN AIR TRAVEL Nondiscrimination and Access to Services and Information...the certificate significantly understates the passenger's risk to the health of other persons on the flight. If the...

2014-01-01

278

14 CFR 382.23 - May carriers require a passenger with a disability to provide a medical certificate?  

Code of Federal Regulations, 2011 CFR

...REGULATIONS NONDISCRIMINATION ON THE BASIS OF DISABILITY IN AIR TRAVEL Nondiscrimination and Access to Services and Information...the certificate significantly understates the passenger's risk to the health of other persons on the flight. If the...

2011-01-01

279

14 CFR 382.23 - May carriers require a passenger with a disability to provide a medical certificate?  

Code of Federal Regulations, 2013 CFR

...REGULATIONS NONDISCRIMINATION ON THE BASIS OF DISABILITY IN AIR TRAVEL Nondiscrimination and Access to Services and Information...the certificate significantly understates the passenger's risk to the health of other persons on the flight. If the...

2013-01-01

280

Validity and reliability of the school function assessment in elementary school students with disabilities.  

PubMed

This study examined validity of the School Function Assessment (SFA) and interrater reliability of occupational therapist and teacher ratings of students' school function. The validity of the SFA was examined using the known-group method in 35 participants in kindergarten through 7th grade attending elementary schools; 15 students with learning disabilities (LD), 11 students with autism, and 9 students with traumatic brain injury (TBI). The SFA criterion scores for the 23 individual scales were clustered into five distinct parts for the validity analyses. Significant differences in SFA scores among the 3 groups of students were found using Kruskal-Wallis analyses (Chi2 ranged from 9.28 to 20.55, p <.01). Two discriminant analyses demonstrated high correct classification of students with autism and LD, but showed less accurate classification of students with TBI, indicating that the SFA scores of students with TBI did not fall into a systematic pattern for classification. For the interrater reliability study, 16 students' ratings by their teacher and occupational therapist were analyzed. Intraclass correlations resulted in moderate relationships between teacher and occupational therapist ratings for the average criterion scores for the three main sections of the SFA: participation,.70; task supports,.68; and activity performance,.73. Results of this study are discussed in terms of validity of score interpretation and the reliability of different team members completing the SFA questionnaire. PMID:15257967

Davies, Patricia L; Soon, Pepper Lee; Young, Michele; Clausen-Yamaki, Amy

2004-01-01

281

Bayesian Analysis for Risk Assessment of Selected Medical Events in Support of the Integrated Medical Model Effort  

NASA Technical Reports Server (NTRS)

The Exploration Medical Capability project is creating a catalog of risk assessments using the Integrated Medical Model (IMM). The IMM is a software-based system intended to assist mission planners in preparing for spaceflight missions by helping them to make informed decisions about medical preparations and supplies needed for combating and treating various medical events using Probabilistic Risk Assessment. The objective is to use statistical analyses to inform the IMM decision tool with estimated probabilities of medical events occurring during an exploration mission. Because data regarding astronaut health are limited, Bayesian statistical analysis is used. Bayesian inference combines prior knowledge, such as data from the general U.S. population, the U.S. Submarine Force, or the analog astronaut population located at the NASA Johnson Space Center, with observed data for the medical condition of interest. The posterior results reflect the best evidence for specific medical events occurring in flight. Bayes theorem provides a formal mechanism for combining available observed data with data from similar studies to support the quantification process. The IMM team performed Bayesian updates on the following medical events: angina, appendicitis, atrial fibrillation, atrial flutter, dental abscess, dental caries, dental periodontal disease, gallstone disease, herpes zoster, renal stones, seizure, and stroke.

Gilkey, Kelly M.; Myers, Jerry G.; McRae, Michael P.; Griffin, Elise A.; Kallrui, Aditya S.

2012-01-01

282

Nonoccupational and Occupational Injuries to US Workers With Disabilities  

PubMed Central

Objectives. We examined medically treated injuries among US workers with disability. Methods. Using 2006–2010 National Health Interview Survey data, we compared 3-month rates of nonoccupational and occupational injuries to workers with disability (n?=?7729) and without disability (n?=?175?947). We fitted multivariable logistic regression models to calculate odds ratios and 95% confidence intervals of injuries by disability status, controlling for sociodemographic variables. We also compared leading causes of injuries by disability status. Results. In the 3-month period prior to the survey, workers with disability were more likely than other workers to have nonoccupational injuries (odds ratio [OR]?=?2.35; 95% confidence interval [CI]?=?2.04, 2.71) and occupational injuries (OR?=?2.39; 95% CI?=?1.89, 3.01). For both groups, the leading cause was falls. Conclusions. Disability status was strongly associated with risk of nonoccupational and occupational injuries among US workers. The safety issues facing US workers with disability in the workplace warrant future research. Federal agencies with an interest in the employment of workers with disability and their safety in the workplace should take a lead in further assessing injury risk and in promoting a safe working environment for workers with disability. PMID:22742060

Price, James; Shi, Junxin; Smith, Gary A.; Stallones, Lorann; Wheeler, Krista K.

2012-01-01

283

Disability in post-earthquake Haiti: prevalence and inequality in access to services.  

PubMed

Abstract Purpose: To assess the prevalence of disability and service needs in post-earthquake Haiti, and to compare the inclusion and living conditions of people with disabilities to those without disabilities. Methods: A population-based prevalence survey of disability was undertaken in 2012 in Port-au-Prince region, which was at the centre of the earthquake in 2010. Sixty clusters of 50 people aged 5?+?years were selected with probability proportionate to size sampling and screened for disability (Washington Group short set questionnaire). A case-control study was undertaken, nested within the survey, matching cases to controls by age, gender and cluster. There was additional case finding to identify further children with disabilities. Information was collected on: socioeconomic status, education, livelihood, health, activities, participation and barriers. Results: The prevalence of disability was 4.1% (3.4-4.7%) across 3132 eligible individuals. The earthquake was the second leading cause of disability. Disability was more common with increasing age, but unrelated to poverty. Large gaps existed in access of services for people with disabilities. Adults with disabilities were less likely to be literate or work and more likely to visit health services than adults without disabilities. Children with disabilities were less likely to be currently enrolled at school compared to controls. Children and adults with disabilities reported more activity limitations and participation restriction. Conclusion: Further focus is needed to improve inclusion of people with disabilities in post-earthquake Haiti to ensure that their rights are fulfilled. Implications for Rehabilitation Almost one in six households in this region of Haiti included a person with a disability, and the earthquake was the second leading cause of disability. Fewer than half of people who reported needing medical rehabilitation had received this service. The leading reported barriers to the uptake of health services included financial constraints (50%) and difficulties with transport (40%). People with disabilities did not participate equally in education or employment and had poorer access to health care. PMID:25178862

Danquah, Lisa; Polack, Sarah; Brus, Aude; Mactaggart, Islay; Houdon, Claire Perrin; Senia, Patrick; Gallien, Pierre; Kuper, Hannah

2014-09-01

284

Assessing theory of mind nonverbally in those with intellectual disability and ASD: the penny hiding game.  

PubMed

Individuals with autism spectrum disorder (ASD) and low intellectual/language abilities are often omitted from experimental studies because of the challenges of testing these individuals. It is vital to develop appropriate and accessible tasks so that this significant part of the spectrum is not neglected. The theory of mind (ToM) has been extensively assessed in ASD, predominantly in relatively high-functioning individuals with reasonable language skills. This study aims to assess the ToM abilities of a sample of 132 participants with intellectual disability (ID) with and without ASD, matched in verbal mental age (VMA) and chronological age, using a naturalistic and nonverbal deception task: the Penny Hiding Game (PHG). The relationship between performance on the PHG and everyday adaptation was also studied. The PHG proved accessible to most participants, suggesting its suitability for use with individuals with low cognitive skills, attentional problems, and limited language. The ASD + ID group showed significantly more PHG errors, and fewer tricks, than the ID group. PHG performance correlated with Vineland adaptation scores for both groups. VMA was a major predictor of passing the task in both groups, and participants with ASD + ID required, on average, 2 years higher VMA than those with ID only, to achieve the same level of PHG success. VMA moderated the association between PHG performance and real-life social skills for the ASD + ID more than the ID group, suggesting that severely impaired individuals with ASD may rely on verbal ability to overcome their social difficulties, whereas individuals with ID alone may use more intuitive social understanding both in the PHG and everyday situations. PMID:25258194

San José Cáceres, Antonia; Keren, Noa; Booth, Rhonda; Happé, Francesca

2014-10-01

285

The ICIDH-2 as a framework for the assessment of functioning and disability in rheumatoid arthritis  

PubMed Central

Objective: To investigate by a cross sectional study in patients with rheumatoid arthritis (RA) the relationship between measures of impairment, activity limitation, and participation of the model of functioning and disability (ICIDH-2). Methods: Inclusion data of patients with RA (n=803) from the Swiss Clinical Quality Management Group were used. Impairments were measured by the Short Form-36 (SF-36) bodily pain scale, rheumatoid arthritis disease activity index (RADAI), disease activity score (DAS28), and radiographic scoring (x ray). Activity limitation was measured with the Health Assessment Questionnaire (HAQ) and the SF-36 physical functioning scale. Participation was measured with the SF-36 role and social functioning scales. Spearman (partial) correlations were used for analysis. Results: Impairment and activity limitation dimensions of the ICIDH-2 model are related; correlations with the HAQ were: SF-36 bodily pain (rs=-0.61), RADAI (rs=0.58), DAS28 (rs=0.49), and x ray (rs=0.35). Similar correlations were found for SF-36 physical functioning. Activity limitation and participation restriction dimensions are also related: the HAQ correlates well with SF-36 role-physical (rs=-0.53) and SF-36 social functioning (rs=-0.43); SF-36 physical functioning correlates similarly. For impairment and participation restriction dimensions only SF-36 bodily pain is substantially correlated (rs=0.47 and 0.48) with SF-36 role-physical, after correcting for the influence of the activity limitation dimension (HAQ and SF-36 physical functioning). Conclusions: In this cross sectional study of patients with RA, impairments are associated with activity limitations, and activity limitations are associated with participation restrictions. Pain is the only impairment directly associated with participation restrictions. Based on the results of this study, it is strongly recommended that the ICIDH-2 framework is used in clinical trials and observational studies including the assessment of disease consequences in RA. PMID:11830427

Fransen, J; Uebelhart, D; Stucki, G; Langenegger, T; Seitz, M; Michel, B

2002-01-01

286

Osteoarthritis: quality of life, comorbidities, medication and health service utilization assessed in a large sample of primary care patients  

PubMed Central

Objective To assess the gender related impact of osteoarthritis (OA) on quality of life (QoL) and health service utilization (HSU) of primary care patients in Germany. Methods Cross sectional study with 1250 OA patients attending 75 primary care practices from March to May 2005. QoL was assessed using the GERMAN-AIMS2-SF. Data about comorbidities, prescriptions, health service utilization, and physical activity were obtained by questioning patients or from the patients' medical files. Depression was assessed by means of the Patient Health Questionnaire (PHQ-9). Results 1021 (81.7%) questionnaires were returned. 347 (34%) patients were male. Impact of OA on QoL was different between gender: women achieved significantly higher scores in the AIMS 2-SF dimensions lower body (p < 0.01), symptom (p < 0.01), affect (p < 0.01) and work (p < 0.05). Main predictors of pain and disability were a high score in the "upper body "scale of the AIMS2-SF (beta = 0.280; p < 0.001), a high score in the PHQ-9 (beta = 0.214; p < 0.001), duration of OA (beta = 0.097; p = 0.004), age (beta = 0.090; p = 0.023) and the BMI (beta = 0.069; p = 0.034). Predictors of pain and disability did not differ between gender. 18.8 % of men and 19.7% of women had a concomitant depression. However, no gender differences occurred. Women visited their GP (mean 5.61 contacts in 6 months) more often than men (mean 4.08; p < 0.01); visits to orthopedics did not differ between gender. Conclusion The extent to which OA impacts men and women differs in primary care patients. This might have resulted in the revealed differences in the pharmacological treatment and the HSU. Further research is needed to confirm our findings and to assess causality. PMID:17603902

Rosemann, Thomas; Laux, Gunter; Szecsenyi, Joachim

2007-01-01

287

A Qualitative Framework to Assess Hospital \\/ Medical Websites  

Microsoft Academic Search

Nowadays, there are many peoples who access to the internet to search for a proper hospital with their desired medical services.\\u000a Hence, the website quality of hospitals or medical centers is very important to help patients\\/users. However, to design high\\u000a qualitative medical websites, we should first know the medical quality metrics. Then, we should try to find a way to

Vahid Rafe; Maryam Monfaredzadeh

288

Commentary: Balancing responsibility to patients and responsibility to aspiring physicians with disabilities.  

PubMed

In 2008, Congress amended the Americans with Disabilities Act (ADA) to relax court-imposed limitations on evidence required to warrant protection under the ADA. Since passage of the ADA in 1990, medicine has focused not on evaluating the types of accommodations that would best balance the interests of individuals with disabilities, institutions, and patients but, rather, on the question of whether individuals seeking protection under the law qualify for disability accommodations at all. The medical profession should refocus on the nature of accommodations provided to those with disabilities. In doing so, the intent to support disabled persons seeking careers in medicine must be balanced with ethical obligations to protect patient welfare. Medical schools, graduate medical education programs, licensing and certifying authorities, and assessment organizations should work together to establish evidence-based minimum criteria for the physical and cognitive capabilities required of every physician. PMID:21613888

Melnick, Donald E

2011-06-01

289

Biorisk Assessment of Medical Diagnostic Laboratories in Nigeria  

PubMed Central

Background The aim of this study was to assess public and private medical diagnostic laboratories in Nigeria for the presence of biosafety equipment, devices, and measures. Methods A total of 80 diagnostic laboratories in biosafety level 3 were assessed for the presence of biosafety equipment, devices, and compliance rate with biosafety practices. A detailed questionnaire and checklist was used to obtain the relevant information from enlisted laboratories. Results The results showed the presence of an isolated unit for microbiological work, leak-proof working benches, self-closing doors, emergency exits, fire extinguisher(s), autoclaves, and hand washing sinks in 21.3%, 71.3%, 15.0%, 1.3%, 11.3%, 82.5%, and 67.5%, respectively, of all laboratories surveyed. It was observed that public diagnostic laboratories were significantly more likely to have an isolated unit for microbiological work (p = 0.001), hand washing sink (p = 0.003), and an autoclave (p ? 0.001) than private ones. Routine use of hand gloves, biosafety cabinet, and a first aid box was observed in 35.0%, 20.0%, and 2.5%, respectively, of all laboratories examined. Written standard operating procedures, biosafety manuals, and biohazard signs on door entrances were observed in 6.3%, 1.3%, and 3.8%, respectively, of all audited laboratories. No biosafety officer(s) or records of previous spills, or injuries and accidents, were observed in all diagnostic laboratories studied. Conclusion In all laboratories (public and private) surveyed, marked deficiencies were observed in the area of administrative control responsible for implementing biosafety. Increased emphasis on provision of biosafety devices and compliance with standard codes of practices issued by relevant authorities is strongly advocated. PMID:23961333

Oladeinde, Bankole Henry; Omoregie, Richard; Odia, Ikponmwonsa; Osakue, Eguagie Osareniro; Imade, Odaro Stanley

2013-01-01

290

Improving the validity of assessment results for English language learners with disabilities  

E-print Network

, disability, public assistance status, veteran status, sexual orientation, gender identity, or gender, and employment without regard to race, color, creed, religion, national origin, gender, age, marital status expression. This document is available in alternative formats upon request. #12;iii Acknowledgments

Ciocan-Fontanine, Ionut

291

Using Ecological Momentary Assessment to Monitor Community Participation of People with Mobility-Related Disabilities  

E-print Network

individuals with severe mobility-related disabilities. These individuals each used a personal digital assistant (PDA) device to keep track of their community participation activities. In Study 1, two participants enrolled and received an education and skills...

Gonda, Chiaki

2011-06-27

292

In vitro method for medical risk assessment of laser fumes  

NASA Astrophysics Data System (ADS)

Laser processing of different materials may produce toxic fumes. In preventive occupational medicine it is necessary to evaluate valid hygienic standards for work places. The basis for such hygienic standards is the classification of laser fumes by their fibrogenic, emphysematous, immunological or other harmful potencies in biological assay systems. This paper is part of a European project on laser safety. Our part in this project is the development of a method for the investigation of lung responses using in vitro cell assays. The appropriate laser fume samples will be supplied by other groups in this European project. In contrast to the cell assays usually used in risk assessment, our method is based on isolated target cells in the lung, such as alveolar macrophages. The test criteria are mediator release, surfactant reactions, release of reactive oxygen species and cell proliferation. As demonstrated in the lung response to other dusts (minerals, fibres etc) these parameters are medically relevant factors in the pathogenic alveolar dust response. The paper gives basic information about the method using lung cell assays and the results of known substances, in comparison with a dust generated by laser processing.

Malkusch, W.; Rehn, B.; Bruch, J.

1995-02-01

293

Assessment of Self-Medication Practices Among Medical, Pharmacy, and Health Science Students in Gondar University, Ethiopia  

PubMed Central

The study was aimed at assessing the magnitude and factors of self-medication among medical, pharmacy, and health science students of GCMHS (Gondar College of Medicine and Health Sciences). A cross-sectional study with two-month illness recall was conducted. A Questionnaire consisting of demographic questions and questions on illnesses in the last two months prior to the interview and treatment strategies was prepared and administered to the 414 students, selected as the sample population, from the GCMHS students. Of a total of 414 students, 213 (51.5%) reported at least one episode of an illness, and 82 (38.5%) of them practiced self-medication. Most drugs for self-medication were obtained from the pharmacy or drug shops; and the most commonly used drugs were Paracetamol and NSAIDs (Non-steroidal anti-inflammatory drugs). Common reported illnesses were fever and headache (24.8%) followed by cough and common cold (23.9%). Prior experience and the non-seriousness of the illness were the top two reported factors for self-medication. Reading materials were the top reported source of information. In conclusion, self-medication was practiced with a range of drugs from the conventional anti-pains to antibiotics. Although the practice of self-medication is inevitable; drug authorities and health professionals need to educate students about the pros and cons of self-medication. PMID:21042491

Abay, S M; Amelo, W

2010-01-01

294

An Empirical Study Comparing Curriculum-Embedded Assessment and Traditional Aptitude Measures for Predicting Job-Related Outcomes for Students with Disabilities.  

ERIC Educational Resources Information Center

This study examined whether a curriculum-embedded assessment, the Practical Assessment Exploration System (PAES), could be used with students with disabilities to predict job-related outcomes three to five years later. Results with 103 students assessed in seventh and eighth grades suggest that the PAES offers some promise for evaluating student…

Swisher, Judith D.; Green, Samuel B.

1998-01-01

295

A Normative Study of the Disability Assessment for Dementia in Community-Dwelling Elderly Koreans  

PubMed Central

Objective We investigated demographic influences on Korean version of Disability Assessment for Dementia (DAD-K) performance and developed normative data for DAD-K. Methods The DAD-K was administered to 2362 normal controls (NCs), 296 patients with mild cognitive impairment (MCI) and 293 patients with Alzheimer's disease (AD). MANOVA and ROC curve analysis were used to compare DAD-K performance and the diagnostic accuracy of DAD-K, respectively. The demographic influence on DAD-K scores was analyzed by multiple linear regression and ANOVA. Normative DAD-K data were calculated using natural logarithmic transformation. Results All DAD-K scores were significantly different among groups (p<0.001). Post hoc analysis showed that instrumental activities of daily living (IADL), executive function and DAD-K total scores began to decline significantly in the very mild stage of AD, whereas the basic activities of daily living (BADL) scores began to decline in the mild stage of AD. The area under the ROC curve differentiating MCI or AD from NC was 0.737 and that differentiating AD from MCI or NC was 0.911. IADL and planning and organization scores were influenced by age and education and performance and DAD-K total scores were influenced by education. Conclusion The demographic influences on DAD-K scores are not conspicuous and are mainly limited to the IADL and planning and organization scores. Unitary or minimally stratified norms for a specific population were developed for DAD-K application. Our results suggest that the DAD-K is useful for differentiating NC or MCI from AD but not as powerful for differentiating NC from MCI. PMID:25395976

Jhoo, Jin Hyeong; Chi, Yeon Kyung; Choi, Hyo Jung; Han, Ji Won; Kim, Tae Hui; Lee, Jung Jae; Lee, Seok Bum; Park, Joon Hyuk; Youn, Jong Chul; Kim, Jeong Lan; Ryu, Seung-Ho; Lee, Dong Young

2014-01-01

296

Assessment of technical documentation of Annex II medical devices  

Microsoft Academic Search

An investigation was carried out on the availability and quality of the\\u000atechnical documentation (file) of medical devices. Manufacturers of\\u000amedical devices are obliged to prepare and maintain documentation\\u000acomplying with the provisions in the Medical Device Directive (MDD). \\u000aManufacturers are legally required to affix a CE mark to their medical\\u000adevices in order to gain access to the European

Roszek B; Drongelen AW van; Geertsma RE; Tienhoven EAE van

2007-01-01

297

Testing Students with Disabilities. ERIC Digest.  

ERIC Educational Resources Information Center

The assessment of students with disabilities has taken on considerable importance since the passing of the "Americans with Disabilities Act (ADA)" of 1990. ADA requires that assessment of individuals with disabilities be performed with any reasonable accommodations being made. The considerations involved in assessing students with disabilities are…

Geisinger, Kurt F.; Carlson, Janet F.

298

Overcoming the Barriers Experienced in Conducting a Medication Trial in Adults with Aggressive Challenging Behaviour and Intellectual Disabilities  

ERIC Educational Resources Information Center

Background: Aggressive challenging behaviour in people with intellectual disability (ID) is frequently treated with antipsychotic drugs, despite a limited evidence base. Method: A multi-centre randomised controlled trial was undertaken to investigate the efficacy, adverse effects and costs of two commonly prescribed antipsychotic drugs…

Oliver-Africano, P.; Dickens, S.; Ahmed, Z.; Bouras, N.; Cooray, S.; Deb, S.; Knapp, M.; Hare, M.; Meade, M.; Reece, B.; Bhaumik, S.; Harley, D.; Piachaud, J.; Regan, A.; Ade Thomas, D.; Karatela, S.; Rao, B.; Dzendrowskyj, T.; Lenotre, L.; Watson, J.; Tyrer, P.

2010-01-01

299

Training Medical Students about Hazardous Drinking Using Simple Assessment Techniques  

ERIC Educational Resources Information Center

Objective: To examine the ability of medical students to identify hazardous drinkers using screening tools recommended in clinical practice. Design: Observational cross-sectional study. Setting: Faculty of Medicine of Castilla-La Mancha, Spain. Method: The medical students learnt to use Alcohol Use Disorders Identification Test (AUDIT) and…

Hidalgo, Jesús López-Torres; Pretel, Fernando Andrés; Bravo, Beatriz Navarro; Rabadan, Francisco Escobar; Serrano Selva, Juan Pedro; Latorre Postigo, Jose Miguel; Martínez, Ignacio Párraga

2014-01-01

300

Assessing the Academic Medical Center as a Supportive Learning Community  

ERIC Educational Resources Information Center

Academic medical centers are well-known for their emphasis on teaching, research and public service; however, like most large, bureaucratic organizations, they oftentimes suffer from an inability to learn as an organization. The role of the research administrator in the academic medical center has grown over time as the profession itself has…

Gannon, Sam C.

2011-01-01

301

Defining the structure of undergraduate medical leadership and management teaching and assessment in the UK.  

PubMed

Abstract Medical leadership and management (MLM) skills are essential in preventing failings of healthcare; it is unknown how these attitudes can be developed during undergraduate medical education. This paper aims to quantify interest in MLM and recommends preferred methods of teaching and assessment at UK medical schools. Two questionnaires were developed, one sent to all UK medical school faculties, to assess executed and planned curriculum changes, and the other sent to medical students nationally to assess their preferences for teaching and assessment. Forty-eight percent of UK medical schools and 260 individual student responses were recorded. Student responses represented 60% of UK medical schools. 65% of schools valued or highly valued the importance of teaching MLM topics, compared with 93.2% of students. Students' favoured teaching methods were seminars or lectures (89.4%) and audit and quality improvement (QI) projects (77.8%). Medical schools preferred portfolio entries (55%) and presentations (35%) as assessment methods, whilst simulation exercises (76%) and audit reports (61%) were preferred by students. Preferred methods encompass experiential learning or simulation and a greater emphasis should be placed on encouraging student audit and QI projects. The curriculum changes necessary could be achieved via further integration into future editions of Tomorrow's Doctors. PMID:25301039

Stringfellow, Thomas D; Rohrer, Rebecca M; Loewenthal, Lola; Gorrard-Smith, Connor; Sheriff, Ibrahim H N; Armit, Kirsten; Lees, Peter D; Spurgeon, Peter C

2014-10-10

302

10 CFR 712.36 - Medical assessment process.  

Code of Federal Regulations, 2011 CFR

...36 Energy DEPARTMENT OF ENERGY HUMAN RELIABILITY PROGRAM Medical Standards...candidates and HRP-certified individuals. In carrying out this responsibility, the Designated...to work in either an HRP or non-HRP capacity; and (3) Any periodic...

2011-01-01

303

10 CFR 712.36 - Medical assessment process.  

Code of Federal Regulations, 2014 CFR

...36 Energy DEPARTMENT OF ENERGY HUMAN RELIABILITY PROGRAM Medical Standards...candidates and HRP-certified individuals. In carrying out this responsibility, the Designated...to work in either an HRP or non-HRP capacity; and (3) Any periodic...

2014-01-01

304

10 CFR 712.36 - Medical assessment process.  

Code of Federal Regulations, 2013 CFR

...36 Energy DEPARTMENT OF ENERGY HUMAN RELIABILITY PROGRAM Medical Standards...candidates and HRP-certified individuals. In carrying out this responsibility, the Designated...to work in either an HRP or non-HRP capacity; and (3) Any periodic...

2013-01-01

305

10 CFR 712.36 - Medical assessment process.  

Code of Federal Regulations, 2012 CFR

...36 Energy DEPARTMENT OF ENERGY HUMAN RELIABILITY PROGRAM Medical Standards...candidates and HRP-certified individuals. In carrying out this responsibility, the Designated...to work in either an HRP or non-HRP capacity; and (3) Any periodic...

2012-01-01

306

10 CFR 712.36 - Medical assessment process.  

Code of Federal Regulations, 2010 CFR

...36 Energy DEPARTMENT OF ENERGY HUMAN RELIABILITY PROGRAM Medical Standards...candidates and HRP-certified individuals. In carrying out this responsibility, the Designated...to work in either an HRP or non-HRP capacity; and (3) Any periodic...

2010-01-01

307

Close Encounters of the Medical Kind: When Kids with Autism or Other Developmental Disabilities Visit the Doctor  

ERIC Educational Resources Information Center

Taking a young child to the doctor is not always the easiest of tasks, even when the child does not have a disability. This can be seen in the sheer number of children's books on the subject. Using key words such as "going to the doctor," a quick search of Amazon.com's children's book listing brings up a list of over 1,200 books. While the books…

McGinnis, Kristy

2009-01-01

308

Medical tourism: assessing the evidence on treatment abroad.  

PubMed

The review focuses on one growing dimension of health care globalisation - medical tourism, whereby consumers elect to travel across borders or to overseas destinations to receive their treatment. Such treatments include cosmetic and dental surgery; cardio, orthopaedic and bariatric surgery; IVF treatment; and organ and tissue transplantation. The review sought to identify the medical tourist literature for out-of-pocket payments, focusing wherever possible on evidence and experience pertaining to patients in mid-life and beyond. Despite increasing media interest and coverage hard empirical findings pertaining to out-of-pocket medical tourism are rare. Despite a number of countries offering relatively low cost treatments we know very little about many of the numbers and key indicators on medical tourism. The narrative review traverses discussion on medical tourist markets, consumer choice, clinical outcomes, quality and safety, and ethical and legal dimensions. The narrative review draws attention to gaps in research evidence and strengthens the call for more empirical research on the role, process and outcomes of medical tourism. In concluding it makes suggestion for the content of such a strategy. PMID:20185254

Lunt, Neil; Carrera, Percivil

2010-05-01

309

Parental assessment of pain coping in individuals with intellectual and developmental disabilities  

Microsoft Academic Search

Pain coping is thought to be the most significant behavioural contribution to the adjustment to pain. Little is known about how those with intellectual and developmental disabilities (IDD) cope with pain. We describe parental reported coping styles and how coping relates to individual factors. Seventy-seven caregivers of children and adults with IDD reported on coping styles using the Pediatric Pain

Chantel C. Burkitt; Lynn M. Breau; Marc Zabalia

2011-01-01

310

Sexuality and People with Intellectual Disabilities: Assessment of Knowledge, Attitudes, Experiences, and Needs  

ERIC Educational Resources Information Center

The topic of sexuality and romantic relationships of people with mild to moderate intellectual disabilities was examined. We developed a questionnaire to investigate the 76 respondents' sexual knowledge, attitudes, experience, and needs. During the interviews, observational data were gathered to check the validity of the instrument. Results show…

Siebelink, Eline M.; de Jong, Menno D. T.; Taal, Erik; Roelvink, Leo

2006-01-01

311

Parental Assessment of Pain Coping in Individuals with Intellectual and Developmental Disabilities  

ERIC Educational Resources Information Center

Pain coping is thought to be the most significant behavioural contribution to the adjustment to pain. Little is known about how those with intellectual and developmental disabilities (IDD) cope with pain. We describe parental reported coping styles and how coping relates to individual factors. Seventy-seven caregivers of children and adults with…

Burkitt, Chantel C.; Breau, Lynn M.; Zabalia, Marc

2011-01-01

312

Validating an Assessment of Individual Actions, Postsecondary Supports, and Social Supports of College Students with Disabilities  

ERIC Educational Resources Information Center

In this study, the authors developed, administered, and evaluated a measure of individual actions of college students with disabilities and their perceptions of postsecondary and social supports. An exploratory factor analysis resulted in nine reliable factors in these three areas. Follow-up regression analyses revealed that self-advocacy…

Lombardi, Allison; Gerdes, Hilary; Murray, Christopher

2011-01-01

313

Rethinking Social Network Assessment for Students with Intellectual Disabilities (ID) in Postsecondary Education  

ERIC Educational Resources Information Center

Social networks of persons with intellectual disabilities (ID) have been characterized as smaller and less diverse than those of typical peers. Advocates have focused on strengthening those social networks by expanding circles of social support, protection, and friendship. As young adults with ID experience increasing levels of community…

Eisenman, Laura T.; Farley-Ripple, Elizabeth; Culnane, Mary; Freedman, Brian

2013-01-01

314

Assessment of Postural Adjustments in Persons with Intellectual Disability during Balance on the Seesaw  

ERIC Educational Resources Information Center

Background: The purpose of this study was to investigate the kinematic and electromyography strategy used by individuals with intellectual disability to keep equilibrium during anterior-posterior balance on seesaws with different degrees of instability. Method: Six individuals with Down syndrome (DS) and six control group individuals (CG) balanced…

Carvalho, R. L.; Almeida, G. L.

2009-01-01

315

Psychoneurological Assessment and Treatment of Language Disorders in Learning Disabled Adolescents.  

ERIC Educational Resources Information Center

The study investigated differences in language development between two groups of learning disabled (LD) high school students, 40 LD students in secondary regular classes, and 40 LD students integrated into regular secondary classes and receiving additional support through learning resource centers. The Test of Adolescent Language (TOAL) was used…

Kendall, William S.; Battles, Debra A.

316

Reading Fluency: Implications for the Assessment of Children with Reading Disabilities  

ERIC Educational Resources Information Center

The current investigation explored the diagnostic utility of reading fluency measures in the identification of children with reading disabilities. Participants were 50 children referred to a university-based clinic because of suspected reading problems and/or a prior diagnosis of dyslexia, where children completed a battery of standardized…

Meisinger, Elizabeth B.; Bloom, Juliana S.; Hynd, George W.

2010-01-01

317

Assessing the Balance Capabilities of People with Profound Intellectual Disabilities Who Have Experienced a Fall  

ERIC Educational Resources Information Center

Background: Although it is common for people with intellectual disability (ID) to fall, the reasons for this have not yet been identified. This pilot study aimed to explore the balance capabilities of a sample of adults with profound ID who had experienced a fall, in order to identify possible reasons for falling and to identify potential tests…

Hale, L.; Bray, A.; Littmann, A.

2007-01-01

318

A Code for Assessing Teaching Skills of Parents of Developmentally Disabled Children.  

ERIC Educational Resources Information Center

An observation code was found to discriminate reliably between correct and incorrect behavior modification skills of 12 parents of developmentally disabled children (two to six years old). Parents were more proficient teachers after a training program focusing on behavior change principles and language acquisition. (CL)

Weitz, Steven E.

1982-01-01

319

Assessing Fears and Related Anxieties in Children and Adolescents with Learning Disabilities or Mild Mental Retardation  

ERIC Educational Resources Information Center

The purpose of the present study was to examine self-reported fears and related anxieties in children and adolescents (7-18 years of age) having learning disabilities (LD) or mild mental retardation (MIMR), and whether these fears and related anxieties differ based on gender and age. Students responded to two well validated instruments, The "Fear…

Li, Huijun; Morris, Richard J

2007-01-01

320

The next Exclusion Debate: Assessing Technology, Ethics, and Intellectual Disability after the Human Genome Project  

ERIC Educational Resources Information Center

Recent scientific discoveries have made it much easier to test prenatally for various genetic disabilities, such as Down syndrome. However, while many observers have heralded such "advances" for their effectiveness in detecting certain conditions, others have argued that they perpetuate discrimination by preventing the birth of children with…

Munger, Kelly M.; Gill, Carol J.; Ormond, Kelly E.; Kirschner, Kristi L.

2007-01-01

321

Severe hyponatraemia in medical in-patients: aetiology, assessment and outcome  

Microsoft Academic Search

Summary Background: Hyponatraemia is the most commonly identified electrolyte abnormality. Published data on severe hyponatraemia in general medical in-patients is lacking. Aim: To determine the aetiology, adequacy of assessment, and outcome of severe hyponatraemia in general medical in-patients. Design: Retrospective case-note review. Methods: All general medical in-patients (n ¼ 108) with serum sodium 4125 mmol\\/l were identified from the clinical

J. A. Clayton; I. R. LE JEUNE; I. P. HALL

2006-01-01

322

Brief Report: "Quick and (Not So) Dirty" Assessment of Change in Autism--Cross-Cultural Reliability of the Developmental Disabilities CGAS and the OSU Autism CGI  

ERIC Educational Resources Information Center

There are few evaluated economic tools to assess change in autism. This study examined the inter-rater reliability of the Developmental Disabilities Children's Global Assessment Scale (DD-CGAS), and the OSU Autism Clinical Global Impression (OSU Autism CGI) in a European setting. Using these scales, 16 clinicians with multidisciplinary…

Choque Olsson, Nora; Bölte, Sven

2014-01-01

323

Guidelines for Ensuring the Technical Quality of Assessments Affecting English Language Learners and Students with Disabilities: Development and Implementation of Regulations  

ERIC Educational Resources Information Center

These guidelines, prepared by the Special Populations Strand of the Assessment and Accountability Comprehensive Center (AACC), focus on the technical quality of assessments for English language learners (ELLs) and students with disabilities (SWDs). This document is an evolving document that will periodically be updated to incorporate new…

Sato, Edynn; Worth, Peter; Gallagher, Carole; Lagunoff, Rachel; McKeag, Holly

2007-01-01

324

Aligning and Inventing Practices to Achieve Inclusive Assessment Policies: A Decade of Work toward Optimal Access for US Students with Disabilities 2001-2011  

ERIC Educational Resources Information Center

The decade following the publication of the No Child Left Behind Act 2001 was an innovative period with respect to inclusive assessment practices for students with disabilities (SWDs). As the United States educational policies under the Obama Administration's Race to the Top initiative re-conceive the inclusion of SWDs in state assessment-based…

Weigert, Susan C.

2012-01-01

325

Technology-Enabled and Universally Designed Assessment: Considering Access in Measuring the Achievement of Students with Disabilities--A Foundation for Research  

ERIC Educational Resources Information Center

This paper represents one outcome from the "Invitational Research Symposium on Technology-Enabled and Universally Designed Assessments," which examined technology-enabled assessments (TEA) and universal design (UD) as they relate to students with disabilities (SWD). It was developed to stimulate research into TEAs designed to make tests…

Almond, Patricia; Winter, Phoebe; Cameto, Renee; Russell, Michael; Sato, Edynn; Clarke-Midura, Jody; Torres, Chloe; Haertel, Geneva; Dolan, Robert; Beddow, Peter; Lazarus, Sheryl

2010-01-01

326

The Use of Psychotropic Medication for People with Severe Disabilities and Challenging Behavior: Current Status and Future Directions.  

ERIC Educational Resources Information Center

This article reviews basic literature on behavioral pharmacology and integrates these findings with existing applied research regarding psychotropic medication. Suggestions are provided for improving research practices, increasing the diversity of people in decision-making regarding medication use, and developing consumer-friendly strategies for…

Kennedy, Craig H.; Meyer, Kim A.

1998-01-01

327

Committee to Assess the Teaching of Pathology in New Medical School Curricula.  

ERIC Educational Resources Information Center

This is the report of a committee appointed by the American Association of Chairmen of Medical School Departments of Pathology (AACMSDP), Inc. to assess the role and major objectives of pathology departments in the education of medical students. The report includes a summary of the overall project and findings, abstracts of the meeting and…

American Association of Chairmen of Medical School Departments of Pathology, Inc., St. Louis, MO.

328

Using a Quasi-Experimental Research Design to Assess Knowledge in Continuing Medical Education Programs  

ERIC Educational Resources Information Center

Introduction: The objectives of continuing medical education (CME) programs include knowledge acquisition, skill development, clinical reasoning and decision making, and health care outcomes. We conducted a yearlong medical education research study in which knowledge acquisition in our CME programs was assessed. Method: A randomized…

Markert, Ronald J.; O'Neill, Sally C.; Bhatia, Subhash C.

2003-01-01

329

Development and Validation of a Test Instrument for Assessing Value Preferences in Medical Ethics.  

ERIC Educational Resources Information Center

A test instrument for assessing the preferences medical students show for six value categories (aesthetic, economic, political, religious, social, and theoretical) was developed using a case-study approach. Validation was by comparison of medical ethics and general values in nonmedical students. Further research on the social values category is…

Stolman, Cynthia J.; Doran, Rodney L.

1982-01-01

330

Telephoning the patient's pharmacy to assess adherence with asthma medications by measuring refill rate for prescriptions  

Microsoft Academic Search

Objective: To determine whether a prescription refill history obtained by telephoning patients' pharmacies identifies poor adherence with asthma medications more frequently than physician assessment.Methods: The study population consisted of 116 children with persistent asthma who were Medicaid recipients; patients who received medication samples were excluded. During a clinic visit pulmonologists interviewed patients, caretakers, or both and estimated adherence on a

James Sherman; Alan Hutson; Sandra Baumstein; Leslie Hendels

2000-01-01

331

An Assessment of Teachers' Preference for Lecture Delivery Methods in Medical Education  

ERIC Educational Resources Information Center

The aim of the study was to assess the medical teachers' preference for various lecture delivery methods like the lectures using chalkboard, utilizing transparencies with an overhead projector (OHP) or lectures using a PowerPoint presentation and their frequency of use of teaching aids. The faculty of the medical college was asked to fill in the…

Seth, Vikas; Upadhyaya, Prerna; Ahmad, Mushtaq; Kumar, Virendra

2010-01-01

332

Medical technologies, nonhuman aids, human assistance, and environmental factors in the assessment of health states  

Microsoft Academic Search

Researchers have developed various health state measures to capture the value of living well. They have reached a consensus that health state measures focus on functionality and general symptoms. One can assess functionality and general symptoms with or without medical technologies (for example, medication, laser surgery, or a pacemaker), nonhuman aids (for example, glasses or a wheelchair), human assistance (for

Yukiko Asada

2005-01-01

333

Training, Quality Assurance, and Assessment of Medical Record Abstraction in a Multisite Study  

Microsoft Academic Search

Clinical studies using medical record review should include careful training and quality assurance methods to enhance the reliability and validity of data obtained from the records. Because of time and budget constraints, comprehensive assessments of data quality and reliability, including masking of medical record abstractors, are not always possible. This paper describes the abstractor training and quality control methods and

Lisa M. Reisch; Jessica Scura Fosse; Kevin Beverly; Onchee Yu; William E. Barlow; Emily L. Harris; Sharon Rolnick; Mary B. Barton; Ann M. Geiger; Lisa J. Herrinton; Sarah M. Greene; Suzanne W. Fletcher; Joann G. Elmore

2003-01-01

334

Assessing the Benefits of a Geropsychiatric Home-Visit Program for Medical Students  

ERIC Educational Resources Information Center

Objective: Authors assessed the benefit of including medical students on geropsychiatric home-visits. Method: Medical students, during their psychiatry clerkship, were assigned to a home-visit group (N=43) or control group (N=81). Home-visit participants attended the initial visit of a home-bound geriatric patient. The Maxwell-Sullivan Attitude…

Roane, David M.; Tucker, Jennifer; Eisenstadt, Ellen; Gomez, Maria; Kennedy, Gary J.

2012-01-01

335

Using Quantile Regression to Assess Disparities in Medication Adherence  

PubMed Central

Objective To examine racial/ethnic disparities in medication adherence between Asian and Pacific Islander Americans and Whites. Methods This retrospective data analysis included diabetes patients enrolled in a Hawaiian health plan (N = 43,445). For anti-diabetic, lipid-lowering, and anti-hypertensive medications, quantile regression was estimated at 25th, 50th, and 75th quantiles to examine the association with race and ethnicity, controlling for other patient characteristics. Results Consistently, Filipinos, Native Hawaiians, and other Pacific Islanders were significantly less adherent than Whites. The greatest disparities were found for other Pacific Islanders using lipid-lowering medications, with adjusted differences in medication adherence, with reductions relative to Whites of as much as 19% for lipid-lowering medications for the 25th quantile of adherence. Conclusion Whereas the large sample size undoubtedly contributed to the statistical significance, the large magnitude of the disparities, particularly for Filipinos, Native Hawaiians, and other Pacific Islanders, suggests that these are meaningful differences that need to be addressed. The largest disparities were found at the lowest quantile suggests that they may be occurring among the most vulnerable populations with potentially poor access to care. PMID:24034680

Juarez, Deborah T.; Tan, Candace; Davis, James W.; Mau, Marjorie M.

2013-01-01

336

Using Disability-Adjusted Life Years to Assess the Burden of Disease and Injury in Rhode Island  

PubMed Central

Objectives Disability-adjusted life years (DALYs) measure the burden of disease and injury in a population. We tested the feasibility of calculating DALYs to assess the burden of disease and injury in Rhode Island (RI). Methods We computed DALYs for the 2008 RI population using methods developed by the World Health Organization, Harvard University, and the World Bank. DALYs are a composite measure that sum years of life lost (YLLs) due to premature mortality with years lived with disability (YLDs). We calculated crude mortality, YLLs, YLDs, and DALYs for 90 major health conditions for RI and stratified them by gender and age. Calculations for YLLs and YLDs were based on five-year averages. We compared our results with U.S. and Los Angeles County, California, estimates. Results A DALYs ranking produces a different picture of RI's disease and injury burden than does mortality-based ranking. Of 90 major health conditions assessed for RI, six of the top 10 causes for mortality and DALYs were the same, but were ranked differently: ischemic heart disease, cerebrovascular disease, Alzheimer dementia and other dementias, trachea/bronchus/lung cancer, chronic obstructive pulmonary disease, and diabetes mellitus. These six conditions accounted for 59% of deaths but only 35% of DALYs. Causes and rank orders for DALYs differed between males and females and among age groups. Conclusions Including nonfatal health conditions in an assessment of population health provides a different picture than traditional mortality-based assessments. This study demonstrates the feasibility and constraints of using DALYs to assess the burden of disease and injury at the state level. PMID:22547860

Jiang, Yongwen; Hesser, Jana Earl

2012-01-01

337

[Forensic assessment of suspected medical malpractice and outcome of preliminary proceedings against medical practitioners].  

PubMed

In a retrospective study, all autopsies performed at the Institute of Forensic Medicine of the Justus Liebig University of Giessen between 1968 and 2007 for suspected medical malpractice with fatal outcome were evaluated and analysed with regard to the reason for initiating preliminary investigations and the medical specialties involved. In 109 cases, the prosecution files could be inspected as to the outcome of the proceedings. As there are hardly any comparable studies in the German-speaking countries, the data were compared with the results of two older studies. In many cases, medical malpractice could be excluded directly at the end of the post-mortem examination. Most of the charges were dropped according to Section 170 subs. 2 Code of Criminal Procedure. PMID:25004618

Sandhop, Michael W; Birngruber, Christoph G; Dettmeyer, Reinhard B

2014-01-01

338

Medication Side Effects and Problem Behavior: A Context-Based Approach to Assessment and Intervention in Home and Community Settings  

ERIC Educational Resources Information Center

Problem behavior significantly impedes multiple aspects of quality of life for individuals with developmental disabilities, and thus represents a major priority for intervention. Psychotropic medications are commonly administered to treat such behavior; however, these agents are often associated with adverse side effects that may have a negative…

Bleiweiss, Jamie

2009-01-01

339

National survey of clinical communication assessment in medical education in the United Kingdom (UK)  

PubMed Central

Background All medical schools in the UK are required to be able to provide evidence of competence in clinical communication in their graduates. This is usually provided by summative assessment of clinical communication, but there is considerable variation in how this is carried out. This study aimed to gain insight into the current assessment of clinical communication in UK medical schools. Methods The survey was sent via e-mail to communication leads who then were asked to consult with all staff within their medical school involved in the assessment of communication. Results Results were obtained from 27 out of 33 schools (response rate 82%) and a total of 34 courses. The average number of assessments per year was 2.4 (minimum 0, maximum 10). The Objective Structured Clinical Exam (OSCE) was the most commonly used method of assessment (53%). Other assessments included MCQ and workplace based assessments. Only nine courses used a single method of assessment. Issues raised included, logistics and costs of assessing mainly by OSCE, the robustness and reliability of such exams and integration with other clinical skills. Conclusions It is encouraging that a variety of assessment methods are being used within UK medical schools and that these methods target different components of clinical communication skills acquisition. PMID:24417939

2014-01-01

340

Risk Assessment – Hospital View in Selecting Medical Technology  

Microsoft Academic Search

Appropriate deployment of technological innovation contributes to improvement in the quality of healthcare delivered, the containment of cost, and access to the healthcare system. Hospitals have been allocating a significant portion of their resources to procuring and managing capital assets; they are continuously faced with demands for new medical equipment and are asked to manage existing inventory for which they

Y. David; E. Jahnke; C. Blair

2004-01-01

341

MRI compatibility and visibility assessment of implantable medical devices  

Microsoft Academic Search

We have developed a protocol to evaluate the magnetic resonance (MR) compatibility of implantable medical de- vices. The testing protocol consists of the evaluation of magnetic field-induced movement, electric current, heat- ing, image distortion, and device operation. In addition, current induction is evaluated with a finite element analy- sis simulation technique that models the effect of radiofre- quency fields on

Beth A. Schueler; Todd B. Parrish; Bruce E. Hammer; Brian J. Pangrle; E. Russell Ritenour; John Kucharczyk; Charles L. Truwit

1999-01-01

342

Farmers' Concerns: A Qualitative Assessment to Plan Rural Medical Education  

ERIC Educational Resources Information Center

Abstract Context: Limited research suggests that translational approaches are needed to decrease the distance, physical and cultural, between farmers and health care. Purpose: This study seeks to identify special concerns of farmers in Alabama and explore the need for a medical education program tailored to prepare physicians to address those…

Anderson, Brittney T.; Johnson, Gwendolyn J.; Wheat, John R.; Wofford, Amina S.; Wiggins, O. Sam; Downey, Laura H.

2012-01-01

343

Assessing Medication Effects in the MTA Study Using Neuropsychological Outcomes  

ERIC Educational Resources Information Center

Background: While studies have increasingly investigated deficits in reaction time (RT) and RT variability in children with attention deficit/hyperactivity disorder (ADHD), few studies have examined the effects of stimulant medication on these important neuropsychological outcome measures. Methods: 316 children who participated in the Multimodal…

Epstein, Jeffery N.; Conners, C. Keith; Hervey, Aaron S.; Tonev, Simon T.; Arnold, L. Eugene; Abikoff, Howard B.; Elliott, Glen; Greenhill, Laurence L.; Hechtman, Lily; Hoagwood, Kimberly; Hinshaw, Stephen P.; Hoza, Betsy; Jensen, Peter S.; March, John S.; Newcorn, Jeffrey H.; Pelham, William E.; Severe, Joanne B.; Swanson, James M.; Wells, Karen; Vitiello, Benedetto; Wigal, Timothy

2006-01-01

344

Developing and Assessing Curriculum on the Physics of Medical Instruments  

ERIC Educational Resources Information Center

Undergraduate educational settings often struggle to provide students with authentic biologically or medically relevant situations and problems that simultaneously improve their understanding of physics. Through exercises and laboratory activities developed in an elective Physics in Biomedicine course for upper-level biology or pre-health majors…

Christensen, Warren; Johnson, James K.; Van Ness, Grace R.; Mylott, Elliot; Dunlap, Justin C.; Anderson, Elizabeth A.; Widenhorn, Ralf

2013-01-01

345

Medical Student Assessment of Videotape for Teaching in Diagnostic Radiology  

ERIC Educational Resources Information Center

A series of six recordings that describe some aspects of the radiology of the chest, using only radiographs, were viewed by a small group of final year medical students. Their scores for factual questions immediately afterwards were compared with their attitudes to the learning experience; higher scores correlated with positive attitudes. (LBH)

Moss, J. R.; McLachlan, M. S. F.

1976-01-01

346

Assessment of foetal risk associated with 93 non-US-FDA approved medications during pregnancy  

PubMed Central

Health care practitioners utilize the United States-Food and Drug Administration (US-FDA) pregnancy categorization (A, B, C, D, X) for making decision on the appropriateness of certain medications during pregnancy. Many non US-FDA approved medications are registered and marketed in Saudi Arabia. However, these medications do not have an assigned pregnancy risk categorization like those approved in the US. The objective of this review is to evaluate, report, and categorize the foetal risk associated with non-US-FDA approved medications registered by the Saudi Food and Drug Authority (S-FDA) according to the US-FDA pregnancy risk categorization system. We identified 109 non-US-FDA approved medications in the Saudi National Formulary (SNF) as of October 2007. We searched for data on functional or anatomical birth defects or embryocidal-associated risk using different databases and references. An algorithm for risk assessment was used to determine a pregnancy risk category for each medication. Out of 93 eligible medications, 73% were assigned category risk C, 10 medications (11%) were assigned category risk D, and 12 medications (13%) were assigned category risk B. Only three medications were judged to be safe during pregnancy based on the available evidence and were assigned category risk A. Inconsistencies in defining and reporting the foetal risk category among different drug regulatory authorities could create confusion and affect prescribing. We believe that standardization and inclusion of this information in the medication package insert is extremely important to all health care practitioners. PMID:23960803

Al-jedai, Ahmed H.; Balhareth, Sakra S.; Algain, Roaa A.

2012-01-01

347

SENSITIVITY OF PASSIVE APPROACH DURING PREFERENCE AND REINFORCER ASSESSMENTS FOR CHILDREN WITH SEVERE AND PROFOUND INTELLECTUAL DISABILITIES AND MINIMAL MOVEMENT  

PubMed Central

We evaluated the use of passive approach to assess preferences of two children, with severe and profound intellectual disabilities. Both children had physical challenges and exhibited minimal physical movement. We also compared the relative reinforcing effects of the identified high and low preference stimuli for a switch pressing response, and for a more passive looking response. High and low preference stimuli were identified for both children. Moreover, the high preference stimulus maintained higher rates of responding than the low preference stimulus for both children for the passive looking response, but not for switch pressing. The study extended the use of passive approach to assess preferences and identified the choice of target response as a potential limiting factor during reinforcer tests for these children. PMID:23539237

Spevack, Sara; Yu, C. T.; Lee, May S.; Martin, Garry L.

2013-01-01

348

Sleep Onset Problems in Two Children with Mild Intellectual Disability and Epilepsy: Assessment and Treatment in the Home Setting  

ERIC Educational Resources Information Center

Sleep problems such as bedtime difficulties, frequent night waking and excessive daytime sleepiness are prevalent in children with epilepsy. In the present study, functional assessment of sleep onset problems in two young children with epilepsy was performed. Effects of bedtime fading and antipsychotic medication (pipamperon) in a 6-year-old boy,…

Maas, A. P. H. M.; Didden, R.; de Moor, J. M. H.; Renier, W. O.; Curfs, L. M. G.

2005-01-01

349

Standardised patients with intellectual disabilities in training tomorrow’s doctors  

PubMed Central

Aims and method To develop a programme to help undergraduate medical students and postgraduate trainees to improve their skills in communicating with people with intellectual disabilities through teaching sessions that had input from simulated patients with intellectual disabilities. We conducted four sessions of training for 47 undergraduate 4th-year medical students. The training involved a multiprofessional taught session followed by a clinical scenario role-play with simulated patients who were people with intellectual disabilities. The training was assessed by completing the healthcare provider questionnaire before and after the training. Results There were improvements in the students’ perceived skill, comfort and the type of clinical approach across all three scenarios. Clinical implications By involving people with intellectual disabilities in training medical students there has been a significant improvement in students’ communication skills in areas of perceived skills, comfort and type of clinical approach which will raise the quality of care provided by them in the future. PMID:25237524

Thomas, Bini; Courtenay, Ken; Hassiotis, Angela; Strydom, Andre; Rantell, Khadija

2014-01-01

350

Assessment of medical occupational radiation doses in Costa Rica.  

PubMed

Participation of the University of Costa Rica (UCR) in activities in an IAEA Regional Project RLA/9/066 through training, equipment and expert missions, has enabled to setting up of a national personal monitoring laboratory. Since 2007, the UCR has been in charge of monitoring around 1800 medical radiation workers of the Social Security System. Individual external doses are measured with thermoluminescent dosemeter using a Harshaw 6600 Plus reader. The service has accreditation with ISO/IEC 17025:2005. Distribution of monitored medical personnel is as follows: 83 % in diagnostic radiology, 6 % in nuclear medicine and 6 % in radiotherapy. Preliminary values for the 75 percentile of annual H(p)(10) in mSv are: radiology 0.37; interventional radiology 0.41; radiotherapy 0.53 and nuclear medicine 1.55. The service provided by the UCR in a steady and reliable way can help to implement actions to limit the doses received by the medical workers and optimise their radiation protection programs. PMID:21856694

Mora, P; Acuña, M

2011-09-01

351

Intellectual Disability  

MedlinePLUS

... is intellectual disability? Intellectual disability, also known as mental retardation, is a term used when there are limits ... infections. What are some of the signs of intellectual disability? Usually, the more severe the degree of intellectual ...

352

Reliability and Validity of the Migraine Disability Assessment Scale among Migraine and Tension Type Headache in Iranian Patients  

PubMed Central

Introduction. MIDAS is a valid and reliable short questionnaire for assessment of headache related disability. Linguistic validation of Persian MIDAS and assessment of psychometric properties between tension type headache (TTH) and migraine were the aims of this study. Methods. Patients with migraine or TTH were included. At the first visit, we administered a headache symptom questionnaire, MIDAS, and SF-36. Patients filled out MIDAS in second and third visit within three and eight weeks after base line visit. Internal consistency (Cronbach ?) and test-retest reproducibility (Spearman correlation coefficient) were used to assess reliability. Convergent validity and MIDAS capability to differentiate between chronic and episodic headaches (migraine and TTH) were also assessed. Results. The 267 participants had episodic migraine (EM-64%), chronic migraine (CM-13.5%), episodic TTH (ETTH-13.5%), and chronic TTH (CTTH-9). Internal consistency reliability was 0.8 for the entire sample, 0.72 for TTH, and 0.82 for migraine. Test-retest reliability for all questions between visit 1 and visit 2 varied from 0.54 to 0.71. Convergent validity was assessed using SF-36 as an external referent. Patients with episodic headaches (EM and ETTH) had significantly lower MIDAS scores than chronic headaches (CM and CTTH). Conclusion. Persian MIDAS is a valid and reliable questionnaire for migraine and TTH that can differentiate between episodic headache and chronic headache. PMID:24527462

Asgari, Fatemeh; Haghdoost, Faraidoon; Masjedi, Samaneh Sadat; Manouchehri, Navid; Banihashemi, Mahboobeh; Ghorbani, Abbas; Najafi, Mohammad Reza; Saadatnia, Mohammad; Lipton, Richard B.

2014-01-01

353

Health disparities among adults with developmental disabilities, adults with other disabilities, and adults not reporting disability in North Carolina.  

PubMed Central

OBJECTIVES: The purposes of this study were (1) to identify disparities between adults with developmental disabilities and non-disabled adults in health and medical care, and (2) to compare this pattern of disparities to the pattern of disparities between adults with other disabilities and adults without disabilities. METHODS: The authors compared data on health status, health risk behaviors, chronic health conditions, and utilization of medical care across three groups of adults: No Disability, Disability, and Developmental Disability. Data sources were the 2001 North Carolina Behavioral Risk Factor Surveillance System and the North Carolina National Core Indicators survey. RESULTS: Adults with developmental disabilities were more likely to lead sedentary lifestyles and seven times as likely to report inadequate emotional support, compared with adults without disabilities. Adults with disabilities and developmental disabilities were significantly more likely to report being in fair or poor health than adults without disabilities. Similar rates of tobacco use and overweight/obesity were reported. Adults with developmental disabilities had a similar or greater risk of having four of five chronic health conditions compared with non-disabled adults. Significant medical care utilization disparities were found for breast and cervical cancer screening as well as for oral health care. Adults with developmental disabilities presented a unique risk for inadequate emotional support and low utilization of breast and cervical cancer screenings. CONCLUSIONS: Significant disparities in health and medical care utilization were found for adults with developmental disabilities relative to non-disabled adults. The National Core Indicators protocol offers a sound methodology to gather much-needed surveillance information on the health status, health risk behaviors, and medical care utilization of adults with developmental disabilities. Health promotion efforts must be specifically designed for this population. PMID:15219799

Havercamp, Susan M.; Scandlin, Donna; Roth, Marcia

2004-01-01

354

Assessor Training: Its Effects on Criterion-Based Assessment in a Medical Context  

ERIC Educational Resources Information Center

Increasingly, academic institutions are being required to improve the validity of the assessment process; unfortunately, often this is at the expense of reliability. In medical schools (such as Leeds), standardized tests of clinical skills, such as "Objective Structured Clinical Examinations" (OSCEs) are widely used to assess clinical competence,…

Pell, Godfrey; Homer, Matthew S.; Roberts, Trudie E.

2008-01-01

355

The Mechanism of Impact of Summative Assessment on Medical Students' Learning  

ERIC Educational Resources Information Center

It has become axiomatic that assessment impacts powerfully on student learning, but there is a surprising dearth of research on how. This study explored the mechanism of impact of summative assessment on the process of learning of theory in higher education. Individual, in-depth interviews were conducted with medical students and analyzed…

Cilliers, Francois J.; Schuwirth, Lambert W.; Adendorff, Hanelie J.; Herman, Nicoline; van der Vleuten, Cees P.

2010-01-01

356

How do United Kingdom (UK) medical schools identify and support undergraduate medical students who ‘fail’ communication assessments? A national survey  

PubMed Central

Background The doctor’s ability to communicate effectively (with patients, relatives, advocates and healthcare colleagues) relates directly to health outcomes, and so is core to clinical practice. The remediation of medical students’ clinical communication ability is rarely addressed in medical education literature. There is nothing in the current literature reporting a contemporary national picture of how communication difficulties are managed, and the level of consequence (progression implications) for students of performing poorly. This survey aimed to consolidate practices for identifying and processes for managing students who ‘fail’ communication assessments across all UK medical schools. Methods Data were collected via an email survey to all leads for clinical communication in all UK Medical Schools for the UK Council for Clinical Communication in Undergraduate Medical Education. Results All but two participating Schools reported some means of support and/or remediation in communication. There was diversity of approach, and variance in the level of systemisation adopted. Variables such as individuality of curricula, resourcing issues, student cohort size and methodological preferences were implicated as explaining diversity. Support is relatively ad hoc, and often in the hands of a particular dedicated individual or team with an interest in communication delivery with few Schools reporting robust, centralised, school level processes. Conclusions This survey has demonstrated that few Medical Schools have no identifiable system of managing their students’ clinical communication difficulties. However, some Schools reported ad hoc approaches and only a small number had a centralised programme. There is scope for discussion and benchmarking of best practice across all Schools with allocation of appropriate resources to support this. PMID:23834990

2013-01-01

357

The Multiple Sclerosis Performance Test (MSPT): An iPad-Based Disability Assessment Tool  

PubMed Central

Precise measurement of neurological and neuropsychological impairment and disability in multiple sclerosis is challenging. We report a new test, the Multiple Sclerosis Performance Test (MSPT), which represents a new approach to quantifying MS related disability. The MSPT takes advantage of advances in computer technology, information technology, biomechanics, and clinical measurement science. The resulting MSPT represents a computer-based platform for precise, valid measurement of MS severity. Based on, but extending the Multiple Sclerosis Functional Composite (MSFC), the MSPT provides precise, quantitative data on walking speed, balance, manual dexterity, visual function, and cognitive processing speed. The MSPT was tested by 51 MS patients and 49 healthy controls (HC). MSPT scores were highly reproducible, correlated strongly with technician-administered test scores, discriminated MS from HC and severe from mild MS, and correlated with patient reported outcomes. Measures of reliability, sensitivity, and clinical meaning for MSPT scores were favorable compared with technician-based testing. The MSPT is a potentially transformative approach for collecting MS disability outcome data for patient care and research. Because the testing is computer-based, test performance can be analyzed in traditional or novel ways and data can be directly entered into research or clinical databases. The MSPT could be widely disseminated to clinicians in practice settings who are not connected to clinical trial performance sites or who are practicing in rural settings, drastically improving access to clinical trials for clinicians and patients. The MSPT could be adapted to out of clinic settings, like the patient’s home, thereby providing more meaningful real world data. The MSPT represents a new paradigm for neuroperformance testing. This method could have the same transformative effect on clinical care and research in MS as standardized computer-adapted testing has had in the education field, with clear potential to accelerate progress in clinical care and research. PMID:25046650

Rudick, Richard A.; Miller, Deborah; Bethoux, Francois; Rao, Stephen M.; Lee, Jar-Chi; Stough, Darlene; Reece, Christine; Schindler, David; Mamone, Bernadett; Alberts, Jay

2014-01-01

358

The assessment of developmentally disabled children with the WISC-R, Binet and other tests.  

PubMed

Administered the WISC-R, Revised Stanford-Binet, Bender, VMI, and WRAT to 50 children referred for a multidisciplinary evaluation of developmental disabilities. The correlations among the various WISC-R measures (Standard Scores and IQs) and Binet IQ were significant, with relatively strong relationships among the Binet IQ and those WISC-R subtests that require concentration, short-term auditory memory, visual-motor integration, and the acquisition of new learning. Data showed that the Binet MA correlated as well or better with the other tests than did the various scores from the WISC-R. PMID:76637

Raskin, L M; Bloom, A S; Klee, S H; Reese, A

1978-01-01

359

Disaster and disabilities  

E-print Network

to consider medical and other special needs of their employees with disabili- ties should a disaster occur during the work day. In both congregate housing and work environments, an accessible built environment (Christensen, Collins, Holt, & Phillips, 2006.... W. (2006). Academic and behavioral reactions of children with disabilities to the loss of a firefighter father. Review of Disability Studies, 2(3), 68–77. Christensen, K. M., Collins, S. D., Holt, J. M., & Phillips, C. N. (2006). The relationship...

Stough, Laura

2014-01-01

360

Commentary: Accurate medical student performance evaluations and professionalism assessment: "Yes, we can!".  

PubMed

In this issue, Brenner and colleagues report a correlation between the frequency of negative comments in the "dean's letter" and future problems during a psychiatry residency program. Their study makes an important contribution to the body of literature on factors that predict professionalism-related performance issues during residency and suggests the importance of dependable data that can be used to predict and hopefully intervene early in the training of future physicians across all specialties. As we think about the implications of this study, important issues involving the standardization of medical student performance evaluations (MSPEs) and the assessment of professionalism are raised. Despite the Association of American Medical Colleges' 2002 guidelines for MSPEs, subsequent studies have revealed that considerable inconsistencies among the evaluations still remain. To enhance the accuracy and usefulness of the MSPEs in predicting "problem residents," improved standardization is necessary. Moreover, Brenner's findings call for the development of more vigorous assessment of professionalism in undergraduate medical education, as well as more accurate reporting of these assessments to residency programs. Longitudinal assessment of professionalism with robust tools allows for the identification and possible remediation of students early in their undergraduate training. Insofar as unprofessional behavior in medical school is predictive not only of problems during residency but also of later disciplinary action against the practicing physician by state medical boards, it is the obligation of the medical school to the residency program and to society to identify and report these behaviors. PMID:20592502

Green, Marianne; Zick, Amanda; Thomas, John X

2010-07-01

361

A workshop on developing risk assessment methods for medical use of radioactive material. Volume 1: Summary  

SciTech Connect

A workshop was held at the Idaho National Engineering Laboratory, August 16--18, 1994 on the topic of risk assessment on medical devices that use radioactive isotopes. Its purpose was to review past efforts to develop a risk assessment methodology to evaluate these devices, and to develop a program plan and a scoping document for future methodology development. This report contains a summary of that workshop. Participants included experts in the fields of radiation oncology, medical physics, risk assessment, human-error analysis, and human factors. Staff from the US Nuclear Regulatory Commission (NRC) associated with the regulation of medical uses of radioactive materials and with research into risk-assessment methods participated in the workshop. The workshop participants concurred in NRC`s intended use of risk assessment as an important technology in the development of regulations for the medical use of radioactive material and encouraged the NRC to proceed rapidly with a pilot study. Specific recommendations are included in the executive summary and the body of this report. An appendix contains the 8 papers presented at the conference: NRC proposed policy statement on the use of probabilistic risk assessment methods in nuclear regulatory activities; NRC proposed agency-wide implementation plan for probabilistic risk assessment; Risk evaluation of high dose rate remote afterloading brachytherapy at a large research/teaching institution; The pros and cons of using human reliability analysis techniques to analyze misadministration events; Review of medical misadministration event summaries and comparison of human error modeling; Preliminary examples of the development of error influences and effects diagrams to analyze medical misadministration events; Brachytherapy risk assessment program plan; and Principles of brachytherapy quality assurance.

Tortorelli, J.P. [ed.] [Lockheed Idaho Technologies Co., Idaho Falls, ID (United States)

1995-08-01

362

Disability Support Services University of Delaware  

E-print Network

REQUESTS DUE TO MEDICAL, PSYCHOLOGICAL, OR DISABILITY REASONS In order to evaluate how we can best meet. Residence Life & Housing refers or forwards all medical, psychological or disability related requests feel is necessary In addition to the basic documentation about a medical condition, further

Firestone, Jeremy

363

A generalizability study of the medical judgment vignettes interview to assess students' noncognitive attributes for medical school  

PubMed Central

Background Although the reliability of admission interviews has been improved through the use of objective and structured approaches, there still remains the issue of identifying and measuring relevant attributes or noncognitive domains of interest. In this present study, we use generalizability theory to determine the estimated variance associated with participants, judges and stations from a semi-structured, Medical Judgment Vignettes interview used as part of an initiative to improve the reliability and content validity of the interview process used in the selection of students for medical school. Methods A three station, Medical Judgment Vignettes interview was conducted with 29 participants and scored independently by two judges on a well-defined 5-point rubric. Generalizability Theory provides a method for estimating the variability of a number of facets. In the present study each judge (j) rated each participant (p) on all three Medical Judgment Vignette stations (s). A two-facet crossed designed generalizability study was used to determine the optimal number of stations and judges to achieve a 0.80 reliability coefficient. Results The results of the generalizability analysis showed that a three station, two judge Medical Judgment Vignettes interview results in a G coefficient of 0.70. As shown by the adjusted E?2 scores, since interviewer variability is negligible, increasing the number of judges from two to three does not improve the generalizability coefficient. Increasing the number of stations, however, does have a substantial influence on the overall dependability of this measurement. In a decision study analysis, increasing the number of stations to six with a single judge at each station results in a G coefficient of 0.81. Conclusion The Medical Judgment Vignettes interview provides a reliable approach to the assessment of candidates' noncognitive attributes for medical school. The high inter-rater reliability is attributed to the greater objectivity achieved through the used of the semi-structured interview format and clearly defined scoring rubric created for each of the judgment vignettes. Despite the relatively high generalizability coefficient obtained for only three stations, future research should further explore the reliability, and equally importantly, the validity of the vignettes with a large group of candidates applying for medical school. PMID:19077202

Donnon, Tyrone; Paolucci, Elizabeth Oddone

2008-01-01

364

An assessment of suicide in an urban VA Medical Center.  

PubMed

This study characterizes those patients of an urban VA Medical Center (VAMC) who had committed suicide. A cause-of-death search of the 1,075 veterans from the VAMC's case rolls who died during 1998 was conducted. For confirmed and suspected suicides, a chart review was conducted, noting psychiatric history and recent contact with the VAMC. Nineteen patients were either confirmed or suspected suicides. Few of these patients had made recent contact with the VAMC, although the majority of them had received psychiatric services from the VA at some time. The proportion of deaths due to suicide was similar in African American and White patients. Rates of suicide were elevated, primarily because of the high proportion of patients receiving psychiatric treatment. Elderly suicides were less likely to have had psychiatric services or previous psychiatric diagnoses than were younger suicides. Patients with past contact with psychiatric services may be especially at risk of suicide, particularly as contact with these services diminishes. Elderly patients in medical settings with undiagnosed or undertreated psychiatric disorders are also likely to have elevated risk for suicide. These findings demonstrate the importance of acknowledging that risk factors for suicide are specific to sites or populations; this information can be used in allocating resources for developing site-specific strategies for prevention. PMID:12530336

Thompson, Richard; Kane, Vincent R; Sayers, Steven L; Brown, Gregory K; Coyne, James C; Katz, Ira R

2002-01-01

365

Assessment of informatization for the dispensing of medications at a university hospital  

PubMed Central

INTRODUCTION Informatics and automation are important tools for the reduction of work, errors and costs in a hospital pharmacy. OBJECTIVES To describe the structuring and function of an informatized system for the dispensing of medications and to assess its effect on nursing and pharmacy services during the period from 1997 to 2003. MATERIALS AND METHODS In this descriptive and retrospective study, we performed an analysis of documents addressing the structuring and implementation of the informatized medication dispensing system. In addition, we analyzed the perceptions of nurses, pharmacists and pharmacy assistants who participated in the structuring phase of the system when interviewed about the effect of informatization on administrative aspects (e.g., requisition of medications, presentation of the dispensed medication and system operationalization). RESULTS The major advantages provided by the new system were 1) the elimination of manual transcripts for prescribed medications, 2) increased speed, 3) better identification of the doses prescribed by physicians, 4) medication labels containing all necessary identification and 5) practicality and safety of optical bar code-based verification of the requested and dispensed medications. CONCLUSIONS The great majority of the interviewees considered the informatized medication supply system to be of good quality. Analysis of the data provided information that could contribute to the expansion and refinement of the system, provide support for studies regarding the utilization of medications and offer new perspectives for work and productivity. PMID:20454500

Serafim, Sônia Aparecida Dias; Forster, Aldaisa Cassanho; Simões, Maria Jacira Silva; Penaforte, Thais Rodrigues

2010-01-01

366

Competency assessment of microbiology medical laboratory technologists in Ontario, Canada.  

PubMed

Accreditation in Ontario, Canada, requires that licensed clinical laboratories participate in external quality assessment (also known as proficiency testing) and perform competency evaluation of their staff. To assess the extent of ongoing competency assessment practices, the Quality Management Program--Laboratory Services (QMP-LS) Microbiology Committee surveyed all 112 licensed Ontario microbiology laboratories. The questionnaire consisted of a total of 21 questions that included yes/no, multiple-choice, and short-answer formats. Participants were asked to provide information about existing programs, the frequency of testing, what areas are evaluated, and how results are communicated to the staff. Of the 111 responding laboratories, 6 indicated they did not have a formal evaluation program since they perform only limited bacteriology testing. Of the remaining 105 respondents, 87% perform evaluations at least annually or every 2 years, and 61% include any test or task performed, whereas 16% and 10% focus only on problem areas and high-volume complex tasks, respectively. The most common methods of evaluation were review of external quality assessment (EQA) challenges, direct observation, and worksheet review. With the exception of one participant, all communicate results to staff, and most take remedial action to correct the deficiencies. Although most accredited laboratories have a program to assess the ongoing competency of their staff, the methods used are not standardized or consistently applied, indicating that there is room for improvement. The survey successfully highlighted potential areas for improvement and allowed the QMP-LS Microbiology Committee to provide guidance to Ontario laboratories for establishing or improving existing microbiology-specific competency assessment programs. PMID:24899030

Desjardins, Marc; Fleming, Christine Ann

2014-08-01

367

Competency Assessment of Microbiology Medical Laboratory Technologists in Ontario, Canada  

PubMed Central

Accreditation in Ontario, Canada, requires that licensed clinical laboratories participate in external quality assessment (also known as proficiency testing) and perform competency evaluation of their staff. To assess the extent of ongoing competency assessment practices, the Quality Management Program—Laboratory Services (QMP-LS) Microbiology Committee surveyed all 112 licensed Ontario microbiology laboratories. The questionnaire consisted of a total of 21 questions that included yes/no, multiple-choice, and short-answer formats. Participants were asked to provide information about existing programs, the frequency of testing, what areas are evaluated, and how results are communicated to the staff. Of the 111 responding laboratories, 6 indicated they did not have a formal evaluation program since they perform only limited bacteriology testing. Of the remaining 105 respondents, 87% perform evaluations at least annually or every 2 years, and 61% include any test or task performed, whereas 16% and 10% focus only on problem areas and high-volume complex tasks, respectively. The most common methods of evaluation were review of external quality assessment (EQA) challenges, direct observation, and worksheet review. With the exception of one participant, all communicate results to staff, and most take remedial action to correct the deficiencies. Although most accredited laboratories have a program to assess the ongoing competency of their staff, the methods used are not standardized or consistently applied, indicating that there is room for improvement. The survey successfully highlighted potential areas for improvement and allowed the QMP-LS Microbiology Committee to provide guidance to Ontario laboratories for establishing or improving existing microbiology-specific competency assessment programs. PMID:24899030

Fleming, Christine Ann

2014-01-01

368

Assessing influence of stimulation on mood and aberrant behavior of persons with multiple disabilities during brief treadmill sessions.  

PubMed

This study assessed the influence of favorite stimuli on indices of happiness, e.g., smiling or excited vocalizations, and aberrant behavior, e.g., cantilena-like vocalizations or hand waving, of two young adults with multiple disabilities during 5-min. treadmill sessions. Several favorite stimuli, e.g., music and vibratory events, were available for the participants. The stimuli were presented in a rotation fashion during the sessions. To control for the effects of the stimuli, treadmill sessions without stimuli were also conducted. Analysis showed that the treadmill sessions with stimuli led to higher indices of happiness and lower aberrant behavior for both participants, compared to the treadmill sessions without stimuli. PMID:15648490

Lancioni, G E; O'Reilly, M F; Singh, N N; Oliva, D; Piazzolla, G; Groeneweg, J

2004-12-01

369

Job-Preference and Job-Matching Assessment Results and Their Association with Job Performance and Satisfaction among Young Adults with Developmental Disabilities  

ERIC Educational Resources Information Center

We investigated the effects of preference and degree of match on job performance of four 19 to 20-year-old young adults with developmental disabilities placed in community-based job conditions. We identified high-preference, high-matched and low-preference, low-matched job tasks using a video web-based assessment program. The job matching…

Hall, Julie; Morgan, Robert L.; Salzberg, Charles L.

2014-01-01

370

Using Curriculum-Embedded Assessment for Making Educational Decisions: An Empirical Study with Implications for Including Students with Disabilities in Accountability.  

ERIC Educational Resources Information Center

The focus of this research was to examine the perceived effectiveness of the Practical Assessment Exploration System (PAES) (J. Swisher, 1987) for making educational decisions at the instructional program level for students with disabilities across groups of teachers who have various levels of familiarity with the PAES. The PAES is a functional…

Swisher, Judith D.; Green, Samuel B.; Tollefson, Nona

371

Maximizing ESY Services: Teaching Pre-Service Teachers to Assess Communication Skills and Implement Picture Exchange with Students with Autism Spectrum Disorder and Developmental Disabilities  

ERIC Educational Resources Information Center

The authors supervised and trained pre-service teachers while conducting extended school year (ESY) services for pre-kindergarten and elementary students with autism spectrum disorder (ASD) and other developmental disabilities (DD). Each classroom was responsible for conducting communication assessments and developing interventions focused on…

Hill, Doris Adams; Flores, Margaret M.; Kearley, Regina F.

2014-01-01

372

Use of a Team-Based Approach to Assistive Technology Assessment and Planning for Children with Multiple Disabilities: A Pilot Study  

ERIC Educational Resources Information Center

This pilot study trialed a team-based assistive technology assessment and planning process for children with multiple disabilities and their educational teams, in order to inform a wider study using explanatory case study methodology. Fourteen students and their educational teams participated in the process, which incorporated use of the Lifespace…

Copley, Jodie; Ziviani, Jenny

2007-01-01

373

Evaluation of a clinical needs assessment and exploration of the associated supports for students with a disability in clinical practice: Part 2.  

PubMed

Engagement and successful completion of nursing and midwifery programmes may be predicated on the identification and implementation of reasonable accommodations to facilitate clinical learning for students with a disability. This qualitative study aims to evaluate a clinical needs assessment for students with a disability and explore their experiences of support in clinical practice. A purposive sample of year one undergraduate students was used. Four students consented to participate and undertook an individual interview. Their disabilities were categorised as specific learning disability (dyslexia) (n = 3) and mental health (n = 1). Data analysis revealed two main themes 'students' experiences of disclosure' and 'receiving support'. Findings revealed that all students disclosed on placement, however, the extent of disclosure was influenced by personal and environmental factors. Students used the clinical needs assessment to highlight accommodations to clinical staff on placement. Issues of concern that arose, included communication between all key stakeholders, negative staff attitudes and the need to improve the provision of accommodations. This preliminary evaluation indicates that the Clinical Needs Assessment bridges the gap in provision of student support between higher education and healthcare institutions. Findings suggest that competence based needs assessments can identify individualised reasonable accommodations for students undertaking clinical placements. PMID:25052770

Howlin, Frances; Halligan, Phil; O'Toole, Sinead

2014-09-01

374

Clinical Measures Are Feasible and Sensitive to Assess Balance and Gait Capacities in Older Persons with Mild to Moderate Intellectual Disabilities  

ERIC Educational Resources Information Center

Mobility limitations are common in persons with Intellectual Disabilities (ID). Differences in balance and gait capacities between persons with ID and controls have mainly been demonstrated by instrumented assessments (e.g. posturography and gait analysis), which require sophisticated and expensive equipment such as force plates or a 3D motion…

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

2013-01-01

375

Science Assessments for Students with Disabilities in School Year 2006-2007: What We Know about Participation, Performance, and Accommodations. Synthesis Report 77  

ERIC Educational Resources Information Center

The success of all students, including students with disabilities, on statewide assessments in mathematics and reading/English language arts has been examined closely. This is due, in part, to the role of these content areas in school accountability for the Elementary and Secondary Education Act (ESEA) known as "No Child Left Behind" (NCLB).…

Thurlow, Martha; Rogers, Christopher; Christensen, Laurene

2010-01-01

376

Linking Inclusion to Conclusions: An Empirical Study of Participation of Students with Disabilities in Statewide Testing Programs. State Assessment Series, Oregon Report 1.  

ERIC Educational Resources Information Center

This report discusses the findings of a study that attempted to investigate the participation rates of students with disabilities in the Oregon statewide testing program. The study joined individual student data from the Oregon Statewide Assessment Program and the Oregon Special Education Child Count to examine participation rates. The report…

Almond, Patricia; Tindal, Gerald; Stieber, Steve

377

Assessment of Functional Status, Low Back Disability, and Use of Diagnostic Imaging in Patients with Low Back Pain and Radiating Leg Pain  

Microsoft Academic Search

We analyzed data from outpatients with chronic low back pain (LBP) in the Veterans Health Study (n = 563) to examine the relationship between localized LBP intensity and radiating leg pain in assessing patient functional status, low back disability, and use of diagnostic imaging. Based on the localized LBP intensity, the study subjects were divided into tertiles (low, moderate, and

Xinhua S Ren; Alfredo J Selim; Graeme Fincke; Richard A Deyo; Mark Linzer; Austin Lee; Lewis Kazis

1999-01-01

378

Assessment of functional status, low back disability, and use of diagnostic imaging in patients with low back pain and radiating leg pain.  

PubMed

We analyzed data from outpatients with chronic low back pain (LBP) in the Veterans Health Study (n = 563) to examine the relationship between localized LBP intensity and radiating leg pain in assessing patient functional status, low back disability, and use of diagnostic imaging. Based on the localized LBP intensity, the study subjects were divided into tertiles (low, moderate, and high intensity). The study subjects were also stratified by the extent of radiating leg pain. Using analysis of variance and multiple regression analysis, we compared the relative importance of localized LBP intensity and radiating leg pain in explaining the variability in the means of the SF-36 scales and low back disability days, and in the proportion of patients who had used diagnostic imaging. The results of the study indicate that measures of localized LBP intensity and radiating leg pain contribute separately to the assessment of patient functional status, low back disability, and use of diagnostic imaging. These results suggest that localized LBP intensity and radiating leg pain may represent two different approaches in assessing back pain severity. Future epidemiological and health services research should consider both measures in assessing the impact of LBP on patient functional status, low back disability, and use of diagnostic imaging. PMID:10527000

Ren, X S; Selim, A J; Fincke, G; Deyo, R A; Linzer, M; Lee, A; Kazis, L

1999-11-01

379

Quality of Life Measurement in the Field of Intellectual Disabilities: Eight Principles for Assessing Quality of Life-Related Personal Outcomes  

ERIC Educational Resources Information Center

As the concept of quality of life (QOL) has evolved from a theoretical concept to both a measurable construct and an action-oriented change agent in the field of intellectual disabilities, there has emerged a corresponding need to develop, implement, and use a systematic approach to the assessment of domain-referenced quality of life outcomes. The…

Claes, Claudia; Van Hove, Geert; van Loon, Jos; Vandevelde, Stijn; Schalock, Robert L.

2010-01-01

380

Should We Refer for a Dementia Assessment? A Checklist to Help Know when to Be Concerned about Dementia in Adults with Down Syndrome and Other Intellectual Disabilities  

ERIC Educational Resources Information Center

The aim of this research was to develop a simple screening checklist to help carers and professionals know when to make a referral for a dementia assessment. A checklist was completed for all new referrals to a dementia service for people with intellectual disabilities. The obtained scores were compared to the diagnostic outcome of a comprehensive…

Whitwham, Sarah; McBrien, Judith; Broom, Wendy

2011-01-01

381

Compliance assessed by the Medication Event Monitoring System  

Microsoft Academic Search

The accurate assessment of patient compliance is especially crucial in evaluating the efficacy of a new treatment. Because of the problems associated with parenteral desferrioxamine, the development of a safe, effective, and convenient iron chelator is of high priority. The high morbidity and mortality associated with iron overload requires careful evaluation of the ability of any new agent to promote

N F Olivieri; D Matsui; C Hermann; G Koren

1991-01-01

382

Assessing Educational Needs in a Medical Specialty Society.  

ERIC Educational Resources Information Center

The American College of Obstetricians and Gynecologists developed a needs assessment that provided a systematic approach to obtaining and reviewing data, identifying potential educational projects, and assigning project priorities. This paper describes that process, which incorporated use of a subcommittee, larger group process, and the Delphi…

Grosswald, Sarina J.; Bennof, Marvin J.

1987-01-01

383

The actions of the social insurance agency regarding long-term sickness absentees before and after a medical assessment - a study of 384 case files.  

PubMed

Abstract Purpose: The purpose of this article is to investigate actions taken by the Social Insurance Agency (SIA) for long-term sickness absentees and possible associations of this with future sick leave or disability pension. Method: For 384 long-term sickness absentees who had had a multidisciplinary medical assessment (MMA) during 2001-2006, three types of data were obtained: (1) case file information about SIA actions, (2) suggested rehabilitation measures from the MMA and (3) sickness absence and disability pension data. Results: Most individuals had been subject to a range of actions by the SIA. Sixty percent had been invited to a coordination meeting, and half of those who assessed by the MMA for vocational rehabilitation were approved to get it by the SIA. Few SIA actions were associated with full or partial return to work. Conclusions: Although the studied individuals had been on sick leave for a long time, the number of SIA actions related to vocational rehabilitation was limited and came late in the sick-leave spell. The information from the MMA was often not used as a basis for further SIA action and seldom resulted in return to work. The positive MMA views on the potential of vocational rehabilitation were not met by SIA actions. Implications for Rehabilitation Suggestions on vocational rehabilitation from a medical assessment was in many cases not used by the social insurance agency in relationship to long-term sickness absentees. Active rehabilitation measures by the social insurance agency were few and came late in the sickness absence process. Few of the activities taken by the social insurance agency enhanced return to work. PMID:25354147

Marklund, Staffan; Lundh, Göran; Gustafsson, Klas; Linder, Jürgen; Svedberg, Pia; Alexanderson, Kristina

2014-10-29

384

An assessment of medical students’ awareness of radiation exposures associated with diagnostic imaging investigations  

Microsoft Academic Search

Objectives  This study assessed students’ awareness of radiation exposures and determined the impact a curriculum in clinical radiology\\u000a (CICR) had on awareness.\\u000a \\u000a \\u000a \\u000a \\u000a Methods  Six hundred seventy medical students at one medical school were studied. CICR was delivered in yearly modules over the 5-year\\u000a programme. Five hundred twenty-three students (years 1–5), exposed to increasing numbers of CICR modules and 147 students\\u000a beginning medical

Jennifer O’Sullivan; Owen J. O’Connor; Kevin O’Regan; Bronagh Clarke; Louise N. Burgoyne; Max F. Ryan; Michael M. Maher

2010-01-01

385

Learning Disabilities.  

ERIC Educational Resources Information Center

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…

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

386

Assessing the research use and needs of organizations promoting healthy living for adults with disabilities.  

PubMed

The uptake of research in community-based organizations (CBOs) is low and still unknown in CBOs that promote active and healthy living in adults with a disability. Using the knowledge to action framework, the objectives of this study were to determine if a gap exists regarding the use of research in CBOs, to learn about the preferred method to receive/read research evidence and to identify the barriers and facilitators of research use. Sixty-two employees of CBOs answered an online questionnaire. A research use gap was found as only 53 % of employees indicated they often or always use research. Conferences, emails and short research summaries were the favoured method of receiving/reading research information. Education, time and financial resources were important barriers to research use, while attitudes, intentions and self-efficacy were facilitators. More efforts are needed to develop tools to help CBOs use research. PMID:24653779

Sweet, Shane N; Latimer-Cheung, Amy E; Bourne, Chris; Ginis, Kathleen A Martin

2014-03-01

387

Assessment of the efficacy of medical countermeasures in space flight  

NASA Technical Reports Server (NTRS)

Changes in body fluids, electrolytes and muscle mass are manifestations of adaptation to space flight and readaptation to the 1-g environment. The purpose of this paper is to review the current knowledge of biomedical responses to short- and long-duration space missions and to assess the efficacy of countermeasures to 1-g deconditioning. Exercise protocols, fluid hydration, dietary and potential pharmacologic measures are evaluated, and directions for future research activities are recommended.

Nicogossian, A.; Sulzman, F.; Radtke, M.; Bungo, M.

1986-01-01

388

Assessment of the efficacy of medical countermeasures in space flight  

NASA Technical Reports Server (NTRS)

Changes in body fluids, electrolytes, and muscle mass are manifestations of adaptation to space flight and readaptation to the 1-g environment. The purposes of this paper are to review the current knowledge of biomedical responses to short- and long-duration space missions and to assess the efficacy of countermeasures to 1-g conditioning. Exercise protocols, fluid hydration, dietary and potential pharmacologic measures are evaluated, and directions for future research activities are recommended.

Nicogossian, A. E.; Sulzman, F.; Radtke, M.; Bungo, M.

1989-01-01

389

Assessment of the efficacy of medical countermeasures in space flight  

NASA Technical Reports Server (NTRS)

Changes in body fluids, electrolytes, and muscle mass are manifestations of adaptation to space flight and readaptation to the 1-g environment. The purposes of this paper are to review the current knowledge of biomedical responses to short- and long-duration space missions and to assess the efficacy of countermeasures to 1-g conditioning. Exercise protocols, fluid hydration, dietary and potential pharmacologic measures are evaluated, and directions for future research activities are recommended.

Nicogossian, A.; Sulzman, F.; Radtke, M.; Bungo, M.

1988-01-01

390

Disability Resource Centre: Support and advice for disabled students  

E-print Network

(including hearing impairment, visual impairment) n mental health difficulties (including depression.cam.ac.uk/disability-statistics/ #12;2 The DRC supports students with any impairment/disability, medical condition or injury, including/mobility impairments and injuries (including wheelchair users, Upper Limb Disorder/RSI) n sensory impairments

Steiner, Ullrich

391

The work environment disability-adjusted life year for use with life cycle assessment: a methodological approach  

PubMed Central

Background Life cycle assessment (LCA) is a systems-based method used to determine potential impacts to the environment associated with a product throughout its life cycle. Conclusions from LCA studies can be applied to support decisions regarding product design or public policy, therefore, all relevant inputs (e.g., raw materials, energy) and outputs (e.g., emissions, waste) to the product system should be evaluated to estimate impacts. Currently, work-related impacts are not routinely considered in LCA. The objectives of this paper are: 1) introduce the work environment disability-adjusted life year (WE-DALY), one portion of a characterization factor used to express the magnitude of impacts to human health attributable to work-related exposures to workplace hazards; 2) outline the methods for calculating the WE-DALY; 3) demonstrate the calculation; and 4) highlight strengths and weaknesses of the methodological approach. Methods The concept of the WE-DALY and the methodological approach to its calculation is grounded in the World Health Organization’s disability-adjusted life year (DALY). Like the DALY, the WE-DALY equation considers the years of life lost due to premature mortality and the years of life lived with disability outcomes to estimate the total number of years of healthy life lost in a population. The equation requires input in the form of the number of fatal and nonfatal injuries and illnesses that occur in the industries relevant to the product system evaluated in the LCA study, the age of the worker at the time of the fatal or nonfatal injury or illness, the severity of the injury or illness, and the duration of time lived with the outcomes of the injury or illness. Results The methodological approach for the WE-DALY requires data from various sources, multi-step instructions to determine each variable used in the WE-DALY equation, and assumptions based on professional opinion. Conclusions Results support the use of the WE-DALY in a characterization factor in LCA. Integrating occupational health into LCA studies will provide opportunities to prevent shifting of impacts between the work environment and the environment external to the workplace and co-optimize human health, to include worker health, and environmental health. PMID:23497039

2013-01-01

392

Pain and joint mobility explain individual subdimensions of the health assessment questionnaire (HAQ) disability index in patients with rheumatoid arthritis  

PubMed Central

Objective: To explore the associations between individual subdimensions of the health assessment questionnaire (HAQ) and clinical variables in patients with rheumatoid arthritis. Methods: 304 patients with rheumatoid arthritis (73% female, mean (SD) age, 58 (13) years; disease duration 6 (9) years, 69% rheumatoid factor positive) completed the HAQ for functional capacity (0–3) and a 100 mm visual analogue scale for pain. Grip strength, range of motion of the large joints, Larsen score for radiographic damage of hand and foot joints, and the number of tender and swollen joints were recorded. A logit regression model was used to study associations between subdimensions of the HAQ and other variables. Results: Mean (range) total HAQ score was 0.92 (0 to 2.88) and varied from 0.73 to 1.04 in the subdimensions. Disability was lowest in the "walking" and highest in the "reach" subdimension. Pain was an explanatory variable in all individual subdimensions. Decreased grip strength, limitation of shoulder and wrist motion, and a larger number of swollen and tender joints in the upper extremities were related to several subdimensions. A higher pain score and swollen joint count in the upper extremities, decreased grip strength, and limited motion of wrist, shoulder, and knee joints explained increased disability (higher total HAQ scores). Conclusions: In patients with rheumatoid arthritis, pain and range of movements of joints have the greatest impact on individual subdimensions of the HAQ. Extent of radiographic damage in peripheral joints and the number of swollen and tender joints are of lesser importance for function. PMID:15130901

Hakkinen, A; Kautiainen, H; Hannonen, P; Ylinen, J; Arkela-Kautiainen, M; Sokka, T

2005-01-01

393

Medical school accreditation in Australia: Issues involved in assessing major changes and new programs.  

PubMed

The Australian Medical Council (AMC) is an independent company for quality assurance and quality improvement in medical education in Australia and New Zealand. Accreditation procedures for the 20 medical schools in these two countries are somewhat different for three different circumstances or stages of school development: existing medical schools, established courses undergoing major changes, and new schools. This paper will outline some issues involved in major changes to existing courses, and new medical school programs. Major changes have included change from a 6 year undergraduate course to a 5 year undergraduate course or 4 year graduate-entry course, introduction of a lateral graduate-entry stream, new domestic site of course delivery, offshore course delivery, joint program between two universities, and major change to curriculum. In the case of a major change assessment, accreditation of the new or revised course may be granted for a period up to two years after the full course has been implemented. In the assessment of proposals for introduction of new medical courses, six issues needing careful consideration have arisen: forward planning, academic staffing, adequate clinical experience, acceptable research program, adequacy of resources, postgraduate training program and employment. PMID:21738838

Field, Michael J

2011-01-01

394

Medical school accreditation in Australia: Issues involved in assessing major changes and new programs  

PubMed Central

The Australian Medical Council (AMC) is an independent company for quality assurance and quality improvement in medical education in Australia and New Zealand. Accreditation procedures for the 20 medical schools in these two countries are somewhat different for three different circumstances or stages of school development: existing medical schools, established courses undergoing major changes, and new schools. This paper will outline some issues involved in major changes to existing courses, and new medical school programs. Major changes have included change from a 6 year undergraduate course to a 5 year undergraduate course or 4 year graduate-entry course, introduction of a lateral graduate-entry stream, new domestic site of course delivery, offshore course delivery, joint program between two universities, and major change to curriculum. In the case of a major change assessment, accreditation of the new or revised course may be granted for a period up to two years after the full course has been implemented. In the assessment of proposals for introduction of new medical courses, six issues needing careful consideration have arisen: forward planning, academic staffing, adequate clinical experience, acceptable research program, adequacy of resources, postgraduate training program and employment. PMID:21738838

2011-01-01

395

Applying Technology to Enhance STEM Achievement for Students with Disabilities: The Blending Assessment with Instruction Program  

ERIC Educational Resources Information Center

This article discusses the theoretical framework, instructional design, formative assessment results, capacity for national distribution, and generalization of the Blending Assessment with Instruction Program (BAIP) model to other content areas such as science. The BAIP, developed and validated at the University of Kansas, employs technology to…

Meyen, Edward L.; Greer, Diana L.

2010-01-01

396

Workplace Discrimination and the Perception of Disability  

ERIC Educational Resources Information Center

This article documents the employment discrimination experienced by Americans "regarded as" disabled (but not medically verified as such), using the Integrated Mission System of the U.S. Equal Employment Opportunity Commission (EEOC). Claimants who were perceived as disabled, as contrasted with those with documented disabilities, were more likely…

Draper, William R.; Reid, Christine A.; McMahon, Brian T.

2011-01-01

397

Disability Evaluation in Japan  

PubMed Central

To examine the current state and social ramifications of disability evaluation in Japan, public data from Annual Reports on Health and Welfare 1998-1999 were investigated. All data were analyzed based on the classification of disabilities and the effects of age-appropriate welfare services, which have been developed through a half-century of legislative efforts to support disability evaluation. These data suggest that disability evaluation, while essentially affected by age and impairment factors at a minimum, was impacted more by the assistive environment for disabilities. The assistive environment was found to be closely linked with the welfare support system related to a global assessment in the field of community-based rehabilitation. PMID:19503677

2009-01-01

398

Parental assessment of pain coping in individuals with intellectual and developmental disabilities.  

PubMed

Pain coping is thought to be the most significant behavioural contribution to the adjustment to pain. Little is known about how those with intellectual and developmental disabilities (IDD) cope with pain. We describe parental reported coping styles and how coping relates to individual factors. Seventy-seven caregivers of children and adults with IDD reported on coping styles using the Pediatric Pain Coping Inventory (PPCI), pain behaviour using the Non-Communicating Children's Pain Checklist-Revised (NCCPC-R), illness-related interactions using the Illness Behaviour Encouragement Scale (IBES) and past pain experience using the Structured Pain Questionnaire. Scores were compared across mental ages and interactions between pain coping and the other factors were explored. A Multivariate Analysis of Variance (MANOVA) by mental age group ('?4 years', '5-11 years' and '?12 years') revealed that those in the '5-11 years' mental age group used more coping styles than those in the '?4 years' mental age group, and those in the '?12 years' group used more cognitively demanding coping styles than the other two groups (F(10,130)=2.68, p=.005). Seeking Social Support (r=.39, p=.001) and Catastrophizing/Helplessness (r=.33, p<.01) coping styles were significantly related to a greater display of pain behaviour. Those with younger mental ages, who Seek Social Support or Catastrophize, also displayed more pain behaviour, which may be an attempt to seek external resources when pain is beyond their ability to deal with independently. PMID:21377323

Burkitt, Chantel C; Breau, Lynn M; Zabalia, Marc

2011-01-01

399

Behavioral Adaptation and Late-Life Disability: A New Spectrum for Assessing Public Health Impacts  

PubMed Central

OBJECTIVES Promoting independent functioning of older adults requires attention to how older adults carry out basic activities. This paper provides the first national estimates of late-life disability that explicitly recognize behavioral adaptations to functioning. METHODS We analyzed the National Health and Aging Trends Study, a study of Medicare enrollees ages 65 and older (N=8,077). For seven mobility and self-care activities we identify five hierarchical stages—fully able, successful accommodation with devices, activity reduction, difficulty despite accommodations, and receipt of help—and explore disparities and associations with quality of life measures. RESULTS 31% of older adults are fully able to complete self-care and mobility activities. The remaining groups successfully accommodate with devices (25%); reduce their activities (6%), report difficulty despite accommodations (18%), or receive help (21%). With successive stages physical and cognitive capacity decrease and symptoms and multi-morbidity increase. Successful accommodation is associated with maintaining participation in valued activities and high wellbeing, but substantial disparities by race, ethnicity and income exist. CONCLUSION Increased public health attention to behavioral adaptations to functional change can promote independence for older adults and may also enhance quality of life. PMID:24328656

Freedman, Vicki A.; Kasper, Judith D.; Spillman, Brenda C.; Agree, Emily M.; Mor, Vincent; Wallace, Robert B.; Wolf, Douglas A.

2014-01-01

400

Cancer risk assessment on trihalomethanes and haloacetic acids in drinking water of China using disability-adjusted life years.  

PubMed

The cancer risks from exposure to trihalomethanes (THMs) and haloacetic acids (HAAs) through multiple pathways were assessed based on the result of a water quality survey in 35 major cities of China. To express the risks in disability-adjusted life years (DALYs), the excess cancer incidence estimates were combined with a two-stage disease model for calculation. The median total cancer risk of THMs and HAAs was calculated as 7.34 × 10(-7) DALYs per person-year (ppy), lower than the reference level of risk (10(-6)DALYsppy) set by WHO. The risk from ingestion and inhalation exposures contributed 93.6% and 6.3% of the total risk respectively, while dermal contact made a negligible contribution. The median risk of trichloroacetic acid (TCAA) (2.12 × 10(-7)DALYsppy) was highest among the disinfection by-products (DBPs) considered. The risk ratio of total HAAs (THAA) to total THMs (TTHM) was 1.12. The risk was highest in northeast China while lowest in northwest China. As for the 35 cities, Tianjin had the highest risk while Yinchuan had the lowest. This study attempted to use DALYs for the risk assessment of DBPs, which will provide useful information for risk comparison and prioritization of hazards in drinking water. PMID:25171513

Pan, Shenling; An, Wei; Li, Hongyan; Su, Ming; Zhang, Jinliang; Yang, Min

2014-09-15

401

Ability of prospective assessment of personality profiles to predict the practice specialty of medical students  

PubMed Central

Medical practice encompasses a diverse spectrum of specialties. Factors that impact selection of clinical disciplines by young physicians may have recently evolved associated with changes in medical school demographics. We assessed whether physicians gravitate to certain practice specialties due to preexisting personality traits. The Neuroticism-Extraversion-Openness Personality Inventory Revised Test was administered prospectively to 130 first-year students the week before they began medical school. Scores for five traits (neuroticism, extraversion, openness, agreeableness, conscientiousness) were compared with the selection among nine medical residencies at the conclusion of medical school. Personality scores for medical students selecting psychiatry residencies showed greater degrees of neuroticism (P < 0.01) and openness (P < 0.03). Students electing family practice also deviated from other specialties, showing a lower degree of neuroticism (P < 0.03). Unexpectedly, personality traits in prospective surgical residents did not differ from those of students choosing nonsurgical residencies. Personality profiles present before medical school appear to predict the selection of some residencies and clinical specialties but not others. PMID:17256038

Maron, Bradley A.; Fein, Steven; Hillel, Alexander T.; El Baghdadi, Mariam M.; Rodenhauser, Paul

2007-01-01

402

Scoping assessment on medical isotope production at the Fast Flux Test Facility  

SciTech Connect

The Scoping Assessment addresses the need for medical isotope production and the capability of the Fast Flux Test Facility to provide such isotopes. Included in the discussion are types of isotopes used in radiopharmaceuticals, which types of cancers are targets, and in what way isotopes provide treatment and/or pain relief for patients.

Scott, S.W.

1997-08-29

403

Assessment of Genetics Knowledge and Skills in Medical Students: Insight for a Clinical Neurogenetics Curriculum  

ERIC Educational Resources Information Center

The pace of discovery in biochemistry and genetics and its effect on clinical medicine places new curricular challenges in medical school education. We sought to evaluate students' understanding of neurogenetics and its clinical applications to design a pilot curriculum into the clinical neurology clerkship. We utilized a needs assessment and a…

Pearl, Phillip L.; Pettiford, Jennifer M.; Combs, Susan E.; Heffron, Ari; Healton, Sean; Hovaguimian, Alexandra; Macri, Charles J.

2011-01-01

404

Assessing a hospital's medical IT network risk management practice with 80001-1.  

PubMed

Medical device interoperability has been identified as a key way of decreasing healthcare costs while improving patient care. 1 This has led to a shift toward placing more medical devices onto information technology (IT) networks. However, placing medical devices onto an IT network may lead to additional risks to safety, effectiveness and security of the devices, the network, and the data. ANSI/AAMI/IEC 80001-1 addresses the roles, responsibilities, and activities that need to be carried out when managing these risks. In this article, we describe an exercise undertaken to assess the medical IT network risk management practice implemented within a hospital to control risk associated with a clinical information system (CIS). The level of compliance with the 80001-1 standard was determined using an assessment framework developed by the Regulated Software Research Centre. The purpose of this exercise was to test and inform the development of an assessment method that is part of the assessment framework for this standard. The exercise also sought to identify how the management of such an existing CIS project meets the requirements of 80001-1. PMID:24548041

Hegarty, Francis J; MacMahon, Silvana Togneri; Byrne, Patricia; McCaffery, Fergal

2014-01-01

405

Assessment of display performance for medical imaging systems: Executive summary of AAPM TG18 report  

E-print Network

Assessment of display performance for medical imaging systems: Executive summary of AAPM TG18 Company (currently a consultant) Kevin Corrigan Loyola University Michael J. Flynn Henry Ford Health artifacts. Geometric distortions are evalu- ated by linear measurements of the TG18-QC test pattern, which

406

Preparing International Medical Graduates for Psychiatry Residency: A Multi-Site Needs Assessment  

ERIC Educational Resources Information Center

Objective: Despite the growing number of international medical graduates (IMGs) training in medicine in Canada and the United States, IMG-specific challenges early in psychiatry residency have not been fully explored. Therefore, the authors conducted a needs-assessment survey to determine the needs of IMGs transitioning into psychiatry residency.…

Sockalingam, Sanjeev; Hawa, Raed; Al-Battran, Mazin; Abbey, Susan E.; Zaretsky, Ari

2012-01-01

407

Decision-making methods that could be used to assess the value of medical  

E-print Network

Decision-making methods that could be used to assess the value of medical devices P1 D3 V1.2 050331 product subsequently fails to sell adequately. Managers therefore need robust decision- making tools in making such complex decisions: · The need to cast the decision in words, although most analytical tools

Oakley, Jeremy

408

The Assessment of Alexithymia in Medical Settings: Implications for Understanding and Treating Health Problems  

Microsoft Academic Search

The construct of alexithymia encompasses the characteristics of difficulty identifying feelings, difficulty describing feelings, externally oriented thinking, and a limited imaginal capacity. These characteristics are thought to reflect deficits in the cognitive processing and regulation of emotions and to contribute to the onset or maintenance of several medical and psychiatric disorders. In this article, we review recent methods for assessing

Mark A. Lumley; Lynn C. Neely; Amanda J. Burger

2007-01-01

409

Curricular Innovation in an Undergraduate Medical Program: What Is "Appropriate" Assessment?  

ERIC Educational Resources Information Center

In post-secondary education, there is a widely-held belief in a "gold standard" for evaluative studies of curricular innovations. In this context, "appropriate" assessment is understood to refer to experimental designs and statistically significant differences in group outcomes. Yet in our evaluative study of a medical undergraduate program, we…

Ruhe, Valerie; Boudreau, J. Donald

2011-01-01

410

Linkping University Medical Dissertations No. 1351 Non-Invasive Assessment of Liver  

E-print Network

Linköping University Medical Dissertations No. 1351 Non-Invasive Assessment of Liver Fibrosis in patients with diffuse - or suspected diffuse - liver disease by applying two non-invasive quantitative MR techniqlles and to compare the results with histo pathological findings, with focus on liver fibrosis

Zhao, Yuxiao

411

Assessing and Managing Caregiver Stress: Development of a Teaching Tool for Medical Residents  

ERIC Educational Resources Information Center

Forty medical residents from major teaching hospitals in Boston, Massachusetts, participated in small group teaching sessions about caregiver stress. A teaching tool was developed that included a teaching handout, interactive cases, standard instruments for assessing caregiver stress, peer-reviewed articles about caregiving, and a list of…

Famakinwa, Abisola; Fabiny, Anne

2008-01-01

412

Assessing the Need for a Specialist Service for People with Intellectual Disabilities and Mental Health Problems Living in Israel: A Qualitative Study  

PubMed Central

Background: It is well established that people with intellectual disabilities are at higher risk of developing mental illnesses. This study aimed to assess the need for a specialized service for people (children and adults) with intellectual disabilities and mental health problems living in Israel. Methods: Our research question was: is there a need for a specialist mental health service for people with intellectual disabilities living in Israel and, if so, what type of service would be most appropriate? We conducted a qualitative study using semi-structured interviews with 14 major stakeholders to identify key themes in response to our research question. The data were coded and themes were identified. Results: Participants were generally not satisfied with current mental health care for people with intellectual disabilities and there was a general agreement that services are in need of improvement. We identified three major themes from the data. These were: current services, future services, and ways to facilitate change. Conclusion: We hope that our findings will be instrumental in shaping the ongoing debate about the best form of delivery of services to this population in Israel. Specifically, we suggest the development of a more specialized system, with the formation of multidisciplinary regional assessment and treatment units in parallel with improved relevant training for all mental health workers and the possibility of referral to specialized teams in more complex cases. PMID:24400294

Sinai, Amanda; Werner, Shirli; Stawski, Mike

2013-01-01

413

Mathematics Education for Students with Learning Disabilities: Theory to Practice.  

ERIC Educational Resources Information Center

This book addresses teaching mathematics to students with learning disabilities, including characteristics and assessment of mathematics learning disabilities, mathematics programming and interventions, and teacher preparation. Chapters include: (1) "Mathematics Education and Students with Learning Disabilities: Instruction" (Diane Pedrotty…

Rivera, Diane Pedrotty, Ed.

414

Concept extraction for disability insurance payment evaluation  

E-print Network

Automated evaluation of claims for medical and disability insurance benefits poses a difficult challenge that will take years to be solved. The precise wording of insurance rules and the terse language in medical history ...

Lai, Jeremy

2011-01-01

415

Language, Literacy, and Communication Regarding Medication in an Anticoagulation Clinic: A Comparison of Verbal vs. Visual Assessment  

Microsoft Academic Search

Despite the importance of clinician-patient communication, little is known about rates and predictors of medication miscommunication. Measuring rates of miscommunication, as well as differences between verbal and visual modes of assessment, can inform efforts to more effectively communicate about medications.We studied 220 diverse patients in an anticoagulation clinic to assess concordance between patient and clinician reports of warfarin regimens. Bilingual

Dean Schillinger; Edward L. Machtinger; Frances Wang; Jorge Palacios; Maytrella Rodriguez; Andrew Bindman

2006-01-01

416

First-year medical students’ assessment of their own communication skills: A video-based, open-ended approach  

Microsoft Academic Search

ObjectiveInterpersonal and communication skills are a core area of competency for medical students, residents, and practicing physicians. As reflection and self-assessment are essential components of skill-building, we examined the content of medical students’ assessments of their own developing communication skills.

Amanda Zick; Michael Granieri; Gregory Makoul

2007-01-01

417

The effectiveness of police custody assessments in identifying suspects with intellectual disabilities and attention deficit hyperactivity disorder  

PubMed Central

Background Intellectual Disabilities (ID) and Attention Deficit Hyperactivity Disorder (ADHD) are recognized psychological vulnerabilities in police interviews and court proceedings in England and Wales. The aims of this study were to investigate: (a) the prevalence of ID and/or ADHD among suspects detained at a large London metropolitan police station and their relationship with conduct disorder (CD), (b) the impact of their condition on police staff resources, (c) the effectiveness of current custody assessment tools in identifying psychological vulnerabilities, and (d) the use of ‘Appropriate Adults’ in interviews. Method A total of 200 individuals in a police custody suite were interviewed and screened for ID, ADHD (current symptoms) and CD. Results The screening rates for these three disorders were 6.7%, 23.5% and 76.3%, respectively. ADHD contributed significantly to increased requests being made of staff after controlling for CD and duration of time in custody. This is a novel finding. Reading and writing difficulties and mental health problems were often identified from the custody risk assessment tools, but they were not used effectively to inform on the need for the use of an Appropriate Adult. The frequency with which Appropriate Adults were provided to support detainees in police interviews (4.2%) remains almost identical to that found in a similar study conducted 20 years previously. Conclusions The current findings suggest that in spite of reforms recently made in custodial settings, procedures may not have had the anticipated impact of improving safeguards for vulnerable suspects. Detainees with ID and ADHD require an Appropriate Adult during police interviews and other formal custody procedures, which they commonly do not currently receive. The findings of the current study suggest this may be due, in large part, to the ineffective use of risk-assessment tools and healthcare professionals, which represent missed opportunities to identify such vulnerabilities. PMID:24261542

2013-01-01

418

Intellectual disability  

MedlinePLUS

... to 3% of the population. There are many causes of intellectual disability, but doctors find a specific reason ... cases. Risk factors are related to the causes. Causes of intellectual disability can include: Infections (present at birth ...

419

Teacher Perceptions about the Influence of Formative Assessment on the Reading Gains of Fourth Grade Students with Disabilities  

ERIC Educational Resources Information Center

The education of students with disabilities (SWD) has undergone some significant changes within the public education system since the enactment of the Individuals with Disabilities Act (IDEA) and the No Child Left Behind Act (NCLB). Special education legislation has historically focused on equal access for all students. Too much time has been…

Mulcahy, Juli

2010-01-01

420

Interpersonal disabilities: social skill deficits in older children and adolescents. Their description, assessment, and management.  

PubMed

Good social skills are critical for peer acceptance and friendship formation, which are developmental missions for the older child and adolescent. Good social skills can be developed and can favorably influence other domains of function. A sensitive and comprehensive assessment and management plan is essential. Pediatricians have a unique vantage point because of their familiarity with a child, the family, the school and community, and their knowledge of child development and behavior. Pediatricians can therefore play a central role in the assessment, management, and follow-up of social skills problems. PMID:1574359

Coleman, W L; Lindsay, R L

1992-06-01

421

The Assessment of Undergraduate Medical Students’ Satisfaction Levels With the Objective Structured Clinical Examination  

PubMed Central

Background: The objective structured clinical examination (OSCE) has been introduced as an efficient method for the assessment of medical students. Objectives: The aim of the present study was to determine the satisfaction level of undergraduate medical students of internal medicine department with the OSCE. Materials and Methods: This was a descriptive cross-sectional study, performed on all available undergraduate students at the end of their internal medicine training period in Mashhad University of Medical Sciences. The students responded to 15 multiple-choice questions with confirmed validity and reliability. Results: The majority of the students (94.5%) had a positive attitude toward the OSCE and mentioned that the OSCE format was a more appropriate type of exam than other methods of testing; however, 79.1% thought that the OSCE format was stressful. In addition, the participants’ sex had no effect on their level of satisfaction with the examination. Likewise, there was no significant correlation between their level of satisfaction and their age, marital status, or lack of previous experience with this type of exam. Conclusions: If the exam standards are met and a uniform dispersion of the scientific content is maintained, the OSCE method of assessment can be recommended as an efficient and applicable method for assessing medical students. PMID:25389474

Khosravi Khorashad, Ahmad; Salari, Somayyeh; Baharvahdat, Humain; Hejazi, Sepideh; Lari, Shiva M; Salari, Maasoomeh; Mazloomi, Maryam; Lari, Shahrzad M

2014-01-01

422

A review of the economic tools for assessing new medical devices.  

PubMed

Whereas the economic evaluation of pharmaceuticals is an established practice within international health technology assessment (HTA) and is often produced with the support of comprehensive methodological guidance, the equivalent procedure for medical devices is less developed. Medical devices, including diagnostic products, are a rapidly growing market in healthcare, with over 10,000 medical technology patent applications filed in Europe in 2012-nearly double the number filed for pharmaceuticals. This increase in the market place, in combination with the limited, or constricting, budgets that healthcare decision makers face, has led to a greater level of examination with respect to the economic evaluation of medical devices. However, methodological questions that arise due to the unique characteristics of medical devices have yet to be addressed fully. This review of journal publications and HTA guidance identified these characteristics and the challenges they may subsequently pose from an economic evaluation perspective. These unique features of devices can be grouped into four categories: (1) data quality issues; (2) learning curve; (3) measuring long-term outcomes from diagnostic devices; and (4) wider impact from organisational change. We review the current evaluation toolbox available to researchers and explore potential future approaches to improve the economic evaluation of medical devices. PMID:25139635

Craig, Joyce A; Carr, Louise; Hutton, John; Glanville, Julie; Iglesias, Cynthia P; Sims, Andrew J

2015-02-01

423

The medical assessment of bruising in suspected child maltreatment cases: A clinical perspective  

PubMed Central

Bruises commonly occur in children and are most often the result of a minor accidental injury. However, bruises can also signal an underlying medical illness or an inflicted injury (maltreatment). Although bruising is the most common manifestation of child physical maltreatment, knowing when to be concerned about maltreatment and how to assess bruises in this context can be challenging for clinicians. Based on current literature and published recommendations, this practice point will help clinicians to distinguish between accidental and inflicted bruises, to evaluate and manage bruising in the context of suspected child maltreatment, and to evaluate for an underlying medical predisposition to bruising. PMID:24426797

Ward, Michelle GK; Ornstein, Amy; Niec, Anne; Murray, C Louise

2013-01-01

424

Empowering or Disabling? Emotional Reactions to Assessment amongst Part-Time Adult Students  

ERIC Educational Resources Information Center

This article focuses on emotional reactions to learning and assessment. It draws on a qualitative research project involving first-generation adult students on a foundation degree programme. Endorsing the notion of emotional reactions as situated in participants' lived power relations, we map out emotional patterns to Semester 1 and then explore…

Cramp, Andy; Lamond, Catherine; Coleyshaw, Liz; Beck, Sue

2012-01-01

425

2005 State Policies on Assessment Participation and Accommodations for Students with Disabilities. Synthesis Report 64  

ERIC Educational Resources Information Center

The National Center on Educational Outcomes (NCEO) has been tracking and analyzing state policies on assessment participation and accommodations since 1992. The purpose of the current analysis is to update information on these policies that was last reported by NCEO in 2005 (based on 2003 data). The current analysis of states' 2005 participation…

Lazarus, Sheryl S.; Thurlow, Martha L.; Lail, Kathryn E.; Eisenbraun, Kristin D.; Kato, Kentaro

2006-01-01

426

Measuring Participation in Children with Disabilities Using the Assessment of Life Habits  

ERIC Educational Resources Information Center

The objectives of this study were: (1) to examine the psychometric properties of the Assessment of Life Habits (LIFE-H) for children; and (2) to draw a profile of the level of participation among children of 5 to 13 years of age with various impairments. The research team adapted the adult version of the LIFE-H in order to render it more…

Noreau, Luc; Lepage, Celine; Boissiere, Lucie; Picard, Roger; Fougeyrollas, Patrick; Mathieu, Jean; Desmarais, Gilbert; Nadeau, Line

2007-01-01

427

Team Environmental Assessment Mapping System: A Method for Selecting Curriculum Goals for Students with Disabilities.  

ERIC Educational Resources Information Center

Describes the Team Environmental Assessment Mapping System (TEAMS), a practical tool for inventorying the environmental demands that a student faces, while also mapping the social influences that drive or hinder a student's performance in those environments. A sample TEAMS map for an adolescent with Down syndrome is provided. (CR)

Campbell, Patti C.; Brady, Michael P.; Campbell, Charles R.

1998-01-01

428

Alternate Assessments in Reading and Math: Development and Validation for Students with Significant Disabilities.  

ERIC Educational Resources Information Center

A series of standardized tasks was developed using the same constructs as operationalized in a state's large-scale assessment program. Student performance (n=437) was then analyzed. In reading and math, teachers (n=131) were successfully trained to administer the tasks and judge performance, providing a system with instructional and evaluative…

Tindal, Gerald; McDonald, Marilee; Tedesco, Marick; Glasgow, Aaron; Almond, Pat; Crawford, Lindy; Hollenbeck, Keith

2003-01-01

429

Validity and Reliability of the School Function Assessment in Elementary School Students with Disabilities  

ERIC Educational Resources Information Center

This study examined validity of the School Function Assessment (SFA) and interrater reliability of occupational therapist and teacher ratings of students' school function. The validity of the SFA was examined using the known-group method in 35 participants in kindergarten through 7th grade attending elementary schools; 15 students with learning…

Davies, Patricia L.; Soon, Pepper Lee; Young, Michele; Clausen-Yamaki, Amy

2004-01-01

430

A Model of the Pre-Assessment Learning Effects of Summative Assessment in Medical Education  

ERIC Educational Resources Information Center

It has become axiomatic that assessment impacts powerfully on student learning. However, surprisingly little research has been published emanating from authentic higher education settings about the nature and mechanism of the pre-assessment learning effects of summative assessment. Less still emanates from health sciences education settings. This…

Cilliers, Francois J.; Schuwirth, Lambert W. T.; Herman, Nicoline; Adendorff, Hanelie J.; van der Vleuten, Cees P. M.

2012-01-01

431

Disabilities Support Services (DSS) University of Delaware  

E-print Network

, PSYCHOLOGICAL, OR DISABILITY REASONS In order to evaluate how we can best meet your needs, we require specific or forwards all medical, psychological or disability related requests for special housing to the Americans about a medical condition, further recommendations from the Professional are welcome and will be given

Firestone, Jeremy

432

A Survey of Student Assessment in U.S. Medical Schools: The Balance of Breadth versus Fidelity.  

ERIC Educational Resources Information Center

Surveyed U.S. medical schools to determine the extent to which student assessments have broadened beyond multiple-choice question (MCQ) examinations and preceptor ratings. Found that a variety of competency assessments currently are used; MCQs remain a core assessment method. Year 3 had the greatest breadth of assessment strategies. (EV)

Mavis, Brian E.; Cole, Bridget L.; Hoppe, Ruth B.

2001-01-01

433

Disability-adjusted life years in the assessment of health effects of traffic-related air pollution.  

PubMed

Traffic-related air pollutants have an impact on human health and have been recognized as one of the main stressors that cause mortality and morbidity in urban areas. Research confirms that citizens living in the vicinity of main roads are strongly exposed to high concentrations of numerous air pollutants. In the present study the measurements of traffic-related parameters such as density, velocity, and structure were performed for cross-sections of selected street canyons in Warsaw, the capital city of Poland. In addition, the results of the general traffic measurements were used to describe the number of cars crossing the border of the city. Vehicle emissions of PM10 were calculated for the whole city area and changes of the PM10 concentration were modeled to present the exposure to this pollutant that could be attributable to traffic. The principles of the environmental burden of disease (EBD) were used. The assessment of the impact of traffic-related air pollutants on human health was made. The results, presented in disability-adjusted life years (DALY), were based on the outcomes of the study conducted in 2008-2012 in Warsaw, one the most congested agglomerations in Europe, and included the health damage effect of the exposure to high concentrations of air pollutants. DALY calculations were performed in accordance to the methodologies used in renowned international scientific research on EBD. PMID:25310938

Adamkiewicz, L; Badyda, A J; Gayer, A; Mucha, D

2015-01-01

434

Development and validation of the ACE tool: assessing medical trainees’ competency in evidence based medicine  

PubMed Central

Background While a variety of instruments have been developed to assess knowledge and skills in evidence based medicine (EBM), few assess all aspects of EBM - including knowledge, skills attitudes and behaviour - or have been psychometrically evaluated. The aim of this study was to develop and validate an instrument that evaluates medical trainees’ competency in EBM across knowledge, skills and attitude. Methods The ‘Assessing Competency in EBM’ (ACE) tool was developed by the authors, with content and face validity assessed by expert opinion. A cross-sectional sample of 342 medical trainees representing ‘novice’, ‘intermediate’ and ‘advanced’ EBM trainees were recruited to complete the ACE tool. Construct validity, item difficulty, internal reliability and item discrimination were analysed. Results We recruited 98 EBM-novice, 108 EBM-intermediate and 136 EBM-advanced participants. A statistically significant difference in the total ACE score was observed and corresponded to the level of training: on a 0-15-point test, the mean ACE scores were 8.6 for EBM-novice; 9.5 for EBM-intermediate; and 10.4 for EBM-advanced (p?assess medical trainees’ competency in EBM. The ACE tool provides a novel assessment that measures user performance across the four main steps of EBM. To provide a complete suite of instruments to assess EBM competency across various patient scenarios, future refinement of the ACE instrument should include further scenarios across harm, diagnosis and prognosis. PMID:24909434

2014-01-01

435

Occupational asthma in a national disability survey  

SciTech Connect

The contribution of workplace exposures to the prevalence of asthma in adults has been minimized in the epidemiology of this illness. Analysis of the 1978 Social Security Disability Survey provides a population-based assessment as a novel approach utilizing self-attributed, occupationally related asthma as a measure of disease. Of 6063 respondents, 468 (7.7 percent) identified asthma as a personal medical condition; 72 (1.2 percent (15.4 percent of all those with asthma)) attributed it to workplace exposures. These subjects were older and included more men and cigarette smokers than groups of both asthmatic and nonasthmatic subjects. The relative risk for occupationally attributed asthma was elevated among industrial and agricultural workers as compared with white collar and service occupations. Analysis of disability benefit status did not indicate that this introduced major reporting bias in this survey. This study suggests that occupational factors may have a greater role in adult asthma than previously thought.

Blanc, P.

1987-10-01

436

Assessment of bio-medical waste management in three apex government hospitals of Agra.  

PubMed

Waste management practices in three apex government hospitals of Agra viz., Sarojini Naidu Medical College, Lady Lyall Maternity Hospital and District Hospital were studied during January 2004-January 2005. Data were collected with the help of (i) personal observations of the waste treatment and disposal practices and (ii) assessment of knowledge, attitude and practices of working personnel with the help of questionnaires. The results obtained indicated lack of knowledge and awareness regarding legislations on bio-medical waste management even among qualified hospital personnel. None of these hospitals were equipped with higher technological options e.g. incinerator autoclave, microwave and had no facilities to treat the liquid waste generated inside the hospital. It is concluded that generation and implementation of a waste management policy institutiona/organizational set up, training and motivation must be given paramount importance to meet the current needs and standards of bio-medical waste management in these hospitals. PMID:18831366

Sharma, Shalini; Chauhan, S V S

2008-03-01

437

Health Assessment Questionnaire disability progression in early rheumatoid arthritis: Systematic review and analysis of two inception cohorts  

PubMed Central

Objective The Health Assessment Questionnaire is widely used for patients with inflammatory polyarthritis (IP) and its subset, rheumatoid arthritis (RA). In this study, we evaluated the progression of HAQ scores in RA (i) by systematically reviewing the published literature on the methods used to assess changes in functional disability over time and (ii) to study in detail HAQ progression in two large prospective observational studies from the UK. Methods Data from two large inception cohorts, ERAS and NOAR, were studied to determine trajectories of HAQ progression over time by applying latent class growth models (LCGMs) to each dataset separately. Age, sex, baseline DAS28, symptom duration, rheumatoid factor, fulfilment of the 1987 ACR criteria and socio-economic status (SES) were included as potential predictors of HAQ trajectory subgroup membership. Results The literature search identified 49 studies showing that HAQ progression has mainly been based on average changes in the total study population. In the HAQ progression study, a LCGM with four HAQ trajectory subgroups was selected as providing the best fit in both cohorts. In both the cohorts, older age, female sex, longer symptom duration, fulfilment of the 1987 ACR criteria, higher DAS28 and lower SES were associated with increased likelihood of membership of subgroups with worse HAQ progression. Conclusion Four distinct HAQ trajectory subgroups were derived from the ERAS and NOAR cohorts. The fact that the subgroups identified were nearly identical supports their validity. Identifying distinct groups of patients who are at risk of poor functional outcome may help to target therapy to those who are most likely to benefit. PMID:24925692

Norton, Sam; Fu, Bo; Scott, David L.; Deighton, Chris; Symmons, Deborah P.M.; Wailoo, Allan J.; Tosh, Jonathan; Lunt, Mark; Davies, Rebecca; Young, Adam; Verstappen, Suzanne M.M

2014-01-01

438

The Effect of Disability Insurance on Health Investment: Evidence from the VA Disability Compensation Program  

Microsoft Academic Search

I examine whether individuals respond to monetary incentives to detect latent medical conditions. The effect is identified by an amendment to Title 38 that deemed diabetes associated with Agent Orange exposure a compensable disability under the VA's Disability Compensation program. Since a diagnosis is a requisite for benefit eligibility, and nearly one-third of diabetics remain undiagnosed, the advent of disability

Perry Singleton

2008-01-01

439

Enacting Disability: How Can Science and Technology Studies Inform Disability Studies?  

ERIC Educational Resources Information Center

This paper aims to discuss how science and technology studies (STS) can inform disability studies and challenge dominant approaches, such as the medical and the social models, in the ordering and representation of disability. Disability studies and STS have followed somewhat parallel paths in the history of ideas. From a positivist approach to…

Galis, Vasilis

2011-01-01

440

Well prepared for work? Junior doctors' self-assessment after medical education  

PubMed Central

Background Apart from objective exam results, the overall feeling of preparedness is important for a successful transition process from being a student to becoming a qualified doctor. This study examines the association between self-assessed deficits in medical skills and knowledge and the feeling of preparedness of junior doctors in order to determine which aspects of medical education need to be addressed in more detail in order to improve the quality of this transition phase and in order to increase patient safety. Methods A cohort of 637 doctors with up to two years of clinical work experience was included in this analysis and was asked about the overall feeling of preparedness and self-assessed deficits with regard to clinical knowledge and skills. Three logistic regression models were used to identify medical skills which predict the feeling of preparedness. Results All in all, about 60% of the participating doctors felt poorly prepared for post-graduate training. Self-assessed deficits in ECG interpretation (aOR: 4.39; 95% CI: 2.012-9.578), treatment and therapy planning (aOR: 3.42; 95% CI: 1.366-8.555), and intubation (aOR: 2.10; 95% CI: 1.092-4.049) were found to be independently associated with the overall feeling of preparedness in the final regression model. Conclusions Many junior doctors in Germany felt inadequately prepared for being a doctor. With regard to the contents of medical curricula, our results show that more emphasis on ECG-interpretation, treatment and therapy planning and intubation is required to improve the feeling of preparedness of medical graduates. PMID:22114989

2011-01-01

441

The Utility of Reflective Writing after a Palliative Care Experience: Can We Assess Medical Students' Professionalism?  

PubMed Central

Abstract Background Medical education leaders have called for a curriculum that proactively teaches knowledge, skills, and attitudes required for professional practice and have identified professionalism as a competency domain for medical students. Exposure to palliative care (PC), an often deeply moving clinical experience, is an optimal trigger for rich student reflection, and students' reflective writings can be explored for professional attitudes. Objective Our aim was to evaluate the merit of using student reflective writing about a PC clinical experience to teach and assess professionalism. Methods After a PC patient visit, students wrote a brief reflective essay. We explored qualitatively if/how evidence of students' professionalism was reflected in their writing. Five essays were randomly chosen to develop a preliminary thematic structure, which then guided analysis of 30 additional, randomly chosen essays. Analysts coded transcripts independently, then collaboratively, developed thematic categories, and selected illustrative quotes for each theme and subtheme. Results Essays revealed content reflecting more rich information about students' progress toward achieving two professionalism competencies (demonstrating awareness of one's own perspectives and biases; demonstrating caring, compassion, empathy, and respect) than two others (displaying self-awareness of performance; recognizing and taking actions to correct deficiencies in one's own behavior, knowledge, and skill). Conclusions Professional attitudes were evident in all essays. The essays had limited use for formal summative assessment of professionalism competencies. However, given the increasing presence of PC clinical experiences at medical schools nationwide, we believe this assessment strategy for professionalism has merit and deserves further investigation. PMID:23937062

Gill, Anne C.; Teal, Cayla R.; Morrison, Laura J.

2013-01-01

442

Postoperative Adverse Outcomes in Intellectually Disabled Surgical Patients: A Nationwide Population-Based Study  

PubMed Central

Background Intellectually disabled patients have various comorbidities, but their risks of adverse surgical outcomes have not been examined. This study assesses pre-existing comorbidities, adjusted risks of postoperative major morbidities and mortality in intellectually disabled surgical patients. Methods A nationwide population-based study was conducted in patients who underwent inpatient major surgery in Taiwan between 2004 and 2007. Four controls for each patient were randomly selected from the National Health Insurance Research Database. Preoperative major comorbidities, postoperative major complications and 30-day in-hospital mortality were compared between patients with and without intellectual disability. Use of medical services also was analyzed. Adjusted odds ratios using multivariate logistic regression analyses with 95% confidence intervals were applied to verify intellectual disability's impact. Results Controls were compared with 3983 surgical patients with intellectual disability. Risks for postoperative major complications were increased in patients with intellectual disability, including acute renal failure (odds ratio 3.81, 95% confidence interval 2.28 to 6.37), pneumonia (odds ratio 2.01, 1.61 to 2.49), postoperative bleeding (odds ratio 1.35, 1.09 to 1.68) and septicemia (odds ratio 2.43, 1.85 to 3.21) without significant differences in overall mortality. Disability severity was positively correlated with postoperative septicemia risk. Medical service use was also significantly higher in surgical patients with intellectual disability. Conclusion Intellectual disability significantly increases the risk of overall major complications after major surgery. Our findings show a need for integrated and revised protocols for postoperative management to improve care for intellectually disabled surgical patients. PMID:22046425

Lin, Jui-An; Liao, Chien-Chang; Chang, Chuen-Chau; Chang, Hang; Chen, Ta-Liang

2011-01-01

443

Assessment of Objectively Measured Physical Activity Levels in Individuals with Intellectual Disabilities with and without Down's Syndrome  

Microsoft Academic Search

ObjectiveTo investigate, using accelerometers, the levels of physical activity being undertaken by individuals with intellectual disabilities with and without Down's syndrome.MethodsOne hundred and fifty two individuals with intellectual disabilities aged 12–70 years from East and South-East England. Physical activity levels in counts per minute (counts\\/min), steps per day (steps\\/day), and minutes of sedentary, light, moderate, vigorous, and moderate to vigorous

Alexander C. Phillips; Anthony J. Holland

2011-01-01

444

26 CFR 31.3306(b)(2)-1 - Payments under employers' plans on account of retirement, sickness or accident disability...  

Code of Federal Regulations, 2010 CFR

...on account of retirement, sickness or accident disability, medical or hospitalization...on account of retirement, sickness or accident disability, medical or hospitalization...employee's retirement, (2) Sickness or accident disability of an employee or any of...

2010-04-01

445

26 CFR 31.3306(b)(2)-1 - Payments under employers' plans on account of retirement, sickness or accident disability...  

Code of Federal Regulations, 2011 CFR

...on account of retirement, sickness or accident disability, medical or hospitalization...on account of retirement, sickness or accident disability, medical or hospitalization...employee's retirement, (2) Sickness or accident disability of an employee or any of...

2011-04-01

446

26 CFR 31.3306(b)(2)-1 - Payments under employers' plans on account of retirement, sickness or accident disability...  

Code of Federal Regulations, 2012 CFR

...on account of retirement, sickness or accident disability, medical or hospitalization...on account of retirement, sickness or accident disability, medical or hospitalization...employee's retirement, (2) Sickness or accident disability of an employee or any of...

2012-04-01

447

26 CFR 31.3306(b)(2)-1 - Payments under employers' plans on account of retirement, sickness or accident disability...  

Code of Federal Regulations, 2013 CFR

...on account of retirement, sickness or accident disability, medical or hospitalization...on account of retirement, sickness or accident disability, medical or hospitalization...employee's retirement, (2) Sickness or accident disability of an employee or any of...

2013-04-01

448

26 CFR 31.3306(b)(2)-1 - Payments under employers' plans on account of retirement, sickness or accident disability...  

Code of Federal Regulations, 2014 CFR

...on account of retirement, sickness or accident disability, medical or hospitalization...on account of retirement, sickness or accident disability, medical or hospitalization...employee's retirement, (2) Sickness or accident disability of an employee or any of...

2014-04-01

449

Use of BioSense for Rapid Assessment of the Safety of Medical Countermeasures  

PubMed Central

Objective To conduct an initial examination of the potential use of BioSense data to monitor and rapidly assess the safety of medical countermeasures (MCM) used for prevention or treatment of adverse health effects of biological, chemical, and radiation exposures during a public health emergency. Introduction BioSense is a national human health surveillance system for disease detection, monitoring, and situation awareness through near real-time access to existing electronic healthcare encounter information, including information from hospital emergency departments (EDs). MCM include antibiotics, antivirals, antidotes, antitoxins, vaccinations, nuclide-binding agents, and other medications. Although some MCM have been extensively evaluated and have FDA approval, many do not (1). Current FDA and CDC systems that monitor drug and vaccine safety have limited ability to monitor MCM safety, and in particular to conduct rapid assessments during an emergency (1). Methods To provide a preliminary assessment of the use of BioSense for this purpose, we reviewed selected publications evaluating the use of electronic health records (EHRs) to monitor safety of drugs and vaccinations (medications), focusing particularly on systematic reviews, reviewed BioSense data elements, and consulted with a number of subject matter experts. Results More than 40 studies have examined use of EHR data to monitor adverse effects (AEs) of medications using administrative, laboratory, and pharmacy records from inpatient- and out-patient settings, including EDs (2–4). To identify AEs, investigators have used diagnostic codes; administration of antidotes, laboratory measures of drug levels and of biologic response, text searches of unstructured clinical notes, and combinations of those data elements. BioSense ED data include chief complaint text, triage notes, text diagnosis, as well as diagnostic and medical procedure codes. Investigations used a variety of study designs in various populations and settings; examined a wide range of medications, vaccinations, and AEs; and developed a diverse set of analytic algorithms to search EHR data to detect and signal AEs (2–4). Most research has been done on FDA-approved medications. Most studies used EHR data to identify individuals using specific medications and then searched for potential AEs identified from previous research. None of the studies investigated use of EHR data to monitor safety when records of an individual’s medication use could not be linked to that individual’s records of AEs. BioSense data could be used for AE detection, but linking AEs to MCM use would require follow-back investigation. Since there is limited research on AEs of some MCM, there would be limited information to guide identification of potential AEs. Performance characteristics of the AE monitoring systems have been mixed with reported sensitivities ranging from 40–90%; specificities from 1% to 90%, and positive predictive values from < 1% to 64%, depending on the medication, AE and other characteristics of the study (2, 4). However, the small numbers of studies with common characteristics has limited the ability of reviewers to determine which types of systems have better performance for different medications and AEs. Some experts suggest that data in BioSense, might contribute to safety surveillance of MCM. They also caution that poor predictive values and high rates of false positives reported in the literature raise concerns about burden to those conducting investigations in response to AE alerts, particularly in the context of a public health emergency. Conclusions These findings suggest that BioSense data could potentially contribute to rapid identification of safety issues for MCM and that some methods from published research could be applicable to the use of BioSense for this purpose. However, such use would require careful development and evaluation.

Coates, Ralph J.; Gallagher, Kathleen

2013-01-01

450

Differential Effects of Two Types of Formative Assessment in Predicting Performance of First-Year Medical Students  

ERIC Educational Resources Information Center

Formative assessments are systematically designed instructional interventions to assess and provide feedback on students' strengths and weaknesses in the course of teaching and learning. Despite their known benefits to student attitudes and learning, medical school curricula have been slow to integrate such assessments into the curriculum. This…

Krasne, Sally; Wimmers, Paul F.; Relan, Anju; Drake, Thomas A.

2006-01-01

451

Medical and pharmacy students' perceptions of the grading and assessment practices  

PubMed Central

Many students at the University of Namibia have frequently complained about ineffective assessment practices used at the institution. On many occasions, these complaints have not been substantiated with evidence of any kind. The purpose of this study was to obtain some empirical evidence that would ascertain undergraduate students' perceptions of the University of Namibia's grading and assessment practices. Using a structured scaled questionnaire, data were obtained from a representative sample of the University's undergraduate students studying for Medical and Pharmacy degrees. The questionnaire items covered matters related to students' experiences of assessment practices, feedback on assessment tasks, reliability and validity of assessment tools used by lecturers, efficacy of processes of administering examinations, perceptions of irregular and unfair assessment practices, impact of assessment regimes on students' cost of studies, motivation, morale, rate of progression in studies and graduation, the degree of compliance with assessment ethics and on academic quality assurance. According to the data reported in this article, the majority of the respondents perceived that the Schools of Medicine and Pharmacy at the University of Namibia applied assessment practices that yielded reliable and valid results. This was the case because most lecturers in the two schools used appropriate assessment tools and provided their students with prompt and informative feedback on the results of assignments, tests and examinations. In addition, most respondents reported that whereas examination procedures used in the two schools were efficient and effective, lecturers graded examination scripts fairly. These and other results are discussed in the article to communicate the message that the assessment procedures used in the Schools of Medicine and Pharmacy at the University of Namibia would promote effective learning and understanding amongst students as they were of high quality. PMID:23847582

Kasanda, C. D.; Mitonga, K. H.; Veii, K.; Zimba, R. F.

2013-01-01

452

Involving Intensive Care Unit Nurses in a Proactive Risk Assessment of the Medication Management Process  

PubMed Central

Background Vulnerabilities in the medication management process can lead to serious patient harm. In intensive care units (ICUs), nurses represent the last line of defense against medication errors. Proactive risk assessment (PRA) offers methods for determining how processes can break down and how people involved in such processes can contribute to or recover from a breakdown. Such methods can also be used to identify ICU nurses’ contribution to the quality and safety of medication management. Methods A PRA method was conducted in a cardiovascular ICU to identify and evaluate failure modes in the nursing medication management process. The contributing factors to the failure modes and the recovery processes used by nurses were also characterized. Results A total of 54 failure modes were identified across the seven steps of the medication management process. For the 4 most critical failure modes, nurses listed 21 contributing factors and 21 recovery processes. Ways were identified to redesign the medication management process, one of which consists of dealing with work system factors that contribute to the most critical failure modes. Conclusions From a data-analysis viewpoint, the PRA method permits one to address a variety of objectives. Different scoring methods can be used to focus on either frequency or criticality of failure modes; one may also focus on a specific step of the process under study. Developing efforts towards eliminating or mitigating contributing factors would help reduce the criticality of the failure modes in terms of their likelihood and impact on patients and/or nurses. Developing systems to support the recovery processes used by nurses may be another approach to process redesign. PMID:20860244

Faye, Hélène; Joy Rivera-Rodriguez, A.; Karsh, Ben-Tzion; Schoofs Hundt, Ann; Baker, Christine; Carayon, Pascale

2011-01-01

453

Methods for assessment of innovative medical technologies during early stages of development.  

PubMed

Conventional Health Technology Assessment (HTA) is usually conducted at a point in time at which the development of the respective technology may no longer be influenced. By this time developers and/or purchasers may have misinvested resources. Thus the demand for Technology Assessment (TA) which incorporates appropriate methods during early development stages of a technology becomes apparent. Against this health political background, the present report describes methods for a development-accompanying assessment of innovative medical technologies. Furthermore, international research programmes set out to identify or apply such methods will be outlined. A systematic literature search as well as an extensive manual literature search are carried out in order to obtain literature and information. The greatest units of the identified methods consist of assessment concepts, decision support methods, modelling approaches and methods focusing on users and their knowledge. Additionally, several general-purpose concepts have been identified. The identified research programmes INNO-HTA and MATCH (Multidisciplinary-Assessment-of-Technology-Centre-for-Healthcare) are to be seen as pilot projects which so far have not been able to generate final results. MATCH focuses almost entirely on the incorporation of the user-perspective regarding the development of non-pharmaceutical technologies, whereas INNO-HTA is basically concerned with the identification and possible advancement of methods for the early, socially-oriented technology assessment. Most references offer only very vague descriptions of the respective method and the application of greatly differing methods seldom exceeds the character of a pilot implementation. A standardisation much less an institutionalisation of development-accompanying assessment cannot be recognized. It must be noted that there is no singular method with which development-accompanying assessment should be carried out. Instead, a technology and evaluation specific method selection seem to be necessary as medical innovations are diverse and none of the methods are exhaustive. Because of a variety of issues (e. g. ideal time of evaluation, lack of data and uncertainty of data) a development-accompanying assessment should not replace a comprehensive HTA, but rather form a possible preceding step in a multi-staged HTA-process. A final appraisal of the methods for development-accompanying assessment cannot be made based on the available sources. However, the present review may serve as a starting point for further development and application of these methods as well as further examination of the concept of development-accompanying assessment. There is a substantial need for further research concerning the application, validation and comparison of the various methods for development-accompanying assessment. PMID:21289902

Bartelmes, Marc; Neumann, Ulrike; Lühmann, Dagmar; Schönermark, Matthias P; Hagen, Anja

2009-01-01

454

Barriers and opportunities in assessing calls to emergency medical communication centre - a qualitative study.  

PubMed

IntroductionPrevious studies have described the difficulties and the complexity of assessing an emergency call, and assessment protocols intended to support the emergency medical dispatcher¿s (EMD) assessment have been developed and evaluated in recent years. At present, the EMD identifies about 50-70 % of patients suffering from cardiac arrest, acute myocardial infarction or stroke. The previous research has primarily been focused on specific conditions, and it is still unclear whether there are any overall factors that may influence the assessment of the call to the emergency medical communication centre (EMCC).AimThe aim of the study was to identify overall factors influencing the registered nurses¿ (RNs) assessment of calls to the EMCC.MethodA qualitative study design was used; a purposeful selection of calls to the EMCC was analysed by content analysis.ResultsOne hundred calls to the EMCC were analysed. Barriers and opportunities related to the RN or the caller were identified as the main factors influencing the RN¿s assessment of calls to the EMCC. The opportunities appeared in the callers¿ symptom description and the communication strategies used by the RN. The barriers appeared in callers¿ descriptions of unclear symptoms, paradoxes and the RN¿s lack of communication strategies during the call.ConclusionBarriers in assessing the call to the EMCC were associated with contradictory information, the absence of a primary problem, or the structure of the call. Opportunities were associated with a clear symptom description that was also repeated, and the RN¿s use of different communication strategies such as closed loop communication. PMID:25385311

Lindström, Veronica; Heikkilä, Kristiina; Bohm, Katarina; Castrèn, Maaret; Falk, Ann-Charlotte

2014-11-11

455

Development of a Psychotropic PRN Medication Evaluative Tool  

ERIC Educational Resources Information Center

This article describes a psychotropic PRN Evaluative Tool developed by interprofessional clinicians to address inconsistent reporting and assessment of the effectiveness of PRN medications used for people who are developmentally disabled. Fifty-nine participants (37 males, 22 females), ages 16 to 60 years, were included in the review, all…

Silk, Larry; Watt, Jackie; Pilon, Nancy; Draper, Chad

2013-01-01

456

Performance assessment of 3D surface imaging technique for medical imaging applications  

NASA Astrophysics Data System (ADS)

Recent development in optical 3D surface imaging technologies provide better ways to digitalize the 3D surface and its motion in real-time. The non-invasive 3D surface imaging approach has great potential for many medical imaging applications, such as motion monitoring of radiotherapy, pre/post evaluation of plastic surgery and dermatology, to name a few. Various commercial 3D surface imaging systems have appeared on the market with different dimension, speed and accuracy. For clinical applications, the accuracy, reproducibility and robustness across the widely heterogeneous skin color, tone, texture, shape properties, and ambient lighting is very crucial. Till now, a systematic approach for evaluating the performance of different 3D surface imaging systems still yet exist. In this paper, we present a systematic performance assessment approach to 3D surface imaging system assessment for medical applications. We use this assessment approach to exam a new real-time surface imaging system we developed, dubbed "Neo3D Camera", for image-guided radiotherapy (IGRT). The assessments include accuracy, field of view, coverage, repeatability, speed and sensitivity to environment, texture and color.

Li, Tuotuo; Geng, Jason; Li, Shidong

2013-03-01

457

Psychometric properties of the Calgary Cambridge guides to assess communication skills of undergraduate medical students  

PubMed Central

Objectives: The aim of this study was to analyse the psychometric properties of the short version of the Calgary Cambridge Guides and to decide whether it can be recommended for use in the assessment of communications skills in young undergraduate medical students. Methods: Using a translated version of the Guide, 30 members from the Department of General Practice rated 5 videotaped encounters between students and simulated patients twice. Item analysis should detect possible floor and/or ceiling effects. The construct validity was investigated using exploratory factor analysis. Intra-rater reliability was measured in an interval of 3 months, inter-rater reliability was assessed by the intraclass correlation coefficient. Results: The score distribution of the items showed no ceiling or floor effects. Four of the five factors extracted from the factor analysis represented important constructs of doctor-patient communication The ratings for the first and second round of assessing the videos correlated at 0.75 (p < 0.0001). Intraclass correlation coefficients for each item ranged were moderate and ranged from 0.05 to 0.57. Conclusions: Reasonable score distributions of most items without ceiling or floor effects as well as a good test-retest reliability and construct validity recommend the C-CG as an instrument for assessing communication skills in undergraduate medical students. Some deficiencies in inter-rater reliability are a clear indication that raters need a thorough instruction before using the C-CG. PMID:25480988

Simmenroth-Nayda, Anne; Heinemann, Stephanie; Nolte, Catharina; Fischer, Thomas; Himmel, Wolfgang

2014-01-01

458

Assessing the change in attitudes, knowledge, and perspectives of medical students towards chiropractic after an educational intervention*  

PubMed Central

Objective We assessed the change in attitudes, knowledge, and perspectives of medical students towards chiropractic after a 1-hour educational intervention. Methods A mixed-methods approach was used with a 52-item cross-sectional paper survey and 1 focus group of third-year medical students. The views of these medical students towards chiropractic were assessed previously in their second-year of medical school. ANOVA and the Wilcoxon rank-sum test were used to assess between-group differences between the medical students' views before and after the educational intervention. The constant comparative method for analyzing qualitative data was used to identify emergent themes from the focus group transcript. Results Of 112 third-year medical students, 58 completed the survey (51.7% response rate). The focus group consisted of 6 medical students. Self-reported understanding of chiropractic and number of attitude-positive responses were significantly higher in the group after the educational session. The average number of correct responses assessing knowledge on chiropractic also was significantly higher. Focus group themes were that medical students wanted exposure to chiropractic in clinical settings, had negative attitudes towards chiropractic formed from hidden curriculum, had concerns regarding evidence and safety of chiropractic, and thought that timing of the session on chiropractic was too late in the curriculum. Conclusions The attitudes and knowledge of medical students towards chiropractic improved immediately after a 1-hour educational intervention. Formally educating medical students on chiropractic may help minimize hidden curriculum issues regarding chiropractic, as identified by the medical students, and facilitate collaboration between medical and chiropractic providers. PMID:25237768

Wong, Jessica J.; Di Loreto, Luciano; Kara, Alim; Yu, Kavan; Mattia, Alicia; Soave, David; Weyman, Karen; Kopansky-Giles, Deborah

2014-01-01

459

Assessing the change in attitudes, knowledge, and perspectives of medical students towards chiropractic after an educational intervention.  

PubMed

Objective : We assessed the change in attitudes, knowledge, and perspectives of medical students towards chiropractic after a 1-hour educational intervention. Methods : A mixed-methods approach was used with a 52-item cross-sectional paper survey and 1 focus group of third-year medical students. The views of these medical students towards chiropractic were assessed previously in their second-year of medical school. ANOVA and the Wilcoxon rank-sum test were used to assess between-group differences between the medical students' views before and after the educational intervention. The constant comparative method for analyzing qualitative data was used to identify emergent themes from the focus group transcript. Results : Of 112 third-year medical students, 58 completed the survey (51.7% response rate). The focus group consisted of 6 medical students. Self-reported understanding of chiropractic and number of attitude-positive responses were significantly higher in the group after the educational session. The average number of correct responses assessing knowledge on chiropractic also was significantly higher. Focus group themes were that medical students wanted exposure to chiropractic in clinical settings, had negative attitudes towards chiropractic formed from hidden curriculum, had concerns regarding evidence and safety of chiropractic, and thought that timing of the session on chiropractic was too late in the curriculum. Conclusions : The attitudes and knowledge of medical students towards chiropractic improved immediately after a 1-hour educational intervention. Formally educating medical students on chiropractic may help minimize hidden curriculum issues regarding chiropractic, as identified by the medical students, and facilitate collaboration between medical and chiropractic providers. PMID:25237768

Wong, Jessica J; Di Loreto, Luciano; Kara, Alim; Yu, Kavan; Mattia, Alicia; Soave, David; Weyman, Karen; Kopansky-Giles, Deborah

2014-10-01

460

How was the intern year?: self and clinical assessment of four cohorts, from two medical curricula  

PubMed Central

Background Problem-based curricula have provoked controversy amongst educators and students regarding outcome in medical graduates, supporting the need for longitudinal evaluation of curriculum change. As part of a longitudinal evaluation program at the University of Adelaide, a mixed method approach was used to compare the graduate outcomes of two curriculum cohorts: traditional lecture-based ‘old’ and problem-based ‘new’ learning. Methods Graduates were asked to self-assess preparedness for hospital practice and consent to a comparative analysis of their work-place based assessments from their intern year. Comparative data were extracted from 692 work-place based assessments for 124 doctors who graduated from the University of Adelaide Medical School between 2003 and 2006. Results Self-assessment: Overall, graduates of the lecture-based curriculum rated the medical program significantly higher than graduates of the problem-based curriculum. However, there was no significant difference between the two curriculum cohorts with respect to their preparedness in 13 clinical skills. There were however, two areas where the cohorts rated their preparedness in the 13 broad practitioner competencies as significantly different: problem-based graduates rated themselves as better prepared in their ‘awareness of legal and ethical issues’ and the lecture-based graduates rated themselves better prepared in their ‘understanding of disease processes’. Work-place based assessment: There were no significant differences between the two curriculum cohorts for ‘Appropriate Level of Competence’ and ‘Overall Appraisal’. Of the 14 work-place based assessment skills assessed for competence, no significant difference was found between the cohorts. Conclusions The differences in the perceived preparedness for hospital practice of two curriculum cohorts do not reflect the work-place based assessments of their competence as interns. No significant difference was found between the two cohorts in relation to their knowledge and clinical skills. However results suggest a trend in ‘communication with peers and colleagues in other disciplines’ (?2 (3, N?=?596) =13.10, p?=?0.056) that requires further exploration. In addition we have learned that student confidence in a new curriculum may impact on their self-perception of preparedness, while not affecting their actual competence. PMID:24961171

2014-01-01

461

An e-health needs assessment of medical residents in Cameroon.  

PubMed

Medical residents from Yaounde I University in Cameroon are required to spend periods of time in rural or remote locations to complete their training. To determine if e-health might lessen their isolation and enhance patient care, a needs assessment of the residents was performed using a brief questionnaire (five items) about the situation in which residents found themselves outside their medical school environment. We gave the questionnaires to 45 residents. Seventeen questionnaires had been returned at the time of the site visit, a response rate of 38%. Most residents indicated that the ability to contact a mentor would have either made them feel more confident (16, or 94%) or altered their handling of recent cases (15, or 88%). All residents had access to a mobile phone, and many (11, or 65%) had used it to contact a medical colleague for guidance. A low-cost and technologically simple telemedicine solution that maximized use of mobile phone capability, provided access to medical and health-care information, and permitted exchange of images would be an appropriate response to the identified needs. PMID:16375807

Scott, Richard E; Ndumbe, Peter; Wootton, Richard

2005-01-01

462

Assessment of genetics knowledge and skills in medical students: insight for a clinical neurogenetics curriculum.  

PubMed

The pace of discovery in biochemistry and genetics and its effect on clinical medicine places new curricular challenges in medical school education. We sought to evaluate students' understanding of neurogenetics and its clinical applications to design a pilot curriculum into the clinical neurology clerkship. We utilized a needs assessment and a written examination to evaluate the genetics knowledge of 81 third- and fourth-year medical students. The needs assessment surveyed students' self-perceptions of their own understanding of basic and clinically related genetic principles and clinical skills, as well as the most effective educational methods. Medical students reported more competence with basic science learned during the preclinical years than clinical concepts, and they demonstrated relatively low knowledge levels in clinical neurogenetics concepts on the examination, with an average of 29% correct on questions pertaining to genetic counseling compared with 82% correct with regard to inheritance patterns. Common, cross-specialty clinical skills were attained (e.g. internet search, family histories), while at least half of students reported minimal understanding or awareness of key genetics websites (e.g. OMIM) and indications for support group recommendations and genetics referrals. Teaching these more specific genetics skills and concepts needs to be emphasized in the clinical curriculum. PMID:21618382

Pearl, Phillip L; Pettiford, Jennifer M; Combs, Susan E; Heffron, Ari; Healton, Sean; Hovaguimian, Alexandra; Macri, Charles J

2011-01-01

463

The Integrated Medical Model: A Risk Assessment and Decision Support Tool for Human Space Flight Missions  

NASA Technical Reports Server (NTRS)

This slide presentation reviews the Integrated Medical Model (IMM) and its use as a risk assessment and decision support tool for human space flight missions. The IMM is an integrated, quantified, evidence-based decision support tool useful to NASA crew health and mission planners. It is intended to assist in optimizing crew health, safety and mission success within the constraints of the space flight environment for in-flight operations. It uses ISS data to assist in planning for the Exploration Program and it is not intended to assist in post flight research. The IMM was used to update Probability Risk Assessment (PRA) for the purpose of updating forecasts for the conditions requiring evacuation (EVAC) or Loss of Crew Life (LOC) for the ISS. The IMM validation approach includes comparison with actual events and involves both qualitative and quantitaive approaches. The results of these comparisons are reviewed. Another use of the IMM is to optimize the medical kits taking into consideration the specific mission and the crew profile. An example of the use of the IMM to optimize the medical kits is reviewed.

Kerstman, Eric L.; Minard, Charles; FreiredeCarvalho, Mary H.; Walton, Marlei E.; Myers, Jerry G., Jr.; Saile, Lynn G.; Lopez, Vilma; Butler, Douglas J.; Johnson-Throop, Kathy A.

2011-01-01

464

Assessment of Medical Records Module of Health Information System According to ISO 9241-10  

PubMed Central

Introduction Hospital managers and personnel need to Hospital Information System (HIS) to increase the efficiency and effectiveness in their organization. Accurate, appropriate, precise, timely, valid information, and Suitable Information system for their tasks is required and the basis for decision making in various levels of the hospital management, since, this study was conducted to Assess of Selected HIS in Isfahan University of Medical Science Hospitals According to ISO 9241-10. Methods This paper obtained from an applied, descriptive cross sectional study, in which the medical records module of IUMS selected HIS in Isfahan University of Medical Science affiliated seven hospitals were assessed with ISO 9241-10 questionnaire contained 7 principles and 74 items. The obtained data were analyzed with SPSS software and descriptive statistics were used to examine measures of central tendencies. Results The analysis of data revealed the following about the software: Suitability for user tasks, self descriptiveness, controllability by user, Conformity with user expectations, error tolerance, suitability for individualization, and suitability for user learning, respectively, was 68, 67, 70, 74, 69, 53, and 68 percent. Total compliance with ISO 9241-10 was 67 percent. Conclusion Information is the basis for policy and decision making in various levels of the hospital management. Consequently, it seems that HIS developers should decrease HIS errors and increase its suitability for tasks, self descriptiveness, controllability, conformity with user expectations, error tolerance, suitability for individualization, suitability for user learning. PMID:23572860

Ehteshami, Asghar; Sadoughi, Farahnaz; Saeedbakhsh, Saeed; Isfahani, Mahtab Kasaei

2013-01-01

465

The Assessment of Alexithymia in Medical Settings: Implications for Understanding and Treating Health Problems  

PubMed Central

The construct of alexithymia encompasses the characteristics of difficulty identifying feelings, difficulty describing feelings, externally oriented thinking, and a limited imaginal capacity. These characteristics are thought to reflect deficits in the cognitive processing and regulation of emotions and to contribute to the onset or maintenance of several medical and psychiatric disorders. This article reviews recent methods for assessing alexithymia and examines how assessing alexithymia can inform clinical practice. Alexithymia is associated with heightened physiological arousal, the tendency to notice and report physical symptoms, and unhealthy compulsive behaviors. Alexithymic patients may respond poorly to psychological treatments, although perhaps not to cognitive-behavioral techniques, and it is unclear whether alexithymia can be improved through treatment. Interpretive problems regarding alexithymia include its overlap with other traits, whether it is secondary to illness or trauma, the possibility of subtypes, and low correlations among multiple measures. Nonetheless, we encourage the assessment of alexithymia in applied settings. PMID:18001224

Lumley, Mark A.; Neely, Lynn C.; Burger, Amanda J.

2010-01-01

466

From Cure to Care: Assessing the Ethical and Professional Learning Needs of Medical Learners in a Care-Based Facility  

ERIC Educational Resources Information Center

The purpose of this study was to assess the ethical and professional learning needs of medical trainees on clinical placements at a care-based facility, as they shifted from acute care to care-based philosophy. Using qualitative data analysis and grounded theory techniques, 12 medical learners and five clinical supervisors were interviewed. Five…

Hall, Pippa; O'Reilly, Jane; Dojeiji, Sue; Blair, Richard; Harley, Anne

2009-01-01

467

Medical Resident Ability to Self-Assess in Relation to Their Competence within the Assessed Domain  

ERIC Educational Resources Information Center

The purpose of the study was to examine the relationship between resident communication skills competence and their ability to self-assess within that domain. Six research questions guided the study. The first research question sought to explore the varied levels with which residents demonstrated competence within the domain of communication…

Whicker, Shari Ann

2012-01-01

468

Bacteriological assessment of stethoscopes used by medical students in Nigeria: implications for nosocomial infection control.  

PubMed

Our study assessed bacteria on swabs taken from the surface of the diaphragm of stethoscopes used by medical students in Nigeria. We found bacterial contamination on 80.1% of the stethoscopes. Staphylococcus aureus and Pseudomonas aeruginosa were major isolates. Bacterial colonization was highest among stethoscopes cleaned with only water and those never cleaned with any agent or never cleaned at all. The difference was statistically significant (chi2 = 31.9, p < .05). Stethoscopes from students who cleaned them after use on each patient and from those who practised handwashing after contact with each patient had significantly lower bacterial contamination (chi2 = 26.9; p < .05 and chi2=31.9, p < 0.05, respectively). Isolates of Staphylococcus aureus showed the highest susceptibility to antibiotics, while the most effective antibiotics were Ciproflox and Erythromycin. Integration of stethoscope care in the training curriculum of medical schools will enhance the control nosocomial infections. PMID:19550162

Uneke, C J; Ogbonna, A; Oyibo, P G; Ekuma, U

2008-01-01

469

Graduate Medical Education in Humanism and Professionalism: A Needs Assessment Survey of Pediatric Gastroenterology Fellows  

PubMed Central

The deterioration of humanism and professionalism during graduate medical training is an acknowledged concern, and programs are required to provide professionalism education for pediatric fellows. We conducted a needs assessment survey in a national sample of 138 first- and second-year gastroenterology fellows (82% response rate). Most believed that present humanism and professionalism education met their needs, but this education was largely informal (eg, role modeling). Areas for formal education desired by >70% included competing demands of clinical practice versus research, difficult doctor–patient relationships, depression/burnout, angry parents, medical errors, work–life balance, and the patient illness experience. These results may guide curricula to formalize humanism and professionalism education in pediatric gastroenterology fellowships. PMID:23863327

Garvey, Katharine C.; Kesselheim, Jennifer C.; Herrick, Daniel B.; Woolf, Alan D.; Leichtner, Alan M.

2014-01-01

470

Does assessing the value for money of therapeutic medical devices require a flexible approach?  

PubMed

Regulation criteria for licensing pharmaceuticals and medical devices (MDs) are asymmetric. This has affected the type, quantity and quality of the evidence produced in support of MDs. This paper has three objectives: to examine the reasons behind the current licensing criteria for MDs; to identify key methodological challenges associated with pre- and post-market evaluation of MDs and to assess the extent to which existing methods for the economic evaluation of pharmaceuticals can be applied to the evaluation of MDs. The belief that MDs cannot be properly evaluated stems from a combination of historical events and complexities in implementing rigorous RCTs in this field. Existing challenges to conduct sound economic evaluation of MDs have begun to be addressed in medical research using mixed research methods. While more challenging to implement, robust evaluations of therapeutic MDs can and need to be carried out to safeguard individual's wellbeing. PMID:25583537

Iglesias, Cynthia P

2015-02-01

471

MANAGEMENT OF ACUTE SPORTS INJURIES AND MEDICAL CONDITIONS BY PHYSICAL THERAPISTS: ASSESSMENT VIA CASE SCENARIOS  

PubMed Central

Purpose/Background: Some physical therapists (PTs) provide services at sporting events, but there are limited studies investigating whether PTs are properly prepared to provide such services. The purpose of this study was to assess acute sports injury and medical condition management decision-making skills of PTs. Methods: A Web-based survey presented 17 case scenarios related to acute medical conditions and sport injuries. PTs from the Sports Physical Therapy Section of The American Physical Therapy Association were e-mailed a cover letter/Web link to the survey and invited to participate over a 30-day period. Data were analyzed using SPSS 18.0. Results: A total of 411 of 5158 PTs who were members of the Sports Physical Therapy Association in 2009 and had valid e-mail addresses completed the survey, of which 389 (7.5%) were appropriate for analysis. Over 75.0% of respondents felt “prepared” or “somewhat prepared” to provide immediate care for 13 out of 16 medical conditions, with seizures, spinal cord injuries, and internal organ injuries having the lowest percentages. Over 75.0% of the respondents made “appropriate” or “overly cautious” decisions for 11 of the 17 acute injury or medical condition cases. Conclusions: Results of the current study indicate that PTs felt more “prepared” and tended to make “appropriate” return to play decisions on the acute sports injury and medical condition case studies more often than coaches who participated in a similar study, regardless of level of importance of the game or whether the athlete was a starter vs. non-starter. However, for PTs who plan on assisting at sporting events, additional preparation/education may be recommended, such as what is taught in an emergency responder course. PMID:21904695

Karges, Joy Renae; Salsbery, Mitchell A.; Smith, Danna; Stanley, Erica J.

2011-01-01

472

International Medical School Faculty Development: The Results of a Needs Assessment Survey among Medical Educators in China  

ERIC Educational Resources Information Center

To explore the need for faculty development among Chinese medical educators. Leaders at each medical school in China were asked to complete a 123-item survey to identify interest in various topics and barriers and perceived benefits of participating in faculty development programs. Interest levels were high for all topics. Experience with Hospital…

Guo, Yan; Sippola, Emily; Feng, Xinglin; Dong, Zhe; Wang, Debing; Moyer, Cheryl A.; Stern, David T.

2009-01-01

473

Patient safety in Air Rescue: Pre-and Post-Training Self-assessment of medical and non-medical (CRM) skills in prehospital  

E-print Network

Patient safety in Air Rescue: Pre- and Post-Training Self-assessment of medical and non of European Air Ambulance (EAA) - six ambulance aircrafts for the worldwide repatriation of patients Conclusion: Results: #Team DRF Air Rescue.Alliance Europe Filderstadt, Germany *Center for Patient Safety

Manstein, Dietmar J.

474

Assessment of the knowledge and attitudes regarding HIV/AIDS among pre-clinical medical students in Israel  

PubMed Central

Background Today’s medical students are the future physicians of people living with HIV/AIDS (PLWHA). It is therefore essential that medical students possess the appropriate knowledge and attitudes regarding PLWHA. This study aims to evaluate knowledge and attitudes of pre-clinical Israeli medical students and to assess whether their knowledge and attitudes change throughout their pre-clinical studies. Methods A cross-sectional study was conducted among all pre-clinical medical students from the four medical schools in Israel during the academic year of 2010/2011 (a total of 1,470 students). A self-administered questionnaire was distributed. The questionnaire sought student responses pertaining to knowledge of HIV transmission and non-transmission routes, basic knowledge of HIV/AIDS treatment and attitudes towards HIV/AIDS. Results The study’s response rate was 62.24 percent. Knowledge among pre-clinical medical students was generally high and showed a statistically significant improvement as students progressed through their pre-clinical studies. However, there were some misconceptions, mostly regarding HIV transmission via breastfeeding and knowledge of HIV prevention after exposure to the virus. Students’ attitudes were found to include stigmatizing notions. Furthermore, the majority of medical students correlated HIV with shame and fear. In addition, students’ attitudes toward HIV testing and providing confidential medical information were contradictory to health laws, protocols and guidelines. Overall, no positive changes in students’ attitudes were observed during the pre-clinical years of medical school. Conclusion The knowledge of pre-clinical medical students in Israel is generally high, although there are some knowledge inadequacies that require more emphasis in the curricula of the medical schools. Contrary to HIV-related knowledge, medical students’ attitudes are unaffected by their progression through medical school. Therefore, medical schools in Israel should modify their curricula to include teaching methods aimed at improving HIV-related attitudes and adherence to medical professionalism. PMID:24650351

2014-01-01

475

Assessing emergency medical care in low income countries: A pilot study from Pakistan  

PubMed Central

Background Emergency Medical Care is an important component of health care system. Unfortunately it is however, ignored in many low income countries. We assessed the availability and quality of facility-based emergency medical care in the government health care system at district level in a low income country – Pakistan. Methods We did a quantitative pilot study of a convenience sample of 22 rural and 20 urban health facilities in 2 districts – Faisalabad and Peshawar – in Pakistan. The study consisted of three separate cross-sectional assessments of selected community leaders, health care providers, and health care facilities. Three data collection instruments were created with input from existing models for facility assessment such as those used by the Joint Commission of Accreditation of Hospitals and the National Center for Health Statistics in USA and the Medical Research Council in Pakistan. Results The majority of respondents 43/44(98%), in community survey were not satisfied with the emergency care provided. Most participants 36/44(82%) mentioned that they will not call an ambulance in health related emergency because it does not function properly in the government system. The expenses on emergency care for the last experience were reported to be less than 5,000 Pakistani Rupees (equivalent to US$ 83) for 19/29(66%) respondents. Most health care providers 43/44(98%) were of the opinion that their facilities were inadequately equipped to treat emergencies. The majority of facilities 31/42(74%) had no budget allocated for emergency care. A review of medications and equipment available showed that many critical supplies needed in an emergency were not found in these facilities. Conclusion Assessment of emergency care should be part of health systems analysis in Pakistan. Multiple deficiencies in emergency care at the district level in Pakistan were noted in our study. Priority should be given to make emergency care responsive to needs in Pakistan. Specific efforts should be directed to equip emergency care at district facilities and to organize an ambulance network. PMID:18598353

Razzak, Junaid A; Hyder, Adnan A; Akhtar, Tasleem; Khan, Mubashir; Khan, Uzma R

2008-01-01

476

Learning Disabilities Association of America  

MedlinePLUS

... accommodations for all students with learning disabilities on high school equivalency exams (GED®, Hi-Set®, or TASC™). Take ... Basics Assessment & Evaluation Early Intervention Pre-K thru High School Special Education Services Beyond the Classroom Mental Health ...

477

Quality of life assessment in intellectual disabilities: The Escala Pessoal de Resultados versus the World Health Quality of Life-BREF.  

PubMed

The aim of this study is to compare the applications of the Escala Pessoal de Resultados (EPR) and the World Health Quality of Life-BREF (WHOQOL-BREF) in quality of life (QOL) assessment of people with intellectual disabilities (ID). A total of 216 adults with ID were assessed (age ranging from 18 to 64 years; 128 people were diagnosed with mild, and 88 with moderate ID). The two scales were administered to each person to obtain their perception about their QOL. Statistically significant correlations (weak to moderate) were observed between both scales. The EPR and the WHOQOL-BREF demonstrated adequate reliability, construct, and discriminant validity in our sample. However, the group of adults with moderate ID scored higher on the WHOQOL-BREF than on the EPR. Results indicated that the two assessment instruments aim to evaluate different measures, and seem to be not interchangeable. PMID:25481536

Simões, Cristina; Santos, Sofia; Claes, Claudia

2015-02-01

478

A Social Validation Assessment of Cooperative versus Individual Task Engagement of Persons with Multiple Disabilities. Research Report  

ERIC Educational Resources Information Center

One major objective of programs for persons with severe or profound intellectual and multiple disabilities is to teach these persons occupational and vocational tasks and to enable them to carry out these tasks independently (Davis, Brady, Williams, & Burta, 1992; Lancioni et al., 1991; Steed & Lutzker, 1997). The performance of such tasks has…

Lancioni, Giulio E; O'Reilly, Mark F.; Singh, Nirbhay N.; Pidala, Sara; Piazzolla, Giorgia; Oliva, Doretta; Groeneweg, Jop

2006-01-01

479

Assessment, Intervention, and Program Needs of Lower Achieving and Multiply Disabled Deaf People Requiring Extended Transition Support.  

ERIC Educational Resources Information Center

This paper begins with an overview of the population of adolescents and young adults with deafness. More detailed information is then provided on the characteristics of lower achieving deaf persons and those with multiple disabling conditions. School-to-community transition experiences of these groups are then discussed, with special focus on the…

Reiman, John; And Others

480

Construct and Predictive Validity of the Core Phonics Survey: A Diagnostic Assessment for Students with Specific Learning Disabilities  

ERIC Educational Resources Information Center

The factor structure of the CORE Phonics Survey was analyzed using a sample of 165 students in upper elementary school with specific learning disabilities. Confirmatory factor analysis was used to identify the hypothesized constructs of the CORE Phonics Survey and predictive validity of the CORE Phonics Survey to predict students' success in…

Park, Yujeong; Benedict, Amber E.; Brownell, Mary T.

2014-01-01

481

Assessment to Guide Individualized Transition Plans from School to Post-School for Children Ages 14+ with Moderate Disabilities  

ERIC Educational Resources Information Center

As a part of the Individualized Education Plan (IEP), special education teachers work along with their student with special needs and their parent(s)/guardian(s) to create and implement Individualized Transition Plans (ITP) to assist the student with their transition to the post-school environment. As mandated by Individuals with Disabilities

Skidmore, Kevin

2014-01-01

482

The Relation between Comprehensive Assessment Procedures and Diagnostic Stability in School-Aged Children Identified with Learning Disabilities  

ERIC Educational Resources Information Center

Learning Disabilities (LDs) affect a significant number of students in elementary and secondary school. In order for these students, along with parents and teachers, to understand the nature of their specific difficulties, and