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1

Medication and Reading Disability.  

ERIC Educational Resources Information Center

The clinical syndrome which relates most frequently to the reading-disabled child is the attention deficity disorder. The child psychiatrist will generally resort to medication only when behavioral management techniques have failed. The two most frequently used medications are Ritalin and Dexedrine, central nervous system stimulants. (JN)

Humphries, Laurie L.

1981-01-01

2

The learning-disabled medical student.  

PubMed

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

Accardo, P; Haake, C; Whitman, B

1989-10-01

3

Athletes with Disabilities. Removing Medical Barriers.  

ERIC Educational Resources Information Center

Disability-related conditions such as bladder problems or pressure sores need not keep people from activity. Although active individuals with disabilities require some specialized management, they mainly need medical care for sports-related cuts, sprains, and strains. Physicians can help remove medical barriers to participation for active…

Peck, David M.; McKeag, Douglas B.

1994-01-01

4

Supporting medical students with learning disabilities in Asian medical schools  

PubMed Central

Learning disabilities (LDs) represent the largest group of disabilities in higher education (HE) institutes, including medical schools, and the numbers are continuing to rise. The worrying concern is that two-thirds to half of these students with LDs remain undiagnosed when they start their undergraduate education and may even graduate without having their disabilities diagnosed. These students struggle with their academic abilities, receive poor grades and, as a result, develop lower perceptions of their intellectual abilities than do those students without LDs. All these ultimately hamper their professional practice, employment, and career progression. Appropriate and adequate educational policies, provisions, and practices help students to progress satisfactorily. In Asian countries, public and professional awareness about LDs is low, supportive provisions are limited, legislations are inadequate, data are scarce, and equal-opportunity/widening-participation policies are not implemented effectively in the HE sector. This article discusses the issues related to LDs in medical education and draws policy, provision, and practice implications to identify, assess, and support students with LDs in medical schools, particularly in an Asian context.

Majumder, Md. Anwarul Azim; Rahman, Sayeeda; D'Souza, Urban JA; Elbeheri, Gad; Abdulrahman, Khalid Bin; Huq, M Muzaherul

2010-01-01

5

Psychoactive Medication and Learning Disabilities  

ERIC Educational Resources Information Center

A seven-year-old emotionally disturbed boy with some features of the hyperkinetic syndrome was placed on a double-blind placebo control program to assess the effects of psychoactive medications (Ritalin and Dexedrine) on academic and social behaviors. (Author)

Eaton, Marie; And Others

1977-01-01

6

[Which disability? Medical evaluation and social assistance in Brazil].  

PubMed

This article examines the concept of disability adopted by the most important cash transfer program targeting the disabled population in Brazil, the Continuous Cash Benefit (Benefício de Prestação Continuada--BPC). The study compares the eligibility criteria established by law and the criteria used by medical examiners in the beneficiary selection process. The data are from a sample survey of 16% of the medical examiners working in the program. The questionnaire aims to assess the instructions, forms, and procedures for selecting disabled beneficiaries. The results show a discrepancy between the formal program criteria and actual practice by the examiners, suggesting an expanded concept of disability aimed at including beneficiaries with genetic, chronic, and severe infectious diseases. PMID:17952251

Diniz, Debora; Squinca, Flávia; Medeiros, Marcelo

2007-11-01

7

Controversial Medical Treatments of Learning Disabilities  

ERIC Educational Resources Information Center

The author presents a critical review of popular medical treatments for children with learning disabilities, including dietary treatment (food additives theories, brain allergies, hypoglycemia, megavitamin therapy, and trace mineral tests) and neurophysiologic retraining (patterning, sensory integrative therapy, and optometric training). (IM)

Sieben, Robert L.

1977-01-01

8

Assessment of ADHD Documentation From Candidates Requesting Americans With Disabilities Act (ADA) Accommodations for the National Board of Osteopathic Medical Examiners COMLEX Exam  

Microsoft Academic Search

Purpose: Every year increasing numbers of candidates request special accommodations for high-stakes medical licensing examinations, due to ADHD, on the basis of the Americans with Disabilities Act (ADA). This poses significant challenges for both the applicant and the medical boards and has significant financial, legal, and ethical implications. The purpose of this survey is to review all applications requesting ADA

Javed A. Joy; Rose J. Julius; Rashida Akter; David A. Baron

2010-01-01

9

Personalized emergency medical assistance for disabled people  

Microsoft Academic Search

Being able to promptly and accurately choose a proper course of action in the field is a crucial aspect of emergency response.\\u000a For this reason, emergency medical services (EMS) rely on well established procedures that apply to the most frequent cases\\u000a first responders encounter in their practice, but do not include special cases concerning (sensory, motor or cognitive) disabled\\u000a persons.

Luca Chittaro; Elio Carchietti; Luca De Marco; Agostino Zampa

10

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

11

Scuba Divers with Disabilities Challenge Medical Protocols and Ethics.  

ERIC Educational Resources Information Center

Persons with disabilities are diving, as are individuals with such conditions as asthma and epilepsy. A review considers relevant medical and ethical implications of such activity among disabled persons. (Author/CB)

Lin, Leslie Y.

1987-01-01

12

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

13

Disability Action Council Assessment Report.  

National Technical Information Service (NTIS)

This reports commends the excellent work achieved by Disability Action Council (DAC) since its inception in 1997. Although it suggests that DAC's current proposal to the U.S. Agency for International Development (USAID) should not be accepted for funding,...

J. Condor R. Horvath

2001-01-01

14

JAMA Patient Page: Assessing Disability  

MedlinePLUS

... of disability are currently estimated at $300 billion. Impairment is evaluated as a measured change in an ... physical activity programs and home modifications. EVALUATION OF IMPAIRMENT Impairment is defined as “a loss, loss of ...

15

How Do I Ask About Your Disability? An Examination of Interpersonal Communication Processes Between Medical Students and Patients with Disabilities  

Microsoft Academic Search

Medical student behaviors were examined through digital recordings of interpersonal skills communication training framed around a brief curriculum on disability within a family medicine clerkship. This analysis focuses on interpersonal communication processes and ways medical students ask standardized patient educators about visually apparent disability (N = 142). Primary themes of asking about or avoiding disability were identified with regard to language and

Ashley Duggan; Ylisabyth S. Bradshaw; Wayne Altman

2010-01-01

16

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

17

Assessment of Adults with Severe Learning Disabilities.  

ERIC Educational Resources Information Center

Assessment models used with school-age samples require modification for use with adults having severe learning disabilities. At Fordham University's Comprehensive Learning Program, a screening session determines the mutual suitability of the client and the program being offered; subsequent comprehensive assessment of cognitive, educational,…

Hagin, Rosa A.; And Others

1994-01-01

18

Assessing the Learning Disabled: Selected Instruments.  

ERIC Educational Resources Information Center

More than three hundred assessment tools applicable for the evaluation of children and adults with specific learning disabilities in terms of age applicability, time to administer, and salient characteristics are briefly described. They are grouped into ten categories: Intelligence Tests, Preschool Readiness Tests, Motor, Sensory, and Language…

Mauser, August J.

19

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

20

Assessing Psychopathology in Individuals with Developmental Disabilities  

Microsoft Academic Search

Individuals with developmental disabilities are at high risk for developing mental health problems. The prevalence of psychopathology is approximately 4 times higher than that found in the general population. Yet there is a tendency to underdiagnose psychiatric disorders in the developmentally delayed population because of diagnostic overshadowing, the lack of appropriate diagnostic criteria, and the paucity of appropriate assessment measures.

Karena S. Rush; Lynn G. Bowman; Shannon L. Eidman; Lisa M. Toole; Bruce P. Mortenson

2004-01-01

21

Accommodating Students with Disabilities on State English Language Proficiency Assessments  

ERIC Educational Resources Information Center

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

Albus, Debra; Thurlow, Martha L.

2008-01-01

22

49 CFR 39.33 - May PVOs require a passenger with a disability to provide a medical certificate?  

Code of Federal Regulations, 2013 CFR

...require a passenger with a disability to provide a medical certificate...Transportation TRANSPORTATION FOR INDIVIDUALS WITH DISABILITIES: PASSENGER VESSELS Nondiscrimination...require a passenger with a disability to provide a medical...

2013-10-01

23

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

PubMed Central

Objective: To present and discuss disablement models and the benefits of using these models as a framework to assess clinical outcomes in athletic training. Background: Conceptual schemes that form the basic architecture for clinical practice, scholarly activities, and health care policy, disablement models have been in use by health care professions since the 1960s. Disablement models are also the foundation for clinical outcomes assessment. Clinical outcomes assessment serves as the measurement tool for patient-oriented evidence and is a necessary component for evidence-based practice. Description: Disablement models provide benefits to health professions through organization of clinical practice and research activities; creation of a common language among health care professionals; facilitation of the delivery of patient-centered, whole-person health care; and justification of interventions based on a comprehensive assessment of the effect of illness or injury on a person's overall health-related quality of life. Currently, the predominant conceptual frameworks of disability in health care are those of the National Center for Medical Rehabilitation Research and the World Health Organization. Disablement models need to be understood, used, and studied by certified athletic trainers to promote patient-centered care and clinical outcomes assessment for the development of evidence-based practice in athletic training. Clinical and Research Advantages: For clinicians and researchers to determine effective athletic training treatments, prevention programs, and practices, they must understand what is important to patients by collecting patient-oriented evidence. Patient-oriented evidence is the most essential form of outcomes evidence and necessitates an appreciation of all dimensions of health, as outlined by disablement models. The use of disablement models will allow the athletic training profession to communicate, measure, and prioritize the health care needs of patients, which will facilitate organized efforts aimed at assessing the quality of athletic training services and practices and ultimately promote successful evidence-based athletic training practice.

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

2008-01-01

24

Comprehensive Geriatric Assessment: Applications for Community-Residing, Elderly People with Mental Retardation/Developmental Disabilities.  

ERIC Educational Resources Information Center

The effects of using comprehensive geriatric assessment with 24 community-based elderly individuals with mental retardation/developmental disabilities were evaluated. The evaluation found significantly greater numbers of medical and dental diagnoses than were found by the subjects' previous medical evaluations. (Author/DB)

Carlsen, Wayne R.; And Others

1994-01-01

25

Learning Disabilities: New Directions for Assessment and Intervention.  

ERIC Educational Resources Information Center

This collection of original papers synthesizes research on learning disabilities in school-age children, with the theme of connecting learning disabilities research with assessment and practice. The volume begins with a paper by Howard S. Adelman titled "Learning Disabilities: On Interpreting Research Translations." Part I of the collection then…

Jordan, Nancy C., Ed.; Goldsmith-Phillips, Josephine, Ed.

26

English Language Learners with Disabilities: Classification, Assessment, and Accommodation Issues  

ERIC Educational Resources Information Center

English language learners with disabilities (ELLWD) face many challenges in their academic career. Learning a new language and coping with their disabilities create obstacles in their academic progress. Variables relegating accessibility of assessments for students with disabilities and ELL students may seriously hinder the academic performance of…

Abedi, Jamal

2009-01-01

27

Accommodating Students With Disabilities on State English Language Proficiency Assessments  

Microsoft Academic Search

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

Debra Albus; Martha L. Thurlow

2008-01-01

28

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

29

Implications for Assessing Biobehavioral States in Individuals with Profound Disabilities  

Microsoft Academic Search

Biobehavioral state assessment is an area of research and classroom application with important implications for students with profound disabilities, their families, and teachers. The authors review research related to the foundations of state assessment, its uses with typically and atypically developing infants, and related studies on individuals with profound disabilities. Specific studies are reviewed concerning the development of state assessment

Stephen B. Richards; Rhonda Y. Richards

1997-01-01

30

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

31

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

32

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

33

Normative values for the Health Assessment Questionnaire Disability Index: Benchmarking disability in the general population  

Microsoft Academic Search

Objective. The Health Assessment Questionnaire (HAQ) disability index (DI) has been commonly used in rheumatology to quantify functional disability in patient groups, but current general population values of this index are not available. This study was undertaken to establish normative values for the HAQ DI in a general population and to analyze its correlates. Methods. The HAQ DI (range of

Eswar Krishnan; Tuulikki Sokka; Helen Hubert; Pekka Hannonen

2004-01-01

34

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

Microsoft Academic Search

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 medical specialist and >9 office visits in past year), health impact measures (e.g. needing

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

35

Hospitalizations of adults with intellectual disability in academic medical centers.  

PubMed

Abstract 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, no research was found on the common reasons for which this population is hospitalized. Academic medical centers often treat the most complex patients, and data from these centers can provide insight into the needs of patient populations with complex needs. The purpose of this study was to analyze descriptive data from the UHC (formerly known as the University Healthsystem Consortium; an alliance of 115 U.S. academic medical centers and 300 of their affiliated hospitals) regarding common reasons for hospitalization, need for intensive care, and common hospitalization outcome measures of length of stay and complications for adult (age ? 18) patients with ID. Findings indicate the need for specific attention to the needs of hospitalized patients with ID. PMID:24937744

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

2014-06-01

36

Assessment Methods in Medical Education  

ERIC Educational Resources Information Center

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…

Norcini, John J.; McKinley, Danette W.

2007-01-01

37

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

38

How States Define Alternate Assessments for Students with Disabilities.  

ERIC Educational Resources Information Center

Since the passage of the 1997 amendments to the Individuals with Disabilities Education Act, inclusion of all students with disabilities in accountability systems has been mandatory. By 2001, school personnel began to understand that alternate assessment needed to focus on students' performance on state standards, and nearly all states had created…

Browder, Diane; Ahlgrim-Delzell, Lynn; Flowers, Claudia; Karvonen, Meagan; Spooner, Fred; Algozzine, Robert

39

Including Students with Disabilities in National Academic Assessments in Korea  

ERIC Educational Resources Information Center

In Korea, the effort to include students with disabilities in the educational accountability system has just begun. This paper reviews how Korean students with disabilities have been tested using the National Assessment of Educational Achievement (NAEA) and what issues have emerged as a result of the testing. Analysis of the 2009 and 2010 NAEA…

Choi, JongKeun; Lee, Daesik; Jung, Eunju

2012-01-01

40

Mild traumatic brain injury: Impairment and disability assessment caveats.  

PubMed

Mild traumatic brain injury (MTBI) accounts for approximately 80% of all brain injuries, and persistent sequelae can impede physical, emotional, social, marital, vocational, and avocational functioning. Evaluation of impairment and disability following MTBI typically can involve such contexts as social security disability application, personal injury litigation, worker's compensation claims, disability insurance policy application, other health care insurance policy coverage issues, and the determination of vocational and occupational competencies and limitations. MTBI is still poorly understood and impairment and disability assessment in MTBI can present a significant diagnostic challenge. There are currently no ideal systems for rating impairment and disability for MTBI residua. As a result, medicolegal examiners and clinicians must necessarily familiarise themselves with the variety of disability and impairment evaluation protocols and understand their limitations. The current paper reviews recommended procedures and potential obstacles and confounding issues. PMID:21854326

Zasler, Nathan D; Martelli, Michael F

2003-01-01

41

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

42

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

43

Attitude before method: disability in vulnerability and capacity assessment.  

PubMed

Many agencies working on disaster risk reduction use vulnerability and capacity assessment (VCA) to identify vulnerable groups, to assess their needs and capacities, and to develop appropriate programmes and policies. In theory, VCA offers a good opportunity to incorporate disabled people's needs and resources in counter-disaster programming. This paper seeks to establish and explain the extent to which disability is included in VCA in practice. It reviews VCA reports and findings, formal VCA guidance, and other methodological literature. The review indicates that disability is a neglected issue in VCA practice and that manuals and guidelines, while promoting the general ideal of inclusiveness, are insufficiently aware of the challenges to achieving this in practice and do not offer enough guidance on how to reach and include disabled people. Ways of overcoming these problems are suggested. However, the real challenge may be to change core attitudes and perceptions of disability within implementing organisations. PMID:24905706

Twigg, John

2014-07-01

44

Narrative Assessment: identity and equity for disabled students  

Microsoft Academic Search

Narrative assessment is learner centred, credit based, and illustrates learning and achievement within authentic contexts. It offers new insights into the way in which ability and disability are socially constructed. For teachers, the process of assessing in this manner is enabling them to 'see' students, the curriculum, assessment, and their pedagogy with different eyes. They are finding new pathways to

Geoff Moore; Sue Molloy; Missy Morton; Keryn Davis; Marion Bayley; Jane Charteris; Christine Coomber; Graeme Eastwood; Meegan Fraser

45

Preference Assessment Procedures for Individuals with Developmental Disabilities  

Microsoft Academic Search

Significant advancements have been made in the development of procedures to systematically identify preferred stimuli that may function as reinforcers for persons with developmental disabilities. Indirect assessment procedures include care provider and client interviews, whereas direct assessment procedures involve systematically exposing participants to stimuli while recording their responses. These types of direct assessment procedures can be categorized as either approach-based

Louis P. Hagopian; Ethan S. Long; Karena S. Rush

2004-01-01

46

Assessing One and All: Educational Accountability for Students with Disabilities.  

ERIC Educational Resources Information Center

This book is about the assessment and inclusion of all students, including those with disabilities, in statewide and district assessment programs. It addresses aspects of assessment such as testing practices, test content, legal guidelines, technical aspects of tests, students' learning objectives, and instructional programs. Throughout the book,…

Elliot, Stephen N.; Braden, Jeffery P.; White, Jennifer L.

47

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

48

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.

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

2013-01-01

49

Written Expression: Assessment and Remediation for Learning Disabled Students.  

ERIC Educational Resources Information Center

The educational evaluation and remediation of written language disorders in learning disabled students are considered. It is suggested that a written language assessment should involve a thorough educational history and a complete psychoeducational evaluation. Attention is directed to written language assessment and remediation for handwriting,…

Bain, Ann M.

1982-01-01

50

Lower body osteoarticular pain and dose of analgesic medications in older disabled women: the Women's Health and Aging Study.  

PubMed Central

OBJECTIVES: This study assessed use and dosage of analgesic medications in relation to severity of osteoarticular pain. METHODS: The type and dose of analgesic medication and the severity of pain in the lower back, hips, knees, or feet of 1002 older disabled women were assessed. RESULTS: Severe pain and the use of analgesic medications were reported by 48.5% and 78.8% of women, respectively. Among those who had severe pain, 41.2% were using less than 20% of the maximum analgesic dose. Overall, 6.6% of women were using more than 100% of the maximum dose. CONCLUSIONS: Severe pain is common. Additional, more effective, and safe analgesic treatments are needed for controlling pain in older persons.

Pahor, M; Guralnik, J M; Wan, J Y; Ferrucci, L; Penninx, B W; Lyles, A; Ling, S; Fried, L P

1999-01-01

51

[The medical social characteristics of patients of able-bodied age with primary disability].  

PubMed

The article deals with medical social characteristics of patient of able-bodied age with primary and preventable disability. The characteristics are determined subject to age, gender professional, educational and organizational aspects in one of non-simple regions of the Russian Federation. The analytical materials are presented concerning impact of characteristics of organization of medical care to disabled persons of able-bodied age on their quality of life at stages of the republic public health system. The new results are presented concerning reserves of decreasing of primary and preventable disability in persons of able-bodied age. The data concerning means of decreasing disability of persons of able-bodied age subject to preventable cases based on development of organizational measures and system of aftercare on stages of republican public health system. The activation and optimization of professional educational programs for specialists with medical university and specialized secondary education is discussed. The increase of medical competence of population of republic concerning disabling risks is proposed. PMID:24960991

2014-01-01

52

Health Technology Assessment and medical devices  

Microsoft Academic Search

Health technology is everything that can be utilized in medical processes, i.e. drugs, biologics, devices, equipment and supplies, medical and surgical procedures, support systems, and organizational and managerial systems. Health Technology Assessment (HTA) comprises a number of various methods utilized to assess health technologies. Medical devices constitute a large area of interest for HTA. As an example of a comprehensive

Vladimir Rogalewicz; Alena Ujhelyiova; Lubomir Pousek; Veronika Sinkorova; Peter Kneppo

2011-01-01

53

Assessment of Creative Communication in Learning Disabled Adolescents.  

ERIC Educational Resources Information Center

Techniques are proposed for informally assessing oral communication skills in learning disabled adolescents. A feedback sheet uses direct observation by the teacher while the self-rating scale uses an indirect form of observation by the student. Theoretical premises of the two measures are noted. The Communication Feedback Sheet is designed to…

Schultze, Betty R.; Flaton, Rebecca L.

54

Learning Disabilities: Theory, Assessment and Remediation. A Bibliography.  

ERIC Educational Resources Information Center

The bibliography on learning disabilities emphasizes current, research-oriented literature in three areas--theory, diagnosis and assessment, and remediation. Entries are divided into the above major topic areas and listed alphabetically by author in books and periodicals sections under the following subtopics: general neurological-perceptual…

McMurray, J. G.

55

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

56

Assessing Social Interaction Skills of Children with Disabilities.  

ERIC Educational Resources Information Center

An observational technique for assessing the social interaction skills of elementary age students with disabilities is described. The procedure focuses on three interaction elements: (1) initiating the interaction, (2) turn taking, and (3) responding to the interaction. The method of data recording and analysis is delineated. (DB)

Prasad, Sunita

1994-01-01

57

Assessment of English Language Learners with Learning Disabilities  

ERIC Educational Resources Information Center

Identifying English language learners (ELLs) with learning disabilities has become very important in education settings so that appropriate educational services can be provided to this group of students. Linguistic diversity may increase the measurement error and reduce the reliability of assessments. This article discusses the issues with…

Chu, Szu-Yin; Flores, Sobeida

2011-01-01

58

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

59

Assessment of Anger Coping Skills in Individuals with Intellectual Disabilities  

ERIC Educational Resources Information Center

Recent controlled studies have supported the effectiveness of anger management training for people with intellectual disabilities (IDs). This report describes an evaluation instrument designed to assess their usage of specific anger coping skills. The Profile of Anger Coping Skills (PACS) is designed for completion by a staff member or carer.…

Willner, P.; Brace, N.; Phillips, J.

2005-01-01

60

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

61

Reinforcer Assessment for Children with Developmental Disabilities and Visual Impairments.  

ERIC Educational Resources Information Center

The applicability of two reinforcer assessment procedures to children with developmental disabilities and visual impairments was evaluated. Greater differentiation between stimuli occurred with a choice procedure than with a preference procedure. Measurement of compliance and responding rate in adaptive skill training confirmed that the choice…

Paclawskyj, Theodosia R.; Vollmer, Timothy R.

1995-01-01

62

What Can I Learn From This Interaction? A Qualitative Analysis of Medical Student Self-Reflection and Learning in a Standardized Patient Exercise About Disability  

Microsoft Academic Search

Patients with disabilities receive fewer health services than the general population, yet they have greater health needs. Similarly, physicians report limited training in disability. The current project examines medical students' learning about disability in a project using individuals with disabilities as medical educators. Family medicine clerkship students (N = 138) across an academic year were videotaped during interviews with standardized patient educators

Ashley Duggan; Ylisabyth S. Bradshaw; Shannon E. Carroll; Sara H. Rattigan; Wayne Altman

2009-01-01

63

Assessing pain in people with profound learning disabilities.  

PubMed

People with profound learning and multiple disabilities are at risk of pain because they experience complex and severe health conditions and frequently undergo surgical procedures that cause pain. Pain assessment in this client group requires a skilled approach, although there is little evidence available to guide nursing practice. In the absence of pain assessment measures specifically designed for use with people with profound learning disabilities, the nurse will need to rely on careful observation and interpretation of the client's communicative behaviour, clinical judgement and knowledge of the person during assessment. Intuition is also an important attribute and can be a valuable source of knowledge when assessing clients who are unable to verbalize their experience of pain. These issues, along with implications for nursing practice, are explored. PMID:12066043

Davies, D; Evans, L

64

Use of medication for challenging behaviour in people with intellectual disability.  

PubMed

Medications, particularly antipsychotics, are commonly used to manage challenging behaviour in people with intellectual disability. When the behaviour does not arise from an underlying mental illness, this is commonly off-licence and evidence of efficacy is lacking. A national audit programme would be one way to address the concerns this raises. PMID:24986386

Glover, Gyles; Bernard, Sarah; Branford, David; Holland, Anthony; Strydom, Andre

2014-07-01

65

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

66

An Epidemiological Study of Learning Disabled Adolescents in Secondary Schools: Health and Medical Factors.  

ERIC Educational Resources Information Center

As part of a series on a study of the learning disabled (LD) secondary student's environment, the document details findings on health and medical factors surrounding LD adolescents. Study participants included 234 LD, 222 low achieving (LA), and 215 normal achieving (NA) students and their parents. Data were collected from interviews with students…

Alley, Gordon R.; And Others

67

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

68

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

69

34 CFR 668.149 - Special provisions for the approval of assessment procedures for individuals with disabilities.  

Code of Federal Regulations, 2013 CFR

...assessment procedures for individuals with disabilities. 668.149 Section...assessment procedures for individuals with disabilities. If no test is reasonably available for individuals with disabilities so that no test can...

2013-07-01

70

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

71

2008-09 Publicly Reported Assessment Results for Students with Disabilities and ELLs with Disabilities. Technical Report 59  

ERIC Educational Resources Information Center

This is the thirteenth annual report by the National Center on Educational Outcomes (NCEO) that analyzes public reporting practices of assessment data for students with disabilities in K-12 schools in the United States. The Individuals with Disabilities Education Act (IDEA) required states to disaggregate performance data at the state and district…

Thurlow, Martha L.; Bremer, Chris; Albus, Deb

2011-01-01

72

Some issues surrounding the assessment of individuals with profound and multiple learning disabilities: a case study  

Microsoft Academic Search

This paper explores the practical issues of conducting an assessment with a client with severe learning disabilities, as well as physical disabilities. The process of assessment is considered with particular reference to people with profound and multiple learning disabilities; this discussion is located within a case study of a young woman with complex needs. Existing frameworks are explored, and it

D. L. Hughes

1997-01-01

73

Who Are We Assessing? Determining State-Wide Participation Rates for Students with Disabilities.  

ERIC Educational Resources Information Center

A study examined the rate of participation of Hawaiian students with disabilities in state-wide assessments in grades three, six, eight, and ten. Results found that roughly 64% of all students with disabilities were assessed in 1995. Most students who were excluded from testing were those with severe disabilities. (Author/CR)

Gronna, Sarah S.; Jenkins, Amelia A.; Chin-Chance, Selvin A.

1998-01-01

74

Sexual risk assessment for people with intellectual disabilities.  

PubMed

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 Inventarization Scale on Sexually Offensive Behavior of Clients with Intellectual Disabilities for 56 intellectually disabled clients with sexually offensive behavior problems. The scale contains static client variables (rated using two- or five-point likert scales and open questions) and both dynamic client and environmental variables (rated using a five-point Likert scale). Factor analyses of the dynamic client and environmental variables revealed three subscales: quality of supervision, offending behavior and emotional and social stability. Reliability analyses showed sufficient to good reliability for both the total scale (r=0.82) and the identified subscales (quality of guidance r=0.94; offending behavior r=0.75, and emotional and social stability r=0.58). Correlational analyses of the quality of guidance subscale showed high positive correlations with such static variables as values and norms, living conditions, and criminal offenses in early youth. Because both dynamic and environmental variables can be altered, the implications for treatment of the sexually offensive behavior of clients with intellectual disabilities are discussed further. PMID:20211538

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

2010-01-01

75

Late Effects of Polio: A Model for Identification and Assessment of Preventable Secondary Disabilities.  

National Technical Information Service (NTIS)

The major goal of the project was to develop methods for identifying and assessing preventable secondary disabilities among populations having primary disabilities caused by chronic motor impairments. Project investigators performed an in-depth study of a...

C. Peterson F. M. Maynard M. Julius N. Kirsch R. Lampman

1991-01-01

76

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

77

National survey 2004 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 2004, 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 2004, 6,610 persons were served in nine government, 37 private, and 12 public centers. The average number of persons served per center was 113.97 (range 23 to 372). The survey in 2004 showed that 79.2% of the population with ID in residential care in Israel was between 20 and 60 years of age; 48.8% had severe or profound ID, 41% had moderate ID, and 10% had mild ID; 23% were nursing patients; 19% were confined to a wheelchair; 31% had epilepsy; 83% were receiving medication daily for chronic illness; and 52.5% were receiving psychotropic medication for psychiatric illness. PMID:21061935

Merrick, Joav; Kandel, Isack; Raskas, Mordechai; Caplan, Lee; Morad, Mohammed

2010-01-01

78

[Intellectual disability - a frequent reason for referral to medical genetics].  

PubMed

Mental retardation affects about 2-3% of the population and is often associated with comorbidities. So far, more than 450 different medical conditions are known with mental retardation as a sign and it is assumed that there are many more yet to be defined. The diagnosis of the underlying entity allows for a few specific optimization of cognitive function, but usually improves the treatment of comorbidities. Furthermore, the detection of the underlying genetic defect allows the specification of the risk of recurrence and enables prenatal diagnosis for future pregnancies of persons at risk in the family. Recent findings suggest that especially in diseases that are associated with defective synaptic signal transduction may be targeted by specific drugs for improvement of cognitive performance in the near future. PMID:24280603

Otte, Christine; Rauch, Anita

2013-11-27

79

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

80

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.

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

2013-01-01

81

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.

Thomas, Kathleen C; Hall, Jean P

2014-01-01

82

Assessing the health of older adults with intellectual disabilities: a user-led approach.  

PubMed

Older adults with intellectual disability are at increased risk of a wide range of health problems. Hitherto, methods to assess these problems have been healthcare-professional-led and largely based on traditional medical models. Following a literature review and focus group work we produced a user-led health assessment that was feasible and acceptable. The assessment was administered to 57 adults with a wide range of intellectual disability aged 40 years and over, living in the community. The assessment took a median of 21 minutes to administer and covered user-led themes of participation/ability, nutrition and hygiene/self-care. A principal component representing a user-led general health measure correlated positively with the number of health problems (rho = 0.54, p < 0.001) and the number of drugs (rho = 0.55, p < 0.001). Further studies using such user-led assessments are needed to assess whether they can have a wider application. PMID:17846046

Fender, Aileen; Marsden, Lou; Starr, John M

2007-09-01

83

Developmental Dyscalculia and Medical Assessment.  

ERIC Educational Resources Information Center

Medical evaluation of seven third-grade children with developmental dyscalculia in a mainstream setting identified neurological conditions (including petit mal seizures, Gerstmann syndrome, and attention deficit disorder without hyperactivity) in all the children. Findings suggest that children who are not improving academically should undergo…

Shalev, Ruth S.; Gross-Tsur, Varda

1993-01-01

84

[The international classification of functioning, disability and health as a tool for the scientifically grounded estimation of the effectiveness of medical rehabilitation].  

PubMed

The objective of the present study was to develop the approaches to the introduction of the international classification of functioning, disability and health (ICF) for the estimation of the initial conditions of the patients presenting with osteoarthrosis and the effectiveness of their medical rehabilitation. The knee joint function, the structure of the lower extremity and its functional activity were studied in 36 patients for the quantitative representation of these characteristics in terms of ICF with the subsequent assessment of the structure of the patients' rehabilitative profile and the effectiveness of their medical rehabilitation. The study demonstrated positive dynamics of all the three positive components of the state of the treated patients (function, structure, activity) especially well pronounced in the categories of functional activity. It is concluded that the international classification of functioning, disability and health may be sued as an adequate instrument for the scientifically grounded estimation of the effectiveness of medical rehabilitation. PMID:23718088

Ponomarenko, G N

2013-01-01

85

Unique Issues in Assessing Work Function Among Individuals with Psychiatric Disabilities  

Microsoft Academic Search

With the admission of people who experience psychiatric disabilities in the state–federal vocational rehabilitation system and the Social Security disability rolls in the 1960s, assessment of their capacity to work has been a major concern. Given the rising rates of claims for psychiatric disability in both the public and the private sectors, and the disappointing employment outcomes of people with

K. MacDonald-Wilson; E. S. Rogers; W. A. Anthony

2001-01-01

86

Unique Issues in Assessing Work Function Among Individuals With Psychiatric Disabilities  

Microsoft Academic Search

With the admission of people who experience psychiatric disabilities in the state-federal vocational rehabilitation system and the Social Security disability rolls in the 1960s, assess- ment of their capacity to work has been a major concern. Given the rising rates of claims for psychiatric disability in both the public and the private sectors, and the disappointing employment outcomes of people

K. MacDonald-Wilson; E. S. Rogers; W. A. Anthony

2001-01-01

87

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.

88

Prediction of successful application for disability benefits for people with arthritis using the Health Assessment Questionnaire  

Microsoft Academic Search

Background. Many eligible people with arthritis do not receive disability benefits. Application forms are lengthy and complex, and doctors and nurses are often unsure which patients would qualify. Aim. To investigate how severe disability on the Health Assessment Questionnaire (HAQ) relates to successful application for disability benefits by people with osteoarthritis (OA) and rheumatoid arthritis (RA). Method. RA patients attending

D. S. Memel; J. R. Kirwan; C. Langley; S. Hewlett; M. Hehir

2002-01-01

89

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

90

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

91

Addressing Assessment in Libyan Medical Education  

PubMed Central

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.

Richardson, J; Gill, D; Woolf, K

2009-01-01

92

Validity of the Migraine Disability Assessment (MIDAS) score in comparison to a diary-based measure in a population sample of migraine sufferers  

Microsoft Academic Search

The Migraine Disability Assessment (MIDAS) questionnaire is a brief, self-administered questionnaire designed to quantify headache-related disability over a 3 month period. The MIDAS score has been shown to have moderately high test–retest reliability in headache sufferers and is correlated with clinical judgment regarding the need for medical care. The aim of the study was to examine the validity of the

Walter F Stewart; Richard B Lipton; Kenneth B Kolodner; James Sawyer; Clara Lee; Joshua N Liberman

2000-01-01

93

CNS Medications as Predictors of Precipitous Cognitive Decline in the Cognitively Disabled Aged: A Longitudinal Population-Based Study  

PubMed Central

Background/Aims Psychotropics and antiepileptics (AE) are medications commonly used among the aged with cognitive decline or dementia, although they may precipitate further cognitive decline. Our aim was to analyze the relationships between the use of (i) psychotropics (i.e. benzodiazepines or related drugs, BZD, antipsychotics, AP, or antidepressants, AD), opioids (Op), anticholinergics (ACh) or AEs or the concomitant use of two of these drugs, and (ii) the risk of precipitous cognitive decline in an older (?65 years) cognitively disabled population. Methods A longitudinal population-based study of general aged community-dwelling patients was executed in two phases (1990–1991 and 1998–1999) in Lieto, Finland. Fifty-two individuals cognitively disabled (MMSE score 0–23) at the 1990–1991 baseline form this study's sample. Cognitive abilities were assessed in each phase with the Mini-Mental State Examination (MMSE) and medication utilization data were collected in both phases. The mean follow-up time was 7.6 years. Multivariate models were used to analyze the change in MMSE total score between medication users and non-users. Results BZD or any psychotropic use was associated with greater cognitive decline in elders aged ?75 years compared to non-users (change in MMSE sum score: ?8.6 ± 7.0 vs. ?3.3 ± 5.6 and ?5.9 ± 7.0 vs. ?2.7 ± 6.4, respectively). A greater decline was also associated specifically with the concomitant use of BZD and AP (–16 vs. ?1.4 ± 7.8); as were BZD and any drug with CNS effects (–9.6 ± 9.9 vs. ?1.3 ± 7.2) compared to non-users. The concomitant use of BZD and AD (–10.7 ± 4.7 vs. ?3.2 ± 5.6) or ACh (–15.0 ± 8.5 vs. ?3.3 ± 5.6) or any drug with CNS effects (–13.3 ± 6.5 vs. ?3.3 ± 5.6) was associated with cognitive decline in patients ?75 years compared to non-users of any drug with CNS effects. Conclusion The use of a BZD or any psychotropic medication may be an independent risk factor for cognitive decline in the cognitively disabled aged, and patients co-prescribed psychotropic medications had greater cognitive decline. Studies with larger sample sizes and studies on possible pathophysiologic mechanisms are needed.

Puustinen, Juha; Nurminen, Janne; Vahlberg, Tero; Lyles, Alan; Isoaho, Raimo; Raiha, Ismo; Kivela, Sirkka-Liisa

2012-01-01

94

Agreement in Quality of Life Assessment between Adolescents with Intellectual Disability and Their Parents  

ERIC Educational Resources Information Center

Intellectual disability affects different aspects of functioning and quality of life, as well as the ability to independently assess the quality of life itself. The paper examines the agreement in the quality of life assessments made by adolescents with intellectual disability and their parents compared with assessments made by adolescents without…

Golubovic, Spela; Skrbic, Renata

2013-01-01

95

Universally Designed Assessments for ELLs with Disabilities: What We've Learned So Far  

ERIC Educational Resources Information Center

English language learners (ELLs) with disabilities are an emerging population in the U.S. and therefore command special attention in assessment systems. Research has demonstrated that "universal design of assessment" approaches are effective in helping to make assessments more accessible for ELLs with disabilities. Special education leaders can…

Johnstone, Christopher J.; Anderson, Michael E.; Thompson, Sandra J.

2006-01-01

96

Advancing Resident Assessment in Graduate Medical Education  

PubMed Central

Background The Outcome Project requires high-quality assessment approaches to provide reliable and valid judgments of the attainment of competencies deemed important for physician practice. Intervention The Accreditation Council for Graduate Medical Education (ACGME) convened the Advisory Committee on Educational Outcome Assessment in 2007–2008 to identify high-quality assessment methods. The assessments selected by this body would form a core set that could be used by all programs in a specialty to assess resident performance and enable initial steps toward establishing national specialty databases of program performance. The committee identified a small set of methods for provisional use and further evaluation. It also developed frameworks and processes to support the ongoing evaluation of methods and the longer-term enhancement of assessment in graduate medical education. Outcome The committee constructed a set of standards, a methodology for applying the standards, and grading rules for their review of assessment method quality. It developed a simple report card for displaying grades on each standard and an overall grade for each method reviewed. It also described an assessment system of factors that influence assessment quality. The committee proposed a coordinated, national-level infrastructure to support enhancements to assessment, including method development and assessor training. It recommended the establishment of a new assessment review group to continue its work of evaluating assessment methods. The committee delivered a report summarizing its activities and 5 related recommendations for implementation to the ACGME Board in September 2008.

Swing, Susan R.; Clyman, Stephen G.; Holmboe, Eric S.; Williams, Reed G.

2009-01-01

97

Towards Improving Medical Care for People with Intellectual Disability Living in the Community: Possibilities of Integrated Care  

Microsoft Academic Search

Background Ongoing deinstitutionalization has resulted in several problems in medical care delivery to people with intellectual disability, such as an increased work- load for general practitioners (GPs) and a lack of active co-ordination and co-operation between healthcare pro- fessionals. A major consequence is the incidence of untreated yet treatable medical conditions. An integra- ted care approach may provide a means

D. E. M. C. Jansen; B. Krol; J. W. Groothoff; D. Post

2006-01-01

98

Resilience Revisited: Urban Children Assessment and Intervention. Construct Validity of a Resilience Profile for Students with Disabilities (Resilience Subdomains of Coping with Disability Scales--Parent Rating Scale).  

ERIC Educational Resources Information Center

The Coping with Disability Scales (CDS) (J. Perry and E. Bard, 1992) was developed to provide a social-emotional assessment specific to disabilities. This report provides a preliminary test of construct validity for a Resilience Profile from the Parent Rating Scale of the CDS through factor analysis, focusing on three subdomains: (1) Disability

Perry, Joseph D.; Bard, E. M.

99

Learning Disabilities and ADHD  

MedlinePLUS

... disabilities Learning disabilities and ADHD Learning disabilities and ADHD Learning disabilities affect how you understand, remember, and ... learning skills, including memory tips from LD Online. Attention deficit hyperactivity disorder (ADHD) top ADHD is a medical condition that ...

100

Impact of Alternate Assessment on Curricula for Students with Severe Disabilities: Purpose Driven or Process Driven?  

ERIC Educational Resources Information Center

In this article, the authors highlight the impact of alternate assessment on curriculum content for students with severe disabilities. Alternate assessment is a requirement of the Individuals with Disabilities Education Act (IDEA) Amendments of 1997 and the No Child Left Behind Act (NCLB) of 2001 to ensure that students with the most significant…

Lowrey, K. Alisa; Drasgow, Erik; Renzaglia, Adelle; Chezan, Laura

2007-01-01

101

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

102

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

Microsoft Academic Search

FLORIDA AGENCY FOR PERSONS WITH DISABILITIES 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 (adult men and women) and inappropriate (e.g., 8- to

JORGE R. REYES; T IMOTHY R. VOLLMER; KIMBERLY N. SLOMAN; Astrid Hall; Robert Reed; Greg Jansen; Sam Carr; Kevin Jackson; Michael Stoutimore

2006-01-01

103

CBCL in the Assessment of Psychopathology in Finnish Children with Intellectual Disability  

ERIC Educational Resources Information Center

Structured checklists have been used to supplement psychiatric assessment of children with normal intelligence, but for children with intellectual disability, only a few checklists exist. We evaluated the Child Behavior Checklist (CBCL) in the assessment of psychopathology in Finnish children with intellectual disability. The CBCL was completed by…

Koskentausta, Terhi; Iivanainen, Matti; Almqvist, Fredrik

2004-01-01

104

Assessment of Basic Competencies: A Functional Approach to the Assessment of Learning Disabilities.  

ERIC Educational Resources Information Center

A functional approach to the assessment of learning disabilities (LD) is proposed in the light of confusing and ambiguous guidelines for identifying students with LD. Problems in the current evaluation procedures include the concept that ability and achievement are separate dimensions of intellectual functioning and the potential for biased…

Somwaru, Jwalla P.

105

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.

2010-01-01

106

Chronic medical conditions and mental health in older people: disability and psychosocial resources mediate specific mental health eects  

Microsoft Academic Search

Background. This study describes the dierences in psychological distress, disability and psychosocial resources between types of major medical conditions and sensory impairments (collectively denoted as CMCs); and tests whether disability and psychosocial resources mediate CMC-specific mental health eects. Methods. Data were obtained from a population-based, cross-sectional survey of 5078 non- institutionalized, late middle-aged and older Dutch persons. The predictors were

J. O RMEL; E. I. B RILMAN; A. T. F. B EEKMAN

1997-01-01

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

Outcomes Assessment in Veterinary Medical Education.  

ERIC Educational Resources Information Center

Describes the Virginia-Maryland Regional College of Veterinary Medicine's use of outcomes assessment (OA) as part of the accreditation review process for the American Veterinary Medical Association. Discusses its nine OA survey instruments and use of resulting data during accreditation. (EV)

Black, Leslie S.; Turnwald, Grant H.; Meldrum, James B.

2002-01-01

109

Urgent medical assessment after child sexual abuse  

Microsoft Academic Search

BackgroundImmediate 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 examination findings as compared to those seen non-urgently or whether forensic

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

2006-01-01

110

Disability Insurance  

PubMed Central

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

Williamson, Elliot A.

1985-01-01

111

Computer-Assisted Teaching and Assessment of Disabled Students in Higher Education: The Interface between Academic Standards and Disability Rights  

ERIC Educational Resources Information Center

Computer-assisted teaching and assessment has become a regular feature across many areas of the curriculum in higher education courses around the world in recent years. This development has resulted in the "digital divide" between disabled students and their nondisabled peers regarding their participation in computer-assisted courses. However,…

Konur, O.

2007-01-01

112

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

113

Discovery of previously undetected intellectual disability by psychological assessment: A study of consecutively referred child and adolescent psychiatric inpatients.  

PubMed

Intellectual disability is associated with an increased risk of behavioral disturbances and also complicates their treatment. Despite increases in the sophistication of medical detection of early risk for intellectual disability, there is remarkably little data about the detection of intellectual disability in cases referred for psychiatric treatment. In this study, we used a 10-year sample of 23,629 consecutive child and adolescent admissions (ages between 6 and 17) to inpatient psychiatric treatment. Eleven percent (n=2621) of these cases were referred for psychological assessment and were examined with a general measure of intellectual functioning (i.e., WISC-IV). Of these cases, 16% had Full Scale IQs below 70. Of the cases whose therapists then referred them for formal assessment of their adaptive functioning (i.e., ABAS-II) 81% were found to have composite scores below 70 as well. Only one of the cases whose Full Scale IQ was less than 70 had a referral diagnosis of intellectual disability. Cases with previously undetected intellectual disability were found to be significantly more likely to have a diagnosis of a psychotic disorder and less likely to have a diagnosis of mood disorder than cases with IQs over 70. Disruptive behavior disorder diagnoses did not differ as a function of intellectual performance. These data suggest a high rate of undetected intellectual disability in cases with a psychiatric condition serious enough to require hospitalization and this raises the possibility that many such cases may be misdiagnosed, the basis of their problems may be misconceptualized, and they may be receiving treatments that do not take into account their intellectual level. PMID:24679700

Pogge, David L; Stokes, John; Buccolo, Martin L; Pappalardo, Stephen; Harvey, Philip D

2014-07-01

114

Assessing impairment in patients with panic disorder: the Sheehan Disability Scale  

Microsoft Academic Search

The DSM-III-R incorporates both distress (symptoms) and disability (impairment) in the definition of a psychiatric disorder. In psychiatric research there is a wide array of instruments used to measure symptom severity, but a limited selection for the assessment of impairment. The psychometric properties of one such instrument, The Sheehan Disability Scale (Sheehan 1983), are evaluated in this paper. The data

A. C. Leon; M. Katherine Shear; Laura Portera; G. L. Klerman

1992-01-01

115

Disability in Rural America: A Four-County Needs Assessment. Final Report.  

ERIC Educational Resources Information Center

A study assessed the needs of disabled persons living in four rural counties in Arkansas, Texas, and Oklahoma. Using a combination of forced-choice and in-depth probe questions, researchers surveyed a sample of 456 disabled Americans to identify the problems that these people were facing in their day-to-day living, the consequences of their…

Omohundro, Julie; And Others

116

Developmental Behaviour Checklist (DBC) in the Assessment of Psychopathology in Finnish Children with Intellectual Disability  

ERIC Educational Resources Information Center

We evaluated the Developmental Behaviour Checklist (DBC) in the assessment of psychopathology in a Finnish population of children with intellectual disability. Disruptive behaviour was more common in children with mild intellectual disability, and problems with social interaction and communication in those with moderate, severe or profound…

Koskentausta, Terhi; Almqvist, Fredrik

2004-01-01

117

Assessment of the Self-Determination of Spanish Students with Intellectual Disabilities and Other Educational Needs  

ERIC Educational Resources Information Center

The purpose of this study was to assess the self-determination of Spanish high school students with Intellectual Disabilities and other Special Educational Needs (SEN). A total of 371 students between 11 and 17 years of age participated in the study. Of these, 46.4% (n = 171) presented SEN, specifically learning disabilities (n = 97; 26.2%),…

Gomez-Vela, Maria; Alonso, Miguel Angel Verdugo; Gonzalez, Francisca Gil; Corbella, Marta Badia; Wehmeyer, Michael L.

2012-01-01

118

Assessment of Functional Caregiving in Homes with a Child with an Intellectual Disability  

ERIC Educational Resources Information Center

The authors report on the nature of assessing functional caregiving (FC) via three studies, conducted by a university-public preschool collaboration that was designed to measure mothers' confidence to care for children with intellectual disabilities in their homes. Caregiving of children with intellectual disabilities was conceptualized in terms…

Bezruczko, Nikolaus; Chen, Shu-Pi C.; Gulley, S. Beverly; Maher, Joan M.; Lawton, Cathrine S.

2011-01-01

119

Examining Differential Item Functioning in Reading Assessments for Students with Disabilities. CRESST Report 744  

ERIC Educational Resources Information Center

This study examines performance differences between students with disabilities and students without disabilities students using differential item functioning (DIF) analyses in a high-stakes reading assessment. Results indicated that for Grade 9, many items exhibited DIF. Items that exhibited DIF were more likely to be located in the second half…

Abedi, Jamal; Leon, Seth; Kao, Jenny C.

2008-01-01

120

Assessing Health Care Reform: Potential Effects on Insurance Coverage Among Persons With Disabilities  

Microsoft Academic Search

The changes enacted by the Patient Protection and Affordable Care Act are designed to substantially increase health insurance coverage. The authors analyze the health care reforms to assess the potential for increased insurance coverage among persons with disabilities. They estimate that approximately 2 million persons with disabilities will be newly insured; however, they also find a probable unintended consequence of

John Gettens; Alexis D. Henry; Jay Himmelstein

2012-01-01

121

A preliminary assessment of police officers' knowledge and perceptions of persons with disabilities.  

PubMed

Individuals with developmental disabilities are 4 to 10 times more likely to become crime victims than individuals without disabilities (D. Sobsey, D. Wells, R. Lucardie, & S. Mansell, 1995). Victimization rates for persons with disabilities is highest for sexual assault (more than 10 times as high) and robbery (more than 12 times as high). There are a number of factors related to individuals' with disabilities susceptibility to interactions with the criminal justice system. In addition to these factors, many significant barriers exist, both real and perceived, that limit investigation and prosecution of these cases. How police officers perceive and understand disability play significant roles in how these cases develop and evolve. The purpose of this study was to assess police officer knowledge and perceptions of persons with disabilities. PMID:18578576

Modell, Scott J; Mak, Suzanna

2008-06-01

122

Acute medical unit comprehensive geriatric assessment intervention study (AMIGOS)  

PubMed Central

Background Many older people presenting to Acute Medical Units (AMU) are discharged after only a short stay (< 72 hours), yet many re-present to hospital or die within 1 year. Comprehensive Geriatric Assessment may improve patient outcomes for this group. Method Participants Patients aged > 70 years and scoring positive on a risk screening tool ('Identification of Seniors At Risk') who are discharged within 72 hours of attending an AMU with a medical crisis, recruited prior to discharge. Sample size is 400. Carers of participants will also be recruited. Intervention Assessment on the AMU and further out-patient management by a specialist physician in geriatric medicine. Assessment and further management will follow the principles of Comprehensive Geriatric Assessment, providing advice and support to primary care services. Design Multi-centre, individual patient randomised controlled trial comparing intervention with usual care. Outcome measurement Follow up is by postal questionnaire 90 days after randomisation, and data will be entered into the study database by a researcher blind to allocation. The primary outcome is 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). Secondary outcomes include mortality, institutionalisation, health and social care resource use, and scaled outcome measures, including quality of life, disability, mental well-being. Carer strain and well being will also be measured at 90 days. Analyses Comparisons of outcomes and costs, and a cost utility analysis between the intervention and control groups will be carried out. Trial Registration ISRCTN: ISRCTN21800480

2011-01-01

123

Disability-Friendly University Environments: Conducting a Climate Assessment  

ERIC Educational Resources Information Center

What constitutes a supportive environment for all students with disabilities in postsecondary settings? After more than ten years of collecting data focused on the provision of educational supports to students with disabilities in postsecondary education, the authors have discovered numerous intervening variables that contribute to a supportive…

Stodden, Robert A.; Brown, Steven E.; Roberts, Kelly

2011-01-01

124

Assessing the Reading Comprehension of Adults with Learning Disabilities  

ERIC Educational Resources Information Center

Background: This study's aim was to begin the process of measuring the reading comprehension of adults with mild and borderline learning disabilities, in order to generate information to help clinicians and other professionals to make written material for adults with learning disabilities more comprehensible. Methods: The Test for the Reception of…

Jones, F. W.; Long, K.; Finlay, W. M. L.

2006-01-01

125

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

126

Shared Agency and Collaboration between the Family and Professionals in Medical Rehabilitation of Children with Severe Disabilities  

ERIC Educational Resources Information Center

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…

Jarvikoski, Aila; Martin, Marjatta; Autti-Ramo, Ilona; Harkapaa, Kristiina

2013-01-01

127

The Effectiveness of Antidepressant Medication in the Management of Behaviour Problems in Adults with Intellectual Disabilities: A Systematic Review  

ERIC Educational Resources Information Center

Background: A comprehensive systematic review was performed to establish the current evidence base regarding the effectiveness of antidepressant medication for the management of behaviour problems in adults with intellectual disabilities. Method: An electronic search of PsycInfo, Embase, Medline and Cinahl databases was conducted spanning the time…

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

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

THE SCHEDULE FOR ASSESSMENT OF PSYCHIATRIC DISABILITY - A MODIFICATION OF THE DAS-II  

PubMed Central

SUMMARY Measurement of Disability is one of the off-shoot projects of the major multicentred study on ‘Factors Affecting Course and Outcome of Schizophrenia’ being held at Madras, Vellore and Lucknow. As part of this study, modification of the Disability Assessment Schedule (II) was carried out at the Madras centre. Certain items of the DAS were deleted and the rest were regrouped into 4 main areas of personal, social, occupational and global disability. This modified instrument called the Schedule for Assessment of Psychiatric Disability (SAPD) was administered to 30 patients each of the 3 groups of psychoses, neurotics and diabetics. It was found that the SAPD effectively discriminated the psychotic group from the other 2 groups. The authors recommend this instrument for measurement of disability in an outpatient psychiatric population.

Thara, R.; Rajkumar, S.; Valecha, V.

1988-01-01

130

Assessment of the Self-Determination of Spanish Students with Intellectual Disabilities and other Educational Needs  

PubMed Central

The purpose of this study was to assess the self-determination of Spanish high school students with Intellectual Disability and other Special Educational Needs (SEN). A total of 371 students between 11 and 17 years of age participated in the study. Of these, 46.4% (n=171) presented SEN, specifically learning disabilities (n=97; 26.2%), borderline and intellectual disability with higher IQ scores (n=43; 11.6%) and mild intellectual disability (n=32; 8.6%). The remaining students without SEN made up the control group. The assessment was carried out using a translated and validated Spanish version of The Arc’s Self-Determination Scale (Wehmeyer, 1995). This measure had appropriate psychometric properties. Students with SEN obtained significantly lower scores than their peers without SEN. However, no differences were found in relation to the type of SEN or, more specifically, in relation to the presence of intellectual disability. The educational implications of the results are discussed.

Gomez-Vela, Maria; Verdugo, Miguel Angel; Gonzalez Gil, Francisca; Corbella, Marta Badia; Wehmeyer, Michael L.

2014-01-01

131

No Child Left Behind: Most Students with Disabilities Participated in Statewide Assessments, but Inclusion Options Could Be Improved.  

National Technical Information Service (NTIS)

The No Child Left Behind Act of 2001 has focused attention on improving the academic achievement of all students, including more than 6 million students with disabilities and requires that all students be assessed. Students with disabilities may be includ...

2005-01-01

132

Adult Tests: A Selected List of Assessment Instruments Appropriate for Adults with Disabilities, Fiscal Year 1985,  

National Technical Information Service (NTIS)

The document lists assessment instruments that are appropriate for adults and that have been used specifically for program planning with the hearing impaired, the learning disabled, the mentally retarded, and the visually impaired. Two tests suitable for ...

W. L. Langner

1985-01-01

133

Measuring the meaning of disability in rheumatoid arthritis: the Personal Impact Health Assessment Questionnaire (PI HAQ)  

PubMed Central

Background: Measurement of disability in rheumatoid arthritis is often used to support treatment decisions and outcome assessments, but is used without reference to the impact of disability on individual patients. Objective: To develop and validate a scale to measure individual values for functions, which is used to weight the level of an individual patient's functional loss and thus calculate the personal impact of disability. Methods: In four linked studies, first the phraseology for values was explored to develop a stem question for the value scale couched in terms patients understand (face validity). Then short and long versions of the value scale were compared (content validity) and tests of internal consistency and short term reliability undertaken (criterion validity). Finally, the value scale was examined for long term reliability and agreement with expected variables (criterion and construct validity), after which personal impact scores were calculated and their construct validity examined. Results: Patients understand the concept of values, and a positively phrased stem question was developed for the value scale, for which a short version was reasonably equivalent to a long version. The value scale was reliable over one week (96% changed by <1 point) with positive interitem correlation. Reasonable six and 12 month reliability was shown (52% changed by <0.5 points), and the value scale was independent of disability and clinical, psychological, personality, and social support variables. Personal impact scores were then calculated by using the value scores to weight disability scores. Impact scores varied widely between patients of similar disability. Personal impact for disability showed convergent validity with dissatisfaction with disability, perceived increase in disability, increased disease activity, worse psychological status, low social support, and time trade off for disability. It discriminated between patients with low and high dissatisfaction with disability, life satisfaction, depression, pain, and helplessness. Conclusion: This individualised personal impact scale should lend meaning to disability scores, improving the interpretation of clinical and research data.

Hewlett, S; Smith, A; Kirwan, J

2002-01-01

134

42 CFR 436.322 - Medically needy coverage of the disabled.  

Code of Federal Regulations, 2013 CFR

...needy coverage of the disabled. 436.322 Section...DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED...needy coverage of the disabled. If the agency...provide Medicaid to disabled individuals who meet...b) The income and resource requirements of...

2013-10-01

135

Participation and Performance of English Language Learners with Disabilities on Minnesota Standards-Based Assessments, 1999-2000. ELLs with Disabilities Report 1  

ERIC Educational Resources Information Center

The purpose of this study was to examine the participation and performance of English language learners with disabilities on the 1999-2000 Minnesota Comprehensive Assessments. For the rest of this report we refer to these students by the term students with limited English proficiency (LEP) who also have disabilities (SLEPD) 1. We wanted to do this…

Albus, Deb; Thurlow, Martha; Barrera, Manuel; Guven, Kamil; Shyyan, Vitaliy

2004-01-01

136

Should medical school faculty see assessments of students made by previous teachers?  

PubMed

Whether medical school faculty should be provided with assessments of students made by previous teachers remains controversial. To document which schools have implemented policies that address this issue and to characterize the specific features of these policies, in 1998 the authors conducted a direct mail survey of deans of student affairs and medical education at 144 medical schools in the United States, Canada, and Puerto Rico. Replies were received from 129 (90%) of the 144 medical schools. Of those schools, 72 (56%) reported having policies that address this issue. The policies permit the sharing of information in 38 (53%) of the 72 schools that had policies; therefore, at the time of this study, 29% of the 129 medical schools that responded to the survey had a policy that permits the sharing of assessment information. The policies permit the sharing of information related to problems with academic performance (35%), professional conduct (35%), physical health (25%), and miscellaneous circumstances, such as learning disability (5%). Information may be shared with clerkship coordinators (44%), course directors (35%), faculty mentors (11%), clinical faculty supervisors (8%), and resident supervisors (3%). The findings show that there is considerable diversity in the format and content of policies that address the issue of whether medical school faculty should be provided with information about students' assessments made by previous teachers. The authors explain why policies that require the provision of such information are helpful to medical school faculty, and offer recommendations based on the survey findings. PMID:12431918

Gold, Wayne L; McArdle, Patricia; Federman, Daniel D

2002-11-01

137

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

138

The Integrated Medical Model: A Risk Assessment and Decision Support Tool for Space Flight Medical Systems  

NASA Technical Reports Server (NTRS)

The Integrated Medical Model (IMM) is a decision support tool that is useful to mission planners and medical system designers in assessing risks and designing medical systems for space flight missions. The IMM provides an evidence based approach for optimizing medical resources and minimizing risks within space flight operational constraints. The mathematical relationships among mission and crew profiles, medical condition incidence data, in-flight medical resources, potential crew functional impairments, and clinical end-states are established to determine probable mission outcomes. Stochastic computational methods are used to forecast probability distributions of crew health and medical resource utilization, as well as estimates of medical evacuation and loss of crew life. The IMM has been used in support of the International Space Station (ISS) medical kit redesign, the medical component of the ISS Probabilistic Risk Assessment, and the development of the Constellation Medical Conditions List. The IMM also will be used to refine medical requirements for the Constellation program. The IMM outputs for ISS and Constellation design reference missions will be presented to demonstrate the potential of the IMM in assessing risks, planning missions, and designing medical systems. The implementation of the IMM verification and validation plan will be reviewed. Additional planned capabilities of the IMM, including optimization techniques and the inclusion of a mission timeline, will be discussed. Given the space flight constraints of mass, volume, and crew medical training, the IMM is a valuable risk assessment and decision support tool for medical system design and mission planning.

Kerstman, Eric; Minard, Charles; Saile, Lynn; deCarvalho, Mary Freire; Myers, Jerry; Walton, Marlei; Butler, Douglas; Iyengar, Sriram; Johnson-Throop, Kathy; Baumann, David

2009-01-01

139

Assessment of Interpersonal Risk (AIR) in Adults with Learning Disabilities and Challenging Behaviour--Piloting a New Risk Assessment Tool  

ERIC Educational Resources Information Center

A new risk assessment tool, "Assessment of Interpersonal Risk" (AIR), was piloted and evaluated to measure risk factors and compatibility between individuals living in an assessment and treatment unit in one NHS area. The adults with learning disabilities in this unit had severe and enduring mental health problems and/or behaviour that is severely…

Campbell, Martin; McCue, Michael

2013-01-01

140

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

141

Learning from lives together: medical and social work students' experiences of learning from people with disabilities in the community.  

PubMed

The study aims to evaluate an interprofessional community-based learning event, focussing on disability. The learning opportunity was based on the Leicester Model of Interprofessional Education, organised around the experiences and perceptions of service users and their carers. Programme participants were drawn from medicine and social work education in Leicester, UK, bringing together diverse traditions in the care of people with disabilities. Small student groups (3-4 students) worked from one of the eight community rehabilitation hospitals through a programme of contact with people with disabilities in hospital, at home or in other community settings. The evaluation, in March 2005, used a mixed methods approach, incorporating questionnaire surveys, focus group interviews with students and feedback from service users. Responses were collated and analysed using quantitative and qualitative measures. Fifty social work and 100 medical students completed the first combined delivery of the module. The findings indicated that the merging of social work and medical perspectives appear to create some tensions, although overall the student experience was found to be beneficial. Service users (16 responses) valued the process. They were not concerned at the prospect of meeting a number of students at home or elsewhere and were pleased to think of themselves as educators. Problems and obstacles still anticipated include changing the mindset of clinicians and practising social workers to enable them to support students from each other's disciplines in practice learning. The generally positive outcomes highlight that disability focussed joint learning offers a meaningful platform for interprofessional education in a practice environment. PMID:20534068

Anderson, E S; Smith, R; Thorpe, L N

2010-05-01

142

Reliability of the Migraine Disability Assessment Score in A Population-Based Sample of Headache Sufferers  

Microsoft Academic Search

Background. The Migraine Disability Assessment (MIDAS) score is used to quantify headache-related disability. In a previous study, we showed that the MIDAS score was highly reliable in population-based samples of migraine headache sufferers in two countries.Objectives. To examine the test–retest reliability and internal consistency of the five items comprising the MIDAS score and the overall MIDAS score in a population-based

WF Stewart; RB Lipton; K Kolodner; J Liberman; J Sawyer

1999-01-01

143

Somatization Increases Disability Independent of Comorbidity  

PubMed Central

Background Somatoform disorders are an important factor in functional disability and role impairment, though their independent contribution to disability has been unclear because of prevalent medical and psychiatric comorbidity. Objectives To assess the extent of the overlap of somatization with other psychiatric disorders and medical problems, to compare the functional disability and role impairment of somatizing and non-somatizing patients, and to determine the independent contribution of somatization to functional disability and role impairment. Design Patients were surveyed with self-report questionnaires assessing somatization, psychiatric disorder, and role impairment. Medical morbidity was indexed with a computerized medical record audit. Participants Consecutive adults making scheduled visits to their primary care physicians at two hospital-affiliated primary care practices on randomly chosen days. Measurements Intermediate activities of daily living, social activities, and occupational disability. Results Patients with somatization, as well as those with serious medical and psychiatric illnesses, had significantly more impairment of activities of daily life and social activities. When these predictors were considered simultaneously in a multivariable regression, the association with somatization remained highly significant and was comparable to or greater than many major medical conditions. Conclusions Patients with somatization had substantially greater functional disability and role impairment than non-somatizing patients. The degree of disability was equal to or greater than that associated with many major, chronic medical disorders. Adjusting the results for psychiatric and medical co-morbidity had little effect on these findings.

Orav, E. John; Bates, David W.; Barsky, Arthur J.

2008-01-01

144

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

145

Spelling Assessment of Students with Disabilities: Formal and Informal Procedures  

ERIC Educational Resources Information Center

Accurate spelling is a complex act that requires cognitive and linguistic knowledge of the phonological, morphological, syntactical, and semantic principles of our language. Students with disabilities frequently exhibit spelling difficulties related to language learning disorders and inefficient cognitive processing. These difficulties often are…

Beirne-Smith, Mary; Riley, Tamar F.

2009-01-01

146

How do providers assess antihypertensive medication adherence in medical encounters?  

Microsoft Academic Search

BACKGROUND: Poor adherence to antihypertensives has been shown to be a significant factor in poor blood pressure (BP) control. Providers’\\u000a communication with patients about their medication-taking behavior may be central to improving adherence.\\u000a \\u000a \\u000a OBJECTIVE: The goal of this study was to characterize the ways in which providers ask patients about medication taking.\\u000a \\u000a \\u000a \\u000a \\u000a DESIGN: Clinical encounters between primary care providers and

Barbara G. Bokhour; Dan R. Berlowitz; Judith A. Long; Nancy R. Kressin

2006-01-01

147

Alternate Assessments of Students with Significant Disabilities: Alternative Approaches, Common Technical Challenges  

ERIC Educational Resources Information Center

This article examines three typical approaches to alternate assessment for students with significant cognitive disabilities--portfolios, performance assessments, and rating scales. A detailed analysis of common and unique design features of these approaches is provided, including features of each approach that influence the psychometric quality of…

Elliott, Stephen N.; Roach, Andrew T.

2007-01-01

148

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

149

Replications and Extensions in Arousal Assessment for Sex Offenders with Developmental Disabilities  

ERIC Educational Resources Information Center

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…

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

2011-01-01

150

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

151

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

152

Validation of Personal Digital Photography to Assess Dietary Quality among People with Intellectual Disabilities  

ERIC Educational Resources Information Center

Background: Dietary assessment is a challenge in general, and specifically in individuals with intellectual disabilities (ID). This study aimed to evaluate personal digital photography as a method of assessing different aspects of dietary quality in this target group. Method: Eighteen adults with ID were recruited from community residences and…

Elinder, L. S.; Brunosson, A.; Bergstrom, H.; Hagstromer, M.; Patterson, E.

2012-01-01

153

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

ERIC Educational Resources Information Center

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

Crepeau-Hobson, Franci; Vujeva, Hana

2012-01-01

154

Weaving Assessment Information into Intervention Ideas: Planning Communication Interventions for Young Children with Disabilities.  

ERIC Educational Resources Information Center

This article discusses how practitioners can link assessment to action when planning communication interventions for young children with disabilities. It reviews communication components and discusses strategies for collecting information that may be especially useful in the domain of communication. Strategies for turning assessment information…

Hampton, Enrica O.; Whitney, Diana Williams; Schwartz, Ilene S.

2002-01-01

155

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

156

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

157

A Principled Approach to Accountability Assessments for Students with Disabilities. Synthesis Report 70  

ERIC Educational Resources Information Center

Building on research and practice, the National Center on Educational Outcomes (NCEO) has revisited and updated its 2001 document that identified principles and characteristics that underlie inclusive assessment and accountability systems. This report on a principled approach to accountability assessments for students with disabilities reflects…

Thurlow, Martha L.; Quenemoen, Rachel F.; Lazarus, Sheryl S.; Moen, Ross E.; Johnstone, Christopher J.; Liu, Kristi K.; Christensen, Laurene L.; Albus, Debra A.; Altman, Jason

2008-01-01

158

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

159

Practical Measures for Assessing Work Performance Behaviors in Individuals with Severe Disabilities.  

ERIC Educational Resources Information Center

This paper describes the Work Performance Assessment (WPA) and the Work Personality Profile (WPP) and provides instructions for their use. The WPA and WPP evaluate behaviors associated with job retention and advancement among disabled workers. Together the two evaluation components form a comprehensive observational assessment designed to provide…

Johnson, Virginia Anne; Parkerson, Sandra

160

Rasch Analysis of the Assessment of Children's Hand Skills in Children with and without Disabilities  

ERIC Educational Resources Information Center

The Assessment of Children's Hand Skills (ACHS) is a new assessment tool that utilizes a naturalistic observational method to capture children's real-life hand skill performance when engaging in various types of activities. The ACHS also intends to be used with both typically developing children and those presenting with disabilities. The purpose…

Chien, Chi-Wen; Brown, Ted; McDonald, Rachael

2011-01-01

161

Impact of Portfolio Assessment on Locus of Control of Students with and without Disabilities.  

ERIC Educational Resources Information Center

This study explored the effects of portfolio assessment on locus of control among 90 eighth-graders with and without disabilities. Results indicated that all participants scored more internally oriented in terms of locus of control than those not involved in portfolio assessment. (Contains references.) (Author/PB)

Ezell, Dan; Klein, Colleen

2003-01-01

162

Assessment of Leisure Preferences for Students with Severe Developmental Disabilities and Communication Difficulties  

ERIC Educational Resources Information Center

The purpose of this study was to develop and to evaluate the Preferences for Leisure Attributes (PLA) Assessment, a forced-choice computer software program for students with severe disabilities and communication difficulties. In order to determine content validity of the PLA Assessment, four experts in related fields assigned critical attributes…

Kreiner, Janice; Flexer, Robert

2009-01-01

163

Australian General Practitioner Uptake of a Remunerated Medicare Health Assessment for People with Intellectual Disability  

ERIC Educational Resources Information Center

In 2007 the Australian Commonwealth Government announced the Medicare Health Assessment for People with an Intellectual Disability as part of the Enhanced Primary Care (EPC) program (Department of Health and Ageing, 2008). The annual health assessment is a structured framework for general practitioners (GPs), which enables an annual comprehensive…

Koritsas, Stella; Iacono, Teresa; Davis, Robert

2012-01-01

164

10 CFR 712.14 - Medical assessment.  

...other substances, as identified by self-reporting or by medical or psychological evaluation or testing; (4) Threat of suicide, homicide, or physical harm; or (5) Medical conditions such as cardiovascular disease, endocrine disease,...

2014-01-01

165

10 CFR 712.14 - Medical assessment.  

Code of Federal Regulations, 2013 CFR

...other substances, as identified by self-reporting or by medical or psychological evaluation or testing; (4) Threat of suicide, homicide, or physical harm; or (5) Medical conditions such as cardiovascular disease, endocrine disease,...

2013-01-01

166

10 CFR 712.14 - Medical assessment.  

Code of Federal Regulations, 2011 CFR

...other substances, as identified by self-reporting or by medical or psychological evaluation or testing; (4) Threat of suicide, homicide, or physical harm; or (5) Medical conditions such as cardiovascular disease, endocrine disease,...

2011-01-01

167

10 CFR 712.14 - Medical assessment.  

Code of Federal Regulations, 2010 CFR

...other substances, as identified by self-reporting or by medical or psychological evaluation or testing; (4) Threat of suicide, homicide, or physical harm; or (5) Medical conditions such as cardiovascular disease, endocrine disease,...

2010-01-01

168

10 CFR 712.14 - Medical assessment.  

Code of Federal Regulations, 2012 CFR

...other substances, as identified by self-reporting or by medical or psychological evaluation or testing; (4) Threat of suicide, homicide, or physical harm; or (5) Medical conditions such as cardiovascular disease, endocrine disease,...

2012-01-01

169

Including young people with disabilities: Assessment challenges in higher education  

Microsoft Academic Search

Within a European context, facilitating the increased participation of marginalized groups within society has become a cornerstone\\u000a of social policy. In higher education in Ireland this has generally involved the targeting for support of individuals representing\\u000a groups traditionally excluded on the grounds of socio-economic status. More recently, people with disability have been included\\u000a in this consideration. This approach has tended

Joan Hanafin; Michael Shevlin; Mairin Kenny; Eileen Mc Neela

2007-01-01

170

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

171

Assessment of the Undergraduate Medical Education Environment in a Large UK Medical School  

ERIC Educational Resources Information Center

Objective: To assess the undergraduate educational environment in a large UK medical school. Method: Prospective study using the already validated Dundee Ready Education Environment (DREEM) questionnaire ("Appendix 1"). Setting: A large UK medical school. Participants: All medical students enrolled in the academic year 2002/2003. Main outcome…

Dunne, Fidelma; McAleer, Sean; Roff, Susan

2006-01-01

172

Medical Technology Assessment Directory: A Pilot Reference to Organizations, Assessments, and Information Resources.  

National Technical Information Service (NTIS)

For the first time, a single reference identifies medical technology assessment programs. A valuable guide to the field, this directory contains more than 60 profiles of programs that conduct and report on medical technology assessments. Each profile incl...

C. Goodman

1988-01-01

173

[Medical and organizational issues of pre- and post-stroke disablement].  

PubMed

Authors examined 400 patients in the acute stage of ischemic and hemorrhagic stroke, including 140 patients who were followed-up for 6 months after the discharge. The dynamics of neurological and functional status, degree of disability and 6 month mortality were evaluated. It was shown that before hospitalization, 45.3% patients had disability pensions group I (14 or 7.7%), group II (136 or 75.1%) and group III (31 or 17.1%). The proportion of disabled people among able-bodied citizens younger than 60 years was 17.5% and it was 77.4% among those older than 80 years. Disability was caused by the cardiovascular pathology (48.1%), previous stroke (30.9%), diabetes mellitus type 2 and its complications (21%). The group of disability assigned before stroke, degree of comorbidity and severity of main disease were positively correlated with the severity of patient's condition on admission to and at discharge from the hospital. During 6 months after discharge, 15.7% of patients died, the rate of mortality was higher by a factor of 1.5 (21.4%) for secondary stroke compared to the first one. The rate of disability increased during 6 months. A number of people with disability group I increased by 12%, group II - by 20% , group III - by 5% and was estimated as 15, 55.7 and 15%, respectively. PMID:24107894

Rumyantseva, S A; Silina, E V; Svischeva, S P; Komarov, A N

2013-01-01

174

Replications and extensions in arousal assessment for sex offenders with developmental disabilities.  

PubMed

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

175

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.

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

2011-01-01

176

Reading fluency: implications for the assessment of children with reading disabilities.  

PubMed

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 intellectual, reading achievement, and processing measures. Within this clinical sample, a group of children were identified that exhibited specific deficits in their reading fluency skills with concurrent deficits in rapid naming speed and reading comprehension. This group of children would not have been identified as having a reading disability according to assessment of single word reading skills alone, suggesting that it is essential to assess reading fluency in addition to word reading because failure to do so may result in the under-identification of children with reading disabilities. PMID:20033795

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

2010-06-01

177

Comparison of a Video-Based Assessment and a Multiple Stimulus Assessment to Identify Preferred Jobs for Individuals with Significant Intellectual Disabilities  

ERIC Educational Resources Information Center

The authors compare two methods of identifying job preferences for individuals with significant intellectual disabilities. Three individuals with intellectual disabilities between the ages of 19 and 21 participated in a video-based preference assessment and a multiple stimulus without replacement (MSWO) assessment. Stimulus preference assessment

Horrocks, Erin L.; Morgan, Robert L.

2009-01-01

178

Assessing the Effects of Stimulation Versus Microswitch-Based Programmes on Indices of Happiness of Students with Multiple Disabilities  

ERIC Educational Resources Information Center

Background: Stimulation and microswitch-based programmes are considered main strategies to promote indices of happiness in students with multiple disabilities. However, only limited attempts have been made to assess the relative effects of the two programmes. This study conducted such an assessment with seven students with multiple disabilities.…

Lancioni, G. E.; Singh, N. N.; O'Reilly, M. F.; Oliva, D.; Smaldone, A.; Tota, A.; Martielli, G.; Stasolla, F.; Pontiggia, G.; Groeneweg, J.

2006-01-01

179

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

180

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

181

Evaluation of Multiple-Stimulus Preference Assessment with Adults with Developmental Disabilities  

ERIC Educational Resources Information Center

We compared multiple-stimulus without replacement (MSWO) and paired-stimulus (PS) procedures to assess stimulus preferences of adults with developmental disabilities. Stimulus preference rankings for six food items obtained by the two procedures were positively correlated for all participants (M = 0.72, range 0.41 to 1). However, four participants…

Davies, Gareth; Chand, Carly; Yu, C. T.; Martin, Toby L.; Martin, Garry L.

2013-01-01

182

Identifying Students with Learning Disabilities: Composite Profile Analysis Using the Cognitive Assessment System  

ERIC Educational Resources Information Center

The detection of cognitive patterns in children with learning disabilities (LD) has been a priority in the identification process. Subtest profile analysis from traditional cognitive assessment has drawn sharp criticism for inaccurate identification and weak connections to educational planning. Therefore, the purpose of this study is to use a new…

Huang, Leesa V.; Bardos, Achilles N.; D'Amato, Rik Carl

2010-01-01

183

The Validation of Generalizable Reasoning Skills Assessment Instruments for Students with Disabilities.  

ERIC Educational Resources Information Center

This study focused on the validation of Generalizable Reasoning Skills assessment instruments with students with disabilities in secondary vocational programs. Results indicated that student self-ratings, teacher ratings, and a performance test were internally consistent and precise measures of reasoning skills for some uses but that most…

Greenan, James P.; Jarwan, Fathi A.

1992-01-01

184

Mathematics Assessment Accommodations: Implications of Differential Boost for Students with Learning Disabilities  

ERIC Educational Resources Information Center

The inclusion of students with learning disabilities (LD) in assessment is deemed critical to improve the quality of educational opportunities for these students and to provide meaningful and useful information about student performance. Mandated inclusion and accountability for progress raise many interesting questions regarding how to fairly,…

Lindstrom, Jennifer H.

2010-01-01

185

"Measuring up"? Assessment and Students with Disabilities in the Modern University  

ERIC Educational Resources Information Center

In this article, I ask how university students with disabilities negotiate with staff arrangements for alternative assessment practices. I draw on three case studies using a personal pronoun perspective to challenge the conventional view that educational policy and teaching practice are forms of rational action. I demonstrate how the lives of…

Bessant, Judith

2012-01-01

186

Responsiveness to Intervention: Multilevel Assessment and Instruction as Early Intervention and Disability Identification  

ERIC Educational Resources Information Center

Responsiveness to Intervention (RTI) is widely understood as representing a multilevel framework that integrates assessment and instruction to provide strong early intervention and valid methods of disability identification. There are currently many approaches to RTI, which are creating confusion among educators as they try to conceptualize,…

Fuchs, Douglas; Fuchs, Lynn S.

2009-01-01

187

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

188

College-Bound Students with Learning Disabilities: Assessment of Readiness for Academic Success.  

ERIC Educational Resources Information Center

This model for assessing the readiness for college of high school students with learning disabilities offers a life-span developmental perspective. It identifies life-event stressors, mediating variables (abilities and attitudes), the social-psychological adaptation process, and adaptive/maladaptive outcomes. (DB)

Synatschk, Katherine

1995-01-01

189

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

190

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

ERIC Educational Resources Information Center

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

Crepeau-Hobson, Franci; Vujeva, Hana

2012-01-01

191

Issues in the assessment and treatment of male sex offenders with mild learning disabilities  

Microsoft Academic Search

The psychological assessment and treatment of male sex offenders has been of increasing interest in recent years, and a substantial literature, primarily cognitive-behavioural in orientation, now exists. However, there is little information about the application of this literature to men with mild learning disabilities (previously known as mild ‘mental handicap’), who have impaired intellectual and social functioning and are at

Isabel C. H. Clare

1993-01-01

192

Alternate Assessment Scores and Life Outcomes for Students with Significant Disabilities: Are They Related?  

ERIC Educational Resources Information Center

A study investigated the extent to which alternate assessment scores for 41 12th-graders in Kentucky's Alternate Portfolio Program for students with significant disabilities correlated with a measure of post-school outcomes approximately one year after completing school. No significant relationship was found between these two measures. (Contains…

Kleinert, Harold L.; Garrett, Brent; Towles, Elizabeth; Garrett, Michelle; Nowak-Drabik, Karen; Waddell, Christina; Kearns, Jacqueline Farmer

2002-01-01

193

Social Skill Deficits of Learning-Disabled Students: Issues of Definition, Classification, and Assessment.  

ERIC Educational Resources Information Center

Learning disabled (LD) students are often poorly accepted by peers and exhibit deficits in social skills. Research on LD students' social behavior is reviewed and the definition, assessment, and classification of social skill deficits are discussed. Needed improvements in professional training, in practice, and in public policy relating to LD…

Gresham, Frank M.; Elliott, Stephen N.

1987-01-01

194

Validation of the Assessment of Social Competence (ASC) for Children and Young Adults with Developmental Disabilities.  

ERIC Educational Resources Information Center

Development and validation of the Assessment of Social Competence (ASC), designed for individuals at all levels of functioning, are described. Results from samples of 140 children/youth and 161 adults with mental retardation and other disabilities indicate ASC is a comprehensive, criterion-referenced tool for both descriptive and intervention…

Meyer, Luanna H.; And Others

1990-01-01

195

Examining Differential Distractor Functioning in Reading Assessments for Students with Disabilities. CRESST Report 743  

ERIC Educational Resources Information Center

This study examines the incorrect response choices, or distractors, by students with disabilities in standardized reading assessments. Differential distractor functioning (DDF) analysis differs from differential item functioning (DIF) analysis, which treats all answers alike and examines all wrong answers against the correct answer. DDF analysis…

Abedi, Jamal; Leon, Seth; Kao, Jenny C.

2008-01-01

196

Alternate Assessment for Students with Significant Cognitive Disabilities: An Educator's Guide  

ERIC Educational Resources Information Center

To support K-12 students with significant disabilities and get an accurate picture of their skills and knowledge, schools need to implement effective alternate assessment based on alternate achievement standards (AA-AAS). This is the guidebook every team should have--not only to develop successful AA-AAS linked with grade-level content standards,…

Kleinert, Harold L.; Kearns, Jacqui Farmer

2010-01-01

197

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

198

Project STOP: Cognitive Behavioral Assessment and Treatment for Sex offenders with Intellectual Disability  

ERIC Educational Resources Information Center

In this brief article, we provide relevant background concerning the prevalence, characteristics and vulnerabilities of intellectually disabled (ID) sex offenders, as well as scientifically-informed guidelines for treatment. Finally, we provide a description of Project STOP, an outpatient cognitive behavioral assessment an treatment program.

Nezu, Christine Maguth; Greenberg, Jeffrey; Nezu, Arthur M.

2005-01-01

199

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

200

Assessing Residential Segregation among Medicaid Recipients with Psychiatric Disability in Philadelphia  

ERIC Educational Resources Information Center

This study assesses the extent of residential segregation among 15,246 people diagnosed with psychiatric disabilities and receiving Medicaid (MA) in Philadelphia, and an identically sized group of MA recipients serving as matched controls. Results indicate that overall levels of residential segregation among this group were modest at their most…

Metraux, Stephen; Caplan, Joel M.; Klugman, Dutch; Hadley, Trevor R.

2007-01-01

201

Congruence in Maternal and Professional Early Intervention Assessments of Young Children with Disabilities.  

ERIC Educational Resources Information Center

Maternal and professional perspectives on the developmental, behavioral, and ecological status of children with disabilities and their families were compared, specifically examining the degree of congruence between maternal and professional estimates on various measures designed to assess child and family status. A review of 37 studies helped…

Snyder, Patricia; And Others

202

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

203

Models of Cognition for Students with Significant Cognitive Disabilities: Implications for Assessment  

ERIC Educational Resources Information Center

This article addresses the application of the assessment triangle developed by the National Research Council (Pellegrino, Chudowsky, & Glaser, 2001), most specifically the cognition vertex of that triangle, to the unique learning characteristics of students with significant cognitive disabilities in developing and demonstrating academic…

Kleinert, Harold L.; Browder, Diane M.; Towles-Reeves, Elizabeth A.

2009-01-01

204

Behavioral Assessment, Analysis, and Support in a Psychiatric Partial Hospitalization Program for Adults with Developmental Disabilities  

Microsoft Academic Search

This article describes the objectives and operations of a behavioral psychology service within a partial hospitalization program for adults with psychiatric disorders and developmental disabilities. Partial hospitalization programs are an effective model of psychiatric service delivery but are not common for patients with mental retardation\\/mental illness. Phases of intake behavioral assessment, treatment planning and implementation, and discharge are described with

James K. Luiselli; Kathleen Lisowski; Robin Weiss

1998-01-01

205

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

206

Inclusion of Students with Disabilities and Limited English Proficient Students in Large-Scale Assessments: A Summary of Recent Progress.  

National Technical Information Service (NTIS)

The purpose of this report is to describe recent efforts to increase the participation of students with disabilities and of limited English proficient (LEP) students in large-scale assessments. Inclusive assessment systems are receiving increased attentio...

A. A. Goldstein J. F. Olson

1997-01-01

207

Application of the health assessment questionnaire disability index to various rheumatic diseases  

Microsoft Academic Search

Purpose  To investigate whether the Stanford Health Assessment Questionnaire Disability Index (HAQ-DI) can serve as a generic instrument\\u000a for measuring disability across different rheumatic diseases and to propose a scoring method based on item response theory\\u000a (IRT) modeling to support this goal.\\u000a \\u000a \\u000a \\u000a \\u000a Methods  The HAQ-DI was administered to a cross-sectional sample of patients with confirmed rheumatoid arthritis (n = 619), osteoarthritis (n = 125), or gout

Maaike M. van Groen; Peter M. ten Klooster; Erik Taal; Mart A. F. J. van de Laar; Cees A. W. Glas

2010-01-01

208

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.

Zabalia, Marc

2013-01-01

209

Relative importance of the functional abilities comprising Health Assessment Questionnaire Disability Index among rheumatoid arthritis patients  

Microsoft Academic Search

The aim was to evaluate the relative importance of the 20 functions assessed by patients to produce the Health Assessment\\u000a Questionnaire’s Disability Index (HAQ-DI). A systematic sample of 242 rheumatoid arthritis patients was drawn. Altogether\\u000a 179 subjects returned acceptably filled questionnaire including perceived rheumatoid arthritis status in the 20 functions\\u000a comprising the HAQ-DI. A separate complementary questionnaire was sent to

Risto Tuominen; Timo Möttönen; Carita Suominen; Tero Vahlberg; Sini Tuominen

2010-01-01

210

Suggested guidelines for rating cardiac disability in workers' compensation. Medical and Chiropractic Advisory Committee to the Administrative Director of the California Division of Industrial Accidents.  

PubMed Central

Cardiac disability ratings in workers' compensation cases currently lack any consistent scientific basis, with varying medical evidence used by different examiners in the same case. Opinions about the extent of disability may differ with the same patient, delaying resolution and the delivery of benefits. We describe guidelines for determining cardiac impairment and suggest a schedule for rating disability based on evidence. Our experience is in California, but arriving at equitable ratings for disability purposes is a nationwide challenge. Exercise stress testing provides the best reproducible data to test the heart's ability to do work. When exercise stress testing is not possible or adequate, alternative or supplemental testing is necessary. Certain conditions, such as hypertension, arrhythmias, coronary artery spasm, and a history of coronary artery operations or myocardial infarction, may affect "cardiac disability" but may not necessarily be reflected in exercise testing.

Clark, W L; Alpern, H L; Breall, W S; Hyman, R M; Markovitz, A; O'Brien, J B; Starke, R D

1993-01-01

211

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

212

Are Medical Students Assigning Proper Global Assessment of Functioning Scores?  

ERIC Educational Resources Information Center

Objective: This article seeks to determine whether medical students can estimate the appropriate score for the Global Assessment of Functioning (GAF) compared with psychiatry residents and staff psychiatrists. The authors hypothesized that medical students' estimations of GAF scores for patients in clinical vignettes would differ from those…

Warsi, Mustafa K.; Sattar, S. Pirzada; Din, Amad U.; Petty, Frederick; Padala, Prasad R.

2007-01-01

213

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

214

Commentary: Granting medical licensure, honoring the Americans with disabilities act, and protecting the public: can we do all three?  

PubMed

Physicians suffer from the same illnesses as others do, and some of these illnesses may limit their ability to safely practice medicine. Individuals with of some of these same illnesses may also suffer from denial, blinding them to their limitations. Data support that, while many of these physicians do voluntarily limit their practices or seek help, not all do. Schroeder and colleagues demonstrate in this issue that in their attempts to protect the public, state medical licensing boards may have asked questions prohibited by the Americans with Disabilities Act. They point out an ethical tension between nonmaleficence (protecting the public from harm) and individual autonomy (respecting the rights of each individual physician), amplified by the different approaches lawyers and physicians use to address conflicts. The classic legal approach is adversarial, whereas the classic medical approach is collaborative. Both are valid approaches, but neither works well in tandem with the other. The time has come for all sides of the licensure debate to acknowledge the legitimacy of the others' concerns, to recognize the different approaches they each take, and to work together with others to find a common solution. The solution must allow boards to identify individuals with illnesses that impair their ability to practice safely and that also lead to denial of these very limitations. The solution must respect the autonomy of the individual licensee with a disability who can practice safely with an accommodation and who respects the need for that accommodation. The solution must protect the public. PMID:19474533

Altchuler, Steven I

2009-06-01

215

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

216

Development and Psychometric Properties of an Assessment for Persons with Intellectual Disability--The InterRAI ID  

ERIC Educational Resources Information Center

This paper describes the development of the interRAI-Intellectual Disability (interRAI ID), a comprehensive instrument that assesses all key domains of interest to service providers relative to a person with an intellectual disability (ID). The authors report on the reliability and validity of embedded scales for cognition, self-care, aggression,…

Martin, Lynn; Hirdes, John P.; Fries, Brant E.; Smith, Trevor F.

2007-01-01

217

The Homeless Assessment Program: A Service–Training Model for Providing Disability Evaluations for Homeless, Mentally Ill Individuals  

Microsoft Academic Search

Many of the nation's homeless people suffer from unrecognized mental illnesses and do not have access to the kind of disability benefits they would be entitled to when properly assessed. The current system of disability evaluations for Social Security income claims is frequently inadequate and leaves these individuals without any source of income, health insurance, and mental health treatment. This

Uwe Jacobs; Gilbert H. Newman; Jennifer C. Burns

2001-01-01

218

38 CFR 3.358 - Compensation for disability or death from hospitalization, medical or surgical treatment...  

Code of Federal Regulations, 2010 CFR

...hospitalization, medical or surgical treatment, examinations...hospitalization, medical or surgical treatment, examinations...800). (a) General. This section...hospitalization, medical or surgical treatment, examination...injury and some essential activity or...of some task or operation the trainee must...

2009-07-01

219

38 CFR 3.358 - Compensation for disability or death from hospitalization, medical or surgical treatment...  

Code of Federal Regulations, 2010 CFR

...hospitalization, medical or surgical treatment, examinations...hospitalization, medical or surgical treatment, examinations...800). (a) General. This section...hospitalization, medical or surgical treatment, examination...injury and some essential activity or...of some task or operation the trainee must...

2010-07-01

220

[Temporary disability and its legal implications].  

PubMed

Temporary disability is the condition that workers face when, as the result of illness (common or professional) or accident (work-related or not), they are temporarily prevented from performing their work and require health care. The management of temporary disability is a medical act that involves (in addition to a complex clinical assessment) obvious social, occupational and financial connotations and requires continuing medical follow-up from doctors, as well as responses to medical-legal conflicts. The regulatory framework on the subject is extensive in the Spanish setting and highly diverse in the European setting. Beyond the regulatory framework, the repercussions of temporary disability are self-evident at all levels. Although determining temporary disability is a common medical act for practicing physicians, it is not exempt from risks or difficulties arising from the assessment itself and the characteristics of practicing medical care. Established medical-legal conflicts include the processing of health data and the requirements for transferring information related to workers' temporary disability to their company's medical services. The interest and usefulness demonstrated by the data obtained from forensic medicine for public health require the incorporation of these data into general healthcare information, as it could be essential to the surveillance of worker health. The recommendations established by medical societies, as good practice guidelines, are especially useful in this type of conflict. PMID:24913752

Martin-Fumadó, Carles; Martí Amengual, Gabriel; Puig Bausili, Lluïsa; Arimany-Manso, Josep

2014-03-01

221

Disability as Diversity: Assessing the Perceptions of Students with Physical Disabilities regarding Access and Equal Opportunity in Postsecondary Education  

ERIC Educational Resources Information Center

The initial purpose of this study was to utilize the Higher Education and Students with Physical Disabilities Survey (HESPDS) to develop a better understanding of the perceptions of students with physical disabilities regarding the extent to which private, residential colleges and universities provide access and equal opportunity. The significance…

Cooper, Lisa Marie

2012-01-01

222

Assessing Behaviour Support Plans for People with Intellectual Disability before and after the Victorian Disability Act 2006  

ERIC Educational Resources Information Center

Background: This study sought to elucidate the extent to which behaviour support plans for people with intellectual disability are inclusive of best practice criteria, with a comparison made prior to and following proclamation of the Disability Act (2006) in Victoria, Australia. Method: This study used a data collection instrument developed by the…

Phillips, Louise; Wilson, Linda; Wilson, Erin

2010-01-01

223

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

224

Mathematics Assessment for Students with Mild Disabilities: Frameworks and Practices  

ERIC Educational Resources Information Center

The overall purpose of this paper is to describe a practical and useful approach to mathematics assessment that is meaningful to teachers, students and families. The format is highly flexible, yet specifically designed to provide detailed information as to the performance characteristics of the student and a variety of curricula and instructional…

Cawley, John F.; Parmar, Rene S.

2003-01-01

225

Investigating the Language Assessment Tasks with Learning Disabled Children.  

ERIC Educational Resources Information Center

This study investigated the diagnostic effectiveness of the Language Assessment Tasks (LAT) in differentiating language disordered students from nonhandicapped students. LAT was administered individually to two groups of subjects (experimental and control) matched for sex, race, and birthdate (ages 9-14 years). The performances of each group of…

Henderson, Nancy B.; Pine, Shirley J.

226

Assessment Modifications for Students with Disabilities in Sport Education  

ERIC Educational Resources Information Center

The main goals of the sport education model (SEM) are to help students become competent, literate, and enthusiastic sportspersons by offering learning opportunities through contextualized sport experiences within the physical education setting. While various resources recommend suitable and easy-to-use assessment tools for physical education…

Tindall, Daniel; Foley, John

2011-01-01

227

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.

2012-01-01

228

Risk assessment in offenders with intellectual disability: a comparison across three levels of security.  

PubMed

In mainstream offender samples, several risk assessments have been evaluated for predictive validity. This study extends this work to male offenders with intellectual disabilities. Participants from high-, medium-, and low-security settings, as well as community settings, were compared on a range of risk assessments. The Violence Risk Appraisal Guide, HCR-20-Historical Scale, the Risk Matrix 2000-C (combined risk), and the Emotional Problems Scales-Internalising discriminated between groups, with participants from high security having higher scores than those in medium security, who had higher scores than those in the community. The Violence Risk Appraisal Guide, all HCR-20 scales, the Short Dynamic Risk Scale, and the Emotional Problems Scales (Internalising and Externalising) showed significant areas under the curve for the prediction of violence. The Static-99 showed a significant area under the curve for the prediction of sexual incidents. The discussion reviews the value of these various scales to intellectual disability services. PMID:18174529

Lindsay, William R; Hogue, Todd E; Taylor, John L; Steptoe, Lesley; Mooney, Paul; O'Brien, Gregory; Johnston, Susan; Smith, Anne H W

2008-02-01

229

Accuracy of teacher assessments of second-language students at risk for reading disability.  

PubMed

This study examined the accuracy of teacher assessments in screening for reading disabilities among students of English as a second language (ESL) and as a first language (L1). Academic and oral language tests were administered to 369 children (249 ESL, 120 L1) at the beginning of Grade 1 and at the end of Grade 2. Concurrently, 51 teachers nominated children at risk for reading failure and completed rating scales assessing academic and oral language skills. Scholastic records were reviewed for notation of concern or referral. The criterion measure was a standardized reading score based on phonological awareness, rapid naming, and word recognition. Results indicated that teacher rating scales and nominations had low sensitivity in identifying ESL and L1 students at risk for reading disability at the 1-year mark. Relative to other forms of screening, teacher-expressed concern had lower sensitivity. Finally, oral language proficiency contributed to misclassifications in the ESL group. PMID:15497265

Limbos, M M; Geva, E

2001-01-01

230

Assessing the Needs of People with Learning Disabilities and Mental Illness: Development of the Learning Disability Version of the Cardinal Needs Schedule  

ERIC Educational Resources Information Center

People with learning disability (LD) experience a range of mental health problems. They are a complex population, whose needs are not well understood. This study focuses on the development of a systematic process of needs assessment for this population. The Cardinal Needs Schedule used in general psychiatry was adapted for people with learning…

Raghavan, R.; Marshall, M.; Lockwood, A.; Duggan, L.

2004-01-01

231

Participation and Performance of English Language Learners with Disabilities on Minnesota Standards-Based Assessments, 2000-2001. ELLs with Disabilities Report 4.  

ERIC Educational Resources Information Center

This report focuses on the performance of students with disabilities and limited English proficiency on the Minnesota Comprehensive Assessments (MCAs). The MCAs are used for accountability purposes at the district level for grades 3 and 5 in Reading and Mathematics. Newly developed MCAs in grades 10 (reading) and 11 (mathematics) that were…

Albus, Deb; Barrera, Manuel; Thurlow, Martha; Guven, Kamil; Shyyan, Vitaliy

2004-01-01

232

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.

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

2010-01-01

233

Behavioral Assessment and Treatment of Anxiety in Individuals with Intellectual Disabilities and Autism  

Microsoft Academic Search

Individuals with intellectual disabilities (ID) and autism spectrum disorders may be at increased risk for anxiety disorders.\\u000a Unfortunately, research on the assessment and treatment of anxiety disorders in individuals with ID has lagged behind that\\u000a related to typically developing individuals. This paper reviews the existing literature and also draws from the research on\\u000a anxiety in typically developing persons as a

Louis P. Hagopian; Heather K. Jennett

2008-01-01

234

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

235

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

236

Impairments, disabilities and needs assessment among non-fatal war injuries in South Lebanon, Grapes of Wrath, 1996  

Microsoft Academic Search

STUDY OBJECTIVETo examine the impact of non-fatal war related injuries on physical disability in a group of war wounded civilians and to assess their needs.DESIGNCross sectional study. Home interviews were conducted using a structured interview schedule around one month after the injury, to assess impairments, disabilities, and needs.STUDY POPULATION AND SETTINGWar wounded persons in towns and villages in South Lebanon

Abla Mehio Sibai; Nadine Sameer Shaar; Samar El Yassir

2000-01-01

237

Assessment of prescribers' knowledge of the cost of medications  

PubMed Central

Background In 2003, the World Health Organization reported 50% of patients are adherent with long-term therapies. Frequently, the reason for a patient’s non-adherence is the cost of medications. Even with prescription insurance coverage, patients may not be able to afford their medication. Objective We sought to assess prescriber knowledge of the cost of commonly prescribed medications including atorvastatin, gabapentin, levofloxacin, losartan, pantoprazole, pioglitazone and quetiapine. Secondary objectives evaluated how often prescribers consult a discounted drug list and a patient’s prescription insurance coverage. Methodology One hundred prescribers from the Medical University of South Carolina were surveyed from November 2010 to January 2011. Prescribers consisted of medical residents, attending physicians, fellows, nurse practitioners, and physician’s assistants. Wholesale prices of medications were determined using the Red Book™ and prescription insurance prices from an average of the top three prescription insurance companies’ copayments. Results Medical residents made up 72% of those surveyed, fellows 3%, attendings 12%, physician’s assistants 3%, and nurse practitioners 10%. The different prescriber groups were unable to correctly determine the cost of medications of more than 50% of total possible responses. The majority of prescribers rarely asked about a patient’s prescription insurance coverage or consulted a discounted drug list before writing a prescription. Conclusions Prescribers are more likely to know the cost of medications for those patients who have prescription insurance coverage versus those who do not.

Cogdill, Brittany; Nappi, Jean M.

2012-01-01

238

Assessing observational studies of medical treatments  

Microsoft Academic Search

BACKGROUND: Previous studies have assessed the validity of the observational study design by comparing results of studies using this design to results from randomized controlled trials. The present study examined design features of observational studies that could have influenced these comparisons. METHODS: To find at least 4 observational studies that evaluated the same treatment, we reviewed meta-analyses comparing observational studies

Arthur Hartz; Suzanne Bentler; Mary Charlton; Douglas Lanska; Yogita Butani; G Mustafa Soomro; Kjell Benson

2005-01-01

239

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.

2010-01-01

240

Diagnosing a Learning Disability in a Hearing-Impaired Child.  

ERIC Educational Resources Information Center

This paper presents a case study that used an interdisciplinary diagnostic approach to determine whether a hearing-impaired nine-year-old child had a learning disability and to determine the type of disability. The assessment included medical examination, gross and fine motor skills, psychological functioning, mental processing and achievement,…

Plapinger, Donald; Sikora, Darryn

1990-01-01

241

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

242

Longitudinal Functional Analysis of Problem Behavior during an Atypical Neuroleptic Medication Cross-over Evaluation for an Adolescent with Developmental Disabilities  

ERIC Educational Resources Information Center

This quasi-longitudinal descriptive case study evaluated problem behavior for an adolescent boy with developmental disabilities via repeated functional behavioral analysis (FBA) probes during a blinded cross-over from the atypical neuroleptic Risperdal (Risperidone) to Seroquel (Quetiapine). The repeated FBA probes showed no medication differences…

Moore, Timothy R.; Tervo, Raymond C.; McComas, Jennifer J.; Rivard, Patrick F.; Symons, Frank J.

2009-01-01

243

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

244

Integration of a Psychiatric Service in a Long-Term Charitable Facility for People with Intellectual Disabilities: A 5-Year Medication Survey  

ERIC Educational Resources Information Center

Since the implementation of a psychiatric service in a long-term facility for people with intellectual disability, the usage of psychotropic and anti-convulsant drugs has been surveyed over the 5-year period 1994-1999. At that time, although the overall prevalence rate of residents on medication was not declining significantly, a decrease in…

Ruggerini, Ciro; Guaraldi, Gian Paolo; Russo, Angela; Neviani, Vittoria; Castagnini, Augusto

2004-01-01

245

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

246

Decision-Making after Prenatal Diagnosis of a Syndrome Predisposing to Intellectual Disability: What Prospective Parents Need to Know and the Importance of Non-Medical Information  

ERIC Educational Resources Information Center

Background: Recently researchers have suggested that non-medical information may impact the decision to continue or terminate a pregnancy after a prenatal diagnosis. This study is an investigation of what type of information prospective parents need for this decision-making in the case of a condition predisposing to intellectual disability.…

Huyard, Caroline

2012-01-01

247

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

248

Utilisation and cost of professional care and assistance according to disability of patients with multiple sclerosis in Flanders (Belgium)  

Microsoft Academic Search

OBJECTIVESTo assess the utilisation of medical services and social (community) assistance in patients with multiple sclerosis of different disability and to calculate the direct healthcare costs to society.METHODS(1) One hundred and eighty four patients with multiple sclerosis were classified into four grades of disability according to a simplified Kurzke disability status scale. (2) Patients were interviewed with a structured questionnaire

H Carton; R Loos; J Pacolet; K Versieck; R Vlietinck

1998-01-01

249

Relationship between IEP Characteristics and Test Scores on an Alternate Assessment for Students with Significant Cognitive Disabilities  

ERIC Educational Resources Information Center

Although many studies have examined the alignment of state standards with large-scale assessment and instruction, fewer have attended to alignment concerning alternate assessments for students with significant disabilities. This study was designed to (1) compare expectations in one state's alternate assessment (AA) with curricular priorities…

Karvonen, Meagan; Huynh, Huynh

2007-01-01

250

Medical ethics course for undergraduate medical students: a needs assessment study  

PubMed Central

Education needs assessment is one of the essential components of curriculum development. In this study, we aimed to assess the educational needs of general physicians for medical ethics. We conducted a three-stage Delphi study of general physicians’ views on important ethical issues in their practice. In the item generation stage we retrieved 45 important educational items from a survey of general physicians, patients, well known ethical clinicians, and a review of other universities’ curricula and international literature. The questionnaire was designed to ask the importance of each generated item. We then sent the questionnaire to general physicians. Items scored as highly important by more than 80% of the respondents in the first or second consensus development surveys were considered as educational priorities. Four academic medical ethics teachers reviewed and commented on the findings. The response rate to the first consensus development survey was 38%, of whom 77% also responded to the second survey. We developed consensus on 24 medical ethics items for inclusion in medical ethics curriculum. All items were also considered important by medical ethics teachers, and they added four further items to the list. Despite the attention given to ethical issues originating from technological advances, the most important educational needs of general physicians in medical ethics are still the traditional issues concerning the doctor-patient relationship and professionalism.

Asghari, Fariba; Samadi, Aniseh; Rashidian, Arash

2013-01-01

251

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.

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

2013-01-01

252

Assessing the Written Communication Skills of Medical School Graduates  

Microsoft Academic Search

The ECFMG® Clinical Skills Assessment (CSA®)was developed to evaluate whether graduates of international medical schools (IMGs)\\u000a are ready to enter graduate training programs in the United States. The patient note (PN) exercise, conducted after a 15-minute\\u000a interview with a standardized patient (SP), is specifically used to assess a candidate's ability to summarize and synthesize\\u000a the data collected. On a yearly

John R. Boulet; Thomas A. Rebbecchi; Elizabeth C. Denton; Danette W. McKinley; Gerald P. Whelan

2004-01-01

253

Searching for Quality in Medical Care: The Maine Medical Assessment Foundation Model.  

National Technical Information Service (NTIS)

This monograph was written as part of a project funded by the Agency for Health Care Policy and Research (AHCPR), (star) now the Agency for Healthcare Research and Quality. This project, the Outcomes Dissemination Project of the Maine Medical Assessment F...

R. B. Keller E. Griffen E. J. Schneiter D. E. Wennberg R. Russell

2000-01-01

254

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

255

Application based reliability assessment and qualification methodology for medical ICs  

Microsoft Academic Search

Reliability assessment and qualification system has strong economic implications for both manufacturers and customers. The best system should have a good balance among cost of verification, market timing requirement, and acceptable risk that meets the targeted user's application conditions and requirements. With the increasing use of innovative electronics in the medical applications, it becomes difficult to have a single reliability

Xiaowei Zhu; Karthik Vasanth; Xiaochen Xu; Charles Smyth; Brent Rhoton

2011-01-01

256

"Portfolios" as a method of assessment in medical education  

PubMed Central

Portfolios are increasingly used in postgraduate medical education and in gastroenterology training as an assessment tool, as documentation of competence, a database of procedure experience (for example endoscopy experience) and for revalidation purposes. In this paper the educational theory behind their use is described and the evidence for their use is discussed.

2014-01-01

257

Quality of Medical Care Assessment Using Outcome Measures.  

National Technical Information Service (NTIS)

The results of a 1-year project undertaken to place the outcome method for assessing quality of medical care in perspective and to develop disease-specific short-term outcome measures are summarized. The first volume of the full report summarized herein p...

R. H. Brook A. D. Avery

1976-01-01

258

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

259

Are Multiple Choice Tests Fair to Medical Students with Specific Learning Disabilities?  

ERIC Educational Resources Information Center

The purpose of multiple choice tests of medical knowledge is to estimate as accurately as possible a candidate's level of knowledge. However, concern is sometimes expressed that multiple choice tests may also discriminate in undesirable and irrelevant ways, such as between minority ethnic groups or by sex of candidates. There is little literature…

Ricketts, Chris; Brice, Julie; Coombes, Lee

2010-01-01

260

Disability, Technology, and Place: Social and Ethical Implications of Long-Term Dependency on Medical Devices  

Microsoft Academic Search

Medical technologies and assistive devices such as ventilators and power wheelchairs are designed to sustain life and\\/or improve functionality but they can also contribute to stigmatization and social exclusion. In this paper, drawing from a study of ten men with Duchenne muscular dystrophy, we explore the complex social processes that mediate the lives of persons who are dependent on multiple

B. E. Gibson; R. E. G. Upshur; N. L. Young; P. McKeever

2007-01-01

261

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

Code of Federal Regulations, 2010 CFR

20 Employees' Benefits 2...Section 416.996 Employees' Benefits SOCIAL...AGED, BLIND, AND DISABLED Determining Disability...work period and are engaging in substantial gainful...cessation based on engaging in substantial...

2009-04-01

262

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

Code of Federal Regulations, 2010 CFR

20 Employees' Benefits 2...Section 416.996 Employees' Benefits SOCIAL...AGED, BLIND, AND DISABLED Determining Disability...work period and are engaging in substantial gainful...cessation based on engaging in substantial...

2010-04-01

263

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

National Technical Information Service (NTIS)

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 ...

A. S. Kallrui E. A. Griffin J. G. Myers K. M. Gilkey M. P. McRae

2012-01-01

264

Extension of statutory period for compensation for certain disabilities due to undiagnosed illnesses and medically unexplained chronic multi-symptom illnesses. Final rule.  

PubMed

The Department of Veterans Affairs (VA) is issuing this final rule to affirm an amendment to its adjudication regulation regarding compensation for disabilities experienced by veterans who served in the Southwest Asia Theater of Operations during the Persian Gulf War. This amendment is necessary to extend the period during which disabilities associated with undiagnosed illnesses and medically unexplained chronic multi-symptom illnesses must become manifest in order for a veteran to be eligible for compensation. Additionally, in this final rule, VA will correct the adjudication section title that was amended and published in the Federal Register on September 29, 2010, but inadvertently changed to the original title. PMID:23074748

2012-10-16

265

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.

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

2013-01-01

266

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.

2011-01-01

267

42 CFR 435.324 - Medically needy coverage of the disabled in States that cover individuals receiving SSI.  

Code of Federal Regulations, 2013 CFR

...needy coverage of the disabled in States that cover...DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED...needy coverage of the disabled in States that cover...provide Medicaid to disabled individuals who meet...b) The income and resource requirements of...

2013-10-01

268

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.

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

2013-01-01

269

Human Rehabilitation Techniques, A Technology Assessment. Volume iI, Part A, Supplemental Report: Disability Analyses, Motor Disabilities.  

National Technical Information Service (NTIS)

This four-part document is the second of a six-volume report detailing the activities and findings of an extensive research effort which identifies the policy-related aspects of efforts to aid disabled persons in the United States. Volume 2, a condensatio...

C. Sigelman L. Vengroff C. Spanhel C. Mannion M. Schockett

1977-01-01

270

Development and Validation of the Intellectual Disability Literacy Scale for Assessment of Knowledge, Beliefs and Attitudes to Intellectual Disability  

ERIC Educational Resources Information Center

Research into the general public's responses to individuals with intellectual disabilities has been dominated by attitudinal research. While this approach has unquestionably generated useful findings, it ignores important aspects, such as lay knowledge, explanatory models and beliefs about suitable interventions that can produce a multi-faceted…

Scior, Katrina; Furnham, Adrian

2011-01-01

271

Needs Assessment for Computer-Based Medical Decision Support Systems  

PubMed Central

Computer-based medical decision support systems should be developed with a clear understanding of physicians' needs for such support, yet these needs are rarely assessed. In order to identify the type of information that is needed for decision support, this study examined the correspondence between the knowledge base of QMR, a diagnostic support system for Internal Medicine, and the requests from internists and family physicians to MIST, a telephone consultation service based at an academic medical center. Results showed that the QMR knowledge base contained the majority of consultation requests made by the callers and that a small number of conditions account for most of the requests.

Berner, E. S.; Brooks, C. M.

1988-01-01

272

The Minnesota Health Partnership and Coordinated Health Care and Disability Prevention: the implementation of an integrated benefits and medical care model.  

PubMed

In the spring of 1996, the Minnesota Health Partnership (MHP) received a demonstration grant from the Robert Wood Johnson Foundation Workers Compensation Health Initiative to pilot a model of health care that was designed to combine the best practices of general health and workers' compensation medical care. This paper outlines the genesis of the MHP, and the relationship of its Coordinated Health Care and Disability Prevention model to traditional managed care and 24-h care models. In order to effectively implement disability prevention principles within a primary care clinical setting, it is essential to increase health care provider awareness that the disability relating to a specific impairment can be positively impacted by specific clinical strategies. The basis and specifics of these strategies are also discussed. Plans for the evaluation of this model will also be described. PMID:11837058

McGrail, Michael P; Calasanz, Marilou; Christianson, Jon; Cortez, Cathy; Dowd, Bryan; Gorman, Robert; Lohman, William H; Parker, David; Radosevich, David M; Westman, Gary

2002-03-01

273

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.

2013-01-01

274

Peer assessment among first year medical students in anatomy.  

PubMed

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 objective of this study was to quantitatively and qualitatively analyze the use of a validated peer assessment tool in Gross Anatomy. Students in a first year medical school class evaluated three members of their dissection group using an online survey tool. The mid-course and end-of-course evaluation included open-ended comments, as well as a five-point scale that measured three work habits, two interpersonal attributes and one overall score. All 267 students completed the assignment. The overall score and four of the five other assessed categories showed significant improvement from the mid- to end-of-course evaluations. Quantitative and qualitative data also revealed significant improvement among the students who received the lowest mid-course assessments. Seventy-six percent of the class agreed with the statement: "Based on the feedback I received, I made a change in how I worked with or taught my peers." The use of this peer assessment tool used by students in anatomy was associated with improvements in work habits and interpersonal attributes, particularly by the cohort of students who received the lowest mid-course feedback. Peer assessment offers students an opportunity to improve their interpersonal skills and work habits. PMID:23959790

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

2014-01-01

275

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

276

The P15--A Multinational Assessment Battery for Collecting Data on Health Indicators Relevant to Adults with Intellectual Disabilities  

ERIC Educational Resources Information Center

Background: Health disparities between adults with intellectual disabilities (ID) and the general population have been well documented but, to date, no dedicated assessment battery for measuring health disparity has been available. This paper reports on the development and testing of a multinational assessment battery for collecting data on a…

Perry, J.; Linehan, C.; Kerr, M.; Salvador-Carulla, L.; Zeilinger, E.; Weber, G.; Walsh, P.; Van Schrojenstein Lantman-De-Valk, H.; Haveman, M.; Azema, B.; Buono, S.; Cara, A. C.; Germanavicius, A.; Van Hove, G.; Maatta, T.; Berger, D. M.; Tossebro, J.

2010-01-01

277

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

278

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

279

Rasch analysis of the Dutch health assessment questionnaire disability index and the health assessment questionnaire II in patients with rheumatoid arthritis  

Microsoft Academic Search

Objective: \\u000aThe Health Assessment Questionnaire (HAQ) disability index (DI) is the most common self-reported measure of physical disability in rheumatoid arthritis (RA). Recently, the HAQ-II was developed in the US as a short, valid, and reliable alternative using Rasch analysis. Our objective was to compare the scaling properties of the HAQ DI and HAQ-II in Dutch patients with RA. -

Klooster ten Peter M; Erik Taal; Laar van de Mart A. F. J

2008-01-01

280

Disability: a welfarist approach  

PubMed Central

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

Savulescu, Julian; Kahane, Guy

2011-01-01

281

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

282

75 FR 9821 - Disability Determinations by State Agency Disability Examiners  

Federal Register 2010, 2011, 2012, 2013

...Determinations by State Agency Disability Examiners AGENCY: Social Security Administration...are also experts in Social Security disability...other opinions of State agency medical and...are also experts in Social Security disability...other opinions of State agency medical...

2010-03-04

283

Relative importance of the functional abilities comprising Health Assessment Questionnaire Disability Index among rheumatoid arthritis patients.  

PubMed

The aim was to evaluate the relative importance of the 20 functions assessed by patients to produce the Health Assessment Questionnaire's Disability Index (HAQ-DI). A systematic sample of 242 rheumatoid arthritis patients was drawn. Altogether 179 subjects returned acceptably filled questionnaire including perceived rheumatoid arthritis status in the 20 functions comprising the HAQ-DI. A separate complementary questionnaire was sent to 80 randomly chosen subjects. They were asked to estimate how important each of the same 20 items were in their everyday life using the VAS method. Completely answered complementary questionnaires were returned by 66 (88%) of the subsample. The relative importance of the functions assessed varied considerably. Men assessed the highest importance to the ability to walk outdoors on flat ground and women to dressing themselves, getting in and out of bed and washing and drying their body. For both genders the least important function was the ability to take a tub bath. The importance of all other functions except taking a tub bath was positively highly significantly correlated with the importance of each of the other functions. Factor analyses with one factor model showed high loadings on most functions, with the exception of 'Take a tub bath'. The two-factor model formed one factor with loadings concentrating slightly more on 'lower extremity' and another on 'upper extremity'. Assessment of RA patients' functional status would benefit from further development of measures by giving relative weights from patients' perspective to those functional abilities which are used for index computations. PMID:19826820

Tuominen, Risto; Möttönen, Timo; Suominen, Carita; Vahlberg, Tero; Tuominen, Sini

2010-09-01

284

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.

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

2004-01-01

285

A Preliminary Assessment of Police Officers' Knowledge and Perceptions of Persons with Disabilities  

ERIC Educational Resources Information Center

Individuals with developmental disabilities are 4 to 10 times more likely to become crime victims than individuals without disabilities (D. Sobsey, D. Wells, R. Lucardie, & S. Mansell, 1995). Victimization rates for persons with disabilities is highest for sexual assault (more than 10 times as high) and robbery (more than 12 times as high). There…

Modell, Scott J.; Mak, Suzanna

2008-01-01

286

The Assessment of the Likelihood of Mammography Usage with Relevant Factors among Women with Disabilities  

ERIC Educational Resources Information Center

Research that identifies the determinants of low mammography use among disabled people is scant. This study examines the determining factors related to the low usage of mammography among women with disabilities. To identify the barriers that prevent women with disabilities from participating in mammography screening can help authorities conceive…

Kung, Pei-Tseng; Tsai, Wen-Chen; Chiou, Shang-Jyh

2012-01-01

287

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

ERIC Educational Resources Information Center

The booklet, fifth in a series, examines the assessment and remediation of reading difficulties in adults with learning disabilities. The section on assessment concerns touches upon reading recognition difficulties, and includes a list of questions for investigating auditory, tactile, and visual processes. Reading comprehension difficulties are…

Hoy, Cheri A.; Gregg, K. Noel

288

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.

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

2011-01-01

289

The Physician and Teacher as Team: Assessing the Effects of Medication  

ERIC Educational Resources Information Center

To determine the effects of medication on the classroom learning of learning disabled children, five educationally relevant tasks were administered by the teacher to two 8-year-old boys receiving continuous Ritalin dosages interspersed with Ritalin or placebo dosaged on a random basis. (Author)

Scranton, Thomas R.; And Others

1978-01-01

290

[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

291

Psychometric Evaluation of a Scale to Assess Satisfaction with Life among People with Intellectual Disabilities Living in Community Residences  

ERIC Educational Resources Information Center

Background: In the context of a health intervention among people with intellectual disabilities (ID), there was a need to assess satisfaction with some aspects of life, in order to monitor both potential positive and negative effects of the intervention. The aim of the present study was to develop and evaluate an easily administered scale for…

Bergstrom, H.; Hochwalder, J.; Kottorp, A.; Elinder, L. S.

2013-01-01

292

Sleep problems in children and young adults with developmental disabilities: home-based functional assessment and treatment  

Microsoft Academic Search

Sleep problems such as settling problems, frequent night waking, and early waking are prevalent as well as persistent with children and young adults with developmental disabilities who live at home. In this study, results of pretreatment functional assessment suggested that parental attention may have shaped and maintained the sleep problems with four participants. Effectiveness of extinction of parental attention, that

Robert Didden; Leopold M. G Curfs; Suzanne van Driel; Jan M. H de Moor

2002-01-01

293

Effects of Private versus Public Assessment on the Reading Fluency of Middle School Students with Mild Disabilities  

ERIC Educational Resources Information Center

Students with disabilities often have difficulties acquiring basic reading skills. The purpose of this study was to determine if private or public timed assessment readings with the Corrective Reading Program were more effective in improving students' reading fluency. An alternating treatments design was used with three male middle school students…

Hurst, Melissa; Jolivette, Kristine

2006-01-01

294

Benchmarks of Recommended Practice: Needs Assessment for Successful Inclusion of Infants and Toddlers with Disabilities in Natural Settings.  

ERIC Educational Resources Information Center

This needs assessment instrument contains indicators of recommended practice for serving infants and toddlers with disabilities in inclusive natural settings. It is designed to be used by early intervention personnel, child care providers, early childhood teachers, early Head Start providers, and others who wish to identify their needs for…

Frank, Adrienne, Ed.

295

Recent advances in the assessment of aberrant behavior maintained by automatic reinforcement in individuals with developmental disabilities  

Microsoft Academic Search

Many aberrant behaviors exhibited by individuals with developmental disabilities are maintained by “automatic reinforcement”. These behaviors are often difficult to treat, with the most effective behavioral interventions often resulting in only moderate success. However, a series of recent studies has advanced our ability to understand and treat these behaviors through the innovative use of behavioral assessment. We review the recent

Linda A. LeBlanc; Meeta R. Patel; James E. Carr

2000-01-01

296

Why IEP Teams Assign Low Performers with Mild Disabilities to the Alternate Assessment Based on Alternate Achievement Standards  

ERIC Educational Resources Information Center

The purpose of this case study was to determine teachers' rationales for assigning students with mild disabilities to alternate assessment based on alternate achievement standards (AA-AAS). In interviews, special educators stated that their primary considerations in making the assignments were low academic performance, student use of extended…

Cho, Hyun-Jeong; Kingston, Neal

2013-01-01

297

Public Reporting of 2007-2008 Assessment Information on Students with Disabilities: Progress on the Gap Front. Technical Report 57  

ERIC Educational Resources Information Center

This is the twelfth annual report by the National Center on Educational Outcomes (NCEO) analyzing public reporting of disaggregated assessment data for elementary and secondary students with disabilities in the United States. Reporting disaggregated performance data at the state and district level to the public is required of states by the…

Bremer, Chris; Albus, Debra; Thurlow, Martha L.

2011-01-01

298

The Performance of Learning Disabled Children on the Kaufman Assessment Battery for Children and the Bender-Gestalt Test.  

ERIC Educational Resources Information Center

Results of the Kaufman Assessment Battery for Children (K-ABC) and Bender-Gestalt Test were compared for a sample of learning disabled children that included 24 blacks and 24 whites; mean age 9 years. A significant correlation coefficient was found between the K-ABC Simultaneous Scale and the Bender-Gestalt Test error score. Implications of these…

Haddad, Frederick A.

1986-01-01

299

Using Factor Analysis to Investigate Accommodations Used by Students with Disabilities on an English-Language Arts Assessment  

ERIC Educational Resources Information Center

This study compared the underlying factors measured by a state standards-based grade 4 English-Language Arts (ELA) assessment given to several groups of students. The focus of the research was to gather evidence regarding whether or not the tests measured the same construct or constructs for students without disabilities who took the test under…

Cook, Linda; Eignor, Daniel; Sawaki, Yasuyo; Steinberg, Jonathan; Cline, Frederick

2010-01-01

300

Assessing and managing pain and major depression with medical comorbidities.  

PubMed

Chronic pain is the leading reason patients see their primary care physician, and the burden of pain and depression in those with medical illness is particularly severe. Improving depressive symptoms can decrease physical symptoms in many patients, but these patients may require a different treatment strategy than those with depression alone. This activity provides guidance on recognizing and accurately diagnosing pain and major depression, managing these conditions using assessment tools and measurement-based care, avoiding unwanted side effects and drug interactions, and properly matching patients to appropriate treatments. PMID:24434108

Jackson, W Clay

2013-12-01

301

Disability Glare in the Aging Eye. Assessment and Impact on Driving?  

PubMed Central

Purpose To compare different methods for the assessment of disability glare sensitivity in the elderly, to arrive at an objective assessment of the condition of the eye. To delineate the importance of straylight values in vision. Methods Three groups of subjects were studied: 1) Young subjects without any eye disease, 2) elderly subjects without any eye disease and 3) elderly subjects with (early) cataract in at least one eye. All subjects underwent 2 glare tests, 2 straylight tests, ETDRS visual acuity test, Pelli Robson contrast sensitivity test, refraction, LOCS III cataract classification. Straylight was quantified by means of the straylight parameter s. Results Repeatability, discriminative ability, and added value as compared to visual acuity were low for the glare tests and good for the straylight measurements. For young normal subjects, with log(s)=0.9, the standard glare situation with low beams gives a contrast reduction of 1.3, whereas for the healthy 77 year olds this increases to 2. With cataract hardly affecting visual acuity, log(s) can be as high as 1.8, resulting in a contrast reduction of 3.4. Conclusion Straylight measurement is of relevance for the assessment of the glare-related hindrance during driving, and can be used to objectify complaints and aid in the decision-making regarding cataract surgery.

van den Berg, Thomas J.T.P.; (Rene) van Rijn, L.J.; Kaper-Bongers, R.; Vonhoff, D.J.; Volker-Dieben, H.J.; Grabner, G.; Nischler, C.; Emesz, M.; Wilhelm, H.; Gamer, D.; Schuster, A.; Franssen, L.; de Wit, G.C.; Coppens, J.E.

2010-01-01

302

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.

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

2013-01-01

303

Developing and assessing curriculum on the physics of medical instruments.  

PubMed

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

2013-06-01

304

Does removal of aids\\/devices and help make a difference in the Childhood Health Assessment Questionnaire disability index?  

Microsoft Academic Search

Objective:To assess whether the removal of aids\\/devices and\\/or help from another person in the Childhood Health Assessment Questionnaire (C-HAQ) leads to a significant change in the disability index (DI) score and responsiveness in juvenile idiopathic arthritis (JIA).Methods:Changes in the C-HAQ DI score in a cross-sectional sample of 2663 children with JIA and in 530 active patients with JIA in a

C Saad-Magalhães; A Pistorio; A Ravelli; G Filocamo; S Viola; R Brik; D Mihaylova; R ten Cate; B Andersson-Gare; V Ferriani; K Minden; P Hashkes; M Rygg; M-J Sauvain; H Venning; A Martini; N Ruperto

2010-01-01

305

Physician Surveys to Assess Customary Care in Medical Malpractice Cases  

PubMed Central

OBJECTIVE Physician experts hired and prepared by the litigants provide most information on standard of care for medical malpractice cases. Since this information may not be objective or accurate, we examined the feasibility and potential value of surveying community physicians to assess standard of care. DESIGN Seven physician surveys of mutually exclusive groups of randomly selected physicians. SETTING Iowa. PARTICIPANTS Community and academic primary care physicians and relevant specialists. INTERVENTIONS Included in each survey was a case vignette of a primary care malpractice case and key quotes from medical experts on each side of the case. Surveyed physicians were asked whether the patient should have been referred to a specialist for additional evaluation. The 7 case vignettes included 3 closed medical malpractice cases, 3 modifications of these cases, and 1 active case. MEASUREMENTS AND MAIN RESULTS Sixty-three percent of 350 community primary care physicians and 51% of 216 community specialists completed the questionnaire. For 3 closed cases, 47%, 78%, and 88% of primary care physician respondents reported that they would have made a different referral decision than the defendant. Referral percentages were minimally affected by modifying patient outcome but substantially changed by modifying patient presentation. Most physicians, even those whose referral decisions were unusual, assumed that other physicians would make similar referral decisions. For each case, at least 65% of the primary care physicians disagreed with the testimony of one of the expert witnesses. In the active case, the response rate was high (71%), and the respondents did not withhold criticism of the defendant doctor. CONCLUSIONS Randomly selected peer physicians are willing to participate in surveys of medical malpractice cases. The surveys can be used to construct the distribution of physician self-reported practice relevant to a particular malpractice case. This distribution may provide more information about customary practice or standard of care than the opinion of a single physician expert.

Hartz, Arthur; Lucas, Joshua; Cramm, Timothy; Green, Michael; Bentler, Suzanne; Ely, John; Wolfe, Steven; James, Paul

2002-01-01

306

Systematic development of a communication skills training course for physicians performing work disability assessments: from evidence to practice  

PubMed Central

Background Physicians require specific communication skills, because the face-to-face contact with their patients is an important source of information. Although physicians who perform work disability assessments attend some communication-related training courses during their professional education, no specialised and evidence-based communication skills training course is available for them. Therefore, the objectives of this study were: 1) to systematically develop a training course aimed at improving the communication skills of physicians during work disability assessment interviews with disability claimants, and 2) to plan an evaluation of the training course. Methods A physician-tailored communication skills training course was developed, according to the six steps of the Intervention Mapping protocol. Data were collected from questionnaire studies among physicians and claimants, a focus group study among physicians, a systematic review of the literature, and meetings with various experts. Determinants and performance objectives were formulated. A concept version of the training course was discussed with several experts before the final training course programme was established. The evaluation plan was developed by consulting experts, social insurance physicians, researchers, and policy-makers, and discussing with them the options for evaluation. Results A two-day post-graduate communication skills training course was developed, aimed at improving professional communication during work disability assessment interviews. Special focus was on active teaching strategies, such as practising the skills in role-play. An adoption and implementation plan was formulated, in which the infrastructure of the educational department of the institute that employs the physicians was utilised. Improvement in the skills and knowledge of the physicians who will participate in the training course will be evaluated in a randomised controlled trial. Conclusions The feasibility and practical relevance of the communication skills training course that was developed seem promising. Such a course may be relevant for physicians in many countries who perform work disability assessments. The development of the first training course of this type represents an important advancement in this field.

2011-01-01

307

Assessing the Ecotoxicologic Hazards of a Pandemic Influenza Medical Response  

PubMed Central

Background: The global public health community has closely monitored the unfolding of the 2009 H1N1 influenza pandemic to best mitigate its impact on society. However, little attention has been given to the impact of this response on the environment. Antivirals and antibiotics prescribed to treat influenza are excreted into wastewater in a biologically active form, which presents a new and potentially significant ecotoxicologic challenge to microorganisms responsible for wastewater nutrient removal in wastewater treatment plants (WWTPs) and receiving rivers. Objectives: We assessed the ecotoxicologic risks of a pandemic influenza medical response. Methods: To evaluate this risk, we coupled a global spatially structured epidemic model that simulates the quantities of antivirals and antibiotics used during an influenza pandemic of varying severity and a water quality model applied to the Thames catchment to determine predicted environmental concentrations. An additional model was then used to assess the effects of antibiotics on microorganisms in WWTPs and rivers. Results: Consistent with expectations, our model projected a mild pandemic to exhibit a negligible ecotoxicologic hazard. In a moderate and severe pandemic, we projected WWTP toxicity to vary between 0–14% and 5–32% potentially affected fraction (PAF), respectively, and river toxicity to vary between 0–14% and 0–30% PAF, respectively, where PAF is the fraction of microbial species predicted to be growth inhibited (lower and upper 95% reference range). Conclusions: The current medical response to pandemic influenza might result in the discharge of insufficiently treated wastewater into receiving rivers, thereby increasing the risk of eutrophication and contamination of drinking water abstraction points. Widespread drugs in the environment could hasten the generation of drug resistance. Our results highlight the need for empirical data on the effects of antibiotics and antiviral medications on WWTPs and freshwater ecotoxicity.

Colizza, Vittoria; Schmitt, Heike; Andrews, Johanna; Balcan, Duygu; Huang, Wei E.; Keller, Virginie D.J.; Vespignani, Alessandro; Williams, Richard J.

2011-01-01

308

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

309

[So-called complex ego-functions, psychic cross findings and valuation of efficiency in medical expert assessment of psychogenic diseases].  

PubMed

Medical expert assessment of a disease-induced disability requires the integrative examination of own and outside anamnestic data, file content and psychic cross-findings received in the assessment interview, if necessary completed by results of psychologic testing. The measure of disability with regard to psychogenic diseases is the impairment of the so-called complex ego-functions because they make it possible to judge someone's will which is available to overcome his inhibitions concerning achievement. This case report describes how to determine and present an impairment of complex ego-functions on the finding level. It is the author's view that it is desirable to operationalise this way of receiving findings with the aim of achieving obligatory criteria for granting payment to every insured person. PMID:16180533

Fabra, M

2005-09-01

310

[Applicability of the problem of peptic ulcer in modern gastroenterology, military-and-medical and medical-and-social assessment].  

PubMed

The round-up article is devoted to the history of gastroenterology. The authors deal with a subject of aetiology, pathogenesis and treatment of diseases associated with destruction of mucous coat of GI tract. The main criteria of military-and-medical and medical-and-social assessment used in evaluation of patients with different forms of peptic ulcer are performed. PMID:23808197

Sergeeva, V V; Soshina, A A; Parinov, O V; Bobylev, V A

2013-02-01

311

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

312

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

313

Annual Needs Assessment, 1998: Region V Head Start-Child Care Partnerships & Training and Technical Assistance Needs in the Area of Disabilities.  

ERIC Educational Resources Information Center

The Great Lakes Quality Improvement Center for Disabilities (Region V QIC-D or GLQIC-D) serves Head Start Programs in Illinois, Indiana, Michigan, Minnesota, Ohio, and Wisconsin, and conducts an annual needs assessment of the Head Start Disability Services Coordinators. For 1998, 264 coordinators completed the survey, which gathered information…

Bhagwanji, Yash; Bennett, Tess

314

Assessing the accuracy of the WISC-IV seven-subtest short form and the child and adolescent intellectual disability screening questionnaire in identifying intellectual disability in children.  

PubMed

Little research has been conducted into the accuracy of abbreviated assessments in identifying children and young people with an intellectual disability (ID). The present study compared two such methods in a clinical population of individuals with (n = 106) and without (n = 170) ID: a 7-subtest short form of the Wechsler Adult Intelligence Scales for Children-fourth edition (WISC-IV) proposed by Crawford and colleagues and the Child and Adolescent Intellectual Disability Screening Questionnaire (CAIDS-Q). Both the CAIDS-Q and the WISC-IV short form had high and comparable levels of predicting group classification (88% and 91% correct classification, respectively). Both methods would appear to offer clinicians and researchers an efficient and accurate means of identifying those who are likely to have ID. The WISC-IV short form was slightly more accurate, but the CAIDS-Q may offer the advantages of being shorter to administer and having no requirement for the user to have a particular qualification or training. PMID:23745760

McKenzie, Karen; Murray, Aja L; Murray, Kara R; Murray, George C

2014-05-01

315

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

316

Dimensional Integration of Assessment Outcomes With Intervention Services for Children With Specific Learning Disabilities  

Microsoft Academic Search

This article reviews critical issues with integrating different procedures for identifying children with specific learning disabilities permitted in the federal regulations of the 2004 Individual With Disabilities Education Act 2004. Theoretical differences between behavioral approaches that focus on recording behavioral responses based on manipulating variables and approaches that focus on measuring attributes internal to the person (e.g., cognition, cognitive processing,

Scott Decker

2012-01-01

317

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

ERIC Educational Resources Information Center

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

Lindsay, William R.; Beail, Nigel

2004-01-01

318

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

319

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

320

Assessment of cardiovascular and noncardiovascular medical device recalls.  

PubMed

Medical device recalls have called attention to the device approval process in the United States. The premarket approval (PMA) process requires clinical trials to evaluate safety and effectiveness, whereas the expedited 510(k) process does not. The 510(k) process has been considered a source of increased recalls. This study aimed to assess the relative safety of medical device approval pathways based on the numbers of approvals and recalls. Data on recalls in the United States from January 2005 to December 2012 were collected from the Food and Drug Administration Web site. Over 8 years, 30,002 devices were approved, 5,728 by PMA (19%) and 24,274 (81%) by 510(k). There were 249 recalls due to serious risks, 0.45% of PMA approvals, and 0.92% of 510(k)-cleared devices, p <0.001. Over 1/2 of the recalls were during the first 2 years on the market. Percentage of recalled PMA devices was unchanged over the 8 years, whereas 510(k) recalls increased in 2010 to 2012 (from 0.65% to 1.39%, p <0.001). Cardiovascular devices represent the largest class of recalls (27%). The proportions of recalled PMA and 510(k) cardiovascular devices were the same as for all medical devices until 2011, but 510(k) recalls dramatically decreased in 2012 to the lowest recall rate seen (0.73%). In conclusion, recall rates were the same for 510(k)- and PMA-approved devices in 2005 to 2009 and increased for 510(k) devices subsequently. Modifying the 510(k) process with more rigorous performance testing, a conditional 2-year approval and a mandatory registry may be an approach to reduce recalls. PMID:24837271

Somberg, John C; McEwen, Pauline; Molnar, Janos

2014-06-01

321

Rater errors in a clinical skills assessment of medical students.  

PubMed

The authors used a many-faceted Rasch measurement model to analyze rating data from a clinical skills assessment of 173 fourth-year medical students to investigate four types of rater errors: leniency, inconsistency, the halo effect, and restriction of range. Students performed six clinical tasks with 6 standardized patients (SPs) selected from a pool of 17 SPs. SPs rated the performance of each student in six skills: history taking, physical examination, interpersonal skills, communication technique, counseling skills, and physical examination etiquette. SPs showed statistically significant differences in their rating severity, indicating rater leniency error. Four SPs exhibited rating inconsistency. Four SPs restricted their ratings in high categories. Only 1 SP exhibited a halo effect. Administrators of objective structured clinical examinations should be vigilant for various types of rater errors and attempt to reduce or eliminate those errors to improve the validity of inferences based on objective structured clinical examination scores. PMID:17693619

Iramaneerat, Cherdsak; Yudkowsky, Rachel

2007-09-01

322

Assessing knowledge of primary school teachers on specific learning disabilities in two schools in India  

PubMed Central

Background: Evaluation of fund of knowledge about SLD among kindergarten and primary school teachers is essential to avoid misdiagnosis of SLD and to plan for specific teacher education to enable early identification of SLD among children. Aim: To assess the knowledge of learning disability among primary school teachers in India and to investigate its psychometric properties. Materials and Methods: An observational study was carried out 34 primary school teachers from 2 different schools in Puducherry town agreed to participate in this study with informed consent. We used a multiple choice questionnaire format with a total of 50 questions, 5 choices for each question and a total score of 50. The study was held at the schools where these teachers were employed using pen and paper testing method and data were entered into the computer for statistical analysis. Statistical Analysis: Total scores on the questionnaire of all teachers were calculated. Content validity, reliability coefficient, discrimination factor, and facility factor were analyzed using SPSS software. Results: 29% of the questions were correctly answered by all 34 teachers. The mean total score for this sample was 14.50 ± 9 and total item score for the 50 items was 9.90 ± 4. Cronbach's (?) reliability was 0.89. Overall discrimination index was + 0.2 and facility factor analysis score was 0.26. Conclusions: Validation of this new screening questionnaire was successful in Indian setting. It has to be used in other settings to extrapolate our findings.

Lingeswaran, Anand

2013-01-01

323

Surgical hemostatic agents: assessment of drugs and medical devices.  

PubMed

Surgical hemostatic agents are indicated to improve hemostasis when conventional techniques (compression, sutures or electrocoagulation) are inadequate. The National French Authority for Health (Haute Autorité de santé [HAS]) set out to assess these products (medical devices and agents) to determine their optimal utility. This evaluation included one class of products containing some form of human fibrinogen and thrombin and eight classes of medical devices and automated devices to prepare autologous fibrin. The assessment was based on a systematic review of the literature and expert opinion of health care professionals. The main measures of effectiveness of hemostatic agents were the success rate as expressed in terms of the time necessary to obtain adequate hemostasis, the volume of intra and/or postoperative blood loss, the need for blood transfusions, complication rate, duration of operations and hospital stay. A meta-analysis and 52 controlled randomized studies were selected involving cardiac or vascular surgery (19), ENT surgery (11), gastrointestinal surgery (5), urology (4), orthopedic surgery (4). Approximately half of the studies retained in this analysis evaluated blood derived agents (fibrin sealants) while the other half evaluated medical devices. The working group considered that there is not any evidence that these surgical hemostatic agents decrease the rates of transfusion, complications, reoperation, mortality, duration of operation and/or hospital stay. The working group considered that the use of surgical hemostatic agents to improve the safety of hemostasis in the absence of identified bleeding as an alternative to adequate conventional hemostasis was not justified. Surgical hemostatic agents can be used in ad hoc settings, as a complement to conventional methods to control persistent bleeding after conventional hemostatic techniques, or when abundant bleeding has led to biologic hemostatic disorders. The working group also distinguished several particular settings (mouth and dental care in patients under antiagregant or anticoagulation therapy, central nervous system surgery or acute aortic dissection). Comparative data are insufficient to determine if one product is superior to another for a specific use. To evaluate the clinical value of these products, methodologically sound clinical studies are necessary. PMID:22136914

Aubourg, R; Putzolu, J; Bouche, S; Galmiche, H; Denis, C; d'Andon, A; Maitrot, D; Partensky, C

2011-12-01

324

Evaluating Mastery of Biostatistics for Medical Researchers: Need for a new assessment tool  

PubMed Central

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.

Enders, Felicity

2011-01-01

325

Assessment and medication management of paediatric obsessive-compulsive disorder.  

PubMed

Paediatric obsessive-compulsive disorder (OCD) is a common, yet under-recognized, neuropsychiatric illness in both clinical and community settings. Symptoms tend to be hidden or misunderstood by affected youth, and parents may inadvertently accommodate OCD, thus worsening its severity. These symptoms may include compulsive reassurance seeking, confessing and 'just right' rituals, in addition to more classic OCD behaviours. Fortunately, numerous psychometric measures are available to assist in clinical assessment of this disorder and its sequelae. Once properly diagnosed, paediatric OCD is highly treatable with empirically proven approaches including cognitive-behaviour therapy (CBT) and serotonin reuptake inhibitor (SRI) medications. Clinically meaningful symptom improvement is the norm following these strategies, although full remission is not, as symptoms tend to wax and wane over time. Paediatric OCD is highly co-morbid with other anxiety disorders, tic disorders, depression and attention-deficit hyperactivity disorder, which also require specific attention. For moderate to severe OCD, an interdisciplinary approach combining individual and family CBT with SRI trials is recommended. For severe treatment-refractory illness, early evidence supports the benefit of augmenting agents, such as atypical antipsychotics and potentially those with glutamatergic activity. Clinical outcome assessment in paediatric OCD should always include broad domains of individual and family functioning, in addition to symptom improvement. PMID:22564131

Stewart, S Evelyn; Hezel, Dianne; Stachon, Andrea C

2012-05-01

326

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

327

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

328

Learning Disabilities  

MedlinePLUS

NINDS Learning Disabilities Information Page Table of Contents (click to jump to sections) What are Learning Disabilities? Is there ... Trials Organizations Additional resources from MedlinePlus What are Learning Disabilities? Learning disabilities are disorders that affect the ...

329

A Social Validation Assessment of Microswitch-Based Programs for Persons with Multiple Disabilities Employing Teacher Trainees and Parents as Raters  

Microsoft Academic Search

Social validation assessment of microswitch-based programs versus interaction\\/stimulation conditions for persons with multiple\\u000a disabilities is a practically relevant research issue that was recently addressed (Lancioni et al., 2002, 2005a). The present study extended such validation assessment by involving a new group of students with multiple disabilities and\\u000a two new groups of raters: one including teacher trainees and the other parents of

Giulio E. Lancioni; Mark F. O’Reilly; Nirbhay N. Singh; Jop Groeneweg; Andrea Bosco; Alessia Tota; Angela Smaldone; Fabrizio Stasolla; Francesco Manfredi; Simona Baccani; Sara Pidala

2006-01-01

330

Model Standards to Assess the Quality of Services and Programs for Persons with Developmental Disabilities.  

National Technical Information Service (NTIS)

A set of model standards to evaluate the quality of services and programs for persons with developmental disabilities is presented. The introductory material deals with (1) the organization and development of the standards; (2) implementation of the stand...

1978-01-01

331

Assessing general practitioners' care of adult patients with learning disability: case-control study  

Microsoft Academic Search

OBJECTIVE--To compare general practitioners' care of adult patients with learning disability with that of control patients in the same practice. DESIGN--Case-control study of patients and controls by a structured interview study of general practitioners. SETTING--Avon. PATIENTS--78 adult patients with learning disability and 78 age and sex matched controls--cared for by 62 general practitioners. MAIN MEASURES--Number and content of consultations and

M Whitfield; J Langan; O Russell

1996-01-01

332

Medication Management Assessment for Older Adults in the Community  

Microsoft Academic Search

Purpose: The purpose of this study was to describe the Medication Management Instrument for Deficiencies in the Elderly (MedMaIDE) and to provide results of reliability and validity testing. Design and Methods: Participants were 50 older adults, aged 65 and older, who lived in the community, took at least one prescrip- tion medication, and were then self-medicating. Non- medical study staff

Denise Orwig; Nicole Brandt; Ann L. Gruber-Baldini

2006-01-01

333

Athletic Training Students With Disabilities: A Survey of Entry-Level Education Programs  

PubMed Central

Context: The Rehabilitation Act of 1973 and the Americans with Disabilities Act of 1990 created and expanded protection for people with disabilities. Objective: To identify the proportion of students with disabilities enrolled in entry-level athletic training education programs (ATEPs), to examine the nature of the disabilities reported by these students, and to assess the number of ATEPs with policies (beyond technical standards) for admitting students with disabilities. Design: I distributed a survey via e-mail and the US Postal Service. The survey instrument was adapted from a tool used in similar research on medical education programs. Setting: Entry-level ATEPs. Patients or Other Participants: The survey was distributed to program directors at 292 Commission on Accreditation of Allied Health Education Program–accredited entry-level ATEPs. Main Outcome Measure(s): Using frequency analysis, I determined the rate at which students with disabilities enrolled in entry-level ATEPs and the types of disabilities represented. Disabilities represented in the study were related to learning, auditory, visual, emotional, orthopaedic, mobility, and motor skill impairments. Results: Of the 283 surveys delivered, 105 (37%) were completed and returned. A total of 70% of respondents reported enrollment of students with disabilities in their ATEPs. The number of students with disabilities in entry-level ATEPs increased during the 4-year period of this study, and the proportion of students with disabilities has also increased annually (from 1.8% to 2.6%). The most common type of impairment was a learning disability, accounting for more than 80% of all disabilities reported. Fewer than 10% of the ATEPs had a specific enrollment policy for students with disabilities. Conclusions: The number of students with disabilities in entry-level ATEPs is increasing, yet this figure is well below the 9% reported for the general student population. Most institutions rely on technical standards or student disability officers to determine if a student with a disability is otherwise qualified for selection into the ATEP.

Newsham, Katherine R

2006-01-01

334

Culture and Disability Behavior  

PubMed Central

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

Brodsky, Carroll M.

1983-01-01

335

Shoulder function and work disability after decompression surgery for subacromial impingement syndrome: a randomised controlled trial of physiotherapy exercises and occupational medical assistance  

PubMed Central

Background Surgery for subacromial impingement syndrome is often performed in working age and postoperative physiotherapy exercises are widely used to help restore function. A recent Danish study showed that 10% of a nationwide cohort of patients retired prematurely within two years after surgery. Few studies have compared effects of different postoperative exercise programmes on shoulder function, and no studies have evaluated workplace-oriented interventions to reduce postoperative work disability. This study aims to evaluate the effectiveness of physiotherapy exercises and occupational medical assistance compared with usual care in improving shoulder function and reducing postoperative work disability after arthroscopic subacromial decompression. Methods/Design The study is a mainly pragmatic multicentre randomised controlled trial. The trial is embedded in a cohort study of shoulder patients referred to public departments of orthopaedic surgery in Central Denmark Region. Patients aged ?18–?63 years, who still have shoulder symptoms 8–12 weeks after surgery, constitute the study population. Around 130 participants are allocated to: 1) physiotherapy exercises, 2) occupational medical assistance, 3) physiotherapy exercises and occupational medical assistance, and 4) usual care. Intervention manuals allow individual tailoring. Primary outcome measures include Oxford Shoulder Score and sickness absence due to symptoms from the operated shoulder. Randomisation is computerised with allocation concealment by randomly permuted block sizes. Statistical analyses will primarily be performed according to the intention-to-treat principle. Discussion The paper presents the rationale, design, methods, and operational aspects of the Shoulder Intervention Project (SIP). SIP evaluates a new rehabilitation approach, where physiotherapy and occupational interventions are provided in continuity of surgical episodes of care. If successful, the project may serve as a model for rehabilitation of surgical shoulder patients. Trial registration Current Controlled Trials ISRCTN55768749.

2014-01-01

336

75 FR 62676 - Disability Determinations by State Agency Disability Examiners  

Federal Register 2010, 2011, 2012, 2013

...Determinations by State Agency Disability Examiners AGENCY: Social Security Administration...II and XVI of the Social Security Act (Act...the approval of a State agency medical or...are also experts in Social Security disability...other opinions of State agency medical...

2010-10-13

337

Assessment of Disability in Patients with Acute Traumatic Spinal Cord Injury: A Systematic Review of the Literature  

PubMed Central

Abstract Given the importance of accurately and reliably assessing disability in future clinical trials, which will test therapeutic strategies in acute spinal cord injury (SCI), we sought to appraise comprehensively studies that focused on the psychometric properties (i.e., reliability, validity, and responsiveness) of all previously used outcome measures in the SCI population. The search strategy included Medline, CINAHL, EMBASE, and Cochrane databases. Two reviewers independently assessed each study regarding eligibility, level of evidence (using Sackett's criteria), and quality. Of 363 abstracts captured in our search, 36 full articles fulfilled the inclusion and exclusion criteria. Eight different outcome measures were used to assess disability in the SCI population, including Functional Independence Measure (FIM), Spinal cord Injury Measure (SCIM), Walking Index for Spinal Cord Injury (WISCI), Quadriplegia Index of Function (QIF), Modified Barthel Index (MBI), Timed Up & Go (TUG), 6-min walk test (6MWT), and 10-m walk test (10MWT). While 19 of 36 studies provided level-4 evidence, the remaining 17 articles were classified as level-2b evidence. Most of the instruments showed convergent construct validity in the SCI population, but criterion validity was not examined due to the lack a gold standard for assessment of disability. All instruments were tested in the rehabilitation and/or community setting, but only FIM was examined in the acute care setting. Based on our results of quality assessment, the SCIM has the most appropriate performance regarding the instrument's psychometric properties. Nonetheless, further investigations are required to confirm the adequate performance of the SCIM as a comprehensive measure of functional recovery in patients with SCI in rehabilitative care. The expert panel of the Spinal Cord Injury Solutions Network (SCISN) that participated in the modified Delphi process endorsed these conclusions.

Furlan, Julio C.; Noonan, Vanessa; Singh, Anoushka

2011-01-01

338

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

339

The Inclusion of Students with Disabilities and Limited English Proficient Students in Large-Scale Assessments: A Summary of Recent Progress. Research and Development Report.  

ERIC Educational Resources Information Center

This report presents a compendium of approaches to the inclusion of students with disabilities or of Limited English Proficiency (LEP) in large-scale assessments such as the National Assessment of Educational Progress (NAEP) or state assessment programs. Chapter 1 presents an overview and lists organizations involved in this effort. Chapters 2 and…

Olson, John F.; Goldstein, Arnold A.

340

Effects of Inservice Teacher Training on Correct Implementation of Assessment and Instructional Procedures for Teachers of Students with Profound Multiple Disabilities  

ERIC Educational Resources Information Center

A multicomponent training package (live training, video modeling, role playing, and feedback) was used to train teachers to conduct assessment and to instruct students with profound multiple disabilities. Phase 1 of the study involved training seven teachers to conduct assessment in three areas: (a) preference assessment (i.e., identification of…

Horrocks, Erin L.; Morgan, Robert L.

2011-01-01

341

Assessment of the Clinical Performance of Medical Students: A Survey of Methods.  

ERIC Educational Resources Information Center

This review of methods used to assess the clinical performance of medical students focuses on four common assessment approaches: (1) the examination developed by the National Board of Medical Examiners (NBME); (2) systematic, multifactor evaluation methods; (3) observation techniques; and (4) problem based methods. Analyzed in conjunction with…

Stevenson, Zollie J., Jr.

342

Independent Living Outcomes for American Indians with Disabilities: A Needs Assessment of American Indians with Disabilities in Northwestern New Mexico (Cibola, San Juan and McKinley Counties).  

ERIC Educational Resources Information Center

This fact sheet discusses the outcome of a study designed to understand the needs of American Indians with disabilities who may have problems that limit their ability to carry out daily activities. Thirty-two American Indians with disabilities were interviewed in three counties in northwest New Mexico regarding the things they used or needed…

Sanderson, Priscilla Lansing; Schacht, Robert M.; Clay, Julie A.

343

Independent Living Outcomes for American Indians with Disabilities: A Needs Assessment of American Indians with Disabilities in Northwest New Mexico--Cibola and McKinley Counties.  

ERIC Educational Resources Information Center

Interviews were conducted with 32 American Indians with disabilities in Cibola, McKinley, and San Juan counties, New Mexico. The study sought to identify the needs of northwest New Mexico American Indians with disabilities with regard to independently carrying out daily living activities. With an average age of 49, interviewees frequently reported…

Sanderson, Priscilla Lansing; And Others

344

Pain Assessment in People with Profound Intellectual and Multiple Disabilities; a Pilot Study into the Use of the Pain Behaviour Checklist in Everyday Practice  

ERIC Educational Resources Information Center

Because of their physical and general health problems, people with a combination of profound intellectual and severe or profound motor disabilities (PIMD) are at risk of pain-related medical conditions. They are fully dependent on support professionals for the detection and accurate interpretation of nonverbal pain behaviour. These professionals…

van der Putten, Annette; Vlaskamp, Carla

2011-01-01

345

Tactical Medical Logistics Planning Tool: Modeling Operational Risk Assessment.  

National Technical Information Service (NTIS)

The Tactical Medical Logistics Planning Tool (TML+) is a software program designed for Navy and Marine Corps medical planners as a tool that (1) models the patient flow from the point of injury through more definitive care, and (2) supports operations res...

P. Konoske

2004-01-01

346

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

347

Medication Management Assessment for Older Adults in the Community  

ERIC Educational Resources Information Center

Purpose: The purpose of this study was to describe the Medication Management Instrument for Deficiencies in the Elderly (MedMaIDE) and to provide results of reliability and validity testing. Design and Methods: Participants were 50 older adults, aged 65 and older, who lived in the community, took at least one prescription medication, and were then…

Orwig, Denise; Brandt, Nicole; Gruber-Baldini, Ann L.

2006-01-01

348

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

349

Assessing Secondary Conditions among Adults with Developmental Disabilities: A Preliminary Study.  

ERIC Educational Resources Information Center

This article reports on the development of the Health and Secondary Conditions Surveillance Instrument Monitoring and Promotion System for use with adults with developmental disabilities. Results of a pilot survey with 119 individuals illustrates how survey data might be used to improve systems of services and supports for this population.…

Traci, Meg Ann; Seekins, Tom; Szalda-Petree, Ann; Ravesloot, Craig

2002-01-01

350

Assessing the Impact: Provision for Learners with Learning Difficulties and Disabilities. Developing FE.  

ERIC Educational Resources Information Center

The implementation of the 1992 Further and Higher Education (FHE) Act in Britain changed the statutory responsibilities for post-school education of learners with learning difficulties and disabilities. This resulted in the so-called "Schedule 2/non-Schedule 2" divide. Research examined the impact of these changes on learners and responses of 35…

Faraday, Sally

1996-01-01

351

Antecedent Assessment and Intervention: Supporting Children and Adults with Developmental Disabilities in Community Settings  

ERIC Educational Resources Information Center

Challenging behavior is a significant barrier to communication, education, and positive social relationships. This practical book helps psychologists, educators, rehabilitation specialists, and other professionals recognize and address the causes of these problems in individuals with developmental disabilities--and resolve even the most difficult…

Luiselli, James K., Ed.

2006-01-01

352

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

353

Instruments Assessing Anxiety in Adults with Intellectual Disabilities: A Systematic Review  

ERIC Educational Resources Information Center

Background: In the last decades several instruments measuring anxiety in adults with intellectual disabilities have been developed. Aim: To give an overview of the characteristics and psychometric properties of self-report and informant-report instruments measuring anxiety in this group. Method: Systematic review of the literature. Results:…

Hermans, Heidi; van der Pas, Femke H.; Evenhuis, Heleen M.

2011-01-01

354

Screening for Adults with Learning Disabilities: The Role of the Practitioner in the Assessment Process.  

ERIC Educational Resources Information Center

This guide is intended to help the literacy practitioner in the identification of adults with learning disabilities. These adults have worked diligently for a year or more to improve comprehension skills, writing and spelling, or work skills, yet, have made little progress. The role of screening as only the first step in a process involving a…

Academy for Educational Development, Washington, DC. National Adult Literacy and Learning Disabilities Center.

355

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

356

The Development of a New Measure for the Assessment of Psychopathology in Adults with Intellectual Disability  

ERIC Educational Resources Information Center

People with intellectual disability (ID) and untreated psychiatric disorder lead unnecessarily difficult and unhappy lives. The prevalence of mental illness in children and adults with ID is greater than that found in the general population. A carer-completed checklist of psychopathology that could be used with both children and adults would help…

Mohr, C.; Tonge, B. J.; Einfeld, S. L.

2005-01-01

357

Identification and Assessment of Children with Developmental Disabilities in Child Welfare  

ERIC Educational Resources Information Center

The purpose of this study was to examine the ability of a Child Protective Services (CPS) screening and investigation process to identify children with developmental disabilities. The study used an emergent design, ethnographic interviews, purposive sampling, inductive data analysis, and grounded theory building. Ethnographic interviews were…

Shannon, Patrick; Tappan, Christine

2011-01-01

358

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

359

Patients regularly leave emergency departments before medical assessment: A study of did not wait patients, medical profile and outcome characteristics  

Microsoft Academic Search

In 2001 New South Wales Health reported an increase in the number of patients who did not wait for treatment in emergency departments. Because so little was known about this group of patients a study was conducted to indentify: (1) the characteristics and reasons for patients leaving prior to medical assessment; (2) patients' illnesses or conditions, urgency code and nature

Adam Chan; J THOMPSON

2004-01-01

360

Assessing the problem of counterfeit medications in the United Kingdom.  

PubMed

Counterfeit medicines pose an ever-increasing threat to public health, although precise tracking of illegal counterfeit prescription drug activity is difficult. Available data indicate that all types of medications have been targeted. Adverse health effects, including death, have resulted from using counterfeit medications; consumers who self-medicate without appropriate interactions with the healthcare system rarely receive adequate healthcare. The Internet provides a large, convenient route for counterfeiters to reach potential buyers with unregulated, often dangerous, products. The majority of medicines purchased via unverified Internet sites are counterfeit; often, these products lack the purported drug compound or have variable concentrations of active ingredients and sometimes contain dangerous toxins. Although many consumers acknowledge some degree of risk with purchasing medications via the Internet, speed, convenience and cost often prompt these purchases. Counterfeit medications also have been detected in the legitimate supply chain, but represent a significantly smaller proportion of sales than those purchased via the Internet. Pilot programmes in Europe have demonstrated that product verification systems prevent penetration of counterfeit products into the legitimate supply chain. Significant EU legislation, including stronger penalties for counterfeiting, is in development. In the United Kingdom, the Medicines and Healthcare Products Regulatory Agency (MHRA) launched an initiative against counterfeit medication. Healthcare professionals should report suspected cases of counterfeit medication to the MHRA, be alert to threats to the medicine supply, and provide practical advice to patients about ordering medications online, including avoiding unregulated Internet pharmacies, and being suspicious of sites offering substantial discounts and prescription-only medication without a prescription. PMID:22070229

Jackson, G; Patel, S; Khan, S

2012-03-01

361

Late Diagnosis in Severe and Mild Intellectual Disability in Adulthood  

ERIC Educational Resources Information Center

The diagnosis of intellectual disability (ID) is highly dependent on a comprehensive personal and family medical history, a complete physical examination and a careful developmental assessment of the patient. Our study intended to: (1) classify the aetiology of mild and severe ID in an adult population of 140 Italian subjects; (2) evaluate the…

Verri, A. P.; Maraschio, P.; Uggetti, C.; Pucci, E.; Ronchi, G.; Nespoli, L.; Destefani, V.; Ramponi, A.; Federico, A.

2004-01-01

362

Hypertension, Hyperglycemia, and Hyperlipemia among Adolescents with Intellectual Disabilities  

ERIC Educational Resources Information Center

The present paper aims to assess the hypertension, hyperglycemia and hyperlipidemia prevalence of adolescents with intellectual disabilities, and to recognize the health disparities between the study participants and the general population. This study conducted a cross-sectional medical chart analysis of 856 students who participated in school…

Lin, Pei-Ying; Lin, Lan-Ping; Lin, Jin-Ding

2010-01-01

363

[Assessment by industrial workers of their satisfaction with medical care].  

PubMed

A total of 1252 workers from 21 enterprises were surveyed by means of questionnaires. The survey uncovered grave shortcomings in the delivery of medical care at all levels. In particular, only 58.2 per cent of the interviewed were satisfied with the work of feldshers providing medical care at health posts. An analysis was also made of workers' suggestions regarding the work of shop physicians, chiefs of health units, administration, public organisations at enterprises and their working collectives. PMID:2374947

Rozenfel'd, L G; Makarov, V B; Kotov, A A

1990-01-01

364

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

365

Assessing Progress toward Becoming a Patient-Centered Medical Home: An Assessment Tool for Practice Transformation  

PubMed Central

Objective. To describe the properties of the Patient-Centered Medical Home Assessment (PCMH-A) as a tool to stimulate and monitor progress among primary care practices interested in transforming to patient-centered medical homes (PCMHs). Study Setting. Sixty-five safety net practices from five states participating in a national demonstration program for PCMH transformation. Study Design. Longitudinal analyses of PCMH-A scores were performed. Scores were reviewed for agreement and sites were categorized over time into one of five categories by external facilitators. Comparisons to key activity completion rates and NCQA PCMH recognition status were completed. Data Collection/Extraction Methods. Multidisciplinary teams at each practice completed the 33-item self-assessment tool every 6 months between March 2010 and September 2012. Principal Findings. Mean overall PCMH-A scores increased (7.2, March 2010, to 9.1, September 2012; [p < .01]). Increases were statistically significant for each of the change concepts (p < .05). Facilitators agreed with scores 82% of the time. NCQA-recognized sites had higher PCMH-A scores than sites that were not yet recognized. Sites that completed more transformation activities and progressed over defined tiers reported higher PCMH-A scores. Scores improved most in areas where technical assistance was provided. Conclusions. The PCMH-A was sensitive to change over time and provided an accurate reflection of practice transformation.

Daniel, Donna M; Wagner, Edward H; Coleman, Katie; Schaefer, Judith K; Austin, Brian T; Abrams, Melinda K; Phillips, Kathryn E; Sugarman, Jonathan R

2013-01-01

366

Validation and cross-cultural adaptation of the Self-Assessment Disability Scale in patients with Parkinson's disease in Serbia.  

PubMed

The symptoms of Parkinson's disease (PD) worsen over time affecting performance and causing disability. The purpose of this study was to translate the Self-Assessment Disability Scale in patients with Parkinson's disease (SADS-PD) into the Serbian language and assess its validity and reliability. From January to July 2012, 114 consecutive PD patients were recruited at the Neurology Clinic in Belgrade. The inclusion criteria were: ability to walk independently for at least 10 m, ability to stand for at least 90 s. The exclusion criteria were: cognitive impairment, the presence of other major neurologic, psychiatric, visual, audio-vestibular, and orthopedic disturbances. The 25-item SADS-PD was translated according to internationally-accepted methodology. The internal consistency of the scale was evaluated using Cronbach's alpha coefficient. Test-retest reliability was evaluated using Kendall's concordance coefficient for total scores. To evaluate construct validity, an exploratory factor analysis (principal component analysis, varimax rotation) was performed. Cronbach's alpha coefficient was 0.984. Kendall's concordance coefficient was 0.994. Duration of the disease, Hoehn & Yahr (H&Y) stage, Unified Parkinson's Disease Rating Scale (UPDRS) motor score, history of falls, Hamilton's Depression and Anxiety Rating Scales (HDRS and HARS) scores were significantly correlated with the total SADS-PD score. On factor analysis 25 items in the SADS-PD questionnaire were separated in two clusters with total matrix variance of 79.7 %. The psychometric properties of the cross-culturally adapted SADS-PD questionnaire (Serbian version) have outstanding validity and reliability as an instrument for evaluation of the extent of disability in patients with PD. PMID:23564334

Gazibara, Tatjana; Stankovic, Iva; Tomic, Aleksandra; Svetel, Marina; Tepavcevic, Darija Kisic; Kostic, Vladimir S; Pekmezovic, Tatjana

2013-08-01

367

The Relationship between Learning Disabilities and Homelessness in Adults  

ERIC Educational Resources Information Center

This article describes the relationship between learning disabilities (LD) and homelessness. Research describing the connection between disabilities and homelessness has focused on individuals presenting with disabilities such as mental illness, physical disabilities, medical disabilities, or substance abuse. At this time, the presence of LD in…

Markos, Patricia A.; Strawser, Sherri

2004-01-01

368

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

369

Design for Increasing the Participation of Students with Disabilities and Limited English Proficient Students in the National Assessment of Educational Progress (NAEP).  

ERIC Educational Resources Information Center

The National Assessment of Educational Progress (NAEP) has always included students with disabilities and limited English proficient (LEP) students in the sample to be assessed, but only in relatively limited numbers. Recent research has indicated that many students who have been excluded are in fact capable of participating. The National Center…

Goldstein, Arnold A.

370

20 CFR 404.1526 - Medical equivalence.  

Code of Federal Regulations, 2013 CFR

...SOCIAL SECURITY ADMINISTRATION FEDERAL OLD-AGE, SURVIVORS AND DISABILITY INSURANCE (1950- ) Determining Disability and Blindness Medical Considerations § 404.1526 Medical equivalence. (a) What is medical equivalence? Your...

2013-04-01

371

Withholding artificially provided nutrition and hydration from disabled children--assessing their quality of life.  

PubMed

This article focuses on quality of life determinations and limitation of treatment decisions for children with physical and mental disabilities. Issues are addressed through one pediatric convalescent center's ethical dilemma, deliberations and process for decision-making when the organization's definition of quality of life differed from that of the parents wishing to place their child there. The Ethics Committee suggested revised admission criteria to include provision of hydration and nutrition for future admissions. PMID:11063038

Stanley, A L

2000-10-01

372

Critical appraisal of subjective outcome measures used in the assessment of shoulder disability  

PubMed Central

INTRODUCTION Objective measures can be impractical in some settings, because they are time consuming and require face-to-face contact. More recently, there is an increasing trend towards the use of subjective outcome measures. Hence, in this article, five common subjective shoulder outcome measures are critically appraised in terms of their development, validity, relia-lity, responsiveness and clinical application. MATERIALS AND METHODS Following an extensive literature search, five common shoulder patient-based scores were identified: Disability of Arm, Shoulder and Hand (DASH), Oxford Shoulder Score (OSS), Shoulder Disability Questionnaire (SDQ-UK), Shoulder Pain and Disability Index (SPADI), and the Shoulder Rating Questionnaire (SRQ). These questionnaires were then critically appraised in terms of their development process, validity, reliability, responsiveness, and clinical application. RESULTS The SDQ-UK has shown good construct validity but there is no data available regarding internal consistency, reliability and responsiveness. The SPADI has good internal consistency, fair reliability with adequate criterion and construct validity. The DASH has shown to have good construct validity, excellent test–re-test reliability and responsiveness to change. The OSS has good sensitivity, validity and responsiveness. Though SRQ has good internal consistency, its reproducibility and responsiveness are poor. CONCLUSIONS Based on this critical appraisal, the DASH received the best ratings for its clinimetric properties followed by the OSS.

Desai, Aravind S; Dramis, Asterios; Hearnden, Anthony J

2010-01-01

373

Attractiveness, diagnostic ambiguity, and disability cues impact perceptions of women with pain.  

PubMed

Purpose/Objective: This experimental study investigated how physical attractiveness, disability cue, and diagnostic ambiguity stereotypes impact perceptions of a patient's pain/disability and personality. Research Method/Design: After viewing photographs of women pictured with or without a cane, accompanied by descriptions of the women's diagnosis (fibromyalgia or rheumatoid arthritis), 147 university students rated the women's pain/disability and personality. Results: Analyses revealed that more attractive women received lower ratings on pain/disability and higher ratings (more positive) on personality. Moreover, those pictured with a disability cue got higher ratings on both pain/disability and personality, and those with medical evidence of pathology (less ambiguity) got higher ratings on pain/disability and lower ratings on personality. Examination of the 3 stereotypes in a single study enabled an evaluation of their interactions. An Attractiveness × Disability Cue × Diagnostic Ambiguity interaction for ratings of pain/disability revealed that the presence of both medical evidence and a disability cue were needed to override the strong "beautiful is healthy" stereotype. Significant 2-way interactions for ratings of personality indicated that the impact of the disability stereotype tends to be overshadowed by the attractiveness stereotype. Conclusion/Implications: The results indicate that these stereotypes have a large effect on perceptions of women with chronic pain and that attractiveness, a contextual variable unrelated to the pain experience, exerts an even stronger effect when there is less objective information available. This could have clinical ramifications for assessment and treatment of patients with chronic pain, which often occurs in the absence of "objective" medical evidence or any external cues of disability. (PsycINFO Database Record (c) 2014 APA, all rights reserved). PMID:24611920

LaChapelle, Diane L; Lavoie, Susan; Higgins, Nancy C; Hadjistavropoulos, Thomas

2014-05-01

374

Psychometric Evaluation of Neglect Assessment Reveals Motor-Exploratory Predictor of Functional Disability in Acute-Stage Spatial Neglect  

PubMed Central

Objective Spatial neglect is a failure or slowness to respond, orient, or initiate action towards contra-lesional stimuli, associated with functional disability that impedes stroke recovery. Early identification of specific neglect deficits may identify patients likely to experience chronic disability. However, psychometric evaluation of assessments has focused on subacute/chronic populations. We addressed this gap by assessing two neglect measures – the Behavioral Inattention Test (BIT) and the Catherine Bergego Scale (CBS) – in acute neglect. Design Correlational/Psychometric study. Setting Inpatient rehabilitation hospital. Participants Screening identified 51 consecutive right-hemisphere stroke patients with left neglect (BIT conventional score < 129 or CBS > 11) that tested an average of 22.3 days post-stroke. Interventions Not applicable. Main Outcome Measures We obtained BIT, CBS, and Barthel assessments for each participant, and clinical and laboratory measures of perceptual-attentional and motor-intentional deficits. Results The BIT demonstrated good reliability and loaded onto a single factor. Consistent with our theoretical prediction, principal components analysis of the CBS identified two underlying factors: “Where” perceptual-attentional items (CBS-PA) and embodied, motor exploratory items (CBS-ME). The CBS-ME uniquely predicted ADL deficits (Barthel Index), but did not predict clinical and laboratory assessments of motor-intentional bias. More severe neglect on CBS-PA correlated with greater “Where” perceptual-attentional bias on clinical and laboratory tests, but did not uniquely predict deficits in activities of daily living (ADLs). Conclusions Our results indicate that assessments of spatial neglect may be used to detect specific motor-exploratory deficits in spatial neglect. Obtaining CBS-ME scores routinely might improve detection of acute stage patients with spatial action deficits requiring increased assistance that may persist to the chronic stage.

Goedert, Kelly M.; Chen, Peii; Botticello, Amanda; Masmela, Jenny R.; Adler, Uri; Barrett, Anna M.

2011-01-01

375

Standardised assessment of patients' capacity to manage medications: a systematic review of published instruments  

Microsoft Academic Search

BACKGROUND: Older people are commonly prescribed complex multi-drug regimens while also experiencing declines in the cognitive and physical abilities required for medication management, leading to increased risk of medication errors and need for assisted living. The purpose of this study was to review published instruments designed to assess patients' capacity to self-administer medications. METHODS: Searches of Medline, EMBASE, CINAHL, PsycINFO,

Rohan A Elliott; Jennifer L Marriott

2009-01-01

376

Ethical and professional conduct of medical students: review of current assessment measures and controversies  

PubMed Central

As medical education increasingly acknowledges the importance of the ethical and professional conduct of practitioners, and moves towards more formal assessment of these issues, it is important to consider the evidence base which exists in this area. This article discusses literature about the health needs and problems experienced by medical practitioners as a background to a review of the current efforts in medical education to promote ethical conduct and develop mechanisms for the detection and remediation of problems.

Boon, K; Turner, J

2004-01-01

377

Disabled children and their families in Ukraine: health and mental health issues for families caring for their disabled child at home.  

PubMed

In the Eastern European countries included in the communist system of the USSR, parents of disabled children were encouraged to commit their disabled child to institutional care. There were strict legal regulations excluding them from schools. Medical assessments were used for care decisions. Nevertheless many parents decided to care for their disabled child at home within the family. Ukraine became an independent country in 1991, when communism was replaced by liberal democracy within a free market system. Western solutions have been sought for many social problems existing, but 'hidden,' under the old regime. For more of the parents of disabled children, this has meant embracing ideas of caring for their disabled children in the community, and providing for their social, educational, and medical needs, which have previously been denied. The issue of disability is a serious one for Ukraine where the nuclear disaster at Chernobyl in 1986 caused extensive radiation poisoning. This almost certainly led to an increase in the number of disabled children being born and an increase in the incidence of various forms of cancer. This paper is based on a series of observation visits to some of the many self-help groups established by parents, usually mothers, for their disabled children. It draws attention to the emotional stress experienced both by parents and their disabled children in the process of attempting to come to terms with the disabling conditions, and the denial of the normal rights of childhood resulting from prejudice, poor resources, ignorance, and restrictive legislation. Attempts have been made to identify the possible role and tasks of professional social workers within this context. International comparisons show that many parents and their children do not benefit from the medical model of disability, and that serious consequences include the development of depressive illness among those who find that little help is available from public services. PMID:15774386

Bridge, Gillian

2004-01-01

378

Clinical Governing Non Medical Prescribing in an NHS Trust - Issues for Consideration in Mental Health and Learning Disability  

Microsoft Academic Search

The Department of Health (2006a) assert that Non-Medical Prescribing (NMP) has provided patients with faster access to medicines, improved access to health services and made better use of health professionals' skills since it's inception over a decade ago. NMP operates from statute, and is required be underpinned by a robust clinical governance framework. This article provides the reader with a

Val Mills

379

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

380

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

381

Using standardized patients to assess communication skills in medical and nursing Students  

Microsoft Academic Search

BACKGROUND: A number of recent developments in medical and nursing education have highlighted the importance of communication and consultation skills (CCS). Although such skills are taught in all medical and nursing undergraduate curriculums, there is no comprehensive screening or assessment programme of CCS using professionally trained Standardized Patients Educators (SPE's) in Ireland. This study was designed to test the content,

C Anthony Ryan; Nuala Walshe; Robert Gaffney; Andrew Shanks; Louise Burgoyne; Connie M Wiskin

2010-01-01

382

HEALTH TECHNOLOGY ASSESSMENT AND THE REGULATION OF MEDICAL DEVICES AND PROCEDURES IN QUEBEC  

Microsoft Academic Search

In this paper, we discuss the complex relationship between health technology assessment (HTA) and the regulation of medical devices and procedures. The relationship is first examined through a concep- tual framework describing the itinerary from research to three levels of policy making: micro (standards of medical practice), meso (institutional rules), and macro (health policies). Four reports from the Quebec Health

Renaldo N. Battista; Jean-Marie Lance; Pascale Lehoux; Guy Regnier

1999-01-01

383

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.

384

Combined Assessment Program Review of the Marion VA Medical Center, Marion, Illinois.  

National Technical Information Service (NTIS)

During the week of August 17-21, 2009, the Office of Inspector General (OIG) conducted a Combined Assessment Program (CAP) review of the Marion VA Medical Center (the medical center), Marion, IL. The purpose of the review was to evaluate selected operatio...

2009-01-01

385

[Remarks on the principles of medical assessment in phoniatric and audiological diseases].  

PubMed

Some principles of medical assessment in phoniatric and audiological diseases are critically discussed. The necessity of preliminary qualifying examination to voice profession is underline. Attention is paid to the importance of adequate medical documents in judgement of professional voice and hearing diseases. PMID:9499866

Obrebowski, A

1995-01-01

386

Multi method approach to the assessment of data quality in the Finnish Medical Birth Registry  

Microsoft Academic Search

OBJECTIVE--To assess comprehensively the validity of the data in the Finnish Medical Birth Registry (MBR) by the combined use of several controls and internal analysis of the data. DESIGN--The MBR data were individually linked to a medical record sample (n = 775) and to all perinatal death certificates in 1987. The data were also compared with annual hospital statistics. The

J Teperi

1993-01-01

387

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

388

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

389

Student Assessment in Medical Education: A Canadian Case Study.  

ERIC Educational Resources Information Center

The nontraditional methods of teaching used in McMaster University's M.D. program pose problems for student assessment. Changes proposed for the system include a clearer statement of objectives that serve as the basis for assessment, improvement of measurement tools, and increased emphasis on the training of those who participate in assessment.…

Neufeld, Victor R.

1982-01-01

390

Doctors and patients don't agree: cross sectional study of patients' and doctors' perceptions and assessments of disability in multiple sclerosis.  

PubMed Central

OBJECTIVES: To compare the judgments of clinicians on which domains of health in the short form questionnaire (SF-36) would be most important to patients with multiple sclerosis with the opinions of patients themselves; to compare assessment of physical disability in multiple sclerosis by a clinician using Kurtzke's expanded disability status scale and a non-clinically qualified assistant using the Office of Population Census and Surveys' (OPCS) disability scale with self assessment of disability and other domains of health related quality of life by patients using the SF-36 and the EuroQol questionnaire; and to compare the scores of patients for each domain of the SF-36 with control data matched for age and sex. DESIGN: Cross sectional study. SETTING: Clinical department of neurology, Edinburgh. SUBJECTS: 42 consecutive patients with multiple sclerosis attending a neurology outpatient clinic for review or a neurology ward for rehabilitation. MAIN OUTCOME MEASURES: Scores on the SF-36; EuroQol; Kurtzke's expanded disability status scale; the OPCS disability scale. RESULTS: Patients and clinicians disagreed on which domains of health status were most important (chi 2 = 21, df = 7, P = 0.003). Patients' assessment of their physical disability using the physical functioning domain of the SF-36 was highly correlated with the clinicians' assessment (r = -0.87, P < 0.001) and the non-clinical assessment (r = -0.90, P < 0.001). However, none of the measures of physical disability correlated with overall health related quality of life measured with EuroQol, Quality of life correlated with vitality, general health, and mental health in the SF-36, each of which patients rated as more important than clinicians and for each of which patients scored lower than the controls. CONCLUSIONS: Patients with multiple sclerosis and possibly those with other chronic diseases are less concerned than their clinicians about physical disability in their illness. Clinical trials in multiple sclerosis should assess the effect of treatment on the other elements of health status that patients consider important, which are also affected by the disease process, are more closely related to overall health related quality of life, and may well be adversely affected by side effects of treatment.

Rothwell, P. M.; McDowell, Z.; Wong, C. K.; Dorman, P. J.

1997-01-01

391

Assessment of neurological clinical management reasoning in medical students.  

PubMed

In neurology education there is evidence that trainees may have greater ability in general localization and diagnosis than they do in treatment decisions, particularly with considering longer term care and supportive care. We hypothesized that medical students completing a neurology clerkship would exhibit greater skill at considering the acute diagnostic and therapeutic management than at considering supportive management measures. Data from 720 standardized patient encounters by 360 medical students completing a neurology clerkship being evaluated via an objective structured clinical examination were analyzed for skill in three components of clinical decision making: diagnostic evaluation, therapeutic intervention, and supportive intervention. Scores for all standardized patient encounters over the 2008-2012 interval revealed a significantly higher percentage of correct responses in both the diagnostic (mean [M]=62.6%, standard deviation [SD]=20.3%) and therapeutic (M=63.0%, SD=28.8%) categories in comparison to the supportive (M=31.8%, SD=45.2%) category. However, only scores in therapeutic and supportive treatment plans were found to be significant predictors of the USA National Board of Medical Examiners (NBME) clinical neurology subject examination scores; on average, a percent increase in therapeutic and support scores led to 5 and 2 point increases in NBME scores, respectively. We demonstrate empirical evidence of deficits in a specific component of clinical reasoning in medical students at the completion of a neurology clerkship. PMID:24308954

Lukas, Rimas V; Blood, Angela; Park, Yoon Soo; Brorson, James R

2014-06-01

392

Quality assessment of medical education and use of information technology.  

PubMed

Extensive and fast advancements in biomedical sciences created a significant delay in receiving relevant and updated information in medical practice - physicians use old techniques and treat patients incorrectly. Bosnia and Herzegovina signed the Bologna Declaration on 18 September 2003, and in the light of this new approach to university education, and the process of joining The European Union, the authors set the following aims: to determine the current level of knowledge among medical students at the Medical Faculty of the University of Sarajevo, to determine the level of knowledge among medical students before their enrolment at the faculty, and to find out students opinion on their needs for further education. Students also left their suggestions on what should be changed in the curriculum. 203 students were included in the survey and results show that they demand more practical work, direct contact with patients and presentation of interesting clinical cases. Many of them use the internet as professional education means. Professional papers are rarely used. At present, the availability of learning material is insufficient at the faculty library. PMID:19745442

Masic, Izet; Ciric, Damir; Pulja, Artan; Kulasin, Igor; Pandza, Haris

2009-01-01

393

Assessing and Managing Medically Fragile Children: Tracheostomy and Ventilatory Support  

ERIC Educational Resources Information Center

Over the past decade, there has been an increase in premature births. Children born prematurely often present with complex medical conditions; some require a tracheostomy. Although many children with tracheostomies require assistance to achieve effective communication, speech-language pathologists may have limited information with respect to the…

Woodnorth, Geralyn Harvey

2004-01-01

394

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

395

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

396

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

397

Development and Validation of an Instrument to Assess the Clinical Performance of Medical Residents.  

ERIC Educational Resources Information Center

An instrument to assess specific components of the clinical performance of residents, regardless of their medical specialty, was developed and validated. The Resident Evaluation Form contains 33 rating scales which measure nine categories of performance. (Author/CTM)

Keck, Jonathan W.; Arnold, Louise

1979-01-01

398

Assessment of the Potential for Reducing Future Combat Deaths Through Medical Technologies and Training.  

National Technical Information Service (NTIS)

Clinical records were obtained for 210 combat trauma cases that ended in death subsequent to reaching a medical treatment facility. Four surgeons were recruited to review these records and assess the preventability of death if the traumas were sustained t...

C. G. Blood J. Fridman G. J. Walker J. C. Puyana P. J. Pitlyk

2001-01-01

399

Objective versus Subjective Assessment of Oral Medication Adherence in Pediatric Inflammatory Bowel Disease  

PubMed Central

Objective To examine prevalence and frequency of oral medication nonadherence using a multimethod assessment approach consisting of objective, subjective, and biological data in adolescents with IBD. Methods Medication adherence was assessed via pill counts, patient/parent interview, and 6-thioguanine nucleotide (6-TGN)/6-methylmercaptopurine nucleotide (6-MMPN) metabolite bioassay in 42 adolescents with inflammatory bowel disease. Pediatric gastroenterologists provided disease severity assessments. Results Objective nonadherence prevalence was 64% for 6-MP/azathioprine and 88% for 5-ASA medications, whereas subjective nonadherence prevalence was 10% for 6-MP/azathioprine and 2% for 5-ASA. Objective nonadherence frequency was 38% for 6-MP/azathioprine and 49% for 5-ASA medications, and subjective nonadherence frequency was 6% for 6-MP/azathioprine and 3% for 5-ASA. Bioassay data revealed that only 14% of patients had therapeutic 6-TGN levels. Conclusions Results indicate that objectively measured medication nonadherence prevalence is consistent with that observed in other pediatric chronic illness populations, and that objective nonadherence frequency is considerable, with 40% to 50% of doses missed by patients. Subjective assessments appeared to overestimate adherence. Bioassay adherence data, while compromised by pharmacokinetic variation, might be useful as a cursory screener for nonadherence with follow up objective assessment. Nonadherence in one medication might also indicate nonadherence in other medications. Clinical implications and future research directions are provided.

Hommel, Kevin A.; Davis, Christine M.; Baldassano, Robert N.

2009-01-01

400

Standardised assessment of patients' capacity to manage medications: a systematic review of published instruments  

PubMed Central

Background Older people are commonly prescribed complex multi-drug regimens while also experiencing declines in the cognitive and physical abilities required for medication management, leading to increased risk of medication errors and need for assisted living. The purpose of this study was to review published instruments designed to assess patients' capacity to self-administer medications. Methods Searches of Medline, EMBASE, CINAHL, PsycINFO, International Pharmaceutical Abstracts, Health and Psychosocial Instruments, Google, and reference lists of identified publications were conducted to identify English-language articles describing development and validation of instruments designed to assess patients' capacity to self-administer medications. Methodological quality of validation studies was rated independently against published criteria by two reviewers and reliability and validity data were reviewed. Results Thirty-two instruments were identified, of which 14 met pre-defined inclusion criteria. Instruments fell into two categories: those that used patients' own medications as the basis for assessment and those that used a simulated medication regimen. The quality of validation studies was generally low to moderate and few instruments were subjected to reliability testing. Most instruments had some evidence of construct validity, through associations with tests of cognitive function, health literacy, activities of daily living or measures of medication management or adherence. Only one instrument had sensitivity and specificity data with respect to prediction of medication-related outcomes such as adherence to therapy. Only three instruments had validity data from more than one independent research group. Conclusion A number of performance-based instruments exist to assess patients' capacity to manage their own medications. These may be useful for identifying physical and cognitive barriers to successful medication management, but further studies are needed to determine whether they are able to accurately and reliably predict medication outcomes.

Elliott, Rohan A; Marriott, Jennifer L

2009-01-01

401

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.

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

2012-01-01

402

Assessing college-level learning difficulties and "at riskness" for learning disabilities and ADHD: development and validation of the learning difficulties assessment.  

PubMed

This article describes the development and validation of the Learning Difficulties Assessment (LDA), a normed and web-based survey that assesses perceived difficulties with reading, writing, spelling, mathematics, listening, concentration, memory, organizational skills, sense of control, and anxiety in college students. The LDA is designed to (a) map individual learning strengths and weaknesses, (b) provide users with a comparative sense of their academic skills, (c) integrate research in user-interface design to assist those with reading and learning challenges, and (d) identify individuals who may be at risk for learning disabilities and attention-deficit/hyperactivity disorder (ADHD) and who should thus be further assessed. Data from a large-scale 5-year study describing the instrument's validity as a screening tool for learning disabilities and ADHD are presented. This article also describes unique characteristics of the LDA including its user-interface design, normative characteristics, and use as a no-cost screening tool for identifying college students at risk for learning disorders and ADHD. PMID:21252371

Kane, Steven T; Walker, John H; Schmidt, George R

2011-01-01

403

Towards a Framework for Assessing Deformable Models in Medical Simulation  

Microsoft Academic Search

Computational techniques for the analysis of mechanical problems have recently moved from traditional engineering disciplines\\u000a to biomedical simulations. Thus, the number of complex models describing the mechanical behavior of medical environments have\\u000a increased these last years. While the development of advanced computational tools has led to interesting modeling algorithms,\\u000a the relevances of these models are often criticized due to incomplete

Maud Marchal; Jérémie Allard; Christian Duriez; Stephane Cotin

2008-01-01

404

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.

2014-01-01

405

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

406

[Hospital-based health technology assessment in France: how to proceed to evaluate innovative medical devices?].  

PubMed

Innovative medical devices offer solutions to medical problems and greatly improve patients' outcomes. Like National Health Technology Assessment (HTA) agencies, hospitals face numerous requests for innovative and costly medical devices. To help local decision-makers, different approaches of hospital-based HTA (HB-HTA) have been adopted worldwide. The objective of the present paper is to explore HB-HTA models for adopting innovative medical devices in France and elsewhere. Four different models have been conceptualized: "ambassador" model, "mini-HTA" model, "HTA unit" model and "internal committee". Apparently, "HTA unit" and "internal committee" (or a mixture of both models) are the prevailing HB-HTA models in France. Nevertheless, some weaknesses of these models have been pointed out in previous works. Only few examples involving hospital pharmacists have been found abroad, except in France and in Italy. Finally, the harmonization of the assessment of innovative medical devices in France needs a better understanding of HB-HTA practices. PMID:24438663

Martelli, N; van den Brink, H; Denies, F; Dervaux, B; Germe, A F; Prognon, P; Pineau, J

2014-01-01

407

Centralized Assessment in Graduate Medical Education: Cents and Sensibilities  

Microsoft Academic Search

Rationale The start of residency represents an ''educational handoff.'' Accreditation and credentialing organizations have called for better assessments of learner and patient outcomes and improved patient safety and quality of care. Intervention We describe the development of centralized assessments of baseline, core residency competencies at 2 institutions, and summarize principles and lessons learned for other institutions interested in developing similar

Dianne Wagner; Monica L. Lypson

2009-01-01

408

Impact of the Americans with Disabilities Act: Assessing the Progress Toward Achieving the Goals of the ADA.  

National Technical Information Service (NTIS)

Sixteen years after the Americans with Disabilities Act (ADA) was signed into law on July 26, 1990, by President George H. W. Bush, the law is having a meaningfully positive impact on the lives of people with disabilities. Many people with disabilities cr...

2007-01-01

409

DSM-5 and the Assessment of Functioning: The World Health Organization Disability Assessment Schedule 2.0 (WHODAS 2.0).  

PubMed

The Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5) has dropped the multiaxial diagnostic system and moved to a dimensional system of diagnostic classification. This change means that there is no longer a separate Axis V or specific diagnostic category for assessment of functioning. In addition, the Global Assessment of Functioning Scale (GAF), the previously endorsed numerical rating scale used for assessment of functioning and reported on Axis V, has been eliminated. In its place, DSM-5 offers psychiatrists a new tool for assessment of global functioning and impairment, the World Health Organization Disability Assessment Schedule 2 (WHODAS 2.0). Any single global assessment of functioning rating scale inevitably has limitations. Nevertheless, the GAF has been widely used in clinical and research settings and has been adopted as meaningful by psychiatric, legal, administrative, and insurance systems and institutions. The changes in DSM-5 in regard to the conceptual and practical assessment of functioning and impairment raise many questions. In this article, I review the implications for forensic psychiatric evaluations of the changes in the recommended assessment of functioning in DSM-5. PMID:24986344

Gold, Liza H

2014-06-01

410

Criteria for Determining Disability in Speech-Language Disorders. Evidence Report/Technology Assessment Number 52.  

National Technical Information Service (NTIS)

Approximately 42 million Americans have some type of communication disorder, costing the Nation $30 billion to $154 billion for lost productivity, special education, and medical care annually. The quality of the numerous evaluation procedures and instrume...

A. K. Biddle C. R. Hooper K. L. Lohr L. R. Watson S. F. Sutton

2002-01-01

411

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.

2013-01-01

412

[Quality assurance in the socio-medical assessment in the German pension insurance].  

PubMed

The systematic quality assurance (QA) is an essential element of every medical work. Therefore QA is also compulsory for all socio-medical tasks in the statutory pension insurance in Germany. The medical advisors employed in the pension insurance are involved in nearly all cases of administrative procedures in connection with applications for medical or vocational rehabilitation and for benefits for reduction in earning capacity. It is necessary to confirm whether the medical condition for this performance or benefit is fulfilled or not. The socio-medical assessment is executed by a medical estimate with a personal examination and questioning by the medical advisor, but also by a medical estimate based on the presented documents. The medical advisor is only an advisor, but his advice is very important for the position of points in the current administrative procedure. Therefore, the responsibility of the medical doctors is very high, due to the financial dimensions behind this medical advice. The costs of benefits for reduction in earning capacity average 120,000 euro. The cost for occupational or vocational rehabilitation often achieve the same level, a medical rehabilitation costs the pension insurance nearly 3,000 euro for three weeks, but very often also much more. Thus it is very important for both the applicant and also the pension insurance, that all doctors apply equal standards. It must not depend on luck or bad luck whether a submitted pension or performance is granted or not. Therefore different medical guidelines have been established in order to prevent unequal results. PMID:19039730

Ueberschär, I

2008-11-01

413

Indirect and non-medical economic burden, quality-of-life, and disabilities of the myelofibrosis disease in Spain.  

PubMed

Abstract Introduction: Myelofibrosis is a non-frequent chronic myeloproliferative Philadelphia-negative chromosome neoplasm. It is a heavy incapacitating orphan disease and associated with high morbidity and mortality. In this context, indirect and non-medical costs are expected to be high. The main objective of this project is to estimate the economic burden of this disease in Spain. Methods: Thirty-three patients with a diagnosis of myelofibrosis for at least 1 year participated in a questionnaire in three Spanish centers. The study consisted of analyzing in various aspects the cost and impact of the disease; indeed, daily life time limitations with a need of informal care, symtomatology. Additionally, information concerning the clinical management of the disease was collected through a focus group of eight experts. Results: The mean age was 65 years. 15 of 33 patients were at their productive stage. Six had difficulties at work and eight have received informal care. Bone and muscular pain were the main symptoms of patients (72%). The estimated global indirect and non-medical costs of the disease were 86,315€ per patient (20% working and 80% informal care), which reached 104,153€ at productive stage patients (45%) and 168,459€ for more symptomatic patients. Conclusions: The economic burden of indirect and non-medical costs of myelofibrosis are important (15,142€/annual) as a result, and should be considered in economic evaluation, as well as in preventive plans for patients and caregivers, despite the fact that studies with larger numbers of patients should be done. PMID:24716650

Gimenez, Emmanuel; Besses, Carles; Boque, Concepcion; Velez, Patricia; Kerguelen, Ana; Cervantes, Francisco; Ferrer-Marin, Francisca; Perez-Encinas, Manuel; Rodriguez, Mercedes; Gonzalez, Juan Diego; Calzada, Reyes; Hernandez-Boluda, Juan Carlos

2014-06-01

414

Beyond Subgroup Reporting: English Language Learners with Disabilities in 2002-2003 Online State Assessment Reports. ELLs with Disabilities Report 10  

ERIC Educational Resources Information Center

Although No Child Left Behind legislation does not require states to report enrollment, participation and performance data for English language learners (ELLs) with disabilities either online or in print-based reports, there is increasing interest in the academic success of this subgroup of students, estimated at about 357,325 nationwide (Zehler,…

Albus, Deb; Thurlow, Martha

2005-01-01

415

[Assessment of medical waste management in a Palestinian hospital].  

PubMed

We studied medical waste management in a Palestinian hospital in the West Bank and the role of municipality in this management. In general, "good management practices" were inadequate; there was insufficient separation between hazardous and non-hazardous wastes, an absence of necessary rules and regulations for the collection of wastes from the hospital wards and the on-site transport to a temporary storage location inside and outside the hospital and inadequate waste treatment and disposal of hospital wastes along with municipal garbage. Moreover, training of personnel was lacking and protective equipment and measures for staff were not available. No special landfills for hazardous wastes were found within the municipality. PMID:17037705

Al-Khatib, I A; Khatib, R A

2006-01-01

416

The Source for Learning Disabilities.  

ERIC Educational Resources Information Center

This book is designed to help clinicians and teachers work more effectively with people with learning disabilities and their families. Chapter 1 provides an overview of learning disabilities. It presents commonly accepted medical and educational definitions, prevalence figures, and possible etiological explanations for various disorders. Chapter 2…

Currie, Paula S.; Wadlington, Elizabeth M.

417

Communication teaching and assessment in medical education: an international consensus statement  

Microsoft Academic Search

The importance of communication between doctors and patients has been well established, and there is growing acceptance of the need to teach and assess communication skills in medical schools. Faculty meeting at a consensus workshop during the International Conference on Teaching Communication in Medicine (Oxford, July 1996) generated a series of recommendations for developing and implementing teaching and assessment programmes.

Gregory Makoul; Theo Schofield

1999-01-01

418

Enhancing Palliative Care Education in Medical School Curricula: Implementation of the Palliative Education Assessment Tool.  

ERIC Educational Resources Information Center

Evaluated a project to catalyze New York State medical schools to develop and implement strategic plans for curricular change to enhance palliative care education. Found that the project's process of self-assessment and curriculum mapping with the Palliative Education Assessment Tool, along with strategic planning for change, appears to have…

Wood, Emily B.; Meekin, Sharon Abele; Fins, Joseph J.; Fleischman, Alan R.

2002-01-01

419

A community-based assessment of learning disabilities using environmental and contextual risk factors.  

PubMed

Childhood placement in learning disability (LD) programs in the USA has tripled over the last few decades to 6% of all children enrolled in the public schools today. The revision of educational laws to improve LD testing and reporting guidelines has been credited for these trends. However, some researchers also believe that the increase in LD incidence may be due, in part, to chronic low level exposure to toxicants such as lead, heavy metals, solvents and others chemicals in the physical environment. This study employs the use of geo-statistical methods to explore the potential linkages between these pollution sources and the prevalence rates of LD within an urbanized environment, in the USA. The role of contextual factors such as housing quality, poverty, low parental educational achievement, and other disadvantages are also examined. Using primary data on childhood disabilities for 1997, the LD cases were queried and analyzed to identify the spatial clusters within the community. The neighborhoods within the LD clusters were then compared to other areas in the community on the basis of the environmental and contextual risk factors. The results confirmed that areas of high risk for LD were strongly associated with historically significant sources of lead toxicity and air pollution facilities. Among the socio-economic indicators, the high-risk neighborhoods were characterized by multiple/subdivided housing units, poverty, higher percentage of residents on public assistance and lower adult educational attainment. Taken together, these results suggest the need for a more inclusive multi-disciplinary research on LD that extends beyond the classroom context to the neighborhoods and communities in which these children reside. PMID:12593879

Margai, Florence; Henry, Norah

2003-03-01

420

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

421

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

422

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

423

Disability evaluation in Japan.  

PubMed

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

Suzuki, Tsunehiko

2009-05-01

424

Obstetrics Patients' Assessment of Medical Students' Role in Their Care.  

ERIC Educational Resources Information Center

Obstetric patients rated the skills and assessed the roles of students caring for them during a clinical clerkship. They rated skills and attitudes high, generally, with lower ratings for their ability to answer questions and preparation to participate in care. Most felt students improved their care, primarily in supportive ways. (Author/MSE)

Magrane, Diane

1988-01-01

425

Validation of the relevant outcome scale for Alzheimer's disease: a novel multidomain assessment for daily medical practice  

PubMed Central

Introduction The Relevant Outcome Scale for Alzheimer's Disease (ROSA) is a new observer rating instrument recently developed for routine medical practice. The validity and reliability of ROSA as well as sensitivity to changes due to intervention were examined in an open-label, single-arm, multicenter clinical study in patients with Alzheimer's disease (AD). Methods The study enrolled 471 patients with a diagnosis of AD consistent with the criteria of the National Institute of Neurological and Communicative Disease and Stroke/Alzheimer's Disease and Related Disorders Association or with the Diagnostic and Statistical Manual Disorders criteria for dementia of Alzheimer's type. Following assessments of the ROSA and other standard assessments (Alzheimer's Disease Assessment Scale - cognitive subscale, Severe Impairment Battery, Neuropsychiatric Inventory, and Disability Assessment for Dementia), patients were treated with memantine for 12 weeks. Factor analysis of the baseline ROSA total scores was performed based on the principal components method using the varimax orthogonal rotational procedure. The psychometric analyses of the ROSA included internal consistency, test-retest reliability, inter-rater reliability, construct validity, and responsiveness to changes over time. Results All items showed adequate factor loadings and were retained in the final ROSA as Factor 1 (all items related to cognition, communication, function, quality of life and caregiver burden) and Factor 2 (all behavior items). The ROSA demonstrated high internal consistency (Cronbach's ? = 0.93), test-retest reliability (intraclass correlation coefficient = 0.93), and inter-rater reliability (intraclass correlation coefficient = 0.91). The correlation coefficients between the ROSA and each of the validated scales ranged between 0.4 and 0.7, confirming the ROSA construct validity. Nonsubstantial floor and ceiling effects were found in middle and late disease stages, whereas a small ceiling effect was observed in the early stage. The ROSA responsiveness to change was high (responsiveness index ?0.8) for all severity stages. Conclusions The ROSA is a valid and reliable instrument to aid medical practitioners in sensitively assessing AD-relevant symptoms over time in their clinical practice.

2011-01-01

426

Congruence between Assessed Needs and IEP Goals of Identified Behaviorally Disabled Students.  

ERIC Educational Resources Information Center

A checklist was developed to assess congruence between needs identified by psychoeducational assessment and instructional goals of the Individualized Education Program. Use with records of 106 behaviorally disordered students (K-12) suggested lack of diagnostic-intervention congruence and dissimilarity between IEP goals and diagnostic/assessment

Fiedler, Jacque F.; Knight, Richard R.

1986-01-01

427

Lead exposure in a developmentally disabled workforce.  

PubMed

Over-exposure to lead was identified among developmentally disabled workers engage in furniture refinishing at two separate sites. The index case was identified at the first site by a public health nurse assigned to provide care to some of the workers. Referral to a regional occupational health clinic initiated an exposure assessment and medical consultation at both work sites. Blood lead levels (BLLs) among sanders and helpers at site A averaged 60 micrograms per deciliter of blood (mcg/dl). At site B, BLLs were lower, but 6 individuals had BLLs greater than mcg/dl. Hand sanding of chemically stripped wood previously coated with lead-based paint was determined to be the exposure source. These incidents document potential lead overexposure in an underecognized setting. They also emphasize the importance of incorporating a workplace health risk assessment in the process of placing and protecting the developmentally disabled on the job. PMID:9651630

Lax, M B; Siwinski, G

1998-08-01

428

The mechanism of impact of summative assessment on medical students’ learning  

Microsoft Academic Search

It has become axiomatic that assessment impacts powerfully on student learning, but there is a surprising dearth of research\\u000a on how. This study explored the mechanism of impact of summative assessment on the process of learning of theory in higher\\u000a education. Individual, in-depth interviews were conducted with medical students and analyzed qualitatively. The impact of\\u000a assessment on learning was mediated

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

2010-01-01

429

Comparative life cycle assessments of incineration and non-incineration treatments for medical waste  

Microsoft Academic Search

Background, aim, and scope  Management of the medical waste produced in hospitals or health care facilities has raised concerns relating to public health,\\u000a occupational safety, and the environment. Life cycle assessment (LCA) is a decision-supporting tool in waste management practice;\\u000a but relatively little research has been done on the evaluation of medical waste treatment from a life cycle perspective. Our\\u000a study

Wei Zhao; Ester van der Voet; Gjalt Huppes; Yufeng Zhang

2009-01-01

430

Assessing the impact of a medical image access system  

NASA Astrophysics Data System (ADS)

We have developed and installed a Medical Image Access System in an intensive care unit. Images are acquired and transmitted automatically to this system, thus expanding on the previous results of Shile et. al. It is our goal to determine what effect regular, sustained availability of image data in the clinic has on the Intensive Care Unit and the Department of Radiology. Our system is installed and has been in regular use in the hospital since late August of 1993. Since the time of installation we have been collecting usage information from both the manual and automated systems. From this data we are performing the standard measures established by DeSimone et. al. Our initial results support the original findings that image availability in the clinic leads to earlier patient care decision based on the image data. However, our findings do not seem to indicate that there is a breakdown of communication between the clinician and the radiologist as a result of the use of the clinical display system. In addition to the established measure we are investigating other criteria to measure time saved by both the clinician and radiologist. The results are reported in this paper.

McNeill, Kevin M.; Maloney, Kris; Parra, Miguel V.; Ovitt, Theron W.; Dallas, William J.

1994-05-01

431

Single-factor scoring validation for the Health Assessment Questionnaire-Disability Index (HAQ-DI) in patients with systemic sclerosis and comparison with early rheumatoid arthritis patients  

Microsoft Academic Search

Objective  Structural validity for the Health Assessment Questionnaire-Disability Index (HAQ-DI) has recently been provided for patients with rheumatoid arthritis (RA). The goal of the current study was to examine the structural validity of the HAQ-DI in patients with systemic sclerosis (SSc, scleroderma) and to compare its performance with that in patients with RA.Methods  The HAQ-DI structural validity was first assessed in a

Jason C. Cole; Dinesh Khanna; Philip J. Clements; James R. Seibold; Donald P. Tashkin; Harold E. Paulus; Michael R. Irwin; Sarosh J. Motivala; Daniel E. Furst

2006-01-01

432

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

433

The influences of patient's satisfaction with medical service delivery, assessment of medical service, and trust in health delivery system on patient's life satisfaction in China  

PubMed Central

Background Patient’s satisfaction with medical service delivery/assessment of medical service/trust in health delivery system may have significant influence on patient’s life satisfaction in China’s health delivery system/in various kinds of hospitals. The aim of this study was to test whether and to what extent patient’s satisfaction with medical service delivery/patient’s assessments of various major aspects of medical service/various major aspects of patient’s trust in health delivery system influenced patient’s life satisfaction in China’s health delivery system/in various kinds of hospitals. Methods This study collaborated with National Bureau of Statistics of China to carry out a 2008 national urban resident household survey in 17 provinces, autonomous regions, and municipalities directly under the central government (N?=?3,386), and specified ordered probit models were established to analyze dataset from this household survey. Results The key considerations in generating patient’s life satisfaction involved patient’s overall satisfaction with medical service delivery, assessment of doctor-patient communication, assessment of medical cost, assessment of medical treatment process, assessment of medical facility and hospital environment, assessment of waiting time for medical service, trust in prescription, trust in doctor, and trust in recommended medical examination. But the major considerations in generating patient’s life satisfaction were different among low level public hospital, high level public hospital, and private hospital. Conclusion The promotion of patient’s overall satisfaction with medical service delivery, the improvement of doctor-patient communication, the reduction of medical cost, the improvement of medical treatment process, the promotion of medical facility and hospital environment, the reduction of waiting time for medical service, the promotion of patient’s trust in prescription, the promotion of patient’s trust in doctor, and the promotion of patient’s trust in recommended medical examination could all help promote patient’s life satisfaction. But their promotion effects were different among low level public hospital, high level public hospital, and private hospital.

2012-01-01

434

Preliminary Assessment of Friendship, Problem Behavior, and Social Adjustment in Children with Disabilities in an Inclusive Education Setting  

Microsoft Academic Search

Children with mild disabilities may experience complications in friendship development. This study examined variables related\\u000a to friendship among third- and fifth-grade students with (n?=?12) and without (n?=?18) disabilities in inclusion classrooms. Thirty students completed sociometric nominations and identified a preferred\\u000a best friend. Additionally, students with disabilities completed a self-competence questionnaire and teachers rated them on\\u000a social and behavioral dimensions. Students

Florence D. DiGennaro Reed; Laura Lee McIntyre; Jerome Dusek; Nicole Quintero

435

Physician assessments of medication adherence and decisions to intensify medications for patients with uncontrolled blood pressure: still no better than a coin toss  

PubMed Central

Background Many patients have uncontrolled blood pressure (BP) because they are not taking medications as prescribed. Providers may have difficulty accurately assessing adherence. Providers need to assess medication adherence to decide whether to address uncontrolled BP by improving adherence to the current prescribed regimen or by intensifying the BP treatment regimen by increasing doses or adding more medications. Methods We examined how provider assessments of adherence with antihypertensive medications compared with refill records, and how providers’ assessments were associated with decisions to intensify medications for uncontrolled BP. We studied a cross-sectional cohort of 1169 veterans with diabetes presenting with BP ?140/90 to 92 primary care providers at 9 Veterans Affairs (VA) facilities from February 2005 to March 2006. Using VA pharmacy records, we utilized a continuous multiple-interval measure of medication gaps (CMG) to assess the proportion of time in prior year that patient did not possess the prescribed medications; CMG ?20% is considered clinically significant non-adherence. Providers answered post-visit Likert-scale questions regarding their assessment of patient adherence to BP medications. The BP regimen was considered intensified if medication was added or increased without stopping or decreasing another medication. Results 1064 patients were receiving antihypertensive medication regularly from the VA; the mean CMG was 11.3%. Adherence assessments by providers correlated poorly with refill history. 211 (20%) patients did not have BP medication available for???20% of days; providers characterized 79 (37%) of these 211 patients as having significant non-adherence, and intensified medications for 97 (46%). Providers intensified BP medications for 451 (42%) patients, similarly whether assessed by provider as having significant non-adherence (44%) or not (43%). Conclusions Providers recognized non-adherence for less than half of patients whose pharmacy records indicated significant refill gaps, and often intensified BP medications even when suspected serious non-adherence. Making an objective measure of adherence such as the CMG available during visits may help providers recognize non-adherence to inform prescribing decisions.

2012-01-01

436

Medication Management in Primary and Secondary Schools: Assessing the Practices and Opinions of Pediatricians  

PubMed Central

OBJECTIVES 1)To assess the awareness of pediatricians regarding the potential problems caused by children taking their medications before or during school hours 2) To identify the types of interventions pediatricians use to manage these issues 3)To assess the views of pediatricians regarding how well the process of medication management is handled by the schools that their patients attend. METHODS Thirty-five pediatricians completed a questionnaire inquiring about their prescribing habits for children under the age of 18, their views on the possible effects medications may have on children while at school, and what they do to minimize problems that may be associated with taking or being under the influence of medications while at school. RESULTS The largest group of responding physicians (42.9%; n = 15) selected “Somewhat Common” when asked how common it is that they prescribe medications that must be used before or during school hours. The majority of responding pediatricians surveyed (62%; n = 21) believe that taking medications at school can create special problems. The majority of respondents (59.4%; n = 19) disagree with the statement that “Medications in Illinois schools are well managed by a trained agent. These pediatricians utilize a variety of strategies to minimize problems caused by medication use during or before school, and the most common of these is the prescribing of sustained release products. CONCLUSIONS Pediatricians who responded to a survey are aware of potential problems associated with children being under the influence of, or taking medications during school hours. As a result, many have devised ways to ameliorate and/or prevent potential problems.

Reutzel, Thomas J.; Baich, Brandy L.

2009-01-01

437

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.

438

Assessment of 2q23.1 microdeletion syndrome implicates MBD5 as a single causal locus of intellectual disability, epilepsy, and autism spectrum disorder.  

PubMed

Persons with neurodevelopmental disorders or autism spectrum disorder (ASD) often harbor chromosomal microdeletions, yet the individual genetic contributors within these regions have not been systematically evaluated. We established a consortium of clinical diagnostic and research laboratories to accumulate a large cohort with genetic alterations of chromosomal region 2q23.1 and acquired 65 subjects with microdeletion or translocation. We sequenced translocation breakpoints; aligned microdeletions to determine the critical region; assessed effects on mRNA expression; and examined medical records, photos, and clinical evaluations. We identified a single gene, methyl-CpG-binding domain 5 (MBD5), as the only locus that defined the critical region. Partial or complete deletion of MBD5 was associated with haploinsufficiency of mRNA expression, intellectual disability, epilepsy, and autistic features. Fourteen alterations, including partial deletions of noncoding regions not typically captured or considered pathogenic by current diagnostic screening, disrupted MBD5 alone. Expression profiles and clinical characteristics were largely indistinguishable between MBD5-specific alteration and deletion of the entire 2q23.1 interval. No copy-number alterations of MBD5 were observed in 7878 controls, suggesting MBD5 alterations are highly penetrant. We surveyed MBD5 coding variations among 747 ASD subjects compared to 2043 non-ASD subjects analyzed by whole-exome sequencing and detected an association with a highly conserved methyl-CpG-binding domain missense variant, p.79Gly>Glu (c.236G>A) (p = 0.012). These results suggest that genetic alterations of MBD5 cause features of 2q23.1 microdeletion syndrome and that this epigenetic regulator significantly contributes to ASD risk, warranting further consideration in research and clinical diagnostic screening and highlighting the importance of chromatin remodeling in the etiology of these complex disorders. PMID:21981781

Talkowski, Michael E; Mullegama, Sureni V; Rosenfeld, Jill A; van Bon, Bregje W M; Shen, Yiping; Repnikova, Elena A; Gastier-Foster, Julie; Thrush, Devon Lamb; Kathiresan, Sekar; Ruderfer, Douglas M; Chiang, Colby; Hanscom, Carrie; Ernst, Carl; Lindgren, Amelia M; Morton, Cynthia C; An, Yu; Astbury, Caroline; Brueton, Louise A; Lichtenbelt, Klaske D; Ades, Lesley C; Fichera, Marco; Romano, Corrado; Innis, Jeffrey W; Williams, Charles A; Bartholomew, Dennis; Van Allen, Margot I; Parikh, Aditi; Zhang, Lilei; Wu, Bai-Lin; Pyatt, Robert E; Schwartz, Stuart; Shaffer, Lisa G; de Vries, Bert B A; Gusella, James F; Elsea, Sarah H

2011-10-01

439

Assessment of 2q23.1 Microdeletion Syndrome Implicates MBD5 as a Single Causal Locus of Intellectual Disability, Epilepsy, and Autism Spectrum Disorder  

PubMed Central

Persons with neurodevelopmental disorders or autism spectrum disorder (ASD) often harbor chromosomal microdeletions, yet the individual genetic contributors within these regions have not been systematically evaluated. We established a consortium of clinical diagnostic and research laboratories to accumulate a large cohort with genetic alterations of chromosomal region 2q23.1 and acquired 65 subjects with microdeletion or translocation. We sequenced translocation breakpoints; aligned microdeletions to determine the critical region; assessed effects on mRNA expression; and examined medical records, photos, and clinical evaluations. We identified a single gene, methyl-CpG-binding domain 5 (MBD5), as the only locus that defined the critical region. Partial or complete deletion of MBD5 was associated with haploinsufficiency of mRNA expression, intellectual disability, epilepsy, and autistic features. Fourteen alterations, including partial deletions of noncoding regions not typically captured or considered pathogenic by current diagnostic screening, disrupted MBD5 alone. Expression profiles and clinical characteristics were largely indistinguishable between MBD5-specific alteration and deletion of the entire 2q23.1 interval. No copy-number alterations of MBD5 were observed in 7878 controls, suggesting MBD5 alterations are highly penetrant. We surveyed MBD5 coding variations among 747 ASD subjects compared to 2043 non-ASD subjects analyzed by whole-exome sequencing and detected an association with a highly conserved methyl-CpG-binding domain missense variant, p.79Gly>Glu (c.236G>A) (p = 0.012). These results suggest that genetic alterations of MBD5 cause features of 2q23.1 microdeletion syndrome and that this epigenetic regulator significantly contributes to ASD risk, warranting further consideration in research and clinical diagnostic screening and highlighting the importance of chromatin remodeling in the etiology of these complex disorders.

Talkowski, Michael E.; Mullegama, Sureni V.; Rosenfeld, Jill A.; van Bon, Bregje W.M.; Shen, Yiping; Repnikova, Elena A.; Gastier-Foster, Julie; Thrush, Devon Lamb; Kathiresan, Sekar; Ruderfer, Douglas M.; Chiang, Colby; Hanscom, Carrie; Ernst, Carl; Lindgren, Amelia M.; Morton, Cynthia C.; An, Yu; Astbury, Caroline; Brueton, Louise A.; Lichtenbelt, Klaske D.; Ades, Lesley C.; Fichera, Marco; Romano, Corrado; Innis, Jeffrey W.; Williams, Charles A.; Bartholomew, Dennis; Van Allen, Margot I.; Parikh, Aditi; Zhang, Lilei; Wu, Bai-Lin; Pyatt, Robert E.; Schwartz, Stuart; Shaffer, Lisa G.; de Vries, Bert B.A.; Gusella, James F.; Elsea, Sarah H.

2011-01-01

440

Sleep Complaints and Incident Disability in a Community-Based Cohort Study of Older Persons.  

PubMed

OBJECTIVE: Sleep complaints are associated with adverse health consequences. We hypothesized that non-disabled older persons with more sleep complaints have an increased risk of developing disability. METHODS: Subjects included 908 older clergy participating in the Religious Order Study without clinical dementia, history of stroke, or Parkinson disease. At baseline, participants rated their difficulty falling asleep, frequency of nocturnal awakenings, sleep efficacy, and napping frequency, from which a summary dyssomnia measure was derived. Self-report assessment of disability included instrumental activities of daily living (IADLs), basic activities of daily living (ADLs), and Rosow-Breslau mobility disability at baseline and at annual evaluations. RESULTS: Mean follow-up was 9.6 (SD: 4.2) years. At baseline, more than 60% had one or more sleep complaints. In a series of Cox proportional hazards models controlling for age, sex, and education, a one-point higher dyssomnia score at baseline was associated with about 20% increased risk of IADL disability (hazard ratio: 1.20; 95% confidence interval [CI]: 1.04-1.39; ?(2)1 = 7.62; p <0.05), about 27% increased risk of ADL disability (hazard ratio: 1.27; 95% CI: 1.10-1.47; ?(2)1 = 12.15; p <0.01), and about 27% increased risk of mobility disability (hazard ratio: 1.27; 95% CI: 1.09-1.48; ?(2)1 = 11.04; p <0.01). These associations did not vary by age, sex, or education and remained significant after controlling for potential confounders including body mass index, chronic medical conditions, and several common medications. Controlling for depressive symptoms attenuated the association between sleep complaints and incident IADL and ADL disabilities but the association between sleep complaints and incident mobility disability remained significant. CONCLUSION: Non-disabled older adults with more sleep complaints have an increased risk of developing disability. PMID:23567404

Park, Margaret; Buchman, Aron S; Lim, Andrew S P; Leurgans, Sue E; Bennett, David A

2013-03-25

441

Assessment of the capacity to consent to treatment in patients admitted to acute medical wards  

PubMed Central

Background Assessment of capacity to consent to treatment is an important legal and ethical issue in daily medical practice. In this study we carefully evaluated the capacity to consent to treatment in patients admitted to an acute medical ward using an assessment by members of the medical team, the specific Silberfeld's score, the MMSE and an assessment by a senior psychiatrist. Methods Over a 3 month period, 195 consecutive patients of an internal medicine ward in a university hospital were included and their capacity to consent was evaluated within 72 hours of admission. Results Among the 195 patients, 38 were incapable of consenting to treatment (unconscious patients or severe cognitive impairment) and 14 were considered as incapable of consenting by the psychiatrist (prevalence of incapacity to consent of 26.7%). Agreement between the psychiatrist's evaluation and the Silberfeld questionnaire was poor (sensitivity 35.7%, specificity 91.6%). Experienced clinicians showed a higher agreement (sensitivity 57.1%, specificity 96.5%). A decision shared by residents, chief residents and nurses was the best predictor for agreement with the psychiatric assessment (sensitivity 78.6%, specificity 94.3%). Conclusion Prevalence of incapacity to consent to treatment in patients admitted to an acute internal medicine ward is high. While the standardized Silberfeld questionnaire and the MMSE are not appropriate for the evaluation of the capacity to consent in this setting, an assessment by the multidisciplinary medical team concurs with the evaluation by a senior psychiatrist.

Fassassi, Sylfa; Bianchi, Yanik; Stiefel, Friedrich; Waeber, Gerard

2009-01-01

442

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.

Sinai, Amanda; Werner, Shirli; Stawski, Mike

2013-01-01

443

A systematic literature review of methodologies used to assess medication adherence in patients with diabetes.  

PubMed

Abstract Objective: Adhering to prescribed medication is often a problem for patients with diabetes yet there is no consensus on how best to measure adherence in this patient population. This systematic literature review critically reviewed and summarized the methods used to measure medication adherence in patients with diabetes (on oral hypoglycemic agents [OHAs] and/or insulin) in original research published between 2007-2013. Study design: Literature review. Methods: A systematic search for methods to assess medication adherence in patients with type I or type II diabetes was conducted using PubMed, EMBASE, PsychInfo, and Cochrane databases. Two researchers independently screened abstracts for initial eligibility and then applied the inclusion/exclusion criteria to the relevant full-text articles. Results: Fifty-nine articles met the criteria for inclusion. Subjective assessment (observer-reported and patient-reported), pill counts, Medication Event Monitoring System (MEMS), cell-phone real-time assessment, and logbooks were used in prospective studies. In pharmacy claims databases, medication possession ratios (MPRs), or some derivation thereof, were utilized. Each method has strengths and weaknesses, but few approaches specifically addressed issues unique to assessing insulin adherence. Three novel approaches (using cell-phone real-time assessment, computerized logbooks, and a questionnaire about different dosing irregularities) provided insight on timing and dosing issues that could be useful for highlighting interventions to improve insulin adherence. Conclusion: No gold standard exists for measuring medication adherence in patients with diabetes. The plethora of adherence methods precludes the comparison of adherence rates across studies. Greater consistency is therefore needed in adherence measurement, including question content, recall period, and response options for self-report measures. Novel methods for understanding adherence to variable-dosed insulin require further research. Researchers should select a methodology that best fits their research question, study design, patient population and resources. PMID:24432796

Clifford, Sarah; Perez-Nieves, Magaly; Skalicky, Anne M; Reaney, Matthew; Coyne, Karin S

2014-06-01

444

[Assessment of the benefit of medical devices in surgical practice : Problems and possible solutions].  

PubMed

The market approval of medical devices in Germany does not yet require a benefit assessment. Thus, there is a lack of high quality studies that clearly prove the benefit of medical innovations. In the past, the Federal Joint Committee in Germany (G-BA) did not have the opportunity to adequately address this issue of lacking evidence. A law for the improvement of the care structure in the statutory health insurance offers the possibility for the G-BA to obtain evidence for the benefit of medical practice. With an integrated regulation for testing of medical devices the manufacturers have the option to apply for an assessment of new and established treatment methods and to provide scientific evidence for the benefit of medical devices as a requirement for inclusion in the catalogue of services of the statutory health insurance. However, this expanded scope of action is also a challenge for clinicians. The already existing problem of integrating multicenter clinical trials in the surgical routine will remain. The Surgical Study Network Germany (CHIR-Net) offers an ideal way to cope with the increased requirements on studies in the field of medical devices through established partnerships with methodological institutions and practitioners in clinical settings. PMID:24402570

Seidel, D; Braß, P; Sehnke, N; Jakob, V; Eglmeier, W; Neugebauer, E A M

2014-05-01

445

An Assessment Process to Estimate the Secondary Injury Potential of Assistive Technology Adopted by Farmers with Disabilities  

ERIC Educational Resources Information Center

Farmers with disabilities frequently fabricate or modify devices and worksites--referred to collectively as assistive technology (AT) in order to continue performing required tasks on their farms. In some cases these AT have been documented to cause secondary injury. Further, some farmers having disabilities are not able to fully benefit from…

Mathew, Samuel Narinchil

2009-01-01

446

Applying the Developmental Perspective in the Psychiatric Assessment and Diagnosis of Persons with Intellectual Disability: Part II - Diagnosis  

ERIC Educational Resources Information Center

The descriptive phenomenological categorical psychiatric diagnostic systems that are currently being used in the field of intellectual disability do not adequately provide for the special needs of persons with intellectual disability. Many relevant diagnostic questions are left unanswered or are only partially accounted for. This is particularly…

Dosen, A.

2005-01-01

447

[Medical and biological safety assessment of genetically modified maize event MIR604].  

PubMed

There are presented the results of genotoxicologic, immunologic and allergologic examinations which were conducted within the framework of integrated medical and biological assessment of genetically modified rootworm Diabrotica spp.-protected maize event MIR604. Analysis of damages of DNA and structural chromosome aberrations, assessment of the allergenic potential and immunoreactive properties has not confirmed any genotoxic, allergenic and immunotoxic effect of maize event MIR604. PMID:19514340

Tyshko, N V; Britsina, M V; Gmoshinski?, I V; Zhanataev, A K; Zakharova, N S; Zorin, S N; Mazo, V K; Ozeretskovskaia, M N; Semenov, B F

2009-01-01

448

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.

2013-01-01

449

Rehabilitation assessment for lower limb disability based on multi-disciplinary approaches.  

PubMed

Low limb rehabilitation training is recognized as a very effective technique to facilitate body recovery. To make rehabilitation more efficient, we need to monitor the whole progress and detect how well the patient improves. The physician could make an optimal treatment plan according to the patient's improvement only when the patient's condition is correctly evaluated. Also, it is essential to provide a rehabilitation assessment system which would enable more accurate tracking of patient's status and minimize the requirement of time-consuming manual evaluations conducted by skilled person. Traditionally, clinical rehabilitation assessment is performed manually, which is not only coarse but also time-consuming. In this paper, we propose an objective, quantitative and manual-independent assessment system for lower extremity rehabilitation. Four predictive variables, i.e. rang of motion (ROM), movement smoothness, trajectory error, and improved L-Z complexity of electromyographic signal (EMG), are explored besides conventional clinical assessment scales. A cost-effective and wearable human-independent device which mainly consists of two sensors (MPU6050 and HMC5883L), is developed to measure the ROM, movement smoothness and trajectory error. What's more, a 3D leg model is employed to visualize the leg motion in real-time on PC screen to increase the entertainment. Those physical quantities are more sensitive at the early stage of rehabilitation. And when the basic body function is recovered, the subtle rehabilitation improvement can only be detected by the intrinsic EMG signal. Therefore an improved L-Z complexity of EMG is applied to combine with physical assessment metrics. Compared with traditional L-Z complexity, the improved one proposed in this paper could reflect more precisely the underlying property of EMG signal. The future work is to integrate all the evaluation metrics, thus we introduce a BP network to quantize a final assessment outcome. PMID:24719052

Ai, Qing Song; Chen, Ling; Liu, Quan; Zou, Lin

2014-06-01

450

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

451

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

452

Patient assessment of a combined medical and nursing preparation to cytotoxic chemotherapy  

Microsoft Academic Search

At Auckland hospital there is a combined medical and nursing preparation for patients receiving cytotoxic chemotherapy. The aim of the current study was to assess whether patients felt that this combined approach had prepared them adequately for chemotherapy. Patients were asked to complete three questionnaires anonymously at different times in their treatment programme: Immediately prior to chemotherapy, after three cycles

Christopher Ellis; Barrie D. Evans; Dora Mak; Paul Mitchell; Patricia Melville; Carol Stone; Paul Thompson; Vernon Harvey

1993-01-01

453

Motivating Learning and Assessing Outcomes in Continuing Medical Education Using a Personal Learning Plan  

ERIC Educational Resources Information Center

Introduction: Although there is increasing focus on provider behavior change as an outcome of continuing medical education (CME), it has long been known that an increase in knowledge alone is rarely sufficient to induce such change. The Personal Learning Plan (PLP), designed to motivate and assess CME learning, was partly derived from SMART goals…

Reed, Virginia A.; Schifferdecker, Karen E.; Turco, Mary G.

2012-01-01

454

[Medical and biological safety assessment of genetically modified maize strain MIR604].  

PubMed

The results of toxicologo-hygienic examinations, which were conducted within the framework of integrated medical and biological assessment of genetically modified rootworm Diabrotica spp.-protected maize event MIR604, are presented. Analysis of morphological, hematological, biochemical parameters and system (sensitive) biomarkers has not confirmed any toxic effect of maize event MIR604. PMID:19514339

Tutel'ian, V A; Gapparov, M M G; Avren'eva, L I; Aksiuk, I N; Guseva, G V; Kravchenko, L V; L'vova, L S; Saprykin, V P; Tyshko, N V; Chernysheva, O N

2009-01-01

455

Risk assessment of medical devices: Evaluation of microbiological and toxicological safety  

NASA Astrophysics Data System (ADS)

Safety assessment of medical devices includes sterilization and biological evaluation or biocompatibility testing. Sterilization by ETO gas is critised for their carcinogenic potency or even banned. Mutual acceptance of biological evaluation test results is promoted by a laboratory accreditation and qualification program.

Dorpema, J. W.

1995-02-01

456

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

457

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

458

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

459

"Sexual Health Assessment" for Mental Health and Medical Practitioners: Teaching Notes  

ERIC Educational Resources Information Center

The importance of including sexual health assessment (SHA) within the biopsychosocial evaluations of mental health and medical practice is discussed, and various protocols available in the extant literature are reviewed. Six principles for SHA are presented as well as a model protocol consisting of six basic lines of questioning with specific…

Barratt, Barnaby B.; Rand, Marsha A.

2009-01-01

460

2009 State Policies on Assessment Participation and Accommodations for Students with Disabilities. Synthesis Report 83  

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 2008 (based on 2007 data). In addition, current state accommodations policies…

Christensen, Laurene L.; Braam, Maureen; Scullin, Sarah; Thurlow, Martha L.

2011-01-01

461

Improving Accommodations Outcomes: Monitoring Instructional and Assessment Accommodations for Students with Disabilities  

ERIC Educational Resources Information Center

This document presents a five-step process for schools, districts, and states to use in monitoring accommodations for instruction and assessment. This document was designed to be a companion to the "Council of Chief State School Officers' Accommodations Manual: How to Select, Administer, and Evaluate Use of Accommodations for…

Christensen, Laurene L.; Thurlow, Martha L.; Wang, Ting

2009-01-01

462

Collaborative Assessment: Working with Students Who Are Blind or Visually Impaired, Including Those with Additional Disabilities.  

ERIC Educational Resources Information Center

This book offers a comprehensive text on the assessment of students with blindness or visual impairment with a focus on approaches used at the California School for the Blind. An introductory chapter is by Frances K. Liefert and Marsha A. Silver. Eleven chapters have the following titles and authors: (1) "Introduction to Visual Impairment"…

Goodman, Stephen A., Ed.; Wittenstein, Stuart H., Ed.

463

2007 State Policies on Assessment Participation and Accommodations for Students with Disabilities. Synthesis Report 69  

ERIC Educational Resources Information Center

This document presents an update of a 2006 report from NCEO 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 2006 (based on 2005 data). In this analysis, policies from all 50 states, plus…

Christensen, Laurene L.; Lazarus, Sheryl S.; Crone, Melissa; Thurlow, Martha L.

2008-01-01

464

Demystifying the Process? A Multi Disciplinary Approach to Assessing Capacity for Adults with a Learning Disability  

ERIC Educational Resources Information Center

There appears to be some degree of hesitation and lack of confidence among professionals in conducting capacity assessments. This document explains a two-phase process developed and implemented by a multi-disciplinary group of professionals during a pilot project. The first phase in the decision making process is to determine to what extent the…

Skinner, Rachael; Joiner, Chris; Chesters, Liz; Bates, Louise; Scrivener, Louise

2011-01-01

465

Assessment of the relationship between diagnoses of ASD and caregiver symptom endorsement in adults diagnosed with intellectual disability.  

PubMed

Individuals diagnosed with an intellectual disability (ID) share overlapping traits with those diagnosed with both ID and an Autism Spectrum Disorder (ASD). Therefore, the purpose of this study was to determine if caregivers' reports of symptoms of ASD are of value (i.e., when comparing them to clinical diagnoses of ASD) and to determine which symptoms of ASD best differentiate those with ASD from those with ID only. It was hypothesized that a subset of items would emerge using the Autism Spectrum Disorders-Diagnostic for Adults (ASD-DA) which would differentiate the two groups utilize in this study. One hundred eighty-six adults diagnosed with ID with and without diagnosis of ASD were assessed for core symptoms and other behavioral differences using the ASD-DA. Most of the individuals in the ID group (n = 93) and the ID plus ASD group (n = 93) were in the profound range of ID. The items which were most likely to distinguish individuals with ASD were in socialization domain. Furthermore, adults with ASD were more likely to be male and to be non-verbal. PMID:22944257

Matson, Johnny L; Hess, Julie A; Mahan, Sara; Fodstad, Jill C; Neal, Daniene

2013-01-01

466

Disability care coordination organizations: improving health and function in people with disabilities.  

PubMed

Disability care coordination organizations (DCCOs) combine attributes of the medical home model and community nursing. Teams of nurses and social workers collaborate with the client to arrange disability-competent medical and social services. This article synthesizes observational findings from site visits to approximately half of the DCCOs operating in 2004. DCCOs have 6 core clinical activities: comprehensive assessment; self-directed, person-centered planning; health visit support; centralized medical-social record; community resource engagement; and constant communication. We also identified 3 core business competencies: service coordination, patient education/behavioral modification, and continuous enhancement of disability competency. Each DCCO started as a new company rather than as a product line of an existing business, and each included the target population in the design stage. Most DCCOs contract with state Medicaid agencies under a prepaid capitation arrangement, and some also enroll Medicare beneficiaries. Capitated DCCOs retain cost savings and may be financially stronger than fee-for-service DCCOs. Although studies suggest that DCCOs improve coordination and clinical outcomes while reducing costs, the current evidence has not been peer reviewed. PMID:17013056

Palsbo, Susan E; Mastal, Margaret F; O'Donnell, Lolita T

2006-01-01

467

Potocki-Shaffer syndrome: comprehensive clinical assessment, review of the literature, and proposals for medical management.  

PubMed

Potocki-Shaffer syndrome is a rare contiguous gene deletion syndrome due to haploinsufficiency of the 11p11.2p12 region and is characterized by craniofacial abnormalities, developmental delay, intellectual disability, multiple exostoses, and biparietal foramina. In this study, six patients with the Potocki-Shaffer syndrome were identified and evaluated using a multidisciplinary protocol that included assessments by a geneticist, ophthalmologist, otolaryngologist, orthopedist, nephrologist, audiologist, and neuropsychologist. Diagnostic studies included skeletal survey, magnetic resonance imaging of the brain, renal ultrasound, complete blood count, comprehensive metabolic panel, thyroid studies, and urinalysis. Using array comparative genomic hybridization, we further characterized the deletion in five of these patients. The results of these evaluations were combined with a comprehensive review of reported cases. Our data highlight the characteristic facial features, biparietal foramina, moderate-to-severe developmental delay and intellectual disability, myopia and strabismus, and multiple exostoses seen with this disorder. We also identify for the first time an association of Potocki-Shaffer syndrome with sensorineural hearing loss and autistic behaviors. Finally, we provide recommendations for the health maintenance of patients with Potocki-Shaffer syndrome. PMID:20140962

Swarr, Daniel T; Bloom, Douglas; Lewis, Richard Alan; Elenberg, Ewa; Friedman, Ellen M; Glotzbach, Caron; Wissman, Scott D; Shaffer, Lisa G; Potocki, Lorraine

2010-03-01

468

Ecological Neuropsychology: An Alternative to the Deficit Model for Conceptualizing and Serving Students with Learning Disabilities  

Microsoft Academic Search

The present paper contends that children with learning disabilities are better served when assessment and intervention are conceptualized within an ecological neuropsychology perspective than within the traditional deficit model perspective, which is the predominant approach to intervention in medical and educational settings. The deficit method conceptualizes problems as within the child, and the major consequence of this approach is that

Rik Carl D'Amato; Franci Crepeau-Hobson; Leesa V. Huang; Molly Geil

2005-01-01

469

A Psychiatric Primer for Programs Serving People with Developmental Disabilities. Monograph #101.  

ERIC Educational Resources Information Center

Intended for personnel in programs serving persons with developmental disabilities, the booklet provides basic information about the