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1

A theoretical framework to describe communication processes during medical disability assessment interviews  

Microsoft Academic Search

BACKGROUND: Research in different fields of medicine suggests that communication is important in physician-patient encounters and influences satisfaction with these encounters. It is argued that this also applies to the non-curative tasks that physicians perform, such as sickness certification and medical disability assessments. However, there is no conceptualised theoretical framework that can be used to describe intentions with regard to

H Jolanda van Rijssen; Antonius JM Schellart; Johannes R Anema; Allard J van der Beek

2009-01-01

2

A Typology of Sick-Listed Claimants to Improve Communication Skills for Social Insurance Physicians during Medical Disability Assessment Interviews  

Microsoft Academic Search

Introduction Role play with standardised simulated patients is often included in communication training. However, regarding physician-patient\\u000a encounters in medical disability assessment interviews it is unclear what should be included in the scenarios for actors.\\u000a The first objective of this study was to determine which types of medical disability claimants can be distinguished based\\u000a on behavioural determinants. The second objective was

H. J. van Rijssen; A. J. M. Schellart; J. R. Anema; A. J. van der Beek

2011-01-01

3

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

4

The physically disabled medical student.  

PubMed

Previous literature on physically disabled medical students is reviewed, and its implications are examined. Although they encounter significant obstacles to their acceptance into medical school due to stereotyped attitudes, environmental barriers, and recent legal decisions, these students are nevertheless applying to and successfully completing medical school. Common coping strategies for students with mobility, visual, and hearing impairments are briefly outlined. PMID:2962981

Stiens, S

1987-01-01

5

SDS/forms/medical verification form Medical Disability Verification Form  

E-print Network

SDS/forms/medical verification form Medical Disability Verification Form Student Disability, for qualified disabled students as covered under Section 504 of the Rehabilitation Act of 1973 and Title II, a student does not qualify for services until they have registered with the disability office and have been

Massachusetts at Lowell, University of

6

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. PMID:23745060

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

2010-01-01

7

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

8

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

E-print Network

requires students to provide documentation of a disability or medical condition from a relevant by Disability Services at Swinburne University to negotiate appropriate academic supports for students. Student impairment Physical Disability Mental Health Condition Learning Disability Neurological Condition Medical

Liley, David

9

Medical and Behavioral Symptoms as Potential Medication Side Effects in Adults with Developmental Disabilities  

ERIC Educational Resources Information Center

The incidence of medical and behavioral symptoms that could occur as side effects of psychotropic medication was assessed in a sample of 30 adults with developmental disabilities. Using a retrospective chart review method, we measured symptoms in six a priori classes of potential side effects over a 2-year period. The majority of side effects…

Valdovinos, Maria G.; Caruso, Mary; Roberts, Celeste; Kim, Geunyoung; Kennedy, Craig H.

2005-01-01

10

Making disability visible: How disability studies might transform the medical and science writing classroom  

Microsoft Academic Search

This article describes how disability studies can be used in a medical and science writing class to critically examine the assumptions of scientific discourse. An emerging, interdisciplinary field, disability studies draws on feminist, postmodern, and post?colonial theory and extends their critiques to the medicalization of disability. Deconstructing the medical model of disability helps students understand how science is socially constructed.

James C. Wilson

2000-01-01

11

JAMA Patient Page: Assessing Disability  

MedlinePLUS

... physical fitness and stamina, recognizing other abilities and talents, and perhaps vocational retraining. DISABILITY AT OLDER AGES ... any body part, organ system, or organ function.” Assessment of an abnormal anatomic structure, physiological function, intellectual ...

12

Americans With Disabilities Act (ADA) and the Disabled Student in Medical School: Guidelines for Medical Schools.  

ERIC Educational Resources Information Center

This handbook provides an overview of the Americans with Disabilities Act (ADA) and aims to help medical schools to review and refine their institutional policies to conform with the ADA. The background section describes the 1973 Rehabilitation Act which prohibits discrimination solely on the basis of disability of an "otherwise qualified" person,…

Association of American Medical Colleges, Washington, DC.

13

Psychological Assessment of the Disabled.  

ERIC Educational Resources Information Center

The paper examines issues, philosophy and guidelines for psychological assessment of the disabled. Focused on are: (1) adjustments in testing procedures and (2) applicability of standard norms with commonly used psychological test instruments for the assessment of ability, interest, and personality. The importance of accurate assessment for…

Pool, Donald A.

14

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

15

Wheelchairs and Scooters: Travelers with Disabilities and Medical Conditions  

MedlinePLUS

... Print Travelers with Disabilities and Medical Conditions Most airlines provide accommodations to persons with disabilities who have ... a wheelchair and wheelchair attendant. Please contact your airline for more information about wheelchair assistance as TSA ...

16

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

17

Use of Online Systems in Clinical Medical Assessments: An Analysis of Physician Acceptance of Online Disability Evaluation Systems  

Microsoft Academic Search

In today's world of ever increasing amounts of information, hospitals and medical groups must continually find ways to manage the myriad information that is gathered on patients. This reality makes the field of medicine well suited to benefit from integrative and online information systems. However, research reveals that at times physicians resist the use of Information Technology (IT) in the

Thomas A. Horan; Bengisu Tulu; Brian Hilton; Jacqueline Burton

2004-01-01

18

Assessing Occupational Disability Following Trauma and Impairment  

Microsoft Academic Search

Rehabilitation professionals have come to recognize the importance of comprehensive assessment in evaluating the employability\\u000a of individuals who may have acquired occupational disability secondary to trauma. Disability evaluation and rehabilitation\\u000a professionals do not always agree on nomenclature and specific methodologies, and as a result, both the meaning and practice\\u000a of assessing occupational disability vary. For many years, however, occupational disability

Jason M. Walker; Stacey A. Petersen

19

Monitoring for metabolic syndrome in people with intellectual disability on antipsychotic medication  

Microsoft Academic Search

Purpose – People with intellectual disability are subject to increased health morbidity when compared to the general population. This paper assesses the monitoring of metabolic syndrome in people with an intellectual disability who have been prescribed antipsychotic medication. Design\\/methodology\\/approach – A pre-audit analysis was followed by an audit of 32 patients. The height, weight and body mass index was recorded

Raghu Baburaj; Mohamed El Tahir

2011-01-01

20

Reliability of the Assessment of Impairments, Disabilities and Handicaps in Survey Research on Speech Therapy  

Microsoft Academic Search

An important aspect of the practice of speech therapy is the diagnostic assessment. This assessment is complementary to the medical diagnosis. The International Classification of Impairments, Disabilities and Handicaps (ICIDH) is regarded as a good starting point for the classification of speech therapy assessments. Based on the ICIDH, a form was developed for the registration of impairments, disabilities and handicaps

M. F. Raaijmakers; J. Dekkers; P. H. Dejonckere; J. van der Zee

1995-01-01

21

"Without Handicap": Issues of Medical Schools and Physically Disabled Students.  

ERIC Educational Resources Information Center

Legal requirements of medical schools to provide access for physically disabled students are reviewed, and considerations beyond physical accessibility are explored. It is argued that medical schools are obligated to educate students who are qualified to become physicians by virtue of intelligence, professional attitude, and ability to interact…

Reichgott, Michael J.

1996-01-01

22

General Medical Care for Individuals with Developmental Disabilities  

Microsoft Academic Search

\\u000a In the past, most individuals with intellectual disability (ID) died at a young age due to their additional medical problems,\\u000a congenital malformations, and infections, but today an increasing number of these children live into adulthood and we see\\u000a the first generation of aging people with intellectual disability. This trend has resulted in not only pediatricians but also\\u000a now adult physicians

Joav Merrick; Mohammed Morad

23

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

24

FOR FAMILY MEDICAL LEAVE AND SHORT TERM DISABILITY PLAN DARTMOUTH COLLEGE MEDICAL CERTIFICATION FORM  

E-print Network

FOR FAMILY MEDICAL LEAVE AND SHORT TERM DISABILITY PLAN DARTMOUTH COLLEGE MEDICAL CERTIFICATION FORM Certification of Health Care Provider for Employee's Serious Health Condition Family and Medical to other health care provider(s) for evaluation or treatment (e.g., physical therapist)? ____No ____Yes

Myers, Lawrence C.

25

"Without handicap": issues of medical schools and physically disabled students.  

PubMed

The Americans with Disabilities Act of 1990 requires that access to education not be denied simply on the basis of disability. The law requires definition of "basic qualifications" required of all applicants, "essential elements" of the curriculum, and whether accommodation would alter the "fundamental nature" of the learning experience or impose "undue burden." Medical schools have a very low proportion of physically disabled students, which the author argues is largely a result of schools' conception of the "undifferentiated graduate" as being capable of performing the history, physical examination, and any medical procedure without an intermediary. But the author maintains that medical students need not be unblemished physically; medical educators' obligation is to educate those students who are qualified to become physicians by virtue of intelligence, professional attitude, and ability to effectively interact and communicate. With respect to clinical training, it is important to consider whether personal, hands-on experience is required for adequate learning to occur. Because most physicians limit the scopes of their practices and do not perform all procedures, because those physicians who develop physical disabilities are not precluded from continuing in some forms of medical practice, and because technologic advances allow for the substitution of imaging and diagnostic testing for the more conventional approach to the physical examination, the requirement for hands-on capability becomes less compelling. Yet not every physically disabled applicant should be admitted to medical school, and those admitted require coaching, guidance, and career advice in order to succeed with their physical limitations. The author suggests that one of the seminal concepts of medical education, "without handicap," should be seen not as referring to the pre-existing physical status of students but instead as the obligation of educators to provide all their students with the broadest possible learning experiences so that they will be without the handicap of inadequate education when they proceed to their chosen fields. PMID:9158339

Reichgott, M J

1996-07-01

26

A Needs Assessment for Learning Disabled Adults.  

ERIC Educational Resources Information Center

A needs assessment was conducted with clients of the Rehabilitation Center for Brain Dysfunction (Irvine, California) and other local populations of learning-disabled adults. This report discusses the background of the problem addressed by the needs assessment, presents the results of an in-depth analysis of the responses to the survey instrument,…

Clitheroe, H. C.; And Others

27

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

Code of Federal Regulations, 2012 CFR

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

2012-04-01

28

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

Code of Federal Regulations, 2011 CFR

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

2011-04-01

29

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

Code of Federal Regulations, 2010 CFR

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

2010-04-01

30

20 CFR 220.110 - Medically disabled.  

...judgments. The medical evidence used to establish a diagnosis or confirm the existence of an impairment...Have a specific length of duration. (b) Diagnosis of impairments. A diagnosis of a particular impairment is not...

2014-04-01

31

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

Federal Register 2010, 2011, 2012, 2013

...Report of Medical Examination for Disability Evaluation...undergoing a VA medical examination for disability benefits...Federal Docket Management System (FDMS) at http...comments may be viewed online through FDMS. FOR FURTHER...Report of Medical Examination for Disability...

2011-05-11

32

Measurement of Environmental Constructs in Disability Assessment Instruments  

ERIC Educational Resources Information Center

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

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

2006-01-01

33

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

Microsoft Academic Search

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

HJ van Rijssen; A. J. M. Schellart; M. Berkhof; J. R. Anema; AJ van der Beek

2010-01-01

34

Public Transit, Obesity, and Medical Costs: Assessing the Magnitudes  

Microsoft Academic Search

Objective. This paper assesses the potential benefits of increased walking and reduced obesity associated with taking public transit in terms of dollars of medical costs saved and disability avoided. Methods. I conduct a new analysis of a nationally representative U.S. transportation survey to gauge the net increase in walking associated with public transit usage. I translate minutes spent walking into

Ryan D. Edwards

35

Assessment methods in medical education  

Microsoft Academic Search

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

John J. Norcini; Danette W. McKinley

2007-01-01

36

Disability Eligibility Issues and University Student Assessment Outcomes  

ERIC Educational Resources Information Center

This article documents the eligibility procedures and student assessment result of a project for identifying university students with learning disabilities. Many legal issues are relevant in the classification of young adults with disabilities, including the use of standardized procedures for establishing disability status which are meant to…

Crank, Joe N.; Deshler, Donald D.

2001-01-01

37

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.

38

Literature and disability: the medical interface in Borges and Beckett.  

PubMed

Samuel Beckett and Jorge Luis Borges have presented 20th century literature with a distinctive gallery of solitary figures who suffer from a series of physiological ailments: invalidism, decrepitude, infirmity and blindness, as well as neurological conditions such as amnesia and autism spectrum disorders. Beckett and Borges were concerned with the dynamics between illness and creativity, the literary representation of physical and mental disabilities, the processes of remembering and forgetting, and the inevitability of death. This article explores the depiction of physically and mentally disabled characters in Borges' Funes the Memorious (1942)--a story about an Uruguayan gaucho who has been left paralysed after a fall from a horse which simultaneously endowed him with an infallible memory and perception--and Beckett's Trilogy: Molloy (1951), Malone Dies (1951) and The Unnamable (1953). It examines the prodigious memory of Funes and the forgetful minds of Molloy and Malone with reference to influential neuropsychological studies such as Alexander Luria's twofold exploration of memory and forgetfulness in The Mind of a Mnemonist (1968) and The Man with a Shattered World (1972). The article demonstrates that in contrast to Beckett's amnesiacs and Luria's brain-damaged patient, who are able to transcend their circumstances through cathartic writing, Borges' and Luria's mnemonic prodigies fail to achieve anything significant with their unlimited memories and remain imprisoned within their cognitive disabilities. It reveals that medical discourses can provide invaluable insights and lead to a deeper understanding of the minds and bodily afflictions of literary characters. PMID:21593247

Novillo-Corvalán, Patricia

2011-06-01

39

Assessment Principles and Guidelines for ELLs with Disabilities  

E-print Network

Assessment Principles and Guidelines for ELLs with Disabilities By Martha Thurlow, Kristin Liu Assessment Principles and Guidelines for ELLs with Disabilities Martha L. Thurlow · Kristin K. Liu · Jenna M. K., Ward, J. M., & Christensen, L. L. (2013). Assessment principles and guidelines for ELLs

Blanchette, Robert A.

40

A Study of Medical Students and Physicians Referred for Learning Disabilities.  

ERIC Educational Resources Information Center

Evaluation of 86 medical students and physicians, referred for possible learning problems, found that most subjects had either a learning disability or attention deficit-hyperactivity disorder (ADHD); 21 subjects had a reading learning disability; and 15 had both a reading disability and ADHD. Sequential information processing appeared to be the…

Banks, Steven R.; And Others

1995-01-01

41

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

42

A New Disability Rating Method according to the Job Using the Korean Academy of Medical Science Disability Guideline  

PubMed Central

The purpose of this study was to develop a disability rating scale according to job classification using the Korean Academy of Medical Society (KAMS) guidelines. All jobs were categorized based on their level of physical activity and professional skills. The KAMS guidelines were used for the impairment rating. We modified the California Schedule for rating permanent disabilities. The differences were plotted to compare between the impairment rate and the job-adjusted disability rate. The KAMS job-adjusted disability rates were then compared to the McBride and workers' compensation rates. A total of 1,206 occupations were classified into 44 groups. The occupational disability indexes were rated on a scale of 1 to 7. The differences in the McBride disability rates varied inconsistently from 0% to 35%, while the differences in the KAMS disability rates were between 0% and 18%. The KAMS disability rates were slightly higher than the McBride disability rates for the upper extremities, but were lower for the lower extremities and internal organs. This is the first Korean job-adjusted disability rating method. There are several limitations, but its impairment rating is more scientific and reflects the current Korean occupational environment. PMID:23255842

Yu, Jay-young; Kwon, Young-Jun; Kim, Yongkyu; Rhie, Jeong-Bae; Jeong, In-Chul

2012-01-01

43

Attitude to Medication of Parents/Primary Carers of People With Intellectual Disability  

ERIC Educational Resources Information Center

To investigate the influence of attitudes of carers of people with intellectual disability (ID) towards giving medication. Ninety-three carers of service users who are currently attending outpatients clinic (Harrow Learning Disability service) were interviewed, using the RAMS (Rating of Attitude to Medication Scale) interview schedule. A…

Rasaratnam, R.; Crouch, K.; Regan, A.

2004-01-01

44

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

45

Assessment of English Language Learners with Learning Disabilities  

Microsoft Academic Search

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 assessments used to identify ELLs and students with learning disabilities and the challenges

Szu-Yin Chu; Sobeida Flores

2011-01-01

46

Medical technology assessment in Finland.  

PubMed

We need five kinds of people to guide us further through the integrated process of medical technology assessment: (a) idea generators; (b) entrepreneurs/product, process and practice "champions"; (c) program managers; (d) gatekeepers/communicators; and (e) sponsors/"coaches." If we focus on idea generators, empirical research quickly points out a significant difference between people who create ideas and those who apply the ideas that others have generated. Entrepreneurs and product "champions" promote change and innovation, take ideas, and attempt to move them forward in organizations to gain their adoption. The third necessary contributor to development in medical technology assessment is referred to as the program manager, the person who handles the supportive functions of planning, scheduling, and finance. Communicators are crucial in getting the results of assessment efforts disseminated. The sponsor or the "coach" is a more senior person who does not carry out the research or directly champion change but who provides the encouragement, support, facilitation, and help in "bootlegging activities" that are necessary to aid junior people in their attempts to move research advances forward in an organization. Whether we find these kinds of people in Finland or not--and how long we take to do so--will determine the path of medical technology assessment in Finland toward the year 2000 and beyond. PMID:2032778

Kankaanpää, J; Linnakko, E; Leisti, S

1991-01-01

47

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

Code of Federal Regulations, 2012 CFR

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

2012-04-01

48

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

Code of Federal Regulations, 2011 CFR

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

2011-04-01

49

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

Code of Federal Regulations, 2012 CFR

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

2012-04-01

50

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

Code of Federal Regulations, 2011 CFR

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

2011-04-01

51

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

Code of Federal Regulations, 2010 CFR

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

2010-04-01

52

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

Code of Federal Regulations, 2010 CFR

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

2010-04-01

53

Multicultural Life Skills Assessment of Individuals with Severe Disabilities.  

ERIC Educational Resources Information Center

This article addresses the need for a multicultural perspective on life skills assessment for students with severe disabilities. Guidelines for making a life skills assessment process more multicultural are offered. (Author/DB)

Lim, Levan H. F.; Browder, Diane M.

1994-01-01

54

Confronting Similar Challenges? Disabled and Non-Disabled Students' Learning and Assessment Experiences  

ERIC Educational Resources Information Center

The article presents evidence from a systematic survey of disabled (n = 172) and non-disabled (n = 312) students regarding their learning and assessment experiences within one higher education institution in the UK. This study builds upon previous work in the sector, with the aim of gathering evidence to inform inclusive policy and practice for…

Madriaga, Manuel; Hanson, Katie; Heaton, Caroline; Kay, Helen; Newitt, Sarah; Walker, Ann

2010-01-01

55

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

56

Assessment of Risk Manageability of Intellectually Disabled Sex Offenders  

ERIC Educational Resources Information Center

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

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

2004-01-01

57

Medico-legal assessment of disability in narcolepsy: an interobserver reliability study.  

PubMed

Impairment because of narcolepsy strongly limits job performance, but there are no standard criteria to assess disability in people with narcolepsy and a scale of disease severity is still lacking. We explored: (1) the interobserver reliability among Italian Medical Commissions making disability and handicap benefit decisions for people with narcolepsy, searching for correlations between the recognized disability degree and patients' features; (2) the willingness to report patients to the driving licence authority and (3) possible sources of variance in judgement. Fifteen narcoleptic patients were examined by four Medical Commissions in simulated sessions. Raw agreement and interobserver reliability among Commissions were calculated for disability and handicap benefit decisions and for driving licence decisions. Levels of judgement differed on percentage of disability (P < 0.001), severity of handicap (P = 0.0007) and the need to inform the driving licence authority (P = 0.032). Interobserver reliability ranged from Kappa = -0.10 to 0.35 for disability benefit decision and from Kappa = -0.26 to 0.36 for handicap benefit decision. The raw agreement on driving licence decision ranged from 73% to 100% (Kappa not calculable). Spearman's correlation between percentages of disability and patients' features showed correlations with age, daytime naps, sleepiness, cataplexy and quality of life. This first interobserver reliability study on social benefit decisions for narcolepsy shows the difficulty of reaching an agreement in this field, mainly because of variance in interpretation of the assessment criteria. The minimum set of indicators of disease severity correlating with patients' self assessments encourages a disability classification of narcolepsy. PMID:18275561

Ingravallo, Francesca; Vignatelli, Luca; Brini, Martina; Brugaletta, Concetta; Franceschini, Christian; Lugaresi, Federica; Manca, Maria C; Garbarino, Sergio; Montagna, Pasquale; Cicognani, Alberto; Plazzi, Giuseppe

2008-03-01

58

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

59

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

ERIC Educational Resources Information Center

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

Lunsky, Yona; Elserafi, Jonny

2012-01-01

60

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

61

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

Code of Federal Regulations, 2013 CFR

Compensation for disability or death from hospitalization, medical or surgical treatment, examinations or vocational rehabilitation training (§ 3.800). 3.358 Section 3.358 Pensions, Bonuses, and Veterans' Relief DEPARTMENT OF VETERANS AFFAIRS...

2013-07-01

62

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.

63

Interexaminer agreement on palpatory diagnosis and patient self-assessment of disability: a pilot study.  

PubMed

To evaluate interexaminer agreement on palpatory diagnostic findings, we compared interexaminer results, patient disability self-evaluations, and assessment of patients' progress by referring physicians. Three examiners (two clinicians and a third-year osteopathic medical student fellow) monitored patients' progress using negotiated examination procedures. The patients were examined independently by each examiner at each of eight weekly visits. Patients completed a disability assessment form at each visit, and the referring physicians recorded changes in their patients' condition. The patients' disability self-rating and examiner test results did not show clear correlation. There was a 62.2% agreement between the two physician examiners when the general descriptors "improvement," "no change," or "aggravation" were used. The student examiner's agreement with the clinician examiners was 60.2% and 51.8%. Interexaminer agreement of findings from osteopathic testing procedures appears to depend on general clinical experience and specific experience with the testing procedures. PMID:7890559

Beal, M C; Patriquin, D A

1995-02-01

64

A 14-month study of change in disability and mood state in patients with chronic migraine associated to medication overuse.  

PubMed

This paper aims to evaluate changes in disease severity, disability and mood state in patients with chronic migraine associated to medication overuse (CM-MO). MIDAS was used for assessing disease activity, WHO-DAS-2 for disability, DBI-2 for mood state. ANOVA was used to test change over time; t-test to assess follow-up differences in WHO-DAS-2 and BDI-2 between patients with MIDAS ?20 and ?21. Change in MIDAS, WHO-DAS-2 and BDI-2 scores were computed: Pearson's index was used to assess correlation between them; linear regression to assess change in WHO-DAS-2, using MIDAS and BDI-2 change as predictors. Mean MIDAS decreased significantly (from 101.9 to 52.0). In 26.1 % of the sample, MIDAS fell below 21 at follow-up: these patients had lower WHO-DAS-2 score. WHO-DAS-2 change was little correlated to MIDAS change and strongly correlated to changes in BDI-2 scores. 57.1 % of WHO-DAS-2 change variance is explained by change in BDI-2 and MIDAS scores. There was a clear clinical improvement 14 months after detoxification, and a modest reduction in disability which is explained by reduced disease activity and improved mood state. An appropriate treatment of CM-MO, based on detoxification and prophylaxis, is likely to reduce disease burden: recognition and treatment of mood problems may be a key factor to reduce disability. PMID:23695064

Raggi, A; Leonardi, M; Giovannetti, A M; Schiavolin, S; Bussone, G; Grazzi, L; Usai, S; Curone, M; Di Fiore, P; D'Amico, D

2013-05-01

65

Common Pediatric Disabilities: Medical Aspects and Educational Implications.  

ERIC Educational Resources Information Center

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

Tyler, Janet Siantz; Colson, Steven

1994-01-01

66

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

ERIC Educational Resources Information Center

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

Crossley, Rachel; Withers, Paul

2009-01-01

67

Assessment and Rehabilitation of Learning-Disabled Adults.  

ERIC Educational Resources Information Center

Examined the assessment processes (psychological and neuropsychological) used in the rehabilitation of learning disabled adults in a study of 130 vocational rehabilitation clients. Results indicated type of assessment was related to length of service but did not influence overall outcome. Only about half the clients were successfully…

McCue, Michael

1984-01-01

68

Kinesiophobia in Chronic Fatigue Syndrome: Assessment and Associations With Disability  

Microsoft Academic Search

Nijs J, De Meirleir K, Duquet W. Kinesiophobia in chronic fatigue syndrome: assessment and association with disability. Arch Phys Med Rehabil 2004;85:1586-92. Objectives: To investigate aspects of the validity of the total scores of the Tampa Scale for Kinesiophobia (TSK), Dutch Version, which was modified to make it an appropriate ques- tionnaire for the assessment of kinesiophobia (fear of move-

Jo Nijs; Kenny De Meirleir; William Duquet

2004-01-01

69

No More Excuses: New Research on Assessing Students with Disabilities  

ERIC Educational Resources Information Center

The articles in this special issue of the "Journal of Applied Testing Technology" represent significant steps forward in the area of evaluating the validity of methods for assessing the educational achievement of students with disabilities. The studies address some of the most difficult student groups to assess--students with learning…

Sireci, Stephen G.

2009-01-01

70

Using Dynamic Assessment to Evaluate Children with Suspected Learning Disabilities  

ERIC Educational Resources Information Center

Dynamic assessment uses a test-teach-retest approach that can assist clinicians in differentiating between children with learning disabilities and children with learning differences. This article describes a model of dynamic assessment of narratives and its use with children from culturally and linguistically diverse backgrounds. Case studies…

Moore-Brown, Barbara; Huerta, Maria; Uranga-Hernandez, Yvana; Pena, Elizabeth D.

2006-01-01

71

EVALUATING THE ACCESSIBILITY TO DISABLED PEOPLE OF E- ASSESSMENT TOOLS  

Microsoft Academic Search

Abstract E-assessment,tools offer enormous,potential for educational,organisations,to support disabled students in a flexible, accessible way, while also helping to meet legal obligations to avoid undue discrimination. However, tools need to support,authors ,in creating ,assessments without ,introducing ,accessibility barriers. Information on the ,extent ,to which ,e-assessment ,tools support accessible assessment authoring is scarce; and where information does exist, this tends to be

David Sloan; David Walker

72

Evaluation of the Young Children with Neurodevelopmental Disability: A Prospective Study at Hamadan University of Medical Sciences Clinics  

PubMed Central

Objective Developmental impairment is a common problem in children health that occurs in approximately 5–10% of the childhood population. The aim of this study was to determine the etiologic yield of subspecialists’ evaluation of young children with developmental disability. Materials & Methods All children aged between 2 months and 5 years referred over a 15-month period to Hamadan University of Medical Sciences subspecialty services for initial evaluation of a suspected developmental Disability, were enrolled in the present study. Diagnostic yield was determined after the completion of clinical assessments and laboratory tests requested by the evaluating physician. Results A total of 198 children (129 boys and 69 girls) were eligible for our study. 108 children had global developmental delay and 90 children had isolated developmental delay. Approximately ¼ of all patients did not have any specific etiology for developmental disability. Cerebral palsy (CP) was the most common clinical syndrome in all patients (41.4%). Hypoxic ischemic encephalopathy (13.8%), brain dysgenesis (13%), genetic disorder (13%), and neurodegenerative diseases (11%) were determined in more than one half of all children with global developmental disability. in our study, “developmental speech delay” was the common cause of isolated speech delay. Conclusion Determination of an underlying etiology is an essential part of specialty evaluation of young children with developmental disability. The results of this study were similar closely to the results of other studies. PMID:24665287

FAYYAZI, Afshin; KHEZRIAN, Leila; KHERADMAND, Zohreh; DAMADI, Somayeh; KHAJEH, Ali

2013-01-01

73

Hospitalizations of Adults with Intellectual Disability in Academic Medical Centers  

ERIC Educational Resources Information Center

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

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

2014-01-01

74

Nondiscriminatory Assessment: Issues and Impact. Eligibility for Learning Disabilities Classes.  

ERIC Educational Resources Information Center

Presented at the annual meeting of the American Psychological Association in New York City in September, 1976, the paper sets forth the position that, in general, the individual requirements that allow a student to be classified as learning disabled are subtle but significant contributors to an assessment that discriminates against pupils from…

Tucker, James A.

75

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

76

Use of the ACT Assessment by Examinees With Disabilities.  

ERIC Educational Resources Information Center

This report summarizes selected information from American College Testing (ACT) Program records (1978-79 through 1982-83) for five groups of ACT Assessment examinees: (1) examinees who indicated that they did not have a disability that might require special services from the college they planned to attend (these examinees tested on national test…

Laing, Joan; Farmer, Merine

77

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

78

Investigating Access to Educational Assessment for Students with Disabilities  

ERIC Educational Resources Information Center

Many countries have established systems for identifying, and providing for, the range of students with disabilities during their formal educational assessments. Most systems include the provision of variously termed "special access arrangements" (SAAs), such as the provision of extra time or practical assistance with some aspect of an examination.…

Woods, Kevin; Parkinson, Gill; Lewis, Sarah

2010-01-01

79

Clinical Assessment of Adult Sexual Offenders with Learning Disabilities  

ERIC Educational Resources Information Center

Assessment and treatment of adults with learning disabilities who commit sexual offences presents a number of challenges. Much of the professional forensic and psychiatric literature on work with this group concentrates on the development of interventions based on theoretical models of sexual offending originating from the mainstream criminal…

Tudway, Jeremy A.; Darmoody, Malcolm

2005-01-01

80

Sexual Risk Assessment for People with Intellectual Disabilities  

ERIC Educational Resources Information Center

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

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

2010-01-01

81

The Role of Assessment in the Vocational Rehabilitation of Adults with Specific Learning Disabilities.  

ERIC Educational Resources Information Center

Reviews approaches for identification and diagnosis of specific learning disabilities and assessment strategies for elucidating functional and vocational deficits associated with specific learning disabilities. Discusses recommendations for provision of comprehensive assessment services. (Author/CM)

McCue, Michael

1989-01-01

82

Prescribing psychotropic medication for problem behaviours in adults with intellectual disabilities in a specialist psychiatric unit in Hong Kong  

Microsoft Academic Search

Psychotropic medications are often used to treat problem behaviours in people with intellectual disability which not only occur frequently but also tend to persist over time. This study examined the pattern of prescription of such medications to manage problem behaviours for adults with intellectual disabilities in a specialist psychiatric unit in Hong Kong. Individuals aged 18 or above with problem

Henry Kwok; Eileena Chui; Alexander Tang

2010-01-01

83

UNIVERSITY OF SUSSEX Policy for determining Alternatives Modes of Assessment for Disabled Students  

E-print Network

UNIVERSITY OF SUSSEX Policy for determining Alternatives Modes of Assessment for Disabled Students for disabled students. In implementing these procedures it is noted: 1.1 that the majority of disabled students disadvantageous to a disabled student. Where it is not possible to demonstrate the learning outcomes of the course

Sussex, University of

84

PLEASE READ THIS BEFORE COMPLETING A QUESTIONNAIRE Policy on Assessment for Possible Disability  

E-print Network

1 6/30/09 PLEASE READ THIS BEFORE COMPLETING A QUESTIONNAIRE Policy on Assessment for Possible or psychological disability that can be documented should submit the documentation along with the disability questionnaire. Disability verification forms and the Disability Questionnaire can be downloaded from the Student

Gallo, Linda C.

85

Facing Learning Disabilities in the Adult Years. Understanding Dyslexia, ADHD, Assessment, Intervention, and Research.  

ERIC Educational Resources Information Center

This text provides information on learning disabilities in adults and offers practical ways to compensate. Chapters address: (1) definitions of learning disability; (2) etiology of learning disabilities; (3) our cognitive or thinking systems; (4) different assessment settings and some of the tests used to diagnose a learning disability; (5)…

Shapiro, Joan; Rich, Rebecca

86

An investigation of the attitudes of medical students to physically disabled people.  

PubMed

A study was carried out to investigate the change in attitudes towards physically disabled people of a group of fifty-eight medical students during the first 3 years of their course. The students attended a newly established medical school which has developed a curriculum without the traditional division into preclinical and clinical years and where contact with patients occurs from the first year. Results demonstrated that, as expected, at the start of the course the attitudes of females towards disabled people were more positive than those of males. Also, a significant change in attitudes was found after 3 years, both males and females demonstrating more positive attitudes toward physical disability. The differences between males and females were maintained. The relationship between these students' attitudes and their behaviour was discussed and proposals for further research to investigate this are outlined. PMID:6228714

Mitchell, K R; Hayes, M; Gordon, J; Wallis, B

1984-01-01

87

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

88

Psychotropic Medication Use for Challenging Behaviors in Persons with Intellectual Disabilities: An Overview  

ERIC Educational Resources Information Center

Challenging behaviors in persons with intellectual disabilities are primary target for treatment in mental health clinics and institutions. Furthermore, an increasing number of people are receiving psychotropic medications for the management of their challenging behaviors. Many people are often treated with high doses of multiple psychotropic…

Matson, Johnny L.; Neal, Daniene

2009-01-01

89

An Interprofessional Problem-Solving Approach for Specific Learning Disabilities: Clinical, Medical, Educational.  

ERIC Educational Resources Information Center

Described and illustrated with charts and tables is a model program for learning disability students at the University of Vermont. The program is said to feature an interprofessional team of educational, clinical, and medical specialists. Reviewed are the five steps in the Problem Oriented System for Educational Services (P.O.S.E.):…

Podhajski, Blanche; And Others

90

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

ERIC Educational Resources Information Center

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

Walters, Janice A.; Croen, Lila G.

1993-01-01

91

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

92

Children on Medication: Volume I. Hyperactivity, Learning Disabilities, and Mental Retardation.  

ERIC Educational Resources Information Center

Intended for caregivers, the book provides basic information about the use of medication for children with hyperactivity, learning disabilities, and mental retardation. The main emphasis is on psychotropic drug use for hyperactivity and aggressiveness. Chapter 1 explains fundamental terms and concepts relating to drug therapy. Major stresses…

Gadow, Kenneth D.

93

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

94

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

95

Dyslexia and Learning Disabilities: Medical Diagnosis with Educational Therapy.  

ERIC Educational Resources Information Center

Ways of diagnosing dyslexia are discussed along with the developmental symptoms, which include balancing and hearing deficiencies, reversal of letters or words and unusual posture. Medical treatment with antihistamines and other drugs is described. Approximately 75 percent of individuals are shown to respond favorably to therapy. (CM)

Westerman, S. Thomas; And Others

1982-01-01

96

Assessment, Disability, Student Engagement and Responses to Intervention  

Microsoft Academic Search

Assessment is central to the provision of meaningful and productive learning experiences for all students. The majority of\\u000a students in today’s classroom benefit from core instruction; however, for a small percentage of students with a disability,\\u000a learning requires more intensive instruction. It is this cohort of learners that we consider in this chapter. While the needs\\u000a of these learners are

Deb Keen; Michael Arthur-Kelly

97

The illusion of medical certainty: silicosis and the politics of industrial disability, 1930-1960.  

PubMed

No firm differentiation existed between social and medical standards on silicosis, the salient industrial health problem of the 1920s and 1930s. As a result, professional groups, government and labor officials, and insurance executives negotiated about the causes and consequences of the disabling condition. Debates in the 1930s formed the basis for amending state and federal compensation systems for work-related disease. If attention to silicosis declined after World War II, disputes continued about diagnosis and functional criteria for identifying pulmonary and occupationally based impairments, and about appropriate policies for treating and compensating people disabled through the course of their work. PMID:2532296

Markowitz, G; Rosner, D

1989-01-01

98

[Teaching skills of functional assessment to medical students: why not playing games?].  

PubMed

Today, physicians take care of an aging population suffering from multiple chronic diseases and disabilities. Therefore, a good knowledge of functional assessment is required, and this topic should be addressed in the undergraduate medical curriculum. This article reports our experience with a seminar on functional assessment using an "aging game" as a pedagogic vector. This seminar is organized by geriatricians, occupational therapists and physical therapists. Medical students are exposed to situations where they experiment disabilities and try to elaborate compensatory strategies. Then, they reflect on a complex discharge project by analyzing a written clinical case. Finally, they are introduced to the use of validated functional assessment instruments. Evaluation indicated that this pedagogic approach is highly valued by students and fosters the acquisition of knowledge in functional assessment. PMID:23173348

Huber, Philippe; Saber, Abdelmalek; Schnellmann, Yves; Gold, Gabriel

2012-11-01

99

Medical treatment for older people and people with disabilities: 1989 developments. National Legal Center Staff.  

PubMed

Pending before the United States Supreme Court are cases involving eligibility of children with disabilities for Supplemental Security Income (SSI) benefits and a guardian's authority to withhold nutrition and hydration from a permanently disabled but not terminally ill ward. The United States Commission on Civil Rights has issued a comprehensive report demonstrating evidence of current discrimination against infants with disabilities and examining current legal protections. In the federal courts, litigation continues in a case brought by parents on behalf of their infants with disabilities who were allegedly denied medical treatment on the basis of disability. State courts continue to examine the rights of competent and incompetent patients to forgo life-sustaining treatment, including nutrition and hydration. Discrimination against persons with AIDS or HIV continues to affect their access to health care. In 1989 forty states and the District of Columbia have "living will" legislation, and nine states have durable power of attorney for health care laws; however, the provisions of each vary from state to state. PMID:2138594

1990-01-01

100

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

101

Assessment of Reading and Learning Disabilities: A Research-Based Intervention-Oriented Approach.  

ERIC Educational Resources Information Center

Reviews implications of the three primary components of the federal definition of learning disabilities (discrepancy, heterogeneity, and exclusion) for the assessment of children with learning disabilities (LD). Also proposes a rationale and procedures for more efficient approaches to the identification of children as learning disabled that are…

Fletcher, Jack M.; Foorman, Barbara R.; Boudousquie, Amy

2002-01-01

102

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.

103

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

104

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

ERIC Educational Resources Information Center

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

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

2009-01-01

105

Disability retirement  

NASA Technical Reports Server (NTRS)

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

Eck, R. L.

1975-01-01

106

The Effects of Dysthymic Disorder on Health-Related Quality of Life and Disability Days in Persons with Comorbid Medical Conditions in the General Population  

Microsoft Academic Search

Background: We aimed to investigate in medical disorders the effects of comorbid dysthymic disorder as compared to major depressive disorder (MDD) on health-related quality of life (HR-QoL) and disability days in the general population. Methods: In a population-based study 4,181 individuals were assessed for the presence of dysthymic disorder and depression, utilizing the Composite International Diagnostic Interview. Each participant received

Bernhard T. Baune; Riccardo N. Caniato; Volker Arolt; Klaus Berger

2009-01-01

107

Assessment and Documentation Considerations for Postsecondary Students with Learning Disabilities  

ERIC Educational Resources Information Center

In order to gain access to accommodations and services at colleges and universities, students with learning disabilities must provide documentation of their disabilities, and as students with learning disabilities access higher education at increasing rates, the need for documentation of their disabilities and its impact becomes even more…

Lindstrom, Jennifer H.; Lindstrom, Will

2011-01-01

108

[Disability assessment for the statutory pension insurance: significance, need for research, and opportunities].  

PubMed

Disability assessment is a complex and multifaceted process of exploration and evaluation, which in terms of legal evidence can be of far-reaching consequence for the claimant, the statutory pension insurance and finally for society as well. In the article the specifics of the assignment, the assessment situation, and the process of evaluation are described. Based upon an analysis of the so far only little research activities, the future need for research is subdivided into 4 thematic groups: 1 Operationalization and validation of central dimensions of evaluation; 2 Investigation of the structure of the expert decision-making process and the factors influencing it; 3 Investigation of the influence of sociopolitical, labour market-related and economical aspects on the evaluation; 4 Quality assurance. On the other hand the article describes the special quality of disability assessment. In a unique way it offers an integrated reflection of the medical history, limitation in capacity and participation and options for treatment and rehabilitation. Beyond the assessment of functional capacity, it could be of use for the development of innovative forms of support for the rehabilitation of working capacity. PMID:21321820

Hesse, B; Gebauer, E

2011-02-01

109

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

110

Assessment of and Accountability for Students with Disabilities: Putting Theory into Practice.  

ERIC Educational Resources Information Center

Inclusive assessment and accountability for all students with disabilities has been a significant focus of educators for the past six years. Yet only 35 states reported 1999-2000 test results for students with disabilities on some of their state assessments. Although the areas of assessment and accountability are just one focus of IDEA 1997 and…

Elliott, Judy

111

Mislabeled Reading and Learning Disabilities: Assessment and Treatment for Reading Difficulties in Students with Learning Disabilities  

ERIC Educational Resources Information Center

Reading affects a plethora of areas in life. Students with learning disabilities often fall into this category due to a lack of practice with reading and less time to focus on building skills. This paper examines the background, the relationship between reading and learning disabilities, the characteristics of students with learning disabilities

Sze, Susan

2009-01-01

112

Paul Menton Centre for Students with Disabilities, Carleton University What is a learning disability assessment?  

E-print Network

Paul Menton Centre for Students with Disabilities, Carleton University What is a learning as students learn appropriate study skills to cope with the impact of their learning disability, and academic appropriate accommodations based on individual documentation. For students with learning disabilities

Carleton University

113

Confronting the Unique Challenges of Including English Language Learners with Disabilities in Statewide Assessments. ELLs with Disabilities Report 9  

ERIC Educational Resources Information Center

This report examines this state-level knowledge base to determine the challenges that state educational agencies face when including English language learners with disabilities in statewide assessments and the solutions they have identified. To do this telephone interviews were conducted with state department personnel in the areas of assessment,…

Anderson, Michael E.; Minnema, Jane E.; Thurlow, Martha L.; Hall-Lande, Jennifer

2005-01-01

114

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

ERIC Educational Resources Information Center

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

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

2009-01-01

115

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

Microsoft Academic Search

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

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

2009-01-01

116

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

ERIC Educational Resources Information Center

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

Ferguson, L.; Murphy, G. H.

2014-01-01

117

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

118

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

PubMed

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

Miller, Paul Steven; Levine, Rebecca Leah

2013-02-01

119

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

PubMed Central

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

Miller, Paul Steven; Levine, Rebecca Leah

2013-01-01

120

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

121

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

122

The Role of Assessment in the Transition to Adult Life Process for Students with Disabilities.  

ERIC Educational Resources Information Center

This article addresses assessment in transition services for students with disabilities under the Individuals with Disabilities Education Act Amendments of 1997. The legislative foundation, purposes, and uses of transition assessment in the middle and high school years are discussed in relation to transition planning. Competencies needed by…

Neubert, Debra A.

2003-01-01

123

Assessing dementia in people with learning disabilities: the relationship between two screening measures.  

PubMed

As life expectancy increases for people with learning disabilities, the impact of dementia on people with learning disabilities and their families, carers and services is becoming more apparent. Psychological services for learning disabilities are receiving an increasing number of referrals requesting dementia assessment. Health and social care services are adapting to the diverse needs of an ageing population with learning disabilities. This article describes a study investigating the relationship between two assessments for dementia in people with learning disabilities. Carers of people with learning disabilities over the age of 50 (or 40 if the individual had Down syndrome) completed the Dementia Questionnaire for Mentally Retarded People and the Adaptive Behaviour Scale--Residential and Community. Overall, the two questionnaire measures showed significant relationships. However, results suggested that both assessments have clinical value in informing individual needs and aiding diagnosis. Implications for both clinical and social care services are discussed. PMID:17105742

Kirk, Linzi J; Hick, Rachel; Laraway, Alec

2006-12-01

124

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

PubMed Central

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

2010-01-01

125

Predicting Optimal Preference Assessment Methods for Individuals with Developmental Disabilities  

PubMed Central

The single-stimulus (SS) preference assessment procedure has been described as more appropriate than the paired stimulus (PS) procedure for “lower functioning” individuals, but this guideline’s vagueness limits its usefulness. We administered the SS and PS preference assessment procedures with food items to seven individuals with severe or profound developmental disabilities who scored at level 2 of the Assessment of Basic Learning Abilities (ABLA) and seven who scored at ABLA level 3. Thirteen of the 14 participants also received these assessments (PS and SS), with non-food items. The two procedures were about equally effective for both groups, and with both types of stimuli, although the PS procedure produced more refined preference hierarchies. Most participants showed moderate to high correlations in preference scores between the two procedures for both food and non-food items. These results suggest that, for individuals who score at either ABLA level 2 or ABLA level 3, the SS and the PS procedures are equally likely to identify preferred stimuli. PMID:23539288

Thomson, Kendra M.; Czarnecki, Diana; Martin, Toby L.; Yu, C.T.; Martin, Garry L.

2013-01-01

126

Brain stem evoked response in the assessment of learning disabilities.  

PubMed

Evidence has accumulated rapidly to support the hypothesis that neurological anomalies underlie specific forms of learning disability (LD). This article reviews recent studies directed at the electrophysiological assessment of LD children, with emphasis on the brain stem evoked response(BSER) methodology. Child studies appear to indicate that there are significant differences in BSERs between LD and age-matched normal controls. The methodological and statistical differences among these studies, which have clouded the findings and made replication difficult, are reviewed. Improvements in sampling and empirical procedures are suggested, including the use of discriminant analysis to explore BSER asymmetries in LD children. Future inquiry into the measurement and analysis of BSER activity in LD populations is warranted on the basis of these preliminary findings. New information may bring professionals closer to an understanding of the neurological causes of specific subtypes of LD and permit earlier identification of these "at risk" populations. PMID:3596924

Obrzut, J E; Morris, G L; Wilson, S L; Lord, J M; Caraveo, L E

1987-02-01

127

Impact of Amitryptiline on Migraine Disability Assessment Score  

PubMed Central

Aim: Migraine headache is a common disorder, several drugs have been tried as a prophylaxis to reduce the attacks of headache. Aim of this study is to see the impact of amitriptyline on quality of life in migraneurs using Migraine Disability Assessment Score. Materials and Methods: In this study 300 patients of either gender who required prophylaxis for migraine without aura were selected. The patients were of the age group 18-60 years. The MIDAS questionnaire was administered to patients before starting treatment and again after 45 days prophylaxis. The improvement was noted. Statistical Analysis: It is a prospective study where the severity of symptoms and ‘quality of life’ in patients is assessed before and after treatment using mean, frequency, standard deviation and paired‘t’ test. Results: A total of 300 patients were subjected to migraine prophylaxis with amiptriptyline. The study showed female preponderance. The mean MIDAS score before and after treatment with amitriptyline was 11.6 and 9.4 respectively. The student‘t’ test showed p-value of <0.005 which was significant. Conclusion: Migraine prophylaxis with amitriptyline for a period of 45 days decreased the severity of symptoms and also reduction in days of migraine attacks. However the long term effects on quality of life could not be assessed. The study needs to be conducted in a large scale to evaluate the consistency and accuracy of the test. PMID:25386467

Nischal, Hanock

2014-01-01

128

Disability related to COPD tool (DIRECT): towards an assessment of COPD-related disability in routine practice  

PubMed Central

Background Chronic Obstructive Pulmonary Disease (COPD) is a worldwide public health concern. It is also a major source of disability that is often overlooked, depriving patients of effective treatments. This study describes the development and validation of a questionnaire specifically assessing COPD-related disability. Methods The DIsability RElated to COPD Tool (DIRECT) was developed according to reference methods, including literature review, patient and clinician interviews and test in a pilot study. A 12-item questionnaire was included for finalization and validation in an observational cross-sectional study conducted by 60 French pulmonologists, who recruited 275 COPD patients of stage II, III and IV according to the GOLD classification. Rasch modeling was conducted and psychometric properties were assessed (internal consistency reliability; concurrent and clinical validity). Results The DIRECT score was built from the 10 items retained in the Rasch model. Their internal consistency reliability was excellent (Cronbach’s alpha = 0.95). The score was highly correlated with the Saint George’s Respiratory Questionnaire Activity score (r = 0.83) and the London Handicap Scale (r = ?0.70), a generic disability measure. It was highly statistically significantly associated to four clinical parameters (P < 0.001): GOLD classification, BODE index, FEV1 and 6-minute walk distance. Conclusion DIRECT is a promising tool that could help enhance the management of COPD patients by integrating an evaluation of the COPD-related disability into daily practice. PMID:21760726

Aguilaniu, B; Gonzalez-Bermejo, J; Regnault, A; Barbosa, C Dias; Arnould, B; Mueser, M; Granet, G; Bonnefoy, M; Similowski, T

2011-01-01

129

2010-11 Publicly Reported Assessment Results for Students with Disabilities and ELLs with Disabilities. Technical Report 68  

ERIC Educational Resources Information Center

This is the fourteenth report by the National Center on Educational Outcomes (NCEO) that analyzes public reporting practices for assessment data for students with disabilities in K-12 schools in the United States. This report includes information about both the 50 regular states and the 11 unique states (American Samoa, Bureau of Indian Education,…

Albus, Deb; Thurlow, Martha

2013-01-01

130

Development and validation of the Intellectual Disability Literacy Scale for assessment of knowledge, beliefs and attitudes to intellectual disability  

Microsoft Academic Search

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 understanding of public responses. This paper describes the development of a measure designed to assess

Katrina Scior; Adrian Furnham

2011-01-01

131

From a Medical To a Human Rights PerspectiveA Case Study of Efforts to Change the Portrayal of Persons with Disabilities on Swedish Television  

Microsoft Academic Search

Studies from the US and Western Europe show that persons with disabilities were predominantly portrayed from a medical perspective in the media during the 20th century; that is, with the disability itself in focus, framed as a problem of the individual. Since the 1980s, the United Nations and disability organizations have tried to establish a human rights perspective: where persons

Torbjörn von Krogh

2010-01-01

132

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 ...

133

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

134

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

135

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

ERIC Educational Resources Information Center

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

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

2009-01-01

136

PAIN ASSESSMENT IN THE INTELLECTUALLY DISABLED CHILD : THE CHALLENGES OF TOOL DEVELOPMENT  

Microsoft Academic Search

Despite the inevitability of painful procedures in life of most children with profound intellectual disability until recently no adequate pain measures were available. The present paper describes several studies facilitating the development of an observational scale to measure pain in this specific paediatric population. First candidate items for the Kids with Intellectual Disabilities Pain Assessment Instrument for Nonverbal Signals (

Katinka AJ van Dongen; Huda Huijer; Jan PF Hamers RN; Sandra MG Zwakhalen; Katinka A. J. van Dongen

137

Assessment and Early Instruction of Preschool Children at Risk for Reading Disability  

ERIC Educational Resources Information Center

Preschool children at familial risk for reading disability were assessed on cognitive and linguistic variables and compared with preschoolers without familial risk. Risk children displayed performance profiles resembling those of older children with reading disability. Each group received intensive instruction in phonemic awareness and structured…

Hindson, Barbara; Byrne, Brian; Fielding-Barnsley, Ruth; Newman, Cara; Hine, Donald W.; Shankweiler, Donald

2005-01-01

138

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

Microsoft Academic Search

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

S Hewlett; A P Smith; J R Kirwan

2002-01-01

139

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

140

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

141

Measuring disability and its predicting factors in a large database in taiwan using the world health organization disability assessment schedule 2.0.  

PubMed

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

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

2014-01-01

142

Including Students with Disabilities in Common Non-Summative Assessments. NCEO Brief. Number 6  

ERIC Educational Resources Information Center

Inclusive large-scale assessments have become the norm in states across the U.S. Participation rates of students with disabilities in these assessments have increased dramatically since the mid-1990s. As consortia of states move toward the development and implementation of assessment systems that include both non-summative assessments and…

National Center on Educational Outcomes, 2012

2012-01-01

143

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

144

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

145

Can self-reported disability assessment behaviour of insurance physicians be explained? Applying the ASE model  

Microsoft Academic Search

Background  Very little is known about the attitudes and views that might underlie and explain the variation in occupational disability\\u000a assessment behaviour between insurance physicians. In an earlier study we presented an adjusted ASE model (Attitude, Social\\u000a norm, Self-efficacy) to identify the determinants of the disability assessment behaviour among insurance physicians. The research\\u000a question of this study is how Attitude, Social

Antonius JM Schellart; Romy Steenbeek; Henny PG Mulders; Johannes R Anema; Herman Kroneman; Jan JM Besseling

2011-01-01

146

A Medical Ethics Assessment of the Case of Terri Schiavo  

ERIC Educational Resources Information Center

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

Preston, Tom; Kelly, Michael

2006-01-01

147

Assessing the Local Credibility of a Medical Image Segmentation  

E-print Network

Assessing the Local Credibility of a Medical Image Segmentation Joshua H. Levy, Robert E. Broadhurst, Surajit Ray, Edward L. Chaney, and Stephen M. Pizer Medical Image Display and Analysis Group to segment a medical image, either she must accept the computer's segmentation or she must manually evaluate

148

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

149

Using Multimethod-Multisource Functional Behavioral Assessment for Students with Behavioral Disabilities  

ERIC Educational Resources Information Center

Using multimethod-multisource functional behavioral assessment (FBA), 3 students (in kindergarten, first grade, and ninth grade) with behavioral disabilities at risk for change of placement received interventions. Indirect assessments included the Functional Assessment Checklist for Teachers and Staff--Part A & B, the Student-Directed Functional…

Stage, Scott A.; Jackson, Hal G.; Moscovitz, Kara; Erickson, Marcia Jensen; Thurman, Stacy Ogier; Jessee, Wyeth; Olson, Erin M.

2006-01-01

150

Generalizability Theory Applied to Reading Assessments for Students with Significant Cognitive Disabilities  

ERIC Educational Resources Information Center

Students with significant disabilities must participate in large-scale assessments, often using an alternate assessment judged against alternate achievement standards. The development and administration of this type of assessment must necessarily balance meaningful participation with accurate measurement. In this study, generalizability theory is…

Tindal, Gerald; Yovanoff, Paul; Geller, Josh P.

2010-01-01

151

Measurement Invariance in the Assessment of People with an Intellectual Disability  

ERIC Educational Resources Information Center

Intellectual assessment is central to the process of diagnosing an intellectual disability and the assessment process needs to be valid and reliable. One fundamental aspect of validity is that of measurement invariance, i.e. that the assessment measures the same thing in different populations. There are reasons to believe that measurement…

MacLean, Hannah; McKenzie, Karen; Kidd, Gill; Murray, Aja L.; Schwannauer, Matthias

2011-01-01

152

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

153

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

Code of Federal Regulations, 2011 CFR

...TITLE IV-BLACK LUNG BENEFITS (1969- ) Total Disability or Death Due to Pneumoconiosis § 410.424 Determining total disability...the individual is (or was) engaged in comparable and gainful work (see § 410.412). (b) An individual's...

2011-04-01

154

Assessing Perceived Professionalism in Medical School Applicants  

ERIC Educational Resources Information Center

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

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

2009-01-01

155

A Medical Data Reliability Assessment Model  

Microsoft Academic Search

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

Bandar Alhaqbani; Audun Jøsang; Colin J. Fidge

2009-01-01

156

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

157

Psychiatric Diagnoses, Medication and Risk for Disability Pension in Multiple Sclerosis Patients; a Population-Based Register Study  

PubMed Central

Background Psychiatric comorbidity is common among multiple sclerosis (MS) patients. The majority of MS patients of working ages are on disability pension. The aims of this study were to chart the prevalences of psychiatric diagnoses and medications among MS patients of working ages, and to investigate their association with the risk for future disability pension. Methods This nationwide, population-based prospective cohort study includes 10,750 MS patients and 5,553,141 non-MS individuals who in 2005 were aged 17–64 years. Psychiatric diagnoses and medications were identified using nationwide registers. Odds ratios (ORs) with 95% confidence intervals (CIs) were calculated adjusting for socio-demographics. Furthermore, a survival analysis with five-year follow-up was performed among the 4,571 MS patients not on disability pension in 2005, with psychiatric diagnoses and medication as risk factors, and disability pension as the outcome. Results Among MS patients, 35% had been prescribed psychiatric medication compared to 10% of non-MS individuals, adjusted OR 3.72 (95% CI 3.57 to 3.88). Ten percent of MS patients had received a psychiatric diagnosis, compared to 5.7% of non-MS individuals, OR 1.82 (95% CI 1.71 to 1.94). Serotonin reuptake inhibitors (SSRIs), were the most commonly prescribed drugs (17%) among MS patients, while depression (4.8%) was the most common psychiatric diagnosis. In the survival analysis, MS patients with any psychiatric diagnosis had a hazard ratio (HR) of 1.83 (95% CI 1.53 to 2.18) for disability pension compared to other MS patients. MS patients with any psychiatric drug prescription had a HR for disability pension of 2.09 (95% CI 1.84 to 2.33). Conclusion Psychiatric diagnoses and medications are common among MS patients and adversely affect risk for disability pension. This highlights the importance of correct diagnosis and management of psychiatric comorbidity, in a clinical as well as in a societal perspective. PMID:25093730

Brenner, Philip; Alexanderson, Kristina; Bjorkenstam, Charlotte; Hillert, Jan; Jokinen, Jussi; Mittendorfer-Rutz, Ellenor; Tinghog, Petter

2014-01-01

158

To assist all DCU students who have a disability, specific learning difficulty or medical condition to successfully complete their course, while ensuring they  

E-print Network

consider higher level education as a viable option DCU Disability and Learning Support Service #12;Who can to a range of services. Some of these may include: · An educational needs assessment · Learning support with disabilities can access higher level education; · Promote & encourage an awareness of disability across the DCU

Humphrys, Mark

159

Automated Assessment of Medical Training Evaluation Text  

PubMed Central

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

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

2012-01-01

160

Assessment Methods in Undergraduate Medical Education  

PubMed Central

Various assessment methods are available to assess clinical competence according to the model proposed by Miller. The choice of assessment method will depend on the purpose of its use: whether it is for summative purposes (promotion and certification), formative purposes (diagnosis, feedback and improvement) or both. Different characteristics of assessment tools are identified: validity, reliability, educational impact, feasibility and cost. Whatever the purpose, one assessment method will not assess all domains of competency, as each has its advantages and disadvantages; therefore a variety of assessment methods is required so that the shortcomings of one can be overcome by the advantages of another. PMID:21509230

Al-Wardy, Nadia M

2010-01-01

161

Computerized Adaptive Assessment of Cognitive Abilities among Disabled Adults.  

ERIC Educational Resources Information Center

This study examined computerized adaptive testing and cognitive ability testing of adults with cognitive disabilities. Adult subjects (N=250) were given computerized tests on language usage and space relations in one of three administration conditions: paper and pencil, fixed length computer adaptive, and variable length computer adaptive.…

Engdahl, Brian

162

Depression among Students with Learning Disabilities: Assessing the Risk  

ERIC Educational Resources Information Center

Researchers have found that students with learning disabilities (LD) obtain statistically higher scores on measures of depression than their peers without LD. However, what is not known is whether students with LD display greater levels of clinical depression than their peers without LD. If they do, then special education services should address…

Maag, John W.; Reid, Robert

2006-01-01

163

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

ERIC Educational Resources Information Center

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

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

2010-01-01

164

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

165

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

166

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

ERIC Educational Resources Information Center

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

Johnson, Richard W.

2012-01-01

167

Psychometric Properties of the Disability Assessment Schedule (DAS) for Behavior Problems: An Independent Investigation  

ERIC Educational Resources Information Center

The present study employed the Disability Assessment Schedule (DAS) to assess problem behaviors in a large sample of adults with ID (N = 568) and evaluate the psychometric properties of this instrument. Although the DAS problem behaviors were found to be internally consistent (Cronbach's [alpha] = 0.87), item analysis revealed one weak item…

Tsakanikos, Elias; Underwood, Lisa; Sturmey, Peter; Bouras, Nick; McCarthy, Jane

2011-01-01

168

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

Microsoft Academic Search

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

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

2010-01-01

169

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

170

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

171

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

172

Perceptions of Trainers and Practitioners regarding Assessment and Intervention for Students with Low Incidence Disabilities  

ERIC Educational Resources Information Center

Two national surveys of the perceptions of trainers and practitioners regarding assessment and intervention for students with low incidence disabilities (LID) were conducted. The first survey, sent to the directors of 250 school psychology training programs, was designed to determine the extent and type of training in assessment and intervention…

Cole, Christine L.; Shapiro, Edward S.

2005-01-01

173

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

174

Using Videoconferencing to Support Teachers to Conduct Preference Assessments with Students with Autism and Developmental Disabilities  

ERIC Educational Resources Information Center

We used widely available videoconferencing equipment to support teachers to conduct preference assessments for three students with autism and developmental disabilities. Supervisors located at a university used videoconferencing equipment to collect data on students' choice of items, the fidelity of teacher implementation of the assessment

Machalicek, Wendy; O'Reilly, Mark; Chan, Jeffrey M.; Rispoli, Mandy; Lang, Russell; Davis, Tonya; Shogren, Karrie; Sorrells, Audrey; Lancioni, Giulio; Sigafoos, Jeff; Green, Vanessa; Langthorne, Paul

2009-01-01

175

Should Actuarial Risk Assessments Be Used with Sex Offenders Who Are Intellectually Disabled?  

ERIC Educational Resources Information Center

Background: Objective actuarial assessments are critical for making risk decisions, determining the necessary level of supervision and intensity of treatment ( Andrews & Bonta 2003). This paper reviews the history of organized risk assessment and discusses some issues in current attitudes towards sexual offenders with intellectual disabilities.…

Harris, Andrew J. R.; Tough, Susan

2004-01-01

176

Functional Assessment to Predict Capacity for Work in a Population of School-Leavers with Disabilities  

ERIC Educational Resources Information Center

This study reports on an assessment system for school-leavers with disabilities to identify their capacity for work and the type of transition-to-work programme best suited to each person. Participants were 1,556 high school students in four cohorts who left school between 1999 and 2002. Each school-leaver was assessed by rehabilitation…

Eagar, Kathy; Green, Janette; Gordon, Robert; Owen, Alan; Masso, Malcolm; Williams, Kathryn

2006-01-01

177

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

178

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

Microsoft Academic Search

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

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

1999-01-01

179

Functional disability in Alzheimer disease: a validation study of the Turkish version of the disability assessment for dementia scale.  

PubMed

This study aimed to determine the reliability and validity of the Turkish version of Disability Assessment for Dementia (DAD) scale in the Turkish elderly population with Alzheimer disease (AD). The DAD scale was administered to the primary caregivers of 157 patients (age 77.7 ± 6.8 years) with AD. The Turkish version of the DAD scale showed high internal consistency (Cronbach ? = .942), excellent test-retest, and interrater reliability (intraclass correlation coefficient [ICC] = 0.996 and ICC = 0.994, respectively). The DAD scale was significantly correlated with activities of daily living (ADL; Modified Older Americans Research Survey ADL) and instrumental activities of daily living (IADL; Lawton and Brody IADL) scales (r = .89, P < .001 and r = .90, P < .001). Disability Assessment for Dementia had a high negative correlation with the Global Deterioration Scale (GDS; r = -.880, P < .001). Post hoc comparisons with Tukey test showed significant differences in the mean DAD scores in different GDS stages. Construct validity was estimated using total score correlation analyses between the standardized Mini-Mental State Examination (MMSE) and the DAD scale. Results revealed high and significant correlation between MMSE score and DAD scale (r = .812, P < .001). The results of multivariate analysis showed that DAD score was not correlated with gender, education, and age. The DAD total score was affected mostly by GDS, MMSE, and duration of the disease. Turkish version of the DAD scale was found to be a reliable and valid instrument to assess functional disability in Turkish elderly patients with AD. This scale assists caregivers and physicians to decide for proper interventions. PMID:24763071

Tozlu, Mukaddes; Cankurtaran, Mustafa; Yavuz, Burcu Balam; Cankurtaran, Eylem Sahin; Kutluer, Ibrahim; Erkek, Burcu Manisal?; Halil, Meltem; Ulger, Zekeriya; Cosgun, Erdal; Ariogul, Servet

2014-12-01

180

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

ERIC Educational Resources Information Center

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

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

2013-01-01

181

Assessment and Treatment of Dementia in Medical Patients  

Microsoft Academic Search

The incidence of dementia rises rapidly with age. Elderly people commonly have significant medical conditions that impact on cognition and functional ability. The diagnosis of dementia requires both a decline in cognition and loss of functional ability. Assessment of dementia in medical patients requires a holistic approach that encompasses the spectrum of disease from measuring impairment of specific mental abilities

Julia M. Foy; John M. Starr

2000-01-01

182

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

183

AMEE Medical Education Guide No. 11 (Revised): Portfolio-based Learning and Assessment in Medical Education.  

ERIC Educational Resources Information Center

Provides background information and an educational rationale for portfolio-based learning and assessment in medical education. Examines how and where portfolios have been used for professional development both within and beyond medicine. (Author/CCM)

Challis, Maggie

1999-01-01

184

Family assessment in the medical setting.  

PubMed

Acute and chronic illness exists in a social context. A biopsychosocial assessment should include an evaluation of the patient's social situation, the nature of the patient's interpersonal connections, and his/her family's functioning. Families can influence health by direct biological pathways, health behavior pathways, and psychophysiological pathways. There are a large number of family-based risks factors as well as many protective relational factors that influence the onset and course of illness. A family assessment is the first step in determining both the need for further intervention and the specific areas of family life that might need to be addressed. A family assessment provides information about the social substrate for the evolution of the presenting complaint as well as information to better understand the patient's problems. There are many ways to assess families, and there are a variety of family assessment instruments to help with the assessments. Clinician will be best served by becoming familiar and comfortable with at least one assessment model that is consistent, structured, and evaluates a wide range of family functions. Such an assessment can be incorporated into routine clinical care. A good family assessment can be therapeutic in and of itself even if the decision is made that no further family intervention is indicated. PMID:22056906

Keitner, Gabor I

2012-01-01

185

Measurement invariance in the assessment of people with an intellectual disability.  

PubMed

Intellectual assessment is central to the process of diagnosing an intellectual disability and the assessment process needs to be valid and reliable. One fundamental aspect of validity is that of measurement invariance, i.e. that the assessment measures the same thing in different populations. There are reasons to believe that measurement invariance of the Wechsler scales may not hold for people with an intellectual disability. Many of the issues which may influence factorial invariance are common to all versions of the scales. The present study, therefore, explored the factorial validity of the WAIS-III as used with people with an intellectual disability. Confirmatory factor analysis was used to assess goodness of fit of the proposed four factor model using 13 and 11 subtests. None of the indices used suggested a good fit for the model, indicating a lack of factorial validity and suggesting a lack of measurement invariance of the assessment with people with an intellectual disability. Several explanations for this and implications for other intellectual assessments were discussed. PMID:21296555

MacLean, Hannah; McKenzie, Karen; Kidd, Gill; Murray, Aja L; Schwannauer, Matthias

2011-01-01

186

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

PubMed Central

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

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

2011-01-01

187

Reliability of the ICD 10 version of the Psychiatric Assessment Schedule for Adults with Developmental Disability (PAS-ADD)  

Microsoft Academic Search

The Psychiatric Assessment Schedule for Adults with Developmental Disability (PAS-ADD) is a semi-structured clinical interview designed for use with respondents who have learning disability. The first version was based on the Present State Examination. The revised version was derived from the Schedules for Clinical Assessment in Neuropsychiatry (SCAN), and makes ICD 10 diagnoses using the SCAN diagnostic program. This current

H. Costello; S. Moss; H. Prosser; C. Hatton

1997-01-01

188

Virtual reality in medical education and assessment  

NASA Technical Reports Server (NTRS)

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

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

1994-01-01

189

Evaluation of Medical Student Training in Family Assessment.  

ERIC Educational Resources Information Center

Three methods for teaching medical students skills in assessment of family problems at the University of Calgary were assessed. The methods included lecture and video demonstrations, small groups and video demonstrations, and small groups and practical experience. Achievement and student satisfaction results were mixed. (MSE)

Leahey, Maureen; Tomm, Karl

1982-01-01

190

Continuing Medical Education, Needs Assessment, and Program Development: Theoretical Constructs.  

ERIC Educational Resources Information Center

Continuing medical education needs assessment should be reconceived for a changing health-care environment. The physician-patient relationship is being changed by empowerment of health consumers and public policy concerns regarding the health care system. Needs assessment should focus on environmental scanning, identification of key forces, use of…

Aherne, Michael; Lamble, Wayne; Davis, Paul

2001-01-01

191

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. PMID:25057433

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

2014-01-01

192

Assessment of Students with Disabilities in Physical Education: Legal Perspectives and Practices  

ERIC Educational Resources Information Center

Current federal legislation has shifted the focus of education for students with disabilities from issues of access and opportunity to issues about improving teaching and learning, specifically focusing on students? involvement in the general curriculum. Effective assessment techniques are critical to the educational process in order for the…

Tripp, April; Zhu, Weimo

2005-01-01

193

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

194

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

195

Voices from the Field: Making State Assessment Decisions for English Language Learners with Disabilities  

ERIC Educational Resources Information Center

English language learners (ELLs) with disabilities are an increasing presence in schools in the United States. Title I and Title III of the Elementary and Secondary Education Act require that these students meet the same academic grade-level standards and participate in content assessments as their fluent-English speaking peers without…

Liu, Kristin K.; Goldstone, Linda; Thurlow, Martha L.; Ward, Jenna; Hatten, James; Christensen, Laurene L.

2013-01-01

196

Assessment of the Component Skills for Cognitive Therapy in Adults with Intellectual Disability  

ERIC Educational Resources Information Center

Background: This study examines the extent to which a random sample of adults with intellectual disabilities possess the component skills necessary to undergo cognitive behaviour therapy (CBT). Method: Seventy-two individuals underwent a range of assessments, including measures of language ability, ability to identify and to label emotions,…

Joyce, Theresa; Globe, Amanda; Moody, Clare

2006-01-01

197

An Assessment of Learning Outcomes for an Orientation Program for Students with Disabilities.  

ERIC Educational Resources Information Center

This study assessed the learning outcomes of students with disabilities who attended the "New Student Orientation Program" at California State University, Northridge in the fall 2003 semester. Forty-two students completed a locally developed pretest and posttest that contained 25 core questions. These questions covered the content areas of…

Johnson, Jodi

198

"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

199

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

200

Assessment of Computer-Based Preferences of Students with Profound Multiple Disabilities  

ERIC Educational Resources Information Center

This article reports on two studies investigating the use of computer-based stimuli that may then be used to develop activities and programming for students with profound multiple disabilities (PMD). Both studies used an alternating treatments design and systematic assessment strategy to present stimuli sequentially and to measure student…

Mechling, Linda C.; Bishop, Vanessa A.

2011-01-01

201

Individualized Assessment of Driving Fitness for Older Individuals with Health, Disability, and Age-Related Concerns  

Microsoft Academic Search

Objective. Driver licensing agencies are faced with an increasing population of drivers who are seeking to maintain driving privileges whilst coping with functional changes associated with health, disability, or aging-related issues. Some of these changes impact upon the motor, sensory, and cognitive capacities essential for safe motor vehicle operation. The driver assessment process, as provided by occupational therapists and other

Carol J. Wheatley; Marilyn Di Stefano

2008-01-01

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

Improving Social Skills Assessment of Children with Disabilities: Construct Development and Applications of Technology.  

ERIC Educational Resources Information Center

This article describes a prototype videodisc method of assessing social competence, knowledge, and perception in children with disabilities. It notes major hardware features (Macintosh IIx computer), software features (using SuperCard), improved examinee response modes, and improved data entry techniques. (DB)

Irvin, Larry K.; Walker, Hill M.

1993-01-01

204

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

205

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

ERIC Educational Resources Information Center

Purpose: This research investigated the use of 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 10-24 months of age were enrolled in a 16-week treatment for behaviors indicating CJA,…

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

2013-01-01

206

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

ERIC Educational Resources Information Center

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

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

2009-01-01

207

Assessment and Treatment of Mood Disorders in Persons with Developmental Disabilities  

Microsoft Academic Search

This article reviews the gradually emerging literature on the diagnosis and treatment of major depression and mania in persons with developmental disabilities. By analyzing prevalence data in the general population and large samples of people with mental retardation, the tendency to underdiagnosis mood disorders becomes apparent. The utility of a method of assessing symptomatic behaviors, which reflect the underlying depressive

Michael A. Lowry

1998-01-01

208

Improving Test Performance of Students with Disabilities...On District and State Assessments.  

ERIC Educational Resources Information Center

This book is intended to provide a systematic approach to improving the test performances of students with disabilities in the context of the increased inclusion of these students in state and district educational assessments. Chapters include guides for decisions and forms to document them and to track student progress. Each chapter also provides…

Elliott, Judy L.; Thurlow, Martha L.

209

Assessment of Anger and Aggression in Male Offenders With Developmental Disabilities  

ERIC Educational Resources Information Center

Systematic assessment of anger among people with developmental disabilities has been lacking, especially for hospital inpatients. Reliability and validity of anger self-report psychometric scales were investigated with 129 male patients, mostly forensic. Anger prevalence and its relationship to demographic, cognitive, and personality variables and…

Novaco, Raymond W.; Taylor, John L.

2004-01-01

210

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

Code of Federal Regulations, 2010 CFR

...disability resulting from the pursuit of vocational rehabilitation is not payable unless there is established a direct (proximate) causal connection between the injury or aggravation of an existing injury and some essential activity or function which is...

2010-07-01

211

Medication Treatment of Bipolar Disorder in Developmentally Disabled Children and Adolescents  

Microsoft Academic Search

If systematic data on the treatment of bipolar disorder in children and adolescents is meager, information on treatment of\\u000a bipolar disorder in developmentally disabled children is virtually nonexistent. Not only are many of the challenges to diagnosing\\u000a young children relevant to persons with autism and intellectual disability of any age, but also, accumulating a sample size\\u000a large enough to randomize

Zinoviy A. Gutkovich; Gabrielle A. Carlson

212

Methodological Issues in Inclusive Intellectual Disability Research: A Health Promotion Needs Assessment of People Attending Irish Disability Services  

ERIC Educational Resources Information Center

Background: This paper describes a novel combination of inclusive methods to evaluate health and health promotion needs of service users (clients) with intellectual disability. Sixty centres provide disability services to over 900 clients with intellectual disability in the East Coast Area Health Board region of Ireland (population approximately…

Boland, M.; Daly, L.; Staines, A.

2008-01-01

213

The Effectiveness of Mood Stabilizers and Antiepileptic Medication for the Management of Behaviour Problems in Adults with Intellectual Disability: A Systematic Review  

ERIC Educational Resources Information Center

Background: Psychotropic medications are used to manage behaviour problems in adults with intellectual disability (ID). One group of psychotropic medication are mood stabilizers such as lithium and some antiepileptic drugs. Method: A comprehensive systematic review was performed to determine the evidence base for the effectiveness of mood…

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

2008-01-01

214

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

215

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

ERIC Educational Resources Information Center

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

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

2009-01-01

216

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

217

Assessment and management of disability in chronic daily headache  

Microsoft Academic Search

The problem of chronic daily headache is ubiquitous and affects up to 5% of the world’s population. In most cases, it is associated\\u000a with the overuse of symptomatic medications in patients with a history of migraine or tension-type headaches, indicating an\\u000a urgent need for intensive public and professional education. In a minority, it develops de novo from episodic migraine without

William Pryse-Phillips

2005-01-01

218

Predicting Optimal Preference Assessment Methods for Individuals with Developmental Disabilities  

ERIC Educational Resources Information Center

The single-stimulus (SS) preference assessment procedure has been described as more appropriate than the paired stimulus (PS) procedure for "lower functioning" individuals, but this guideline's vagueness limits its usefulness. We administered the SS and PS preference assessment procedures with food items to seven individuals with severe or…

Thomson, Kendra M.; Czarnecki, Diana; Martin, Toby L.; Yu, C. T.; Martin, Garry L.

2007-01-01

219

Assessment of Infants with Disabilities: Toward a More Compressive Perspective  

ERIC Educational Resources Information Center

The assessment of children in clinical practice frequently relies on the use of assessment methods that are generally easy to put into practice. The clinician uses the information collected using testing instruments to extract specific characteristics observed in the child thus evaluated. Some instruments permit a comparison of the child's…

Millan, R.

2005-01-01

220

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

PubMed Central

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

Graff, Richard B.; Karsten, Amanda M.

2012-01-01

221

Assessment in undergraduate medical education: a review of course exams  

PubMed Central

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

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

2013-01-01

222

A real-time assessment of factors influencing medication events.  

PubMed

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

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

2014-09-01

223

Validation of the Individualized Numeric Rating Scale (INRS): A pain assessment tool for nonverbal children with intellectual disability  

Microsoft Academic Search

Clinical observations suggest that nonverbal children with severe intellectual disability exhibit pain in a wide variety yet uniquely individual ways. Here, we investigate the feasibility and describe the initial psychometrics properties of the Individualized Numeric Rating Scale (INRS), a personalized pain assessment tool for nonverbal children with intellectual disability based on the parent’s knowledge of the child. Parents of 50

Jean C. Solodiuk; Jennifer Scott-Sutherland; Margie Meyers; Beth Myette; Christine Shusterman; Victoria E. Karian; Sion Kim Harris; Martha A. Q. Curley

2010-01-01

224

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

Microsoft Academic Search

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 standard conditions, students with learning disabilities who

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

2010-01-01

225

Service evaluation of an integrated assessment and treatment service for people with intellectual disability with behavioural and mental health problems  

Microsoft Academic Search

In response to rising local need and national drivers such as the Mansell Report, an isolated inpatient ward for people with an intellectual disability and additional mental health and behavioural problems was developed into a more flexible service integrating inpatient beds, day assessment, outreach and the local community learning disability teams. The functioning of the new service is evaluated on

Ceri Richings; Rachael Cook; Ashok Roy

2011-01-01

226

Nutritional care of medical inpatients: a health technology assessment  

Microsoft Academic Search

BACKGROUND: The inspiration for the present assessment of the nutritional care of medical patients is puzzlement about the divide that exists between the theoretical knowledge about the importance of the diet for ill persons, and the common failure to incorporate nutritional aspects in the treatment and care of the patients. The purpose is to clarify existing problems in the nutritional

Karin O Lassen; Jens Olsen; Edvin Grinderslev; Filip Kruse; Merete Bjerrum

2006-01-01

227

LGBT CONCERNSIN MEDICAL EDUCATION: A TOOL FORTNSTITUTIONAL SELF,ASSESSMENT  

E-print Network

LGBT CONCERNSIN MEDICAL EDUCATION: A TOOL FORTNSTITUTIONAL SELF,ASSESSMENT Preparedby UC SanFranciscoLGBT CenterIlgbt.ucsf.eduI lgbt@ucif.edu1415.502.5593 Standard Tarset Met/UnMet A threadof curricular content covering LGBT health careshouldbe in place for eachyear of training. LGBT-related instruction occurs

Myers, Lawrence C.

228

A seven item scale for the assessment of disabilities after child and adolescent injuries.  

PubMed Central

OBJECTIVES: To develop a scale to assess physical disabilities after child or adolescent injuries. SETTING: The three main hospitals of Jerusalem. METHODS: Telephone interviews pertaining to the injury's effect on the functioning of children 4-17 years old (n = 281) were carried out six months after an injury. Disabilities were recalled by the parents for the period immediately after the injury (short term) and at the time of interview (long term). Of 25 questions derived from the International Classification of Impairments, Disabilities and Handicaps, seven were selected: limitations in walking, running, getting up/lying down, moving in bed, going to the toilet, bathing/keeping personal hygiene, and dressing. Construct validity was tested using the usual, sport, school, and leisure time activities as the gold standard. RESULTS: The prevalence of short term disabilities ranged from 23.8% to 37.7% and of long term disabilities from 0.4% to 11.8%. Cronbach's alpha was 0.91 for the short term scale and over 0.90 for the different categories of the sociodemographic variables. It decreased to 0.66 for the long term scale. Sensitivity of the short term scale ranged from 77% to 89%, but was lower for the long term scale. Specificity varied from 72% to 84% and increased to 88% to 90%, six months after the injury. CONCLUSIONS: This scale could be used to study disability after injury among children and adolescents in different cultures. It is a simple method that does not require expert personnel and has relatively high validity and internal reliability. PMID:9213158

Gofin, R.; Adler, B.

1997-01-01

229

20 CFR 220.178 - Determining medical improvement and its relationship to the annuitant's ability to do work.  

Code of Federal Regulations, 2012 CFR

...activity. If there has been medical improvement to the degree...disabling, then there has been medical improvement related to the...capacity assessment used in making the most recent favorable medical decision will be compared to the...

2012-04-01

230

20 CFR 220.178 - Determining medical improvement and its relationship to the annuitant's ability to do work.  

...activity. If there has been medical improvement to the degree...disabling, then there has been medical improvement related to the...capacity assessment used in making the most recent favorable medical decision will be compared to the...

2014-04-01

231

20 CFR 220.178 - Determining medical improvement and its relationship to the annuitant's ability to do work.  

Code of Federal Regulations, 2013 CFR

...activity. If there has been medical improvement to the degree...disabling, then there has been medical improvement related to the...capacity assessment used in making the most recent favorable medical decision will be compared to the...

2013-04-01

232

Medical Disparagement of the Disability Experience: Empirical Evidence for the “Expressivist Objection”  

Microsoft Academic Search

Fetal screening and selection (FSS) services offered in the context of prenatal care have been criticized for decades. One important objection has charged that the utilization of FSS expresses disparagement toward the lives, value, and experiences of people with disabilities. Critiques of this expressivist objection to FSS attempt to challenge the interpretability of FSS decisions, or emphasize the importance of

David Alan Klein

2011-01-01

233

Historical Trends in Biological and Medical Investigations of Reading Disabilities: 1850-1915.  

ERIC Educational Resources Information Center

Reviews the methods, technologies, and operating tenets of case studies of reading disabilities completed during the late 19th and early 20th centuries. Results suggest that the assumptions of anatomical and functional modularity for cortical processes become guiding principles for diagnosing and correcting reading difficulties. (Author/CR)

Pickle, J. Michael

1998-01-01

234

The health care of children and youths with disabilities. Council on Scientific Affairs, American Medical Association.  

PubMed

Nearly 2 million adolescents between ages 10 and 18 years have a chronic condition associated with limited activity. Reflecting the interaction between functional ability and socioeconomic influences, an adolescent living in poverty and those with parents with less than a ninth-grade education are almost twice as likely to be disabled as other adolescents. Most children with disabilities have a regular source of health care. These young people and their families, however, may face major financial problems and are often in need of protection from excessive out-of-pocket expenses. This issue becomes more prominent during late adolescence as youths leave the home setting, become financially independent, marry, or transfer from a pediatric to an adult health care system. Treating children and youths with disabilities necessitates cooperation among physicians, schools, community agencies, and families. Although not necessarily a problem for family physicians, an additional challenge for pediatricians is helping adolescents make the transition from the pediatric to the adult health care system. As the survival rate of children with disabilities increases, pediatricians are faced more frequently with having to prepare their adolescent patients and their families for transfer to adult care providers. PMID:8252154

1993-03-01

235

Patterns of Psychotropic Medication Use Among Older Persons with Developmental Disabilities  

Microsoft Academic Search

While the prevalence of psychotropic drug use among older persons has been widely investigated, use of these agents in older persons with developmental disabilities has received little attention. We found this latter group to be prescribed more polypharmacy, antipsychotic, and antianxiety agents than were younger peers. Those who lived in more restricted residential settings (e.g., in skilled nursing facihties or

Christine Rinck; Carl F. Calkins

1989-01-01

236

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

237

Motivational Interviews as Goal Assessment for Persons with Psychiatric Disability  

Microsoft Academic Search

A necessary first step in the psychosocial treatment of persons with severe mental illness is helping them identify their goals. Unfortunately, goal assessment is often viewed as a categorical process in which individuals list needs for which they require services. Motivational interviews provide a more sophisticated approach in which persons specify the costs and benefits to each of the needs

Patrick W. Corrigan; Stanley G. McCracken; E. Paul Holmes

2001-01-01

238

Behavioral Assessment of Feeding Problems of Individuals with Severe Disabilities.  

ERIC Educational Resources Information Center

A behavioral assessment procedure was evaluated with five children with severe/profound mental retardation who exhibited feeding problems of limited intake. Subjects were fed various types of foods. Results indicated each subject fit into one of four categories: (1) total food refusal, (2) food type selectivity, (3) food texture selectivity, or…

Munk, Dennis D.; Repp, Alan C.

1994-01-01

239

Virtual reality, disability and rehabilitation.  

PubMed

Virtual reality, or virtual environment computer technology, generates simulated objects and events with which people can interact. Existing and potential applications for this technology in the field of disability and rehabilitation are discussed. The main benefits identified for disabled people are that they can engage in a range of activities in a simulator relatively free from the limitations imposed by their disability, and they can do so in safety. Evidence that the knowledge and skills acquired by disabled individuals in simulated environments can transfer to the real world is presented. In particular, spatial information and life skills learned in a virtual environment have been shown to transfer to the real world. Applications for visually impaired people are discussed, and the potential for medical interventions and the assessment and treatment of neurological damage are considered. Finally some current limitations of the technology, and ethical concerns in relation to disability, are discussed. PMID:9195138

Wilson, P N; Foreman, N; Stanton, D

1997-06-01

240

Behavioral assessment of feeding problems of individuals with severe disabilities.  

PubMed

As many as 80% of the individuals with severe or profound mental retardation exhibit feeding problems. Although behavioral interventions have been used to treat these problems, no assessment procedure for determining a functional relationship between a person's acceptance of food and the type and texture of that food has been reported. The purpose of this study was to test a behavioral assessment procedure for a feeding problem of limited intake. Five individuals with severe or profound mental retardation were fed 10 to 12 types of foods with one or more textures. Behavioral categories of acceptance, rejection, expulsion, and other negative behavior were recorded. Results indicated that each subject fit into one of four categories of feeding problems: (a) total refusal, (b) type selectivity, (c) texture selectivity, or (d) type and texture selectivity. Thus, although all 5 subjects exhibited limited intake, the food characteristics correlated with the problem were different for each individual. Results suggest that treatments for limited intake may be based on assessments that show the association of food type or texture to a person's rejection or expulsion of food. PMID:8063624

Munk, D D; Repp, A C

1994-01-01

241

[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

242

Validity of Social Behavior Assessment in discriminating emotionally disabled from nonhandicapped students  

Microsoft Academic Search

Discriminant analyses and stepwise multiple regression techniques were applied to teacher ratings of 184 kindergarten through eighth-grade students using Stephen's Social Behavior Assessment (SBA) inventory and were used to predict group membership as emotionalyy disabled (ED) or non-ED. The results suggested that the SBA was highly effective in correctly discriminating ED from non-ED students. The linear discriminant function derived from

Vicki Stodden Stumme; Frank M. Gresham; Norman A. Scott

1982-01-01

243

The Views of Medical Students about the Purpose and Objectivity of Assessment in a Medical College in Western Nepal  

Microsoft Academic Search

Context: Previous studies had shown problems with the different methods of assessment in medical schools. However, studies in Nepal are lacking. Objective: The present study was carried out to obtain information on the purpose of assessment in an ideal world and at the Manipal College of Medical Sciences (MCOMS) and the perception of student respondents regarding the objectivity of assessment

Shankar P R; Chandrasekhar TS; Subish P; Mohan L; Upadhyay DK; Mishra P

2010-01-01

244

Emotional intelligence assessment in a graduate entry medical school curriculum  

PubMed Central

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

2013-01-01

245

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

246

Assessing Understanding and Obtaining Consent from Adults with Intellectual Disabilities for a Health Promotion Study  

PubMed Central

People with intellectual disabilities are often excluded from research, in part because they may be perceived as lacking capacity to provide informed consent. A requirement of informed decision making about research participation is ability to understand the study description and disclosures presented during the consent process. The authors’ aims were to determine the extent to which study participants with intellectual disabilities were able to answer questions about key aspects of study disclosures, identify ways in which people who provided appropriate answers for all of the questions differed from those who had difficulty with one or more of the questions, and examine patterns of responses to see if certain issues were more difficult to understand than others. The authors piloted a short set of questions to assess the extent to which adults with intellectual disabilities were able to answer questions about key aspects of a health promotion study. More than half of study participants correctly answered all of the questions. For those not able to answer all questions, identifying potential risks of being in the study proved the most challenging. The findings indicate that many people with intellectual disabilities likely can provide their own consent to participate in low risk studies. PMID:24223054

Horner-Johnson, Willi; Bailey, Danielle

2013-01-01

247

Assessing the Gap Between Current Movement Ability and Preferred Movement Ability as a Measure of Disability  

PubMed Central

Background If disability is the gap between what an individual can do and what that individual would like to be able to do, then measures that assess only current ability fall short of describing the impact of disability on the individual. Objective The aim of this study was to examine a potential measure of disability, the gap between current movement ability and preferred movement ability, as recorded with the Movement Ability Measure (MAM). This investigation was performed by establishing the relationship between self-perceived current ability and other measures and examining the evidence of convergence or divergence between the gap and other measures. Design This investigation was a descriptive study. Methods Thirty people who had multiple sclerosis and were ambulatory completed the MAM and 18 other measures of bodily function, activity, and participation. Item response theory methods were used to generate logit estimates of average current movement ability and separate abilities in the 6 dimensions of movement on the MAM. Pearson correlations were calculated between estimated abilities from the MAM and scores from measures expected to be associated with these estimated abilities, as well as between the MAM and additional measures in exploratory analyses of relationships. Results The average current ability and the separate dimensions correlated moderately to strongly (.5–.8) with many of the measures expected to be related and showed additional moderately strong correlations in exploratory analyses. The average gap between current ability and preferred ability correlated moderately with pain (?.56) and a scale of current ability (.46) but diverged from many of the measures. Limitations The limitations of this study included the lack of an intervention to assess the response of the gap to therapy and the use of multiple statistical tests with a small sample. Conclusions The evidence supports the convergent validity for current ability on the MAM but mostly the divergence of the gap. Additional research should compare the gap specifically with measures that assess patients' preferences when determining disability. PMID:22003162

Wagner, Joanne M.

2011-01-01

248

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

249

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

PubMed Central

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

Zabalia, Marc

2013-01-01

250

Patients' assessment of professionalism and communication skills of medical graduates  

PubMed Central

Background Professionalism and communication skills constitute important components of the integral formation of physicians which has repercussion on the quality of health care and medical education. The objective of this study was to assess medical graduates’ professionalism and communication skills from the patients’ perspective and to examine its association with patients’ socio-demographic variables. Methods This is a hospital based cross-sectional study. It involved 315 patients and 105 medical graduates selected by convenient sampling method. A modified and validated version of the American Board of Internal Medicine’s (ABIM) Patient Assessment survey questionnaire was used for data collection through a face to face interview. Data processing and analysis were performed using the Statistical Package for Social Science (SPSS) 16.0. Mean, frequency distribution, and percentage of the variables were calculated. A non-parametric Kruskal Wallis test was applied to verify whether the patients’ assessment was influenced by variables such as age, gender, education, at a level of significance, p ? 0.05. Results Female patients constituted 46% of the sample, whereas males constituted 54%. The mean age was 36?±?16. Patients’ scoring of the graduate’s skills ranged from 3.29 to 3.83 with a mean of 3.64 on a five-point Likert scale. Items assessing the “patient involvement in decision-making” were assigned the minimum mean values, while items dealing with “establishing adequate communication with patient” assigned the maximum mean values. Patients, who were older than 45 years, gave higher scores than younger ones (p?medical graduates’ professionalism and communication skills at a good level. Patients’ age and educational level were significantly associated with the rating level. PMID:24517316

2014-01-01

251

National Medical Expenditure Survey: Elderly Persons with Developmental Disabilities in Long-Term Care Facilities.  

National Technical Information Service (NTIS)

The report from the Institutional Population Component of the 1987 National Medical Expenditure Survey (NMES) provides national estimates of the functional, behavioral, and health characteristics of the population in residential facilities, including nurs...

B. Altman

1995-01-01

252

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

253

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

254

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

255

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

256

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

Microsoft Academic Search

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

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

2004-01-01

257

Usefulness of a dopamine transporter PET ligand [18F]?-CFT in assessing disability in Parkinson's disease  

PubMed Central

OBJECTIVES—The usefulness of a novel dopamine transporter PET ligand, [18F]?-CFT in assessing disability in Parkinson's disease was studied.?METHODS—Twenty seven patients with Parkinson's disease in different disability stages (of which nine were patients with early disease) and nine healthy controls were studied. The regions of interest were drawn on a magnetic resonance image resliced according to the PET image.?RESULTS—There was a significant reduction in [18F]?-CFT uptake in the posterior putamen (to 18% of the control mean, p<0.00001), anterior putamen (28%, p<0.00001), and caudate nucleus (51%, p<0.00001) in the total population of patients with Parkinson's disease. The reduction in [18F]?-CFT uptake was more pronounced with more severe disability of the patients, the correlations between the total motor score of the unified Parkinson's disease rating scale (UPDRS) and [18F]?-CFT uptake being significant in the posterior putamen (r=?0.62 p=0.0005), anterior putamen (r=-0.64, p=0.0003), and the caudate nucleus (r=?0.62, p=0.0006). There was a significant negative correlation with putaminal [18F]?-CFT uptake and the hypokinesia and rigidity scores, but not with the tremor score of the UPDRS motor part. In nine patients with early disease and without any antiparkinsonian medication the reduction in the [18F]?-CFT uptake (average of ipsilateral and contralateral side) was reduced in the total putamen to 34% of the mean control value (p<0.00001). The corresponding figures in the other brain areas were: posterior putamen 21% (p<0.00001), anterior putamen 43% (p<0.00001), and caudate nucleus 76% (p<0.01). The reductions in [18F]?-CFT uptake were more severe in the contralateral than in the ipsilateral side. Individually, [18F]?-CFT uptake in the putamen in all patients was below 3 SD from the control mean. ?CONCLUSIONS—[18F]?-CFT is a sensitive marker of nigrostriatal dopaminergic dysfunction in Parkinson's disease and can be used in the diagnosis, assessment of disease severity, and follow up of patients.?? PMID:10567489

Rinne, J.; Ruottinen, H.; Bergman, J.; Haaparanta, M.; Sonninen, P.; Solin, O.

1999-01-01

258

Evaluating the Supports Intensity Scale as a Potential Assessment Instrument for Resource Allocation for Persons with Intellectual Disability  

ERIC Educational Resources Information Center

This study evaluated the potential of using the Supports Intensity Scale (SIS) for resource allocation for people with intellectual disabilities (ID) in Taiwan. SIS scores were compared with those obtained from three tools that are currently used in Taiwan for homecare services: the medical diagnosis issued by local authorities and two scales…

Chou, Yueh-Ching; Lee, Yue-Chune; Chang, Shu-chuan; Yu, Amy Pei-Lung

2013-01-01

259

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

PubMed Central

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

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

2013-01-01

260

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

261

Administration of Medication by Unlicensed Assistive Personnel to Persons with Mental Retardation or Developmental Disabilities.  

ERIC Educational Resources Information Center

This commentary discusses the views of the Nursing Division of the American Association on Mental Retardation on the issue of medication administration by unlicensed assistive personnel. The need for professional registered nurses to engage in the initial and ongoing training and evaluation of unlicensed assistive personnel is emphasized. (CR)

Morse, Joyce S.; Colatarci, Sally; Nehring, Wendy; Barks, Lee S.; Roth, Shirley P.

1997-01-01

262

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

263

Use of biographical and case history data in the assessment of malingering during examination for disability.  

PubMed

This study examine the relationship of biographical and case history data thought to be associated with malingering to known indices of malingering based on MMPI and sentence-completion test data. Subjects were 65 patients who had undergone formal psychiatric evaluations in connection with ongoing litigation over injury-related disability. Biographical/case history data were reduced to six factors, which were correlated with six MMPI and five sentence completion test variables. Of the 66 correlations, 24 were significant, supporting the relevance of biographical and case history data in assessing malingering under these circumstances. PMID:8054679

Lanyon, R I; Almer, E R; Curran, P J

1993-01-01

264

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

PubMed Central

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

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

2013-01-01

265

Managing collateral disability in the disability continuum.  

PubMed

Emotional responses of parents of children with physical disabilities are not clearly addressed in the disability definition and therefore rarely addressed in the course of assessment and management of the disabled patient by the physiotherapists. In the provision of family-centred care for disabled persons, the impact of disablement on every member of the family including carers should be reviewed. This would assist in furthering the bio-psychosocial model of care. This paper briefly outlines the most common emotional responses and collateral disablement experienced by parents of children with disabilities (CWD) and the implications of this to physiotherapy in the family-centred care. PMID:24498673

Useh, U

2013-11-01

266

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

267

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

268

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

269

Australian Students with Disabilities Accessing NAPLAN: Lessons from a Decade of Inclusive Assessment in the United States  

ERIC Educational Resources Information Center

Australian legislation and educational policies may espouse, but not yet fully enact, inclusive assessments for all. In relation to the National Assessment Program for Literacy and Numeracy (NAPLAN), for example, almost 5% of students are either exempt or withdrawn. The achievement levels of these students, many of whom have disabilities, are not…

Elliott, Stephen N.; Davies, Michael; Kettler, Ryan J.

2012-01-01

270

Inadequate and inappropriate?: The assessment of young disabled people and pupils with special educational needs in National Curriculum Physical Education  

Microsoft Academic Search

Based upon focus groups with 12 secondary school physical education (PE) teachers working in north-west England, this paper examines: (i) how young disabled people and pupils with special educational needs (SEN) were assessed in National Curriculum Physical Education (NCPE) 2000; and (ii) how teachers managed the constraints on them to assess these pupils in the same manner as other young

David Haycock; Andy Smith

2010-01-01

271

The Assessment of Basic Learning Abilities Test for Predicting Learning of Persons with Intellectual Disabilities: A Review  

ERIC Educational Resources Information Center

The Assessment of Basic Learning Abilities (ABLA) Test uses standard prompting and reinforcement procedures to assess the ease or difficulty with which a testee is able to learn a simple imitation and five two-choice discriminations. The authors review studies that have examined performance of participants with developmental disabilities (DD) on…

Martin, Garry L.; Thorsteinsson, Jennifer R.; Yu, C. T.; Martin, Toby L.; Vause, Tricia

2008-01-01

272

The Assessment of Basic Learning Abilities (ABLA) Test Predicts the Relative Efficacy of Task Preferences for Persons with Developmental Disabilities  

ERIC Educational Resources Information Center

Background: Prior studies have showed that presentation methods could affect the accuracy of a choice assessment. Methods: In the current study, high- and low- preferred work tasks were identified in nine adults with developmental disabilities. Both tasks were then introduced in pairs within a choice assessment using the actual tasks, pictures of…

Reyer, H. S.; Sturmey, P.

2006-01-01

273

The P15 - a multinational assessment battery for collecting data on health indicators relevant to adults with intellectual disabilities  

Microsoft Academic Search

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 range of health indicators relevant to adults with ID. METHODS: An

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

2010-01-01

274

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

ERIC Educational Resources Information Center

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

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

2013-01-01

275

The assessment of emotional distress experienced by people with an intellectual disability: a study of different methodologies  

Microsoft Academic Search

The assessment of emotional disorders such as anger, depression and stress among people with an intellectual disability has traditionally used one of three methodologies: ratings by a significant other, a clinical interview or self-report. Despite the widespread use of all three methodologies, there is little research into their equivalence. This paper assesses the convergence among these three approaches for 147

Paul Bramston; Gerard Fogarty

2000-01-01

276

Are multiple choice tests fair to medical students with specific learning disabilities?  

Microsoft Academic Search

The purpose of multiple choice tests of medical knowledge is to estimate as accurately as possible a candidate’s level of\\u000a knowledge. However, concern is sometimes expressed that multiple choice tests may also discriminate in undesirable and irrelevant\\u000a ways, such as between minority ethnic groups or by sex of candidates. There is little literature to establish whether multiple\\u000a choice tests may

Chris Ricketts; Julie Brice; Lee Coombes

2010-01-01

277

"Asking for the Moon"? A Critical Assessment of Australian Disability Discrimination Laws in Promoting Inclusion for Students with Disabilities  

ERIC Educational Resources Information Center

The aim of this paper is to critique the dichotomy between the legal regulation of disability discrimination in Australia, particularly in the State of New South Wales, and inclusion policy as espoused by public education authorities. It is argued that the law and inclusion policy are aiming at different outcomes. As a result, through legal…

Lindsay, Katherine

2004-01-01

278

Psychological, neuropsychological, and medical considerations in assessment and management of pain.  

PubMed

Pain is a common yet challenging problem, particularly following traumatic injuries to the head or neck. It is a complex, multidimensional subjective experience with no clear or objective measures; yet it can have a significantly disabling effect across a wide range of functions. Persisting misconceptions owing to mind-body dualism have hampered advances in its understanding and treatment. In this article, a conceptualization of pain informed by recent research and derived from a more useful biopsychosocial model guides discussion of relevant medical, psychological, and neuropsychological considerations. This pain process model explains chronicity in terms of hyperresponsiveness and dysregulation of inhibitory or excitatory pain modulation mechanisms. Related neurocognitive effects of chronic pain are examined and recommendations for minimizing its confounding effects in neuropsychological evaluations are offered. A biopsychosocial assessment model is presented to guide understanding of the myriad of factors that contribute to chronicity. A brief survey of general classes and samples of the more useful pain assessment instruments is included. Finally, this model offers a rational means of organizing and planning individually tailored pain interventions, and some of the most useful pharmacologic, physical, and behavioral strategies are reviewed. PMID:14732828

Martelli, Michael F; Zasler, Nathan D; Bender, Mark C; Nicholson, Keith

2004-01-01

279

Risk assessment - hospital view in selecting medical technology.  

PubMed

Appropriate deployment of technological innovation contributes to improvement in the quality of healthcare delivered, the containment of cost, and access to the healthcare system. Hospitals have been allocating a significant portion of their resources to procuring and managing capital assets; they are continuously faced with demands for new medical equipment and are asked to manage existing inventory for which they are not well prepared. To objectively direct their investment, hospitals are developing medical technology management programs that need pertinent information and planning methodology for integrating new equipment into existing operations as well as for mitigating patient safety issues and costs of ownership. Clinical engineers identify technological solutions based on the matching of new medical equipment with hospital's objectives. They review their institution's overall technological position, determine strengths and weaknesses, develop equipment-selection criteria, supervise installations, train users and monitor post procurement performance to assure meeting of goals. This program, together with consistent assessment methodology and evaluation analysis, will objectively guide the capital assets decision-making process. At Texas Children's Hospital we integrated engineering simulation, bench testing and clinical studies with financial information to assure the validity of risk avoidance practice and the promotion of medical equipment and supplies selection based on quantitative measurement process and product comparison practice. The clinical engineer's skills and expertise are needed to facilitate the adoption of an objective methodology for implementing the program, thus improving the match between the hospital's needs and budget projections, equipment performance and cost of ownership. The result of systematic planning and execution is a program that assures the safety and appropriateness of inventory level at the lowest life-cycle costs at the best performance. PMID:17271043

David, Yadin; Jahnke, Ernest; Blair, Curtis

2004-01-01

280

Neuropsychological assessment and the Disability Rating Scale (DRS): a concurrent validity study.  

PubMed

Assessment of current level of functioning among clients with traumatic brain injury (TBI) often guides the establishment of realistic outcome goals for post-acute rehabilitation. Further, data generated from neuropsychological testing provide a clinician with a better understanding of a client's pattern of cognitive strengths and weaknesses. The Disability Rating Scale (DRS) is commonly used by TBI rehabilitation facilities to assess a client's general level of functioning in terms of impairment, disability, and handicap. Previous studies have used clients' neuropsychological test results to predict future level of functioning. These studies have shown mixed results regarding the predictive validity of the test findings; however, they usually employ only a limited number of tests for prediction representing a limited number of cognitive domains. Using a concurrent validity design, the present study investigated the bivariate associations between various neuropsychological testing domains (i.e. intellectual, academic, language, visuoperceptual, memory, and executive functioning) and level of functioning as indexed by the DRS. Participants were administered the DRS and the neuropsychological evaluation during the initial part of post-acute rehabilitation. Composite scores were derived for each of the neuropsychological domains. Most participants were categorized as sustaining a severe TBI. The mean age and education of this predominately male sample was 28.84 years (SD = 9.13) and 11.83 years (SD = 1.7), respectively. Results revealed a significant positive relationship between performances in intellectual, executive, academic, and visuoperceptual domains and level of functioning. PMID:10969890

Neese, L E; Caroselli, J S; Klaas, P; High, W M; Becker, L J; Scheibel, R S

2000-08-01

281

Disability Services Registration Louisiana Tech University  

E-print Network

services from the Office of Disability Services, students must provide appropriate documentation of a disability. -Symptoms of the disability (a detailed description of how the disability affects the students.) -Test scores that support a medical, cognitive, or learning disability. -Medications and any adverse

Selmic, Sandra

282

Assessment of anatomy in a problem-based medical curriculum.  

PubMed

In the problem-based learning (PBL) approach to medical education, students are expected to be trained more by applying processes of reasoning than by memorization of facts. In a PBL curriculum, as with others, it is necessary to match the assessment to the learning process. A detailed description of the testing of anatomical teaching-learning outcomes at the Arabian Gulf University (AGU) is presented. In addition to describing the general principles and guidelines as well as the process of continuous assessment, we have given examples of the multiple-choice questions, patient management problems, and objective-structured practical examinations, which compose our end-of-unit examination and test both vertical and horizontal integration of themes. Students have the opportunity to review the examination after publication of the results. We believe that our approach to the assessment of anatomy tests effective integration of factual knowledge with the principles of problem-solving through the different formats of the components of our examinations. PMID:15696527

Chakravarty, Manoj; Latif, Nasir A; Abu-Hijleh, Marwan F; Osman, Mirghani; Dharap, Amol S; Ganguly, Pallab K

2005-03-01

283

Minimum clinically important difference in lumbar spine surgery patients: a choice of methods using the Oswestry Disability Index, Medical Outcomes Study questionnaire Short Form 36, and Pain Scales  

Microsoft Academic Search

Background contextThe impact of lumbar spinal surgery is commonly evaluated with three patient-reported outcome measures: Oswestry Disability Index (ODI), the physical component summary (PCS) of the Short Form of the Medical Outcomes Study (SF-36), and pain scales. A minimum clinically important difference (MCID) is a threshold used to measure the effect of clinical treatments. Variable threshold values have been proposed

Anne G. Copay; Steven D. Glassman; Brian R. Subach; Sigurd Berven; Thomas C. Schuler; Leah Y. Carreon

2008-01-01

284

An approach to assessing stochastic radiogenic risk in medical imaging  

SciTech Connect

Purpose: This letter suggests a formalism, the medical effective dose (MED), that is suitable for assessing stochastic radiogenic risks in diagnostic medical procedures. Methods: The MED is derived from radiobiological and probabilistic first principals, including: (1) The independence of radiation-induced biological effects in neighboring voxels at low doses; (2) the linear no-threshold assumption for stochastic radiation injury (although other dose-response relationships could be incorporated, instead); (3) the best human radiation dose-response data currently available; and (4) the built-in possibility that the carcinogenic risk to an irradiated organ may depend on its volume. The MED involves a dose-risk summation over irradiated voxels at high spatial resolution; it reduces to the traditional effective dose when every organ is irradiated uniformly and when the dependence of risk on organ volumes is ignored. Standard relative-risk tissue weighting factors can be used with the MED approach until more refined data become available. Results: The MED is intended for clinical and phantom dosimetry, and it provides an estimate of overall relative radiogenic stochastic risk for any given dose distribution. A result of the MED derivation is that the stochastic risk may increase with the volume of tissue (i.e., the number of cells) irradiated, a feature that can be activated when forthcoming radiobiological research warrants it. In this regard, the MED resembles neither the standard effective dose (E) nor the CT dose index (CTDI), but it is somewhat like the CT dose-length product (DLP). Conclusions: The MED is a novel, probabilistically and biologically based means of estimating stochastic-risk-weighted doses associated with medical imaging. Built in, ab initio, is the ability to link radiogenic risk to organ volume and other clinical factors. It is straightforward to implement when medical dose distributions are available, provided that one is content, for the time being, to accept the relative tissue weighting factors published by the International Commission of Radiological Protection (ICRP). It requires no new radiobiological data and avoids major problems encountered by the E, CTDI, and CT-E formalisms. It makes possible relative inter-patient dosimetry, and also realistic intercomparisons of stochastic risks from different protocols that yield images of comparable quality.

Wolbarst, Anthony B.; Hendee, William R. [Department of Radiology, College of Medicine and Division of Radiation Sciences, College of Health Sciences, University of Kentucky, Lexington, Kentucky 40536 (United States); Department of Radiology, Mayo Clinic, Rochester, Minnesota 55901 (United States)

2011-12-15

285

Swedish social insurance officers' experiences of difficulties in assessing applications for disability pensions – an interview study  

Microsoft Academic Search

BACKGROUND: In this study the focus is on social insurance officers judging applications for disability pensions. The number of applications for disability pension increased during the late 1990s, which has resulted in an increasing number of disability pensions in Sweden. A more restrictive attitude towards the clients has however evolved, as societal costs have increased and governmental guidelines now focus

Berit Ydreborg; Kerstin Ekberg; Kerstin Nilsson

2007-01-01

286

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

Microsoft Academic Search

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

Scott J. Modell; Suzanna Mak

2008-01-01

287

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

288

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. PMID:22212227

Enders, Felicity

2011-01-01

289

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

ERIC Educational Resources Information Center

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

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

2012-01-01

290

A Perspective on Education and Assessment in Other Nations: Where Are Students with Disabilities? Synthesis Report 19.  

ERIC Educational Resources Information Center

This report reviews five major international comparative studies on educational practices, assessment systems, and educational outcomes for students with disabilities. The five studies reviewed are: (1) the Reading Literacy Survey conducted by the International Association for the Evaluation of Educational Achievement (IEA); (2) the International…

Elliott, Judy L.; And Others

291

Development of Knowledge Domains and an Instrument to Assess Probation Officers' Knowledge of Offenders with Intellectual Disabilities  

ERIC Educational Resources Information Center

The purpose of this study was to develop an instrument to assess probation officers knowledge levels of offenders with intellectual disabilities by utilizing a synthesis of subject matter analysis technique and a comprehensive review of literature. This study was conducted in two phases. The first phase was devoted to establishing the knowledge…

Dixon, Valerie E.

2011-01-01

292

Predicting Learning Ability of People with Intellectual Disabilities: Assessment of Basic Learning Abilities Test versus Caregivers' Predictions  

ERIC Educational Resources Information Center

Two sets of predictions were compared concerning the ability of 20 adults with profound, severe, or moderate intellectual disabilities to learn 15 everyday tasks. Predictions were made by caregivers who had worked with the participants for a minimum of 24 months and consideration of participant performance on the Assessment of Basic Learning…

Thorsteinsson, Jennifer R.; Martin, Garry L.; Yu, C. T.; Spevack, Sara; Martin, Toby L.; Lee, May S.

2007-01-01

293

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

294

Choice and Preference Assessment Research with People with Severe to Profound Developmental Disabilities: A Review of the Literature  

ERIC Educational Resources Information Center

Since the last major empirical review on choice interventions and preference assessments among people with severe to profound developmental disabilities (Lancioni, O'Reilly, & Emerson, 1996) the body of research in this area has grown extensively. This paper reviews thirty studies carried out between 1996 and 2002 that have been sorted into four…

Cannella, Helen I.; O'Reilly, Mark F.; Lancioni, Giulio E.

2005-01-01

295

Learning Disabilities Disability Services  

E-print Network

Learning Disabilities Disability Services If you have a learning disability or attention deficit disorder--or suspect that you do--we strongly recommend that you contact Office of Disability Services (ODS To be considered for academic accommodations due to a learning disability, you must apply for through the Office

Goldberg, Bennett

296

Paralympic Athletes and “Knowing Disability  

Microsoft Academic Search

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 value of capital afforded to Paralympic athletes and

Hayley Fitzgerald

2012-01-01

297

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

298

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

299

A Qualitative Framework to Assess Hospital \\/ Medical Websites  

Microsoft Academic Search

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

Vahid Rafe; Maryam Monfaredzadeh

300

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

PubMed Central

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 Basic Learning Abilities Test. Three participants mastered a visual discrimination task, but not visual matching-to-sample and auditory-visual discriminations; two participants mastered visual and visual matching-to-sample discriminations, but not auditory-visual discrimination, and two participants showed all three discriminations. The most and least preferred activities, identified through paired-stimulus preference assessment using objects, were presented to each participant in each of the four modalities using a reversal design. The results showed that (1) participants with visual discrimination alone showed a preference for their preferred activities in the object modality only; (2) those with visual and visual matching-to-sample discriminations, but not auditory-visual discrimination, showed a preference for their preferred activities in the object but not in the spoken modality, and mixed results in the pictorial and video modalities; and (3) those with all three discriminations showed a preference for their preferred activities in all four modalities. These results provide partial replications of previous findings on the relationship between discriminations and object, pictorial, and spoken modalities, and extend previous research to include video stimuli. PMID:23536743

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

2013-01-01

301

Primary Care and Clinical Psychology: Assessment Strategies in Medical Settings  

Microsoft Academic Search

There is ample evidence regarding medical-psychological comorbidity to consider clinical psychology as a viable component of health care services in medical settings. Psychologists can become valuable assets to primary care physicians who treat a high number of primary psychiatric cases as well as medical cases with secondary psychological symptoms. Psychologists who function in hospital-based clinics as well as affiliates with

Francis R. Kush

2001-01-01

302

Medical Liaison Survey 4: Assessing Tools Used by Medical Liaisons, Clinical Trial Involvement, and Career Strategies  

Microsoft Academic Search

Medical liaisons were initially established in the pharmaceutical industry in the late 1960s. Since this time, their role has been evolving in such a way that today medical liaisons are helping to improve outcomes for patients in a variety of venues. They accomplish this through the timely, responsive dissemination of medical information, by exploring mutual clinical and scientific interests with

Craig J. Klinger; Christopher M. Marrone; J. Lynn Bass

2010-01-01

303

Functional disabilities profile of chinese elderly people with Alzheimer's disease - a validation study on the chinese version of the disability assessment for dementia.  

PubMed

This study aimed to determine the validity and applicability of the Chinese version of the Disability Assessment for Dementia (CDAD) in the Chinese elderly population. The original English version was translated and modified to a 47-item scale to suit the societal and cultural background of the Chinese population. The CDAD was administered to 169 community-residing Chinese elderly people with Alzheimer's disease (AD) and demonstrated high internal consistency (Cronbach's alpha=0.91), excellent test-retest reliability (intraclass correlation, ICC=0.99) and excellent interrater reliability (ICC=0.98). The functional disabilities profile of the same sample was examined. The CDAD had a high negative correlation with the Global Deterioration Scale (GDS; Spearman's rho=-0.89, p<0.001). ANOVA and post hoc comparisons showed there were significant differences in the mean CDAD scores across different GDS stages. To study the construct validity, the CDAD was administered concurrently with several instruments. The Instrumental Activities of Daily Living subscore of the CDAD had a high correlation with the Instrumental Activities of Daily Living Scale (r=0.94,p<0.001), and the Activities of Daily Living subscore of the CDAD had a high correlation with the Modified Barthel Index (r=0.82, p<0.001). A moderate correlation (r=0.60, p<0.001) with the Cantonese version of the Mini Mental State Examination was also found. Analysis of the relationship with sociodemographic factors indicated that the CDAD was not correlated with gender and education, and that the correlation with age was low. The CDAD was shown to be a reliable and valid instrument in assessing the functional disabilities of community-residing elderly subjects with AD in the Chinese population. PMID:15990425

Mok, Cycbie C M; Siu, Andrew M H; Chan, W C; Yeung, K M; Pan, P C; Li, Siu-Wah

2005-01-01

304

Validation of the Individualized Numeric Rating Scale (INRS): a pain assessment tool for nonverbal children with intellectual disability.  

PubMed

Clinical observations suggest that nonverbal children with severe intellectual disability exhibit pain in a wide variety yet uniquely individual ways. Here, we investigate the feasibility and describe the initial psychometrics properties of the Individualized Numeric Rating Scale (INRS), a personalized pain assessment tool for nonverbal children with intellectual disability based on the parent's knowledge of the child. Parents of 50 nonverbal children with severe intellectual disability scheduled for surgery were able to complete the task of describing then rank ordering their child's usual and pain indicators. The parent, bedside nurse and research assistant (RA) triad then simultaneously yet independently scored the patient's post-operative pain using the INRS for a maximum of two sets of pre/post paired observations. A total of 170 triad assessments were completed before (n=85) and after (n=85) an intervention to manage the child's pain. INRS inter-rater agreement between the parents and research nurse was high (ICC 0.82-0.87) across all ratings. Parent and bedside nurse agreement (ICC 0.65-0.74) and bedside nurse and research nurse agreement (ICC 0.74-0.80) also suggest good reliability. A moderate to strong correlation (0.63-0.73) between INRS ratings and NCCPC-PV total scores provides evidence of convergent validity. These results provide preliminary data that the INRS is a valid and reliable tool for assessing pain in nonverbal children with severe intellectual disability in an acute care setting. PMID:20363075

Solodiuk, Jean C; Scott-Sutherland, Jennifer; Meyers, Margie; Myette, Beth; Shusterman, Christine; Karian, Victoria E; Harris, Sion Kim; Curley, Martha A Q

2010-08-01

305

Survey of Medical Liaison Practices 3: Assessing Practice Trends across the Pharmaceutical Industry  

Microsoft Academic Search

In an effort to assess medical liaison trends across the pharmaceutical industry, two surveys of medical liaison managers were previously administered and published. The intent of these surveys was to identify overall approaches used by pharmaceutical companies in defining and managing the medical liaison role. We conducted this third survey to focus on areas identified by the initial survey participants

J. Lynn Bass; Christopher M. Marrone; Craig Klinger

2010-01-01

306

Biorisk Assessment of Medical Diagnostic Laboratories in Nigeria  

PubMed Central

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

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

2013-01-01

307

[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

308

Assessing body composition and energy expenditure in children with severe neurological impairment and intellectual disability.  

E-print Network

??abstract__Abstract__ Children with severe neurological impairment and intellectual disability are at increased risk of developing malnutrition. While in recent years increased use of gastrostomy feeding… (more)

R. Rieken (Rob)

2010-01-01

309

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

Code of Federal Regulations, 2011 CFR

14 Aeronautics and Space 4 2011-01-01 2011-01-01...23 Section 382.23 Aeronautics and Space OFFICE OF THE SECRETARY, DEPARTMENT...NONDISCRIMINATION ON THE BASIS OF DISABILITY IN AIR TRAVEL Nondiscrimination and Access to...

2011-01-01

310

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

Code of Federal Regulations, 2010 CFR

14 Aeronautics and Space 4 2010-01-01 2010-01-01...23 Section 382.23 Aeronautics and Space OFFICE OF THE SECRETARY, DEPARTMENT...NONDISCRIMINATION ON THE BASIS OF DISABILITY IN AIR TRAVEL Nondiscrimination and Access to...

2010-01-01

311

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

14 Aeronautics and Space 4 2014-01-01 2014-01-01...23 Section 382.23 Aeronautics and Space OFFICE OF THE SECRETARY, DEPARTMENT...NONDISCRIMINATION ON THE BASIS OF DISABILITY IN AIR TRAVEL Nondiscrimination and Access to...

2014-01-01

312

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

Code of Federal Regulations, 2012 CFR

14 Aeronautics and Space 4 2012-01-01 2012-01-01...23 Section 382.23 Aeronautics and Space OFFICE OF THE SECRETARY, DEPARTMENT...NONDISCRIMINATION ON THE BASIS OF DISABILITY IN AIR TRAVEL Nondiscrimination and Access to...

2012-01-01

313

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

Code of Federal Regulations, 2013 CFR

14 Aeronautics and Space 4 2013-01-01 2013-01-01...23 Section 382.23 Aeronautics and Space OFFICE OF THE SECRETARY, DEPARTMENT...NONDISCRIMINATION ON THE BASIS OF DISABILITY IN AIR TRAVEL Nondiscrimination and Access to...

2013-01-01

314

Examining the Factor Structure of a State Standards-Based Science Assessment for Students with Learning Disabilities. Research Report. ETS RR-11-38  

ERIC Educational Resources Information Center

This study examined the scores on a state standards-based Grade 5 Science assessment obtained by a group of students without learning disabilities who took the standard form of the test and by three groups of students with learning disabilities: one taking the standard form of the test without accommodations or modifications, a second taking the…

Steinberg, Jonathan; Cline, Frederick; Sawaki, Yasuyo

2011-01-01

315

Assessing the Academic Medical Center as a Supportive Learning Community  

ERIC Educational Resources Information Center

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

Gannon, Sam C.

2011-01-01

316

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

317

A Time-Variant Medical Data Trustworthiness assessment model  

Microsoft Academic Search

Electronic health record (EHR) systems are being introduced to overcome the limitations associated with paper-based and isolated electronic medical record (EMR) systems. This is accomplished by aggregating medical data and consolidating them in one digital repository. Though an EHR system provides obvious functional benefits, there is a growing concern about the privacy and reliability (trustworthiness) of electronic health records. Security

Bandar Alhaqbani; Colin Fidge

2009-01-01

318

Standardised patients with intellectual disabilities in training tomorrow's doctors  

PubMed Central

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

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

2014-01-01

319

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

ERIC Educational Resources Information Center

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…

Decker, Scott

2012-01-01

320

ASSESSMENT OF ACTIVITIES OF DAILY LIVING IN CHILDREN AND INFANTS WITH DEVELOPMENTAL DISABILITIES  

Microsoft Academic Search

Developmental disabilities are a group of chronic disorders of early onset estimated to affect 5 to 10% of children 1 . Children with developmental disabilities often show a variety of associated impairments that possibly lead to a lifelong need for additional care. These impairments may lead to limitations in the capacities of the child. According to the International Classification of

Sylvia Choo

321

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

Microsoft Academic Search

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

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

2010-01-01

322

A Structured Method of Assessing Dynamic Risk Factors among Sexual Abusers with Intellectual Disabilities  

ERIC Educational Resources Information Center

The nature and severity of dynamic risk factors among a group of 87 adult male sexual abusers with intellectual disabilities were examined as was the psychometric properties of a new scale designed to measure these risk factors. The Treatment Intervention and Progress Scale for Sexual Abusers with Intellectual Disabilities (TIPS-ID) is composed of…

McGrath, Robert J.; Livingston, Joy A.; Falk, Gail

2007-01-01

323

Real Listening--Using Personal Construct Assessment with People with Intellectual Disabilities: Two Case Studies  

ERIC Educational Resources Information Center

Many people with intellectual disabilities are still not being listened to by the services providing them with care and support, and when they become upset and frustrated, they are all too readily regarded as being mentally ill. To help people with intellectual disabilities describe and make sense of their experiences and feelings in a…

Hare, Dougal Julian; Searson, Ruth; Knowles, Rebecca

2011-01-01

324

An Assessment of Policies Guiding School Emergency Disaster Management for Students with Disabilities in Australia  

ERIC Educational Resources Information Center

Recent weather-related disasters (i.e., floods, fires) impacting Australia may potentially increase in frequency and severity as a result of predicted climate variability. The dearth of literature pertaining to school emergency response planning for vulnerable students with disabilities (including those with intellectual disabilities) when such…

Boon, Helen Joanna; Pagliano, Paul; Brown, Lawrence; Tsey, Komla

2012-01-01

325

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

326

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

327

Philosophy meets disability.  

PubMed

The question "what is disability" and its implications are addressed in a new book Arguing about disability: philosophical perspectives, which aims to fill the gap between disability studies and philosophy. The structure of the book has been organised roughly on the basis of three branches of philosophy: metaphysics, political philosophy and ethics. One of the main themes of the book is the characterisation of a third way of thinking about disability, a way between two extremes, the medical and social models of disability. PMID:19717697

Louhiala, P

2009-09-01

328

Medical Updates Number 5 to the International Space Station Probability Risk Assessment (PRA) Model Using the Integrated Medical Model  

NASA Technical Reports Server (NTRS)

The Integrated Medical Model (IMM) Project has been developing a probabilistic risk assessment tool, the IMM, to help evaluate in-flight crew health needs and impacts to the mission due to medical events. This package is a follow-up to a data package provided in June 2009. The IMM currently represents 83 medical conditions and associated ISS resources required to mitigate medical events. IMM end state forecasts relevant to the ISS PRA model include evacuation (EVAC) and loss of crew life (LOCL). The current version of the IMM provides the basis for the operational version of IMM expected in the January 2011 timeframe. The objectives of this data package are: 1. To provide a preliminary understanding of medical risk data used to update the ISS PRA Model. The IMM has had limited validation and an initial characterization of maturity has been completed using NASA STD 7009 Standard for Models and Simulation. The IMM has been internally validated by IMM personnel but has not been validated by an independent body external to the IMM Project. 2. To support a continued dialogue between the ISS PRA and IMM teams. To ensure accurate data interpretation, and that IMM output format and content meets the needs of the ISS Risk Management Office and ISS PRA Model, periodic discussions are anticipated between the risk teams. 3. To help assess the differences between the current ISS PRA and IMM medical risk forecasts of EVAC and LOCL. Follow-on activities are anticipated based on the differences between the current ISS PRA medical risk data and the latest medical risk data produced by IMM.

Butler, Doug; Bauman, David; Johnson-Throop, Kathy

2011-01-01

329

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

330

How to Evaluate Disability  

PubMed Central

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

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

2013-01-01

331

STUDENTS WITH DISABILITIES Tufts Cummings School of Veterinary Medicine is committed to providing support services and reasonable  

E-print Network

Deficit Hyperactivity Disorder (ADHD). These batteries should include aptitude and achievement tests or psycho-educational assessment is required to evaluate students with learning disabilities and Attention current evaluation from their medical provider. The documentation should be current and include

Dennett, Daniel

332

Measuring functional health among the elderly: development of the Japanese version of the World Health Organization Disability Assessment Schedule II.  

PubMed

The Japanese version of the World Health Organization Disability Assessment Schedule II (WHODAS II-J) was developed and its psychometric properties were evaluated, and then used to determine the influence of disability on quality of life among the elderly in Japan. The study included three phases: qualitative, preliminary and field. For the qualitative portion of the study, six key informants were interviewed before the translation/back-translation procedure. For the preliminary study, 17 healthy elderly individuals were interviewed using the 12-item interview version of the WHODAS II-J. For the field study, different versions of the WHODAS II-J and the Japanese version of the World Health Organization Quality of Life BREF (WHOQOL-BREF) were tested with different participants (the 36-item interview version with 30 participants living in a nursing home, the 36-item proxy version with 30 caregivers working in the nursing home, and the 12-item and 36-item self-report versions with 132 and 129 healthy elderly living in Kanto and Kinki regions, respectively). In total, 321 elderly individuals participated in the field study. Of these participants, physical or mental disabilities were present in 47. Cronbach's ? scores calculated for each of six domains of the WHODAS II ranged from 0.67 to 0.98. A significant correlation was observed between the results of the WHODAS II-J and the degree of disability (P<0.01), and a negative correlation was observed between WHOQOL-BREF and WHODAS II-J scores (P<0.01). A significant difference was found between healthy elderly individuals and those with disabilities in three domains: getting around, self-care, and life activities (P<0.01). In conclusion, the WHODAS II-J is a reliable and valid instrument for assessment of function in the elderly population in Japan. PMID:24051962

Tazaki, Miyako; Yamaguchi, Tesuo; Yatsunami, Mitsutoshi; Nakane, Yoshibumi

2014-03-01

333

Prospective Dynamic Assessment of Risk of Sexual Reoffending in Individuals with an Intellectual Disability and a History of Sexual Offending Behaviour  

ERIC Educational Resources Information Center

Background: The purpose of the present study was to add to the literature on the predictive accuracy of a dynamic intellectual disability specific risk assessment tool. Method: A dynamic risk assessment for sexual reoffending (ARMIDILO-S), a static risk assessment for sexual offending (STATIC-99), and a static risk assessment for violence…

Lofthouse, Rachael E.; Lindsay, William R.; Totsika, Vasiliki; Hastings, Richard P.; Boer, Douglas P.; Haaven, James L.

2013-01-01

334

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

Microsoft Academic Search

Background  Physicians require specific communication skills, because the face-to-face contact with their patients is an important source\\u000a of information. Although physicians who perform work disability assessments attend some communication-related training courses\\u000a during their professional education, no specialised and evidence-based communication skills training course is available for\\u000a them. Therefore, the objectives of this study were: 1) to systematically develop a training course

H Jolanda van Rijssen; Antonius JM Schellart; Johannes R Anema; Wout EL de Boer; Allard J van der Beek

2011-01-01

335

Assessing Theory of Mind Nonverbally in Those With Intellectual Disability and ASD: The Penny Hiding Game.  

PubMed

Individuals with autism spectrum disorder (ASD) and low intellectual/language abilities are often omitted from experimental studies because of the challenges of testing these individuals. It is vital to develop appropriate and accessible tasks so that this significant part of the spectrum is not neglected. The theory of mind (ToM) has been extensively assessed in ASD, predominantly in relatively high-functioning individuals with reasonable language skills. This study aims to assess the ToM abilities of a sample of 132 participants with intellectual disability (ID) with and without ASD, matched in verbal mental age (VMA) and chronological age, using a naturalistic and nonverbal deception task: the Penny Hiding Game (PHG). The relationship between performance on the PHG and everyday adaptation was also studied. The PHG proved accessible to most participants, suggesting its suitability for use with individuals with low cognitive skills, attentional problems, and limited language. The ASD?+?ID group showed significantly more PHG errors, and fewer tricks, than the ID group. PHG performance correlated with Vineland adaptation scores for both groups. VMA was a major predictor of passing the task in both groups, and participants with ASD?+?ID required, on average, 2 years higher VMA than those with ID only, to achieve the same level of PHG success. VMA moderated the association between PHG performance and real-life social skills for the ASD?+?ID more than the ID group, suggesting that severely impaired individuals with ASD may rely on verbal ability to overcome their social difficulties, whereas individuals with ID alone may use more intuitive social understanding both in the PHG and everyday situations. Autism Res 2014, 7: 608-616. © 2014 International Society for Autism Research, Wiley Periodicals, Inc. PMID:25258194

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

2014-10-01

336

People with learning disabilities admitted to an assessment and treatment unit: impact on challenging behaviours and mental health problems.  

PubMed

This study describes the evaluation of an assessment and treatment unit for people with learning disabilities. Results showed the main reasons for admission for the 48 people admitted to the unit were because of challenging behaviours and mental health problems. Valid and reliable scales were used to measure the behaviours and mental health problems of those admitted across three-time periods: pre-admission, during admission and post-admission. The analysis found significant reductions in challenging behaviours and mental health problems following admission to the unit. The unit was staffed by a multidisciplinary team with nurses making up the largest group of staff. A number of issues of concern are discussed including access to mental health services for people with learning disabilities, the need for robust community services and areas that require further research. In conclusion, the study found evidence supporting the value of the unit and how it may lessen distress in learning disabled people who are behaviourally disturbed. It is suggested that nurses played a key role in the unit but they need to make the support and caring they provide more visible. Nurses need to harness and make explicit the caring they provide for people with learning disabilities. PMID:18768005

Slevin, E; McConkey, R; Truesdale-Kennedy, M; Taggart, L

2008-09-01

337

Using Quality of Life to Assess Performance of Agencies Assisting People with Intellectual Disabilities  

Microsoft Academic Search

\\u000a Performance measurement is important for agencies assisting people with intellectual disabilities in terms of measuring the\\u000a efficiency and effectiveness of the agency’s service provision. In this chapter we argue that agencies that assist people\\u000a with intellectual disabilities can use quality of life as one potential measure of performance. This is demonstrated with\\u000a reference to research conducted by Kober (2006) on

Ralph Kober; Ian R. C. Eggleton

338

Children with an Intellectual Disability  

MedlinePLUS

... shown by new problems, for instance in their behavior, eating and sleeping. Early diagnosis of psychiatric disorders in children with intellectual disabilities leads to early treatment. Medications ...

339

Workers' compensation reform in New York State: A proposal to address medical, ergonomic, and psychological factors associated with work disability  

Microsoft Academic Search

This paper presents testimony before the New York State Assembly Joint Hearings on Workers' Compensation. The testimony first establishes the background of the speaker in relation to the problems in the workers' compensation system. A brief summary of the problem including the increased prevalence of work-related musculoskeletal disorders and their contribution to work disability, the rising costs of insurance premiums,

Michael Feuerstein

1993-01-01

340

Evaluation of a Comprehensive Programme for the Assessment of Medical Students.  

ERIC Educational Resources Information Center

A process for the assessment of students' clinical competence introduced for medical undergraduates in their first year at the University of Newcastle is discussed. The assessment enables students to demonstrate competence, review peers' performance, and receive early diagnostic advice. Student evaluation of the assessment programs is discussed.…

Feletti, Grahame I.

1980-01-01

341

Handheld tools assess medical necessity at the point of care.  

PubMed

An emerging strategy to manage financial risk in clinical practice is to involve the physician at the point of care. Using handheld technology, encounter-specific information along with medical necessity policy can be presented to physicians allowing them to integrate it into their medical decision-making process. Three different strategies are discussed: reference books or paper encounter forms, electronic reference tools, and integrated process tools. The electronic reference tool strategy was evaluated and showed a return on investment exceeding 1200% due to reduced overhead costs associated with rework of claim errors. PMID:12389325

Pollard, Dan

2002-01-01

342

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

343

Assessment of Medical Students ’ Shared Decision-Making in Standardized Patient Encounters  

E-print Network

physicians and patients openly explore beliefs, exchange information, and reach explicit closure, may represent optimal physician–patient communication. There are currently no universally accepted methods to assess medical students ’ competence in shared decision-making. OBJECTIVE: To characterize medical students ’ shared decision-making with standardized patients (SPs) and determine if students ’ use of shared decision-making correlates with SP ratings of their communication. DESIGN: Retrospective study of medical students’ performance with four SPs.

Karen E. Hauer; Alicia Fern; Arianne Teherani; Christy K. Boscardin; George W. Saba

344

Tardive Dyskinesia in a Developmentally Disabled Population: Manifestation During the Initial Stage of a Minimal Effective Dose Program  

Microsoft Academic Search

Forty individuals who were withdrawn from neuroleptic medication after the initiation of a minimal effective dose program at a residential facility for individuals with developmental disabilities were evaluated. Tardive dyskinesia (TD) was assessed using the Dyskinesia Identification System Condensed User Scale (DISCUS). Half of the participants being treated with neuroleptic medication (N) were also being treated with anticonvulsant medication (AC),

James M. Swanson; Diane L. Christian; Tim Wigal; Walter Clevenger; Kimberley Fulbright Cavoto; Valerie Ackerland; Donald B. Dean; Dan Carreon; Steve Potkin; Francis M. Crinella

1996-01-01

345

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

PubMed Central

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

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

2014-01-01

346

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

347

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

348

ASSESSMENT AND DETECTION IMPROVING ALCOHOL AND TOBACCO HISTORY TAKING BY JUNIOR MEDICAL OFFICERS  

Microsoft Academic Search

Aims: We aimed to determine the effectiveness of individual feedback and group feedback in improving recording, assessment, and management of risky alcohol use and of tobacco smoking by Junior Medical Officers (JMOs). Method: Medical records of patients admitted by JMOs were examined for recording of alcohol use, alcohol withdrawal, intervention for alcohol, a consultation with the Drug and Alcohol team,

ELIZABETH M. PROUDE; KATHERINE M. CONIGRAVE; ANNETTE BRITTON; PAUL S. HABER

349

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

350

Medical Monitoring Program for Vertebrate Animal Users Enrollment and Risk Assessment Form Instructions  

E-print Network

. Laboratory technician Handling unfixed tissues Voles Hr min. Custodian/Janitor Husbandry & care of animalsMedical Monitoring Program for Vertebrate Animal Users Enrollment and Risk Assessment Form-8842), Campus Mail (Mail code 4481), or deliver it to 1200 Carothers Hall. Please note that the Medical

Sura, Philip

351

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.

352

Decision-making methods that could be used to assess the value of medical  

E-print Network

Decision-making methods that could be used to assess the value of medical devices P1 D3 V1.2 050331, indicating the need for better decision making tools that can be applied to the medical device new product product subsequently fails to sell adequately. Managers therefore need robust decision- making tools

Oakley, Jeremy

353

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

354

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

355

Model for a web based medical technology assessment system  

E-print Network

would be able to compare and contrast existing medical technology. A central web site will be designed which clinical engineers/biomedical technicians can access. This web site will be used to interact with the database. When queried it will return HTML...

Prabhu, Gopal

2012-06-07

356

Assessing Medication Effects in the MTA Study Using Neuropsychological Outcomes  

ERIC Educational Resources Information Center

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

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

2006-01-01

357

A Decision-Making Approach to Needs Assessment and Objective Setting in Continuing Medical Education.  

ERIC Educational Resources Information Center

Develops a general model of needs assessment, objective setting, and program development processes in continuing medical education (CME). Examines the coordinative, administrative, and consultative behaviors of CME program planners in their role as facilitators of decision making. (Author/SK)

Mazmanian, Paul E.

1980-01-01

358

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. PMID:24952581

2014-01-01

359

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

PubMed Central

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

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

2012-01-01

360

Assessing implicit gender bias in Medical Student Performance Evaluations.  

PubMed

For medical schools, the increasing presence of women makes it especially important that potential sources of gender bias be identified and removed from student evaluation methods. Our study looked for patterns of gender bias in adjective data used to inform our Medical Student Performance Evaluations (MSPEs). Multigroup Confirmatory Factor Analysis (CFA) was used to model the latent structure of the adjectives attributed to students (n = 657) and to test for systematic scoring errors by gender. Gender bias was evident in two areas: (a) women were more likely than comparable men to be described as ''compassionate,'' ''sensitive,'' and ''enthusiastic'' and (b) men were more likely than comparable women to be seen as ''quick learners.'' The gender gap in ''quick learner'' attribution grows with increasing student proficiency; men's rate of increase is over twice that of women's. Technical and nontechnical approaches for ameliorating the impact of gender bias on student recommendations are suggested. PMID:20801977

Axelson, Rick D; Solow, Catherine M; Ferguson, Kristi J; Cohen, Michael B

2010-09-01

361

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

PubMed Central

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

2014-01-01

362

Stress and Medical Malpractice: Organizational Risk Assessment and Intervention  

Microsoft Academic Search

Four studies were conducted to examine both the relation between stress and medical malpractice and the impact of stress management programs in reducing malpractice risk. Sixty-seven hospitals and more than 12,000 individuals participated. In Study 1, hospital departments with a current record of malpractice reported higher levels of on-the-job stress than did matched, low-risk departments. In Study 2, workplace stress

John W. Jones; Bruce N. Barge; Brian D. Steffy; Lisa M. Fay; Lisa K. Kunz; Lisa J. Wuebker

1988-01-01

363

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

364

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

365

Community-based and college-based needs assessment of physically disabled persons.  

PubMed

A descriptive survey was conducted to determine the self-perceived needs of physically disabled persons as a preliminary step toward establishing or designing a knowledge base for occupational therapy intervention at a community college. Demographic and needs data were statistically compared with those from a sample of nondisabled college students. Significant differences in the confidence to perform congnitive/problem-solving, social/recreational, school/vocational, home and community mobility skills were found, with the disabled reporting lowered or less confidence. Confidence in performing basic activities of daily living was the only area in which the difference was not significant. No significant differences were obtained in general interests except that a higher frequency of disabled reported not wanting to participate in sports. The greatest amounts of interest were in crafts/fine arts and in social/recreational activities. Implications were drawn for occupational therapy programming to improve confidence in independent living skills by using the subjects' predominant interests. PMID:6445158

Burnett, S E; Yerxa, E J

1980-03-01

366

Intake assessment of problematic use of medications in a chronic noncancer pain clinic  

PubMed Central

BACKGROUND: The present article outlines the process of instituting an assessment of risk of problematic use of medications with new patients in an ambulatory chronic noncancer pain (CNCP) clinic. It is hoped that the authors’ experience through this iterative process will fill the gap in the literature by setting an example of an application of the ‘universal precautions’ approach to chronic pain management. OBJECTIVES: To assess the feasibility and utility of the addition of a new risk assessment process and to provide a snapshot of the risk of problematic use of medications in new patients presenting to a tertiary ambulatory clinic treating CNCP. METHODS: Charts for the first three months following the institution of an intake assessment for risk of problematic medication use were reviewed. Health care providers at the Wasser Pain Management Centre (Toronto, Ontario) were interviewed to discuss the preliminary findings and provide feedback about barriers to completing the intake assessments, as well as to identify the items that were clinically relevant and useful to their practice. RESULTS: Data were analyzed and examined for completeness. While some measures were considered to be particularly helpful, other items were regarded as repetitive, problematic or time consuming. Feedback was then incorporated into revisions of the risk assessment tool. DISCUSSION: Overall, it is feasible and useful to assess risk for problematic use of medications in new patients presenting to CNCP clinics. CONCLUSION: To facilitate the practice of assessment, the risk assessment tool at intake must be concise, clinically relevant and feasible given practitioner time constraints. PMID:22891193

Pink, Leah R; Smith, Andrew J; Peng, Philip WH; Galonski, Marilyn J; Tumber, Paul S; Evans, David; Gourlay, Doug L; Gordon, Lesley; Bellingham, Geoff A; Nijjar, Satnam S; Picard, Larry M; Gordon, Allan S

2012-01-01

367

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

PubMed Central

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

2013-01-01

368

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

369

Knowledge of Acne among Medical Students: Pretest and Posttest Assessment.  

PubMed

Background. Acne vulgaris is a disorder of sebaceous glands mainly affecting the adolescent population. There are some misconceptions about acne not only in the general population but also among the medical students. Methods. Second year medical undergraduate students attending dermatology postings for the first time were included in the study. A questionnaire (in yes or no answer format) with 20 questions on acne, each carrying one mark, was to be answered by the students. The students were categorized into 4 grades based on the marks obtained: Grade I 90% marks and above, Grade II 75%-90%, Grade III 50%-74%, and Grade IV <50% marks obtained. Results. Of the 144 students of the batch, 95 (69.5%) completed both pretest and posttest questionnaires. The average pretest score was 14.1 and that of the posttest was 16.9. The percentage of improvement in mean score from pretest to posttest was 16.5. Fischer's exact test was applied to analyze the improvement in scores between pretest and posttests which is significant at P = 0.015 (P < 0.05). In the paired t-test the improvement in mean scores between pretest and posttest was significant at P < 0.001. PMID:24600519

Shivaswamy, Kanakapura Nanjundaswamy; Shyamprasad, Arakali Lakshminarayana; Sumathy, Tharayil Kunneth; Ranganathan, Chandrashekaran; Kumar, Shanmugan Praveen

2014-01-01

370

Disabled adults in adult care facilities facing disasters in New York City: an aggregate assessment.  

PubMed

Disabled adults who reside in adult care facilities (ACFs) are an at-risk population in the event of an emergency or disaster. This aggregate requires housing in congregate residential settings due to frailty, function, and/or cognitive impairments. All senior residents need long-term assistance to maintain maximum independence, including 24-hr on-site monitoring, case management, and personal care services such as eating, toileting, transferring, bathing, and dressing. Twenty-five percent of this special population of older adults has psychiatric disabilities and nonmental health comorbidities (Caron et al, 2008). Through a literature search, the challenges and risks of this aggregate in the event of a naturally occurring or manmade emergency, including epidemiological and environmental risks, are identified. Evidence-based literature reveals that the foundation of an effective emergency response and recovery is planning and preparation. Lessons learned from past disasters in the United States have brought attention to the needs of disabled and chronically ill older adults. Developing partnerships, improving communication systems, identifying emergency shelters for disabled adults, and empowering ACF residents and staff through education are recommended with the universal goal of reducing injury, preventing or controlling illness, and saving lives. An innovative educational program utilizing Hybrid Modality is outlined in this article including planning, coalition building, and the use of mapping systems as tools and strategies to improve outcomes. Resources such as local, state, and federal agencies; consumer groups; and trade associations are referenced for accessibility. PMID:22826922

Maja-Schultz, Theresa; Swain, Bara

2012-01-01

371

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

372

Assessment and treatment of social problem solving in offenders with intellectual disability  

Microsoft Academic Search

In mainstream offender work there has been a significant amount of theory and applied research linking moral development, perspective taking and poor social problem solving to offending. Given that such deficits are likely to feature in offenders with intellectual disability (ID), it is surprising that this research has not spread to the field of ID. Study 1 employed 132 participants

William R. Lindsay; Clare Hamilton; Stuart Moulton; Steve Scott; Michael Doyle; Mary McMurran

2011-01-01

373

The Demand Writing Instruction Model: Helping Students with Disabilities Pass Statewide Writing Assessments. Final Report.  

ERIC Educational Resources Information Center

This report describes activities and achievements of a project that developed and evaluated the Demand Writing Instructional Model (DWIM), a comprehensive writing program for students with learning disabilities (LD) and low-performing students from culturally and linguistically diverse backgrounds in inclusive general education classrooms. The…

Deshler, Donald; Schumaker, Jean; Bui, Yvonne

374

Generic skills assessment: A new problem for tertiary students with learning disabilities  

Microsoft Academic Search

A simmering controversy has been running in the United States since 1995 over the perceived conflict between the maintenance of academic standards and the rights of disabled university students. Recent developments are set to raise the same issue in Australian universities. The first of these developments is the shift in the emphasis of academic standards with the implementation of the

Richard Gosden; Greg Hampton

2001-01-01

375

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

ERIC Educational Resources Information Center

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

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

2007-01-01

376

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

ERIC Educational Resources Information Center

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

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

2013-01-01

377

Assessing the Effectiveness of the Cognitive Interview for Children with Severe Intellectual Disabilities  

ERIC Educational Resources Information Center

We examined whether the cognitive interview (CI) procedure increased event recall in children with severe intellectual disabilities (ID) compared with children with no ID. Forty-six children with and without ID watched a videotaped event; they were aged between eight and 11 years. The next day they were individually interviewed using the CI or a…

Milne, Rebecca; Sharman, Stefanie J.; Powell, Martine B.; Mead, Sarah

2013-01-01

378

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

379

Assessment of Depression in Adults with Severe or Profound Intellectual Disability.  

ERIC Educational Resources Information Center

Nurses applied standard behavioral criteria for major depression to evaluate 89 institutionalized adults with severe or profound intellectual disability. Results suggested that several additional behaviors listed on the Aberrant Behavior Checklist and the Developmental Behavior Checklist may be associated with this disorder in this population.…

Evans, K. M.; Cotton, M. M.; Einfeld, S. L.; Florio, T.

1999-01-01

380

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

Microsoft Academic Search

disability. Methods: In four linked studies, first the phraseology for values was explored to develop a stem ques- tion for the value scale couched in terms patients understand (face validity). Then short and long ver- sions of the value scale were compared (content validity) and tests of internal consistency and short term reliability undertaken (criterion validity). Finally, the value scale

S Hewlett; A P Smith; J R Kirwan

2005-01-01

381

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

382

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

Microsoft Academic Search

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 that sexuality and romantic relationships are important aspects in the lives of

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

2006-01-01

383

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

ERIC Educational Resources Information Center

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

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

2008-01-01

384

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

385

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. PMID:6666106

Brodsky, Carroll M.

1983-01-01

386

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

PubMed Central

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, process and acceptability of a screening programme in CCS with Irish medical and nursing students using trained SPE's and a previously validated global rating scale for CCS. Methods Eight tutors from the Schools of Nursing and Medicine at University College Cork were trained in the use of a validated communication skills and attitudes holistic assessment tool. A total of forty six medical students (Year 2 of 5) and sixty four nursing students (Year 2/3 of 4) were selected to under go individual CCS assessment by the tutors via an SPE led scenario. Immediate formative feedback was provided by the SPE's for the students. Students who did not pass the assessment were referred for remediation CCS learning. Results Almost three quarters of medical students (33/46; 72%) and 81% of nursing students (56/64) passed the CCS assessment in both communication and attitudes categories. All nursing students had English as their first language. Nine of thirteen medical students referred for enhanced learning in CCS did not have English as their first language. Conclusions A significant proportion of both medical and nursing students required referral for enhanced training in CCS. Medical students requiring enhanced training were more likely not to have English as a first language. PMID:20236526

2010-01-01

387

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

Code of Federal Regulations, 2010 CFR

...in States that cover individuals receiving SSI. 435.324 Section 435.324 Public...in States that cover individuals receiving SSI. If the agency provides Medicaid to individuals receiving SSI and elects to cover the medically...

2010-10-01

388

Bad Bedfellows: Disability Sex Rights and Viagra  

ERIC Educational Resources Information Center

The disability rights movement grounds material critiques of the treatment of people with disabilities in a social constructionist perspective, locating disability in the social rather than physical realm, and demedicalizing the concept of disability. However, this conceptualization is threatened by the medicalization of non-normative erections as…

Wentzell, Emily

2006-01-01

389

Terri Schiavo: A Disability Rights Case  

ERIC Educational Resources Information Center

The author argues that Terri Schiavo was a "person with a disability" who faced disability discrimination, a view that is consistent with national disability rights groups. The author notes that Schiavo was not "terminally ill" and that feeding tubes should not be considered "medical equipment." The belief that people with severe disabilities want…

Johnson, Mary

2006-01-01

390

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

391

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

ERIC Educational Resources Information Center

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

Weigert, Susan C.

2012-01-01

392

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

ERIC Educational Resources Information Center

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

Choque Olsson, Nora; Bölte, Sven

2014-01-01

393

Exploring the similarities and differences between medical assessments of competence and criminal responsibility  

Microsoft Academic Search

The medical assessments of criminal responsibility and competence to consent to treatment are performed, developed and debated\\u000a in distinct domains. In this paper I try to connect these domains by exploring the similarities and differences between both\\u000a assessments. In my view, in both assessments a decision-making process is evaluated in relation to the possible influence\\u000a of a mental disorder on

Gerben Meynen

2009-01-01

394

Disability Accommodation & Performance A Guide for Supervisors  

E-print Network

"regarded" (or treated) the employee as having a disability when making employment decisions. What should not ask questions about the employee's disability or chronic medical condition. You can make clear no bearing on his or her performance or conduct. In the event a disability or medical issue does affect

Sheridan, Jennifer

395

Assessment of the efficacy of medical countermeasures in space flight  

NASA Technical Reports Server (NTRS)

Changes in body fluids, electrolytes and muscle mass are manifestations of adaptation to space flight and readaptation to the 1-g environment. The purpose of this paper is to review the current knowledge of biomedical responses to short- and long-duration space missions and to assess the efficacy of countermeasures to 1-g deconditioning. Exercise protocols, fluid hydration, dietary and potential pharmacologic measures are evaluated, and directions for future research activities are recommended.

Nicogossian, A.; Sulzman, F.; Radtke, M.; Bungo, M.

1986-01-01

396

Assessment of the efficacy of medical countermeasures in space flight  

NASA Technical Reports Server (NTRS)

Changes in body fluids, electrolytes, and muscle mass are manifestations of adaptation to space flight and readaptation to the 1-g environment. The purposes of this paper are to review the current knowledge of biomedical responses to short- and long-duration space missions and to assess the efficacy of countermeasures to 1-g conditioning. Exercise protocols, fluid hydration, dietary and potential pharmacologic measures are evaluated, and directions for future research activities are recommended.

Nicogossian, A.; Sulzman, F.; Radtke, M.; Bungo, M.

1988-01-01

397

Assessment of the efficacy of medical countermeasures in space flight  

NASA Technical Reports Server (NTRS)

Changes in body fluids, electrolytes, and muscle mass are manifestations of adaptation to space flight and readaptation to the 1-g environment. The purposes of this paper are to review the current knowledge of biomedical responses to short- and long-duration space missions and to assess the efficacy of countermeasures to 1-g conditioning. Exercise protocols, fluid hydration, dietary and potential pharmacologic measures are evaluated, and directions for future research activities are recommended.

Nicogossian, A. E.; Sulzman, F.; Radtke, M.; Bungo, M.

1989-01-01

398

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

PubMed Central

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

Jiang, Yongwen; Hesser, Jana Earl

2012-01-01

399

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

400

Potential of the Migraine Disability Assessment (MIDAS) Questionnaire as a public health initiative and in clinical practice.  

PubMed

Migraine is not always well managed in clinical practice, often being under-diagnosed and under-treated. As a result, many sufferers never consult a physician or lapse from care after physician contact. Although most migraine care is provided by general practitioners, others, including specialists, emergency room physicians, pharmacists, and alternative practitioners, may also be involved. A method of standardizing clinical information about migraine is essential for coordinated, logical, and systematic care. The impact of migraine on the patient is an important clinical parameter but one that is seldom inquired about, perhaps because it exhibits such marked variability among and within individuals. Headache-related disability can be an objective and measurable index of this impact. The Migraine Disability Assessment (MIDAS) Questionnaire is a simple and validated instrument with potential for use in clinical practice, research, and public health. It can improve communication between patients and health-care professionals regarding the impact of migraine which, in turn, allows tailoring of the intensity of treatment to the severity of the illness. Changes in the MIDAS score may serve as an end point in assessing treatment efficacy. In populations, MIDAS scores may indicate the burden of migraine in the community and spark public health initiatives to improve management. PMID:11294957

Edmeads, J; Láinez, J M; Brandes, J L; Schoenen, J; Freitag, F

2001-01-01

401

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. PMID:21914212

2011-01-01

402

Question Vetting: The Process to Ensure Quality in Assessment of Medical Students  

PubMed Central

Over the past decade, medical schools have made new efforts to provide accurate, reliable, and timely assessments of the competence of trainees. All methods of assessment have strengths and intrinsic flaws. Written examination questions forms an important item in knowledge assessment and are typically classified according to whether they are open-ended or multiple choices. At present questions are prepared casually just before the examination and are not put through any quality check to correct any possible mistakes or ambiguity in the questions. This may lead to confusion or wrong understanding of the questions by the students which will be reflected in their answers as well. Question Vetting is the process when an expert person examines or evaluates and edits questions to make it free of any mistakes. The importance of vetting and re-vetting of examination questions cannot be overstated in the present scenario of medical education. There is a prescribed structure and protocol of question setting and vetting for examinations in medical education programmes. The areas that need to be examined during question vetting are for technical accuracy, content level and language aspects. The use of the prescribed structure and protocol of question vetting ensures a consistently high standard of question presentation during examinations which will help the students to understand the questions better and to answer them correctly. This article is intended to highlight the importance of introducing question vetting in our medical education scenario in order to improve the quality of assessment of medical students. PMID:25386509

Udayshankar, P.M.

2014-01-01

403

45 CFR 233.80 - Disability.  

Code of Federal Regulations, 2012 CFR

...disability and do not have a history of gainful employment...medical report and social history by technically competent...medical evidence or upon current medical examination; (ii) The social history must contain sufficient...

2012-10-01

404

45 CFR 233.80 - Disability.  

...disability and do not have a history of gainful employment...medical report and social history by technically competent...medical evidence or upon current medical examination; (ii) The social history must contain sufficient...

2014-10-01

405

45 CFR 233.80 - Disability.  

Code of Federal Regulations, 2013 CFR

...disability and do not have a history of gainful employment...medical report and social history by technically competent...medical evidence or upon current medical examination; (ii) The social history must contain sufficient...

2013-10-01

406

Achievement by the genetically disabled: a history of social and medical aid to a patient with partial Down's syndrome.  

PubMed

A trisomy 21/normal mosaic is described, together with her educational and social development. Amniocentesis was used to monitor her two pregnancies and both fetuses were found to be normal. Social and medical aid have encouraged the patient to lead a normal life. PMID:160022

McCreanor, H R

1979-10-10

407

Cross-cultural validation and psychometric evaluation of the Dutch language version of the Children’s Assessment of Participation and Enjoyment (CAPE) in children with and without physical disabilities  

Microsoft Academic Search

Objective: To assess construct validity, test—retest reliability and inter-interviewer reliability of the intensity dimension of the Children’s Assessment of Participation and Enjoyment (CAPE) for children with and without physical disabilities in the Netherlands.Subjects: In total, 232 children aged 6—18 years (110 male, 122 female) participated. Seventy-four children with various physical disabilities and 158 without a disability.Design: Participants completed the CAPE

MK Bult; O. Verschuren; JW Gorter; MJ Jongmans; B. Piškur; M. Ketelaar

2010-01-01

408

Implementing disability evaluation and welfare services based on the framework of the international classification of functioning, disability and health: experiences in Taiwan  

PubMed Central

Background Before 2007, the disability evaluation was based on the medical model in Taiwan. According to the People with Disabilities Rights Protection Act, from 2012 the assessment of a person’s eligibility for disability benefits has to be determined based on the International Classification of Functioning, Disability, and Health (ICF) framework nationwide. The purposes of this study were to: 1) design the evaluation tools for disability eligibility system based on the ICF/ICF-Children and Youth; 2) compare the differences of grades of disability between the old and new evaluation systems; 3) analyse the outcome of the new disability evaluation system. Methods To develop evaluation tools and procedure for disability determination, we formed an implementation taskforce, including 199 professional experts, and conducted a small-scale field trial to examine the feasibility of evaluation tools in Phase I. To refine the evaluation tools and process and to compare the difference of the grades of disability between new and old systems, 7,329 persons with disabilities were randomly recruited in a national population-based study in Phase II. To implement the new system smoothly and understand the impact of the new system, the collaboration mechanism was established and data of 168,052 persons who applied for the disability benefits was extracted from the information system and analysed in Phase III. Results The measures of the 43 categories for body function/structure components, the Functioning Scale of Disability Evaluation System for activities/participation components, and the needs assessment have been developed and used in the field after several revisions. In Phase II, there was 49.7% agreement of disability grades between the old and new systems. In Phase III, 110,667 persons with a disability received their welfare services through the new system. Among them, 77% received basic social welfare support, 89% financial support, 24% allowance for assistive technology, 7% caregiver support, 8% nursing care and rehabilitation services at home, and 47% were issued parking permits for persons with disability. Conclusion This study demonstrated that disability evaluation system based on the ICF could provide a common language between disability assessment, needs assessment and welfare services. However, the proposed assessment protocol and tools require additional testing and validation. PMID:24125482

2013-01-01

409

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

... (2) Compensated Work Therapy . With respect...alleging disability or death due to compensated work therapy, this section...additional disability or death due to training and rehabilitation...services or compensated work therapy program must...

2014-07-01

410

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

PubMed Central

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

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

2014-01-01

411

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

PubMed Central

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

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

2014-01-01

412

[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

413

Introduction to the special issue on personality assessment in medical settings.  

PubMed

This special issue of the Journal of Personality Assessment brings together 3 review articles and 5 research studies on personality assessment in medical settings that should help clinicians become more familiar with the current status of this field. In 1 review article, Sirri, Fabbri, Fava, and Sonino (2007/this issue) summarize evidence of a new approach to the assessment of psychological syndromes in somatizing patients based on the Diagnostic Criteria for Psychosomatic Research (Fava et al., 1995). The other reviews focus on 2 personality constructs widely used in investigations with medical patients. Kupper and Denollet (2007/this issue) review the Type D personality, whereas Lumley, Neely, and Burger (2007/this issue) provide an overview of alexithymia. Of the research articles, 2 also focus on alexithymia, specifically on the factor structure of the 20-item Toronto Alexithymia Scale (Bagby, Parker, & Taylor, 1994), which is the best-validated and most commonly used measure of alexithymia (Bagby, Taylor, Quilty, & Parker, 2007/this issue; Gignac, Palmer, & Stough, 2007/this issue). The other 3 research studies examine the relationship between specific personality dimensions (behavioral problems relevant to medicine, resiliency, and interpersonal sensitivity) and medical outcomes (adherence to treatment, coping with injury, and postsurgical sexual functioning) from medical samples of patients with HIV, spinal cord injury, and prostate carcinoma (Berry, Elliott, & Rivera, 2007/this issue; Cruess, Meagher, Antoni, & Millon, 2007/this issue; Siegel et al., 2007/this issue). Each article touches on the role person variables can play in the expression of medical problems. PMID:18001222

Porcelli, Piero; McGrath, Robert E

2007-12-01

414

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. PMID:22140353

Savulescu, Julian; Kahane, Guy

2011-01-01

415

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

Code of Federal Regulations, 2012 CFR

...account of— (1) Sickness or accident disability...expenses in connection with sickness or accident disability...dependents, or (3) Death of an employee or any...payment on account of sickness or accident disability...period of absence from work. (4) If an...

2012-04-01

416

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

Code of Federal Regulations, 2010 CFR

...account of— (1) Sickness or accident disability...expenses in connection with sickness or accident disability...dependents, or (3) Death of an employee or any...payment on account of sickness or accident disability...period of absence from work. (4) If an...

2010-04-01

417

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

Code of Federal Regulations, 2013 CFR

...account of— (1) Sickness or accident disability...expenses in connection with sickness or accident disability...dependents, or (3) Death of an employee or any...payment on account of sickness or accident disability...period of absence from work. (4) If an...

2013-04-01

418

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

Code of Federal Regulations, 2011 CFR

...account of— (1) Sickness or accident disability...expenses in connection with sickness or accident disability...dependents, or (3) Death of an employee or any...payment on account of sickness or accident disability...period of absence from work. (4) If an...

2011-04-01

419

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

...account of— (1) Sickness or accident disability...expenses in connection with sickness or accident disability...dependents, or (3) Death of an employee or any...payment on account of sickness or accident disability...period of absence from work. (4) If an...

2014-04-01

420

mHealth and Mobile Medical Apps: A Framework to Assess Risk and Promote Safer Use  

PubMed Central

The use of mobile medical apps by clinicians and others has grown considerably since the introduction of mobile phones. Medical apps offer clinicians the ability to access medical knowledge and patient data at the point of care, but several studies have highlighted apps that could compromise patient safety and are potentially dangerous. This article identifies a range of different kinds of risks that medical apps can contribute to and important contextual variables that can modify these risks. We have also developed a simple generic risk framework that app users, developers, and other stakeholders can use to assess the likely risks posed by a specific app in a specific context. This should help app commissioners, developers, and users to manage risks and improve patient safety. PMID:25223398

2014-01-01

421

mHealth and mobile medical Apps: a framework to assess risk and promote safer use.  

PubMed

The use of mobile medical apps by clinicians and others has grown considerably since the introduction of mobile phones. Medical apps offer clinicians the ability to access medical knowledge and patient data at the point of care, but several studies have highlighted apps that could compromise patient safety and are potentially dangerous. This article identifies a range of different kinds of risks that medical apps can contribute to and important contextual variables that can modify these risks. We have also developed a simple generic risk framework that app users, developers, and other stakeholders can use to assess the likely risks posed by a specific app in a specific context. This should help app commissioners, developers, and users to manage risks and improve patient safety. PMID:25223398

Lewis, Thomas Lorchan; Wyatt, Jeremy C

2014-01-01

422

[The assessment of conscripts' satisfaction of the organization of medical services during training for military service].  

PubMed

The actuality of presented study results is conditioned by the Russian public health system reforms directed to enhance the accessibility and quality of primary and specialized medical care of all population groups. First of all it concerns adolescents aged 15-18 years. They are in a difficult period of their life which is characterized by the important physical and psychological changes and significant alterations in social interactions and relationships. The present system of medical care quality assessment includes the analysis of statistical reporting indicators and external and internal expertise. The analysis of satisfaction of patients as direct consumers of medical services is applied more rarely. At the same time, some researchers emphasized the presence and evidence of correlation between population satisfaction of provided medical care, medical personnel's attitude to patients and other indicators characterizing the quality of medical care and life of patients. At the same time, the activity of adolescents in the area of health promotion and self-preserving behavior depends on the degree of their satisfaction with medical care quality. PMID:22279804

2011-01-01

423

Assessing horizontal equity in medication treatment among elderly Mexicans: which socioeconomic determinants matter most?  

PubMed

Many low- and middle-income countries are currently undergoing a dramatic epidemiological transition, with an increasing disease burden due to degenerative noncommunicable diseases. Inexpensive medication treatment often represents a cost-effective means to prevent, control or cure many of these health conditions. Using micro-data from the 2001 Mexican Health and Aging Study, we assess horizontal inequity in medication treatment among older Mexicans before the introduction of Popular Health Insurance in Mexico. In doing so, we investigate the role of various dimensions of socioeconomic status for obtaining indicated medication treatment within a comparatively fragmented health-care system that features relatively high out-of-pocket expenditures. Our empirical analysis suggests health insurance coverage as a key socioeconomic determinant of indicated medication use with large and statistically significant positive effects on take-up. The effects of insurance status thereby clearly dominate any other possible effects of socioeconomic status on medication treatment. Our results thus highlight the importance of access to reliable health care and comprehensive coverage for rational medication use in the management of degenerative diseases. In light of this evidence, we expect that recent Mexican health-care reforms, which expand health insurance coverage to the previously uninsured population, will alleviate socioeconomic gradients in medication treatment among older people in need. PMID:18074405

Maurer, Jürgen

2008-10-01

424

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

425

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

426

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

427

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

428

A Needs Assessment of the Medical Laboratory Technology Students at New York City Technical College.  

ERIC Educational Resources Information Center

A study examined the needs of medical laboratory technology students at New York City Technical College. The nominal group technique (which involves silent generation of ideas in writing, round-robin feedback, and individual voting on priority ideas) was used to assess the academic and personal needs of 20 students. The following seven significant…

Selvadurai, Ranjani

429

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

430

Assessing and Managing Caregiver Stress: Development of a Teaching Tool for Medical Residents  

ERIC Educational Resources Information Center

Forty medical residents from major teaching hospitals in Boston, Massachusetts, participated in small group teaching sessions about caregiver stress. A teaching tool was developed that included a teaching handout, interactive cases, standard instruments for assessing caregiver stress, peer-reviewed articles about caregiving, and a list of…

Famakinwa, Abisola; Fabiny, Anne

2008-01-01

431

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

432

COCOA: A New Validated Instrument to Assess Medical Students' Attitudes towards Older Adults  

ERIC Educational Resources Information Center

This study tested the reliability and validity of the Carolina Opinions on Care of Older Adults (COCOA) survey compared with the Geriatric Assessment Survey (GAS). Participants were first year medical students (n = 160). A Linear Structural Relations (LISREL) measurement model for COCOA had a moderately strong fit that was significantly better…

Hollar, David; Roberts, Ellen; Busby-Whitehead, Jan

2011-01-01

433

Linkping University Medical Dissertations No. 1351 Non-Invasive Assessment of Liver  

E-print Network

Linköping University Medical Dissertations No. 1351 Non-Invasive Assessment of Liver Fibrosis in patients with diffuse - or suspected diffuse - liver disease by applying two non-invasive quantitative MR techniqlles and to compare the results with histo pathological findings, with focus on liver fibrosis

Zhao, Yuxiao

434

OPTIONAL FORM: Documenting Disability Disability Resource Center  

E-print Network

a diagnosis, rule out emotional, attention, or motivational problems that might interfere with academic to support requested accommodations. The information you provide will become part of the student the student in an academic setting. 5. If this student is taking medications(s) for his or her disability

Fay, Noah

435

Examining the Tension between Academic Standards and Inclusion for Disabled Students: The Impact on Marking of Individual Academics' Frameworks for Assessment  

ERIC Educational Resources Information Center

This article draws on developing theory regarding assessment and marking to explore the impact of staff values regarding widening participation on grading decisions. It reports on an innovative creative arts module delivered for students with complex disabilities. Data collection included observation of teaching, interviews with staff, students…

Ashworth, Mary; Bloxham, Sue; Pearce, Leonie

2010-01-01

436

Test and Measurement Expert Opinions: A Dialogue about Testing Students with Disabilities Out of Level in Large-Scale Assessments. Out-of-Level Testing Report.  

ERIC Educational Resources Information Center

Two focus groups of test and measurement experts were held to explore the use of out-of-level testing for students with disabilities. The participants (n=17) included state and federal level assessment personnel, test company employees, and university professors. A content analysis of the narrative results indicated that there was no clear…

Minnema, Jane; Thurlow, Martha; Bielinski, John

437

Quality of Life Measurement in the Field of Intellectual Disabilities: Eight Principles for Assessing Quality of Life-Related Personal Outcomes  

ERIC Educational Resources Information Center

As the concept of quality of life (QOL) has evolved from a theoretical concept to both a measurable construct and an action-oriented change agent in the field of intellectual disabilities, there has emerged a corresponding need to develop, implement, and use a systematic approach to the assessment of domain-referenced quality of life outcomes. The…

Claes, Claudia; Van Hove, Geert; van Loon, Jos; Vandevelde, Stijn; Schalock, Robert L.

2010-01-01

438

Policy and Practice: Knowledge and Beliefs of Education Professionals Related to the Inclusion of Students with Disabilities in a State Assessment  

ERIC Educational Resources Information Center

Questions related to the inclusion of students with disabilities in the Oregon statewide assessment program were sent to 1,201 special education teachers and 625 principals representing Grades K-12. Teachers and principals responded positively to questions probing their knowledge of statewide policy and their understanding of how to acquire…

Crawford, Lindy; Tindal, Gerald

2006-01-01

439

Science Assessments for Students with Disabilities in School Year 2006-2007: What We Know about Participation, Performance, and Accommodations. Synthesis Report 77  

ERIC Educational Resources Information Center

The success of all students, including students with disabilities, on statewide assessments in mathematics and reading/English language arts has been examined closely. This is due, in part, to the role of these content areas in school accountability for the Elementary and Secondary Education Act (ESEA) known as "No Child Left Behind" (NCLB).…

Thurlow, Martha; Rogers, Christopher; Christensen, Laurene

2010-01-01

440

Should We Refer for a Dementia Assessment? A Checklist to Help Know when to Be Concerned about Dementia in Adults with Down Syndrome and Other Intellectual Disabilities  

ERIC Educational Resources Information Center

The aim of this research was to develop a simple screening checklist to help carers and professionals know when to make a referral for a dementia assessment. A checklist was completed for all new referrals to a dementia service for people with intellectual disabilities. The obtained scores were compared to the diagnostic outcome of a comprehensive…

Whitwham, Sarah; McBrien, Judith; Broom, Wendy

2011-01-01

441

Accommodations Manual: How to Select, Administer, and Evaluate Use of Accommodations for Instruction and Assessment of Students with Disabilities. Third Edition  

ERIC Educational Resources Information Center

The Council of Chief State School Officers' "Accommodations Manual: How to Select, Administer, and Evaluate the Use of Accommodations for Instruction and Assessment of Students with Disabilities" was first developed to establish guidelines for states to use for the selection, administration, and evaluation of accommodations for…

Christensen, L.; Carver, W.; VanDeZande, J.; Lazarus, S.

2011-01-01

442

The Life Satisfaction Matrix: An Instrument and Procedure for Assessing the Subjective Quality of Life of Individuals with Profound Multiple Disabilities  

ERIC Educational Resources Information Center

Background: Assessing and measuring subjective quality of life (QOL) for individuals with profound multiple disabilities (PMD) remain amongst the most difficult challenges for theorists and practitioners in the field. The usual approaches using proxy reporting by familiar others have been demonstrated to be of questionable reliability and validity…

Lyons, G.

2005-01-01

443

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

ERIC Educational Resources Information Center

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

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

2014-01-01

444

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

ERIC Educational Resources Information Center

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

Copley, Jodie; Ziviani, Jenny

2007-01-01

445

Exploring Factors that Affect the Accessibility of Reading Comprehension Assessments for Students with Disabilities: A Study of Segmented Text. CRESST Report 746  

ERIC Educational Resources Information Center

This study sought to explore factors that affect the accessibility of reading comprehension assessments for students with disabilities. The study consisted of testing students using reading comprehension passages that were broken down into shorter "segments" or "chunks." The results of the segmenting study indicated that: (a) segmenting did not…

Abedi, Jamal; Kao, Jenny C.; Leon, Seth; Sullivan, Lisa; Herman, Joan L.; Pope, Rita; Nambiar, Veena; Mastergeorge, Ann M.

2008-01-01

446

Improving undergraduate medical education about pain assessment and management: A qualitative descriptive study of stakeholders' perceptions  

PubMed Central

BACKGROUND Pain is one of the most common reasons for individuals to seek medical advice, yet it remains poorly managed. One of the main reasons that poor pain management persists is the lack of adequate knowledge and skills of practicing clinicians, which stems from a perceived lack of pain education during the training of undergraduate medical students. OBJECTIVE: To identify gaps in knowledge with respect to pain management as perceived by students, patients and educators. METHODS: A qualitative descriptive study was conducted. Data were generated through six focus groups with second- and fourth-year medical students, four focus groups with patients and individual semistructured interviews with nine educators. All interviews were audiotaped and an inductive thematic analysis was performed. RESULTS: A total of 70 individuals participated in the present study. Five main themes were identified: assessment of physical and psychosocial aspects of pain; clinical management of pain with pharmacology and alternative therapies; communication and the development of a good therapeutic relationship; ethical considerations surrounding pain; and institutional context of medical education about pain. CONCLUSION: Participating patients, students and pain experts recognized a need for additional medical education about pain assessment and management. Educational approaches need to teach students to gather appropriate information about pain, to acquire knowledge of a broad spectrum of therapeutic options, to develop a mutual, trusting relationship with patients and to become aware of their own biases and prejudice toward patients with pain. The results of the present study should be used to develop and enhance existing pain curricula content. PMID:23985579

Tellier, Pierre-Paul; Belanger, Emmanuelle; Rodriguez, Charo; Ware, Mark A; Posel, Nancy

2013-01-01

447

Development and evaluation of an instrument to assess medical students' cultural attitudes.  

PubMed

This paper describes the development and psychometric evaluation of an instrument designed to assess medical students' comfort with a range of sociocultural issues and intercultural experiences. Each survey item obliged students to reflect on their own sociocultural identities and academic status in relation to others', and to judge how comfortable they would be interacting across perceived boundaries based on sociocultural identity and academic status. More than 90% of University of Michigan first-year medical students (n=153) completed the survey just before classes began. Principal components analysis of the survey's 26 items identified 7 interpretable factors or subscales; the Cronbach alpha reliability coefficients for the 7 subscales and the total scale ranged from .73 to .92. T-tests were used to investigate differences in average ratings among student subgroups (based on gender and ethnicity). To assess the magnitude of the effect of the differences between groups, effect size was computed for each of the means comparisons. Psychometric analyses indicated that this survey was both reliable and valid for assessing students' cultural attitudes. Further, analyses by gender and ethnic subgroup identified meaningful ratings differences in men's and women's reported comfort levels. Our findings suggest that this instrument is useful for assessing students' openness to developing cultural awareness and competence. Educators at other medical schools may find this instrument useful as a needs assessment tool for planning educational programs designed to increase students' cultural competence. PMID:17598290

Robins, L S; Alexander, G L; Wolf, F M; Fantone, J C; Davis, W K

1998-01-01

448

Maximizing the Effectiveness of Online Accountability Assessments for Students with Disabilities. Policy Briefs  

ERIC Educational Resources Information Center

Online assessment promises a faster and more useful return of data about student performance in states accountability assessments. The prospect of gaining quick access to such information is alluring, and many states are creating new assessments for an online environment in order to obtain it. This period of retooling presents a significant…

Axelson, Mary

2005-01-01

449

A Model of the Pre-Assessment Learning Effects of Summative Assessment in Medical Education  

ERIC Educational Resources Information Center

It has become axiomatic that assessment impacts powerfully on student learning. However, surprisingly little research has been published emanating from authentic higher education settings about the nature and mechanism of the pre-assessment learning effects of summative assessment. Less still emanates from health sciences education settings. This…

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

2012-01-01

450

The Assessment of Undergraduate Medical Students' Satisfaction Levels With the Objective Structured Clinical Examination  

PubMed Central

Background: The objective structured clinical examination (OSCE) has been introduced as an efficient method for the assessment of medical students. Objectives: The aim of the present study was to determine the satisfaction level of undergraduate medical students of internal medicine department with the OSCE. Materials and Methods: This was a descriptive cross-sectional study, performed on all available undergraduate students at the end of their internal medicine training period in Mashhad University of Medical Sciences. The students responded to 15 multiple-choice questions with confirmed validity and reliability. Results: The majority of the students (94.5%) had a positive attitude toward the OSCE and mentioned that the OSCE format was a more appropriate type of exam than other methods of testing; however, 79.1% thought that the OSCE format was stressful. In addition, the participants’ sex had no effect on their level of satisfaction with the examination. Likewise, there was no significant correlation between their level of satisfaction and their age, marital status, or lack of previous experience with this type of exam. Conclusions: If the exam standards are met and a uniform dispersion of the scientific content is maintained, the OSCE method of assessment can be recommended as an efficient and applicable method for assessing medical students.

Khosravi Khorashad, Ahmad; Salari, Somayyeh; Baharvahdat, Humain; Hejazi, Sepideh; Lari, Shiva M; Salari, Maasoomeh; Mazloomi, Maryam; Lari, Shahrzad M

2014-01-01

451

[International medical graduates in Dutch health care: the new assessment procedure].  

PubMed

On December 1, 2005 in the Netherlands, a new procedure was introduced to assess international medical graduates (IMGs) with a diploma acquired outside the European Economic Area (EEA). This procedure includes (a) general tests on the active and passive use of Dutch medical language, English reading proficiency, basic IT skills and knowledge of the Dutch health care system, and (b) a specific set of tests of medical competence, including knowledge of basic sciences, clinical knowledge and clinical skills. IMGs who wish to get their diploma acknowledged and be registered as a physician are required to complete this assessment. With the introduction of this procedure, the Netherlands have joined a minority of countries inside and outside Europe with setting high standards for intake procedures. It is advocated that all European countries should devise such procedures, as a European Directive (2005/36/EC) on the recognition of professional qualifications prohibits the assessment of medical graduates with a diploma that is recognised in another EEA country. PMID:18512533

ten Cate, T J; Kooij, L R

2008-04-12

452

The medical assessment of bruising in suspected child maltreatment cases: A clinical perspective  

PubMed Central

Bruises commonly occur in children and are most often the result of a minor accidental injury. However, bruises can also signal an underlying medical illness or an inflicted injury (maltreatment). Although bruising is the most common manifestation of child physical maltreatment, knowing when to be concerned about maltreatment and how to assess bruises in this context can be challenging for clinicians. Based on current literature and published recommendations, this practice point will help clinicians to distinguish between accidental and inflicted bruises, to evaluate and manage bruising in the context of suspected child maltreatment, and to evaluate for an underlying medical predisposition to bruising. PMID:24426797

Ward, Michelle GK; Ornstein, Amy; Niec, Anne; Murray, C Louise

2013-01-01

453

First-year medical students’ assessment of their own communication skills: A video-based, open-ended approach  

Microsoft Academic Search

ObjectiveInterpersonal and communication skills are a core area of competency for medical students, residents, and practicing physicians. As reflection and self-assessment are essential components of skill-building, we examined the content of medical students’ assessments of their own developing communication skills.

Amanda Zick; Michael Granieri; Gregory Makoul

2007-01-01

454

Efficient Assessment of Social Problem-Solving Abilities in Medical and Rehabilitation Settings: A Rasch Analysis of the Social Problem-Solving Inventory-Revised  

PubMed Central

The Social Problem Solving Inventory-Revised Scale (SPSI-R) has been shown to be a reliable and valid self-report measure of social problem-solving abilities. In busy medical and rehabilitation settings, a brief and efficient screening version with psychometric properties similar to the SPSI-R would have numerous benefits including decreased patient and caregiver assessment burden and administration/scoring time. Thus, the aim of the current study was to identify items from the SPSI-R that would provide for a more efficient assessment of global social problem-solving abilities. This study consisted of three independent samples: 121 persons in low-vision rehabilitation (M age = 71 years old, SD = 15.53), 301 persons living with diabetes mellitus (M age = 58, and SD = 14.85), and 131 family caregivers of persons with severe disabilities (M age = 56 years old, SD = 12.15). All persons completed a version of the SPSI-R, Center for Epidemiological Studies Depression Scale (CES-D), and the Satisfaction with Life Scale (SWLS). Using Rasch scaling of the SPSI-R short-form, we identified a subset of 10 items that reflected the five-component model of social problem solving. The 10 items were separately validated on the sample of persons living with diabetes mellitus and the sample of family caregivers of persons with severe disabilities. Results indicate that the efficient 10-item version, analyzed separately for all three samples, demonstrated good reliability and validity characteristics similar to the established SPSI-R short form. The 10-item version of the SPSI-R represents a brief, effective way in which clinicians and researchers in busy health care settings can quickly assess global problem-solving abilities and identify those persons at-risk for complicated adjustment. Implications for the assessment of social problem-solving abilities are discussed. PMID:19267395

Dreer, Laura E.; Berry, Jack; Rivera, Patricia; Snow, Marsha; Elliott, Timothy R.; Miller, Doreen; Little, Todd D.

2009-01-01

455

Assessing organisational development in primary medical care using a group based assessment: the Maturity MatrixTM  

PubMed Central

Objective: To design and develop an instrument to assess the degree of organisational development achieved in primary medical care organisations. Design: An iterative development, feasibility and validation study of an organisational assessment instrument. Setting: Primary medical care organisations. Participants: Primary care teams and external facilitators. Main outcome measures: Responses to an evaluation questionnaire, qualitative process feedback, hypothesis testing, and quantitative psychometric analysis (face and construct validity) of the results of a Maturity MatrixTM assessment in 55 primary medical care organisations. Results: Evaluations by 390 participants revealed high face validity with respect to its usefulness as a review and planning tool at the practice level. Feedback from facilitators suggests that it helped practices to prioritise their organisational development. With respect to construct validity, there was some support for the hypothesis that training and non-training status affected the degree and pattern of organisational development. The size of the organisation did not have a significant impact on the degree of organisational development. Conclusion: This practice based facilitated group evaluation method was found to be both useful and enjoyable by the participating organisations. Psychometric validation revealed high face validity. Further developments are in place to ensure acceptability for summative work (benchmarking) and formative feedback processes (quality improvement). PMID:15289632

Elwyn, G; Rhydderch, M; Edwards, A; Hutchings, H; Marshall, M; Myres, P; Grol, R

2004-01-01

456

Description of the person-environment interaction: methodological issues and empirical results of an Italian large-scale disability assessment study using an ICF-based protocol  

Microsoft Academic Search

Background  There is a connection between the definition of disability in a person-environment framework, the development of appropriate\\u000a assessment strategies and instruments, and the logic underpinning the organization of benefits and services to confront disability.\\u000a \\u000a \\u000a \\u000a \\u000a Methods  The Italian Ministry of Health and Ministry of Labor and Social Policies supported a three-year project for the definition\\u000a of a common framework and a standardised

Carlo Francescutti; Francesco Gongolo; Andrea Simoncello; Lucilla Frattura

2011-01-01

457

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

PubMed Central

It has become axiomatic that assessment impacts powerfully on student learning, but there is a surprising dearth of research on how. This study explored the mechanism of impact of summative assessment on the process of learning of theory in higher education. Individual, in-depth interviews were conducted with medical students and analyzed qualitatively. The impact of assessment on learning was mediated through various determinants of action. Respondents’ learning behaviour was influenced by: appraising the impact of assessment; appraising their learning response; their perceptions of agency; and contextual factors. This study adds to scant extant evidence and proposes a mechanism to explain this impact. It should help enhance the use of assessment as a tool to augment learning. PMID:20455078

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

2010-01-01

458

Development and validation of the ACE tool: assessing medical trainees' competency in evidence based medicine  

PubMed Central

Background While a variety of instruments have been developed to assess knowledge and skills in evidence based medicine (EBM), few assess all aspects of EBM - including knowledge, skills attitudes and behaviour - or have been psychometrically evaluated. The aim of this study was to develop and validate an instrument that evaluates medical trainees’ competency in EBM across knowledge, skills and attitude. Methods The ‘Assessing Competency in EBM’ (ACE) tool was developed by the authors, with content and face validity assessed by expert opinion. A cross-sectional sample of 342 medical trainees representing ‘novice’, ‘intermediate’ and ‘advanced’ EBM trainees were recruited to complete the ACE tool. Construct validity, item difficulty, internal reliability and item discrimination were analysed. Results We recruited 98 EBM-novice, 108 EBM-intermediate and 136 EBM-advanced participants. A statistically significant difference in the total ACE score was observed and corresponded to the level of training: on a 0-15-point test, the mean ACE scores were 8.6 for EBM-novice; 9.5 for EBM-intermediate; and 10.4 for EBM-advanced (p?assess medical trainees’ competency in EBM. The ACE tool provides a novel assessment that measures user performance across the four main steps of EBM. To provide a complete suite of instruments to assess EBM competency across various patient scenarios, future refinement of the ACE instrument should include further scenarios across harm, diagnosis and prognosis. PMID:24909434

2014-01-01

459

The work environment disability-adjusted life year for use with life cycle assessment: a methodological approach  

PubMed Central

Background Life cycle assessment (LCA) is a systems-based method used to determine potential impacts to the environment associated with a product throughout its life cycle. Conclusions from LCA studies can be applied to support decisions regarding product design or public policy, therefore, all relevant inputs (e.g., raw materials, energy) and outputs (e.g., emissions, waste) to the product system should be evaluated to estimate impacts. Currently, work-related impacts are not routinely considered in LCA. The objectives of this paper are: 1) introduce the work environment disability-adjusted life year (WE-DALY), one portion of a characterization factor used to express the magnitude of impacts to human health attributable to work-related exposures to workplace hazards; 2) outline the methods for calculating the WE-DALY; 3) demonstrate the calculation; and 4) highlight strengths and weaknesses of the methodological approach. Methods The concept of the WE-DALY and the methodological approach to its calculation is grounded in the World Health Organization’s disability-adjusted life year (DALY). Like the DALY, the WE-DALY equation considers the years of life lost due to premature mortality and the years of life lived with disability outcomes to estimate the total number of years of healthy life lost in a population. The equation requires input in the form of the number of fatal and nonfatal injuries and illnesses that occur in the industries relevant to the product system evaluated in the LCA study, the age of the worker at the time of the fatal or nonfatal injury or illness, the severity of the injury or illness, and the duration of time lived with the outcomes of the injury or illness. Results The methodological approach for the WE-DALY requires data from various sources, multi-step instructions to determine each variable used in the WE-DALY equation, and assumptions based on professional opinion. Conclusions Results support the use of the WE-DALY in a characterization factor in LCA. Integrating occupational health into LCA studies will provide opportunities to prevent shifting of impacts between the work environment and the environment external to the workplace and co-optimize human health, to include worker health, and environmental health. PMID:23497039

2013-01-01

460

A Survey of Student Assessment in U.S. Medical Schools: The Balance of Breadth versus Fidelity.  

ERIC Educational Resources Information Center

Surveyed U.S. medical schools to determine the extent to which student assessments have broadened beyond multiple-choice question (MCQ) examinations and preceptor ratings. Found that a variety of competency assessments currently are used; MCQs remain a core assessment method. Year 3 had the greatest breadth of assessment strategies. (EV)

Mavis, Brian E.; Cole, Bridget L.; Hoppe, Ruth B.

2001-01-01

461

Accommodations for English Language Learners with Disabilities in Federally-Mandated Statewide English Language Proficiency Assessments  

ERIC Educational Resources Information Center

The purpose of this research study was to conduct exploratory research to examine federally-mandated annual English language proficiency (ELP) assessment of English language learners (ELLs) and their use of accommodations on the assessment. First the researcher provides a review of the literature regarding accommodations provided for ELLs,…

Kuti, Laura M.

2011-01-01

462

Applying Technology to Enhance STEM Achievement for Students with Disabilities: The Blending Assessment with Instruction Program  

ERIC Educational Resources Information Center

This article discusses the theoretical framework, instructional design, formative assessment results, capacity for national distribution, and generalization of the Blending Assessment with Instruction Program (BAIP) model to other content areas such as science. The BAIP, developed and validated at the University of Kansas, employs technology to…

Meyen, Edward L.; Greer, Diana L.

2010-01-01

463

Dealing with Flexibility in Assessments for Students with Significant Cognitive Disabilities. Synthesis Report 60  

ERIC Educational Resources Information Center

Dealing with flexibility--or its converse, the extent of standardization--is fundamental to alignment, assessment design, and interpretation of results in fully inclusive assessment systems. Highly standardized tests make it easier to compare (performances, students, and schools) across time and to common standards because certain conditions are…

Gong, Brian; Marion, Scott

2006-01-01

464

Recognizing Attention Deficit/Hyperactivity Disorder (ADHD): Defining and Assessing the Disability.  

ERIC Educational Resources Information Center

This overview of recent developments in redefining attention deficit/hyperactivity disorder summarizes articles about assessment instruments and procedures and identifies important issues, including the construct of hyperactivity as it relates to attention, classification systems, and the lack of technical adequacy of many assessment instruments…

Spenciner, Loraine J.; Cohen, Libby G.

1995-01-01

465

Transition Assessment and Planning for Youth with Severe Intellectual and Developmental Disabilities  

ERIC Educational Resources Information Center

Although federal law now mandates age-appropriate transition assessment as a key component of high-quality transition planning, little research exists to guide educators on what they might learn when undertaking this process. In this study, the authors examined teacher and parent assessments of the transition-related strengths and needs of 134…

Carter, Erik W.; Brock, Matthew E.; Trainor, Audrey A.

2014-01-01

466

Assessing the attitudes, knowledge and perspectives of medical students to chiropractic  

PubMed Central

Objective: To assess second-year medical students’ views on chiropractic. Methods: A three-step triangulation approach was designed, comprising a 53-item survey, nine key informant interviews and one focus group of 8 subjects. ANOVA was used to assess attitude-response survey totals over grouping variables. Constant comparison method and NVivo was used for thematic analysis. Results: 112 medical students completed the survey (50% response rate). Subjects reporting no previous chiropractic experience/exposure or interest in learning about chiropractic were significantly more attitude-negative towards chiropractic. Thematically, medical students viewed chiropractic as an increasingly evidence-based complementary therapy for low back/chronic pain, but based views on indirect sources. Within formal curriculum, they wanted to learn about clinical conditions and benefits/risks related to treatment, as greater understanding was needed for future patient referrals. Conclusion: The results highlight the importance of exposure to chiropractic within the formal medical curriculum to help foster future collaboration between these two professions. PMID:23482682

Wong, Jessica J.; Di Loreto, Luciano; Kara, Alim; Yu, Kavan; Mattia, Alicia; Soave, David; Weyman, Karen; Kopansky-Giles, Deborah

2013-01-01

467

Tool used to assess how well community health centers function as medical homes may be flawed.  

PubMed

The patient-centered medical home model holds the potential for reducing disease complications and improving health, and the federal government is now promoting the adoption of the model within federally qualified community health centers. In a group of Los Angeles community health centers, we found that all would have qualified as patient-centered medical homes under a widely used assessment tool developed by the National Committee for Quality Assurance and endorsed by the federal government for the community health center program. However, we also found that there was no significant relationship between how well these centers performed on the assessment and whether they achieved a range of process or outcome measures for diabetes care. These findings suggest that the federal government is promoting medical home redesign that may not be sensitive to, or inclusive of, services that will actually improve diabetes care for low-income patients. Therefore, additional methods are required for measuring and improving the capabilities of community health centers to function as medical homes and to deliver the scope of services that impoverished patients genuinely need. PMID:22345663

Clarke, Robin M A; Tseng, Chi-hong; Brook, Robert H; Brown, Arleen F

2012-03-01

468

Cardiac risk assessment before the use of stimulant medications in children and youth.  

PubMed

Regulatory decisions and scientific statements regarding the management of attention-deficit hyperactivity disorder (ADHD) raise questions about the safety of medications and the appropriate pretreatment evaluation to determine suitability for treatment with medication. This is particularly true in the setting of known structural or functional heart disease. The present paper reviews the available data, including peer-reviewed literature, data from the United States Food and Drug Administration Web site on reported adverse reactions in children using stimulant medication, and Health Canada data on the same problem. A consensus-based guideline on appropriate assessment is provided, based on input from members of the Canadian Paediatric Society, the Canadian Cardiovascular Society and the Canadian Academy of Child and Adolescent Psychiatry, with specific expertise and knowledge in the areas of both ADHD and paediatric cardiology. The present statement advocates a thorough history and physical examination before starting stimulant medications, with an emphasis on the identification of risk factors for sudden death, but does not routinely recommend electrocardiographic screening or cardiac sub-specialist consultation unless indicated by history or physical examination findings. A checklist for identifying children who are potentially at risk of sudden death (independent of ADHD or medications used to treat it) is provided. Although recommendations are based on the best evidence currently available, the committee further agrees that more research on this subject is necessary to optimize the approach to this common clinical scenario. PMID:21037835

Bélanger, S A; Warren, A E; Hamilton, R M; Gray, C; Gow, R M; Sanatani, S; Côté, J M; Frcpc, J Lougheed; Leblanc, J; Martin, S; Miles, B; Mitchell, C; Gorman, D A; Weiss, M; Schachar, R

2009-11-01

469

Dyslexia: Problems of Reading Disabilities.  

ERIC Educational Resources Information Center

The purpose of this book is to provide an understanding of both the educational and medical aspects of reading and to show how they are interrelated in reading disabilities. The various aspects of reading disabilities are presented in the following chapters: Introduction to the Reading Problem; Early Predictive Studies; Psychological Evaluation;…

Goldberg, Herman K.; Schiffman, Gilbert B.

470

Cancer risk assessment on trihalomethanes and haloacetic acids in drinking water of China using disability-adjusted life years.  

PubMed

The cancer risks from exposure to trihalomethanes (THMs) and haloacetic acids (HAAs) through multiple pathways were assessed based on the result of a water quality survey in 35 major cities of China. To express the risks in disability-adjusted life years (DALYs), the excess cancer incidence estimates were combined with a two-stage disease model for calculation. The median total cancer risk of THMs and HAAs was calculated as 7.34×10(-7) DALYs per person-year (ppy), lower than the reference level of risk (10(-6)DALYsppy) set by WHO. The risk from ingestion and inhalation exposures contributed 93.6% and 6.3% of the total risk respectively, while dermal contact made a negligible contribution. The median risk of trichloroacetic acid (TCAA) (2.12×10(-7)DALYsppy) was highest among the disinfection by-products (DBPs) considered. The risk ratio of total HAAs (THAA) to total THMs (TTHM) was 1.12. The risk was highest in northeast China while lowest in northwest China. As for the 35 cities, Tianjin had the highest risk while Yinchuan had the lowest. This study attempted to use DALYs for the risk assessment of DBPs, which will provide useful information for risk comparison and prioritization of hazards in drinking water. PMID:25171513

Pan, Shenling; An, Wei; Li, Hongyan; Su, Ming; Zhang, Jinliang; Yang, Min

2014-09-15

471

Assessing Nonverbal Same/Different Judgments of Auditory Stimuli in Individuals with Intellectual Disabilities: A Methodological Investigation  

PubMed Central

This methodological paper reports an initial attempt to evaluate the feasibility and utility of a nonverbal task for assessing generalized same/different judgments of auditory stimuli in individuals who have intellectual disabilities. Study 1 asked whether participants could readily acquire a baseline of auditory same/different, go-left/go-right performance with minimal prompting. Sample stimuli consisted of pairs of successively presented sine-wave tones. If the tones were identical, participants were reinforced for selections of a visual stimulus on the left side of the computer screen; if the two stimuli were different, selections of the visual stimulus on the right were reinforced. Two of five participants readily acquired the task, generalized performance to other stimuli and completed a rudimentary protocol for examining auditory discriminations that are potentially more difficult than those used to establish the initial task. In Study 2, two participants who could not perform the go-left/go-right task with tone stimuli, but could do so with spoken-word stimuli, successfully transferred control by spoken words to tones via an auditory superimposition-and-fading procedure. The findings support the feasibility of using the task as a general-purpose auditory discrimination assessment. PMID:23585816

Serna, Richard W.; Preston, Mark A.; Thompson, G. Brooks

2013-01-01

472

Enhancing Case Managers' Skills in the Assessment and Management of Antipsychotic Medication Side-Effects  

Microsoft Academic Search

Objective: Our goal was to reduce the prevalence of antipsychotic medication side-effects by providing a short-term training program on the assessment and management of side-effects to case managers.Method: Forty-four patients in receipt of community-based mental health services were allocated to comparison (n = 20) and intervention (n = 24) groups based on the health service district in which they resided.

Paul Morrison; Tom Meehan; Deanne Gaskill; Paul Lunney; Paul Collings

2000-01-01

473

Enhancing case managers' skills in the assessment and management of antipsychotic medication side-effects  

Microsoft Academic Search

Objective: Our goal was to reduce the prevalence of antipsychotic medication side- effects by providing a short-term training program on the assessment and manage- ment of side-effects to case managers. Method: Forty-four patients in receipt of community-based mental health services were allocated to comparison (n = 20) and intervention (n = 24) groups based on the health service district in

Paul Morrison; Tom Meehan; Deanne Gaskill; Paul Lunney; Paul Collings

2000-01-01

474

Assessment of Self-Medication of Antibiotics in a Jordanian Population  

Microsoft Academic Search

Objective: To assess the extent of self-medication with antibiotics (SMA) in a Jordanian population, and to evaluate the sociodemographic factors affecting this behaviour. Subjects and Methods: Face-to-face interviews were conducted with 477 patients aged 16–65 years attending the Department of Dentistry, University of Jordan Hospital. Socio-demographic data were collected and interviewees were asked about their SMA behaviour during the last

Faleh A. Sawair; Zaid H. Baqain; Ashraf Abu Karaky; Rasha Abu Eid

2009-01-01

475

Comparison of Patient and Clinician Perspectives in the Assessment of Antipsychotic Medication Adherence  

Microsoft Academic Search

Background: Factors influencing patient and clinician perspectives in the assessment of medication adherence have never been compared. Method: This study used baseline and 12-month follow-up data from the QUATRO study, an international multicentre study. At baseline, information on patient sociodemographic characteristics, treatment factors, psychopathology, functioning and experience of antipsychotic side effects was gathered. After 12 months of follow-up, psychopathology, functioning

Corrado Barbui; Martijn Kikkert; Maria Angela Mazzi; Thomas Becker; Jonathan Bindman; Aart Schene; Michela Nosè; Hedda Helm; Graham Thornicroft; Michele Tansella

2009-01-01

476

The Utility of Reflective Writing after a Palliative Care Experience: Can We Assess Medical Students' Professionalism?  

PubMed Central

Abstract Background Medical education leaders have called for a curriculum that proactively teaches knowledge, skills, and attitudes required for professional practice and have identified professionalism as a competency domain for medical students. Exposure to palliative care (PC), an often deeply moving clinical experience, is an optimal trigger for rich student reflection, and students' reflective writings can be explored for professional attitudes. Objective Our aim was to evaluate the merit of using student reflective writing about a PC clinical experience to teach and assess professionalism. Methods After a PC patient visit, students wrote a brief reflective essay. We explored qualitatively if/how evidence of students' professionalism was reflected in their writing. Five essays were randomly chosen to develop a preliminary thematic structure, which then guided analysis of 30 additional, randomly chosen essays. Analysts coded transcripts independently, then collaboratively, developed thematic categories, and selected illustrative quotes for each theme and subtheme. Results Essays revealed content reflecting more rich information about students' progress toward achieving two professionalism competencies (demonstrating awareness of one's own perspectives and biases; demonstrating caring, compassion, empathy, and respect) than two others (displaying self-awareness of performance; recognizing and taking actions to correct deficiencies in one's own behavior, knowledge, and skill). Conclusions Professional attitudes were evident in all essays. The essays had limited use for formal summative assessment of professionalism competencies. However, given the increasing presence of PC clinical experiences at medical schools nationwide, we believe this assessment strategy for professionalism has merit and deserves further investigation. PMID:23937062

Gill, Anne C.; Teal, Cayla R.; Morrison, Laura J.

2013-01-01

477

Evaluation of HVS models in the application of medical image quality assessment  

NASA Astrophysics Data System (ADS)

In this study, four of the most widely used Human Visual System (HVS) models are applied on Magnetic Resonance (MR) images for signal detection task. Their performances are evaluated against gold standard derived from radiologists' majority decision. The task-based image quality assessment requires taking into account the human perception specificities, for which various HVS models have been proposed. However to our knowledge, no work was conducted to evaluate and compare the suitability of these models with respect to the assessment of medical image qualities. This pioneering study investigates the performances of different HVS models on medical images in terms of approximation to radiologist performance. We propose to score the performance of each HVS model using the AUC (Area Under the receiver operating characteristic Curve) and its variance estimate as the figure of merit. The radiologists' majority decision is used as gold standard so that the estimated AUC measures the distance between the HVS model and the radiologist perception. To calculate the variance estimate of AUC, we adopted the one-shot method that is independent of the HVS model's output range. The results of this study will help to provide arguments to the application of some HVS model on our future medical image quality assessment metric.

Zhang, L.; Cavaro-Menard, C.; Le Callet, P.

2012-03-01

478

Psychological aspects of painful medical conditions in children. I. Developmental aspects and assessment.  

PubMed

The assessment and development of pain in children is reviewed in the first part of a two-part series. Assessment of pain in children has relied on self-report measures that have included visual analogue procedures using concrete stimuli for ratings. Behavioral assessment procedures are more sophisticated, but research on behavioral assessment of pediatric pain has begun to emergy only recently. There has been very little research on the developmental aspects of pain tolerance and pain threshold in children. There are preliminary indications that children's thoughts and attitudes about pain may change with age in a manner that contributes to more intense feelings of pain in adolescence than childhood. Children undergoing painful medical procedures show declining emotional outbursts with age and increasing signs of self-control and muscular rigidity. Possibilities for integrating the study of the developmental aspects of pain with social learning theory, cognitive developmental theory, and the psychology of physical symptom perception are discussed. PMID:3540810

Lavigne, J V; Schulein, M J; Hahn, Y S

1986-11-01

479

Redefining disability: maleficent, unjust and inconsistent.  

PubMed

Disability activists' redefinition of "disability" as a social, rather than a medical, problem attempts to reassign causality. We explicate the untenable implications of this approach and argue this definition is maleficent, unjust, and inconsistent. Thus, redefining disability as a socially caused phenomenon is, from a moral point of view, ill-advised. PMID:19074236

Cox-White, Becky; Boxall, Susanna Flavia

2008-12-01

480

Workplace Discrimination and the Perception of Disability  

ERIC Educational Resources Information Center

This article documents the employment discrimination experienced by Americans "regarded as" disabled (but not medically verified as such), using the Integrated Mission System of the U.S. Equal Employment Opportunity Commission (EEOC). Claimants who were perceived as disabled, as contrasted with those with documented disabilities, were more likely…

Draper, William R.; Reid, Christine A.; McMahon, Brian T.

2011-01-01

481

Would rethinking learning disabilities benefit Kuwait?  

Microsoft Academic Search

Learning disabilities education in Kuwait grew from Kuwaiti’s wholesale importation of the Western, medical model of disability – a model basically incompatible with Kuwaiti culture. Conflicting factors include its problematic normal\\/abnormal binary, its assumption that the ‘deficit’ is located in the student and the segregation of students by label. As proponents of disability studies we investigate whether, and if so

Maysaa Bazna; D. Kim Reid

2009-01-01

482

Creating a brief rating scale for the assessment of learning disabilities using reliability and true score estimates of the scale's items based on the Rasch model.  

PubMed

The purpose of the present studies was to provide the means to create brief versions of instruments that can aid the diagnosis and classification of students with learning disabilities and comorbid disorders (e.g., attention-deficit/hyperactivity disorder). A sample of 1,108 students with and without a diagnosis of learning disabilities took part in study 1. Using information from modern theory methods (i.e., the Rasch model), a scale was created that included fewer than one third of the original battery items designed to assess reading skills. This best item synthesis was then evaluated for its predictive and criterion validity with a valid external reading battery (study 2). Using a sample of 232 students with and without learning disabilities, results indicated that the brief version of the scale was equally effective as the original scale in predicting reading achievement. Analysis of the content of the brief scale indicated that the best item synthesis involved items from cognition, motivation, strategy use, and advanced reading skills. It is suggested that multiple psychometric criteria be employed in evaluating the psychometric adequacy of scales used for the assessment and identification of learning disabilities and comorbid disorders. PMID:21685348

Sideridis, Georgios; Padeliadu, Susana

2013-01-01

483

Acceptability and Face Validity of a Geriatric Self-Medication Assessment Tool  

PubMed Central

Background: A majority of community-dwelling older adults manage their own medication regimens. This study describes the development and first phase of testing of the Self-Medication Assessment Tool (SMAT), designed to screen for cognitive and functional deficits in relation to medication self-management among community-dwelling geriatric patients. Objective: To evaluate the face validity of the SMAT and to determine its acceptability among pharmacists. Methods: An instrument was designed, with 5 assessment scales to measure function, cognition, medication recall, and 2 aspects of adherence. The instrument included a standardized test kit and instructions for testers. Focus groups interviews, individual interviews, and surveys were used to determine the reactions of community and hospital-based pharmacists to the tool. Transcripts of the focus group and individual interviews were coded for main themes. Pharmacists’ ratings of usefulness, thoroughness, and ease of use, as well as their willingness to use the instrument, were compared with a neutral rating on a 7-point scale by means of 1-sample t tests. Results: Focus group interviews or individual interviews were conducted with 17 pharmacists and 3 pharmacy students (out of a potential population of about 300) who responded to an invitation to participate. The pharmacists felt that the tool would be useful in identifying difficulties with medication management and potential interventions, and they expressed a willingness to use it in their respective practices. Pharmacists working in hospital settings were slightly more willing than community pharmacists to use the tool. Interviewees highlighted ways to improve the tool before testing of its psychometric properties in the planned second phase of this project. Conclusions: The SMAT had strong face validity and was particularly acceptable for use by pharmacists in hospital settings. PMID:22478982

Irvine-Meek, Janice; Gould, Odette N; Wheaton, Hannah; Todd