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1

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

PubMed Central

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 communication behaviour, communication behaviour itself, and satisfaction with communication behaviour in a medical disability assessment context. Objective The objective of this paper is to describe the conceptualisation of a model for the communication behaviour of physicians performing medical disability assessments in a social insurance context and of their claimants, in face-to-face encounters during medical disability assessment interviews and the preparation thereof. Conceptualisation The behavioural model, based on the Theory of Planned Behaviour (TPB), is conceptualised for the communication behaviour of social insurance physicians and claimants separately, but also combined during the assessment interview. Other important concepts in the model are the evaluation of communication behaviour (satisfaction), intentions, attitudes, skills, and barriers for communication. Conclusion The conceptualisation of the TPB-based behavioural model will help to provide insight into the communication behaviour of social insurance physicians and claimants during disability assessment interviews. After empirical testing of the relationships in the model, it can be used in other studies to obtain more insight into communication behaviour in non-curative medicine, and it could help social insurance physicians to adapt their communication behaviour to their task when performing disability assessments. PMID:19807905

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

2009-01-01

2

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

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

Assessment of Learning Disabilities.  

ERIC Educational Resources Information Center

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

Shepard, Lorrie A.

5

Psychoactive Medication and Learning Disabilities  

ERIC Educational Resources Information Center

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

Eaton, Marie; And Others

1977-01-01

6

VERIFICATION OF A MEDICAL DISABILITY The Office for Disability Services provides services to students with medical  

E-print Network

: __________________________________ Last four digits of Social Security #: ______________ 1. What is the diagnosis, date of diagnosisVERIFICATION OF A MEDICAL DISABILITY The Office for Disability Services provides services to students with medical disabilities. To determine eligibility for services, this office requires current

7

Dynamic Assessment of Language Disabilities  

ERIC Educational Resources Information Center

The paper reports a study of a narrative-based Dynamic Assessment (DA) procedure developed in the USA that is used in the UK with children with developmental language disabilities. Three monolingual English children with language disabilities are assessed by a speech/language pathologist/therapist who is learning to work with DA in collaboration…

Martin, Deirdre

2015-01-01

8

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

ERIC Educational Resources Information Center

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

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

2010-01-01

9

Controversial Medical Treatments of Learning Disabilities  

ERIC Educational Resources Information Center

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

Sieben, Robert L.

1977-01-01

10

Medical and Sociocultural Aspects of Disability. Section III.  

ERIC Educational Resources Information Center

This document contains four papers, discussing medical and sociocultural aspects of disability, presented at a national conference on the nonwhite disabled. In "Some Observations on Blacks and Physical Disability," Thornhill and Torres note the higher prevalence of physical disability among blacks and cite the example of more frequent lower…

Thornhill, Herbert L.; And Others

11

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

12

Use of the Late-Life Function and Disability Instrument to Assess Disability in Major Depression  

PubMed Central

OBJECTIVES To determine whether there was greater disability in subjects with depression than in those without, the correlation between disability and depression severity and quality of life, and whether improvement in disability after antidepressant pharmacotherapy was greater in those who responded to antidepressant treatment. DESIGN Disability in subjects with and without depression from two different studies was compared for 22 weeks. Correlations were performed for the subjects with depression between disability and depression, anxiety, health-related quality of life (HRQOL), and medical comorbidity. T-tests were used to compare disability between subjects who did and did not respond to antidepressant treatment and change in disability after pharmacotherapy. SETTING Late-life depression research clinic. PARTICIPANTS The 313 subjects were recruited from primary care and the community and were aged 60 and older; 244 subjects were participants in a depression treatment protocol, and 69 subjects without depression participated in a separate longitudinal observational study of the mental and cognitive health of depression-free older adults. MEASUREMENTS The Late-Life Function and Disability Instrument (LL-FDI), a measure of instrumental activity of daily living, personal role, and social role functioning. RESULTS Subjects with depression scored lower than controls for domains measuring limitation (can do) and frequency (does do) of activities. Both disability domains correlated with depression severity, anxiety, HRQOL, and cognition. Disability improved with antidepressant treatment; for partial responders who continued to receive higher-dose antidepressant treatment out to 22 weeks, there was continued improvement, although not to the level of comparison subjects without depression. CONCLUSION The LL-FDI appears to discriminate subjects with depression from those without, correlates with depression severity, and demonstrates sensitivity to antidepressant treatment response. We recommend further investigation of the LL-FDI and similar disability instruments for assessing depression-related disability. PMID:19682111

Karp, Jordan F.; Skidmore, Elizabeth; Lotz, Meredith; Lenze, Eric; Dew, Mary Amanda; Reynolds, Charles F.

2010-01-01

13

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

Code of Federal Regulations, 2011 CFR

...SUPPLEMENTAL SECURITY INCOME FOR THE AGED, BLIND, AND DISABLED Determining Disability and Blindness Continuing Or Stopping Disability Or Blindness § 416.993 Medical evidence in continuing disability review cases. (a)...

2011-04-01

14

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

Code of Federal Regulations, 2014 CFR

...SUPPLEMENTAL SECURITY INCOME FOR THE AGED, BLIND, AND DISABLED Determining Disability and Blindness Continuing Or Stopping Disability Or Blindness § 416.993 Medical evidence in continuing disability review cases. (a)...

2014-04-01

15

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

Code of Federal Regulations, 2013 CFR

...SUPPLEMENTAL SECURITY INCOME FOR THE AGED, BLIND, AND DISABLED Determining Disability and Blindness Continuing Or Stopping Disability Or Blindness § 416.993 Medical evidence in continuing disability review cases. (a)...

2013-04-01

16

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

Code of Federal Regulations, 2012 CFR

...SUPPLEMENTAL SECURITY INCOME FOR THE AGED, BLIND, AND DISABLED Determining Disability and Blindness Continuing Or Stopping Disability Or Blindness § 416.993 Medical evidence in continuing disability review cases. (a)...

2012-04-01

17

Disability Support Workers' Knowledge and Education Needs about Psychotropic Medication  

ERIC Educational Resources Information Center

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

Donley, Mandy; Chan, Jeffrey; Webber, Lynne

2012-01-01

18

Physical Activity Assessments for Individuals with Disabilities  

ERIC Educational Resources Information Center

Physical activity is important in maintaining and improving overall health for all. Students with disabilities tend to have lower fitness levels due to the lack of participation in physical activities, therefore, progressions and modifications to physical activities are needed. Assessing the physical activity levels of students with disabilities

Fittipaldi-Wert, Jeanine; Brock, Sheri J.

2006-01-01

19

Assessing disability in schizophrenia: tools and contributors.  

PubMed

Patients with schizophrenia experience disability in areas of everyday life, such as employment, relationships, and independence, even after they achieve symptom remission. Clinicians can assess patients' functional disability by using information from multiple sources (patient, family member, case worker), collecting objective information, and evaluating real-life skills and cognitive abilities with performance-based assessment tools, such as the MATRICS Consensus Cognitive Battery or the University of California, San Diego, Performance-Based Skills Assessment (UPSA). Factors that contribute to functional disability include cognitive impairments and negative symptoms, which appear to have different effects on domains of functioning and likely require separate treatment interventions. PMID:25373132

Harvey, Philip D

2014-10-01

20

King's College London Services for Students Medical Self Assessment form  

E-print Network

this form to advise Accommodation Services of any diagnosed medical circumstances which has severe/long term as a medical exception include a diagnosed mobility and sensory circumstances, disabilities, severe long term1 King's College London Services for Students Medical Self Assessment form Please complete

Applebaum, David

21

Technology in the Assessment of Learning Disability.  

ERIC Educational Resources Information Center

Reviews recent neuroradiologic and brain imaging techniques in the assessment of learning disability. Technologies reviewed include computerized tomography; magnetic resonance imaging; electrophysiological and metabolic imaging; computerized electroencepholographic studies of evoked potentials, event-related potentials, spectral analysis, and…

Bigler, Erin D.; Lajiness-O'Neill, Renee; Howes, Nancy-Louise

1998-01-01

22

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

Federal Register 2010, 2011, 2012, 2013, 2014

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

2011-05-11

23

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 the EMPLOYEE: Please complete Section II before giving this form to your medical provider. The FMLA permits

Myers, Lawrence C.

24

Clinician Experiences Assessing Work Disability Related to Mental Disorders  

PubMed Central

Objective Medical certification is one of the basic administrative mechanisms used by social policies aimed at income protection. The assessment of work disability is central to the income protection application. Yet, there is evidence suggesting that determining work disability related to mental disorders is challenging. Although essential to the disability application process, few studies have looked at physician and other clinician experiences with the process. However, this type of information is critical to developing processes to support providers who participate in the assessments. This purpose of this paper is to explore the experiences of physicians and other clinicians assessing public long-term work disability related to mental disorders. Methods This is an exploratory and descriptive study using qualitative methods. Clinician input was gathered through focus groups and individual in-depth interviews. Verbatim transcripts were analyzed to identify recurrent and significant themes that arose during the focus groups and individual interviews. Results Many of the experiences that the clinicians in this sample discussed related to the difficulty of trying to fill the roles of advocate and medical expert as well as the challenge of determining the impact of functional capacity and work ability. The findings also highlight the current gap in knowledge about the factors that affect successful functioning in general and at work in particular. Conclusions Given the challenges created by the current state of knowledge, it may be useful to consider a category of “partial disability”. In addition, the fact that work disability depends on the interaction between the experience of the mental disorder and specific job requirements and the fact that people applying for public long-term disability are not working, it might be helpful to offer a clear description and guidelines of the meaning of work ability. PMID:25789478

Dewa, Carolyn S.; Hees, Hiske; Trojanowski, Lucy; Schene, Aart H.

2015-01-01

25

Who Pays for the Medical Care of People with Disabilities? Disability Statistics Abstract, Number 13.  

ERIC Educational Resources Information Center

This statistical abstract presents data on the sources of payment for medical care for people with disabilities in different age groups. All estimates come from the National Medical Expenditures Survey, a nationally representative survey of the civilian non-institutionalized population of the U.S. conducted in 1987. Six categories of payment…

Trupin, Laura; Rice, Dorothy P.; Max, Wendy

26

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

27

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

Code of Federal Regulations, 2010 CFR

...2010-04-01 false Continued disability or blindness benefits pending appeal of a medical cessation...AND DISABLED Determining Disability and Blindness Continuing Or Stopping Disability Or Blindness § 416.996 Continued disability...

2010-04-01

28

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

Code of Federal Regulations, 2013 CFR

...2013-04-01 false Continued disability or blindness benefits pending appeal of a medical cessation...AND DISABLED Determining Disability and Blindness Continuing Or Stopping Disability Or Blindness § 416.996 Continued disability...

2013-04-01

29

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

Code of Federal Regulations, 2011 CFR

...2011-04-01 false Continued disability or blindness benefits pending appeal of a medical cessation...AND DISABLED Determining Disability and Blindness Continuing Or Stopping Disability Or Blindness § 416.996 Continued disability...

2011-04-01

30

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

Code of Federal Regulations, 2012 CFR

...2012-04-01 false Continued disability or blindness benefits pending appeal of a medical cessation...AND DISABLED Determining Disability and Blindness Continuing Or Stopping Disability Or Blindness § 416.996 Continued disability...

2012-04-01

31

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

Code of Federal Regulations, 2014 CFR

...2014-04-01 false Continued disability or blindness benefits pending appeal of a medical cessation...AND DISABLED Determining Disability and Blindness Continuing Or Stopping Disability Or Blindness § 416.996 Continued disability...

2014-04-01

32

Disabled Readers: Insight, Assessment, Instruction.  

ERIC Educational Resources Information Center

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

Sawyer, Diane J., Ed.

33

Intellectual disability nursing assessment: student reflections.  

PubMed

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

Doody, Owen; McInerney, Paula; Linnane, Lynda

34

20 CFR 220.110 - Medically disabled.  

Code of Federal Regulations, 2011 CFR

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

2011-04-01

35

20 CFR 220.110 - Medically disabled.  

Code of Federal Regulations, 2014 CFR

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

2014-04-01

36

20 CFR 220.110 - Medically disabled.  

Code of Federal Regulations, 2012 CFR

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

2012-04-01

37

20 CFR 220.110 - Medically disabled.  

Code of Federal Regulations, 2013 CFR

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

2013-04-01

38

20 CFR 220.110 - Medically disabled.  

Code of Federal Regulations, 2010 CFR

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

2010-04-01

39

In-patient vs. day-hospital withdrawal treatment for chronic migraine with medication overuse and disability assessment: results at one-year follow-up  

Microsoft Academic Search

Chronic headaches have increasingly become a focus within the field of head pain. Most patients with frequent headache eventually\\u000a overuse their medications. The diagnosis of medication-overuse headache is clinically important, because patients rarely respond\\u000a to preventive medications whilst overusing acute medications. Properly treating medication overuse and preventing relapse\\u000a require specific therapeutic strategies and the recognition of the different factors that

Licia Grazzi; Frank Andrasik; Susanna Usai; Gennaro Bussone

2008-01-01

40

The Assessment of Severely Intellectually Disabled Students  

ERIC Educational Resources Information Center

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

Kontu, Elina; Pirttimaa, Raija

2008-01-01

41

Teaching Motor Disability Assessment over the Web: MODASPECTRA  

Microsoft Academic Search

MODASPECTRA (MOtor Disability Assessment SPEcialists' TRAining) was a research and technology development project aimed at developing quality teaching and training of post-graduate specialists in Motor Disability Assessment. The specialists targeted come from a background of physiatry, physical therapy and bioengineering. The aim is to offer to the European professionals involved in Motor Disability Assessment both a complete degree and a

Salvatore Valenti; Sandro Fioretti; Maurizio Maurizi; Maurizio Panti; Tommaso Leo

2002-01-01

42

Assessing Calculators as Assessment Accommodations for Students with Disabilities  

ERIC Educational Resources Information Center

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

Bouck, Emily C.; Yadav, Aman

2008-01-01

43

Embodied storytellers: disability studies and medical humanities.  

PubMed

Rereading a canonic book in medical humanities can generate an immediate sense of how much has changed in the larger conversations still circulating around the issues that book broached in significant ways. The appearance in 2013 of the second edition of Arthur Frank's The Wounded Storyteller, first published in 1995, prompted me to review what has happened in the field of body studies in the intervening decades. Some developments point to the continuing importance of Frank's book, and others raise productive questions about its limitations. PMID:25739776

Holmes, Martha Stoddard

2015-03-01

44

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

45

[Benefit assessment of medical devices].  

PubMed

Medical devices play an important role in both the diagnostic and therapeutic care of patients. The hope is that particularly innovative medical devices can contribute to the improvement of patient care. However, there is no mandatory need to conduct clinical studies with medical devices that allow an assessment of their benefit within the framework of EU market access or on the way to reimbursement by the statutory health insurance (SHI) in Germany. Numerous examples show that the existing legal framework for market access and for reimbursement in the SHI system is insufficient for providing patients with only those examination and treatment methods, i. e., medical devices, that comply with the benefit requirement and the imperative for quality stipulated in the Social Code Book V. However, it is possible to conduct meaningful clinical trials, i. e., randomized controlled trials, with medical devices as well. Hence, regular, indication-related benefit assessment of medical devices with a higher risk class as a prerequisite for reimbursement for a specific medical device is not only necessary, but also feasible. The 2014 report of the Advisory Council on the Assessment of Developments in the Healthcare System contains a promising recommendation for implementing this. A regulatory framework as described in the report would allow patients the fastest possible access to safe and effective medical device innovations, while increasing planning reliability for the development and marketing of new products, which has often been criticized as insufficient by manufacturers. PMID:25566843

Zens, Yvonne; Fujita-Rohwerder, N; Windeler, J

2015-03-01

46

10 CFR 712.14 - Medical assessment.  

Code of Federal Regulations, 2011 CFR

...nature of any of the following: (1) Physical or medical disabilities, such as a lack of visual acuity, defective color vision, impaired hearing, musculoskeletal deformities, and neuromuscular impairment; (2) Mental/personality...

2011-01-01

47

Medical Leave and Short-Term Disability Medical leaves of absence with pay and benefits for up to 90 days is available to eligible residents/fellows* who  

E-print Network

Page 82 Medical Leave and Short-Term Disability Medical leaves of absence with pay and benefits or disabilities include inpatient care in a hospital or residential medical care facility, continuing treatment by a healthcare provider, and temporary disabilities associated with pregnancy, childbirth, and related medical

Oliver, Douglas L.

48

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

49

A Model for Learning Disability Assessment at the State University.  

ERIC Educational Resources Information Center

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

Barrows, Patricia L.; And Others

1989-01-01

50

Performance Assessment System for Students with Disabilities: Introductory. Revised.  

ERIC Educational Resources Information Center

Florida's Performance Assessment System for Students with Disabilities (PASSD) is a response to growing demands that students with disabilities be included in school evaluation and accountability efforts through alternate assessments. Chapter 1 introduces PASSD and provides background information. It notes that the focus of PASSD is noncategorical…

Florida State Dept. of Education, Tallahassee. Bureau of Instructional Support and Community Services.

51

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

52

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

Code of Federal Regulations, 2014 CFR

...or accident disability, or medical or hospitalization expenses...or accident disability, or medical or hospitalization expenses. The term “wages” does not include...accident disability or the medical or hospitalization...

2014-04-01

53

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

Code of Federal Regulations, 2014 CFR

...or accident disability, or medical or hospitalization expenses...or accident disability, or medical or hospitalization expenses. The term “wages” does not include...accident disability or the medical or hospitalization...

2014-04-01

54

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

...or accident disability, or medical or hospitalization expenses...or accident disability, or medical or hospitalization expenses. The term “wages” does not include...accident disability or the medical or hospitalization...

2012-04-01

55

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

...or accident disability, or medical or hospitalization expenses...or accident disability, or medical or hospitalization expenses. The term “wages” does not include...accident disability or the medical or hospitalization...

2010-04-01

56

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

...or accident disability, or medical or hospitalization expenses...or accident disability, or medical or hospitalization expenses. The term “wages” does not include...accident disability or the medical or hospitalization...

2012-04-01

57

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

...or accident disability, or medical or hospitalization expenses...or accident disability, or medical or hospitalization expenses. The term “wages” does not include...accident disability or the medical or hospitalization...

2010-04-01

58

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

...or accident disability, or medical or hospitalization expenses...or accident disability, or medical or hospitalization expenses. The term “wages” does not include...accident disability or the medical or hospitalization...

2011-04-01

59

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

Code of Federal Regulations, 2013 CFR

...or accident disability, or medical or hospitalization expenses...or accident disability, or medical or hospitalization expenses. The term “wages” does not include...accident disability or the medical or hospitalization...

2013-04-01

60

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

...or accident disability, or medical or hospitalization expenses...or accident disability, or medical or hospitalization expenses. The term “wages” does not include...accident disability or the medical or hospitalization...

2011-04-01

61

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

Code of Federal Regulations, 2013 CFR

...or accident disability, or medical or hospitalization expenses...or accident disability, or medical or hospitalization expenses. The term “wages” does not include...accident disability or the medical or hospitalization...

2013-04-01

62

Including Students with Disabilities in National Academic Assessments in Korea  

ERIC Educational Resources Information Center

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

Choi, JongKeun; Lee, Daesik; Jung, Eunju

2012-01-01

63

Use of the SF36 and other health-related quality of life measures to assess persons with disabilities  

Microsoft Academic Search

Hays RD, Hahn H, Marshall G. Use of the SF-36 and other health-related quality of life measures to assess persons with disabilities. Arch Phys Med Rehabil 2002;83 Suppl 2:S4-9. This article evaluates the appropriateness of existing approaches to the assessment of health-related quality of life (HRQOL) for persons with disabilities. We compare the conceptual model of HRQOL from the Medical

Ron D. Hays; Harlan Hahn; Grant Marshall

2002-01-01

64

Attitude before method: disability in vulnerability and capacity assessment.  

PubMed

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

Twigg, John

2014-07-01

65

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

ERIC Educational Resources Information Center

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

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

2015-01-01

66

The role of medication in the management of behaviour problems in people with learning disabilities  

Microsoft Academic Search

A high proportion of people with learning disabilities receive psychotropic medications such as antipsychotics, antidepressants, antianxiety drugs including benzodiazepines, buspirone and beta blockers, mood stabilisers such as lithium and some antiepileptic medications, psychostimulants, opioid antagonists and also vitamins and diets. Many receive these for behaviour problems for which these medications have not been indicated. Apart from a few exceptions of

Shoumitro Deb

2007-01-01

67

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

Code of Federal Regulations, 2010 CFR

...disabled, we will have your case file with the supporting medical...any other evidence that will help us determine if you are still...contact your medical sources to help us get the medical reports...make every reasonable effort to help you in getting...

2010-04-01

68

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

Code of Federal Regulations, 2010 CFR

...disabled, we will have your case file with the supporting medical...any other evidence that will help us determine if you are still...contact your medical sources to help us get the medical reports...make every reasonable effort to help you in getting...

2010-04-01

69

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

70

Issues in the neuropsychological assessment of children with learning disabilities  

Microsoft Academic Search

Describes an approach to the neuropsychological assessment of children with learning disabilities. Issues relating to the aims of the assessment, test selection, stylistic variables in assessment, test interpretation, and the rendering and implementation of recommendations are discussed. Some comparisons with other strategies and modes of approach (e.g., level of performance, pathognomonic sign, and differential score approaches) are included. (28 ref)

Byron P. Rourke

1976-01-01

71

Medical research: assessing the benefits to society  

E-print Network

May 2006 Medical research: assessing the benefits to society A report by the UK Evaluation Forum, supported by the Academy of Medical Sciences, Medical Research Council and Wellcome Trust. #12;The the aims and ethos of medical sciences with particular emphasis on excellence in research and training

Rambaut, Andrew

72

New directions in assessment for students with disabilities.  

PubMed

Three influences in American education during the past decade -- increased parental involvement, an emphasis on accountability and student outcomes, and the refinement of assessment technologies -- are reflected in the 1997 Amendments to the Individuals with Disabilities Education Act [31]. Relevant assessment provisions contained in IDEA 97 are reviewed, including requirements for (a) parental participation in the review and planning of student evaluations and eligibility decisions; (b) the participation of students with disabilities in statewide assessments; (c) the use of assessments that have treatment utility; and (d) data-based evaluation of student progress. Assessment characteristics and methods that are consistent with IDEA 97 requirements are described. Examples include problem-solving assessment; functional behavioral assessment; and direct assessment approaches such as naturalistic observation, analogue assessment, and self-monitoring. PMID:12441609

Telzrow, Cathy F.; McNamara, Kathy

2001-01-01

73

Construction and Validation of the Disability Rights Attitude Scale: Assessing Attitudes Toward the Americans With Disabilities Act (ADA)  

Microsoft Academic Search

The authors constructed and validated an instrument that assesses attitudes toward the Americans With Disabilities Act (ADA), a law that protects the civil rights of individuals with disabilities. The Disability Rights Attitude Scale (DRAS) demonstrated acceptable reliability and validity with 2 samples of university students (N = 421). Reliability analysis resulted in Cronbach's alphas of .91 (Sample 1) and .90

Brigida Hernandez; Christopher Keys; Fabricio Balcazar; Charles Drum

1998-01-01

74

Social security disability and clinical neuropsychological assessment  

Microsoft Academic Search

This paper reviews the guidelines for Social Security disability evaluation of mental impairments in general and organic syndromes in particular. The listings of diagnostic categories for application and procedures for evaluation are outlined. The qualifications and roles of the clinical neuropsychologist are discussed. In addition, the special problem of malingering is considered.

Antonio E. Puente

1987-01-01

75

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

PubMed Central

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

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

2013-01-01

76

Recent developments in assessing medical students.  

PubMed Central

Most medical schools in the UK are revising their undergraduate courses in response to the recommendations published by the General Medical Council Education Committee in Tomorrow's doctors. However, achievement of the objectives of curricular change is attendant on revision of the assessment process. This paper reviews traditional and more recently developed methods for assessment of medical education in the light of the General Medical Council's recommendations which relate specifically to summative assessment of the core curriculum. The importance of reliability and validity is highlighted, and the case for criterion-referenced assessment is examined. PMID:9538481

Fowell, S. L.; Bligh, J. G.

1998-01-01

77

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

Code of Federal Regulations, 2014 CFR

...or accident disability, medical or hospitalization expenses...or accident disability, medical or hospitalization expenses, or death. (a) The term “wages” does not...compensation law; (2) Medical or hospitalization...

2014-04-01

78

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

...or accident disability, medical or hospitalization expenses...or accident disability, medical or hospitalization expenses, or death. (a) The term “wages” does not...compensation law; (2) Medical or hospitalization...

2012-04-01

79

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

...or accident disability, medical or hospitalization expenses...or accident disability, medical or hospitalization expenses, or death. (a) The term “wages” does not...compensation law; (2) Medical or hospitalization...

2011-04-01

80

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

...or accident disability, medical or hospitalization expenses...or accident disability, medical or hospitalization expenses, or death. (a) The term “wages” does not...compensation law; (2) Medical or hospitalization...

2013-04-01

81

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

82

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

83

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

PubMed

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

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

2015-01-15

84

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

85

Behavioral Assessment of Occupational Skills of Learning Disabled Adolescents  

E-print Network

INSTITUTE RESEA~~~ IN LEARNING DISABILITIES ~:r~~~:~~~s~!.~~~:~ Emphasis on Adolescents and Young Adults Research Report #5 January, 1980 BEHAVIORAL ASSESSMENT OF OCCUPATIONAL SKILLS OF LEARNING DISABLED ADOLESCENTS R. Mark Mathews, Paula....48) and in work experience from none to six part-time jobs (x = 2.5). Setting Assessments of occupational skills were made in an office containing a desk, chairs, paper, pencils, and a telephone. Each session was recorded on audiotape, with the cassette...

Mathews, R. Mark; Whang, Paula L.; Fawcett, Stephen B.

1980-01-01

86

Assessment and Treatment of Learning Disabilities in Portugal.  

ERIC Educational Resources Information Center

This article presents a contextual picture of the learning disabilities (LD) field in Portugal, where the public school failure rate is approximately 37% and 29% in primary and secondary systems, respectively. The need for a clear educational and legislative definition of LD, changes in assessment and treatment models, and improved personnel…

Fonseca, Vitor da

1996-01-01

87

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

88

Pick One! Conducting Preference Assessments with Students with Significant Disabilities  

ERIC Educational Resources Information Center

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

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

2013-01-01

89

Assessment of Anger Coping Skills in Individuals with Intellectual Disabilities  

ERIC Educational Resources Information Center

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

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

2005-01-01

90

Discrepancy Dinosaurs and the Evolution of Specific Learning Disability Assessment  

ERIC Educational Resources Information Center

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

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

2008-01-01

91

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

92

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

93

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.

94

Factors related to complications among adult patients with intellectual disabilities hospitalized at an academic medical center.  

PubMed

People with intellectual disabilities (ID) represent a small but important group of hospitalized patients who have higher rates of complications than do patients without ID hospitalized for the same reasons. Complications are potentially avoidable conditions, such as healthcare-acquired infections, healthcare-acquired skin breakdown, falls, and medication errors and reactions. Addressing factors related to complications can focus efforts to improve hospital care. The purpose of this exploratory study was to analyze data from reviews of academic medical center charts (N ?=? 70) about complications and to examine patient and hospitalization characteristics in relation to complications among adult patients (age ? 18 years) with ID hospitalized for nonpsychiatric reasons. Adults with ID tended to be twice as likely to have complications (?(2) ?=? 2.893, df ?=? 1, p ?=? .09) if they had a surgical procedure and were nearly four times as likely to have complications (?(2) ?=? 6.836, df ?=? 1, p ?=? .009) if they had multiple chronic health conditions (three of the following: history of cerebral palsy, autism spectrum symptoms, aggressive behavior, respiratory disorder, and admission through the emergency department). Findings suggest preliminary criteria for assessing risk for complications among hospitalized people with ID and the need for attention to their specific needs when hospitalized. PMID:25860449

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

2015-04-01

95

Assessing Personal Qualities in Medical School Admissions.  

ERIC Educational Resources Information Center

Analyzes the challenges to using academic measures (MCAT scores and GPAs) as thresholds for medical school admissions and, for applicants exceeding the threshold, using personal qualities for admission decisions; reviews the literature on using the medical school interview and other admission data to assess personal qualities of applicants;…

Albanese, Mark A.; Snow, Mikel H.; Skochelak, Susan E.; Huggett, Kathryn N.; Farrell, Philip M.

2003-01-01

96

Medical Assessment of Late Effects of National Socialist Persecution  

PubMed Central

Emotional involvement of the examiner, hostility and mistrust on the part of the examinees and the long interval since the original events comprise some of the problems facing medical assessors of survivors of National Socialist persecution. Experience with over 100 such persons confirmed the high incidence of irreversible and usually disabling disorders, mainly functional and psychiatric—“late damage” as it has been designated in recent reports on this subject. The most common disorders encountered in the assessments of 70 survivors are reviewed. A number of organic diseases such as organic brain damage, active tuberculosis and fractures were revealed only after careful search. Recent findings by psychiatric assessors are reviewed; their plea for greater familiarity with late effects in survivors of National Socialist persecution is echoed, and the need for medical, psychiatric and social support of these unfortunate individuals is emphasized. PMID:14289139

Grobin, W.

1965-01-01

97

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

98

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.

99

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

100

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

ERIC Educational Resources Information Center

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

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

2011-01-01

101

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

102

Addressing assessment in libyan medical education.  

PubMed

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

Richardson, J; Gill, D; Woolf, K

2009-01-01

103

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

104

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

105

Medical Expenditures for People with Disabilities in the United States, 1987. Disability Statistics Report 5.  

ERIC Educational Resources Information Center

This report presents detailed tables on the medical expenditures of people, from young children to older adults, who are limited in activity or who need assistance in activities of daily living. It uses data from the 1987 National Medical Expenditures Survey and compares these with 1993 estimates. Tables of results are presented on: (1) total and…

Trupin, Laura; And Others

106

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

E-print Network

Increased community participation of people with disabilities is a goal of many community-based disability organizations. Researchers used an ecological momentary assessment (EMA) approach to investigate factors that might ...

Gonda, Chiaki

2011-06-27

107

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

ERIC Educational Resources Information Center

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

Vash, C. L.

2004-01-01

108

Assessing motivation for work in people with developmental disabilities.  

PubMed

Factors that might influence motivation for work have been neglected in previous investigations in the process of people with intellectual disabilities finding employment. This article describes the development of The Work Readiness Scale which was largely adapted from The Readiness to Change Questionnaire. A structured interview was conducted with 69 participants who had developmental and intellectual disabilities while at the supported employment agency or vocational training centre in a large city in England. A subgroup of 43 individuals completed the questionnaire again about two weeks later. A member of staff who knew the person well was asked to independently rate the motivational level of the individual. The questionnaire seems to have reasonable psychometric properties and may have utility in assessing individuals for work and designing appropriate training to find work. PMID:20930024

Rose, John; Perks, Jane; Fidan, Merih; Hurst, Maddie

2010-06-01

109

National survey 2004 on medical services for persons with intellectual disability in residential care in Israel.  

PubMed

In Israel, the Office of the Medical Director of the Ministry of Social Affairs is responsible for the medical service in residential-care centers for persons with intellectual disability (ID). A standard annual questionnaire was developed during 1997-1998, and the first national survey study was conducted in 1998. This present paper presents the findings of the seventh national survey in 2004, for which the following information was gathered via questionnaires: age, gender, and level of intellectual disability of persons served at the residential care center in question, status of the population served, functional profile, nursing, medical, and allied professional staff, number of annual examinations, preventive medicine aspects, medications, number of annual cases of infectious disease, annual unintentional injuries, number of deaths, number of hospitalizations, internal residential center hospitalization, ambulatory out-patient use, use of outside laboratory examinations, and dental care. In 2004, 6,610 persons were served in nine government, 37 private, and 12 public centers. The average number of persons served per center was 113.97 (range 23 to 372). The survey in 2004 showed that 79.2% of the population with ID in residential care in Israel was between 20 and 60 years of age; 48.8% had severe or profound ID, 41% had moderate ID, and 10% had mild ID; 23% were nursing patients; 19% were confined to a wheelchair; 31% had epilepsy; 83% were receiving medication daily for chronic illness; and 52.5% were receiving psychotropic medication for psychiatric illness. PMID:21061935

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

2010-01-01

110

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

PubMed

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

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

2010-01-01

111

Psychosocial assessment of organ transplant candidates and the Americans with disabilities act  

Microsoft Academic Search

The use of psychosocial criteria to assess candidates for organ transplantation may violate the Americans with Disabilities Act (ADA). The ADA prohibits discrimination on the basis of disability or on the basis of eligibility criteria that disproportionately affect persons with disabilities. When organ programs deny access to a person because of schizophrenia, they are denying an organ on the basis

David Orentlicher

1996-01-01

112

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

Microsoft Academic Search

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

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

2000-01-01

113

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

PubMed Central

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

Thomas, Kathleen C; Hall, Jean P

2014-01-01

114

[The opinion of mothers brining up disabled children about quality of medical care].  

PubMed

The article presents the results of questionnaire survey of mothers brining up disabled children aged from 1 to 4 years organized to evaluate respondents' satisfaction with delivered medical care and to establish mothers'awareness of disease of child. The results testify that alongside with applied measures directed to improve quality of medical care the activities are needed to be applied to parents to increase their awareness of child health condition, causes of development of disease and characteristics of its course, methods and perspectives of treatment and prognosis of disease. PMID:24432573

Dolotova, N V; Fil'kina, O M; Il'in, A G; Nazarov, S B; Vorob'eva, E A; Gordeeva, N V; Kudriashova, I L

2013-01-01

115

Urgent Medical Assessment after Child Sexual Abuse  

ERIC Educational Resources Information Center

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

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

2006-01-01

116

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

ERIC Educational Resources Information Center

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

Golubovic, Spela; Skrbic, Renata

2013-01-01

117

Rehabilitation and assessment of reaching disabilityRehabilitation and assessment of reaching disability using an active biofeedback deviceusing an active biofeedback device  

E-print Network

disability using an active biofeedback deviceusing an active biofeedback device Michael Wininger1, Nam measures for biofeedback and assessment. Herein we describe HARI and the reaching disability index (RDI evaluation 2 2 1 45 )ln( ° -k HARI screenshot. Real-time biofeedback display of elbow flexion trajectory

Craelius, William

118

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

119

Assessing dissimulation among Social Security disability income claimants.  

PubMed

Social Security disability income programs have been tested by increasingly politicized concerns regarding widespread fraud among claimants. This study was an initial investigation of malingering among claimants in Los Angeles seeking disability income on psychological grounds. After a review of 100 disability income applications, a population-appropriate instrument was developed from established psychometric indices of malingering. The Composite Disability Malingering Index was completed by 167 disability claimants (possible malingerers), a sex, age and IQ cognate group of 63 psychologically disabled individuals without incentive to malinger (disabled nonmalingerers), and 45 disability examiners with instructions to malinger (instructed malingerers). The mean score of instructed malingerers and the score at the 95th percentile of the disabled nonmalingerers converged, indicating 8 as the critical score. This cutting score found 32 (19%) of disability claimants to be malingering. Self-reported substance abuse history was the only participant variable that significantly predicted higher malingering scores. PMID:8991329

Griffin, G A; Normington, J; May, R; Glassmire, D

1996-12-01

120

Health problems and disability in long-term sickness absence: ICF coding of medical certificates  

PubMed Central

Background The purpose of this study was to test the feasibility of International Classification of Functioning, Disability and Health (ICF) and to explore the distribution, including gender differences, of health problems and disabilities as reflected in long-term sickness absence certificates. Methods A total of 433 patients with long sick-listing periods, 267 women and 166 men, were included in the study. All certificates exceeding 28 days of sick-listing sent to the local office of the Swedish Social Insurance Administration of a municipality in the Stockholm area were collected during four weeks in 2004-2005. ICD-10 medical diagnosis codes in the certificates were retrieved and free text information on disabilities in body function, body structure or activity and participation were coded according to ICF short version. Results In 89.8% of the certificates there were descriptions of disabilities that readily could be classified according to ICF. In a reliability test 123/131 (94%) items of randomly chosen free text information were identically classified by two of the authors. On average 2.4 disability categories (range 0-9) were found per patient; the most frequent were 'Sensation of pain' (35.1% of the patients), 'Emotional functions' (34.1%), 'Energy and drive functions' (22.4%), and 'Sleep functions' (16.9%). The dominating ICD-10 diagnostic groups were 'Mental and behavioural disorders' (34.4%) and 'Diseases of the musculoskeletal system and connective tissue' (32.8%). 'Reaction to severe stress and adjustment disorders' (14.7%), and 'Depressive episode' (11.5%) were the most frequent diagnostic codes. Disabilities in mental functions and activity/participation were more commonly described among women, while disabilities related to the musculoskeletal system were more frequent among men. Conclusions Both ICD-10 diagnoses and ICF categories were dominated by mental and musculoskeletal health problems, but there seems to be gender differences, and ICF classification as a complement to ICD-10 could provide a better understanding of the consequences of diseases and how individual patients can cope with their health problems. ICF is feasible for secondary classifying of free text descriptions of disabilities stated in sick-leave certificates and seems to be useful as a complement to ICD-10 for sick-listing management and research. PMID:22078637

2011-01-01

121

Disabled Children and Their Families in Ukraine  

Microsoft Academic Search

In the Eastern European countries included in the communist system of the USSR, parents of disabled children were encouraged to commit their disabled child to institutional care. There were strict legal regulations excluding them from schools. Medical assessments were used for care decisions. Nevertheless many parents decided to care for their disabled child at home within the family.Ukraine became an

Gillian Bridge

2005-01-01

122

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

ERIC Educational Resources Information Center

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

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

2014-01-01

123

The Impact of Cognitive Assessment on the Identity of People with Learning Disabilities  

ERIC Educational Resources Information Center

Researchers and clinicians have hypothesised that cognitive assessments have the power to influence the self-identity of people with learning disabilities. This research aimed to explore the experience of a sample of people who had been given a cognitive assessment by a psychologist based in a team for people with learning disabilities. Five…

Davidson, Terence; Smith, Hilary; Burns, Jan

2014-01-01

124

TCD Readmission Medical Form Students who for reasons of ill-health (including on-going and recognised disability) have allowed their  

E-print Network

: ________________________ Date of Birth _______________________ Medical condition/Disability diagnosis, in your opinion this student will require ongoing supervision/monitoring of their condition over the next medically fit to return to study? Outline the effect the medical condition/disability may have on learning

O'Mahony, Donal E.

125

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

126

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

127

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

128

MAJOR MOBILITY DISABILITY-ASSESSMENT AND BASELINE PERFORMANCE IN LIFE  

Technology Transfer Automated Retrieval System (TEKTRAN)

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

129

Use of a medication passport in a disabled child seen across many care settings.  

PubMed

Written information for patients about their medicines has demonstrable benefits for their understanding and adherence. In the UK, no single, complete record of medications for individual patients can be guaranteed. Therefore, patients and carers are often relied on to recall the complete medication list, which can be a challenge given multiple and potentially stressful appointments. Wide-ranging feedback suggests that a medication 'passport' developed by the National Institute for Health Research Collaboration for Leadership in Applied Health Research and Care North West London (NIHR CLAHRC NWL) has benefited elderly patients, who often attend many appointments where the current medication list may not be available. We describe the use of this passport (known as 'My Medication Passport'-MMP) in a child with multiple disabilities. The practical advantages are explored, including the potential for a paediatric version to facilitate discussions around the administration of medicines. MMP is an early example of a useful tool to help children and young people, parents and carers to manage medicines more effectively. PMID:25716039

Jubraj, Barry; Blair, Mitchel

2015-01-01

130

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

131

Assessing Employment Discrimination Charges Filed by Individuals With Psychiatric Disabilities Under the Americans With Disabilities Act  

Microsoft Academic Search

This article presents findings from analyses of nationwide data on employment discrimination charges filed under the Americans With Disabilities Act (ADA). In conducting the analyses, emphasis was placed on understanding the extent to which the ADA charge process differentially affects individuals with psychiatric disabilities. We found that 16.3% of individuals whose charges were closed as of June 30, 1995, received

KATHRYN MOSS; MATTHEW JOHNSEN; MICHAEL ULLMAN

1998-01-01

132

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

Microsoft Academic Search

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

John Gettens; Alexis D. Henry; Jay Himmelstein

2012-01-01

133

A Methodology for Assessing the Functions of Emerging Speech in Children with Developmental Disabilities  

Microsoft Academic Search

An approach based on Skinner's (1957) theory of verbal behavior has been developed to understand and teach elementary communication skills to children with autism and developmental disabilities (Sundberg & Partington, 1998). However, few studies have directly examined the characteristics of emerging language in children with developmental disabilities. The purpose of this study was to develop and evaluate an assessment for

DOROTHEA C. LERMAN; Mandy Parten; L AURA R. ADDISON; CHRISTINA M. VORNDRAN; Valerie M Volkert; Tiffany Kodak; Jennifer Asmus

2005-01-01

134

A critical review of questionnaires for assessing pain-related disability  

Microsoft Academic Search

Standardized questionnaires offer a practical and cost-effective means for measuring moderate disability. Fourteen questionnaires that can be used for assessing pain-related disability are reviewed in this article. Their comparative attributes are summarized. Most of the questionnaires obtain information about specific activities of daily living. They vary in terms of structure, content, and intended applications. Psychometric theory provides the optimal method

Richard W. Millard

1991-01-01

135

An instrument for assessment of subjective visual disability in cataract patients  

Microsoft Academic Search

AIMS\\/BACKGROUNDThe construction and validation of an instrument for the assessment of subjective visual disability in the cataract patient is described. This instrument is specifically designed for measuring the outcome of cataract surgery with respect to visual disability.METHODSVisually related activities thought to be affected by cataract were considered for the questionnaire. These were reduced by pilot study and principal components analysis

Konrad Pesudovs; Douglas J Coster

1998-01-01

136

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

137

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

ERIC Educational Resources Information Center

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

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

2011-01-01

138

Assessing medical technologies in development : a new paradigm of medical technology assessment  

Microsoft Academic Search

Objective: Our study aims to provide a practical contribution to the field of medical technology assessment within a new paradigm. This paradigm indicates the need for more comprehensive technology assessments in the development stage of a new technology. - \\u000aMethod: We introduce a method, based on Saaty’s Analytic Hierarchy Process, which quantitatively supports discussions between the various actors that shape

Marjan J. M. Hummel; Rossum van Wouter; Gijsbertus J. Verkerke; Gerhard Rakhorst

2000-01-01

139

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

ERIC Educational Resources Information Center

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

Perie, Marianne, Ed.

2010-01-01

140

MEDICAL SURVEILLANCE ASSESSMENT UNL Respiratory Protection Program  

E-print Network

://ehs.unl.edu/) Employee's Name/ID Number: Department: Date of Medical Evaluation: Medical Evaluator Contact Information for medical re-evaluation pertaining to respirator use by this employee are as follows: Medical re-evaluation (If not St. Elizabeth's Company Care): After reviewing the medical history and/or examination

Logan, David

141

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

142

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

ERIC Educational Resources Information Center

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

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

2015-01-01

143

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

ERIC Educational Resources Information Center

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

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

2006-01-01

144

Transdisciplinary Activity-based Assessment for Young Children with Multiple Disabilities: A Program Planning Approach.  

ERIC Educational Resources Information Center

Discussion of transdisciplinary activity-based assessment for young children with multiple disabilities focuses on application of assessment results to program planning for inclusion of these children in typical early childhood classes. Assessment steps are detailed and a sample assessment protocol is included. A case study is used to illustrate…

Grisham-Brown, Jennifer

2000-01-01

145

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

146

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

PubMed Central

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

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

2014-01-01

147

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

PubMed Central

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

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

2014-01-01

148

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

PubMed

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

Gifford, Brian

2014-11-01

149

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

150

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

ERIC Educational Resources Information Center

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

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

2013-01-01

151

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

ERIC Educational Resources Information Center

Implementation of medical rehabilitation for children with severe disabilities, arranged by the Social Insurance Institution of Finland, is based on collaboration of the family with several professionals and organizations providing the necessary services. Therefore, it sets special challenges for service provision. Parents' experiences of…

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

2013-01-01

152

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

153

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

PubMed Central

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

2013-01-01

154

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

155

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

ERIC Educational Resources Information Center

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

Klein-Ezell, Colleen; Ezell, Dan

2005-01-01

156

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

157

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

ERIC Educational Resources Information Center

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

Campbell, Martin; McCue, Michael

2013-01-01

158

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

159

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

ERIC Educational Resources Information Center

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

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

2004-01-01

160

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

ERIC Educational Resources Information Center

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

Salmon, Amy

2007-01-01

161

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

Code of Federal Regulations, 2010 CFR

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

2010-04-01

162

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

Code of Federal Regulations, 2011 CFR

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

2011-04-01

163

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

Microsoft Academic Search

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

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

1999-01-01

164

Considerations for Functional Assessment of Problem Behavior Among Persons with Developmental Disabilities and Mental Illness  

E-print Network

CHAPTER 5 CONSIDERATIONS FOR FUNCTIONAL ASSESSMENT OF PROBLEM BEHAVIOR AMONG PERSONS WITH DEVELOPMENTAL DISABILITIES AND MENTAL ILLNESS Daniel J. Baker E. Richard Blumberg Rachel Freeman It is now accepted that the range... among individuals with developmental disabilities and mental illness is a major, long-standing concern in the provision of community-based support. Supporting this population in the community presents particular challenges, including the lack...

Baker, Daniel J.; Blumberg, E. Richard; Freeman, Rachel L.

2002-01-01

165

Accommodations for Students with Disabilities on State English Language Proficiency Assessments: A Review of 2011 State Policies  

ERIC Educational Resources Information Center

English language learners (ELLs) with disabilities are required to participate in all state and district assessments similar to their peers without disabilities. This includes assessments used for the Elementary and Secondary Education Act (ESEA) Title I accountability purposes for demonstrating proficiency in academic content, assessments used…

Christensen, Laurene L.; Albus, Debra A.; Liu, Kristin K.; Thurlow, Martha L.; Kincaid, Aleksis

2013-01-01

166

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

167

An Assessment of Intellectual Disability Among Aboriginal Australians  

ERIC Educational Resources Information Center

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

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

2005-01-01

168

What Is Intellectual Disability? How Is It Assessed and Classified?  

ERIC Educational Resources Information Center

People with an intellectual disability have existed across human history, making up a part of all cultures. They represent a small part of the extremely wide variety of people in the human population at any one time. This review essay examines the 11th and latest Definition and Classification Manual published by the American Association on…

Parmenter, Trevor R.

2011-01-01

169

Assessing the Prevalence of Intellectual Disability among Young Male Prisoners  

ERIC Educational Resources Information Center

Background: In recent years, academic debate has (re)focused on the extent of the co-occurrence of intellectual disability (ID) and criminality, although findings from prevalence studies examining this link have been inconsistent. In April 2004, a process for transferring responsibility for commissioning healthcare services in UK prisons to…

Herrington, V.

2009-01-01

170

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

171

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

172

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

ERIC Educational Resources Information Center

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

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

2008-01-01

173

African American Adolescents and Adults with Learning Disabilities: An Overview of Assessment Issues.  

ERIC Educational Resources Information Center

This booklet presents results from four survey questions asked of the audience and papers presented at a 1995 teleconference on assessment issues with African American adolescents and adults with learning disabilities. An introductory paper, "Multiple Factors Impacting the Assessment and Instruction of African American Adolescents and Adults with…

Gregg, Noel, Ed.; Curtis, Rebecca S., Ed.; Schmidt, Stacia F., Ed.

174

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

ERIC Educational Resources Information Center

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

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

2012-01-01

175

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

176

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

ERIC Educational Resources Information Center

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

Elliott, Stephen N.; Roach, Andrew T.

2007-01-01

177

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

ERIC Educational Resources Information Center

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

Swanson, H. Lee; Howard, Crystal B.

2005-01-01

178

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

179

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

180

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

ERIC Educational Resources Information Center

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

Crepeau-Hobson, Franci; Vujeva, Hana

2012-01-01

181

A Framework for Understanding Young Children with Severe Multiple Disabilities: The van Dijk Approach to Assessment.  

ERIC Educational Resources Information Center

This article describes a framework for assessing young children with severe multiple disabilities. The assessment is child-led and examines underlying processes of learning, including biobehavioral state, orienting response, learning channels, approach-withdrawal, memory, interactions, communication, and problem solving. Case studies and a sample…

Nelson, Catherine; van Dijk, Jan; McDonnell, Andrea P.; Thompson, Kristina

2002-01-01

182

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

183

Assessing Intellectual Disability in Children: Are IQ Measures Sufficient, or Even Necessary?  

Microsoft Academic Search

number of critical issues concerning the assessment of children with intellectual disabilities, including definitional problems, psychometric factors, and practical difficulties, are raised in this article. It is suggested that school counsellors and psychologists should consider these issues when assessing children with probable or known intellectual disabili- ties, particularly when using IQ tests. The use of adaptive scales as an additional

Susan Colmar; Amanda Maxwell; Leanne Miller

2006-01-01

184

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

ERIC Educational Resources Information Center

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

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

2002-01-01

185

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

186

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

187

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

PubMed

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

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

2010-05-01

188

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

Microsoft Academic Search

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

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

2009-01-01

189

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

190

Modeling the World Health Organization Disability Assessment Schedule II using non-parametric item response models.  

PubMed

The World Health Organization Disability Assessment Schedule II (WHO-DAS II) is a multidimensional instrument developed for measuring disability. It comprises six domains (getting around, self-care, getting along with others, life activities and participation in society). The main purpose of this paper is the evaluation of the psychometric properties for each domain of the WHO-DAS II with parametric and non-parametric Item Response Theory (IRT) models. A secondary objective is to assess whether the WHO-DAS II items within each domain form a hierarchy of invariantly ordered severity indicators of disability. A sample of 352 patients with a schizophrenia spectrum disorder is used in this study. The 36 items WHO-DAS II was administered during the consultation. Partial Credit and Mokken scale models are used to study the psychometric properties of the questionnaire. The psychometric properties of the WHO-DAS II scale are satisfactory for all the domains. However, we identify a few items that do not discriminate satisfactorily between different levels of disability and cannot be invariantly ordered in the scale. In conclusion the WHO-DAS II can be used to assess overall disability in patients with schizophrenia, but some domains are too general to assess functionality in these patients because they contain items that are not applicable to this pathology. Copyright © 2014 John Wiley & Sons, Ltd. PMID:25524862

Galindo-Garre, Francisca; Hidalgo, María Dolores; Guilera, Georgina; Pino, Oscar; Rojo, J Emilio; Gómez-Benito, Juana

2015-03-01

191

10 CFR 712.14 - Medical assessment.  

Code of Federal Regulations, 2013 CFR

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

2013-01-01

192

10 CFR 712.14 - Medical assessment.  

Code of Federal Regulations, 2014 CFR

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

2014-01-01

193

10 CFR 712.14 - Medical assessment.  

Code of Federal Regulations, 2012 CFR

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

2012-01-01

194

Assessment of medical school musculoskeletal education.  

PubMed

Most medical fields require a basic knowledge of musculoskeletal medicine. Although many nonorthopedic clinicians treat musculoskeletal problems, this area of medicine is often given little time in medical school curricula. In the study reported here, a validated musculoskeletal cognitive evaluation was given to medical students before and after a new musculoskeletal module to determine the impact of the module on their competency in musculoskeletal medicine. Four hundred five students at a single medical school took the examination, which was corrected according to a validated scoring system, and the data were subsequently analyzed. Mean cognitive examination score was 40%. The recommended mean passing score for the examination is 73.1%. Scores were significantly (P < .05) higher for the premodule group (42.1%) than the postmodule group (39.1%). Statistical significance was set at P < .05. Students' overall mean score was far below passing, which demonstrates the inadequacy of musculoskeletal education within the medical school curriculum. That the postmodule group scored lower than the premodule group suggests that increasing musculoskeletal lecture time may not improve medical students' musculoskeletal knowledge. PMID:25750952

Weiss, Krista; Curry, Emily; Matzkin, Elizabeth

2015-03-01

195

Assessing Patients’ Expectations in Ambulatory Medical Practice  

PubMed Central

To compare three different approaches to the measurement of patients’ expectations for care, we conducted a randomized controlled trial. Medical outpatients (n= 318) of a small (six-physician), single-specialty (internal medicine), academically affiliated private practice in Sacramento, California, were contacted by telephone the night before a scheduled office visit and enrolled over a 5-month period in early 1994. Patients were randomly assigned to receive: (1) a self-administered, structured, previsit questionnaire combined with a postvisit questionnaire; (2) an interviewer-administered, semistructured, previsit interview combined with a postvisit questionnaire; or (3) a postvisit questionnaire only. We assessed the number and content of patients’ expectations by previsit questionnaire versus interview; the interaction between sociodemographic characteristics and survey method in predicting number of reported expectations; the effect of unfulfilled expectations elicited by questionnaire and interview on visit satisfaction; and the effect of unfulfilled expectations elicited directly and indirectly on visit satisfaction. Patients reported more expectations by structured questionnaire than semistructured interview (median 12 vs 3, p= .0001). Although there was no main effect of sociodemographic characteristics on expectations, nonwhite patients reported more expectations than white patients by questionnaire and fewer by interview. The number of interventions desired before the visit but not received (indirectly reported unfulfilled expectations) was associated with lower visit satisfaction regardless of whether a questionnaire or interview was used to elicit previsit expectations (p value for the interaction between number of expectations and survey method, > .20). Having more indirectly reported unfulfilled expectations was significantly associated with lower visit satisfaction even after controlling for the number of directly reported unfulfilled expectations (p= .021), but the incremental change in classification accuracy was small (increase in receiver-operating characteristic curve area, 3%). In conclusion, studies of patients’ expectations for care must contend with a substantial “method effect.” In this study from a single group practice, patients checked off more expectations using a structured questionnaire than they disclosed in a semistructured interview, but both formats predicted visit satisfaction. Asking patients about interventions received in relation to their previsit expectations added little to simply asking them directly about omitted care. The interaction of survey method with ethnicity and other sociodemographic characteristics requires further study. PMID:9034949

Kravitz, Richard L; Callahan, Edward J; Azari, Rahman; Antonius, Deirdre; Lewis, Charles E

1997-01-01

196

Federal Medical and Disability Program Costs Associated with Diabetes, 2005. Summary of Methods and Key Findings. Washington, DC: Mathematica Policy Research  

Microsoft Academic Search

Diabetes is a growing threat to the nation’s health that has serious and costly complications. This paper looks behind the $79.7 billion estimates for 2005 of medical and disability costs to the federal government cited in Mathematica’s main study. The estimates include $2.5 billion in disability payments associated with diabetes and $77.2 billion in increased medical costs. Nearly 80 percent

Marsha Gold; Craig Thornton; Allison Hedley; Cheryl Fahlman; Suzanne Felt-Lisk; Bob Weathers; Thomas Croghan

2007-01-01

197

Functioning and disability analysis of patients with traumatic brain injury and spinal cord injury by using the world health organization disability assessment schedule 2.0.  

PubMed

The purpose of this study is to compare traumatic brain injuries (TBI) and spinal cord injuries (SCI) patients' function and disability by using the World Health Organization Disability Assessment Schedule 2.0 (WHODAS 2.0); and to clarify the factors that contribute to disability. We analyzed data available between September 2012 and August 2013 from Taiwan's national disability registry which is based on the International Classification of Functioning, Disability, and Health (ICF) framework. Of the 2664 cases selected for the study, 1316 pertained to TBI and 1348 to SCI. A larger percentage of patients with TBI compared with those with SCI exhibited poor cognition, self-care, relationships, life activities, and participation in society (all p < 0.001). Age, sex, injury type, socioeconomic status, place of residence, and severity of impairment were determined as factors that independently contribute to disability (all p < 0.05). The WHODAS 2.0 is a generic assessment instrument which is appropriate for assessing the complex and multifaceted disability associated with TBI and SCI. Further studies are needed to validate the WHODAS 2.0 for TBI and SCI from a multidisciplinary perspective. PMID:25874682

Kuo, Chia-Ying; Liou, Tsan-Hon; Chang, Kwang-Hwa; Chi, Wen-Chou; Escorpizo, Reuben; Yen, Chia-Feng; Liao, Hua-Fang; Chiou, Hung-Yi; Chiu, Wen-Ta; Tsai, Jo-Ting

2015-01-01

198

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

199

Teaching and assessing medical ethics: where are we now?  

Microsoft Academic Search

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

K Mattick; J Bligh

2006-01-01

200

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

201

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

202

The Utility and Psychometric Properties of the Abel-Blasingame Assessment System for Individuals With Intellectual Disabilities  

Microsoft Academic Search

This article describes the development and utility of the Abel-Blasingame Assessment System for individuals with intellectual disabilities (ABID) for assessment of sexual interest and problematic sexual behaviors. The study examined the preliminary psychometric properties and evaluated the clinical utility of the ABID based on a sample of 495 male adults with intellectual disabilities and\\/or developmental delays. The study examined (a)

Gerry D. Blasingame; Gene G. Abel; Alan Jordan; Markus Wiegel

2011-01-01

203

Making sense of assessment in medical ethics and law.  

PubMed

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

Dowie, Al

2014-10-01

204

Assessment of harmonics at a medical facility  

Microsoft Academic Search

A high quality of power is required in healthcare facilities due to increased use of microprocessor-based equipment. However, the ability to diminish power quality concerns depends on the limitations imposed by the system under study, especially infrastructure constraints. This paper describes a power quality audit conducted at a medical facility. Voltage and current measured at various points were used to

D. Ramirez-Castro; E. O'Neill-Carrillo; J. Santiago-Perez

2000-01-01

205

Assessment of Clinical Skills in Medical Practice  

ERIC Educational Resources Information Center

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

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

2003-01-01

206

Work disability among workers with osteoarthritis of the knee: risks factors, assessment scales, and interventions.  

PubMed

The prevalence of knee osteoarthritis (OA) among individuals active in the workforce will increase considerably in the next generation and a significant percentage of these individuals are expected to experience work disability because of this disease. The aim of this review was to summarize the existing knowledge on the following: (a) work disability risk factors; (b) reliable and valid work disability assessment tools; and (c) efficient interventions to reduce work disability in individuals with knee OA. An electronic document search using key words and MeSH terms was performed with various databases. Two independent investigators were tasked with the screening of articles and quality assessment. A critical appraisal of what is known was performed and recommendations for clinical practice and future research were formulated. The database search yielded 61 references. One article on risk factors, three related to assessment tools, and two on interventions were retained. Age and previous work absence episodes were found to be risk factors of workplace disability. The Work Limitation Questionnaire, the Work Instability Scale for Rheumatoid Arthritis, and the Workplace Activity Limitations Scale were psychometrically sound for the population studied. Education-based interventions seem to be more effective than conventional interventions in helping individuals with knee OA return to work faster, reduce the number of days absent from work, and improve their overall well-being. This review is the first to summarize the evidence on work disability risk factors, assessment tools, and interventions for this growing population and to show a critical gap in the existing knowledge. PMID:25221848

Gaudreault, Nathaly; Maillette, Pascale; Coutu, Marie-France; Durand, Marie-José; Hagemeister, Nicola; Hébert, Luc J

2014-12-01

207

Assessing Children for the Presence of a Disability. Resources You Can Use. NICHCY Bibliography. 2nd Edition.  

ERIC Educational Resources Information Center

This resource list is intended to provide school systems with information on assessment of school-aged children for the presence of a disability. The 104 references are broken down into the following categories: general assessment information; assessment tools; critiques of assessment tools; curriculum-based assessment; assessments of different…

Gutierrez, Mary Kate, Comp.

208

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

209

Accountability for All Students: Kentucky's Alternate Portfolio Assessment for Students with Moderate and Severe Cognitive Disabilities.  

ERIC Educational Resources Information Center

This article describes the development of Kentucky's alternative assessment for students with disabilities, including the content and scoring standards for the Alternate Portfolio. Specific examples of entries at each grade are given. Initial implementation data are presented, and critical issues in the development of alternate statewide…

Kleinert, Harold L.; Kearns, Jacqueline Farmer; Kennedy, Sarah

1997-01-01

210

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

211

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

212

"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

213

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

ERIC Educational Resources Information Center

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

Kleinert, Harold L.; Kearns, Jacqui Farmer

2010-01-01

214

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

215

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

ERIC Educational Resources Information Center

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

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

2012-01-01

216

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

217

Helping Students with Disabilities Succeed in State and District Writing Assessments. ERIC/OSEP Digest.  

ERIC Educational Resources Information Center

This digest offers guidelines to help teachers prepare students with disabilities to succeed on state and district writing assessments. Teachers are urged to use the three principles of effective writing instruction: (1) use a basic framework of planning, writing, and revision; (2) instruct students in steps of the writing process and the features…

Warger, Cynthia

218

PSYCHODIAGNOSTICS III: COGNITIVE AND AFFECTIVE ASSESSMENT OF LEARNING DISABILITIES: AN INTEGRATIVE APPROACH  

Microsoft Academic Search

This course provides a broad overview of the assessment of the psychological and educational problems encountered by children and adults with learning disabilities during their inevitably altered developmental trajectory. The course format will consist of a two hour lecture per week, and an additional two hours for a lab which will offer students the chance to observe more experienced testers

Lissa Weinstein

219

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

220

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

ERIC Educational Resources Information Center

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

Crepeau-Hobson, Franci; Vujeva, Hana

2012-01-01

221

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

ERIC Educational Resources Information Center

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

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

2005-01-01

222

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

ERIC Educational Resources Information Center

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

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

2011-01-01

223

Adapting the Sheehan Disability Scale to Assess Child and Parent Impairment Related to Childhood Anxiety Disorders  

ERIC Educational Resources Information Center

This study describes a child adaptation of the Sheehan Disability Scale, a measure of impairment among anxious adults. Parallel child and parent report forms were created to assess the degree to which anxiety interferes with child and parent social, educational/occupational, and family functioning. Data from 267 anxious children (140 boys ages…

Whiteside, Stephen P.

2009-01-01

224

Medical technology: Assessment, adoption, and utilization  

Microsoft Academic Search

Promotion of appropriate diffusion of technology in medicine is handicapped by: (1) thorny conceptual, ethical, and methodological problems in technology assessment; (2) a lack of consistent findings on the factors affecting technology adoption and utilization; and (3) a disturbing lack of apparent connection between assessment, adoption, and utilization. This paper reviews published work in these areas of inquiry, highlights areas

Ann Lennarson Greer

1981-01-01

225

Disablement, Disability and the Nigerian Society.  

ERIC Educational Resources Information Center

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

Abang, Theresa B.

1988-01-01

226

Assessing Patients' Expectations in Ambulatory Medical Practice  

Microsoft Academic Search

To compare three different approaches to the measurement of patients' expectations for care, we conducted a randomized controlled\\u000a trial. Medical outpatients (n = 318) of a small (six-physician), single-specialty (internal medicine), academically affiliated\\u000a private practice in Sacramento, California, were contacted by telephone the night before a scheduled office visit and enrolled\\u000a over a 5-month period in early 1994. Patients were

Richard L. Kravitz; Edward J. Callahan; Rahman Azari; Deirdre Antonius; Charles E. Lewis

1997-01-01

227

Assessing accuracy of an electronic provincial medication repository  

PubMed Central

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

2012-01-01

228

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

229

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

230

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

231

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

232

A methodology for assessing the functions of emerging speech in children with developmental disabilities.  

PubMed

An approach based on Skinner's (1957) theory of verbal behavior has been developed to understand and teach elementary communication skills to children with autism and developmental disabilities (Sundberg & Partington, 1998). However, few studies have directly examined the characteristics of emerging language in children with developmental disabilities. The purpose of this study was to develop and evaluate an assessment for identifying the elementary functions of vocal speech in children. Participants were 4 children with developmental disabilities, aged 6 years to 12 years, who exhibited at least one distinguishable vocal response (word or phrase) frequently in the natural environment. The assessment focused on three verbal operants delineated by Skinner (mand, tact, and intraverbal). One or more functions were identified for at least one vocal response of each child. Results suggested that this assessment would be useful for (a) evaluating Skinner's theory, (b) guiding decisions about language training for individual children, and (c) studying the nature of expressive language development in children with developmental disabilities. PMID:16270841

Lerman, Dorothea C; Parten, Mandy; Addison, Laura R; Vorndran, Christina M; Volkert, Valerie M; Kodak, Tiffany

2005-01-01

233

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

PubMed Central

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

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

2014-01-01

234

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

235

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

236

Functional Capacity Evaluation & Disability  

PubMed Central

Function, Impairment, and Disability are words in which many physicians have little interest. Most physicians are trained to deal with structure and physiology and not function and disability. The purpose of this article is to address some of the common questions that many physicians have with the use of functional capacity evaluation and disability and also to provide a unifying model that can explain the medical and societal variables in predicting disability. We will first define the functional capacity evaluation (FCE) and explore the different types available as well as their uses. We will review several studies exploring the validity and reliability of the FCE on healthy and chronic pain patients. We will examine the few studies that look into whether an FCE is predictive of return to work and whether an FCE is predictive of disability. In the second half of this article, we will focus on the Assessment of Disability from the origins of the United States Social Security Administration to a bold new concept, the World Health Organization's International Classification of Function, Disability and Health. PMID:17907444

Chen, Joseph J

2007-01-01

237

Assessment Instruments for Identification of Young Children with Behavioral Disabilities.  

ERIC Educational Resources Information Center

This paper is a discussion of the assessment instruments available for identification of young children with behavioral disorders. Behavioral disorders are defined and the problems encountered in the identification of such disorders among preschool aged children are discussed. A selection of assessment instruments including nine different…

Rosberg, Merilee A.

238

Team-based assessment of professional behavior in medical students  

PubMed Central

Introduction: Self and peer assessment provides important information about the individual’s performance and behavior in all aspects of their professional environment work. The aim of this study is to evaluate the professional behavior and performance in medical students in the form of team based assessment. Methods: In a cross-sectional study, 100 medical students in the 7th year of education were randomly selected and enrolled; for each student five questionnaires were filled out, including one self-assessment, two peer assessments and two residents assessment. The scoring system of the questionnaires was based on seven point Likert scale.  After filling out the questions in the questionnaire, numerical data and written comments provided to the students were collected, analyzed and discussed. Internal consistency (Cronbach’s alpha) of the questionnaires was assessed. A p<0.05 was considered as significant level. Results: Internal consistency was acceptable (Cronbach’s alpha 0.83). Interviews revealed that the majority of students and assessors interviewed found the method acceptable. The range of scores was 1-6 (Mean±SD=4.39±0.57) for the residents' assessment, 2-6 (Mean±SD= 4.49±0.53) for peer assessment, and 3-7 (Mean±SD=5.04±0.32) for self-assessment. There was a significant difference between self assessment and other methods of assessment. Conclusions: This study demonstrates that a team-based assessment is an acceptable and feasible method for peer and self-assessment of medical students’ learning in a clinical clerkship, and has some advantages over traditional assessment methods. Further studies are needed to focus on the strengths and weaknesses. PMID:25512933

RAEE, HOJAT; AMINI, MITRA; MOMEN NASAB, AMENEH; MALEK POUR, ABDOLRASOUL; JAFARI, MOHAMMAD MORAD

2014-01-01

239

Assessing medical technology in less-developed countries.  

PubMed

Less developed countries (LDCs) are limited in medical resources. Medical technology and the management talent required to handle it play a particularly major role in their national health care and has significant economic, political, and ethical ramifications. This study of the assessment process of medical technology in the LDCs proposes a limited framework for the analysis of the major parameters involved, i.e., stakeholders, boundaries and constraints, goals and objectives, criteria to be met, performance measures, and measurement of performance. The importance of the intangible factors is elucidated. PMID:9308274

Sideman, S; BenDak, J D

1997-01-01

240

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

241

Formative assessment in undergraduate medical education: concept, implementation and hurdles.  

PubMed

Formative assessment, described as "the process of appraising, judging or evaluating students' work or performance and using this to shape and improve students' competence", is generally missing from medical schools of Pakistan. Progressive institutions conduct "formative assessment" as a fleeting part of the curriculum by using various methods that may or may not include feedback to learners. The most important factor in the success of formative assessment is the quality of feedback, shown to have the maximum impact on student accomplishment. Inclusion of formative assessment into the curriculum and its implementation will require the following: Enabling Environment, Faculty and student Training, Role of Department of Medical Education (DME). Many issues can be predicted that may jeopardize the effectiveness of formative assessment including faculty resistance, lack of motivation from students and faculty and paucity of commitment from the top administration. For improvement in medical education in Pakistan, we need to develop a system considered worthy by national and international standards. This paper will give an overview of formative assessment, its implications and recommendations for implementation in medical institutes of Pakistan. PMID:24605718

Rauf, Ayesha; Shamim, Muhammad Shahid; Aly, Syed Moyn; Chundrigar, Tariq; Alam, Shams Nadeem

2014-01-01

242

Assessment and Non-clinical Impact of Medical Devices.  

PubMed

Medical devices (MDs) cover a wide variety of products. They accompany changes in medical practice in step with technology innovations. Innovations in the field of MDs can improve the conditions of use of health technology and/or modify the organisation of care beyond the strict diagnostic or therapeutic benefit for the patients. However, these non purely clinical criteria seem to be only rarely documented or taken into account in the assessment of MDs during reimbursement decisions at national level or for formulary listing by hospitals even though multidimensional models for the assessment of health technologies have been developed that take into account the views of all stakeholders in the healthcare system In this article, after summarising the background concerning the assessment of health technologies in France, a definition of non-clinical criteria for the assessment of MDs is proposed and a decision tree for the assessment of MDs is described. Future lines of approach are proposed as a conclusion. PMID:25747839

Dervaux, Benoît; Szwarcensztein, Karine; Josseran, Anne; Barna, Alexandre; Carbonneil, Cédric; Chevrie, Karine; Debroucker, Frédérique; Grumblat, Anne; Grumel, Olivier; Massol, Jacques; Maugendre, Philippe; Méchin, Hubert; Orlikowski, David; Roussel, Christophe; Rumeau-Pichon, Catherine; Sales, Jean-Patrick; Vicaut, Eric

2015-01-01

243

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

ERIC Educational Resources Information Center

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

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

2007-01-01

244

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

ERIC Educational Resources Information Center

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

Gerber, F.; Carminati, G. Galli

2013-01-01

245

State Special Education Outcomes, 1993: A Report on State Activities in the Assessment of Educational Outcomes for Students with Disabilities.  

ERIC Educational Resources Information Center

This report presents the results of the third national survey of state activities in the assessment of educational outcomes for students with disabilities. The report does not contain actual outcomes data on students with disabilities. Twenty-three tables present data on: number of students in general education and special education in each state;…

Shriner, James G.; And Others

246

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

PubMed Central

Background Very little is known about the attitudes and views that might underlie and explain the variation in occupational disability assessment behaviour between insurance physicians. In an earlier study we presented an adjusted ASE model (Attitude, Social norm, Self-efficacy) to identify the determinants of the disability assessment behaviour among insurance physicians. The research question of this study is how Attitude, Social norm, Self-efficacy and Intention shape the behaviour that insurance physicians themselves report with regard to the process (Behaviour: process) and content of the assessment (Behaviour: assessment) while taking account of Knowledge and Barriers. Methods This study was based on 231 questionnaires filled in by insurance physicians, resulting into 48 scales and dimension scores. The number of variables was reduced by a separate estimation of each of the theoretical ASE constructs as a latent variable in a measurement model. The saved factor scores of these latent variables were treated as observed variables when we estimated a path model with Lisrel to confirm the ASE model. We estimated latent ASE constructs for most of the assigned scales and dimensions. All could be described and interpreted. We used these constructs to build a path model that showed a good fit. Results Contrary to our initial expectations, we did not find direct effects for Attitude on Intention and for Intention on self reported assessment behaviour in the model. This may well have been due to the operationalization of the concept of 'Intention'. We did, however, find that Attitude had a positive direct effect on Behaviour: process and Behaviour: Assessment and that Intention had a negative direct effect on Behaviour: process. Conclusion A path model pointed to the existence of relationships between Attitude on the one hand and self-reported behaviour by insurance physicians with regard to process and content of occupational disability assessments on the other hand. In addition, Intention was only related to the self reported behaviour with regard to the process of occupational disability assessments. These findings provide some evidence of the relevance of the ASE model in this setting. Further research is needed to determine whether the ASE variables measured for insurance physicians are related to the real practice outcomes of occupational disability assessments. PMID:21771326

2011-01-01

247

Medication persistence over 2 years of follow-up in a cohort of early rheumatoid arthritis patients: associated factors and relationship with disease activity and with disability  

PubMed Central

Introduction Aggressive treatment with disease-modifying antirheumatic drugs (DMARDs) plays a major role in improving early rheumatoid arthritis (RA) patient outcomes. Persistence and adherence with medication occurs variably (20% to 70%). The objectives of the study were to determine medication persistence (MP) in early RA patients over 13 consecutive visits each 2 months apart, to investigate the relationship between MP and disease activity, disability and structural damage, and to identify baseline prognosticators. Methods Charts from 75 patients of an early RA cohort were reviewed. At each visit, a rheumatologist interviewed patients regarding therapy, scored disease activity with the 28-joint disease activity score (DAS28) and disability with the health assessment questionnaire (HAQ), and recorded comorbidities and treatment. A complete medical history was obtained at baseline. MP was defined as the duration of time from initiation to discontinuation of at least one DMARD and/or corticosteroids for at least 1 week and was reported as a dichotomous variable at consecutive evaluations. Structural damage was defined by detection of new erosions on radiography. Descriptive statistics, Student's t test, the chi-squared test, and logistic regression analyses were used. Results The proportion of MP patients decreased from 98% at 2 months to 34% at 2 years. MP patients (n = 32) had similar DAS28 to non-MP patients (n = 53) at initial visits, lower DAS28 and greater DAS28 improvements at follow-ups (P ? 0.05 at visits 4, 6, 7 and 9) and reached sustained remission (? 3 consecutive visits with DAS28 < 2.6) more frequently (82.8% versus 46.5%, P = 0.003) and earlier (7.7 ± 4.6 versus 13.6 ± 5.7 months, P = 0.001) than non-MP patients. MP patients had similar baseline HAQ scores, but lower HAQ scores at follow-up (P ? 0.05 at visits 3, 5, 6, 7, 9, 10 and 13). More non-MP patients developed erosive disease than MP patients (26.8% versus 17.9%, P = 0.56). Older age at baseline was associated with therapy discontinuation (odds ratio = 1.1, 95% confidence interval = 1.007 to 1.103, P = 0.02). Conclusions Discontinuation of DMARDs was frequent and progressive in an early RA cohort. Patients with persistence on therapy were younger, had lower disease activity and disability during follow-up, and reached sustained remission more frequently and earlier than patients without it. MP should intentionally be evaluated during follow-up of early RA patients, as it seems to play a major role in outcome. PMID:19228421

Pascual-Ramos, Virginia; Contreras-Yáñez, Irazú; Villa, Antonio R; Cabiedes, Javier; Rull-Gabayet, Marina

2009-01-01

248

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

249

MEDICAL TECHNOLOGY ASSESSMENT: THE USE OF THE ANALYTIC HIERARCHY PROCESS AS A TOOL FOR MULTIDISCIPLINARY EVALUATION OF MEDICAL DEVICES  

Microsoft Academic Search

Most types of medical technology assessments are performed after the technology has been developed. Consequently, they have only minor effects on changes in clinical practice. Our study introduces a new method of constructive medical technology assessment that can change the development and diffusion of a medical device to improve its later effectiveness in clinical practice. The method, based on Saaty's

HUMMEL JM

250

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

251

Assessing the Attitudes of Administrators to Include Students with Disabilities  

ERIC Educational Resources Information Center

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

Abernathy, Frederick Douglas

2012-01-01

252

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

253

A real-time assessment of factors influencing medication events.  

PubMed

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

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

2014-01-01

254

Internal consistency and validity of the self-assessment Parkinson's Disease disability scale. Abstract  

Microsoft Academic Search

OBJECTIVE: To test the consistency and validity of the Self-assessment Parkinson's Disease Disability Scale in patients with Parkinson's disease living at home.\\u000aDESIGN: Patients with Parkinson's disease responded to a set of questionnaires. In addition, an observation of the performance of daily activities was carried out on a subgroup.\\u000aSETTING AND SUBJECTS: Patients with Parkinson's disease living at home (n

J. Dekker; M. A. J. E. Biemans

2000-01-01

255

Actuarial risk assessment and recidivism in a sample of UK intellectually disabled sexual offenders  

Microsoft Academic Search

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 over 76 months of follow-up. Static-99 presented as performing as well as guided clinical

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

2009-01-01

256

Prevalence of Autism Spectrum Disorder among Nigerian Children with Intellectual Disability: A Stopgap Assessment  

Microsoft Academic Search

The prevalence of autism spectrum disorder (ASD) among sub-Saharan African children with intellectual disability is about 0.7% more than three decades ago. During this period, the prevalence of ASD has been on the increase worldwide. Studies are not available in recent times addressing epidemiology of ASD among sub-Saharan African children. The present study assessed the prevalence of ASD among Nigerian

Muideen O. Bakare; Peter O. Ebigbo; Vincent N. Ubochi

2012-01-01

257

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.

258

Assessment of Critical Thinking Ability in Medical Students  

ERIC Educational Resources Information Center

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

Macpherson, Karen; Owen, Cathy

2010-01-01

259

“Portfolios” as a method of assessment in medical education  

PubMed Central

Portfolios are increasingly used in postgraduate medical education and in gastroenterology training as an assessment tool, as documentation of competence, a database of procedure experience (for example endoscopy experience) and for revalidation purposes. In this paper the educational theory behind their use is described and the evidence for their use is discussed. PMID:24834299

2014-01-01

260

Behavioral assessment of feeding problems of individuals with severe disabilities.  

PubMed Central

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

261

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

ERIC Educational Resources Information Center

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

Iacono, T.; Carling-Jenkins, R.

2012-01-01

262

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

ERIC Educational Resources Information Center

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

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

2007-01-01

263

Clinical decision making and preference assessment for individuals with intellectual and developmental disabilities.  

PubMed

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 available and selecting the appropriate method is crucial to provide reliable and meaningful results. The authors conducted a systematic review of the preference assessment literature, and developed an evidence-informed, decision-making model to guide practitioners in the selection of preference assessment methods for a given assessment scenario. The proposed decision-making model could be a useful tool to increase the usability and uptake of preference assessment methodology in applied settings. PMID:24679351

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

2014-03-01

264

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

ERIC Educational Resources Information Center

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

Cooper, Lisa Marie

2012-01-01

265

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

266

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

Microsoft Academic Search

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

Abla Mehio Sibai; Nadine Sameer Shaar; Samar El Yassir

2000-01-01

267

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

PubMed Central

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

2010-01-01

268

Diagnosing a Learning Disability in a Hearing-Impaired Child.  

ERIC Educational Resources Information Center

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

Plapinger, Donald; Sikora, Darryn

1990-01-01

269

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

ERIC Educational Resources Information Center

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

Seelig, Richard

2006-01-01

270

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

271

Using paired-choice assessment to identify variables maintaining sleep problems in a child with severe disabilities  

Microsoft Academic Search

In this study, we used a paired-choice assessment protocol to identify the relative rein- forcing value of stimuli and activities for a child with severe disabilities when she failed to settle to sleep at night. The results of this assessment indicated that the child preferred the mother's attention relative to other activities presented. Assessment results were in- corporated into an

MARK F. O'REILLY; GIULIO E. LANCIONI; Jeff Sigafoos

2004-01-01

272

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

Microsoft Academic Search

Although many studies have examined the alignment of state standards with large-scale assessment and instruction, fewer have attended to alignment concerning alternate assessments for students with significant disabilities. This study was designed to (1) compare expectations in one state's alternate assessment (AA) with curricular priorities reflected in students' Individualized Education Programs (IEPs), and (2) consider the effect of this relationship

Meagan Karvonen; Huynh Huynh

2007-01-01

273

Chronic migraine with medication overuse: treatment outcome and disability at 3 years follow-up  

Microsoft Academic Search

Patients with chronic migraine and medication overuse are particularly difficult to treat. No clear consensus exists about treatment strategies to be used and little data exists about the functional impact of headache in these patients. The purpose of the study was to determine (1) the clinical course of a sample of chronic migraine patients with medication overuse 36 months following

S. Usai; L. Grazzi; F. Andrasik; D. D’Amico; A. Rigamonti; G. Bussone

2004-01-01

274

Medical Databases for Assessing the Efficacy of Laboratory Tests  

PubMed Central

A system is described for monitoring the efficacy of clinical laboratory tests. A combination of electronic data retreival and manual retrospective review of medical records were used to collect information on patient diagnoses and therapeutic responses. These medical databases provide an effective method for monitoring the performance of current tests and evaluating the impact of new procedures. They also provide a quality assurance monitor for assessing the clinical utilization of the tests and provide a reference base for developing methods for interpretative reporting of test results. This program is mainly of value for tests used to diagnose or monitor patients with well-defined anatomic or physiologic lesions. Medical record reviews are of limited value when the patient diagnoses and outcomes are based predominantly on the tests being studied without independent criteria for confirming the clinical conclusions.

Klee, George; Beard, C. Mary

1987-01-01

275

The measurement of vision disability.  

PubMed

The American Medical Association's (AMA) visual efficiency scale, a vision disability metric based on visual impairment measurements, was adopted in 1925. That scale was based on a 30-year history of theoretical models in vision economics, a misinterpretation of Snellen notation for visual acuity, and an erroneous application of Weber's psychophysical law. The AMA visual efficiency scale survived uncontested for 75 years. In 2001, the AMA adopted a new vision disability scale based on logarithmic transformations of visual acuity and visual field diameter. Like the earlier visual efficiency scale, the new scale is theoretical-it is not supported by any data that speak to the relationship between vision disability and visual impairments. Attempts to measure vision disability date to the early 1980s with the development of self-assessment visual function rating scale questionnaires. Nearly all of the questionnaires developed over the last 20 years use Likert scales, but use them incorrectly. The development of a vision disability metric based on Likert scaling parallels the historical development of other forms of measurement. A tutorial review of psychometrics-classical test theory, item response theory, and Rasch analysis-shows how vision disability measurement scales can be estimated from Likert-type visual function rating scales. We conclude that preliminary data relating measures of vision disability to measures of visual acuity and visual fields support the new AMA vision disability scale. PMID:12199545

Massof, Robert W

2002-08-01

276

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

277

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

278

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

ERIC Educational Resources Information Center

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

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

2013-01-01

279

Assessing oral cancer knowledge among Saudi medical undergraduates.  

PubMed

Oral cancer is the sixth most common malignancy worldwide with more than 263,000 patients diagnosed in 2008. Nonspecialists' negative attitudes and poor working knowledge of oral cancer significantly contribute to suboptimal detection of early-stage disease which leads to delays in diagnosis. We aimed to assess the working knowledge and views associated with oral cancer prevention among medical students in Saudi Arabia. A cross-sectional questionnaire-based survey of 4th, 5th, and 6th year undergraduate medical students was undertaken. Questions included knowledge of oral cancer, risk factors, and opinions on oral cancer prevention. The overall response rate was 82 % (137/167). Mean score of cancer knowledge was 57.8 % which was below the expected standard of 70 %. Only 53 % correctly answered all questions related to oral cancer. This result had no association with either the academic year (p = 0.23) or gender (p = 0.37). Interestingly, 72 % of the respondents did not feel confident in performing an oral examination. Sixty-three percent of the medical students believed it to be beyond their role to aid patients in smoking cessation measures or to take part in other disease preventative strategies. This study demonstrates a dearth of knowledge relating to the diagnosis and management of oral cancer among clinical students within an established Saudi medical school. An immediate refinement of current medical curricula to address these deficiencies is warranted. PMID:23900623

Kujan, Omar; Abuderman, Abdulwahab; Azzegahiby, Saleh; Alenzi, Faris Q; Idrees, Majdy

2013-12-01

280

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

281

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

E-print Network

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

282

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

283

The Academic Medical Center Linear Disability Score (ALDS) item bank: item response theory analysis in a mixed patient population  

PubMed Central

Background Currently, there is a lot of interest in the flexible framework offered by item banks for measuring patient relevant outcomes. However, there are few item banks, which have been developed to quantify functional status, as expressed by the ability to perform activities of daily life. This paper examines the measurement properties of the Academic Medical Center linear disability score item bank in a mixed population. Methods This paper uses item response theory to analyse data on 115 of 170 items from a total of 1002 respondents. These were: 551 (55%) residents of supported housing, residential care or nursing homes; 235 (23%) patients with chronic pain; 127 (13%) inpatients on a neurology ward following a stroke; and 89 (9%) patients suffering from Parkinson's disease. Results Of the 170 items, 115 were judged to be clinically relevant. Of these 115 items, 77 were retained in the item bank following the item response theory analysis. Of the 38 items that were excluded from the item bank, 24 had either been presented to fewer than 200 respondents or had fewer than 10% or more than 90% of responses in the category 'can carry out'. A further 11 items had different measurement properties for younger and older or for male and female respondents. Finally, 3 items were excluded because the item response theory model did not fit the data. Conclusion The Academic Medical Center linear disability score item bank has promising measurement characteristics for the mixed patient population described in this paper. Further studies will be needed to examine the measurement properties of the item bank in other populations. PMID:16381611

Holman, Rebecca; Weisscher, Nadine; Glas, Cees AW; Dijkgraaf, Marcel GW; Vermeulen, Marinus; de Haan, Rob J; Lindeboom, Robert

2005-01-01

284

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

285

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

Code of Federal Regulations, 2010 CFR

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

2010-07-01

286

Normative Data for the 12 Item WHO Disability Assessment Schedule 2.0  

PubMed Central

Background The World Health Organization Disability Assessment Schedule (WHODAS 2.0) measures disability due to health conditions including diseases, illnesses, injuries, mental or emotional problems, and problems with alcohol or drugs. Method The 12 Item WHODAS 2.0 was used in the second Australian Survey of Mental Health and Well-being. We report the overall factor structure and the distribution of scores and normative data (means and SDs) for people with any physical disorder, any mental disorder and for people with neither. Findings A single second order factor justifies the use of the scale as a measure of global disability. People with mental disorders had high scores (mean 6.3, SD 7.1), people with physical disorders had lower scores (mean 4.3, SD 6.1). People with no disorder covered by the survey had low scores (mean 1.4, SD 3.6). Interpretation The provision of normative data from a population sample of adults will facilitate use of the WHODAS 2.0 12 item scale in clinical and epidemiological research. PMID:20020047

Andrews, Gavin; Kemp, Alice; Sunderland, Matthew; Von Korff, Michael; Ustun, Tevik Bedirhan

2009-01-01

287

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

PubMed Central

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

2011-01-01

288

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

PubMed Central

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

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

2013-01-01

289

[Competency to provide cross-cultural nursing care for people with disability: a self-assessment instrument].  

PubMed

This study addresses the Cross-Cultural Nursing Theory, which develops foundations for care delivery, as the essence of nursing work, based on anthropology, which supports and explains culture and care aspects. This reflexive study was based on the Theory Analysis method to study the concepts aimed at constructing a Self-Assessment Instrument of Competencies for Cross-Cultural Care to Disabled People. After analyzing the main concepts, Culturally Competent Care and Cultural Communication, were analyzed, as well as the sub-concepts: assessment, values, bio-cultural diversity, skill, knowledge, identity, code and cultural empathy. The analysis cycle of cultural values supporting self-assessment was summarized. The Self-Assessment Instrument of Competencies for Cross-Cultural Nursing Care to Disabled People was constructed, specifically deafness, blindness or low sight, physical impairment and mental impairment, regarding greeting, accepting, helping, knowing and advocating. It is concluded that the theory joins characteristics for care delivery to disabled people. PMID:23338592

Pagliuca, Lorita Marlena Freitag; Maia, Evanira Rodrigues

2012-01-01

290

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

291

Doctors or technicians: assessing quality of medical education  

PubMed Central

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

Hasan, Tayyab

2010-01-01

292

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

293

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

294

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

295

The Utility and Psychometric Properties of the Abel-Blasingame Assessment System for "Individuals with Intellectual Disabilities"  

ERIC Educational Resources Information Center

This article describes the development and utility of the Abel-Blasingame Assessment System for "individuals with intellectual disabilities" (ABID) for assessment of sexual interest and problematic sexual behaviors. The study examined the preliminary psychometric properties and evaluated the clinical utility of the ABID based on a sample of 495…

Blasingame, Gerry D.; Abel, Gene G.; Jordan, Alan; Wiegel, Markus

2011-01-01

296

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

ERIC Educational Resources Information Center

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

Ricketts, Chris; Brice, Julie; Coombes, Lee

2010-01-01

297

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

298

New approach to assessment of medication safety in a community hospital.  

PubMed

Use of medications for hospitalized patients is nearly universal, and medication-related injuries are common. Accurate assessment of harm is foundational to development of effective hospital medication safety plans. Using methods nearly identical to those in large national studies, the author examined incidence and typology of medication-related injury. This practice innovation provided a community hospital with its first systematic assessment of medication-related injury. The information gained provided a clearer picture of injury and promoted collaboration. PMID:25426648

Patty, Christopher M; Miller, Sylvia

2015-01-01

299

"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

300

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

PubMed Central

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

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

2014-01-01

301

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

E-print Network

stable, or a person with renal failure who no longer requires dialysis due to a kidney transplant, but must follow a strict regimen of anti-rejection medications to maintain the success of the transplant. Nine states have included the improved group... beginning in 1951. Data were compiled and analyzed by Mathematica Policy Research under contract with the Centers for Medicare & Medicaid Services (CMS). Mathematica complied with all confidentiality provisions specified in data sharing agreements...

Hall, Jean P.; Thomas, Kathleen C.

2014-01-01

302

Developing and Assessing Curriculum on the Physics of Medical Instruments  

PubMed Central

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

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

2013-01-01

303

Dental caries: an updated medical model of risk assessment.  

PubMed

Dental caries is a transmissible, complex biofilm disease that creates prolonged periods of low pH in the mouth, resulting in a net mineral loss from the teeth. Historically, the disease model for dental caries consisted of mutans streptococci and Lactobacillus species, and the dental profession focused on restoring the lesions/damage from the disease by using a surgical model. The current recommendation is to implement a risk-assessment-based medical model called CAMBRA (caries management by risk assessment) to diagnose and treat dental caries. Unfortunately, many of the suggestions of CAMBRA have been overly complicated and confusing for clinicians. The risk of caries, however, is usually related to just a few common factors, and these factors result in common patterns of disease. This article examines the biofilm model of dental caries, identifies the common disease patterns, and discusses their targeted therapeutic strategies to make CAMBRA more easily adaptable for the privately practicing professional. PMID:24331852

Kutsch, V Kim

2014-04-01

304

The dynamic assessment of specific domains: application of a dynamic assessment device of processes involved in reading tasks in people with special learning disabilities  

Microsoft Academic Search

The renew interest on the use of dynamic assessment in specific domains contributes to reconsider its contributions to learning-teaching process. In this paper we present the analysis and the results about the application of the dynamic assessment device of processes involved in reading tasks in people with special learning disabilities (in Spanish EDPL). Some of our objectives were to check

Juan José Navarro Hidalgo

305

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

306

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

PubMed

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

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

2014-12-01

307

"Psychometric properties of three patient reported outcome measures for the assessment of shoulder disability after neck dissection"  

PubMed

Background Patient-reported outcome measures evaluating shoulder disability after neck dissection (ND) have not been sufficiently validated. We assessed the psychometric properties of the Shoulder Disability Questionnaire (SDQ), Neck Dissection Impairment Index (NDII) and the Shoulder Pain and Disability Index (SPADI) in patients after ND. Methods 107 patients completed the SDQ, NDII and SPADI on 4 occasions over 6 months, and underwent physical examination. We assessed internal consistency, test-retest reliability, clinical- and construct validity, and responsiveness to change. The possibility of combining the NDII and SPADI items into a single scale was explored by Rasch-analysis. Results All questionnaires exhibited good reliability and validity. We were successful in fitting a Rasch model to the data. Conclusion The results support the suitability of the SDQ, NDII and the SPADI for use in ND patients. Combining the SPADI and NDII in a single Rasch-scale improves item difficulty distribution, but reduces variability and discriminative ability. Head Neck, 2014. PMID:25224150

Stuiver, Martijn M; Ten Tusscher, Marieke R; van Opzeeland, Anita; Brendeke, Wim; Lindeboom, Robert; Dijkstra, Pieter U; Aaronson, N K

2014-09-15

308

Nutritional care of medical inpatients: a health technology assessment  

PubMed Central

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 care of Danish medical inpatients, to elucidate how the nutritional care for these inpatients can be improved, and to analyse the costs of this improvement. Methods Qualitative and quantitative methods are deployed to outline how nutritional care of medical inpatients is performed at three Danish hospitals. The practices observed are compared with official recommendations for nutritional care of inpatients. Factors extraneous and counterproductive to optimal nutritional care are identified from the perspectives of patients and professional staff. A review of the literature illustrates the potential for optimal nutritional care. A health economic analysis is performed to elucidate the savings potential of improved nutritional care. Results The prospects for improvements in nutritional care are ameliorated if hospital management clearly identifies nutritional care as a priority area, and enjoys access to management tools for quality assurance. The prospects are also improved if a committed professional at the ward has the necessary time resources to perform nutritional care in practice, and if the care staff can requisition patient meals rich in nutrients 24 hours a day. At the kitchen production level prospects benefit from a facilitator contact between care and kitchen staff, and if the kitchen staff controls the whole food path from the kitchen to the patient. At the patient level, prospects are improved if patients receive information about the choice of food and drink, and have a better nutrition dialogue with the care staff. Better nutritional care of medical patients in Denmark is estimated to hold a cost savings potential reaching approximately USD 22 million. Conclusion Every hospital and every bed ward has its strengths and weaknesses, but none of the participating bed wards fully satisfy nutritional care success criteria. All organisational levels have a significant potential for improvements of nutritional care of medical inpatients. PMID:16457707

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

2006-01-01

309

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

310

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

ERIC Educational Resources Information Center

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

Peterson, Deana R.

311

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

312

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

ERIC Educational Resources Information Center

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

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

2011-01-01

313

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

ERIC Educational Resources Information Center

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

Cho, Hyun-Jeong; Kingston, Neal

2013-01-01

314

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

ERIC Educational Resources Information Center

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

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

2015-01-01

315

An Analysis of State Approaches To Including Students with Disabilities in Assessments Implemented during Educational Reform. Technical Report 18.  

ERIC Educational Resources Information Center

This analysis compared guideline markers, identified by the National Center on Educational Outcomes (NCEO) to maximize participation of students with disabilities in educational assessments, with written guidelines of 43 states concerning participation, accommodations, and reporting. The NCEO markers were developed using an input and consensus…

Thurlow, Martha L.; Elliott, Judy L.; Scott, Dorene L.; Shin, Hyeonsook

316

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

317

Characteristics of Learning Disabled, Emotionally Disturbed, ADHD/ADD, and Nonexceptional Children: A Behavioral Assessment Measurement Approach.  

ERIC Educational Resources Information Center

This paper presents data comparing normal, learning-disabled (LD), emotionally disturbed (ED), and attention deficit/hyperactivity disorder (ADHD) or attention deficit disorder (ADD) children, from a total of 1,303 children used to standardize the Texas Features of Emotional Disturbance (Tx-FED), an assessment system involving parent and teacher…

Palomares, Ronald S.; And Others

318

The Relation of a Statewide Alternate Assessment for Students with Severe Disabilities to Other Measures of Instructional Effectiveness.  

ERIC Educational Resources Information Center

A study investigated the extent to which scores in Kentucky's statewide alternate assessment program for 60 students with severe disabilities correlated with measures of program quality and overall school effectiveness. Results indicated a significant relationship between overall program quality and scores, but not between scores and…

Turner, Matthew D.; Baldwin, Leigh; Kleinert, Harold L.; Kearns, Jacqueline Farmer

2000-01-01

319

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

320

School Psychologists' Perceptions regarding the Practice of Identifying Reading Disabilities: Cognitive Assessment and Response to Intervention Considerations  

ERIC Educational Resources Information Center

This study surveyed a national sample of school psychologists with respect to the identification of reading disabilities (RD). It covers school psychologists' opinions regarding perceived benefits of the use of cognitive assessment in RD identification, both within and outside of an IQ-achievement discrepancy model. The survey also solicited…

Machek, Greg R.; Nelson, Jason M.

2010-01-01

321

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

PubMed Central

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

Diard, Julien; Rynik, Vincent; Lorenceau, Jean

2013-01-01

322

Assessment of cardiovascular and noncardiovascular medical device recalls.  

PubMed

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

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

2014-06-01

323

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

PubMed

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

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

2014-10-01

324

Investigating Computer-Based Formative Assessments in a Medical Terminology Course  

ERIC Educational Resources Information Center

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

Wilbanks, Jammie T.

2012-01-01

325

Using Multiple Assessments to Evaluate Medical Students' Clinical Ability in Psychiatric Clerkships  

ERIC Educational Resources Information Center

Background: No single assessment method can successfully evaluate the clinical ability of medical students in psychiatric clerkships; however, few studies have examined the efficacy of multiple assessments, especially in psychiatry. The aim of this study was to examine the relationship among different types of assessments of medical students'…

Wang, Peng-Wei; Cheng, Cheng-Chung; Chou, Frank Huang-Chih; Tsang, Hin-Yeung; Chang, Yu-San; Huang, Mei-Feng; Yen, Cheng-Fang

2011-01-01

326

Sonoluminescence And Its Application To Medical Ultrasound Risk Assessment  

NASA Astrophysics Data System (ADS)

Ultrasound is used extensively in medical applications for diagnosis, therapy and even surgery. For these applications, the acoustic pressure may be delivered in short pulses at low duty cycles, in long pulses at high duty cycles, in continuous waves, or in the form of high intensity shock waves. The acoustic frequencies vary from about 20 kHz to higher than 10 MHz. If the acoustic pressure amplitude exceeds about 1 MPa, even for microsecond length pulses, then acoustic cavitation can occur in aqueous liquids. The inception of acoustic cavitation has traditionally been detected by measuring acoustic emissions from the cavitation field, such as a shock wave or a subharmonic. However, for short pulses and for high frequencies the acoustic emissions are difficult to detect. In most instances of cavitation bubble collapse, light is also emitted from the cavitation complex via a process called sonoluminescence, in which the internal temperature of the gas is elevated to incandescent levels. One of the classic papers in this area is one coauthored by George Reynolds 1, the subject of this memorial session. This paper extends his pioneering work, describes the phenomenon of sonoluminescence, introduces some new information intending to clarify its physics, and demonstrates how it can be used to assess possible risks associated with the use of medical ultrasound.

Crum, Lawrence A.; Gaitan, D. Felipe

1989-12-01

327

Generalized relative quality assessment scheme for reconstructed medical images.  

PubMed

A generalized relative quality (RQ) assessment scheme is proposed here based on the Bayesian inference theory, which is reasonable to make use of full reference (FR) algorithms when the evaluation of the quality of homogeneous medical images is required. Each FR algorithm is taken as a kernel to represent the level of quality. Although, various kernels generate different order of magnitude, a normalization process can rationalize the quality index within 0 and 1, where 1 represent the highest quality and 0 represents the lowest quality. To validate the performance of the proposed scheme, a series of reconstructed susceptibility weighted imaging images are collected, where each image has its subjective scale. Both experimental results and a ROC analysis show that the RQ obtained from the proposed scheme is consistent with subjective evaluation. PMID:25226992

Wang, Shaoze; Ding, Yong; Dai, Hang; Qian, Dahong; Yu, Xinfeng; Zhang, Minming

2014-01-01

328

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

PubMed Central

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

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

2010-01-01

329

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

330

Assessing medical informatics confidence among 1st and 2nd year medical students.  

PubMed

Currently no medical informatics curriculum is required at US medical schools. In 1998 the Association of American Medical Colleges (AAMC) Medical School Objectives Project (MSOP) identified topics for inclusion in medical school curriculum, categorized in five domains: Life-Long Learner, Clinician, Educator/Communicator, Researcher, and Manager. Here we present the results of a web-based survey of 1st and 2nd year medical students at Case Western Reserve University (Case). The survey determined the perceived skills of 1st and 2nd year students in the five domains of medical informatics as defined by the AAMC. PMID:17238608

Krause, Nicholas D; Roulette, G Dante; Papp, Klara K; Kaelber, David

2006-01-01

331

Unintended Consequences of State and Federal Antidiscrimination and Family Medical Leave Legislation on the Employment Rates of Persons with Disabilities  

ERIC Educational Resources Information Center

Although some writers have suggested that the Americans With Disabilities Act (ADA), contrary to its intent, was responsible for a decline in employment for persons with disabilities, there is little strong empirical support for such an assertion. This study is an attempt to demonstrate that, in fact, the dismal labor market experience following…

Lehmann, Ilana; Crimando, William

2008-01-01

332

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

333

Integration of Nursing Assessment Concepts into the Medical Entities Dictionary Using the LOINC Semantic Structure as a Terminology Model  

E-print Network

Integration of Nursing Assessment Concepts into the Medical Entities Dictionary Using the LOINC interventions, and standardized nursing assessments as a prerequisite for building a reference terminology assessment terms from two nursing terminologies into the Medical Entities Dictionary (MED), the concept

Cimino, James J.

334

Standardised patients with intellectual disabilities in training tomorrow's doctors.  

PubMed

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

2014-06-01

335

Disability adjusted life year (DALY): a useful tool for quantitative assessment of environmental pollution.  

PubMed

Disability adjusted life year (DALY) has been widely used since 1990s for evaluating global and/or regional burden of diseases. As many environmental pollutants are hazardous to human health, DALY is also recognized as an indicator to quantify the health impact of environmental pollution related to disease burden. Based on literature reviews, this article aims to give an overview of the applicable methodologies and research directions for using DALY as a tool for quantitative assessment of environmental pollution. With an introduction of the methodological framework of DALY, the requirements on data collection and manipulation for quantifying disease burdens are summarized. Regarding environmental pollutants hazardous to human beings, health effect/risk evaluation is indispensable for transforming pollution data into disease data through exposure and dose-response analyses which need careful selection of models and determination of parameters. Following the methodological discussions, real cases are analyzed with attention paid to chemical pollutants and pathogens usually encountered in environmental pollution. It can be seen from existing studies that DALY is advantageous over conventional environmental impact assessment for quantification and comparison of the risks resulted from environmental pollution. However, further studies are still required to standardize the methods of health effect evaluation regarding varied pollutants under varied circumstances before DALY calculation. PMID:25549348

Gao, Tingting; Wang, Xiaochang C; Chen, Rong; Ngo, Huu Hao; Guo, Wenshan

2015-04-01

336

A Framework for Assessing Adherence and Persistence to Long-Term Medication  

E-print Network

A Framework for Assessing Adherence and Persistence to Long-Term Medication Thusitha MABOTUWANA a,1. Poor adherence and persistence to long-term medication is a growing concern worldwide. Despite the management of patients on long-term medication either to benchmark quality over a specified evaluation period

Goodman, James R.

337

Usability in a medical technology context assessment of methods for usability evaluation of medical equipment  

Microsoft Academic Search

The increased complexity of medical technology makes usability an important selection criterion when new equipment is purchased. However, this requires an understanding of what usability is in a medical technology context and what usability evaluation methods are suitable. A questionnaire was used to investigate what users of medical technology regard as the largest component of usability. The component ‘difficult to

Erik Liljegren

2006-01-01

338

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

339

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

340

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

341

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

342

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

Code of Federal Regulations, 2014 CFR

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

343

[Cardiopulmonary exercise testing in occupational medical fitness examination and assessment].  

PubMed

Medical expert opinion by occupational physicians and pneumologists has two main objectives: making a diagnosis with probability bordering on certainty and clarifying a causal relationship to a present or former occupational exposure to irritant toxic, allergenic or fibrosing dusts, gases, welding fumes or mineral fibres. Especially for conditions that are associated with exertional dyspnea, the diagnosis at rest using spirometry, body plethysmography, pulmonary function test, blood gas analysis, electrocardiogram and echocardiography is of limited use. This paper identifies the indications for cardiopulmonary exercise testing (CPET) in occupational medicine, explains the related measurements and their differential diagnostic value with special consideration of the flow-volume curve under exercise as well as the alveolar-arterial oxygen gradient. Diagnostic statements on the relevance of oxygen uptake measured at continuous and peak load compared to the wattage ascertained on the bicycle ergometer are presented. Characteristic CPET findings are explained in terms of their differential diagnostic significance. Furthermore, the importance of CPET for the assessment of occupational disease-related functional loss (clinical proportions in the reduction of working capacity) is shown. PMID:22083292

Preisser, A M; Ochmann, U

2011-11-01

344

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

PubMed

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

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

2014-01-01

345

Assessing Components of Empathy in Sex-Offenders with Intellectual Disabilities  

ERIC Educational Resources Information Center

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

Ralfs, Sonya; Beail, Nigel

2012-01-01

346

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

347

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

348

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

ERIC Educational Resources Information Center

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

Blackman, Noelle

2008-01-01

349

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

350

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

ERIC Educational Resources Information Center

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

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

2010-01-01

351

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

352

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

353

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

PubMed Central

Background: Evaluation of fund of knowledge about SLD among kindergarten and primary school teachers is essential to avoid misdiagnosis of SLD and to plan for specific teacher education to enable early identification of SLD among children. Aim: To assess the knowledge of learning disability among primary school teachers in India and to investigate its psychometric properties. Materials and Methods: An observational study was carried out 34 primary school teachers from 2 different schools in Puducherry town agreed to participate in this study with informed consent. We used a multiple choice questionnaire format with a total of 50 questions, 5 choices for each question and a total score of 50. The study was held at the schools where these teachers were employed using pen and paper testing method and data were entered into the computer for statistical analysis. Statistical Analysis: Total scores on the questionnaire of all teachers were calculated. Content validity, reliability coefficient, discrimination factor, and facility factor were analyzed using SPSS software. Results: 29% of the questions were correctly answered by all 34 teachers. The mean total score for this sample was 14.50 ± 9 and total item score for the 50 items was 9.90 ± 4. Cronbach's (?) reliability was 0.89. Overall discrimination index was + 0.2 and facility factor analysis score was 0.26. Conclusions: Validation of this new screening questionnaire was successful in Indian setting. It has to be used in other settings to extrapolate our findings. PMID:24083280

Lingeswaran, Anand

2013-01-01

354

Nonoccupational and Occupational Injuries to US Workers With Disabilities  

PubMed Central

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

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

2012-01-01

355

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

PubMed

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

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

2014-10-01

356

Assessing Peer Review in the Quest for Improved Medical Services  

Microsoft Academic Search

The increased concern about the quality of medical services evidenced by, inter alia, the growing atten tion to quality of Peer Review Organizations. the purchasing and implementation of sophisticated med ical data systems by hospitals, and the growing clamor from private health insurers and employers about the rapidly rising costs of health services has made determining the effectiveness of medical

Nathan Hershey; Lea C. Bontempo

1989-01-01

357

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

358

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

359

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

Microsoft Academic Search

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

Adam Chan; J THOMPSON

2004-01-01

360

Cognitive dysfunction as a major determinant of disability in patients with heart failure: results from a multicentre survey  

Microsoft Academic Search

Cognitive dysfunction is a frequent finding among older patients with left ventricular systolic dysfunction; however, the clinical outcomes of such a finding are unknown. Also, disability is a common condition in heart failure, poorly responding to commonly used cardiovascular medications. The association between cognitive dysfunction and disability was assessed in 1583 patients with heart failure, but without cerebrovascular disease, previous

G Zuccalà; G Onder; C Pedone; A Cocchi; L Carosella; C Cattel; P U Carbonin; R Bernabei

2001-01-01

361

A critical assessment of supported decision-making for persons aging with intellectual disabilities.  

PubMed

Supported decision-making is increasingly being promoted as an alternative to guardianship for persons aging with intellectual disabilities. Proponents argue that supported decision-making, unlike guardianship, empowers persons with disabilities by providing them with help in making their own decisions, rather than simply providing someone else to make decisions for them. To evaluate the empirical support for these claims, we reviewed the evidence base on supported decision-making. Our review found little such empirical research, suggesting that significant further research is warranted to determine whether--and under what conditions--supported decision-making can benefit persons with intellectual disabilities. Indeed, without more empirical evidence as to how supported decision-making functions in practice, it is too early to rule out the possibility it may actually disempower individuals with disabilities by facilitating undue influence by their alleged supporters. We therefore suggest several key areas for future research. PMID:24456684

Kohn, Nina A; Blumenthal, Jeremy A

2014-01-01

362

10 CFR 712.36 - Medical assessment process.  

Code of Federal Regulations, 2010 CFR

...initial certification. This psychological evaluation consists of a generally accepted psychological assessment (test) approved by the Director...include a generally accepted psychological assessment (test) approved by the...

2010-01-01

363

The use of a frailty index to predict adverse health outcomes (falls, fractures, hospitalization, medication use, comorbid conditions) in people with intellectual disabilities.  

PubMed

Frailty in older people can be seen as the increased likelihood of future negative health outcomes. Lifelong disabilities in people with intellectual disabilities (ID) may not only influence their frailty status but also the consequences. Here, we report the relation between frailty and adverse health outcomes in older people with ID (50 years and over). In a prospective population based study, frailty was measured at baseline with a frailty index in 982 older adults with ID (?50 yr). Information on negative health outcomes (falls, fractures, hospitalization, increased medication use, and comorbid conditions) was collected at baseline and after a three-year follow-up period. Odds ratios or regression coefficients for negative health outcomes were estimated with the frailty index, adjusted for gender, age, level of ID, Down syndrome and baseline adverse health condition. The frailty index was related to an increased risk of higher medication use and several comorbid conditions, but not to falls, fractures and hospitalization. Frailty at baseline was related to negative health outcomes three years later in older people with ID, but to a lesser extent than found in the general population. PMID:25576875

Schoufour, Josje D; Echteld, Michael A; Bastiaanse, Luc P; Evenhuis, Heleen M

2015-03-01

364

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

PubMed

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

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

2014-10-10

365

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

ERIC Educational Resources Information Center

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

Horrocks, Erin L.; Morgan, Robert L.

2011-01-01

366

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

PubMed Central

Abstract Given the importance of accurately and reliably assessing disability in future clinical trials, which will test therapeutic strategies in acute spinal cord injury (SCI), we sought to appraise comprehensively studies that focused on the psychometric properties (i.e., reliability, validity, and responsiveness) of all previously used outcome measures in the SCI population. The search strategy included Medline, CINAHL, EMBASE, and Cochrane databases. Two reviewers independently assessed each study regarding eligibility, level of evidence (using Sackett's criteria), and quality. Of 363 abstracts captured in our search, 36 full articles fulfilled the inclusion and exclusion criteria. Eight different outcome measures were used to assess disability in the SCI population, including Functional Independence Measure (FIM), Spinal cord Injury Measure (SCIM), Walking Index for Spinal Cord Injury (WISCI), Quadriplegia Index of Function (QIF), Modified Barthel Index (MBI), Timed Up & Go (TUG), 6-min walk test (6MWT), and 10-m walk test (10MWT). While 19 of 36 studies provided level-4 evidence, the remaining 17 articles were classified as level-2b evidence. Most of the instruments showed convergent construct validity in the SCI population, but criterion validity was not examined due to the lack a gold standard for assessment of disability. All instruments were tested in the rehabilitation and/or community setting, but only FIM was examined in the acute care setting. Based on our results of quality assessment, the SCIM has the most appropriate performance regarding the instrument's psychometric properties. Nonetheless, further investigations are required to confirm the adequate performance of the SCIM as a comprehensive measure of functional recovery in patients with SCI in rehabilitative care. The expert panel of the Spinal Cord Injury Solutions Network (SCISN) that participated in the modified Delphi process endorsed these conclusions. PMID:20367251

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

2011-01-01

367

10 CFR 712.36 - Medical assessment process.  

Code of Federal Regulations, 2013 CFR

...assigned duties. (b) Employers must provide a job task analysis for those individuals involved in HRP duties to...psychological evaluations may not be performed if a job task analysis has not been provided. (c) The medical...

2013-01-01

368

10 CFR 712.36 - Medical assessment process.  

Code of Federal Regulations, 2011 CFR

...assigned duties. (b) Employers must provide a job task analysis for those individuals involved in HRP duties to...psychological evaluations may not be performed if a job task analysis has not been provided. (c) The medical...

2011-01-01

369

10 CFR 712.36 - Medical assessment process.  

Code of Federal Regulations, 2014 CFR

...assigned duties. (b) Employers must provide a job task analysis for those individuals involved in HRP duties to...psychological evaluations may not be performed if a job task analysis has not been provided. (c) The medical...

2014-01-01

370

10 CFR 712.36 - Medical assessment process.  

Code of Federal Regulations, 2012 CFR

...assigned duties. (b) Employers must provide a job task analysis for those individuals involved in HRP duties to...psychological evaluations may not be performed if a job task analysis has not been provided. (c) The medical...

2012-01-01

371

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

PubMed

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 the basis of the way it was utilized in its first 2 years, and its outcomes, and compared with the pre-existing, more traditional inpatient ward. Although the new service model treated a higher number of people, it was more able to prevent or shorten inpatient admissions and to prevent placement breakdown and reduce aggressive incidents amongst inpatients during their stay. The integrated model described, whilst not being immune to the problem of delayed discharge, has in its first 2 years been a more effective, more flexible and safer service than the previous more traditional model. PMID:21576212

Richings, Ceri; Cook, Rachael; Roy, Ashok

2011-03-01

372

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.

373

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

ERIC Educational Resources Information Center

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

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

2010-01-01

374

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

375

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

Microsoft Academic Search

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

J Teperi

1993-01-01

376

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

ERIC Educational Resources Information Center

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

Stolman, Cynthia J.; Doran, Rodney L.

1982-01-01

377

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

378

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

379

Using Quantile Regression to Assess Disparities in Medication Adherence  

PubMed Central

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

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

2013-01-01

380

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

381

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

382

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

383

Development and assessment of quality improvement education for medical students at The Ohio State University Medical Center.  

PubMed

This study tested the feasibility of a quality improvement (QI) program that provided first and second year medical students with education in QI processes and demonstrate their utility within the framework of a real-world QI project. Medical students assessed the use of the Surgical Safety Checklist at The Ohio State University Medical Center. Before performing audits students were required to complete a self-paced online program that provided preliminary education in QI, patient safety, leadership, teamwork, and patient-centered care. A 2.5-hr orientation introduced basic operating room protocol, and the surgical checklist audit tool. Orientation included a multimedia simulation of checklist usage and a role-playing exercise simulating its use. Students completed pre- and postparticipation assessments. Results included an increased knowledge of QI methodology, an improved understanding of the evidence supporting the need for QI projects within health systems, and a greater awareness of available QI projects. Students' perspectives changed to indicate an increased belief that QI is the responsibility of all health professionals including physicians, administrators and other staff. This study concluded that QI education can be effectively disseminated to medical students early in their education using existing online tools and experiential QI projects, and can result in actionable QI data supporting hospital improvement initiatives. PMID:23163971

Gonsenhauser, Iahn; Beal, Eliza; Shihadeh, Fadi; Mekhjian, Hagop S; Moffatt-Bruce, Susan D

2012-01-01

384

Intellectual Disability  

MedlinePLUS

... getting ready! Back to top What is an Intellectual Disability? Intellectual disability is a term used when a ... cannot learn. Back to top What Causes an Intellectual Disability? Doctors have found many causes of intellectual disabilities. ...

385

Learning Disabilities  

MedlinePLUS

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

386

Assessment of upper body accelerations in young adults with intellectual disabilities while walking, running, and dual-task running.  

PubMed

There is an increasing interest about upper body accelerations during locomotion and how they are altered by physical impairments. Recent studies have demonstrated that cognitive impairments affect gait stability in the elderly (i.e., their capacity for smoothing upper body accelerations during walking) but little attention has been paid to young adults with intellectual disabilities. The purpose of this study was to examine upright stability in young adults with intellectual disabilities during walking, running, and dual-task running (playing soccer). To this aim a wearable trunk-mounted device that permits on-field assessment was used to quantify trunk acceleration of 18 male teenagers with intellectual disabilities (IDG) and 7 mental-age-matched healthy children (HCG) who participated in the same soccer program. We did not find any significant difference during walking in terms of speed, whereas speed differences were found during running (p=.001). Upper body accelerations were altered in a pathology-specific manner during the dual task: the performance of subjects with autistic disorders was compromised while running and controlling the ball with the feet. Differences in upright locomotor patterns between IDG and HCG emerged during more demanding motor tasks in terms of a loss in the capacity of smoothing accelerations at the trunk level. PMID:24630612

Iosa, Marco; Morelli, Daniela; Nisi, Enrica; Sorbara, Carlo; Negrini, Stefano; Gentili, Paola; Paolucci, Stefano; Fusco, Augusto

2014-04-01

387

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

388

Initial Development of Criteria for Assessing Quality of Medical Care.  

ERIC Educational Resources Information Center

In 1969, the Medical School of the University of Puerto Rico (UPR) received a grant from the National Center for Health Services Research and Development (Public Health Service, HEW) to plan and conduct--as a demonstration project--a special retraining program for physicians who had failed to approve the licensure examinations of the Puerto Rico…

Ironside, Roderick A.

389

Quality assessment of medical education and use of information technology.  

PubMed

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

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

2009-01-01

390

Educational Assessment of Medical Student Rotation in Emergency Ultrasound  

PubMed Central

Background Medical student ultrasound education is sparse. In 2002, we began the first medical student rotation in emergency ultrasound. Objective To evaluate if medical students can learn and retain sonographic skills during a two- or four-week elective. Methods We gave students an exam on the first and last days of the rotation. Six months later, students took the exam a third time. A control group was used for comparison. Results Over a 19-month period, we enrolled 45 students (25 on the two-week and 20 on the four-week elective). The four-week student post-test score was significantly better than the two- week post-test score (81% vs 72%, p=0.003). On the six-month exam, the four-week student post-test score was significantly better than the two-week post-test score (77% vs 69%, p=0.008). The control group did not statistically improve. Conclusion Medical students can learn bedside ultrasound interpretation with clinical integration and retain the knowledge six months later. PMID:19561689

Fox, J. Christian; Cusick, Seric; Scruggs, William; Henson, Travis W.; Anderson, Craig L; Barajas, Graciela; Zlidenny, Alexander; McDonough, JoAnne; Langdorf, Mark I.

2007-01-01

391

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

392

Developing and Assessing Curriculum on the Physics of Medical Instruments  

ERIC Educational Resources Information Center

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

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

2013-01-01

393

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

394

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

395

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

396

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

ERIC Educational Resources Information Center

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

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

397

Disabilities Support Services (DSS) University of Delaware  

E-print Network

as an American with Disabilities Act (ADA) covered disability, the student must have a current condition or forwards all medical, psychological or disability related requests for special housing to the Americans with Disabilities Act (DSS) Office. This information is kept confidential and is used to evaluate requests while

Firestone, Jeremy

398

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

399

Beers Criteria-Based Assessment of Medication Use in Hospitalized Elderly Patients in Southern Brazil  

PubMed Central

Background: Population aging has evolved gradually. Polypharmacy to control disease associated with age-related physiological changes increases the risk of adverse drug reactions, including drug interactions among the elderly population. Objective: This study was intended to assess the medications used by the elderly population, aiming at identifying the potentially inappropriate medications according to the Beers Criteria. Materials and Methods: We conducted a cross-sectional study on medical records to assess the use of medications by elderly patients admitted to the Hospital Nossa Senhora da Conceição in 2011. The variables included gender, age, reasons for admission, comorbidities, and medications used by the elderly patients. Results: In total, we reviewed 440 medical records. Patients were predominantly male (51.6%). The total number of medications used was 5904, with an average of 13.4 per person. The three most commonly used drugs were dipyrone, omeprazole, and metoclopramide. The most frequently used drugs according to the Anatomical Therapeutic Chemical Classification (ATC) system were those of the alimentary tract and metabolism, nervous system, and cardiovascular system. Of the 255 types of drugs used, 42 (16.4%) were included in the Beers list, and the three most often used were metoclopramide, ketoprofen, and aspirin. Conclusion: The number of medications used per patient was substantial, and potentially inappropriate medications according to the Beers Criteria were significant as well. PMID:25374866

de Oliveira Alves, Carla; Schuelter-Trevisol, Fabiana; Trevisol, Daisson José

2014-01-01

400

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

ERIC Educational Resources Information Center

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

Kennedy, Craig H.; Meyer, Kim A.

1998-01-01

401

Please return completed forms to: AEADS, Assessment, UCD Registry, Tierney Building, Belfield, Dublin 4  

E-print Network

register with the Disability Support Services- Level 1, Library Building PH: 716 7565 Assessment will hold this date with appropriate documentation. Temporary support is based on recent medical documentation only. A current and relevant medical certificate must be submitted. Should illness, injury or disability persist

402

The Americans with Disabilities Act of 1990Assessing its Implementation in America's Largest Cities  

Microsoft Academic Search

The Americans With Disabilities Act of 1990 (ADA) has been heralded as the most comprehensive piece of federal legislation since the Civil Rights Act of 1964. To date, research on the ADA has been largely speculative and anecdotal. The present research helps to fill this gap by analyzing and reporting results from a survey of municipal governments encompassing all cities

Stephen E. Condrey; Jeffrey L. Brudney

1998-01-01

403

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

404

Reliability of the Service Need Assessment Profile (SNAP): A Measure of Support for People with Disabilities  

ERIC Educational Resources Information Center

Measures for estimating costs associated with the provision of disability services in Australia have not previously been available. Because such instruments are scarce worldwide, decisions about funding services have relied more on historical precedent and less on individual need. Recognising the necessity for an objective measure, Gould (1998)…

Guscia, Roma; Harries, Julia; Kirby, Neil; Nettelbeck, Ted; Taplin, John

2005-01-01

405

A Methodology for Assessing the Functions of Emerging Speech in Children with Developmental Disabilities  

ERIC Educational Resources Information Center

An approach based on Skinner's (1957) theory of verbal behavior has been developed to understand and teach elementary communication skills to children with autism and developmental disabilities (Sundberg & Partington, 1998). However, few studies have directly examined the characteristics of emerging language in children with developmental…

Lerman, Dorothea C.; Parten, Mandy; Addison, Laura R.; Vorndran, Christina M.; Volkert, Valerie M.; Kodak, Tiffany

2005-01-01

406

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

407

Self-Assessment of Learning Disabled and Nondisabled College Students: A Comparative Study.  

ERIC Educational Resources Information Center

Data were collected from 54 learning-disabled college students and 54 peers, concerning perceptions of cognitive attributes, achievement, motivation, organizational and decision-making skills, career goals, resources, and interpersonal relationships. Subjects perceived themselves to have greater problems in reading, written expression, visual…

Houck, Cherry K.; And Others

1989-01-01

408

Identification and Assessment of Children with Developmental Disabilities in Child Welfare  

ERIC Educational Resources Information Center

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

Shannon, Patrick; Tappan, Christine

2011-01-01

409

Assessing Learning Styles among Students with and without Learning Disabilities at a Distance-Learning University  

ERIC Educational Resources Information Center

Differences in the learning styles of students with and without learning disabilities (LD) at a distance-learning university were examined. Two hundred and twelve students answered self-report questionnaires on their learning styles. Results revealed that students with LD preferred to use more stepwise processing, including memorizing and…

Heiman, Tali

2006-01-01

410

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

411

Normative Sex Behavior and the Person with a Disability: Assessing the Effectiveness of the Rehabilitation Agencies  

ERIC Educational Resources Information Center

Discusses several major habilitative implications of normalization principles with particular reference to the socio-sexual development of persons with disabling and other deviancy-producing conditions; presents preliminary findings on the success of fostering normative socio-sexual behavior in rehabilitation clients; and suggests ways in which…

Flynn, Robert J.; Sha'Ked, Ami

1977-01-01

412

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

ERIC Educational Resources Information Center

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

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

2009-01-01

413

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

414

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

ERIC Educational Resources Information Center

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

Luiselli, James K., Ed.

2006-01-01

415

20 CFR 404.1526 - Medical equivalence.  

Code of Federal Regulations, 2012 CFR

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

2012-04-01

416

20 CFR 404.1526 - Medical equivalence.  

Code of Federal Regulations, 2013 CFR

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

2013-04-01

417

20 CFR 404.1526 - Medical equivalence.  

Code of Federal Regulations, 2011 CFR

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

2011-04-01

418

Centralized Assessment in Graduate Medical Education: Cents and Sensibilities  

Microsoft Academic Search

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

Dianne Wagner; Monica L. Lypson

2009-01-01

419

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

ERIC Educational Resources Information Center

In generic psychiatry there has been increasing interest among scientists for the developmental perspective. However, professionals active in the mental health care of people with intellectual disability (ID) have not shown the same degree of interest. The author of this article, who has had a liberal amount of rewarding experiences with the…

Dosen, A.

2005-01-01

420

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

421

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

ERIC Educational Resources Information Center

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

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

2007-01-01

422

Results of a Cognitive Interview Study of Immediate Feedback and Revision Opportunities for Students with Disabilities in Large Scale Assessments. Synthesis Report 92  

ERIC Educational Resources Information Center

Validly assessing students with disabilities has been a challenge for decades but is increasingly vital to educational policy and practice in the current era of accountability. Numerous technological and policy developments have occurred in the past several years with the emergence and decline of various forms of alternate assessments. This study…

Johnstone, Christopher; Figueroa, Chantal; Attali, Yigal; Stone, Elizabeth; Laitusis, Cara

2013-01-01

423

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

ERIC Educational Resources Information Center

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

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

2010-01-01

424

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

425

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

Microsoft Academic Search

A workshop was held at the Idaho National Engineering Laboratory, August 16--18, 1994 on the topic of risk assessment on medical devices that use radioactive isotopes. Its purpose was to review past efforts to develop a risk assessment methodology to evaluate these devices, and to develop a program plan and a scoping document for future methodology development. This report contains

1995-01-01

426

Assessor training: its effects on criterion?based assessment in a medical context  

Microsoft Academic Search

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, both at the undergraduate and postgraduate levels. However, the issue of setting

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

2008-01-01

427

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

SciTech Connect

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

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

1995-08-01

428

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

ERIC Educational Resources Information Center

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

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

2005-01-01

429

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

430

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

PubMed Central

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

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

2010-01-01

431

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

PubMed

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

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

2011-01-01

432

Competency Assessment of Microbiology Medical Laboratory Technologists in Ontario, Canada  

PubMed Central

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

Fleming, Christine Ann

2014-01-01

433

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

434

Laparoscopic Cholecystectomy in View of Medical Technology Assessment  

Microsoft Academic Search

When any new procedure or technique is inaugurated and practiced, it is essential to assess its worth. New technologies have a characteristic life cycle which is characterized by a sequence: promising reports, professional adoption, public acceptance as a standard procedure, professional denunciation, and finally discreditation. Endoscopic surgery, especially laparascopic cholecystectomy, is an extremely promising innovation. In order to avoid the

Hans Troidl; Ernst Eypasch; Ahmed Al-Jaziri; Wolfgang Spangenberger; Achim Dietrich

1991-01-01

435

Centralized Assessment in Graduate Medical Education: Cents and Sensibilities  

PubMed Central

Rationale The start of residency represents an “educational handoff.” Accreditation and credentialing organizations have called for better assessments of learner and patient outcomes and improved patient safety and quality of care. Intervention We describe the development of centralized assessments of baseline, core residency competencies at 2 institutions, and summarize principles and lessons learned for other institutions interested in developing similar interventions. Results At one institution, 70% of 1?083 new residents assessed via the Objective Standardized Clinical Examination stated they learned a new skill; 80% believe it was a useful way to spend orientation; 78% felt better prepared for aspects of internship; and 80% would recommend it for next year's interns. High levels of satisfaction are expressed by participants at the other institution, especially with the immediate provision of feedback after each station. At this institution, average new resident performance in the communication skills domain approached 90%, but patient care domain scores showed wide variability. The lowest scores were related to performing the psychomotor skills of aseptic technique. Discussion From a patient safety perspective, results suggest a need to improve the preparation of new residents, along with careful supervision of their early clinical work. The presence of skill deficits likely adds to the highly stressful transition into residency. Teaching institutions may use centralized assessment to enhance education and patient safety and to promote accountability to accrediting bodies, residents, and patients. The approach may identify gaps in the undergraduate curriculum. The addition of hand hygiene and aseptic technique teaching and assessment modules are currently being piloted at each of the institutions. PMID:21975702

Wagner, Dianne; Lypson, Monica L.

2009-01-01

436

Formative assessment of the consultation performance of medical students in the setting of general practice using a modified version of the Leicester Assessment Package  

Microsoft Academic Search

Objective To evaluate the use of a modified version of the Leicester Assessment Package (LAP) in the for- mative assessment of the consultation performance of medical students with particular reference to validity, inter-assessor reliability, acceptability, feasibility and educational impact. Design 180 third and fourth year Leicester medical students were directly observed consulting with six general practice patients and independently assessed

Robert K McKinley; Robin C Fraser; Cees van der Vleuten; Adrian M Hastings

2000-01-01

437

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

438

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

439

Question vetting: the process to ensure quality in assessment of medical students.  

PubMed

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

Gopalakrishnan, S; Udayshankar, P M

2014-09-01

440

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

Code of Federal Regulations, 2012 CFR

...passenger's initial departing flight. Example to paragraph (b)(3): A passenger who schedules a flight from New York to London on January 15 with a return on April 15 would have to show a medical certificate dated January 5 or later. The passenger...

2012-01-01

441

The actions of the social insurance agency regarding long-term sickness absentees before and after a medical assessment - a study of 384 case files.  

PubMed

Abstract Purpose: The purpose of this article is to investigate actions taken by the Social Insurance Agency (SIA) for long-term sickness absentees and possible associations of this with future sick leave or disability pension. Method: For 384 long-term sickness absentees who had had a multidisciplinary medical assessment (MMA) during 2001-2006, three types of data were obtained: (1) case file information about SIA actions, (2) suggested rehabilitation measures from the MMA and (3) sickness absence and disability pension data. Results: Most individuals had been subject to a range of actions by the SIA. Sixty percent had been invited to a coordination meeting, and half of those who assessed by the MMA for vocational rehabilitation were approved to get it by the SIA. Few SIA actions were associated with full or partial return to work. Conclusions: Although the studied individuals had been on sick leave for a long time, the number of SIA actions related to vocational rehabilitation was limited and came late in the sick-leave spell. The information from the MMA was often not used as a basis for further SIA action and seldom resulted in return to work. The positive MMA views on the potential of vocational rehabilitation were not met by SIA actions. Implications for Rehabilitation Suggestions on vocational rehabilitation from a medical assessment was in many cases not used by the social insurance agency in relationship to long-term sickness absentees. Active rehabilitation measures by the social insurance agency were few and came late in the sickness absence process. Few of the activities taken by the social insurance agency enhanced return to work. PMID:25354147

Marklund, Staffan; Lundh, Göran; Gustafsson, Klas; Linder, Jürgen; Svedberg, Pia; Alexanderson, Kristina

2014-10-29

442

The Multiple Sclerosis Performance Test (MSPT): an iPad-based disability assessment tool.  

PubMed

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

443

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

444

As technology and generations in medical education change, what remains is the intersection between educator, learners, assessment and context  

E-print Network

M. T. (Eds. ). (2009). Curriculum development for medicalTeaching,  2)  Curriculum  Development,  3)  Educational  curricula,  competency  frameworks  of  assessment,  and  individual  learning  and  teaching   development  

Azzam, Amin

2013-01-01

445

Model for a web based medical technology assessment system  

E-print Network

are registered users of this database, they are assigned unique user names and passwords. They can then use the Web site to enter assessment data, search for devices by ID, change their user information, view all devices or look up the registered clinical... Engineer Login Table Field Name Data Type Required UserName Text Yes Password Text Yes 32 ' os rrn, Anw 4ce ~ i crh Clinical Engineer Login ~ln B~lr'1 (n I l 0~el Please enter nsemame and password Figure 3. 2. Clinical Engineer Login 33 3. 2...

Prabhu, Gopal

1999-01-01

446

Intellectual disability  

MedlinePLUS

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

447

Intellectual Disability  

MedlinePLUS

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

448

A case note follow-up of women with intellectual disability referred for sterilization.  

PubMed

A case note audit was carried out to follow up women with intellectual disabilities referred for contraceptive sterilization 20 years ago. None of the women had been sexually active or become pregnant. Two had hysterectomies for medical indications at a younger age. Women with intellectual disability may use reversible and less invasive methods of contraception before considering contraceptive sterilization. Although the assessments predated the Mental Capacity Act 2005, they were largely compliant with it. PMID:20630926

Roy, Meera

2010-03-01

449

The adaptation, reliability and validity testing of the Estonian version of the Health Assessment Questionnaire's Disability Index.  

PubMed

The aim of our study was the adaptation of the Health Assessment Questionnaire's Disability Index (HAQ-DI) for Estonia along with the assessment of its psychometric properties. The linguistic validation included phases of translation, back translation and testing on patients. Reliability and validity were tested on a sample of 50 rheumatoid arthritis patients by administering the HAQ-DI and the comparator instruments at two visits; disease activity and radiological stage were assessed. The participants were asked to comment on the questionnaires. The HAQ-DI was easily translatable into Estonian. It showed good test-retest reliability, internal consistency, and ability to discriminate between different levels of self-perceived severity. Comparison with the comparators and performed assessments demonstrated expected convergent and divergent validity. Still, the participants' comments revealed issues disregarded during the adaptation process. We recommend the Estonian HAQ-DI for rheumatoid arthritis clinical studies and trials; some aspects of the adaptation process are highlighted for further discussion. PMID:17641894

Tammaru, Marika; Singh, Gurkirpal; Hanson, Ele; Maimets, Kadri

2007-11-01

450

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

...expenses in connection with sickness or accident disability of an...receives a payment on account of sickness or accident disability...respect to the same period of absence from work. (4) If an employee...of non-occupational injury sickness or accident disability...

2010-04-01

451

[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

452

Medical school accreditation in Australia: Issues involved in assessing major changes and new programs  

PubMed Central

The Australian Medical Council (AMC) is an independent company for quality assurance and quality improvement in medical education in Australia and New Zealand. Accreditation procedures for the 20 medical schools in these two countries are somewhat different for three different circumstances or stages of school development: existing medical schools, established courses undergoing major changes, and new schools. This paper will outline some issues involved in major changes to existing courses, and new medical school programs. Major changes have included change from a 6 year undergraduate course to a 5 year undergraduate course or 4 year graduate-entry course, introduction of a lateral graduate-entry stream, new domestic site of course delivery, offshore course delivery, joint program between two universities, and major change to curriculum. In the case of a major change assessment, accreditation of the new or revised course may be granted for a period up to two years after the full course has been implemented. In the assessment of proposals for introduction of new medical courses, six issues needing careful consideration have arisen: forward planning, academic staffing, adequate clinical experience, acceptable research program, adequacy of resources, postgraduate training program and employment. PMID:21738838

2011-01-01

453

Medical school accreditation in Australia: Issues involved in assessing major changes and new programs.  

PubMed

The Australian Medical Council (AMC) is an independent company for quality assurance and quality improvement in medical education in Australia and New Zealand. Accreditation procedures for the 20 medical schools in these two countries are somewhat different for three different circumstances or stages of school development: existing medical schools, established courses undergoing major changes, and new schools. This paper will outline some issues involved in major changes to existing courses, and new medical school programs. Major changes have included change from a 6 year undergraduate course to a 5 year undergraduate course or 4 year graduate-entry course, introduction of a lateral graduate-entry stream, new domestic site of course delivery, offshore course delivery, joint program between two universities, and major change to curriculum. In the case of a major change assessment, accreditation of the new or revised course may be granted for a period up to two years after the full course has been implemented. In the assessment of proposals for introduction of new medical courses, six issues needing careful consideration have arisen: forward planning, academic staffing, adequate clinical experience, acceptable research program, adequacy of resources, postgraduate training program and employment. PMID:21738838

Field, Michael J

2011-01-01

454

Risk-assessment algorithm and recommendations for venous thromboembolism prophylaxis in medical patients  

PubMed Central

The risk for venous thromboembolism (VTE) in medical patients is high, but risk assessment is rarely performed because there is not yet a good method to identify candidates for prophylaxis. Purpose To perform a systematic review about VTE risk factors (RFs) in hospitalized medical patients and generate recommendations (RECs) for prophylaxis that can be implemented into practice. Data sources A multidisciplinary group of experts from 12 Brazilian Medical Societies searched MEDLINE, Cochrane, and LILACS. Study selection Two experts independently classified the evidence for each RF by its scientific quality in a standardized manner. A risk-assessment algorithm was created based on the results of the review. Data synthesis Several VTE RFs have enough evidence to support RECs for prophylaxis in hospitalized medical patients (eg, increasing age, heart failure, and stroke). Other factors are considered adjuncts of risk (eg, varices, obesity, and infections). According to the algorithm, hospitalized medical patients ?40 years-old with decreased mobility, and ?1 RFs should receive chemoprophylaxis with heparin, provided they don’t have contraindications. High prophylactic doses of unfractionated heparin or low-molecular-weight-heparin must be administered and maintained for 6–14 days. Conclusions A multidisciplinary group generated evidence-based RECs and an easy-to-use algorithm to facilitate VTE prophylaxis in medical patients. PMID:17969384

T Rocha, Ana; F Paiva, Edison; Lichtenstein, Arnaldo; Milani, Rodolfo; Cavalheiro-Filho, Cyrillo; H Maffei, Francisco

2007-01-01

455

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

456

Clinical Measures Are Feasible and Sensitive to Assess Balance and Gait Capacities in Older Persons with Mild to Moderate Intellectual Disabilities  

ERIC Educational Resources Information Center

Mobility limitations are common in persons with Intellectual Disabilities (ID). Differences in balance and gait capacities between persons with ID and controls have mainly been demonstrated by instrumented assessments (e.g. posturography and gait analysis), which require sophisticated and expensive equipment such as force plates or a 3D motion…

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

2013-01-01

457

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

PubMed

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

Howlin, Frances; Halligan, Phil; O'Toole, Sinead

2014-09-01

458

Development and implementation of a clinical needs assessment to support nursing and midwifery students with a disability in clinical practice: part 1.  

PubMed

Equality and disability legislation, coupled with increasing numbers of students with a disability, and inadequate supports in clinical practice, acted as catalysts to explore how best to support undergraduate nursing and midwifery students on clinical placements. Historically, higher education institutions provide reasonable accommodations for theoretical rather than clinical modules for practice placements. This paper describes the development and implementation of a Clinical Needs Assessment designed to identify the necessary supports or reasonable accommodations for nursing and midwifery students with a disability undertaking work placements in clinical practice. The existing literature, and consultation with an expert panel, revealed that needs assessments should be competency based and clearly identify the core skills or elements of practice that the student must attain to achieve proficiency and competence. The five Domains of Competence, advocated by An Bord Altranais, the Nursing and Midwifery Board of Ireland, formed the framework for the Clinical Needs Assessment. A panel of experts generated performance indicators to enable the identification of individualised reasonable accommodations for year 1 nursing and midwifery students in one Irish University. Development and implementation of the Clinical Needs Assessment promoted equality, inclusion and a level playing field for nursing and midwifery students with a disability in clinical practice. PMID:25127124

Howlin, Frances; Halligan, Phil; O'Toole, Sinead

2014-09-01

459

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

460

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

461

Examining the tension between academic standards and inclusion for disabled students: the impact on marking of individual academics' frameworks for assessment  

Microsoft Academic Search

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 and learning support staff, recordings of two academic team discussions and a questionnaire

Mary Ashworth; Sue Bloxham; Leonie Pearce

2010-01-01

462

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

463

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

ERIC Educational Resources Information Center

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

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

2014-01-01

464

Linking Inclusion to Conclusions: An Empirical Study of Participation of Students with Disabilities in Statewide Testing Programs. State Assessment Series, Oregon Report 1.  

ERIC Educational Resources Information Center

This report discusses the findings of a study that attempted to investigate the participation rates of students with disabilities in the Oregon statewide testing program. The study joined individual student data from the Oregon Statewide Assessment Program and the Oregon Special Education Child Count to examine participation rates. The report…

Almond, Patricia; Tindal, Gerald; Stieber, Steve

465

The World Health Organization Short Disability Assessment Schedule (WHO DAS-S): a tool for the assessment of difficulties in selected areas of functioning of patients with mental disorders  

Microsoft Academic Search

The World Health Organization Short Disability Assessment Schedule (WHO DAS-S) is an instrument for clinicians' assessment and rating of difficulties in maintaining personal care, in performing occupational tasks and in functioning in relation to the family and the broader social context due to mental disorders. The WHO DAS-S was developed and underwent preliminarily testing in the context of two international

A. Janca; M. Kastrup; J. J. López-Ibor; J. E. Mezzich; N. Sartorius

1996-01-01

466

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

467

Spirituality and medical practice: using the HOPE questions as a practical tool for spiritual assessment.  

PubMed

The relationship between spirituality and medicine has been the focus of considerable interest in recent years. Studies suggest that many patients believe spirituality plays an important role in their lives, that there is a positive correlation between a patient's spirituality or religious commitment and health outcomes, and that patients would like physicians to consider these factors in their medical care. A spiritual assessment as part of a medical encounter is a practical first step in incorporating consideration of a patient's spirituality into medical practice. The HOPE questions provide a formal tool that may be used in this process. The HOPE concepts for discussion are as follows: H--sources of hope, strength, comfort, meaning, peace, love and connection; O--the role of organized religion for the patient; P--personal spirituality and practices; E--effects on medical care and end-of-life decisions. PMID:11195773

Anandarajah, G; Hight, E

2001-01-01

468

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

469

Development of a Self-Report Physical Function Instrument for Disability Assessment: Item Pool Construction and Factor Analysis  

PubMed Central

Objectives To build a comprehensive item pool representing work-relevant physical functioning and to test the factor structure of the item pool. These developmental steps represent initial outcomes of a broader project to develop instruments for the assessment of function within the context of Social Security Administration (SSA) disability programs. Design Comprehensive literature review; gap analysis; item generation with expert panel input; stakeholder interviews; cognitive interviews; cross-sectional survey administration; and exploratory and confirmatory factor analyses to assess item pool structure. Setting In-person and semi-structured interviews; internet and telephone surveys. Participants A sample of 1,017 SSA claimants, and a normative sample of 999 adults from the US general population. Interventions Not Applicable. Main Outcome Measure Model fit statistics Results The final item pool consisted of 139 items. Within the claimant sample 58.7% were white; 31.8% were black; 46.6% were female; and the mean age was 49.7 years. Initial factor analyses revealed a 4-factor solution which included more items and allowed separate characterization of: 1) Changing and Maintaining Body Position, 2) Whole Body Mobility, 3) Upper Body Function and 4) Upper Extremity Fine Motor. The final 4-factor model included 91 items. Confirmatory factor analyses for the 4-factor models for the claimant and the normative samples demonstrated very good fit. Fit statistics for claimant and normative samples respectively were: Comparative Fit Index = 0.93 and 0.98; Tucker-Lewis Index = 0.92 and 0.98; Root Mean Square Error Approximation = 0.05 and 0.04. Conclusions The factor structure of the Physical Function item pool closely resembled the hypothesized content model. The four scales relevant to work activities offer promise for providing reliable information about claimant physical functioning relevant to work disability. PMID:23542402

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

2014-01-01

470

Assessing Capacity in Psychiatric Patients With Acute Medical Illness Who Refuse Care  

PubMed Central

Three cases are presented that demonstrate the difficulty of assessing medical decision-making capacity in patients with psychiatric illness who are refusing care. Health professionals often assess capacity differently in practice. Provided their patients have some understanding of their illness and have some plans for meeting basic needs, psychiatrists are often inclined to give patients the freedom to refuse care even if they do not exhibit a full understanding of the medical facts of their case and why they are refusing it. Adult medicine physicians, in contrast, are inclined to require patients to state a more complete understanding of the benefits and burdens of evaluation and treatment before allowing them to refuse care when their refusals might result in adverse medical outcomes. The 3 cases exemplify the tension between these approaches and highlight the role of hospital ethics consultation in addressing this conflict.

Spike, Jeffrey P.

2014-01-01

471

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

472

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

ERIC Educational Resources Information Center

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

Barratt, Barnaby B.; Rand, Marsha A.

2009-01-01

473

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

474

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

475

The Assessment of Alexithymia in Medical Settings: Implications for Understanding and Treating Health Problems  

Microsoft Academic Search

The construct of alexithymia encompasses the characteristics of difficulty identifying feelings, difficulty describing feelings, externally oriented thinking, and a limited imaginal capacity. These characteristics are thought to reflect deficits in the cognitive processing and regulation of emotions and to contribute to the onset or maintenance of several medical and psychiatric disorders. In this article, we review recent methods for assessing

Mark A. Lumley; Lynn C. Neely; Amanda J. Burger

2007-01-01

476

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

477

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

478

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

479

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

480

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

481

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

482

The quarter model: a proposed approach for intraining assessment of undergraduate students in Indian medical schools.  

PubMed

In-training Assessment (ITA) has the potential to test a wide range of competencies which are not testable by the year-end examination. However, despite high validity, educational impact and feasibility; its implementation is flawed. This paper proposes a quarter model of intraining assessment for implementation in the undergraduate medical curriculum in India. The model proposes that assessments be carried out at least quarterly; no teacher should contribute more than 25% of the marks for any student; no single assessment tool should contribute more than 25% marks; and no assessment should contribute to more than 25% of the total marks. We believe that structuring the implementation using multiple tests on multiple content areas by multiple examiners using multiple tools in multiple settings in the proposed quarter model will not only improve the reliability and validity of internal assessment, but also its acceptability. PMID:23255699

Singh, Tejinder; Anshu; Modi, Jyoti Nath

2012-11-01

483

Diagnostic Utility of the Learning Disability Index.  

ERIC Educational Resources Information Center

This study compared students diagnosed with learning disabilities (n=2,053) and students without learning disabilities (n=2,200) on the Learning Disability Index (LDI). Subsamples of specific reading and math disabilities permitted further assessment. Analysis indicated the LDI resulted in a correct diagnostic decision only 55 to 64 percent of the…

Watkins, Marley W.; Kush, Joseph C.; Schaefer, Barbara A.

2002-01-01

484

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

485

Learning Disabilities.  

ERIC Educational Resources Information Center

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

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

486

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; Bélanger, Emmanuelle; Rodríguez, Charo; Ware, Mark A; Posel, Nancy

2013-01-01

487

[Benefit assessment of medical services in German health service - legal framework, historical and international perspective].  

PubMed

The term benefit describes the (positive) causal, patient-relevant consequences of medical interventions, whether diagnostic or therapeutic. Benefit assessments form the basis of rational decision-making within a health care system. They are based on clinical trials that are able to provide valid answers to the question regarding the relevant benefit or harm that can be caused by an intervention. In Germany, evidence-based benefit assessments are fixed by law, i.e., the Social Code Book V. The application and the practical impact of these assessments could be improved. PMID:25566837

Windeler, Jürgen; Lange, Stefan

2015-03-01

488

Using the NASA Task Load Index to Assess Workload in Electronic Medical Records.  

PubMed

Electronic medical records (EMRs) has been expected to decrease health professional workload. The NASA Task Load Index has become an important tool for assessing workload in many domains. However, its application in assessing the impact of an EMR on nurse's workload has remained to be explored. In this paper we report the results of a study of workload and we explore the utility of applying the NASA Task Load Index to assess impact of an EMR at the end of its lifecycle on nurses' workload. It was found that mental and temporal demands were the most responsible for the workload. Further work along these lines is recommended. PMID:25676971

Hudson, Darren; Kushniruk, Andre W; Borycki, Elizabeth M

2015-01-01

489

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

490

A review of the economic tools for assessing new medical devices.  

PubMed

Whereas the economic evaluation of pharmaceuticals is an established practice within international health technology assessment (HTA) and is often produced with the support of comprehensive methodological guidance, the equivalent procedure for medical devices is less developed. Medical devices, including diagnostic products, are a rapidly growing market in healthcare, with over 10,000 medical technology patent applications filed in Europe in 2012-nearly double the number filed for pharmaceuticals. This increase in the market place, in combination with the limited, or constricting, budgets that healthcare decision makers face, has led to a greater level of examination with respect to the economic evaluation of medical devices. However, methodological questions that arise due to the unique characteristics of medical devices have yet to be addressed fully. This review of journal publications and HTA guidance identified these characteristics and the challenges they may subsequently pose from an economic evaluation perspective. These unique features of devices can be grouped into four categories: (1) data quality issues; (2) learning curve; (3) measuring long-term outcomes from diagnostic devices; and (4) wider impact from organisational change. We review the current evaluation toolbox available to researchers and explore potential future approaches to improve the economic evaluation of medical devices. PMID:25139635

Craig, Joyce A; Carr, Louise; Hutton, John; Glanville, Julie; Iglesias, Cynthia P; Sims, Andrew J

2015-02-01

491

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

492

Equity in Assessment: Discrimination and Disability Issues from an Australian Legal Perspective  

ERIC Educational Resources Information Center

Assessment equity concerns all educational authorities and practitioners. When educators consider issues of equity, their predominant concern is accommodation of students with special needs, cultural issues, and creating alternative assessment activities that have equivalence to standard activities, so as not to advantage or disadvantage any…

Cumming, J. Joy; Dickson, Elizabeth A.

2007-01-01