Science.gov

Sample records for medical disability assessment

  1. Medication and Reading Disability.

    ERIC Educational Resources Information Center

    Humphries, Laurie L.

    1981-01-01

    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)

  2. 20 CFR 220.110 - Medically disabled.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... sufficient for a finding of medical disability, unless the diagnosis is supported by medical findings that... DISABILITY Medical Considerations § 220.110 Medically disabled. (a) “Medically disabled.” The term “medically... about whether the claimant's impairment(s) is medically disabling on medical evidence only,...

  3. [Minimum requirements in medical expert assessment of occupational disability of patients with chronic nonspecific pain].

    PubMed

    Raspe, H H

    1997-08-01

    Assessing working capacity in patients with chronic nonspecific pain disorders applying for disability pensions is a core tasks of practical social medicine. Traditionally the evaluation focused on the nosological classification and clinical description of the pain disorder with rather vague concepts of its consequences in terms of disabilities and handicaps. The author proposes to reverse the sequence. Following the International Classification of Impairments, Disabilities and Handicaps (WHO 1980) work incapacity can be seen as an "occupational handicap". Its qualities, severity and credibility depend on the existence of objectifyable disabilities (especially behaviour, locomotor, body disposition, dexterity and situational disabilities). These may be attributed to clinical impairments and an underlying disease process. Among impairments pain has to be assessed multidimensionally. As in clinical medicine a nosological diagnosis is a useful but neither necessary nor sufficient prerequisite for a sociomedical evaluation of pain patients. PMID:9340912

  4. Physical disability among American medical students.

    PubMed

    Wu, S S; Tsang, P; Wainapel, S F

    1996-01-01

    The present survey aimed to assess the prevalence and nature of physical disabilities among medical school graduates and to investigate the academic performance of these new physicians with disabilities. A questionnaire was sent to the deans of student affairs of each of the then existing 128 United States and Puerto Rican medical schools, addressing the profiles of students with physical disabilities in the 1987 through 1990 graduating classes. Seventy-seven (60%) United States and Puerto Rican medical schools responded to the questionnaire, of which 67 were able to complete it. A total of 67 students with physical disabilities (40 males and 27 females) were reported. Three of the 67 students were excluded from the study because their conditions did not match our definition of physical disability. The remaining 64 students (38 males and 26 females), ranging from 0 to 10 per school, comprised 0.19% of the 33,138 students who graduated from the 67 medical schools during these 4 academic yr. The disabilities represented by the 64 students encompassed a wide spectrum of etiologies, including neurologic (39%), musculoskeletal (20%), medical-surgical (13%), visual (13%), and auditory (9%) problems. The majority of students with disabilities had above average (36%) to average (48%) academic standings. The actual prevalence of medical students with disabilities might be higher than reported because of the underreporting of the less noticeable types of disabilities. PMID:8663924

  5. The physically disabled medical student.

    PubMed

    Stiens, S

    1987-01-01

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

  6. Handbook for Students Disabilities / Medical Conditions

    E-print Network

    Pavlov, Ronnie

    and personal growth in students with disabilities. We partner with our community members to embrace disabilityHandbook for Students with Disabilities / Medical Conditions 2015-2016 Handbook also available Students with Disabilities 4 Confidentiality of Student Records & Documentation 4 Academic Accommodations

  7. Travelers with Disabilities and Medical Conditions

    MedlinePLUS

    ... and other external medical devices to test for explosives using explosives trace detection technology. Individuals with disabilities and medical ... includes a visual/physical inspection as well as explosives trace detection testing of the footwear. Please choose ...

  8. Travelers with Disabilities and Medical Conditions

    MedlinePLUS

    ... Travel Redress Claims Travel Tips FAQ Disabilities and Medical Conditions To ensure your security, all travelers are ... officer with the TSA notification card or other medical documentation to describe your condition. If you have ...

  9. Athletes with Disabilities. Removing Medical Barriers.

    ERIC Educational Resources Information Center

    Peck, David M.; McKeag, Douglas B.

    1994-01-01

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

  10. Psychoactive Medication and Learning Disabilities

    ERIC Educational Resources Information Center

    Eaton, Marie; And Others

    1977-01-01

    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)

  11. Dynamic Assessment of Language Disabilities

    ERIC Educational Resources Information Center

    Martin, Deirdre

    2015-01-01

    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…

  12. Assessment of Developmentally Disabled Children.

    ERIC Educational Resources Information Center

    Chase, Joan B.

    1985-01-01

    Although formal assessment of children with severe disabilities raises many problems of measurement, evaluation by "standard rulers" is still essential. This article examines the role of the school psychologist in the measurement process and identifies issues related to the assessment of developmentally disabled children. (Author/EGS)

  13. 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

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

    2010-01-01

    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.…

  14. Controversial Medical Treatments of Learning Disabilities

    ERIC Educational Resources Information Center

    Sieben, Robert L.

    1977-01-01

    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)

  15. 20 CFR 416.993 - Medical evidence in continuing disability review cases.

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ... 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....

  16. 20 CFR 416.993 - Medical evidence in continuing disability review cases.

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ... 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....

  17. 20 CFR 416.993 - Medical evidence in continuing disability review cases.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... 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....

  18. 20 CFR 416.993 - Medical evidence in continuing disability review cases.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... 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....

  19. 20 CFR 416.993 - Medical evidence in continuing disability review cases.

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ... 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....

  20. A Critique of "Controversial Medical Treatments of Learning Disabilities"

    ERIC Educational Resources Information Center

    Feingold, Benjamin F.

    1977-01-01

    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)

  1. Scuba Divers with Disabilities Challenge Medical Protocols and Ethics.

    ERIC Educational Resources Information Center

    Lin, Leslie Y.

    1987-01-01

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

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

    PubMed

    Helms, L B; Helms, C M

    1994-07-01

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

  3. 20 CFR 416.993 - Medical evidence in continuing disability review cases.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ...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)...

  4. 20 CFR 416.993 - Medical evidence in continuing disability review cases.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ...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)...

  5. 20 CFR 416.993 - Medical evidence in continuing disability review cases.

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ...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)...

  6. 20 CFR 416.993 - Medical evidence in continuing disability review cases.

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ...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)...

  7. 20 CFR 416.993 - Medical evidence in continuing disability review cases.

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ...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)...

  8. Disability Support Workers' Knowledge and Education Needs about Psychotropic Medication

    ERIC Educational Resources Information Center

    Donley, Mandy; Chan, Jeffrey; Webber, Lynne

    2012-01-01

    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…

  9. Physical Activity Assessments for Individuals with Disabilities

    ERIC Educational Resources Information Center

    Fittipaldi-Wert, Jeanine; Brock, Sheri J.

    2006-01-01

    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

  10. Technology in the Assessment of Learning Disability.

    ERIC Educational Resources Information Center

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

    1998-01-01

    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…

  11. Clinician Experiences Assessing Work Disability Related to Mental Disorders

    PubMed Central

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

    2015-01-01

    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

  12. 38 CFR 3.358 - Compensation for disability or death from hospitalization, medical or surgical treatment...

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... disability or death from hospitalization, medical or surgical treatment, examinations or vocational... Special Purposes § 3.358 Compensation for disability or death from hospitalization, medical or surgical... result of hospitalization, medical or surgical treatment, examination, or vocational...

  13. 38 CFR 3.358 - Compensation for disability or death from hospitalization, medical or surgical treatment...

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... disability or death from hospitalization, medical or surgical treatment, examinations or vocational... Special Purposes § 3.358 Compensation for disability or death from hospitalization, medical or surgical... result of hospitalization, medical or surgical treatment, examination, or vocational...

  14. Disabled Readers: Insight, Assessment, Instruction.

    ERIC Educational Resources Information Center

    Sawyer, Diane J., Ed.

    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…

  15. Assessing Needs of Library Users with Disabilities.

    ERIC Educational Resources Information Center

    Holt, Cynthia; Hole, Wanda Clements

    1995-01-01

    In 1993, the Phoenix Public Library's Special Needs Center conducted a needs assessment by surveying current and past library users and staff to determine what improvements in services were needed for patrons having all types of disabilities. The needs assessment process, general findings, and rewards of engaging in this project are described.…

  16. 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

    ...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...

  17. 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

    ...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...

  18. 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

    ...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...

  19. 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

    ...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...

  20. Medical Leave and Short-Term Disability Medical leaves of absence with pay and benefits for up to 90 days (Short Term Disability) are available

    E-print Network

    Page 75 Medical Leave and Short-Term Disability Medical leaves of absence with pay and benefits to their own health condition or disability. A health care provider's statement verifying the need for medical and the Graduate Medical Education (GME) Office. Any changes in this information should be promptly reported

  1. 42 CFR 435.324 - Medically needy coverage of the disabled in States that cover individuals receiving SSI.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ...false Medically needy coverage of the disabled in States that cover individuals receiving...324 Medically needy coverage of the disabled in States that cover individuals receiving...medically needy, it may provide Medicaid to disabled individuals who meet— (a) The...

  2. 42 CFR 435.324 - Medically needy coverage of the disabled in States that cover individuals receiving SSI.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ...false Medically needy coverage of the disabled in States that cover individuals receiving...324 Medically needy coverage of the disabled in States that cover individuals receiving...medically needy, it may provide Medicaid to disabled individuals who meet— (a) The...

  3. 42 CFR 435.324 - Medically needy coverage of the disabled in States that cover individuals receiving SSI.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ...false Medically needy coverage of the disabled in States that cover individuals receiving...324 Medically needy coverage of the disabled in States that cover individuals receiving...medically needy, it may provide Medicaid to disabled individuals who meet— (a) The...

  4. 42 CFR 435.324 - Medically needy coverage of the disabled in States that cover individuals receiving SSI.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ...false Medically needy coverage of the disabled in States that cover individuals receiving...324 Medically needy coverage of the disabled in States that cover individuals receiving...medically needy, it may provide Medicaid to disabled individuals who meet— (a) The...

  5. 42 CFR 435.324 - Medically needy coverage of the disabled in States that cover individuals receiving SSI.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ...false Medically needy coverage of the disabled in States that cover individuals receiving...324 Medically needy coverage of the disabled in States that cover individuals receiving...medically needy, it may provide Medicaid to disabled individuals who meet— (a) The...

  6. 20 CFR 220.110 - Medically disabled.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ...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...

  7. 20 CFR 220.110 - Medically disabled.

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ...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...

  8. 20 CFR 220.110 - Medically disabled.

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ...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...

  9. 20 CFR 220.110 - Medically disabled.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ...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...

  10. 20 CFR 220.110 - Medically disabled.

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ...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...

  11. The Assessment of Severely Intellectually Disabled Students

    ERIC Educational Resources Information Center

    Kontu, Elina; Pirttimaa, Raija

    2008-01-01

    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…

  12. 42 CFR 436.322 - Medically needy coverage of the disabled.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ...false Medically needy coverage of the disabled. 436.322 Section 436.322 Public...322 Medically needy coverage of the disabled. If the agency provides Medicaid...medically needy, it may provide Medicaid to disabled individuals who meet— (a) The...

  13. 42 CFR 436.322 - Medically needy coverage of the disabled.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ...false Medically needy coverage of the disabled. 436.322 Section 436.322 Public...322 Medically needy coverage of the disabled. If the agency provides Medicaid...medically needy, it may provide Medicaid to disabled individuals who meet— (a) The...

  14. 42 CFR 436.322 - Medically needy coverage of the disabled.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ...false Medically needy coverage of the disabled. 436.322 Section 436.322 Public...322 Medically needy coverage of the disabled. If the agency provides Medicaid...medically needy, it may provide Medicaid to disabled individuals who meet— (a) The...

  15. 42 CFR 436.322 - Medically needy coverage of the disabled.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ...false Medically needy coverage of the disabled. 436.322 Section 436.322 Public...322 Medically needy coverage of the disabled. If the agency provides Medicaid...medically needy, it may provide Medicaid to disabled individuals who meet— (a) The...

  16. 42 CFR 436.322 - Medically needy coverage of the disabled.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ...false Medically needy coverage of the disabled. 436.322 Section 436.322 Public...322 Medically needy coverage of the disabled. If the agency provides Medicaid...medically needy, it may provide Medicaid to disabled individuals who meet— (a) The...

  17. Accommodating Students with Disabilities on State English Language Proficiency Assessments

    ERIC Educational Resources Information Center

    Albus, Debra; Thurlow, Martha L.

    2008-01-01

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

  18. Teaching Medical Students About Disability in Family Medicine

    PubMed Central

    Graham, Catherine Leigh; Brown, Rachel S.; Zhen, Huiling; McDermott, Suzanne

    2015-01-01

    We investigated whether a unique didactic focusing on delivering health care to patients with disabilities (PWDs) impacts medical students’ knowledge of specific disabilities and related concerns, attitudes about barriers to this populations’ health care, and behavior during typical primary care visits with PWDs. A 90-minute session for students during their third-year family medicine clerkship addressed clinical considerations for patients with mobility and cognitive impairments. Questionnaires were administered to students at the beginning and completion of the clerkship. Analyses of 71 matched questionnaires reveal that knowledge and attitudes were positively impacted. PMID:19724936

  19. [Occupational disability in epilepsy. The assessment criteria.

    PubMed

    Vicente-Herrero, M T; Terradillos García, M J; Capdevila García, L; Ramírez Iñiguez de la Torre, M V; López-González, A A; Aguilar Jiménez, E

    2014-10-31

    Epilepsy is a chronic disease cursing with recurrent and paroxysmal crises due to anomalies in the electrical activity of brain, and is controllable in most of the patients by using antiepileptic drugs, in single or combination therapy. Probably one of the most complex aspects of epilepsy is the assessment of disability for work of the affected person. For this purpose, multiple factors need to be taken into account for homogeneous decision-making, and according to criteria of approval and within the principle of equity inherent in the granting of Social Security disability benefits. This requires the cooperation of all professionals involved in the different specialties, with reports using common criteria and taking into account the disease itself, as well as the effects of the prescribed treatments, the effects of which can contribute to the limitations in the performance of certain professions of risk. PMID:25440966

  20. [Benefit assessment of medical devices].

    PubMed

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

    2015-03-01

    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

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

    ERIC Educational Resources Information Center

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

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

  2. 20 CFR 404.1051 - Payments on account of sickness or accident disability, or related medical or hospitalization...

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ...disability, or related medical or hospitalization expenses...Employees' Benefits SOCIAL SECURITY ADMINISTRATION...disability, or related medical or hospitalization expenses... (c) Payments of medical or hospitalization expenses...d) Payments under a worker's compensation...

  3. 20 CFR 404.1051 - Payments on account of sickness or accident disability, or related medical or hospitalization...

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ...disability, or related medical or hospitalization expenses...Employees' Benefits SOCIAL SECURITY ADMINISTRATION...disability, or related medical or hospitalization expenses... (c) Payments of medical or hospitalization expenses...d) Payments under a worker's compensation...

  4. [Medical insurance focus on sports disabilities: the knee joint].

    PubMed

    Raschka, C

    2005-09-01

    This retrospective epidemiological study analyzes the distribution of sports invalidism in Berlin and Brandenburg in a period of four years, based on the data material of the German Lloyd sports insurance company and medical expert opinions. Over 600 cases occurred in a period of four years in more than 40 types of sports disciplines; most of them were registered in soccer (57%), followed by handball (13%), volleyball (4%) and judo (4%). Most of disablements were found during competition (63%). Most of incapacities were concerned with the knee joint (48%). PMID:16180534

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

    PubMed

    Novillo-Corvalán, Patricia

    2011-06-01

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

  6. 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

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

    2012-01-01

    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…

  7. Comparison of Assessment Results of Children with Low Incidence Disabilities

    ERIC Educational Resources Information Center

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

    2008-01-01

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

  8. Development of an instrument to measure medical students' attitudes toward people with disabilities.

    PubMed

    Symons, Andrew; Fish, Reva; McGuigan, Denise; Fox, Jeffery; Akl, Elie

    2012-06-01

    As curricula to improve medical students' attitudes toward people with disabilities are developed, instruments are needed to guide the process and evaluate effectiveness. The authors developed an instrument to measure medical students' attitudes toward people with disabilities. A pilot instrument with 30 items in four sections was administered to 342 medical students. Internal consistency reliability and factor analysis were conducted. The Cronbach's alpha coefficient was 0.857, indicating very good internal consistency. Five components were identified: comfort interacting with people with disabilities, working with people with disabilities in a clinical setting, negative impressions of self-concepts of people with disabilities, positive impressions of self-concepts of people with disabilities, and conditional comfort with people with disabilities. The instrument appears to have good psychometric properties and requires further validation. PMID:22731974

  9. Medical, psychological and social correlates of work disability among men with coronary artery disease.

    PubMed

    Hlatky, M A; Haney, T; Barefoot, J C; Califf, R M; Mark, D B; Pryor, D B; Williams, R B

    1986-11-01

    This study identifies the medical, psychologic and social factors that independently affect employment in patients with coronary artery disease (CAD). At coronary angiography, extensive clinical, psychological and social profiles were collected on 814 men younger than 60 years with documented CAD. Clinical factors studied included measures of symptom severity, prior myocardial infarction, coronary anatomy and left ventricular function. Psychosocial factors studied included the Minnesota Multiphasic Personality Inventory (MMPI), Zung Depression and Anxiety Scales, a type A structured interview, Jenkins Activity Survey and measures of education and social support. Multiple logistic regression analyses were used to assess the relative strength of the relation between these different factors and the patients' employment status. Many single factors differed between the 204 men (25%) who were disabled and the 610 (75%) who were not. Disabled men were less educated but no different in age, marital status or number of dependents. Disabled men had lower ejection fractions and higher indexes of angina, previous myocardial infarction and coexisting vascular disease. Disabled men also were more depressed and anxious and had lower ego strength and higher hypochondriasis scores on the MMPI, but were no different in type A behavior. By multivariable analysis, the most significant (p less than 0.01) independent predictors of work disability were, in decreasing order of importance, low education level, history of myocardial infarction, high levels of depression and high levels of hypochondriasis. It is concluded that psychological and social factors are strongly related to work status in patients with CAD, and may be more important than medical factors. PMID:3776848

  10. [What Psychiatrists Should Know about the Medical Documentation They Issue: Admission for Medical Care and Protection, Medical Treatment for Persons with Disabilities, Mental Health Disability Certification, etc].

    PubMed

    Yamasaki, Masao

    2015-01-01

    Psychiatrists issue a wide variety of documentation, among which are torms such as Registration of Admission for Medical Care and Protection, Periodic Report of Condition, Certification of Medical Treatment for Persons with Disabilities, and Mental Health Disability Certification, which are required under laws such as the Act on Mental Health and Welfare for the Mentally Disabled. These documents are important in that they are related to protecting the human rights of people with mental disorders, as well as securing appropriate medical and welfare services for them. However, in the course of reviewing and evaluating documentation at our Mental Health and Welfare Center, we encounter forms which are incomplete, or which contain inappropriate content. In order to protect the human rights of people with mental disorders, and to ensure the provision of appropriate medical and welfare services for them, I call on psychiatrists to issue carefully written and appropriate documentation. In this talk I will focus primarily on what psychiatrists should know when filling in forms in the course of their day-to-day clinical work. PMID:26552320

  11. Development of an Instrument to Measure Medical Students' Attitudes toward People with Disabilities

    ERIC Educational Resources Information Center

    Symons, Andrew B.; Fish, Reva; McGuigan, Denise; Fox, Jeffery; Akl, Elie A.

    2012-01-01

    As curricula to improve medical students' attitudes toward people with disabilities are developed, instruments are needed to guide the process and evaluate effectiveness. The authors developed an instrument to measure medical students' attitudes toward people with disabilities. A pilot instrument with 30 items in four sections was administered to…

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

    ERIC Educational Resources Information Center

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

    2006-01-01

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

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

    ERIC Educational Resources Information Center

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

    2010-01-01

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

  14. 42 CFR 435.340 - Protected medically needy coverage for blind and disabled individuals eligible in December 1973.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... false Protected medically needy coverage for blind and disabled individuals eligible in December 1973. 435.340 Section...435.340 Protected medically needy coverage for blind and disabled individuals eligible in December 1973. If an agency...

  15. 42 CFR 435.340 - Protected medically needy coverage for blind and disabled individuals eligible in December 1973.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... false Protected medically needy coverage for blind and disabled individuals eligible in December 1973. 435.340 Section...435.340 Protected medically needy coverage for blind and disabled individuals eligible in December 1973. If an agency...

  16. 42 CFR 435.340 - Protected medically needy coverage for blind and disabled individuals eligible in December 1973.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... false Protected medically needy coverage for blind and disabled individuals eligible in December 1973. 435.340 Section...435.340 Protected medically needy coverage for blind and disabled individuals eligible in December 1973. If an agency...

  17. 42 CFR 435.340 - Protected medically needy coverage for blind and disabled individuals eligible in December 1973.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... false Protected medically needy coverage for blind and disabled individuals eligible in December 1973. 435.340 Section...435.340 Protected medically needy coverage for blind and disabled individuals eligible in December 1973. If an agency...

  18. 42 CFR 435.340 - Protected medically needy coverage for blind and disabled individuals eligible in December 1973.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... false Protected medically needy coverage for blind and disabled individuals eligible in December 1973. 435.340 Section...435.340 Protected medically needy coverage for blind and disabled individuals eligible in December 1973. If an agency...

  19. 10 CFR 712.14 - Medical assessment.

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... 10 Energy 4 2014-01-01 2014-01-01 false Medical assessment. 712.14 Section 712.14 Energy DEPARTMENT OF ENERGY HUMAN RELIABILITY PROGRAM Establishment of and Procedures for the Human Reliability Program Procedures § 712.14 Medical assessment. (a) Purpose. The HRP medical assessment is performed to evaluate whether an HRP candidate or...

  20. Assessment of Children with Intellectual Giftedness and Reading Disabilities

    ERIC Educational Resources Information Center

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

    2006-01-01

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

  1. Assessment of Risk Manageability of Intellectually Disabled Sex Offenders

    ERIC Educational Resources Information Center

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

    2004-01-01

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

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

    ERIC Educational Resources Information Center

    Learning Disability Quarterly, 2011

    2011-01-01

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

  3. Building a person-centered medical home: lessons from a program for people with developmental disabilities.

    PubMed

    Weedon, Dean; Carbone, Paul; Bilder, Deborah; O'Brien, Stephanie; Dorius, Josette

    2012-11-01

    The HOME Program provides medical and behavioral health care for people with developmental disabilities across the lifespan. Its unique funding structure provides a fiscally viable, and replicable, means of supporting case management in a medical home setting, addressing system-level barriers that typically impede the implementation of the patient-centered medical home. PMID:23698674

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

    ERIC Educational Resources Information Center

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

    2015-01-01

    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®…

  5. Health literacy and medication administration performance by caregivers of adults with developmental disabilities

    PubMed Central

    Erickson, Steven R.; LeRoy, Barbara

    2015-01-01

    Objectives To measure health literacy (HL) of caregivers of adults with intellectual/developmental disabilities (IDDs); to determine the association between HL and a medication administration task (MAT) assessment; and to identify caregiver characteristics associated with higher HL and MAT scores. Design Cross-sectional study. Setting Southeastern Michigan. Participants Caregivers, aged 18 years or older, who provided supportive care of adults with IDDs. Interventions Survey and demonstration. Main Outcome Measures Short Test of Functional Health Literacy in Adults (STOFHLA); a MAT assessment consisting of interpretation of five sets of medication instructions followed by demonstration of understanding using a pill box; and a survey of caregivers' demographics, medication-related experiences, education, characteristics of persons for whom they provide care, and care-related activities performed. Results A total of 47 caregivers provided data. Caregivers had a mean age of 45.7 ± 14.6 years; 41 (87.2%) were women and 38 (80.9%) had education beyond high school. Caregivers were involved in obtaining medication from pharmacies, reminded the person with IDD to take medications and/or administered them to the person, documented medication and health information, and accompanied persons with IDD to physician offices. Most did not conduct monitoring procedures. The STOFHLA mean score was 34.5 ± 2.5 (median, 35; range, 22–36), while the MAT mean score was 12.0 ± 2.2 (median, 12; range, 6–15). Compared with family caregivers, direct support staff more frequently had undergone some medication training and had other people with whom they could discuss medication questions, but they had worked with the person with IDD a significantly shorter amount of time. No significant differences in STOFHLA and MAT scores between the family caregivers and direct support staff were observed. Caregiver education was significantly correlated with the STOFHLA score. MAT scores were not significantly correlated with caregiver characteristics. Conclusion Caregivers are involved in the medication use process for people who have IDD. Ensuring caregiver understanding of medication regimens and/or improving medication-related HL may be an important step to ensure safe and effective use of medications by people with IDD. PMID:25615819

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

    ERIC Educational Resources Information Center

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

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

  7. Medically Related Disability Issues. Native American Rehabilitation: A Bibliographic Series, No. 7.

    ERIC Educational Resources Information Center

    O'Connell, Joanne Curry; Johnson, Marilyn J.

    This annotated bibliography, part of a series of bibliographies on rehabilitation of Native Americans who are disabled, focuses on diseases and other medical issues related to disabilities. The bibliography lists and describes a total of 77 books, dissertations, conference proceedings, journal articles, and reports issued between 1967 and 1985.…

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

    ERIC Educational Resources Information Center

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

    2011-01-01

    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…

  9. 20 CFR 410.424 - Determining total disability: Medical criteria only.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... 20 Employees' Benefits 2 2011-04-01 2011-04-01 false Determining total disability: Medical criteria only. 410.424 Section 410.424 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...

  10. 20 CFR 410.424 - Determining total disability: Medical criteria only.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... 20 Employees' Benefits 2 2010-04-01 2010-04-01 false Determining total disability: Medical criteria only. 410.424 Section 410.424 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...

  11. 20 CFR 404.1593 - Medical evidence in continuing disability review cases.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ...Employees' Benefits SOCIAL SECURITY ADMINISTRATION FEDERAL OLD-AGE, SURVIVORS AND DISABILITY INSURANCE (1950- ) Determining...reports. We will make every reasonable effort to help you in getting medical reports when you give us permission to...

  12. 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

    ... 20 Employees' Benefits 2 2012-04-01 2012-04-01 false Continued disability or blindness benefits... Disability and Blindness Continuing Or Stopping Disability Or Blindness § 416.996 Continued disability or blindness benefits pending appeal of a medical cessation determination. (a) General. If we determine...

  13. 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

    ... 20 Employees' Benefits 2 2013-04-01 2013-04-01 false Continued disability or blindness benefits... Disability and Blindness Continuing Or Stopping Disability Or Blindness § 416.996 Continued disability or blindness benefits pending appeal of a medical cessation determination. (a) General. If we determine...

  14. 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

    ... 20 Employees' Benefits 2 2011-04-01 2011-04-01 false Continued disability or blindness benefits... Disability and Blindness Continuing Or Stopping Disability Or Blindness § 416.996 Continued disability or blindness benefits pending appeal of a medical cessation determination. (a) General. If we determine...

  15. 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

    ... 20 Employees' Benefits 2 2010-04-01 2010-04-01 false Continued disability or blindness benefits... Disability and Blindness Continuing Or Stopping Disability Or Blindness § 416.996 Continued disability or blindness benefits pending appeal of a medical cessation determination. (a) General. If we determine...

  16. 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

    ... 20 Employees' Benefits 2 2014-04-01 2014-04-01 false Continued disability or blindness benefits... Disability and Blindness Continuing Or Stopping Disability Or Blindness § 416.996 Continued disability or blindness benefits pending appeal of a medical cessation determination. (a) General. If we determine...

  17. Preference Assessment Procedures for Individuals with Developmental Disabilities

    ERIC Educational Resources Information Center

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

    2004-01-01

    Significant advancements have been made in the development of procedures to systematically identify preferred stimuli that may function as reinforcers for persons with developmental disabilities. Indirect assessment procedures include care provider and client interviews, whereas direct assessment procedures involve systematically exposing…

  18. The Impact of Medical Conditions on the Support of Children with Profound Intellectual and Multiple Disabilities

    ERIC Educational Resources Information Center

    Zijlstra, H. P.; Vlaskamp, C.

    2005-01-01

    Background: The aim of this study was to analyse the impact of medical conditions of children with profound intellectual and multiple disabilities on the professional support they receive in centres for special education. Method: The medical files, the daily records and daily communication records between parents and professionals were reviewed…

  19. Common Pediatric Disabilities: Medical Aspects and Educational Implications.

    ERIC Educational Resources Information Center

    Tyler, Janet Siantz; Colson, Steven

    1994-01-01

    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…

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

    PubMed

    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

    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

  1. Disability in Italian neurosurgical patients: validity of the 12-item World Health Organization Disability Assessment Schedule.

    PubMed

    Schiavolin, Silvia; Ferroli, Paolo; Acerbi, Francesco; Brock, Stefano; Broggi, Morgan; Cusin, Alberto; Schiariti, Marco; Visintini, Sergio; Quintas, Rui; Leonardi, Matilde; Raggi, Alberto

    2014-09-01

    The aim of the study was to assess factor structure, internal consistency and validity of the Italian version of the World Health Organization Disability Assessment Schedule 12-item version (WHODAS-12) in patients scheduled for neurosurgical procedures for brain tumours, cerebrovascular or spinal diseases. Disability was assessed with the WHODAS-12, quality of life with the eight-item European Health Interview Survey-Quality of Life, well-being with the Psychological General Well-Being Index-Short and general health with the Karnofsky Performance Status (KPS) scales. Factor analysis was used to confirm WHODAS-12 one-factor structure; root mean square error of approximation (RMSEA) and ?2/d.f. ratio were used to test the model fit. Internal consistency was assessed with Cronbach's ? coefficient, item-total correlation and interitem correlation; convergent validity was assessed with Pearson's coefficient and discriminative validity was assessed with the t-test, dividing patients between those with KPS greater than 90 and KPS of 90 or less. The one-factor structure was confirmed (RMSEA=0.079; ?2/d.f.=2.16) and internal consistency was adequate. Correlations between the three outcome measures were significant, negative and moderate; the t-test showed disability scores to be statistically significantly higher in patients with KPS of 90 or less. Our results confirm factor structure and validity of WHODAS-12 in Italian neurosurgical inpatients; we therefore support its use in neurosurgery departments. PMID:24802978

  2. Sexual Risk Assessment for People with Intellectual Disabilities

    ERIC Educational Resources Information Center

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

    2010-01-01

    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…

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

    PubMed

    Parker, Malcolm

    2014-09-01

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

  4. 10 CFR 712.14 - Medical assessment.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... certification. This psychological evaluation consists of a psychological assessment (test), approved by the... (test) may also be conducted as warranted. (3) Every third year. The medical assessment for recertification must include a psychological assessment (test) approved by the Director, Office of Health...

  5. 10 CFR 712.14 - Medical assessment.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... certification. This psychological evaluation consists of a psychological assessment (test), approved by the... (test) may also be conducted as warranted. (3) Every third year. The medical assessment for recertification must include a psychological assessment (test) approved by the Director, Office of Health...

  6. Hospitalizations of Adults with Intellectual Disability in Academic Medical Centers

    ERIC Educational Resources Information Center

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

    2014-01-01

    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,…

  7. Risk assessment in offenders with intellectual disability: the evidence base.

    PubMed

    Johnston, S J

    2002-05-01

    A review of the current literature on risk assessment and management in offenders with intellectual disability (ID) revealed little direct evidence for the specific population. Theoretical models and non-ID populations have been abstracted and adapted, but not validated, for those with ID. The varying conceptual frameworks of risk, and its assessment and management, must be considered in context. Difficulties remain with the consideration of offences versus offence-like behaviour, offender versus those with similar needs, and indeed, what is regarded as 'intellectual disability'. Mainstream forensic assessment has moved towards a more dynamic appreciation of risk and risk management, as opposed to risk elimination. This development is more in line with the normalization principles of 'risk-taking' in ID. Consideration is given to future research and development priorities. PMID:12031017

  8. 42 CFR 435.330 - Medically needy coverage of the aged, blind, and disabled in States using more restrictive...

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... 42 Public Health 4 2012-10-01 2012-10-01 false Medically needy coverage of the aged, blind, and....330 Medically needy coverage of the aged, blind, and disabled in States using more restrictive... categorically needy only to those aged, blind, or disabled individuals who meet more restrictive...

  9. 42 CFR 435.330 - Medically needy coverage of the aged, blind, and disabled in States using more restrictive...

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 42 Public Health 4 2011-10-01 2011-10-01 false Medically needy coverage of the aged, blind, and....330 Medically needy coverage of the aged, blind, and disabled in States using more restrictive... categorically needy only to those aged, blind, or disabled individuals who meet more restrictive...

  10. 42 CFR 435.330 - Medically needy coverage of the aged, blind, and disabled in States using more restrictive...

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... 42 Public Health 4 2014-10-01 2014-10-01 false Medically needy coverage of the aged, blind, and....330 Medically needy coverage of the aged, blind, and disabled in States using more restrictive... categorically needy only to those aged, blind, or disabled individuals who meet more restrictive...

  11. 42 CFR 435.330 - Medically needy coverage of the aged, blind, and disabled in States using more restrictive...

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 42 Public Health 4 2010-10-01 2010-10-01 false Medically needy coverage of the aged, blind, and....330 Medically needy coverage of the aged, blind, and disabled in States using more restrictive... categorically needy only to those aged, blind, or disabled individuals who meet more restrictive...

  12. 42 CFR 435.330 - Medically needy coverage of the aged, blind, and disabled in States using more restrictive...

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... 42 Public Health 4 2013-10-01 2013-10-01 false Medically needy coverage of the aged, blind, and....330 Medically needy coverage of the aged, blind, and disabled in States using more restrictive... categorically needy only to those aged, blind, or disabled individuals who meet more restrictive...

  13. Developmental Dyscalculia and Medical Assessment.

    ERIC Educational Resources Information Center

    Shalev, Ruth S.; Gross-Tsur, Varda

    1993-01-01

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

  14. Medico-legal reasoning in disability assessment: A focus group and validation study

    PubMed Central

    de Boer, WEL; Donceel, P; Brage, S; Rus, M; Willems, JHBM

    2008-01-01

    Background Decisions on disability pensions are based, among others, on medical reports. The way these medical assessments are performed is largely unclear. The aim of the study was to determine which grounds are used by social insurance physicians (SIPs) in these assessments and to determine if the identification of these grounds can help improve the quality of assessments in social insurance practice. The article describes a focus group study and a questionnaire study with SIPs in four different countries. Method Using focus group discussions of SIPs discussing the same case in Belgium, the Netherlands, Norway and Slovenia (N = 29) we determined the arguments and underlying grounds as used by the SIP's. We used a questionnaire study among other SIPs (N = 60) in the same countries to establish a first validation of these grounds. Results Grounds in the focus groups were comparable between the countries studied. The grounds were also recognized by SIPs who had not participated in the focus groups. SIPs agreed most on grounds with regard to the claimant's health condition, and about the claimant's duty to explore rehabilitation and work resumption, but less on accepting permanent incapacity when all options for treatment were exhausted. Conclusion Grounds that SIPs use refer to a limited group of key elements of disability evaluation. SIPs interpret disability in social insurance according to the handicapped role and strive at making their evaluation fair trials. ICF is relevant with regard to the health condition and to the process of evaluation. Identification of grounds is a valuable instrument for controlling the quality of disability evaluation. The grounds also appear to be internationally comparable which may enhance scientific study in this area. PMID:18816416

  15. Headache-related disability among medical students in Amazon: a cross-sectional study.

    PubMed

    Almeida, Carlos Mauricio Oliveira de; Lima, Paulo Antônio Machado da Silva; Stabenow, Rebecca; Mota, Rhea Sylvia de Souza; Boechat, Antônio Luiz; Takatani, Massanobu

    2015-12-01

    Objective To evaluate the prevalence of headache in medical students, and quantify the degree of disability through HIT-6 and MIDAS scale. Method The criteria established by International Headache Society were used and the HIT-6 and MIDAS, to asses disability. Results 140 medical students from UFAM were evaluated. 16.43% cases of migraine headache, 6.43% of probable migraine, and 23.57% of tension headaches were detected. 6.42% reported an absence of headache; and another 11.42% had secondary headache. According to the HIT-6 questionnaire, in 7.14% and 18.57% of the students, headaches were classified as having substantial to severe impact, respectively. Conclusion Migraine and probable migraine had higher scores than the other types of headache and, therefore, led to higher levels of disability. The present study did not find a significant correlation between student semester, age or extracurricular activities on the impact generated by headache. PMID:26677121

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

    ERIC Educational Resources Information Center

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

    2011-01-01

    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…

  17. Discontinuance of Antiepileptic Medications in Patients with Developmental Disability and Diagnosis of Epilepsy.

    ERIC Educational Resources Information Center

    Alvarez, Norberto

    1989-01-01

    Followup 8 years after reduction of antiepileptic drugs in 50 institutionalized developmentally disabled epileptic patients found recurrence of seizures in 26 patients. Predictors for a seizure-free state off medication included few documented seizures in lifetime, no gross neurological abnormalities, and persistently normal electroencephalograms.…

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

    ERIC Educational Resources Information Center

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

    2012-01-01

    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…

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

    ERIC Educational Resources Information Center

    Walters, Janice A.; Croen, Lila G.

    1993-01-01

    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…

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

    ERIC Educational Resources Information Center

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

    2006-01-01

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

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

    ERIC Educational Resources Information Center

    Wolforth, Joan

    2012-01-01

    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.…

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

    E-print Network

    Gonda, Chiaki

    2011-06-27

    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 ...

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

    PubMed

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

    2012-11-01

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

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

    PubMed Central

    Ydreborg, Berit; Ekberg, Kerstin; Nilsson, Kerstin

    2007-01-01

    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 on reducing costs. As a consequence, the quantitative and qualitative demands on social insurance officers when handling applications for disability pensions may have increased. The aim of this study was therefore to describe the social insurance officers' experiences of assessing applications for disability pensions after the government's introduction of stricter regulations. Methods Qualitative methodology was employed and a total of ten social insurance officers representing different experiences and ages were chosen. Open-ended interviews were performed with the ten social insurance officers. Data was analysed with inductive content analysis. Results Three themes could be identified as problematic in the social insurance officers' descriptions of dealing with the applications in order to reach a decision on whether the issue qualified applicants for a disability pension or not: 1. Clients are heterogeneous. 2. Ineffective and time consuming waiting for medical certificates impede the decision process. 3. Perspectives on the issue of work capacity differed among different stakeholders. The backgrounds of the clients differ considerably, leading to variation in the quality and content of applications. Social insurance officers had to make rapid decisions within a limited time frame, based on limited information, mainly on the basis of medical certificates that were often insufficient to judge work capacity. The role as coordinating actor with other stakeholders in the welfare system was perceived as frustrating, since different stakeholders have different goals and demands. The social insurance officers experience lack of control over the decision process, as regulations and other stakeholders restrict their work. Conclusion A picture emerges of difficulties due to disharmonized systems, stakeholder-bound goals causing some clients to fall between two stools, or leading to unnecessary waiting times, which may limit the clients' ability to take an active part in a constructive process. Increased communication with physicians about how to elaborate the medical certificates might improve the quality of certificates and thereby reduce the clients waiting time. PMID:17597536

  5. Alternative Assessment Eligibility Procedure for Students with Disability TLPR 2.1 Related Policy TLP 2.1 Assessment Policy

    E-print Network

    Wapstra, Erik

    on the quality of a student's work. 4 Links to Related Forms, Records and Electronic Databases Medical Download Medical Assessment Report ­ form Student Complete Medical Assessment Report Medical Practitioner with Student Submit Medical Assessment Report to Student Services Student Interview student, refer to Medical

  6. Urgent Medical Assessment after Child Sexual Abuse

    ERIC Educational Resources Information Center

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

    2006-01-01

    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…

  7. Outcomes Assessment in Veterinary Medical Education.

    ERIC Educational Resources Information Center

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

    2002-01-01

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

  8. 10 CFR 712.36 - Medical assessment process.

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... 10 Energy 4 2014-01-01 2014-01-01 false Medical assessment process. 712.36 Section 712.36 Energy DEPARTMENT OF ENERGY HUMAN RELIABILITY PROGRAM Medical Standards § 712.36 Medical assessment process. (a) The Designated Physician, under the supervision of the SOMD, is responsible for the medical assessment of HRP candidates and...

  9. 10 CFR 712.36 - Medical assessment process.

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... 10 Energy 4 2012-01-01 2012-01-01 false Medical assessment process. 712.36 Section 712.36 Energy DEPARTMENT OF ENERGY HUMAN RELIABILITY PROGRAM Medical Standards § 712.36 Medical assessment process. (a) The Designated Physician, under the supervision of the SOMD, is responsible for the medical assessment of HRP candidates and...

  10. 42 CFR 435.340 - Protected medically needy coverage for blind and disabled individuals eligible in December 1973.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 42 Public Health 4 2010-10-01 2010-10-01 false Protected medically needy coverage for blind and disabled individuals eligible in December 1973. 435.340 Section 435.340 Public Health CENTERS FOR MEDICARE... Coverage of the Medically Needy § 435.340 Protected medically needy coverage for blind and...

  11. 42 CFR 435.340 - Protected medically needy coverage for blind and disabled individuals eligible in December 1973.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 42 Public Health 4 2011-10-01 2011-10-01 false Protected medically needy coverage for blind and disabled individuals eligible in December 1973. 435.340 Section 435.340 Public Health CENTERS FOR MEDICARE... Coverage of the Medically Needy § 435.340 Protected medically needy coverage for blind and...

  12. 42 CFR 435.340 - Protected medically needy coverage for blind and disabled individuals eligible in December 1973.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... 42 Public Health 4 2012-10-01 2012-10-01 false Protected medically needy coverage for blind and disabled individuals eligible in December 1973. 435.340 Section 435.340 Public Health CENTERS FOR MEDICARE... Coverage of the Medically Needy § 435.340 Protected medically needy coverage for blind and...

  13. 42 CFR 435.340 - Protected medically needy coverage for blind and disabled individuals eligible in December 1973.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... 42 Public Health 4 2014-10-01 2014-10-01 false Protected medically needy coverage for blind and disabled individuals eligible in December 1973. 435.340 Section 435.340 Public Health CENTERS FOR MEDICARE... Coverage of the Medically Needy § 435.340 Protected medically needy coverage for blind and...

  14. 42 CFR 435.340 - Protected medically needy coverage for blind and disabled individuals eligible in December 1973.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... 42 Public Health 4 2013-10-01 2013-10-01 false Protected medically needy coverage for blind and disabled individuals eligible in December 1973. 435.340 Section 435.340 Public Health CENTERS FOR MEDICARE... Coverage of the Medically Needy § 435.340 Protected medically needy coverage for blind and...

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

    ERIC Educational Resources Information Center

    Lyon, G. Reid, Ed.

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

  16. Assessing the Comfort Zone of Child Care Teachers in Serving Young Children with Disabilities.

    ERIC Educational Resources Information Center

    Buysse, Virginia; And Others

    1996-01-01

    A study assessed the attitudes of 52 general early childhood teachers serving young children with disabilities in inclusive early childhood settings. Findings indicated teachers' comfort levels decreased as the severity of the child's disability increased and were lowest when the child had severe disabilities in leg functioning, muscle tone, and…

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

    ERIC Educational Resources Information Center

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

    2004-01-01

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

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

    PubMed Central

    Thomas, Kathleen C; Hall, Jean P

    2014-01-01

    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

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

    ERIC Educational Resources Information Center

    Golubovic, Spela; Skrbic, Renata

    2013-01-01

    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…

  20. Career Assessment for Adolescents with Mild Disabilities: Critical Concerns for Transition Planning.

    ERIC Educational Resources Information Center

    Rojewski, Jay W.

    2002-01-01

    This paper addresses the theoretical and practical concerns of transition-related career assessment for adolescents with mild disabilities. It defines assessment terms and then discusses the applicability of prominent career theories. Primary career assessment areas that support the preparation of adolescents with mild disabilities are identified.…

  1. 38 CFR 3.361 - Benefits under 38 U.S.C. 1151(a) for additional disability or death due to hospital care, medical...

    Code of Federal Regulations, 2011 CFR

    2011-07-01

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

  2. 38 CFR 3.361 - Benefits under 38 U.S.C. 1151(a) for additional disability or death due to hospital care, medical...

    Code of Federal Regulations, 2014 CFR

    2014-07-01

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

  3. 38 CFR 3.361 - Benefits under 38 U.S.C. 1151(a) for additional disability or death due to hospital care, medical...

    Code of Federal Regulations, 2010 CFR

    2010-07-01

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

  4. 38 CFR 3.361 - Benefits under 38 U.S.C. 1151(a) for additional disability or death due to hospital care, medical...

    Code of Federal Regulations, 2013 CFR

    2013-07-01

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

  5. 38 CFR 3.361 - Benefits under 38 U.S.C. 1151(a) for additional disability or death due to hospital care, medical...

    Code of Federal Regulations, 2012 CFR

    2012-07-01

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

  6. Physically Disabled People Assess the Quality of their Lives.

    ERIC Educational Resources Information Center

    Weinberg, Nancy

    1984-01-01

    Interviews conducted with 30 disabled adults having varying degrees of orthopedic and spinal cord disabilities, deafness, and severe visual impairments revealed that 50 percent of the congenitally disabled would choose surgery guaranteed to completely cure the disability, and 50 percent opted for no surgery, fearing change in their satisfying…

  7. Assessing observational studies of medical treatments

    PubMed Central

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

    2005-01-01

    Background Previous studies have assessed the validity of the observational study design by comparing results of studies using this design to results from randomized controlled trials. The present study examined design features of observational studies that could have influenced these comparisons. Methods To find at least 4 observational studies that evaluated the same treatment, we reviewed meta-analyses comparing observational studies and randomized controlled trials for the assessment of medical treatments. Details critical for interpretation of these studies were abstracted and analyzed qualitatively. Results Individual articles reviewed included 61 observational studies that assessed 10 treatment comparisons evaluated in two studies comparing randomized controlled trials and observational studies. The majority of studies did not report the following information: details of primary and ancillary treatments, outcome definitions, length of follow-up, inclusion/exclusion criteria, patient characteristics relevant to prognosis or treatment response, or assessment of possible confounding. When information was reported, variations in treatment specifics, outcome definition or confounding were identified as possible causes of differences between observational studies and randomized controlled trials, and of heterogeneity in observational studies. Conclusion Reporting of observational studies of medical treatments was often inadequate to compare study designs or allow other meaningful interpretation of results. All observational studies should report details of treatment, outcome assessment, patient characteristics, and confounding assessment. PMID:16137327

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

    ERIC Educational Resources Information Center

    Sze, Susan

    2009-01-01

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

  9. The Feasibility of Measuring Frailty to Predict Disability and Mortality in Older Medical-ICU Survivors

    PubMed Central

    Baldwin, Matthew R.; Reid, M. Cary; Westlake, Amanda A.; Rowe, John W.; Granieri, Evelyn C.; Wunsch, Hannah; Dam, Tien; Rabinowitz, Daniel; Goldstein, Nathan E.; Maurer, Mathew S.; Lederer, David J.

    2014-01-01

    Purpose To determine whether frailty can be measured within 4 days prior to hospital discharge in older ICU survivors of respiratory failure, and whether it is associated with post-discharge disability and mortality. Materials and Methods We performed a single center prospective cohort study of 22 medical-ICU survivors age ? 65 years old who had received non-invasive or invasive mechanical ventilation for at least 24 hours. Frailty was defined as a score of ? 3 using Fried’s 5-point scale. We measured disability with the Katz Activities of Daily Living. We estimated unadjusted associations between Fried’s frailty score and incident disability at 1-month and 6-month mortality using Cox proportional hazard models. Results The mean (standard deviation) age was 77 (9) years, mean APACHE II score was 27 (9.7), mean frailty score was 3.4 (1.3), and 18 (82%) were frail. Nine subjects (41%) died within 6 months, and all were frail. Each 1-point increase in frailty score was associated with a 90% increased rate of incident disability at 1-month (rate ratio: 1.9, 95% CI 0.7-4.9) and a threefold increase in 6-month mortality (rate ratio: 3.0, 95% CI 1.4-6.3). Conclusions:Frailty can be measured in older ICU survivors near hospital discharge and is associated with 6-month mortality in unadjusted analysis. Larger studies to determine if frailty independently predicts outcomes are warranted. PMID:24559575

  10. Social Consequences of Long Term Impairments and Disabilities: Conceptual Approach and Assessment of Handicap.

    ERIC Educational Resources Information Center

    Fougeyrollas, P.; Noreau, L.; Bergeron, H.; Cloutier, R.; Dion, S-A.; St-Michel, G.

    1998-01-01

    A study involving 49 Canadian individuals with spinal cord disorders investigated using the LIFE-H, a measurement designed to assess the life habits of individuals with disabilities. The LIFE-H assessment was found to be reliable, covered most of a person's life habits, and could determine the appearance of disability situations. (Author/CR)

  11. The 2% Transition: Supporting Access to State Assessments for Students with Disabilities

    ERIC Educational Resources Information Center

    Jamgochian, Elisa M.; Ketterlin-Geller, Leanne R.

    2015-01-01

    Most students with disabilities participate in state assessments with or without accommodations [based on each student's Individualized Education Program (IEP)]. A small number of students with the most severe or profound intellectual disabilities participate in an alternate assessment based on alternate achievement standards (AA-AAS). Until…

  12. The State of Health in Older Adults in Japan: Trends in Disability, Chronic Medical Conditions and Mortality

    PubMed Central

    Ishii, Shinya; Ogawa, Sumito; Akishita, Masahiro

    2015-01-01

    Both life expectancy and healthy life expectancy in Japan have been increasing and are among the highest in the world, but the gap between them has also been widening. To examine the recent trends in old age disability, chronic medical conditions and mortality in Japan, we retrospectively analyzed three nationally representative datasets: Comprehensive Survey of Living Conditions (2001–2013), Patient Survey (1996–2011) and Vital Statistics (1995–2010). We obtained the sex- and age-stratified trends in disability rate, treatment rates of nine selected chronic medical conditions (cerebrovascular diseases, joint disorders, fractures, osteoporosis, ischemic heart disease, diabetes mellitus, hypertension, pneumonia and malignant neoplasms), total mortality rate and mortality rates from specific causes (cerebrovascular diseases, heart diseases, pneumonia and malignant neoplasms) in both sexes in four age strata (65–69, 70–74, 75–79, 80–84 years). Disability rates declined significantly in both sexes. Treatment rates of all selected medical conditions also decreased significantly, except for fractures in women and pneumonia. Both total mortality rate and cause-specific mortality rates decreased in both sexes. We concluded that the recent decline in disability rates, treatment rates of chronic medical conditions and mortality rates points toward overall improvement in health conditions in adults over the age of 65 years in Japan. Nonetheless, considering the increase in the number of older adults, the absolute number of older adults with disability or chronic medical conditions will continue to increase and challenge medical and long-term care systems. PMID:26431468

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

    ERIC Educational Resources Information Center

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

    2009-01-01

    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…

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

    ERIC Educational Resources Information Center

    Ferguson, L.; Murphy, G. H.

    2014-01-01

    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…

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

    PubMed Central

    Miller, Paul Steven; Levine, Rebecca Leah

    2013-01-01

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

  16. Assessment and Accountability for Programs Serving Young Children with Disabilities

    ERIC Educational Resources Information Center

    Hebbeler, Kathleen; Barton, Lauren R.; Mallik, Sangeeta

    2008-01-01

    States currently are in the process of developing child and family outcome measurement systems for young children with disabilities to meet federal data reporting requirements for the Part C (Infants and Toddlers with Disabilities) and Part B Preschool Grants program supported through the Individuals with Disabilities Education Act. This article…

  17. 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...

  18. Assessing medical technology assessment: past, present, and future.

    PubMed

    Foote, S B

    1987-01-01

    Advances in medical technology have contributed both to the quality of health care and to its costs. The marketplace doesn't produce sufficient information to anticipate either real health or economic value. Formal assessment of new technologies for safety, efficacy, effectiveness, and cost has been unimpressively dominated by government. While new agency and institutional arrangements promise greater success, they will require a balance between public and private sector roles in procedures and financial support. PMID:3600552

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

    ERIC Educational Resources Information Center

    Konur, O.

    2007-01-01

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

  20. 2010-11 Publicly Reported Assessment Results for Students with Disabilities and ELLs with Disabilities. Technical Report 68

    ERIC Educational Resources Information Center

    Albus, Deb; Thurlow, Martha

    2013-01-01

    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,…

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

    E-print Network

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

    2002-01-01

    Support BOTTOM LINE TIPS Baker, D.J., Blumberg, R., & Freeman, R. (2002). Considerations for functional assessment of problem be- havior among persons with developmental disabilities and mental illness. In J. Jacobson, J. Mulick, and S. Holburn (Eds....), Programs and services for people with dual developmental and psychiatric disabilities (pp. 51-66). Kingston, NY: NADD. Problem behaviors are common among persons with the dual diagnosis of develop- mental disabilities and mental illness. Supporting...

  2. 10 CFR 712.36 - Medical assessment process.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ..., the appropriate procedure described in 10 CFR part 710, subpart A, applies. ... 10 Energy 4 2010-01-01 2010-01-01 false Medical assessment process. 712.36 Section 712.36 Energy DEPARTMENT OF ENERGY HUMAN RELIABILITY PROGRAM Medical Standards § 712.36 Medical assessment process. (a)...

  3. 10 CFR 712.36 - Medical assessment process.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ..., the appropriate procedure described in 10 CFR part 710, subpart A, applies. ... 10 Energy 4 2011-01-01 2011-01-01 false Medical assessment process. 712.36 Section 712.36 Energy DEPARTMENT OF ENERGY HUMAN RELIABILITY PROGRAM Medical Standards § 712.36 Medical assessment process. (a)...

  4. Disability management: corporate medical department management of employee health and productivity.

    PubMed

    Burton, W N; Conti, D J

    2000-10-01

    This study describes a proactive in-house program for managing short-term disability (STD) in the workforce of a very large banking system. The goals of this program were to (1) minimize the personal and economic impacts of STD by early intervention, (2) validate the extent and duration of STD, and (3) coordinate medical services and provide guidance to managers that would facilitate an early return to work. This program was made possible by the installation of a comprehensive database, called Occupational Medicine and Nursing Information System. This database mainly includes employees' claims for inpatient and outpatient health services, disability and workers' compensation benefits, wellness program participation, medical examinations and laboratory tests, use of prescription drugs, and results of Health Risk Appraisals. As a result of these efforts, STD event duration declined after this STD management program was implemented in locations heretofore outside the system, and by providing full pay for part-time work after STD, within the system as well. Of note, the average number of STD days per employee showed substantial variation by health plan, including the fact that it was higher (3.9 STD days/employee) for health maintenance organization participants than for indemnity plan members (2.7 STD days/employee). PMID:11039164

  5. Learning Disabilities and ADHD

    MedlinePLUS

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

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

    ERIC Educational Resources Information Center

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

    2011-01-01

    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…

  7. Screening and Assessment of Specific Learning Disabilities in Higher Education Institutes in the Republic of Ireland

    ERIC Educational Resources Information Center

    Harkin, Emma; Doyle, Alison; Mc Guckin, Conor

    2015-01-01

    Students with specific learning difficulties (SpLD) in higher education institutions (HEIs) in the Republic of Ireland are required to have a formal psycho-educational assessment from an educational psychologist to register with Disability Services in HEIs, to be eligible for support through the Fund for Students with Disabilities (FSD). Such…

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

    NASA Technical Reports Server (NTRS)

    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

    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.

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

    ERIC Educational Resources Information Center

    Perie, Marianne, Ed.

    2010-01-01

    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…

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

    ERIC Educational Resources Information Center

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

    2006-01-01

    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…

  11. Assessing the Reading Comprehension of Adults with Learning Disabilities

    ERIC Educational Resources Information Center

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

    2006-01-01

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

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

    ERIC Educational Resources Information Center

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

    2015-01-01

    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…

  13. [Restriction of medical criteria for disability pensions. Effects on the local level].

    PubMed

    Andersen, E; Grimsmo, A; Westin, S

    1995-03-20

    The objective of the analysis presented in this article is to assess the impact on a local level of the revised eligibility criteria for disability pensions in Norway. The setting was five mainly rural municipalities on the North-West coast of Norway and the city of Trondheim. The project was carried out as a document analysis of a sample of rejected applications for disability pensions, as they appeared in social security records from 1990/91, before the revision to the law, and from 1992, after the revision. Among a total of 146 such cases, 118 (81%) were available for the document analysis. Some national statistics were used for purposes of comparison. The percentage of rejected applications increased in all municipalities for both men and women. The new regulations accounted for 25% of the rejected cases. 31% of the rejected applications from women were based on the narrower criteria, as opposed to 17% of the men's. The impacts of the 1991 regulations have been considerable. The increased rejection rate adds to a falling rate of applications for disability pensions since 1989/90, accounting for an almost 50% reduction in the yearly incidence rate of granted pensions in Norway from 1989 to 1993. PMID:7709389

  14. Measuring disability and its predicting factors in a large database in Taiwan using the World Health Organization Disability Assessment Schedule 2.0.

    PubMed

    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

    2014-12-01

    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

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

    PubMed Central

    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

    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

  16. Reducing Aggression in Individuals with Developmental Disabilities: An Expanded Stimulus Control, Assessment, and Intervention Model.

    ERIC Educational Resources Information Center

    Gardner, William I.; And Others

    1986-01-01

    An expanded assessment model examining physiological conditions, durational events, and behavioral histories is suggested as one way to understand the stimulus events controlling aggression of developmentally disabled persons. Implications for more effective treatment are considered. (CL)

  17. 75 FR 28625 - Disease, Disability, and Injury Prevention and Control Special Emphasis Panel (SEP): Assessment...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-05-21

    ...DEPARTMENT OF HEALTH AND HUMAN SERVICES Centers for Disease Control and Prevention Disease, Disability, and Injury Prevention and Control...SEP): Assessment of Post-Treatment Lyme Disease Syndrome, Funding Opportunity...

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

    PubMed Central

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

    2014-01-01

    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

  19. Driving evaluation methods for able-bodied persons and individuals with lower extremity disabilities: a review of assessment modalities

    PubMed Central

    Greve, Julia Maria D'Andréa; Santos, Luciana; Alonso, Angelica Castilho; Tate, Denise G

    2015-01-01

    Assessing the driving abilities of individuals with disabilities is often a very challenging task because each medical condition is accompanied by physical impairments and because relative individual functional performance may vary depending on personal characteristics. We identified existing driving evaluation modalities for able-bodied and lower extremity-impaired subjects (spinal cord injury patients and amputees) and evaluated the potential relationships between driving performance and the motor component of driving. An extensive scoping review of the literature was conducted to identify driving assessment tools that are currently used for able-bodied individuals and for those with spinal cord injury or lower extremity amputation. The literature search focused on the assessment of the motor component of driving. References were electronically obtained via Medline from the PubMed, Ovid, Web of Science and Google Scholar databases. This article compares the current assessments of driving performance for those with lower extremity impairments with the assessments used for able-bodied persons. Very few articles were found concerning “Lower Extremity Disabilities,” thus confirming the need for further studies that can provide evidence and guidance for such assessments in the future. Little is known about the motor component of driving and its association with the other driving domains, such as vision and cognition. The available research demonstrates the need for a more evidenced-based understanding of how to best evaluate persons with lower extremity impairment. PMID:26375567

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

    PubMed

    Gifford, Brian

    2015-08-01

    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. PMID:25375972

  1. A Medical Ethics Assessment of the Case of Terri Schiavo

    ERIC Educational Resources Information Center

    Preston, Tom; Kelly, Michael

    2006-01-01

    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…

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

    PubMed Central

    Hewlett, S; Smith, A; Kirwan, J

    2002-01-01

    Background: Measurement of disability in rheumatoid arthritis is often used to support treatment decisions and outcome assessments, but is used without reference to the impact of disability on individual patients. Objective: To develop and validate a scale to measure individual values for functions, which is used to weight the level of an individual patient's functional loss and thus calculate the personal impact of disability. Methods: In four linked studies, first the phraseology for values was explored to develop a stem question for the value scale couched in terms patients understand (face validity). Then short and long versions of the value scale were compared (content validity) and tests of internal consistency and short term reliability undertaken (criterion validity). Finally, the value scale was examined for long term reliability and agreement with expected variables (criterion and construct validity), after which personal impact scores were calculated and their construct validity examined. Results: Patients understand the concept of values, and a positively phrased stem question was developed for the value scale, for which a short version was reasonably equivalent to a long version. The value scale was reliable over one week (96% changed by <1 point) with positive interitem correlation. Reasonable six and 12 month reliability was shown (52% changed by <0.5 points), and the value scale was independent of disability and clinical, psychological, personality, and social support variables. Personal impact scores were then calculated by using the value scores to weight disability scores. Impact scores varied widely between patients of similar disability. Personal impact for disability showed convergent validity with dissatisfaction with disability, perceived increase in disability, increased disease activity, worse psychological status, low social support, and time trade off for disability. It discriminated between patients with low and high dissatisfaction with disability, life satisfaction, depression, pain, and helplessness. Conclusion: This individualised personal impact scale should lend meaning to disability scores, improving the interpretation of clinical and research data. PMID:12379521

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

    ERIC Educational Resources Information Center

    Unwin, Gemma Louise; Deb, Shoumitro

    2008-01-01

    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…

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

    ERIC Educational Resources Information Center

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

    2013-01-01

    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…

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

    ERIC Educational Resources Information Center

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

    2013-01-01

    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…

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

    ERIC Educational Resources Information Center

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

    2007-01-01

    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…

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

    ERIC Educational Resources Information Center

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

    2010-01-01

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

  8. 76 FR 64429 - Advisory Committee on Prosthetics and Special-Disabilities Programs; Notice of Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-10-18

    ... Disability and Medical Assessment Officer; Physical Therapy Program Specialist; Executive Director, Federal Recovery Coordination Program; Deputy Director, Recreation Therapy; Director, Amputation System of...

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

    ERIC Educational Resources Information Center

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

    2014-01-01

    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

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

    ERIC Educational Resources Information Center

    Campbell, Martin; McCue, Michael

    2013-01-01

    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…

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

    ERIC Educational Resources Information Center

    Salmon, Amy

    2007-01-01

    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…

  12. Medical Devices Assess, Treat Balance Disorders

    NASA Technical Reports Server (NTRS)

    2009-01-01

    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.

  13. 20 CFR 410.424 - Determining total disability: Medical criteria only.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... 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:...

  14. 20 CFR 410.424 - Determining total disability: Medical criteria only.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... 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:...

  15. Assessing Perceived Professionalism in Medical School Applicants

    ERIC Educational Resources Information Center

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

    2009-01-01

    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,…

  16. 10 CFR 712.14 - Medical assessment.

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ...evaluation consists of a psychological assessment (test), approved by the...semi-structured interview. A psychological assessment (test) may also be conducted...recertification must include a psychological assessment (test) approved by the...

  17. 10 CFR 712.14 - Medical assessment.

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ...evaluation consists of a psychological assessment (test), approved by the...semi-structured interview. A psychological assessment (test) may also be conducted...recertification must include a psychological assessment (test) approved by the...

  18. 10 CFR 712.14 - Medical assessment.

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ...evaluation consists of a psychological assessment (test), approved by the...semi-structured interview. A psychological assessment (test) may also be conducted...recertification must include a psychological assessment (test) approved by the...

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

    ERIC Educational Resources Information Center

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

    2013-01-01

    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…

  20. Assessing the Prevalence of Intellectual Disability among Young Male Prisoners

    ERIC Educational Resources Information Center

    Herrington, V.

    2009-01-01

    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…

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

    ERIC Educational Resources Information Center

    Parmenter, Trevor R.

    2011-01-01

    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…

  2. An Assessment of Intellectual Disability Among Aboriginal Australians

    ERIC Educational Resources Information Center

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

    2005-01-01

    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…

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

    ERIC Educational Resources Information Center

    Swanson, H. Lee; Howard, Crystal B.

    2005-01-01

    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…

  4. Advancing Accessibility and Accommodations in Content Assessments for Students with Disabilities and English Learners

    ERIC Educational Resources Information Center

    Thurlow, Martha L.; Kopriva, Rebecca J.

    2015-01-01

    The purpose of this chapter is to review what has happened, and what is likely to happen, as accessibility and accommodations research and practice for content assessments are advanced to ensure the appropriate inclusion and validity of assessment results for English learners (ELs) and students with disabilities. A description of accommodations…

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

    ERIC Educational Resources Information Center

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

    2011-01-01

    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…

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

    ERIC Educational Resources Information Center

    Koritsas, Stella; Iacono, Teresa; Davis, Robert

    2012-01-01

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

  7. Increasing Compliance in Students with Intellectual Disabilities Using Functional Behavioral Assessment and Self-Monitoring

    ERIC Educational Resources Information Center

    Wadsworth, Jamie P.; Hansen, Blake D.; Wills, Sarah B.

    2015-01-01

    Noncompliance in three elementary age students with intellectual disabilities was assessed using functional behavioral assessments. Escape was identified as the primary function of the behavior in all three students, and access to tangible items was identified in one of the students as a secondary function. Teacher-monitoring and self-monitoring…

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

    ERIC Educational Resources Information Center

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

    2002-01-01

    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…

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

    ERIC Educational Resources Information Center

    Kreiner, Janice; Flexer, Robert

    2009-01-01

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

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

    ERIC Educational Resources Information Center

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

    2010-01-01

    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…

  11. Risk Assessment and Risk Management in Offenders with Intellectual Disabilities: Are We There Yet?

    ERIC Educational Resources Information Center

    Pouls, Claudia; Jeandarme, Inge

    2015-01-01

    Research on risk assessment and risk management in offenders with intellectual disabilities (OIDs), although far behind compared to the mainstream offender literature, is now expanding. The current review provides an overview of the predictive value of risk assessment and treatment outcome monitoring tools developed for both mainstream forensic…

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

    ERIC Educational Resources Information Center

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

    2006-01-01

    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…

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

    ERIC Educational Resources Information Center

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

    2012-01-01

    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…

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

    ERIC Educational Resources Information Center

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

    2014-01-01

    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…

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

    ERIC Educational Resources Information Center

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

    2008-01-01

    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…

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

    ERIC Educational Resources Information Center

    Mastergeorge, Ann M.; Martinez, Jose Felipe

    2010-01-01

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

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

    ERIC Educational Resources Information Center

    Hinman, Suki; And Others

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

  18. Assisted living nursing practice: medication management: Part 1. Assessing the resident for self-medication ability.

    PubMed

    Mitty, Ethel; Flores, Sandi

    2007-01-01

    Self-administration of medication suggests that individuals are functionally and cognitively competent to manage their health care. Older adults take a significant number of medications (borderline polypharmacy) as well as an unaccounted for number of over-the-counter, as necessary, and herbal remedies. Assisted living residences, moving from a social to a more medical model, are responsible for the safety and well-being of their residents. In addition, the prospect of aging-in-place in the residence is increasingly associated with appropriate medical and medication management. Assisted living services in most states include assistance with medication, but the nature of the assistance varies widely, at times approaching what even a nonclinical observer would regard as medication administration. Although state assisted living regulations can be quite specific regarding medication storage, there are scant guidelines about the components of a thorough assessment as to whether a resident can safely self-administer his or her medications. This article discusses assessment criteria of self-medication ability, drawn from a variety of instruments. In keeping with assisted living nursing standards of practice, the assisted living nurse has a critical responsibility in assessment of this self-care ability. PMID:17430743

  19. Assessment in Medical Education; What Are We Trying to Achieve?

    ERIC Educational Resources Information Center

    Ferris, Helena; O'Flynn, Dermot

    2015-01-01

    Within the arena of medical education, it is generally acknowledged that assessment drives learning. Assessment is one of the most significant influences on a student's experience of higher education and improving assessment has a huge impact on the quality of learning (Liu, N. and Carless, D, 2006). Ideally we want to enhance student's capacity…

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

    PubMed

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

    2015-03-01

    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. PMID:25524862

  1. Weaving together peer assessment, audios and medical vignettes in teaching medical terms

    PubMed Central

    Khan, Lateef M.

    2015-01-01

    Objectives The current study aims at exploring the possibility of aligning peer assessment, audiovisuals, and medical case-report extracts (vignettes) in medical terminology teaching. In addition, the study wishes to highlight the effectiveness of audio materials and medical history vignettes in preventing medical students' comprehension, listening, writing, and pronunciation errors. The study also aims at reflecting the medical students' attitudes towards the teaching and learning process. Methods The study involved 161 medical students who received an intensive medical terminology course through audio and medical history extracts. Peer assessment and formative assessment platforms were applied through fake quizzes in a pre- and post-test manner. An 18-item survey was distributed amongst students to investigate their attitudes and feedback towards the teaching and learning process. Quantitative and qualitative data were analysed using the SPSS software. Results The students did better in the posttests than on the pretests for both the quizzes of audios and medical vignettes showing a t-test of -12.09 and -13.60 respectively. Moreover, out of the 133 students, 120 students (90.22%) responded to the survey questions. The students gave positive attitudes towards the application of audios and vignettes in the teaching and learning of medical terminology and towards the learning process. Conclusions The current study revealed that the teaching and learning of medical terminology have more room for the application of advanced technologies, effective assessment platforms, and active learning strategies in higher education. It also highlights that students are capable of carrying more responsibilities of assessment, feedback, and e-learning. PMID:26637986

  2. Internal Medicine Residents Do Not Accurately Assess Their Medical Knowledge

    ERIC Educational Resources Information Center

    Jones, Roger; Panda, Mukta; Desbiens, Norman

    2008-01-01

    Background: Medical knowledge is essential for appropriate patient care; however, the accuracy of internal medicine (IM) residents' assessment of their medical knowledge is unknown. Methods: IM residents predicted their overall percentile performance 1 week (on average) before and after taking the in-training exam (ITE), an objective and well…

  3. 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 Central

    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

    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

  4. 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

    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

    2015-04-01

    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

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

    PubMed Central

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

    2011-01-01

    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

  6. Assessment of Clinical Skills in Medical Practice

    ERIC Educational Resources Information Center

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

    2003-01-01

    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…

  7. Content validation using an expert panel: assessment process for assistive technology adopted by farmers with disabilities.

    PubMed

    Mathew, S N; Field, W E; French, B F

    2011-07-01

    This article reports the use of an expert panel to perform content validation of an experimental assessment process for the safety of assistive technology (AT) adopted by farmers with disabilities. The validation process was conducted by a panel of six experts experienced in the subject matter, i.e., design, use, and assessment of AT for farmers with disabilities. The exercise included an evaluation session and two focus group sessions. The evaluation session consisted of using the assessment process under consideration by the panel to evaluate a set of nine ATs fabricated by a farmer on his farm site. The expert panel also participated in the focus group sessions conducted immediately before and after the evaluation session. The resulting data were analyzed using discursive analysis, and the results were incorporated into the final assessment process. The method and the results are presented with recommendations for the use of expert panels in research projects and validation of assessment tools. PMID:21919319

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

    PubMed

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

    2014-12-01

    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

  9. Assessment of Disability among the Elderly in Xiamen of China: A Representative Sample Survey of 14,292 Older Adults

    PubMed Central

    Chen, Wei; Fang, Ya; Mao, Fanzhen; Hao, Shichao; Chen, Junze; Yuan, Manqiong; Han, Yaofeng; Hong, Y. Alicia

    2015-01-01

    Background The unprecedented number of elderly individuals in China presents a serious public health challenge. Limited data are available on the prevalence of disability or factors resulting in disability among the elderly in China. Objective We aimed to assess the prevalence of disability and related risk factors among the elderly of Xiamen, China. Methods A cross-sectional study was performed on individuals who were ?60 years of age. The subjects were recruited by multi-stage sampling; a total of 14,292 valid questionnaires were received. Study measurements included activities of daily living (ADL), demographics, and health status. The ADL was assessed by the Katz Index Scale to evaluate disability. Chi-square tests and binary logistic regression were used to identify factors associated with disabilities. Results Among the valid participants, 4.27% had at least one disability. Bathing was the most frequently reported disability and feeding was the least frequently reported disability. Disabilities were significantly associated with female gender, older age, unmarried status, living with family, urban residence, illiteracy, poor economic status, self-rated bad health, chronic illnesses, lower life satisfaction, bad mood, and feelings of loneliness. Conclusion Functional disability among the elderly requires more public attention. Culturally appropriate policies and programs are also needed to address the care for the disabled elderly. PMID:26126109

  10. Peer Assessment among First Year Medical Students in Anatomy

    ERIC Educational Resources Information Center

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

    2014-01-01

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

  11. Student Awards & Financial Aid Office | University of Windsor MEDICAL CONFIRMATION OF PERMANENT/TEMPORARY DISABILITY

    E-print Network

    Disability Services Office at the University of Windsor as they have specialized staff trained to assist_______________________________________________ __________________ Physician/Certified Health Care Professional=s Signature Date TEMPORARY DISABILITY I confirm that the above_______________________________________________ _________________ Physician/Certified Health Care Professional=s Signature Date Additional Physician Information Required

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

    PubMed Central

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

    2014-01-01

    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

  13. Spreadsheet software to assess locomotor disability to quantify permanent physical impairment

    PubMed Central

    Ellur, Sunderraj

    2012-01-01

    Context: Assessment of physical disability is an important duty of a plastic surgeon especially for those of us who are in an institutional practice. Aim: The Gazette of India notification gives a guideline regarding the assessment of the disability. However, the calculations as per the guidelines are time consuming. In this article, a spreadsheet program which is based on the notification is presented. The aim of this article is to design a spreadsheet program which is simple, reproducible, user friendly, less time consuming and accurate. Materials and Methods: This spreadsheet program was designed using the Microsoft Excel. The spreadsheet program was designed on the basis of the guidelines in the Gazette of India Notification regarding the assessment of Locomotor Disability to Quantify Permanent Physical Impairment. Two representative examples are presented to help understand the application of this program. Results: Two spreadsheet programs, one for upper limb and another for the lower limb are presented. The representative examples show the accuracy of the program to match the results of the traditional method of calculation. Conclusion: A simple spreadsheet program can be designed to assess disability as per the Gazette of India Notification. This program is easy to use and is accurate. PMID:23450138

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

    ERIC Educational Resources Information Center

    Bessant, Judith

    2012-01-01

    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…

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

    ERIC Educational Resources Information Center

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

    2014-01-01

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

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

    ERIC Educational Resources Information Center

    Koski, Katja; Launonen, Kaisa

    2012-01-01

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

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

    ERIC Educational Resources Information Center

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

    2010-01-01

    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…

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

    ERIC Educational Resources Information Center

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

    2013-01-01

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

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

    ERIC Educational Resources Information Center

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

    2009-01-01

    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…

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

    ERIC Educational Resources Information Center

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

    2012-01-01

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

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

    ERIC Educational Resources Information Center

    Kleinert, Harold L.; Kearns, Jacqui Farmer

    2010-01-01

    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,…

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

    ERIC Educational Resources Information Center

    Parrish, Polly R.; Stodden, Robert A.

    2009-01-01

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

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

    ERIC Educational Resources Information Center

    McLaughlin, Katherine; Cascella, Paul W.

    2008-01-01

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

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

    ERIC Educational Resources Information Center

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

    2012-01-01

    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…

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

    ERIC Educational Resources Information Center

    Oberlander, Tim F.

    2001-01-01

    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.…

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

    ERIC Educational Resources Information Center

    Mechling, Linda C.; Bishop, Vanessa A.

    2011-01-01

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

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

    ERIC Educational Resources Information Center

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

    2013-01-01

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

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

    ERIC Educational Resources Information Center

    Horrocks, Erin; Higbee, Thomas S.

    2008-01-01

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

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

    ERIC Educational Resources Information Center

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

    2013-01-01

    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,…

  10. Assessing Residential Segregation among Medicaid Recipients with Psychiatric Disability in Philadelphia

    ERIC Educational Resources Information Center

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

    2007-01-01

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

  11. Virtual reality in medical education and assessment

    NASA Technical Reports Server (NTRS)

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

    1994-01-01

    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.

  12. [Assessment of behavioral problems in children with intellectual disability: the Nisonger Child Behavior Rating Form].

    PubMed

    Sarimski, Klaus

    2004-01-01

    Epidemiological data show a high prevalence of emotional and behavioral problems in children with intellectual disability. However there is a lack of standardized instruments designed to assess emotions and behaviors typically seen in mentally handicapped children. The results of a survey using the "Nisonger Child Behavior Rating Form" are presented. Reliability coefficients, concordance of parent and teacher ratings, convergent and differential validity data are satisfactory to suggest its clinical use to identify problem areas which deserve special attention in the mental health care of children with intellectual disability. PMID:15216963

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

    ERIC Educational Resources Information Center

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

    2008-01-01

    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…

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

    PubMed Central

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

    2014-01-01

    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

  15. Assessing the Likelihood of Rare Medical Events in Astronauts

    NASA Technical Reports Server (NTRS)

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

    2011-01-01

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

  16. Assessment and non-clinical impact of medical devices.

    PubMed

    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

    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

  17. 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

    Unwin, Gemma L.; Deb, Shoumitro

    2011-01-01

    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…

  18. 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

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

    2008-01-01

    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…

  19. 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

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

    2009-01-01

    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…

  20. Predicting Optimal Preference Assessment Methods for Individuals with Developmental Disabilities

    ERIC Educational Resources Information Center

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

    2007-01-01

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

  1. 67 FR 20018 - Technical Revisions to Medical Criteria for Determinations of Disability

    Federal Register 2010, 2011, 2012, 2013, 2014

    2002-04-24

    ...INFORMATION CONTACT: Carolyn Kiefer, Social Insurance Specialist, Office of Disability, Social Security Administration, 3-B-9 Operations...410) 966-5609, or visit our Internet web site, Social Security Online, at...

  2. 38 CFR 3.358 - Compensation for disability or death from hospitalization, medical or surgical treatment...

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ...2010-07-01 2010-07-01 false Compensation for disability or death from hospitalization...VETERANS AFFAIRS ADJUDICATION Pension, Compensation, and Dependency and Indemnity Compensation Ratings for Special Purposes §...

  3. 38 CFR 3.358 - Compensation for disability or death from hospitalization, medical or surgical treatment...

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ...2011-07-01 2011-07-01 false Compensation for disability or death from hospitalization...VETERANS AFFAIRS ADJUDICATION Pension, Compensation, and Dependency and Indemnity Compensation Ratings for Special Purposes §...

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

    PubMed Central

    Graff, Richard B.; Karsten, Amanda M.

    2012-01-01

    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

  5. Proxy and self-reported Quality of Life in adults with intellectual disabilities: Impact of psychiatric symptoms, problem behaviour, psychotropic medication and unmet needs.

    PubMed

    Koch, Andrea D; Vogel, Anke; Becker, Thomas; Salize, Hans-Joachim; Voss, Elke; Werner, Amelie; Arnold, Katrin; Schützwohl, Matthias

    2015-01-01

    Proxies often underestimate the subjective Quality of Life (QoL) of adults with intellectual disability (ID). However, little is known about the reasons for these differences. Accordingly, the purpose of the present study is to, firstly, compare the self-reported QoL of adults with ID with proxy reports from staff of sheltered working and housing facilities, and, secondly, to identify possible differences of the impact of four potential predictor variables. Data of 102 adults with ID were collected as part of the MEMENTA study ('Mental health care provision for adults with ID and a mental disorder'). Results show that self-report QoL scores ranged from 72.6 to 86.8. Both proxies consistently reported lower QoL scores and agreement between self and proxy ratings was predominantly poor. Unmet needs and psychotropic medication were identified as the most important predictors of reduced self-rated QoL, whereas an increase of psychiatric symptoms, problem behaviours, and psychotropic medication best predicted the reduced QoL proxy ratings. To conclude, proxies still have to strive for a more holistic approach in surrogate QoL assessments and according to adults with ID, service providers should focus on a reduction of unmet needs and psychotropic medication to further improve QoL. PMID:26233765

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

    ERIC Educational Resources Information Center

    Gerber, F.; Carminati, G. Galli

    2013-01-01

    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…

  7. Assessing burden of disease as disability adjusted life years in life cycle assessment.

    PubMed

    Kobayashi, Yumi; Peters, Greg M; Ashbolt, Nicholas J; Shiels, Sean; Khan, Stuart J

    2015-10-15

    Disability adjusted life years (DALYs) have been used to quantify endpoint indicators of the human burden of disease in life cycle assessment (LCA). The purpose of this paper was to examine the current use of DALYs in LCA, and also to consider whether DALYs as used in LCA have the potential to be compatible with DALYs as used in quantitative risk assessment (QRA) to facilitate direct comparison of the results of the two approaches. A literature review of current usage of DALYs in LCA was undertaken. Two prominent methods were identified: ReCiPe 2008 and LIME2. The methods and assumptions used in their calculations were then critically reviewed. The assumptions used for the derivation of characterization factors in DALYs were found to be considerably different between LCA methods. In many cases, transparency of these calculations and assumptions is lacking. Furthermore, global average DALY values are often used in these calculations, but may not be applicable for impact categories where the local factors play a significant role. The concept of DALYs seems beneficial since it enables direct comparison and aggregation of different health impacts. However, given the different assumptions used in each LCA method, it is important that LCA practitioners are aware of the differences and select the appropriate method for the focus of their study. When applying DALYs as a common metric between LCA and QRA, understanding the background information on how DALYs were derived is crucial to ensure the consistency of DALYs used in LCA and QRA for resulting DALYs to be comparable and to minimize any double counting of effects. PMID:26042893

  8. A real-time assessment of factors influencing medication events.

    PubMed

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

    2014-01-01

    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

  9. [Temporary disability and its legal implications].

    PubMed

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

    2014-03-01

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

  10. Assessment of Critical Thinking Ability in Medical Students

    ERIC Educational Resources Information Center

    Macpherson, Karen; Owen, Cathy

    2010-01-01

    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…

  11. Assessment Modifications for Students with Disabilities in Sport Education

    ERIC Educational Resources Information Center

    Tindall, Daniel; Foley, John

    2011-01-01

    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…

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

    PubMed

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

    2008-02-01

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

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

    E-print Network

    Alley, Gordon R.; Deshler, Donald D.; Warner, Michael M.; Schumaker, Jean B.

    1980-01-01

    or muscle aches in 15 children after one week. Improvements were also noted in these two areas for 12 weeks and 18 months . No mention was made in the article with regard to adolescents and one can only assume compar- able test reaction results... FOR RESEARCH lEARNIJ~ DISABILITIES [:r~~~~~~~~~~.~~n~!~ Emphasis on Adolescents and Young Adults Research Report No. 15 January , 1980 AN EPIDEMIOLOGICAL STUDY OF LEARNING DISABLED ADOLESCENTS IN SECONDARY SCHOOLS: HEALTH AND ~1EDICAL FACTORS Gordon R...

  14. Teaching and Assessing Professionalism in Medical Learners and Practicing Physicians*

    PubMed Central

    Mueller, Paul S.

    2015-01-01

    Professionalism is a core competency of physicians. Clinical knowledge and skills (and their maintenance and improvement), good communication skills, and sound understanding of ethics constitute the foundation of professionalism. Rising from this foundation are behaviors and attributes of professionalism: accountability, altruism, excellence, and humanism, the capstone of which is professionalism. Patients, medical societies, and accrediting organizations expect physicians to be professional. Furthermore, professionalism is associated with better clinical outcomes. Hence, medical learners and practicing physicians should be taught and assessed for professionalism. A number of methods can be used to teach professionalism (e.g. didactic lectures, web-based modules, role modeling, reflection, interactive methods, etc.). Because of the nature of professionalism, no single tool for assessing it among medical learners and practicing physicians exists. Instead, multiple assessment tools must be used (e.g. multi-source feedback using 360-degree reviews, patient feedback, critical incident reports, etc.). Data should be gathered continuously throughout an individual’s career. For the individual learner or practicing physician, data generated by these tools can be used to create a “professionalism portfolio,” the totality of which represents a picture of the individual’s professionalism. This portfolio in turn can be used for formative and summative feedback. Data from professionalism assessments can also be used for developing professionalism curricula and generating research hypotheses. Health care leaders should support teaching and assessing professionalism at all levels of learning and practice and promote learning environments and institutional cultures that are consistent with professionalism precepts. PMID:25973263

  15. Disability eligibility issues and university student assessment outcomes

    E-print Network

    Crank, Joe N.; Deshler, Donald D.

    2001-01-01

    and university student assessment outcomes 223 Table 1 Scores for Project Eligible (LD) and Non-Eligible Students (NLD) Measures LD (n = 31) NLD (n = 22) WJPEB Means Range SD Means Range SD Grade Read 8.62 4.3–12.19 2.62 12.87 12.4–12.9 0.10 Math 9.86 6.0–12.9 3.04... in the non- verbal domain. The PPVT was not administered to these students. 5. Conclusion From conceptualization to operationalization this project addressed critical concerns about the validity and legality of procedures for documenting and evaluat- ing LD...

  16. Multidisciplinary assessment and treatment of self-injurious behavior in autism spectrum disorder and intellectual disability: integration of psychological and biological theory and approach.

    PubMed

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

    2015-06-01

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

  17. Peer assessment among first year medical students in anatomy.

    PubMed

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

    2014-01-01

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

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

    ERIC Educational Resources Information Center

    Iacono, T.; Carling-Jenkins, R.

    2012-01-01

    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…

  19. 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

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

    2005-01-01

    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…

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

    ERIC Educational Resources Information Center

    Phillips, Louise; Wilson, Linda; Wilson, Erin

    2010-01-01

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

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

    PubMed Central

    Wagner, Joanne M.

    2011-01-01

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

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

    PubMed Central

    2010-01-01

    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

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

    PubMed Central

    Zabalia, Marc

    2013-01-01

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

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

    ERIC Educational Resources Information Center

    Seelig, Richard

    2006-01-01

    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…

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

    NASA Technical Reports Server (NTRS)

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

    2008-01-01

    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.

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

    PubMed Central

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

    2013-01-01

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

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

    ERIC Educational Resources Information Center

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

    2013-01-01

    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…

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

    ERIC Educational Resources Information Center

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

    2004-01-01

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

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

    ERIC Educational Resources Information Center

    Unwin, Gemma L.; Deb, Shoumitro

    2008-01-01

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

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

    ERIC Educational Resources Information Center

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

    2013-01-01

    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…

  11. 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

    2011-04-01

    ... disability, or medical or hospitalization expenses. 31.3306(b)(4)-1 Section 31.3306(b)(4)-1 Internal Revenue... (Chapter 23, Internal Revenue Code of 1954) § 31.3306(b)(4)-1 Payments on account of sickness or accident... exception even though not made under a plan or system. If the employee does not actually perform...

  12. 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

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

    2009-01-01

    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…

  13. 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

    Lee, Wui-Chiang; Chen, Tzeng-Ji

    2012-01-01

    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…

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

    ERIC Educational Resources Information Center

    Huyard, Caroline

    2012-01-01

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

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

    PubMed Central

    2011-01-01

    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

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

    PubMed

    Pagliuca, Lorita Marlena Freitag; Maia, Evanira Rodrigues

    2012-01-01

    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

  17. Addition to Transition Assessment Resources: A Template for Determining the Use of Guardianship Alternatives for Students Who Have Intellectual Disability

    ERIC Educational Resources Information Center

    Millar, Dorothy Squatrito

    2014-01-01

    The main purpose of this article is to add to the transition assessment resources by introducing the Guardianship Alternative Assessment Template (GAAT) as it relates to guardianship prevention for youth and adults who have an intellectual disability. Guardianship refers to a legal intervention when a court determines that adult individuals are…

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

    ERIC Educational Resources Information Center

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

    2013-01-01

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

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

    ERIC Educational Resources Information Center

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

    2011-01-01

    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…

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

    ERIC Educational Resources Information Center

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

    2013-01-01

    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…

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

    ERIC Educational Resources Information Center

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

    2010-01-01

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

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

    ERIC Educational Resources Information Center

    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

    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…

  3. Assessment of MEMS energy harvester for medical applications

    NASA Astrophysics Data System (ADS)

    Smilek, Jan; Hadas, Zdenek

    2015-05-01

    This paper assesses the feasibility of the energy harvesting principle for the development of an autonomous power supply unit for a new generation of biomedical devices, e.g. artificial cochlear implants. Requirements for the harvester are set based on a research of power demands of state-of-the-art medical devices. Feasible methods of the energy conversion are then reviewed, and a simulation model of the generic energy harvester is developed. Acceleration in the head area of the user is measured and used as an input excitation for the model. Possible course of the follow-up research is outlined based on simulation and measurement results.

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

    ERIC Educational Resources Information Center

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

    2004-01-01

    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…

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

    ERIC Educational Resources Information Center

    Scior, Katrina; Furnham, Adrian

    2011-01-01

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

  6. Developing and Assessing Curriculum on the Physics of Medical Instruments

    PubMed Central

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

    2013-01-01

    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

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

    ERIC Educational Resources Information Center

    Scranton, Thomas R.; And Others

    1978-01-01

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

  8. Determinants of frailty: the added value of assessing medication

    PubMed Central

    Coelho, Tiago; Paúl, Constança; Gobbens, Robbert J. J.; Fernandes, Lia

    2015-01-01

    This study aims to analyze which determinants predict frailty in general and each frailty domain (physical, psychological, and social), considering the integral conceptual model of frailty, and particularly to examine the contribution of medication in this prediction. A cross-sectional study was designed using a non-probabilistic sample of 252 community-dwelling elderly from three Portuguese cities. Frailty and determinants of frailty were assessed with the Tilburg Frailty Indicator. The amount and type of different daily-consumed medication were also examined. Hierarchical regression analysis were conducted. The mean age of the participants was 79.2 years (±7.3), and most of them were women (75.8%), widowed (55.6%) and with a low educational level (0–4 years: 63.9%). In this study, determinants explained 46% of the variance of total frailty, and 39.8, 25.3, and 27.7% of physical, psychological, and social frailty respectively. Age, gender, income, death of a loved one in the past year, lifestyle, satisfaction with living environment and self-reported comorbidity predicted total frailty, while each frailty domain was associated with a different set of determinants. The number of daily-consumed drugs was independently associated with physical frailty, and the consumption of medication for the cardiovascular system and for the blood and blood-forming organs explained part of the variance of total and physical frailty. The adverse effects of polymedication and its direct link with the level of comorbidities could explain the independent contribution of the amount of prescribed drugs to frailty prediction. On the other hand, findings in regard to medication type provide further evidence of the association of frailty with cardiovascular risk. In the present study, a significant part of frailty was predicted, and the different contributions of each determinant to frailty domains highlight the relevance of the integral model of frailty. The added value of a simple assessment of medication was considerable, and it should be taken into account for effective identification of frailty. PMID:25954195

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

    NASA Technical Reports Server (NTRS)

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

    2010-01-01

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

  10. Methodologic requirements for assessing surgical procedures in current medical literature.

    PubMed

    Jiménez, Rosa E; Gutiérrez, Angela R; Benitez, Iralys M

    2003-02-01

    Even though, in theory, a new surgical technique should traverse all the stages established for drugs before being introduced into medical practice, it is suspected that many surgical procedures are utilized without having rigorously evaluated their efficacy and safety. With the aim of identifying the methodologic aspects currently employed for assessing new surgical procedures, a descriptive bibliographic study was carried out. Altogether, 75 journal articles published from 1996 to 1998 were reviewed. The papers must have come from studies carried out with the expressed objective of evaluating a surgical procedure and were selected through MEDLINE or directly from six prestigious medical journals (three specifically surgical and three general). Of the reviewed articles, 47% were retrospective studies, and the rest were prospective studies. More than 40% of the retrospective studies omitted some basic methodologic features, namely a description of the patients' source or a definition of the inclusion criteria. Among the 41 prospective articles, only 35 used a control group and 15 did not employ random allocation. Other basic issues, such as the sample size or inclusion of prognostic factors in the analysis, were present in fewer than 50% of the articles. It seems there is consensus about admitting that rigorous assessment of new surgical treatments should be an unavoidable condition before introducing such treatment into practice. The facts demonstrate that this principle is not being followed. PMID:12616442

  11. 42 CFR 435.330 - Medically needy coverage of the aged, blind, and disabled in States using more restrictive...

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ...needy coverage of the aged, blind, and disabled in States using more restrictive eligibility...needy coverage of the aged, blind, and disabled in States using more restrictive eligibility...needy only to those aged, blind, or disabled individuals who meet more...

  12. 42 CFR 435.330 - Medically needy coverage of the aged, blind, and disabled in States using more restrictive...

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ...needy coverage of the aged, blind, and disabled in States using more restrictive eligibility...needy coverage of the aged, blind, and disabled in States using more restrictive eligibility...needy only to those aged, blind, or disabled individuals who meet more...

  13. 42 CFR 435.330 - Medically needy coverage of the aged, blind, and disabled in States using more restrictive...

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ...needy coverage of the aged, blind, and disabled in States using more restrictive eligibility...needy coverage of the aged, blind, and disabled in States using more restrictive eligibility...needy only to those aged, blind, or disabled individuals who meet more...

  14. 42 CFR 435.330 - Medically needy coverage of the aged, blind, and disabled in States using more restrictive...

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ...needy coverage of the aged, blind, and disabled in States using more restrictive eligibility...needy coverage of the aged, blind, and disabled in States using more restrictive eligibility...needy only to those aged, blind, or disabled individuals who meet more...

  15. 42 CFR 435.330 - Medically needy coverage of the aged, blind, and disabled in States using more restrictive...

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ...needy coverage of the aged, blind, and disabled in States using more restrictive eligibility...needy coverage of the aged, blind, and disabled in States using more restrictive eligibility...needy only to those aged, blind, or disabled individuals who meet more...

  16. Development and assessment of learning objects about intramuscular medication administration

    PubMed Central

    Tamashiro, Lilian Mayumi Chinen; Peres, Heloisa Helena Ciqueto

    2014-01-01

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

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

    E-print Network

    Cimino, James J.

    assessment terms from two nursing terminologies into the Medical Entities Dictionary (MED), the concept assessment terms from two nursing terminologies into the Medical Entities Dictionary (MED), the concept summarizes the Clinical LOINC elements and extended definitions. Target Reference Terminology: Medical

  18. Issues in the assessment of reading disabilities in L2 children--beliefs and research evidence.

    PubMed

    Geva, E

    2000-01-01

    In bilingual and multilingual settings one is constantly challenged by the difficulty of teasing apart phenomena associated with normal second language (L2) reading acquisition from authentic warning signs of reading failure. The bulk of this paper focuses on a critical discussion of a cluster of beliefs that pertain to the issues concerning the diagnosis of reading disability in multilingual and bilingual settings among school children. Findings from available research on reading acquisition among bilingual children and research focusing specifically on the assessment of English-as-a-second language (ESL) children who might be at risk for reading disability are used to evaluate the validity of these beliefs. While some beliefs are supported by research, others are not. In particular, the research suggests that reliable diagnosis of dyslexia among ESL children can be achieved by examining within-language differences on various indices of basic reading skills such as phonological processing, and by noting a significant gap between oral and reading comprehension. PMID:10840504

  19. Impact of epilepsy and antiepileptic medications on the metabolic profile in adults with autism spectrum disorder and intellectual disabilities.

    PubMed

    Moses, Lilach; Katz, Nachum; Weizman, Abraham

    2015-11-01

    Epilepsy is common in individuals with autism spectrum disorder (ASD) and intellectual disabilities (ID). Antiepileptic medications, such as valproic acid (VPA), were associated with changes in BMI, metabolic syndrome, dyslipidemia, and hyperinsulinemia. This study aimed to investigate how epilepsy and antiepileptic treatments affect BMI, fasting blood glucose (FBG), and total cholesterol of individuals with ASD or ID. Data on epilepsy diagnoses, treatment with VPA, carbamazepine or other antiepileptics, BMI, FBG, and total cholesterol levels were obtained from the medical charts of 80 adults with ASD and 77 adults with ID and analyzed using appropriate statistical tools. Participants with epilepsy had lower BMI and FBG than participants without epilepsy (BMI: 23.18±5.43 vs. 25.61±5.74?kg/m, respectively, F=6.64, d.f.=1.140; P=0.011, FBG: 72.53±11.26 vs. 79.98±14.64?mg/dl, respectively, F=10.46, d.f.=1.135 P=0.002). Those treated with VPA had lower total cholesterol levels compared with those untreated (156.56±26.13 vs. 172.42±33.82?mg/dl, respectively, F=7.44, d.f.=1.150; P=0.007), but did not differ in BMI and FBG. Individuals with ASD or ID, and epilepsy were leaner and had lower FBG than those without epilepsy. In addition, total cholesterol levels were lower in VPA-treated participants than in untreated ones, but BMI and FBG levels were similar. PMID:26186174

  20. Investigating Computer-Based Formative Assessments in a Medical Terminology Course

    ERIC Educational Resources Information Center

    Wilbanks, Jammie T.

    2012-01-01

    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…

  1. Assessing the Health Care Needs of Kansas' Young Adults with Disabilities

    E-print Network

    Hall, Jean P.; Starrett, B.

    2007-08-01

    Youth with disabilities comprise a special category of children with disabilities because they are in transition from a health care environment that includes parental and school-based supports to one that requires independence and self...

  2. 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

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

    2014-12-01

    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

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

    PubMed Central

    Enders, Felicity

    2011-01-01

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

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

    ERIC Educational Resources Information Center

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

    2012-01-01

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

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

    ERIC Educational Resources Information Center

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

    2015-01-01

    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…

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

    ERIC Educational Resources Information Center

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

    2003-01-01

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

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

    ERIC Educational Resources Information Center

    Dixon, Valerie E.

    2011-01-01

    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…

  8. Psycho-Educational Assessment of Specific Learning Disabilities: Views and Practices of Australian Psychologists and Guidance Counsellors

    ERIC Educational Resources Information Center

    Meteyard, John D.; Gilmore, Linda

    2015-01-01

    This article reports an investigation of the views and practices of 203 Australian psychologists and guidance counsellors with respect to psycho-educational assessment of students with specific learning disabilities (SLDs). Results from an online survey indicated that practitioners draw upon a wide range of theoretical perspectives when…

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

    ERIC Educational Resources Information Center

    Knight, B. Caleb; And Others

    1990-01-01

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

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

    ERIC Educational Resources Information Center

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

    2011-01-01

    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…

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

    ERIC Educational Resources Information Center

    Cho, Hyun-Jeong; Kingston, Neal

    2013-01-01

    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…

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

    ERIC Educational Resources Information Center

    Elliott, Judy L.; And Others

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

  13. Reporting on State Assessment Data for Students with Disabilities: Synthesis of the 2007 NCEO Report. inForum

    ERIC Educational Resources Information Center

    Muller, Eve

    2007-01-01

    The National Center on Educational Outcomes (NCEO) has conducted nine analyses of the public reporting of state assessment results for students with disabilities including four since the passage of the No Child Left Behind Act of 2001 (NCLB). This document synthesizes findings reported in NCEO's most recent analysis, "Nearing the Target in…

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

    ERIC Educational Resources Information Center

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

    2012-01-01

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

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

    ERIC Educational Resources Information Center

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

    2010-01-01

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

  16. Medication use in a large international sample of people with multiple sclerosis: associations with quality of life, relapse rate and disability

    PubMed Central

    Jelinek, George A.; Weiland, Tracey J.; Hadgkiss, Emily J.; Marck, Claudia H.; Pereira, Naresh; van der Meer, Dania M.

    2015-01-01

    Objectives: To examine associations between medication use and health-related quality of life (HRQOL), relapse rate and disability in an international cohort of people with multiple sclerosis (PwMS). Methods: Using Web 2.0 platforms, the authors recruited PwMS who completed survey items on demographics, medication use, HRQOL, relapse rate and disability. Results: Of 2276 respondents from 56 countries, approximately half were taking a disease-modifying drug (DMD), most commonly glatiramer acetate or an interferon. Use of DMDs was not consistently associated with HRQOL. Individually, glatiramer acetate was associated with better HRQOL when compared with other DMDs or no DMD use. Overall, DMD use was neither associated with disability nor lower relapse rate, although those taking a DMD >12?months had 23.9% fewer relapses than those not taking a DMD. Polypharmacy, defined as those taking five or more over the counter, prescription or herbal medications, irrespective of DMD use, was associated with markedly worse HRQOL across all domains. Discussion: There was no consistent association of DMD use with better health outcomes in this large international \\sample of PwMS, although relapse rate appears lower for those taking a DMD for >12?months. Glatiramer acetate had associations with better HRQOL compared with other DMDs. PMID:25905471

  17. Validation Study of the Spanish Version of the Disability Assessment for Dementia Scale.

    PubMed

    Sánchez-Pérez, Alicia; López-Roig, Sofía; Pérez, Ana Pampliega; Gómez, Paula Peral; Pastor, María Ángeles; Pomares, Miriam Hurtado

    2015-11-01

    The aim of this study was to determine reliability and validity of the Spanish version of the Disability Assessment for Dementia Scale (DAD-E) in the following areas: content, response process, internal structure, and relation to other constructs.We designed a cross-sectional observational study. The DAD-E was administered to 132 participants diagnosed with mild cognitive decline, prodromal Alzheimer disease, Alzheimer disease, or no cognitive decline. For the reliability study, we performed analyses of internal consistency, test-retest, and equivalent measures. To study validity, we performed item analysis, principal components analysis, and correlations with other measures.The sample was composed of 37 healthy participants (28%) and 95 patients (72%). In the total scale, Cronbach alpha was 0.963, intraclass correlation coefficient in the test-retest analysis was 0.983 (95% CI [95% confidence interval]?=?0.969-0.991), and the analysis for equivalent measures was 0.949 (95% CI?=?0.897-0.975). Out of the 40 items, we found that 37 presented a correlation index with the total score above 0.40. The principal components analysis suggests that 61.7% of the variance is explained by a single component that groups all scores on Activities of Daily Living. The DAD total score presents correlations with Barthel's Index of 0.882 (P?=?0.000) and with Lawton and Brodie's Index of 0.877 (P?=?0.000) and with the Mini Mental State Examination of 0.679 (P?=?0.000).The DAD-E is a reliable and valid instrument to assess functional disability in people with cognitive decline in Spanish population. PMID:26554794

  18. An approach to assessing stochastic radiogenic risk in medical imaging

    SciTech Connect

    Wolbarst, Anthony B.; Hendee, William R.

    2011-12-15

    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.

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

    NASA Technical Reports Server (NTRS)

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

    2012-01-01

    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.

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

    E-print Network

    McQuade, D. Tyler

    Medical Monitoring Program for Vertebrate Animal Users Enrollment and Risk Assessment Form-8842), Campus Mail (Mail code 4481), or deliver it to 1200 Carothers Hall. Please note that the Medical to the Medical Monitoring Program for Vertebrate Animal Exposure (MMPVAE), feel free to contact us at (850) 644

  1. MEDICAL ASSESSMENT FORM 2015-16 PLEASE COMPLETE THIS FORM AND RETURN TO THE STUDENT

    E-print Network

    Applebaum, David

    MEDICAL ASSESSMENT FORM 2015-16 PLEASE COMPLETE THIS FORM AND RETURN TO THE STUDENT RESIENCES TEAM SECTION A ­ To be completed by the Student before forwarding to GP/Medical Practitioner To ensure that your accommodation application is processed efficiently, please make sure that your GP or other medical

  2. ACCOMMODATIONS FOR DISABILITIES ADA POLICY The University of Connecticut School of Medicine (UConn SOM) Graduate Medical Education (GME)

    E-print Network

    and accompanying regulations define a person with a disability as someone with a physical or mental impairment, etc. to also include eating, sleeping, standing, lifting, bending, reading, concentrating, thinking to perform the essential functions of a job; and To enable a resident/fellow with a disability to enjoy

  3. ACCOMMODATIONS FOR DISABILITIES ADA ACKNOWLEDMENT FORM The University of Connecticut School of Medicine (UConn SOM) Graduate Medical Education

    E-print Network

    and accompanying regulations define a person with a disability as someone with a physical or mental impairment, etc. to also include eating, sleeping, standing, lifting, bending, reading, concentrating, thinking to perform the essential functions of a job; and To enable a resident/fellow with a disability to enjoy

  4. 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

    Lehmann, Ilana; Crimando, William

    2008-01-01

    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…

  5. Biorisk Assessment of Medical Diagnostic Laboratories in Nigeria

    PubMed Central

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

    2013-01-01

    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

  6. Year 3 of Implementing the Common Core State Standards: Transitioning to CCSS-Aligned Curriculum and Assessments for Students with Disabilities

    ERIC Educational Resources Information Center

    Frizzell, Matthew

    2013-01-01

    This report, based on a spring 2013 survey of state education agency officials in Common Core-adopting states, focuses on state efforts to prepare students with disabilities for the Common Core State Standards. The report also addresses the challenges states face with supporting teachers of students with disabilities and state plans for assessing

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

    ERIC Educational Resources Information Center

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

    2011-01-01

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

  8. Learning Disabilities Association of America

    MedlinePLUS

    ... More STRESS!! The Missing Piece of the LD/ADHD Puzzle. Clinical Neuropsychologist and Harvard Medical School faculty ... behavior in students with learning disabilities and associated ADHD. More Info Learning Disabilities: A Multidisciplinary Journal Committed ...

  9. Assessment of self-medication practices among medical, pharmacy, and health science students in gondar university, ethiopia.

    PubMed

    Abay, S M; Amelo, W

    2010-07-01

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

  10. Disability Services Center University of California, Irvine

    E-print Network

    Al Faruque, Mohammad Abdullah

    COGNITIVE DISABILITIES Learning Disabilities 55 20 - - 62 AD/HD 80 17 - - 87 Acquired / Traumatic Brain 2013-2014 1065 #12;Disability Demographics 4 Psychological 35.2% Other Funtional/Medical 26.3% AD/HD 10 Demographics Psychological 47.8% Other Funtional/Medical 21.0% AD/HD 10.2% Learning Disabilities 12.1% Autism

  11. 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

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

    2013-01-01

    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…

  12. `Disabled' students in higher education Elisabet Weedon,

    E-print Network

    Millar, Andrew J.

    `Disabled' students in higher education Elisabet Weedon, Centre for Research in Education Inclusion statistical analysis compares disabled with non-disabled Recent Scottish legislation on access to higher disability 57.5 17.1 - Dyslexia (Specific learning difficulty) 16.2 54.2 53.3 Other disability (or medical

  13. Standardizing assessment practices of undergraduate medical competencies across medical schools: challenges, opportunities and lessons learned from a consortium of medical schools in Uganda

    PubMed Central

    Mubuuke, Aloysius Gonzaga; Mwesigwa, Catherine; Maling, Samuel; Rukundo, Godfrey; Kagawa, Mike; Kitara, David Lagoro; Kiguli, Sarah

    2014-01-01

    Introduction Health professions education is gradually moving away from the more traditional approaches to new innovative ways of training aimed at producing professionals with the necessary competencies to address the community health needs. In response to these emerging trends, Medical Education for Equitable Services to All Ugandans (MESAU), a consortium of Ugandan medical schools developed key competencies desirable of graduates and successfully implemented Competency Based Education (CBE) for undergraduate medical students. Objectives To examine the current situation and establish whether assessment methods of the competencies are standardized across MESAU schools as well as establish the challenges, opportunities and lessons learned from the MESAU consortium. Methods It was a cross-sectional descriptive study involving faculty of the medical schools in Uganda. Data was collected using focus group discussions and document reviews. Findings were presented in form of themes. Results Although the MESAU schools have implemented the developed competencies within their curricular, the assessment methods are still not standardized with each institution having its own assessment procedures. Lack of knowledge and skills regarding assessment of the competencies was evident amongst the faculty. The fear for change amongst lecturers was also noted as a major challenge. However, the institutional collaboration created while developing competencies was identified as key strength. Conclusion Findings demonstrated that despite having common competencies, there is no standardized assessment blue print applicable to all MESAU schools. Continued collaboration and faculty development in assessment is strongly recommended. PMID:25995778

  14. Stress, Depression, and Suicide among Students with Learning Disabilities: Assessing the Risk.

    ERIC Educational Resources Information Center

    Bender, William N.; Rosenkrans, Cecilia B.; Crane, Mary-Kay

    1999-01-01

    Research is reviewed on stress, depression, and suicide among adolescents with learning disabilities from the risk resilience perspective. Adolescents with nonverbal learning disabilities and/or those who are less academically adept manifest higher rates of depression. Some evidence also exists to support an increased risk of suicide among this…

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

    ERIC Educational Resources Information Center

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

    2011-01-01

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

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

    ERIC Educational Resources Information Center

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

    2012-01-01

    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…

  17. Assessing Components of Empathy in Sex-Offenders with Intellectual Disabilities

    ERIC Educational Resources Information Center

    Ralfs, Sonya; Beail, Nigel

    2012-01-01

    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…

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

    ERIC Educational Resources Information Center

    Decker, Scott

    2012-01-01

    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…

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

    ERIC Educational Resources Information Center

    Blackman, Noelle

    2008-01-01

    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…

  20. Modeling people with motor disabilities to empower the automatic accessibility and ergonomic assessment of new products.

    PubMed

    Kaklanis, Nikolaos; Stavropoulos, Georgios; Tzovaras, Dimitrios

    2015-11-01

    Virtual User Models (VUMs) can be a valuable tool for accessibility and ergonomic evaluation of designs in simulation environments. As increasing the accessibility of a design is usually translated into additional costs and increased development time, the need for specifying the percentage of population for which the design will be accessible is crucial. This paper addresses the development of VUMs representing specific groups of people with disabilities. In order to create such VUMs, we need to know the functional limitations, i.e. disability parameters, caused by each disability and their variability over the population. Measurements were obtained from 90 subjects with motor disabilities and were analyzed using both parametric and nonparametric regression methods as well as a proposed hybrid regression method able to handle small sample sizes. Validation results showed that in most cases the proposed regression analysis can produce valid estimations on the variability of each disability parameter. PMID:26154211

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

    PubMed

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

    2014-03-01

    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

  2. An Empirical Assessment of a Home-Based Exercise Treatment Package for People with Severe Mobility-Related Disabilities Using a Changing Criterion Design: Two Studies

    E-print Network

    Nary, Dorothy E.

    2010-12-13

    A single-subject changing criterion design was used in two studies to empirically assess a home-based exercise treatment package for sedentary participants with severe mobility-related disabilities. The independent variable ...

  3. Medication Management Assessment for Older Adults in the Community

    ERIC Educational Resources Information Center

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

    2006-01-01

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

  4. Training Medical Students about Hazardous Drinking Using Simple Assessment Techniques

    ERIC Educational Resources Information Center

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

    2014-01-01

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

  5. Assessing the Academic Medical Center as a Supportive Learning Community

    ERIC Educational Resources Information Center

    Gannon, Sam C.

    2011-01-01

    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…

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

    NASA Technical Reports Server (NTRS)

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

    2011-01-01

    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.

  7. Comprehensive Geriatric Assessment in the Office

    PubMed Central

    Pereles, Laurie R.M.; Boyle, Neil G.H.

    1991-01-01

    Because of their increased incidence of illness and disability, geriatric patients require extra time and diligence to assess and track medical problems. This article describes a comprehensive geriatirc assessment, organized on a one-page, easily updated checklist, that can be used to generate a medical and functional problem list and a risk assessment. Imagesp2190-a PMID:21229091

  8. The relationship between academic assessment and psychological distress among medical students: a systematic review.

    PubMed

    Lyndon, Mataroria P; Strom, Joanna M; Alyami, Hussain M; Yu, Tzu-Chieh; Wilson, Nichola C; Singh, Primal P; Lemanu, Daniel P; Yielder, Jill; Hill, Andrew G

    2014-12-01

    A systematic review was conducted to determine the relationship between academic assessment and medical student psychological distress with the aim of informing assessment practices. A systematic literature search of six electronic databases (Medline, Medline IN PROCESS, PubMed, EMBASE, Psychinfo, ERIC) from 1991 to May 2014 was completed. Articles focusing on academic assessment and its relation to stress or anxiety of medical students were included. From 3,986 potential titles, 82 full-text articles were assessed for eligibility, and 23 studies met review inclusion criteria. Studies focused on assessment stress or anxiety, and assessment performance. Consistent among the studies was the finding that assessment invokes stress or anxiety, perhaps more so for female medical students. A relationship may exist between assessment stress or anxiety and impaired performance. Significant risks of bias were common in study methodologies. There is evidence to suggest academic assessment is associated with psychological distress among medical students. However, differences in the types of measures used by researchers limited our ability to draw conclusions about which methods of assessment invoke greater distress. More rigorous study designs and the use of standardized measures are required. Future research should consider differences in students' perceived significance of assessments, the psychological effects of constant exposure to assessment, and the role of assessment in preparing students for clinical practice. PMID:25428333

  9. 10 CFR 712.36 - Medical assessment process.

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ...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...

  10. 10 CFR 712.36 - Medical assessment process.

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ...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...

  11. 10 CFR 712.36 - Medical assessment process.

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ...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...

  12. Assessing the problem of counterfeit medications in the United Kingdom.

    PubMed

    Jackson, G; Patel, S; Khan, S

    2012-03-01

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

  13. 10 CFR 712.36 - Medical assessment process.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

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

  14. 10 CFR 712.36 - Medical assessment process.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

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

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

    PubMed Central

    Boon, K; Turner, J

    2004-01-01

    As medical education increasingly acknowledges the importance of the ethical and professional conduct of practitioners, and moves towards more formal assessment of these issues, it is important to consider the evidence base which exists in this area. This article discusses literature about the health needs and problems experienced by medical practitioners as a background to a review of the current efforts in medical education to promote ethical conduct and develop mechanisms for the detection and remediation of problems. PMID:15082823

  16. Unpacking intoxication, racialising disability.

    PubMed

    Chen, Mel Y

    2015-06-01

    This article examines concepts whose strictly medical applications have only partly informed their widespread use and suggests that demonstrably shared logics motivate our thinking across domains in the interest of a politically just engagement. It considers exchanges between the culturally complex concepts of 'toxicity' and 'intoxication', assessing the racialised conditions of their animation in several geopolitically--and quite radically--distinct scenarios. First, the article sets the framework through considering the racial implications of impairment and disability language of 'non-toxic' finance capital in the contemporary US financial crisis. Shifting material foci from 'illiquid financial bodies' to opiates while insisting that neither is 'more' metaphorically toxic than the other, the article turns to address the role of opium and temporality in the interanimations of race and disability in two sites of 19th-century British empire: Langdon Down's clinic for idiocy, and China's retort on opium to Queen Victoria. The article concludes with a provocation that suggests yet another crossing of borders, that between researcher and researched: 'intoxicated method' is a hypothetical mode of approach that refuses idealised research positions by 'critically disabling' the idealised cognitive and conceptual lens of analysis. PMID:26052116

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

    ERIC Educational Resources Information Center

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

    2012-01-01

    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…

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

    ERIC Educational Resources Information Center

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

    2010-01-01

    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…

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

    ERIC Educational Resources Information Center

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

    2003-01-01

    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…

  20. 76 FR 16350 - Medical Devices; Ovarian Adnexal Mass Assessment Score Test System; Labeling; Black Box Restrictions

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-03-23

    ... SERVICES Food and Drug Administration 21 CFR Part 866 Medical Devices; Ovarian Adnexal Mass Assessment... results, or to delay in tumor diagnosis due to false negative results. II. Why is FDA proposing to require..., Medical devices. Therefore, under the Federal Food, Drug, and Cosmetic Act and under authority...

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

    ERIC Educational Resources Information Center

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

    2010-01-01

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

  2. 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

    van der Putten, Annette; Vlaskamp, Carla

    2011-01-01

    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…

  3. Quality assessment of medical education and use of information technology.

    PubMed

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

    2009-01-01

    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

  4. Medical Student Assessment of Videotape for Teaching in Diagnostic Radiology

    ERIC Educational Resources Information Center

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

    1976-01-01

    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)

  5. Model for a web based medical technology assessment system 

    E-print Network

    Prabhu, Gopal

    1999-01-01

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

  6. Initial Development of Criteria for Assessing Quality of Medical Care.

    ERIC Educational Resources Information Center

    Ironside, Roderick A.

    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…

  7. Developing and Assessing Curriculum on the Physics of Medical Instruments

    ERIC Educational Resources Information Center

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

    2013-01-01

    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…

  8. 10 CFR 712.36 - Medical assessment process.

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ..., the appropriate procedure described in 10 CFR part 710, subpart A, applies. ... psychological assessment (test) approved by the Director, Office of Health and Safety or his or her designee and... psychological assessment (test) approved by the Director, Office of Health and Safety or his or her designee....

  9. Assessment of medical management outcomes in small populations.

    PubMed

    Fetterolf, Donald; Tucker, Travis L

    2008-10-01

    Small sample size represents a vexing problem in evaluating medical management programs. Physician practices may have panel sizes of only 1000 total patients, disease management programs may enroll only several hundred patients, and hospitals may see only several dozen of a particular type of case per year. Given the high variation that occurs in the presentation, severity, and cost of medical conditions, estimation of either quality impact or economic return on investment can be difficult or impossible. This paper seeks to describe common approaches to this issue that are in practice within the industry today and to discuss limitations, alternative strategies, and consequences of method choices. A number of strategies exist to deal with this situation, but ongoing recognition of this issue in the planning phases of initiatives remains problematic. Significant linkage of financial rewards or penalties to poorly evaluated programs carries significant liabilities for the unsophisticated developers of such systems. PMID:18942914

  10. Hypertension, Hyperglycemia, and Hyperlipemia among Adolescents with Intellectual Disabilities

    ERIC Educational Resources Information Center

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

    2010-01-01

    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…

  11. Late Diagnosis in Severe and Mild Intellectual Disability in Adulthood

    ERIC Educational Resources Information Center

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

    2004-01-01

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

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

    ERIC Educational Resources Information Center

    McGinnis, Kristy

    2009-01-01

    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…

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

    ERIC Educational Resources Information Center

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

    2010-01-01

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

  14. Physician Performance and Assessment and Their Effect on Continuing Medical Education and Continuing Professional Development

    ERIC Educational Resources Information Center

    Melnick, Donald E.

    2004-01-01

    This article has three key points. The first proposes and illustrates a model for planning effective continuing medical education (CME) and continuing professional development (CPD) and how assessment might fit into it. The second reviews major trends in assessment, particularly with regard to regulation and CME. The third addresses challenges for…

  15. [The practical application of the International Classification of Functioning, Disability and Health (ICF) in medical rehabilitation of psychiatric patients].

    PubMed

    Grundmann, J; Keller, K; Bräuning-Edelmann, M

    2005-12-01

    The WHO Classification of Functioning, Disability and Health enables the description of functional health, disability and impairment on an international and interdisciplinary level in a common language. The fundamental underlying assumption of this Classification, which is orientated around a bio-psycho-social model of health and impairment, has been accepted by rehabilitation scientists in general. Unfortunately, the WHO does not make any recommendations as to how this classification could be applied in practice. In this article, various problems are outlined which could occur when the ICF is applied. Furthermore an example from a psychiatric rehabilitation institution illustrates the way the ICF could serve as an instrument for an extensive rehabilitation management programme. Here, Stucki's use will be made of Rehab-Cycle model. This describes a comprehensive sequence of steps which help analyse the patients problems from a patient-centred standpoint, to set up a schedule for treatment and to evaluate the results. Within Stucki's model the ICF is used as a system to analyse problems upon which intervention can be set. This method is illustrated with an example from a rehabilitation case. Summarizing, it is pointed out that through easier communication (as a result of the ICF) interdisciplinary productivity and efficiency will increase. On this basis it is possible to achieve a more comprehensive multimodal approach in the treatment of people suffering from psychic impairments or disability. PMID:16320177

  16. The BICAMS Battery for Assessment of Lithuanian-Speaking Multiple Sclerosis Patients: Relationship with Age, Education, Disease Disability, and Duration

    PubMed Central

    Giedraitien?, Nataša; Kizlaitien?, Rasa; Kaubrys, Gintaras

    2015-01-01

    Background Assessment of cognitive impairment (CI) in multiple sclerosis (MS) patients is very useful, but it requires time-consuming expert evaluation with specialized materials. The Brief International Cognitive Assessment for Multiple Sclerosis (BICAMS) was created as a brief and specific instrument for the evaluation of CI. The aims of this study were to assess the cognitive status of MS patients by using the Lithuanian version of BICAMS, to evaluate the test-retest reliability of the Lithuanian version of BICAMS, and to measure the impact of CI on disability and duration of MS. Material/Methods We enrolled 50 MS patients and 20 cognitively normal control subjects, matched for age, gender, and level of education. Cognitive functions were assessed by the BICAMS tests, which include the Symbol Digit Modalities Test, the Brief Visuospatial Memory Test Revised, and the California Verbal Learning Test, 2nd edition. Results MS patients performed significantly worse than controls on the 3 neuropsychological tests of BICAMS (p<0.001). Younger and intellectually employed persons performed significantly better on these tests than older persons, manual workers, or unemployed persons (p<0.05). MS patients with higher disability scores tended to perform worse on the tests (p<0.05), but we found no relationship between BICAMS test scores and the duration of the disease or relapse rate (p>0.05). Test-retest reliability was excellent for all 3 subtests (r>0.8, p<0.05). Conclusions Our study shows that BICAMS is a valid and acceptable cognitive assessment tool that can be recommended for routine use in Lithuania for assessing patients with MS. PMID:26655632

  17. The BICAMS Battery for Assessment of Lithuanian-Speaking Multiple Sclerosis Patients: Relationship with Age, Education, Disease Disability, and Duration.

    PubMed

    Giedraitien?, Nataša; Kizlaitien?, Rasa; Kaubrys, Gintaras

    2015-01-01

    BACKGROUND Assessment of cognitive impairment (CI) in multiple sclerosis (MS) patients is very useful, but it requires time-consuming expert evaluation with specialized materials. The Brief International Cognitive Assessment for Multiple Sclerosis (BICAMS) was created as a brief and specific instrument for the evaluation of CI. The aims of this study were to assess the cognitive status of MS patients by using the Lithuanian version of BICAMS, to evaluate the test-retest reliability of the Lithuanian version of BICAMS, and to measure the impact of CI on disability and duration of MS. MATERIAL AND METHODS We enrolled 50 MS patients and 20 cognitively normal control subjects, matched for age, gender, and level of education. Cognitive functions were assessed by the BICAMS tests, which include the Symbol Digit Modalities Test, the Brief Visuospatial Memory Test Revised, and the California Verbal Learning Test, 2nd edition. RESULTS MS patients performed significantly worse than controls on the 3 neuropsychological tests of BICAMS (p<0.001). Younger and intellectually employed persons performed significantly better on these tests than older persons, manual workers, or unemployed persons (p<0.05). MS patients with higher disability scores tended to perform worse on the tests (p<0.05), but we found no relationship between BICAMS test scores and the duration of the disease or relapse rate (p>0.05). Test-retest reliability was excellent for all 3 subtests (r>0.8, p<0.05). CONCLUSIONS Our study shows that BICAMS is a valid and acceptable cognitive assessment tool that can be recommended for routine use in Lithuania for assessing patients with MS. PMID:26655632

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

    PubMed Central

    2013-01-01

    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

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

    ERIC Educational Resources Information Center

    Kennedy, Craig H.; Meyer, Kim A.

    1998-01-01

    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…

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

    ERIC Educational Resources Information Center

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

    2011-01-01

    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…

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

    ERIC Educational Resources Information Center

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

    2007-01-01

    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…

  2. Assessment of Aberrant Behavior Maintained by Wheelchair Movement in a Child with Developmental Disabilities.

    ERIC Educational Resources Information Center

    DeLeon, Iser G.; Kahng, SungWoo; Rodriguez-Catter, Vanessa; Sveinsdottir, Ingibjorg; Sadler, Christine

    2003-01-01

    An adolescent with developmental disabilities who used a wheelchair was anecdotally observed to display little aggressive behavior when being pushed, but higher rates when movement was terminated. A functional analysis confirmed the elevated aggression and the child was taught to request movement through appropriate means. Aggression decreased…

  3. One Size Still Does Not Fit All in Specific Learning Disability Assessment across Ethnic Groups.

    ERIC Educational Resources Information Center

    Warner, Tamara D.; Dede, Duane E.; Garvan, Cynthia W.; Conway, Timothy W.

    2002-01-01

    This study compared using a minimum IQ cutoff score and a simple difference method versus a regression-based method for identifying specific learning disabilities (SLD) in African American and European American college students (n=117). The regression-based method resulted in a significantly larger proportion of identified African Americans.…

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

    ERIC Educational Resources Information Center

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

    2009-01-01

    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…

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

    ERIC Educational Resources Information Center

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

    2007-01-01

    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…

  6. Assessment and Remediation of Complex Reasoning in Specific Subgroups of Learning Disabled Adolescents. Final Report.

    ERIC Educational Resources Information Center

    Stone, C. Addison; And Others

    The study is described which examined quantitative and qualitative differences among learning disabled (LD) subgroups and between LD and normal Ss in reasoning and problem solving behaviors. The research strategy involved (1) detailed analyses of the behavior of subgroups of LD adolescents and of matched normal achieving adolescents in a task…

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

    ERIC Educational Resources Information Center

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

    2005-01-01

    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)…

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

    ERIC Educational Resources Information Center

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

    2013-01-01

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

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

    ERIC Educational Resources Information Center

    Luiselli, James K., Ed.

    2006-01-01

    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…

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

    ERIC Educational Resources Information Center

    Heiman, Tali

    2006-01-01

    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…

  11. Identification and Assessment of Children with Developmental Disabilities in Child Welfare

    ERIC Educational Resources Information Center

    Shannon, Patrick; Tappan, Christine

    2011-01-01

    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…

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

    ERIC Educational Resources Information Center

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

    2010-01-01

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

  13. Vocational Assessment of Secondary Students with Disabilities and the School Psychologist

    ERIC Educational Resources Information Center

    Fives, Christopher J.

    2008-01-01

    Although much progress has been made in the identification and remediation of academic learning difficulties, less attention has been given to the career development of students with disabilities. Through their psychoeducational evaluations school psychologists are in an excellent position to provide useful information about the vocational…

  14. 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

    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

    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…

  15. 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

    Choque Olsson, Nora; Bölte, Sven

    2014-01-01

    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…

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

    ERIC Educational Resources Information Center

    Dosen, A.

    2005-01-01

    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…

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

    SciTech Connect

    Tortorelli, J.P.

    1995-08-01

    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.

  18. Bad Bedfellows: Disability Sex Rights and Viagra

    ERIC Educational Resources Information Center

    Wentzell, Emily

    2006-01-01

    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…

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

    ERIC Educational Resources Information Center

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

    2005-01-01

    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,…

  20. Changing Trends of Childhood Disability, 2001–2011

    PubMed Central

    Larson, Kandyce; Olson, Lynn M.; Newacheck, Paul W.; Halfon, Neal

    2014-01-01

    BACKGROUND: Over the past half century the prevalence of childhood disability increased dramatically, coupled with notable increases in the prevalence of mental health and neurodevelopmental conditions. This study provides a detailed assessment of recent trends in childhood disability in relation to health conditions and sociodemographic factors. METHODS: Secondary data analysis of National Health Interview Survey (NHIS) datasets 2001–2002, 2004–2005, 2007–2008, and 2010–2011 (N = 198?888) was conducted to calculate the prevalence, rate of change, severity, and sociodemographic disparities of parent-reported childhood disability. RESULTS: The prevalence of childhood disability has continued to increase, growing by 15.6% between 2001–2002 and 2010–2011. Nearly 6 million children were considered disabled in 2010–2011. Children living in poverty experienced the highest rates of disability, 102.6 cases per 1000 population in 2010–2011, but unexpectedly, children living in households with incomes ?400% above the federal poverty level experienced the largest increase (28.4%) over this 10-year period. The percentage of disability cases related to any physical health condition declined 11.8% during the decade, whereas cases related to any neurodevelopmental or mental health condition increased by 20.9%. CONCLUSIONS: Over the past decade, parent-reported childhood disability steadily increased. As childhood disability due to physical conditions declined, there was a large increase in disabilities due to neurodevelopmental or mental health problems. For the first time since the NHIS began tracking childhood disability in 1957, the rise in reported prevalence is disproportionately occurring among socially advantaged families. This unexpected finding highlights the need to better understand the social, medical, and environmental factors influencing parent reports of childhood disability. PMID:25136051

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

    PubMed Central

    2011-01-01

    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

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

    E-print Network

    Craelius, William

    ·Patient movement displayed on computer screen through LabVIEW GUI ·Compares patient's elbow flexion. Somerset, NJ 08873. Restoration of function to the upper limb (UL) following stroke requires an active exercise protocol and assessment of functional and motor abilities. The Hand-Arm Rehabilitation Interface

  3. DSM-5 and the assessment of functioning: the World Health Organization Disability Assessment Schedule 2.0 (WHODAS 2.0).

    PubMed

    Gold, Liza H

    2014-01-01

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

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

    PubMed

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

    2011-01-01

    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

  5. Practical considerations in the assessment and treatment of pain in adults with physical disabilities.

    PubMed

    Cristian, Adrian; Thomas, Jodi; Nisenbaum, Michelle; Jeu, Lilyann

    2005-02-01

    Adults aging with physical disabilities experience a variety of pain disorders that affect their functionality and QOL. It is important that clinicians caring for this population be knowledgeable about this common symptom and be able to perform a thorough history and physical examination. In addition, it is imperative to have a good working knowledge of the strengths and limitations of the treatments available. PMID:15561545

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

    PubMed Central

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

    1997-01-01

    OBJECTIVES: To compare the judgments of clinicians on which domains of health in the short form questionnaire (SF-36) would be most important to patients with multiple sclerosis with the opinions of patients themselves; to compare assessment of physical disability in multiple sclerosis by a clinician using Kurtzke's expanded disability status scale and a non-clinically qualified assistant using the Office of Population Census and Surveys' (OPCS) disability scale with self assessment of disability and other domains of health related quality of life by patients using the SF-36 and the EuroQol questionnaire; and to compare the scores of patients for each domain of the SF-36 with control data matched for age and sex. DESIGN: Cross sectional study. SETTING: Clinical department of neurology, Edinburgh. SUBJECTS: 42 consecutive patients with multiple sclerosis attending a neurology outpatient clinic for review or a neurology ward for rehabilitation. MAIN OUTCOME MEASURES: Scores on the SF-36; EuroQol; Kurtzke's expanded disability status scale; the OPCS disability scale. RESULTS: Patients and clinicians disagreed on which domains of health status were most important (chi 2 = 21, df = 7, P = 0.003). Patients' assessment of their physical disability using the physical functioning domain of the SF-36 was highly correlated with the clinicians' assessment (r = -0.87, P < 0.001) and the non-clinical assessment (r = -0.90, P < 0.001). However, none of the measures of physical disability correlated with overall health related quality of life measured with EuroQol, Quality of life correlated with vitality, general health, and mental health in the SF-36, each of which patients rated as more important than clinicians and for each of which patients scored lower than the controls. CONCLUSIONS: Patients with multiple sclerosis and possibly those with other chronic diseases are less concerned than their clinicians about physical disability in their illness. Clinical trials in multiple sclerosis should assess the effect of treatment on the other elements of health status that patients consider important, which are also affected by the disease process, are more closely related to overall health related quality of life, and may well be adversely affected by side effects of treatment. PMID:9169401

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

    PubMed Central

    Udayshankar, P.M.

    2014-01-01

    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

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

    PubMed Central

    2012-01-01

    Background Patient’s satisfaction with medical service delivery/assessment of medical service/trust in health delivery system may have significant influence on patient’s life satisfaction in China’s health delivery system/in various kinds of hospitals. The aim of this study was to test whether and to what extent patient’s satisfaction with medical service delivery/patient’s assessments of various major aspects of medical service/various major aspects of patient’s trust in health delivery system influenced patient’s life satisfaction in China’s health delivery system/in various kinds of hospitals. Methods This study collaborated with National Bureau of Statistics of China to carry out a 2008 national urban resident household survey in 17 provinces, autonomous regions, and municipalities directly under the central government (N?=?3,386), and specified ordered probit models were established to analyze dataset from this household survey. Results The key considerations in generating patient’s life satisfaction involved patient’s overall satisfaction with medical service delivery, assessment of doctor-patient communication, assessment of medical cost, assessment of medical treatment process, assessment of medical facility and hospital environment, assessment of waiting time for medical service, trust in prescription, trust in doctor, and trust in recommended medical examination. But the major considerations in generating patient’s life satisfaction were different among low level public hospital, high level public hospital, and private hospital. Conclusion The promotion of patient’s overall satisfaction with medical service delivery, the improvement of doctor-patient communication, the reduction of medical cost, the improvement of medical treatment process, the promotion of medical facility and hospital environment, the reduction of waiting time for medical service, the promotion of patient’s trust in prescription, the promotion of patient’s trust in doctor, and the promotion of patient’s trust in recommended medical examination could all help promote patient’s life satisfaction. But their promotion effects were different among low level public hospital, high level public hospital, and private hospital. PMID:22978432

  9. Assessment of the efficacy of medical countermeasures in space flight

    NASA Technical Reports Server (NTRS)

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

    1986-01-01

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

  10. Assessment of the efficacy of medical countermeasures in space flight

    NASA Technical Reports Server (NTRS)

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

    1989-01-01

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

  11. Assessment of the efficacy of medical countermeasures in space flight

    NASA Technical Reports Server (NTRS)

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

    1988-01-01

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

  12. Medical Imaging Image Quality Assessment with Monte Carlo Methods

    NASA Astrophysics Data System (ADS)

    Michail, C. M.; Karpetas, G. E.; Fountos, G. P.; Kalyvas, N. I.; Martini, Niki; Koukou, Vaia; Valais, I. G.; Kandarakis, I. S.

    2015-09-01

    The aim of the present study was to assess image quality of PET scanners through a thin layer chromatography (TLC) plane source. The source was simulated using a previously validated Monte Carlo model. The model was developed by using the GATE MC package and reconstructed images obtained with the STIR software for tomographic image reconstruction, with cluster computing. The PET scanner simulated in this study was the GE DiscoveryST. A plane source consisted of a TLC plate, was simulated by a layer of silica gel on aluminum (Al) foil substrates, immersed in 18F-FDG bath solution (1MBq). Image quality was assessed in terms of the Modulation Transfer Function (MTF). MTF curves were estimated from transverse reconstructed images of the plane source. Images were reconstructed by the maximum likelihood estimation (MLE)-OSMAPOSL algorithm. OSMAPOSL reconstruction was assessed by using various subsets (3 to 21) and iterations (1 to 20), as well as by using various beta (hyper) parameter values. MTF values were found to increase up to the 12th iteration whereas remain almost constant thereafter. MTF improves by using lower beta values. The simulated PET evaluation method based on the TLC plane source can be also useful in research for the further development of PET and SPECT scanners though GATE simulations.

  13. Incident User Cohorts for Assessing Medication Cost-Offsets

    PubMed Central

    Stuart, Bruce; Loh, F Ellen; Roberto, Pamela; Miller, Laura

    2014-01-01

    Objective To develop and test incident drug user designs for assessing cost savings from statin use in diabetics. Data Source Random 5 percent sample of Medicare beneficiaries, 2006–2008. Study Design Seven-step incident user design to assess impact of statin initiation on subsequent Medicare spending: (1) unadjusted pre/post initiation test; (2) unadjusted difference-in-difference (DID) with comparison series; (3) adjusted DID; (4) propensity score (PS)-matched DID with static and dynamic baseline covariates; (5) PS-matched DID by drug adherence strata; (6) PS-matched DID for high adherers controlling for healthy adherer bias; and (7) replication for ACE-inhibitor/ARB initiators. Data Collection/Extraction Methods Subjects with prevalent diabetes and no statin use (January–June 2006) and statin initiation (July 2006–January 2008) compared to nonusers with a random “potential-initiation” month. Monthly Medicare spending tracked 24 months pre- and post-initiation. Principal Findings Statistically significant savings in Medicare spending were observed beginning 7 months post-initiation for statins and 13 months post-initiation for ACEIs/ARBs. However, these savings were only observed for adherent patients in steps 5 and 6. Conclusions Drug initiator designs are more robust to confounding than prevalent user designs in assessing cost-offsets from drug use but still require other adjustments and sensitivity analysis to ensure proper inference. PMID:24628528

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

    PubMed Central

    2013-01-01

    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

  15. Clinical reasoning assessment through medical expertise theories: past, present and future directions

    PubMed Central

    Boushehri, Elham; Soltani Arabshahi, Kamran; Monajemi, Alireza

    2015-01-01

    Exploration into the concept of "medical expert" dates back to more than 50 years ago, yet yielding three leading theories in the area of clinical reasoning, namely, knowledge structure, hypotheticdeductive, and dual process. Each theory defines "medical expert" in a dissimilar way. Therefore, the methods of assessment through which the experts are identified have been changed during the time. In this paper, we tried to categorize and introduce some widely used tests for identification of experts within the framework of existing main theories. Implementation of the proposed categorization for providing future assessment tools is discussed. PMID:26478880

  16. The Relationship between Learning Disabilities and Homelessness in Adults

    ERIC Educational Resources Information Center

    Markos, Patricia A.; Strawser, Sherri

    2004-01-01

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

  17. Health technology assessment to improve the medical equipment life cycle management.

    PubMed

    Margotti, Ana E; Ferreira, Filipa B; Santos, Francisco A; Garcia, Renato

    2013-01-01

    Health technology assessment (HTA) is a tool to support decision making that is intended to assist healthcare managers in their strategic decisions. The use of HTA as a tool for clinical engineering is especially relevant in the domain of the medical equipment once it could improve the performance of the medical equipment. It would be done by their systematically evaluation in several aspects, in their life cycle. In Brazil, the Institute of Biomedical Engineering (IEB-UFSC) through the clinical engineering area has been working on the development of methodologies and improvements on HTA for medical equipment. Therefore, this paper presents the effort to create specific methodologies that will improve the dissemination of HTA, focusing on incorporation and utilization phase of the medical equipment life cycle. This will give a better support to the decision makers in the management of the health care system. PMID:24109697

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

    PubMed Central

    2014-01-01

    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

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

    PubMed

    Lewis, Thomas Lorchan; Wyatt, Jeremy C

    2014-01-01

    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

  20. Development and validation of a professionalism assessment scale for medical students

    PubMed Central

    Klemenc-Ketis, Zalika; Vrecko, Helena

    2014-01-01

    Objectives To develop and validate a scale for the assess-ment of professionalism in medical students based on students' perceptions of and attitudes towards professional-ism in medicine. Methods This was a mixed methods study with under-graduate medical students. Two focus groups were carried out with 12 students, followed by a transcript analysis (grounded theory method with open coding). Then, a 3-round Delphi with 20 family medicine experts was carried out. A psychometric assessment of the scale was performed with a group of 449 students. The items of the Professional-ism Assessment Scale could be answered on a five-point Likert scale. Results After the focus groups, the first version of the PAS consisted of 56 items and after the Delphi study, 30 items remained. The final sample for quantitative study consisted of 122 students (27.2% response rate). There were 95 (77.9%) female students in the sample. The mean age of the sample was 22.1 ± 2.1 years. After the principal component analysis, we removed 8 items and produced the final version of the PAS (22 items). The Cronbach's alpha of the scale was 0.88. Factor analysis revealed three factors: empathy and humanism, professional relationships and development and responsibility. Conclusions The new Professionalism Assessment Scale proved to be valid and reliable. It can be used for the assessment of professionalism in undergraduate medical students. PMID:25382090

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

    PubMed Central

    Spike, Jeffrey P.

    2014-01-01

    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. PMID:25834754

  2. Preparing International Medical Graduates for Psychiatry Residency: A Multi-Site Needs Assessment

    ERIC Educational Resources Information Center

    Sockalingam, Sanjeev; Hawa, Raed; Al-Battran, Mazin; Abbey, Susan E.; Zaretsky, Ari

    2012-01-01

    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.…

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

    ERIC Educational Resources Information Center

    Barratt, Barnaby B.; Rand, Marsha A.

    2009-01-01

    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…

  4. Scoping assessment on medical isotope production at the Fast Flux Test Facility

    SciTech Connect

    Scott, S.W.

    1997-08-29

    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.

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

    ERIC Educational Resources Information Center

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

    2011-01-01

    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…

  6. Curricular Innovation in an Undergraduate Medical Program: What Is "Appropriate" Assessment?

    ERIC Educational Resources Information Center

    Ruhe, Valerie; Boudreau, J. Donald

    2011-01-01

    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…

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

    ERIC Educational Resources Information Center

    Selvadurai, Ranjani

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

  8. Assessment of Genetics Knowledge and Skills in Medical Students: Insight for a Clinical Neurogenetics Curriculum

    ERIC Educational Resources Information Center

    Pearl, Phillip L.; Pettiford, Jennifer M.; Combs, Susan E.; Heffron, Ari; Healton, Sean; Hovaguimian, Alexandra; Macri, Charles J.

    2011-01-01

    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…

  9. The Assessment of Self-Directed Learning Readiness in Medical Education

    ERIC Educational Resources Information Center

    Monroe, Katherine Swint

    2014-01-01

    The rapid pace of scientific discovery has catalyzed the need for medical students to be able to find and assess new information. The knowledge required for physicians' skillful practice will change of the course of their careers, and, to keep up, they must be able to recognized their deficiencies, search for new knowledge, and critically evaluate…

  10. Simulation Technology for Skills Training and Competency Assessment in Medical Education

    PubMed Central

    Obeso, Vivian T.; Issenberg, S. Barry

    2007-01-01

    Medical education during the past decade has witnessed a significant increase in the use of simulation technology for teaching and assessment. Contributing factors include: changes in health care delivery and academic environments that limit patient availability as educational opportunities; worldwide attention focused on the problem of medical errors and the need to improve patient safety; and the paradigm shift to outcomes-based education with its requirements for assessment and demonstration of competence. The use of simulators addresses many of these issues: they can be readily available at any time and can reproduce a wide variety of clinical conditions on demand. In lieu of the customary (and arguably unethical) system, whereby novices carry out the practice required to master various techniques—including invasive procedures—on real patients, simulation-based education allows trainees to hone their skills in a risk-free environment. Evaluators can also use simulators for reliable assessments of competence in multiple domains. For those readers less familiar with medical simulators, this article aims to provide a brief overview of these educational innovations and their uses; for decision makers in medical education, we hope to broaden awareness of the significant potential of these new technologies for improving physician training and assessment, with a resultant positive impact on patient safety and health care outcomes. PMID:18095044

  11. Impact of tailored feedback in assessment of communication skills for medical students

    PubMed Central

    Uhm, Seilin; Lee, Gui H.; Jin, Jeong K.; Bak, Yong I.; Jeoung, Yeon O.; Kim, Chan W.

    2015-01-01

    Background Finding out the effective ways of teaching and assessing communication skills remain a challenging part of medication education. This study aims at exploring the usefulness and effectiveness of having additional feedback using qualitative analysis in assessment of communication skills in undergraduate medical training. We also determined the possibilities of using qualitative analysis in developing tailored strategies for improvement in communication skills training. Methods This study was carried out on medical students (n=87) undergoing their final year clinical performance examination on communication skills using standardized patient by video-recording and transcribing their performances. Video-recordings of 26 students were randomly selected for qualitative analysis, and additional feedback was provided. We assessed the level of acceptance of communication skills scores between the study and nonstudy group and within the study group, before and after receiving feedback based on qualitative analysis. Results There was a statistically significant increase in the level of acceptance of feedback after delivering additional feedback using qualitative analysis, where the percentage of agreement with feedback increased from 15.4 to 80.8% (p<0.001). Conclusions Incorporating feedback based on qualitative analysis for communication skills assessment gives essential information for medical students to learn and self-reflect, which could potentially lead to improved communication skills. As evident from our study, feedback becomes more meaningful and effective with additional feedback using qualitative analysis. PMID:26154864

  12. [Practicability of a German version of the "Oswestry Low Back Pain Disability Questionnaire". A questionnaire to assess disability caused by back pain].

    PubMed

    Gaul, C; Mette, E; Schmidt, T; Grond, S

    2008-02-01

    While caring for patients with chronic low back pain, a standardized measurement of pain and pain-related reduction of the quality of life is needed. Easy application and data collection are decisive for routine use. The Oswestry Low Back Pain Disability Questionnaire is an internationally widely used instrument, which was now scrutinized in 148 patients in two orthopedic hospitals. A higher pain disability was related to age, female gender, limitations experienced in social life, impact of pain, use of analgetics, low net income, and patients in Eastern Germany. The available German version of the questionnaire is suitable for daily use to measure the intensity of pain and pain-related disability in everyday life, including social impairment due to low back pain. PMID:17632735

  13. Learning Disabilities

    MedlinePLUS

    ... Weight Safely Learning Disabilities KidsHealth > Teens > Diseases & Conditions > Learning Disorders > Learning Disabilities Print A A A Text Size ... common and best-known verbal learning disability is dyslexia , which causes people to have trouble recognizing or ...

  14. 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

    Whitwham, Sarah; McBrien, Judith; Broom, Wendy

    2011-01-01

    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…

  15. 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

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

    2014-01-01

    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…

  16. 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

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

    2010-01-01

    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…

  17. Evaluation of post-stroke functionality based on the International Classification of Functioning, Disability, and Health: a proposal for use of assessment tools

    PubMed Central

    Silva, Soraia Micaela; Corrêa, Fernanda Ishida; Faria, Christina Danielli Coelho de Morais; Buchalla, Cássia Maria; Silva, Paula Fernanda da Costa; Corrêa, João Carlos Ferrari

    2015-01-01

    This study aimed to identify the International Classification of Functioning, Disability, and Health categories addressed by the assessment tools commonly used in post-stroke rehabilitation and characterize patients based on its evaluation model. [Subjects and Methods] An exploratory, descriptive, cross-sectional study was conducted involving 35 individuals with chronic post-stroke hemiparesis. Handgrip strength was assessed to evaluate body functions and structures. The 10-meter gait speed test and Timed Up and Go test were administered to evaluate activity. The Stroke Specific Quality of Life scale was used to evaluate participation. Moreover, a systematic review of the literature was performed to identify studies that have associated these assessment tools with the International Classification of Functioning, Disability, and Health categories. [Results] The tools employed in this study for evaluating function addressed 63 International Classification of Functioning, Disability, and Health categories: 24 related to body functions and structures; 36 related to activity and participation; and 3 related to environmental factors. [Conclusion] The assessment tools employed in this study addressed 63 International Classification of Functioning, Disability, and Health categories and allowed a more complete evaluation of stroke survivors with hemiparesis. Use of this classification can therefore be more easily incorporated into clinical practice. PMID:26180294

  18. 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

    Almond, Patricia; Tindal, Gerald; Stieber, Steve

    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…

  19. 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

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

    2014-01-01

    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…

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

    ERIC Educational Resources Information Center

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

    2011-01-01

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

  1. 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

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

    2013-01-01

    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…

  2. 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

    Ashworth, Mary; Bloxham, Sue; Pearce, Leonie

    2010-01-01

    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…

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

    PubMed Central

    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

    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

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

    PubMed Central

    Tellier, Pierre-Paul; Bélanger, Emmanuelle; Rodríguez, Charo; Ware, Mark A; Posel, Nancy

    2013-01-01

    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

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

    PubMed

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

    2015-02-01

    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

  6. Development of a questionnaire to assess medical competencies: Reliability and validity of the Questionnaire

    PubMed Central

    Giesler, Marianne; Forster, Johannes; Biller, Silke; Fabry, Götz

    2011-01-01

    Introduction: While preparing a graduate survey for medical education in 2008 we realized that no instrument existed that would be suitable to evaluate whether the learning outcomes outlined in the Medical Licensure Act (ÄAppO) would be met. Therefore we developed the Freiburg Questionnaire to Assess Competencies in Medicine (Freiburger Fragebogen zur Erfassung von Kompetenzen in der Medizin, FKM)1 which has been revised and extended several times since then. Currently the FKM includes 45 items which are assigned to nine domains that correspond to the CanMEDS roles: medical expertise, communication, team-work, health and prevention, management, professionalism, learning, scholarship, and personal competencies. Methods: In order to test the reliability and validity of the questionnaire we have repeatedly surveyed medical students and residents since May 2008. In this article we report on the results of a cross-sectional study with 698 medical students from the preclinical and clinical years. In addition, we report the results of a survey of 514 residents who were up to two years into their residency. Results and conclusions: In summary, results show that the scales of the FKM are reliable (Cronbach’s ? between .68 and .97). Significant differences in means between selected groups of students support the measure’s construct validity. Furthermore, there is evidence that the FKM might be used as a screening tool e.g. in graduate surveys to identify weaknesses in the medical education curriculum. PMID:21818241

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

    PubMed Central

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

    2013-01-01

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

  8. Assessment of the interns’ ability based on Dundee model in Shiraz University of Medical Sciences

    PubMed Central

    AMINI, MITRA; ABIRI, SAMANEH; NABEIEI, PARISA; GHANAVATI, SHIRIN; HAYAT, ALI ASGHAR; KOJURI, JAVAD

    2015-01-01

    Introduction The importance of medical profession and the role of the physician in society is no secret to anyone. Skills and competencies in clinical practice are necessary for the medical profession. In fact, in patient care, doctors require practical skills in addition to scientific knowledge. This study examines the potentials of medical school students in three areas of doing the right thing, doing the right thing in an intermediate range, and doing the right thing by the right person. Methods This study was done in a descriptive-analytical and sectional model. The population of this study was all interns of Shiraz University of Medical Sciences who were passing internship at Internal Medicine, Surgery, Pediatrics, Obstetrics and Emergency wards. About 100 persons were selected by simple randomization. In order to collect data, a questionnaire with 12 questions was designed in two parts. The questionnaire was approved by 7 Faculty members of Clinical Medicine and Medical Education, and its reliability was approved by test-retest method on 20 medical students in the form of a pilot study and through Cronbach's alpha (82%). Collected data were analyzed by SPSS software version 14 using descriptive statistical methods. Results Results showed that within the inner circle, interns evaluated their skills in surgery, internal medicine, and gynecology wards, intermediate and at other wards as weak. Also within the center circle, interns evaluated adequate educational evidence-based training in the field of medicine, and sufficiency of educational training in the field of clinical decision making and clinical care as suitable. Conclusion According to the results, it seems that medical interns' skills in performing most medical skills are moderate. So teaching students by new educational methods and workshop techniques, using experienced teachers will be effective. The use of clinical skills training centers and objective assessment methods for the students' skills, especially before entering the clinical departments, is very important. PMID:26457317

  9. Urinary 6-hydroxymelatonin sulfate excretion in intellectually disabled subjects with sleep disorders and multiple medications: validation of measurements in urine extracted from diapers.

    PubMed

    Laakso, M-L; Lindblom, N; Kaipainen, P; Kaski, M

    2005-01-01

    The aim of this study was to examine the applicability of urinary 6-hydroxymelatonin sulfate (MT6s) measurements in the evaluation of melatonin secretion in intellectually disabled patients with sleep disorders. All 17 patients received drugs with potential interactions with melatonin metabolism. Serum melatonin 24-h profiles were determined at hourly intervals. The area under the curve (AUC) value, peak amplitude, half-rise time, and half-decline time were calculated individually. Urinary MT6s excretion was determined from samples collected from disposable diapers during three consecutive days at varying intervals. The average excretion rate for each hour of the day was calculated. The excretion profiles were characterized by total amount of MT6s excretion/24 h/kg body mass, amount of excreted MT6s during 6 h of maximum excretion (MAX 6h), and start time of the maximum excretion (start MAX 6h). There were significant positive correlations between serum melatonin AUC value and total excretion of MT6s/body mass, between serum melatonin amplitude and urinary MAX 6h, and between melatonin half-rise time and start MAX 6h; one patient on phenobarbital medication was out of line. The serum melatonin profiles of the patients were classified by comparing them with those of matched healthy volunteers (low-, normal-, or high secretors, normal or delayed rhythm). Similarly, the parameters of MT6s profiles were compared with those obtained from healthy controls, and the patients were reclassified as normal or aberrant. The classifications based on serum melatonin and urinary MT6s measurements were mostly concordant. The daily pattern of urinary MT6s excretion reliably reflected the phase of the serum melatonin rhythm irrespective of the medications, but in some cases, the total amount of excreted MT6s was lower than expected based on serum melatonin measurements. PMID:16081364

  10. The impact of a Medical Home for children with developmental disability within a pediatric resident continuity clinic. .

    PubMed

    Butcher, Jana S; Wolraich, Mark L; Gillaspy, Stephen R; Martin, Vyonda G; Wild, Robert C

    2014-12-01

    Primary care provided in a Medical Home (MH) can improve outcomes for Children with Special Health Care Needs. It is important for residents to experience MH in their training. The Oklahoma Family Support 360 project, a five-year collaborative initiative, established a MH in a pediatric primary care resident continuity clinic at the University of Oklahoma Health Sciences Center. A study of the effects of enhancement of the seven key MH attributes showed a significant decrease in Emergency Service use, a significant increase in Dental Service use, high satisfaction with MH activities, and high ratings for a positive impact on quality of life for the child and family. The project demonstrated that a MH could be established in a pediatric academic program, improved health service use, and had a high level of satisfaction from participating families. This model provides a good example of the MH qualities for residents in training. PMID:25790586

  11. Programs for Increasing the Engagement of Underrepresented Ethnic Groups and People with Disabilities in HPC. Final assessment report

    SciTech Connect

    Taylor, Valerie

    2012-12-23

    Given the significant impact of computing on society, it is important that all cultures, especially underrepresented cultures, are fully engaged in the field of computing to ensure that everyone benefits from the advances in computing. This proposal is focused on the field of high performance computing. The lack of cultural diversity in computing, in particular high performance computing, is especially evident with respect to the following ethnic groups – African Americans, Hispanics, and Native Americans – as well as People with Disabilities. The goal of this proposal is to organize and coordinate a National Laboratory Career Development Workshop focused on underrepresented cultures (ethnic cultures and disability cultures) in high performance computing. It is expected that the proposed workshop will increase the engagement of underrepresented cultures in HPC through increased exposure to the excellent work at the national laboratories. The National Laboratory Workshops are focused on the recruitment of senior graduate students and the retention of junior lab staff through the various panels and discussions at the workshop. Further, the workshop will include a community building component that extends beyond the workshop. The workshop was held was held at the Lawrence Livermore National Laboratory campus in Livermore, CA. from June 14 - 15, 2012. The grant provided funding for 25 participants from underrepresented groups. The workshop also included another 25 local participants in the summer programs at Lawrence Livermore National Laboratory. Below are some key results from the assessment of the workshops: 86% of the participants indicated strongly agree or agree to the statement "I am more likely to consider/continue a career at a national laboratory as a result of participating in this workshop." 77% indicated strongly agree or agree to the statement "I plan to pursue a summer internship at a national laboratory." 100% of the participants indicated strongly agree or agree to the statement "The CMD-IT NLPDEV workshop was a valuable experience."

  12. [Assessing the quality of patients' medical records at the Claudius-Regaud Institute].

    PubMed

    Molinier, L; Aziza, R; Baillet, D; Bombail, M; Daubert, E; Gladieff, L; Lafontan, B D; Lancelle, S; Menard, J; Mercadie, A; Pernod-Gomez, I; Sauvage, M; Daly-Schveitzer, N

    2001-08-01

    In 1999, the Claudius-Regaud Institute of Toulouse, France, specialized in oncology, set up a workshop in order to assess the quality of its patients medical records. A retrospective evaluation was performed on a 100-chart-sample drawn from all the charts in the institution. Results show that the medical records are subdivised into three parts: medical care, nursing care and imaging. Some of the explored charts show a lack of data, and a certain inconsistency in the charts' organization and in the structure of information was reported. Patient's record is a key to communication between the different care providers in oncology. To improve its quality, efforts will have to be done in restructuring the charts, creating guidelines and training the different caregivers. PMID:11578947

  13. The Red flag! risk assessment among medical homeopaths in Norway: a qualitative study

    PubMed Central

    2012-01-01

    Background Homeopathy is widely used, and many European physicians practice homeopathy in addition to conventional medicine. Adverse effects in homeopathy are not expected by homeopaths due to the negligible quantities of active substances in a remedy. However, we questioned if homeopathic aggravation, which is described as a temporary worsening of existing symptoms following a correct homeopathic remedy, should be regarded as adverse effects or ruled out as desirable events of the treatment. In order to improve knowledge in an unexplored area of patient safety, we explored how medical homeopath discriminate between homeopathic aggravations and adverse effects, and how they assessed patient safety in medical practice. Method A qualitative approach was employed using focus group interviews. Two interviews with seven medical homeopaths were performed in Oslo, Norway. The participants practiced homeopathy besides conventional medicine. Qualitative content analysis was used to analyze the text data. The codes were defined before and during the data analysis. Results According to the medical homeopaths, a feeling of well-being may be a criterion to distinguish homeopathic aggravations from adverse effects. There was disagreement among the participants whether or not homeopathic treatment produced adverse effects. However, they agreed when an incorrect remedy was administrated, it may create a disruption or suppressive reaction in the patient. This was not perceived as adverse effects but a possibility to prescribe a new remedy as new symptoms emerge. This study revealed several advantages for the patients as the medical homeopaths looked for dangerous symptoms which may enhance safety. The patient was given time and space, which enabled the practitioner to see the complete picture. A more comprehensive toolkit gave the medical homeopaths a feeling of professionalism. Conclusion This explorative study investigated how Medical Homeopaths understood and assessed risk in their clinical practice. A feeling of well-being emerging soon after taking the remedy was the most important criterion for discriminating between Homeopathic Aggravations and Adverse Effects in clinical practice. The Medical Homeopaths used the view of both professions and always looked for red flag situations in the consultation room. They combined knowledge from two treatment systems which may have advantages for the patient. These tentative results deserve further research efforts to improve patient safety among users of homeopathy. For further research we find it important to improve and develop concepts that are unique to homeopathy in order to validate and modernize this medical practice. PMID:22967054

  14. Mental health and learning disability nursing students' perceptions of the usefulness of the objective structured clinical examination to assess their competence in medicine administration.

    PubMed

    Hemingway, Steve; Stephenson, John; Roberts, Bronwyn; McCann, Terence

    2014-08-01

    The aim of this study was to evaluate mental health and learning disability nursing students' perceptions of the usefulness of the objective structured clinical examination (OSCE) in assessing their administration of medicine competence. Learning disability (n = 24) and mental health (n = 46) students from a single cohort were invited to evaluate their experience of the OSCE. A 10-item survey questionnaire was used, comprising open- and closed-response questions. Twelve (50%) learning disability and 32 (69.6%) mental health nursing students participated. The OSCE was rated highly compared to other theoretical assessments; it was also reported as clinically real and as a motivational learning strategy. However, it did not rate as well as clinical practice. Content analysis of written responses identified four themes: (i) benefits of the OSCE; (ii) suggestions to improve the OSCE; (iii) concern about the lack of clinical reality of the OSCE; and (iv) OSCE-induced stress. The themes, although repeating some of the positive statistical findings, showed that participants were critical of the university setting as a place to conduct clinical assessment, highlighted OSCE-related stress, and questioned the validity of the OSCE as a real-world assessment. The OSCE has an important role in the development of student nurses' administration of medicine skills. However, it might hinder their performance as a result of the stress of being assessed in a simulated environment. PMID:25180411

  15. Assessing Reliability of Medical Record Reviews for the Detection of Hospital Adverse Events

    PubMed Central

    Ock, Minsu; Lee, Sang-il; Jo, Min-Woo; Lee, Jin Yong; Kim, Seon-Ha

    2015-01-01

    Objectives: The purpose of this study was to assess the inter-rater reliability and intra-rater reliability of medical record review for the detection of hospital adverse events. Methods: We conducted two stages retrospective medical records review of a random sample of 96 patients from one acute-care general hospital. The first stage was an explicit patient record review by two nurses to detect the presence of 41 screening criteria (SC). The second stage was an implicit structured review by two physicians to identify the occurrence of adverse events from the positive cases on the SC. The inter-rater reliability of two nurses and that of two physicians were assessed. The intra-rater reliability was also evaluated by using test-retest method at approximately two weeks later. Results: In 84.2% of the patient medical records, the nurses agreed as to the necessity for the second stage review (kappa, 0.68; 95% confidence interval [CI], 0.54 to 0.83). In 93.0% of the patient medical records screened by nurses, the physicians agreed about the absence or presence of adverse events (kappa, 0.71; 95% CI, 0.44 to 0.97). When assessing intra-rater reliability, the kappa indices of two nurses were 0.54 (95% CI, 0.31 to 0.77) and 0.67 (95% CI, 0.47 to 0.87), whereas those of two physicians were 0.87 (95% CI, 0.62 to 1.00) and 0.37 (95% CI, -0.16 to 0.89). Conclusions: In this study, the medical record review for detecting adverse events showed intermediate to good level of inter-rater and intra-rater reliability. Well organized training program for reviewers and clearly defining SC are required to get more reliable results in the hospital adverse event study. PMID:26429290

  16. Automated Assessment of Medical Students’ Clinical Exposures according to AAMC Geriatric Competencies

    PubMed Central

    Chen, Yukun; Wrenn, Jesse; Xu, Hua; Spickard, Anderson; Habermann, Ralf; Powers, James; Denny, Joshua C.

    2014-01-01

    Competence is essential for health care professionals. Current methods to assess competency, however, do not efficiently capture medical students’ experience. In this preliminary study, we used machine learning and natural language processing (NLP) to identify geriatric competency exposures from students’ clinical notes. The system applied NLP to generate the concepts and related features from notes. We extracted a refined list of concepts associated with corresponding competencies. This system was evaluated through 10-fold cross validation for six geriatric competency domains: “medication management (MedMgmt)”, “cognitive and behavioral disorders (CBD)”, “falls, balance, gait disorders (Falls)”, “self-care capacity (SCC)”, “palliative care (PC)”, “hospital care for elders (HCE)” – each an American Association of Medical Colleges competency for medical students. The systems could accurately assess MedMgmt, SCC, HCE, and Falls competencies with F-measures of 0.94, 0.86, 0.85, and 0.84, respectively, but did not attain good performance for PC and CBD (0.69 and 0.62 in F-measure, respectively). PMID:25954341

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

    PubMed Central

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

    2013-01-01

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

  18. 75 FR 28625 - Disease, Disability, and Injury Prevention and Control Special Emphasis Panel (SEP): Assessment...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-05-21

    ... Special Emphasis Panel (SEP): Assessment of Post-Treatment Lyme Disease Syndrome, Funding Opportunity...-Treatment Lyme Disease Syndrome,'' FOA CK10-004. Contact Person for More Information: Maurine Goodman,...

  19. Dyslexia: Problems of Reading Disabilities.

    ERIC Educational Resources Information Center

    Goldberg, Herman K.; Schiffman, Gilbert B.

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

  20. Computer Man Simulation of Incapacitation: An Automated Approach to Wound Ballistics and Associated Medical Care Assessments

    PubMed Central

    Clare, V.; Ashman, W.; Broome, P.; Jameson, J.; Lewis, J.; Merkler, J.; Mickiewicz, A.; Sacco, W.; Sturdivan, L.

    1981-01-01

    Wound ballistics assessments traditionally have been based on correlations between some quantification of “ballistic dose” and an empirical/subjective medical quantification of human functional degradation. Although complicated by the highly inhomogeneous nature of the human body and by the voluminous data handling requirements these correlation values were obtained by manual methods. The procedure required a substantial commitment of time and resources, thereby restricting the data base from which incapacitation evaluations were made. The obvious advantages of automated wound ballistics analyses have been realized in the ARRADCOM Computer Man System, capable of duplicating the results of the manual system while reducing the time required for each analysis from three months to less than one day. The versatility of the system also makes it readily adaptable to other ballistic, medical, and paramedical assessment tasks. ImagesFIGURE 1FIGURE 2FIGURE 3FIGURE 4FIGURE 5FIGURE 6FIGURE 7FIGURE 8FIGURE 9FIGURE 10FIGURE 11FIGURE 12FIGURE 13

  1. Care of Adults With Intellectual and Developmental Disabilities: Developmental Disabilities.

    PubMed

    Weedon, Dean; Wilson, Benjamin; Jones, Kyle Bradford; Bilder, Deborah

    2015-12-01

    Approximately 4.8% of individuals in the United States are affected by developmental disabilities (DDs). These individuals have a spectrum of abilities in terms of communication, mobility, and activities of daily living (ADLs). Because there typically is no specific treatment for the underlying disability, the focus of care should be on diagnosing and managing co-occurring medical and mental or behavioral health conditions and improving function and quality of life. Care of patients with DDs is similar to care of patients without DDs, although adjustments may be needed in the physician's interactive approach, engagement of caregivers, and sensitivity to symptoms. Health care can be enhanced by obtaining information about caregivers and guardians, living and work situations, support services received, and functional and instrumental ADL levels. In managing acute conditions, physicians should assess change from baseline and identify and manage maladaptive behaviors that interfere with care. An individualized preventive care plan should be created that may include additional or adapted screening. Needs for consent/medical decision-making support should be identified and addressed, and consent obtained as appropriate. Providing caregiver support and becoming familiar with community resources are other aspects of caring for this population. PMID:26669210

  2. Coping and marital support as correlates of tinnitus disability.

    PubMed

    Sullivan, M; Katon, W; Russo, J; Dobie, R; Sakai, C

    1994-07-01

    Although there is increasing awareness that depression can add significantly to the disability associated with chronic medical illness, it is not clear whether all of the impact of psychosocial factors upon medical disability are mediated by or moderated by depression. It has not been determined whether treating depression alone is an adequate strategy for addressing psychosocial magnification of medical disability. We analyzed data collected at initiation of a treatment trial from 92 subjects with chronic severe tinnitus to assess the role of coping, and 49 subject-spouse pairs to assess the role of marital interaction in tinnitus-related role dysfunction. Three multiple regression models were developed. After accounting for gender, tinnitus loudness, and depressive severity among the 92 subjects, greater role dysfunction was associated appraisal of tinnitus as salient, and less role dysfunction with coping through avoidance or seeking social support. Marital interaction was assessed from patient and spouse perspectives. In the patient-rated set, less marital cohesion was associated with greater tinnitus-related role dysfunction. In the spouse-rated set, more punishing responses to subject illness behavior were associated with greater tinnitus-related role dysfunction. In each case the disabling effect was greater in the face of high levels of subject depression. This study provides evidence for the oft-stated analogy between chronic tinnitus and chronic pain, and provides justification for a similar multimodal treatment strategy. Reducing depression is an important means to reduce medical disability but should be supplemented by clinical attention to appraisal of the illness, modes of coping with the illness, and spousal response to the illness. PMID:7926702

  3. Development of an instrument to measure medical students’ perceptions of the assessment environment: initial validation

    PubMed Central

    Hiong Sim, Joong; Ting Tong, Wen; Hong, Wei-Han; Vadivelu, Jamuna; Hassan, Hamimah

    2015-01-01

    Introduction Assessment environment, synonymous with climate or atmosphere, is multifaceted. Although there are valid and reliable instruments for measuring the educational environment, there is no validated instrument for measuring the assessment environment in medical programs. This study aimed to develop an instrument for measuring students’ perceptions of the assessment environment in an undergraduate medical program and to examine the psychometric properties of the new instrument. Method The Assessment Environment Questionnaire (AEQ), a 40-item, four-point (1=Strongly Disagree to 4=Strongly Agree) Likert scale instrument designed by the authors, was administered to medical undergraduates from the authors’ institution. The response rate was 626/794 (78.84%). To establish construct validity, exploratory factor analysis (EFA) with principal component analysis and varimax rotation was conducted. To examine the internal consistency reliability of the instrument, Cronbach's ? was computed. Mean scores for the entire AEQ and for each factor/subscale were calculated. Mean AEQ scores of students from different academic years and sex were examined. Results Six hundred and eleven completed questionnaires were analysed. EFA extracted four factors: feedback mechanism (seven items), learning and performance (five items), information on assessment (five items), and assessment system/procedure (three items), which together explained 56.72% of the variance. Based on the four extracted factors/subscales, the AEQ was reduced to 20 items. Cronbach's ? for the 20-item AEQ was 0.89, whereas Cronbach's ? for the four factors/subscales ranged from 0.71 to 0.87. Mean score for the AEQ was 2.68/4.00. The factor/subscale of ‘feedback mechanism’ recorded the lowest mean (2.39/4.00), whereas the factor/subscale of ‘assessment system/procedure’ scored the highest mean (2.92/4.00). Significant differences were found among the AEQ scores of students from different academic years. Conclusions The AEQ is a valid and reliable instrument. Initial validation supports its use to measure students’ perceptions of the assessment environment in an undergraduate medical program. PMID:26511792

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

    PubMed Central

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

    2013-01-01

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

  5. Disabling Myths About Disability. Revised.

    ERIC Educational Resources Information Center

    Wright, Beatrice A.

    Five myths regarding physical disability are examined. First, the myth that people with physical disabilities tend to be more maladjusted than the ordinary person is analyzed, and it is concluded that the common association between maladjustment and physical disability is grossly oversimplified. Second, the myth portraying people with disabilities

  6. Workplace Discrimination and the Perception of Disability

    ERIC Educational Resources Information Center

    Draper, William R.; Reid, Christine A.; McMahon, Brian T.

    2011-01-01

    This article documents the employment discrimination experienced by Americans "regarded as" disabled (but not medically verified as such), using the Integrated Mission System of the U.S. Equal Employment Opportunity Commission (EEOC). Claimants who were perceived as disabled, as contrasted with those with documented disabilities, were more likely…

  7. Sensorimotor Cognitive Assessment and Curriculum for the Multihandicapped Child. Working Papers in Developmental Disabilities.

    ERIC Educational Resources Information Center

    Fieber, Nancy

    The paper reviews cognitive development during the sensorimotor period (approximately the first two years of life) and considers approaches to assessing multihandicapped, deaf-blind, or severely/profoundly retarded students functioning at this level. Evaluation and training of basic sensorimotor schemes (visual fixation and tracking, sucking, and…

  8. Measuring Participation in Children with Disabilities Using the Assessment of Life Habits

    ERIC Educational Resources Information Center

    Noreau, Luc; Lepage, Celine; Boissiere, Lucie; Picard, Roger; Fougeyrollas, Patrick; Mathieu, Jean; Desmarais, Gilbert; Nadeau, Line

    2007-01-01

    The objectives of this study were: (1) to examine the psychometric properties of the Assessment of Life Habits (LIFE-H) for children; and (2) to draw a profile of the level of participation among children of 5 to 13 years of age with various impairments. The research team adapted the adult version of the LIFE-H in order to render it more…

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

    ERIC Educational Resources Information Center

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

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

  10. Alternate Assessments in Reading and Math: Development and Validation for Students with Significant Disabilities.

    ERIC Educational Resources Information Center

    Tindal, Gerald; McDonald, Marilee; Tedesco, Marick; Glasgow, Aaron; Almond, Pat; Crawford, Lindy; Hollenbeck, Keith

    2003-01-01

    A series of standardized tasks was developed using the same constructs as operationalized in a state's large-scale assessment program. Student performance (n=437) was then analyzed. In reading and math, teachers (n=131) were successfully trained to administer the tasks and judge performance, providing a system with instructional and evaluative…

  11. A Multimedia System for Augmented Sensory Assessment and Treatment of Motor Disabilities.

    ERIC Educational Resources Information Center

    Eckhouse, Richard H.; Maulucci, Ruth A.

    1997-01-01

    Describes a motor rehabilitation workstation based on a microcomputer and equipped with a set of sensory input devices (touch plate, touch screen, electrodes to acquire electromyographic activity, and force-sensitive foot plates) that allows rehabilitation professionals to assess and treat patients in a multimedia environment. Discusses the…

  12. A Functional Assessment of Handmouthing among Persons with Severe and Profound Intellectual Disability

    ERIC Educational Resources Information Center

    Swender, Stephen L.; Matson, Johnny L.; Mayville, Stephen B.; Gonzalez, Melissa L.; McDowell, Donald

    2006-01-01

    Background: The behavioural function of handmouthing has been assessed across various studies utilising analogue functional analyses. The aim of the current study was to expand upon research on this relatively understudied behaviour by examining the relationship between handmouthing and "Gastro-Esophageal Reflux Disorder" (GERD), and the potential…

  13. Assessment and Instruction of Object Permanence in Children with Blindness and Multiple Disabilities

    ERIC Educational Resources Information Center

    Bruce, Susan M.; Vargas, Claudia

    2012-01-01

    Introduction: This article discusses the impact of blindness and low vision on the development of object permanence and provides suggestions for assessment and instruction. Methods: The reviewed literature was identified by searching both ERIC and Psych Info using combinations of search terms such as "object permanence" and "visual impairment" or…

  14. Psychometric properties of the Calgary Cambridge guides to assess communication skills of undergraduate medical students

    PubMed Central

    Simmenroth-Nayda, Anne; Heinemann, Stephanie; Nolte, Catharina; Fischer, Thomas; Himmel, Wolfgang

    2014-01-01

    Objectives: The aim of this study was to analyse the psychometric properties of the short version of the Calgary Cambridge Guides and to decide whether it can be recommended for use in the assessment of communications skills in young undergraduate medical students. Methods: Using a translated version of the Guide, 30 members from the Department of General Practice rated 5 videotaped encounters between students and simulated patients twice. Item analysis should detect possible floor and/or ceiling effects. The construct validity was investigated using exploratory factor analysis. Intra-rater reliability was measured in an interval of 3 months, inter-rater reliability was assessed by the intraclass correlation coefficient. Results: The score distribution of the items showed no ceiling or floor effects. Four of the five factors extracted from the factor analysis represented important constructs of doctor-patient communication The ratings for the first and second round of assessing the videos correlated at 0.75 (p < 0.0001). Intraclass correlation coefficients for each item ranged were moderate and ranged from 0.05 to 0.57. Conclusions: Reasonable score distributions of most items without ceiling or floor effects as well as a good test-retest reliability and construct validity recommend the C-CG as an instrument for assessing communication skills in undergraduate medical students. Some deficiencies in inter-rater reliability are a clear indication that raters need a thorough instruction before using the C-CG. PMID:25480988

  15. Assessing medical student empathy in a family medicine clinical test: validity of the CARE measure

    PubMed Central

    Chen, Julie Y.; Chin, Weng Y.; Fung, Colman S. C.; Wong, Carlos K. H.; Tsang, Joyce P. Y.

    2015-01-01

    Introduction The Consultation and Relational Empathy (CARE) measure developed and validated in primary care settings and used for general practitioner appraisal is a 10-item instrument used by patients to assess doctors’ empathy. The aim of this study is to investigate the validity of the CARE measure in assessing medical students’ empathy during a formative family medicine clinical test. Method All 158 final-year medical students were assessed by trained simulated patients (SPs) – who completed the CARE measure, the Jefferson Scale of Patient Perceptions of Physician Empathy (JSPPPE), and a global rating score to assess students’ empathy and history-taking ability. Results Exploratory and confirmatory factor analysis identified a unidimensional structure. The CARE measure strongly correlated with both convergent measures: global rating (?=0.79 and <0.001) and JSPPPE (?=0.77 and <0.001) and weakly correlated with the divergent measure: history-taking score (?=0.28 and <0.001). Internal consistency was excellent (Cronbach’s ?=0.94). Conclusion The CARE measure had strong construct and internal reliability in a formative, undergraduate family medicine examination. Its role in higher stakes examinations and other educational settings should be explored. PMID:26154863

  16. Performance assessment of 3D surface imaging technique for medical imaging applications

    NASA Astrophysics Data System (ADS)

    Li, Tuotuo; Geng, Jason; Li, Shidong

    2013-03-01

    Recent development in optical 3D surface imaging technologies provide better ways to digitalize the 3D surface and its motion in real-time. The non-invasive 3D surface imaging approach has great potential for many medical imaging applications, such as motion monitoring of radiotherapy, pre/post evaluation of plastic surgery and dermatology, to name a few. Various commercial 3D surface imaging systems have appeared on the market with different dimension, speed and accuracy. For clinical applications, the accuracy, reproducibility and robustness across the widely heterogeneous skin color, tone, texture, shape properties, and ambient lighting is very crucial. Till now, a systematic approach for evaluating the performance of different 3D surface imaging systems still yet exist. In this paper, we present a systematic performance assessment approach to 3D surface imaging system assessment for medical applications. We use this assessment approach to exam a new real-time surface imaging system we developed, dubbed "Neo3D Camera", for image-guided radiotherapy (IGRT). The assessments include accuracy, field of view, coverage, repeatability, speed and sensitivity to environment, texture and color.

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

    ERIC Educational Resources Information Center

    Dal Pozzo, Earlene; Bernstein, Gail S.

    Intended for personnel in programs serving persons with developmental disabilities, the booklet provides basic information about the major psychiatric disorders and their treatment. Five sections cover: the major disorders; medications--uses and problems; assessment; cooordination of services; and psychiatric emergencies. Major disorders such as…

  18. How was the intern year?: self and clinical assessment of four cohorts, from two medical curricula

    PubMed Central

    2014-01-01

    Background Problem-based curricula have provoked controversy amongst educators and students regarding outcome in medical graduates, supporting the need for longitudinal evaluation of curriculum change. As part of a longitudinal evaluation program at the University of Adelaide, a mixed method approach was used to compare the graduate outcomes of two curriculum cohorts: traditional lecture-based ‘old’ and problem-based ‘new’ learning. Methods Graduates were asked to self-assess preparedness for hospital practice and consent to a comparative analysis of their work-place based assessments from their intern year. Comparative data were extracted from 692 work-place based assessments for 124 doctors who graduated from the University of Adelaide Medical School between 2003 and 2006. Results Self-assessment: Overall, graduates of the lecture-based curriculum rated the medical program significantly higher than graduates of the problem-based curriculum. However, there was no significant difference between the two curriculum cohorts with respect to their preparedness in 13 clinical skills. There were however, two areas where the cohorts rated their preparedness in the 13 broad practitioner competencies as significantly different: problem-based graduates rated themselves as better prepared in their ‘awareness of legal and ethical issues’ and the lecture-based graduates rated themselves better prepared in their ‘understanding of disease processes’. Work-place based assessment: There were no significant differences between the two curriculum cohorts for ‘Appropriate Level of Competence’ and ‘Overall Appraisal’. Of the 14 work-place based assessment skills assessed for competence, no significant difference was found between the cohorts. Conclusions The differences in the perceived preparedness for hospital practice of two curriculum cohorts do not reflect the work-place based assessments of their competence as interns. No significant difference was found between the two cohorts in relation to their knowledge and clinical skills. However results suggest a trend in ‘communication with peers and colleagues in other disciplines’ (?2 (3, N?=?596) =13.10, p?=?0.056) that requires further exploration. In addition we have learned that student confidence in a new curriculum may impact on their self-perception of preparedness, while not affecting their actual competence. PMID:24961171

  19. Assessing Medical Students’ Self-regulation as Aptitude in Computer-based Learning

    PubMed Central

    Song, Hyuksoon S.; Kalet, Adina L.; Plass, Jan L.

    2013-01-01

    We developed a Self-Regulation Measure for Computer-based learning (SRMC) tailored toward medical students, by modifying Zimmerman’s Self-Regulated Learning Interview Schedule (SRLIS) for K-12 learners. The SRMC’s reliability and validity were examined in 2 studies. In Study 1, 109 first-year medical students were asked to complete the SRMC. Bivariate correlation analysis results indicated that the SRMC scores had a moderate degree of correlation with student achievement in a teacher-developed test. In Study 2, 58 third-year clerkship students completed the SRMC. Regression analysis results indicated that the frequency of medical students’ usage of self-regulation strategies was associated with their general clinical knowledge measured by a nationally standardized licensing exam. These two studies provided evidence for the reliability and concurrent validity of the SRMC to assess medical students’ self-regulation as aptitude. Future work should provide evidence to guide and improve instructional design as well as inform educational policy. PMID:20872071

  20. Assessment of a pharmacogenomic marker panel in a polypharmacy population identified from electronic medical records

    PubMed Central

    Oetjens, Matthew T.; Denny, Joshua C.; Ritchie, Marylyn D.; Gillani, Niloufar B.; Richardson, Danielle M.; Restrepo, Nicole A.; Pulley, Jill M.; Dilks, Holli H.; Basford, Melissa A.; Bowton, Erica; Masys, Dan R.; Wilke, Russ A.; Roden, Dan M.; Crawford, Dana C.

    2013-01-01

    We genotyped 326 “frequently medicated” individuals of European-descent in Vanderbilt’s biorepository linked to de-identified electronic medical records, BioVU, on the ADME Core Panel to assess quality and performance of the assay. We compared quality control metrics and determined the extent of direct and indirect marker overlap between the ADME Core Panel and the Illumina Omni1-Quad. We found the quality of the ADME Core Panel data to be high, with exceptions in select copy number variants (CNVs) and markers in certain genes (notably CYP2D6). Most of the common variants on the ADME panel are genotyped by the Omni1, but absent rare variants and CNVs could not be accurately tagged by single markers. Finally, our frequently medicated study population did not convincingly differ in allele frequency from reference populations, suggesting that heterogeneous clinical samples (with respect to medications) follow similar allele frequency distributions in pharmacogenetics genes as their appropriate reference populations. PMID:23651022