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1

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

PubMed Central

Background Research in different fields of medicine suggests that communication is important in physician-patient encounters and influences satisfaction with these encounters. It is argued that this also applies to the non-curative tasks that physicians perform, such as sickness certification and medical disability assessments. However, there is no conceptualised theoretical framework that can be used to describe intentions with regard to communication behaviour, communication behaviour itself, and satisfaction with communication behaviour in a medical disability assessment context. Objective The objective of this paper is to describe the conceptualisation of a model for the communication behaviour of physicians performing medical disability assessments in a social insurance context and of their claimants, in face-to-face encounters during medical disability assessment interviews and the preparation thereof. Conceptualisation The behavioural model, based on the Theory of Planned Behaviour (TPB), is conceptualised for the communication behaviour of social insurance physicians and claimants separately, but also combined during the assessment interview. Other important concepts in the model are the evaluation of communication behaviour (satisfaction), intentions, attitudes, skills, and barriers for communication. Conclusion The conceptualisation of the TPB-based behavioural model will help to provide insight into the communication behaviour of social insurance physicians and claimants during disability assessment interviews. After empirical testing of the relationships in the model, it can be used in other studies to obtain more insight into communication behaviour in non-curative medicine, and it could help social insurance physicians to adapt their communication behaviour to their task when performing disability assessments.

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

2009-01-01

2

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

Microsoft Academic Search

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

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

2009-01-01

3

Medication and Reading Disability.  

ERIC Educational Resources Information Center

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

Humphries, Laurie L.

1981-01-01

4

Athletes with Disabilities. Removing Medical Barriers.  

ERIC Educational Resources Information Center

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

Peck, David M.; McKeag, Douglas B.

1994-01-01

5

Supporting medical students with learning disabilities in Asian medical schools  

PubMed Central

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

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

2010-01-01

6

Psychoactive Medication and Learning Disabilities  

ERIC Educational Resources Information Center

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

Eaton, Marie; And Others

1977-01-01

7

Disability and work: risk assessment.  

PubMed

Recent parliamentary debate has brought the rights of disabled people back into the spotlight of media attention. In the workplace, the occupational health nurse (OHN) is uniquely placed to make a positive contribution to the achievement of equal opportunities for people with disabilities. The author describes a risk assessment approach to the occupational health and safety of disabled persons and their employers. Such approaches can help to ensure that the work skills of all employees are used to maximum potential. PMID:7727257

Meusz, C

8

Controversial Medical Treatments of Learning Disabilities  

ERIC Educational Resources Information Center

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

Sieben, Robert L.

1977-01-01

9

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

ERIC Educational Resources Information Center

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

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

2010-01-01

10

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

ERIC Educational Resources Information Center

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

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

2010-01-01

11

Disabled picket Medical Research Council.  

PubMed

The Handicap Division of the Society for the Protection of the Unborn Child (SPUC) organized picketing of Britain's Medical Research Council to protest against trials of multivitamin supplementation for high-risk pregnant women to prevent development of spina bifida in the fetus. The trials have been condemned by many researchers, some doctors, and by SPUC as unnecessary, unethical, and insulting to the handicapped. PMID:11644170

1984-09-01

12

Medical and Sociocultural Aspects of Disability. Section III.  

ERIC Educational Resources Information Center

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

Thornhill, Herbert L.; And Others

13

Relationship of depression and catastrophizing to pain, disability, and medication adherence in patients with HIV-associated sensory neuropathy  

Microsoft Academic Search

Few studies have examined how patients with chronic HIV infection cope with pain and how pain relates to medication adherence. Pain coping strategies such as catastrophizing are often associated with increased pain and disability and may also influence adherence to medications. The goal of our study is to assess the relationship of catastrophizing and depression to pain, disability, and medication

Brendan P. Lucey; David B. Clifford; Jason Creighton; Robert R. Edwards; Justin C. McArthur; Jennifer Haythornthwaite

2011-01-01

14

Controversies in soft tissue injury: Impairment and disability assessment  

Microsoft Academic Search

Assessment of impairment and disability has often been based on a subjective history from the patient along with subjective\\u000a complaints to provocative tests.The physical examination should distinguish between subjective complaints and objective findings.The\\u000a factors affecting impairment and disability are outlined, and a thorough evaluation of the patient’s medical, work, and social\\u000a history is reported. A step-by-step process is outlined for

Morton L. Kasdan; Amy Johnson

1998-01-01

15

Correlates of Upper Extremity Disability in Medical Transcriptionists  

Microsoft Academic Search

Objective To investigate the association between disability and personal\\/lifestyle, medical, and psychosocial risk factors for upper\\u000a extremity musculoskeletal symptoms and disorders (UEMSDs) in medical transcriptionists. Methods A web-based survey involving the Disabilities of the Arm, Shoulder and Hand (DASH), Perceived Stress Scale (PSS) and Overall\\u000a Job Satisfaction (OJS) questionnaires of all medical transcriptionists working at a large healthcare facility. Results

Russell GelfmanTimothy; Timothy J. Beebe; Peter C. AmadioDirk; Dirk R. Larson; Jeffrey R. Basford

2010-01-01

16

Assessment, Disability and the Problem of Compensation.  

ERIC Educational Resources Information Center

Discussion of the practice in the United Kingdom of permitting disabled students to take an alternative form of assessment focuses on implications vis-a-vis assessment principles. It concludes that alternative assessments are compensatory in nature, violate the principles of assessment, and undermine the validity of assessment in higher education.…

Sharp, Keith; Earle, Sarah

2000-01-01

17

Disability Support Workers' Knowledge and Education Needs about Psychotropic Medication  

ERIC Educational Resources Information Center

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

Donley, Mandy; Chan, Jeffrey; Webber, Lynne

2012-01-01

18

Disability Support Workers' Knowledge and Education Needs about Psychotropic Medication  

ERIC Educational Resources Information Center

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

Donley, Mandy; Chan, Jeffrey; Webber, Lynne

2012-01-01

19

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

Microsoft Academic Search

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

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

1995-01-01

20

Intellectual Assessment and Intellectual Disability  

Microsoft Academic Search

Three decades ago, the American Association on Mental Deficiency (AAMD) proposed a definition of intellectual disability (ID)\\u000a that not only emphasized the academic side of intelligence but also considered two other important factors—adaptive behavior\\u000a and the time of occurrence of the disabling condition: “Mental Retardation refers to significantly subaverage general intellectual\\u000a functioning existing concurrently with deficits in adaptive behavior and

John G. Borkowski; Shannon S. Carothers; Kimberly Howard; Julie Schatz; Jaelyn R. Farris

21

Disabled Readers: Insight, Assessment, Instruction.  

ERIC Educational Resources Information Center

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

Sawyer, Diane J., Ed.

22

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

ERIC Educational Resources Information Center

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

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

23

Intellectual disability nursing assessment: student reflections.  

PubMed

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

Doody, Owen; McInerney, Paula; Linnane, Lynda

24

Attitudes of medical clerks toward persons with intellectual disabilities  

PubMed Central

Abstract Objective To assess the attitudes of upper-year undergraduate medical students (ie, clerks) toward the philosophy of community inclusion of persons with intellectual disabilities (ID) according to demographic, personal contact, and training variables. Design Cross-sectional self-administered survey. Setting Clerkship rotations at Queen’s University in Kingston, Ont, and the University of Toronto in Ontario in 2006. Participants A total of 258 clerks. Main outcome measures Scores on the Community Living Attitudes Scale—Short Form. Results There were no differences in the Community Living Attitudes Scale—Short Form subscale scores across categories of demographic characteristics, personal contact, or having received didactic training about ID. Clerks who had seen patients with ID during their medical school training had higher mean sheltering subscale scores than those who had not (3.27 vs 3.07, P = .02). Additional analysis revealed that 88.5% of clerks who had seen patients with ID reported seeing 5 or fewer such patients, and that those who rated the quality of their supervision more positively had higher mean scores on the empowerment subscale and lower mean scores on the sheltering subscale. Conclusion Although specific training has the potential to promote more socially progressive attitudes regarding persons with ID, lower-quality supervision is associated with higher endorsement of items expressing the need to shelter individuals with ID from harm and lower endorsement of items promoting empowerment.

Ouellette-Kuntz, Helene; Burge, Philip; Cleaver, Shaun; Isaacs, Barry; Lunsky, Yona; Jones, Jessica; Hastie, Rianne

2012-01-01

25

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

Microsoft Academic Search

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

Juliet C. Rothman

2010-01-01

26

20 CFR 220.110 - Medically disabled.  

Code of Federal Regulations, 2013 CFR

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

2013-04-01

27

Accessible Reading Assessments for Students with Disabilities  

ERIC Educational Resources Information Center

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

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

2012-01-01

28

Assessing walking disability in multiple sclerosis.  

PubMed

Most patients with multiple sclerosis (MS) eventually experience walking disability. The objective of this review was to evaluate the clinical utility of measures specific for walking in MS. Walking assessments had high reliability and were correlated with related measures, including the 12-item multiple sclerosis walking scale (MSWS-12). Shorter timed walking tests (Timed 25-foot Walk (T25FW), 10-metre Timed Walk, 30-metre Timed Walk) measure overall walking disability and are best suited for clinical settings, whereas longer timed or distance tests (100-metre Timed Walk, 6-minute Walk Test, 2-minute Walk Test) are better for the assessment of walking fatigability, distance limitations and functional capacity. The MSWS-12 measures different, but related, aspects of walking than the objective tests. The T25FW is the best characterised objective measure of walking disability and can be used across a wide range of walking disabilities. Additional work is needed to fully characterise the other objective walking assessments in MS. PMID:22740603

Kieseier, Bernd C; Pozzilli, Carlo

2012-04-24

29

Accommodating Students with Disabilities on State English Language Proficiency Assessments  

ERIC Educational Resources Information Center

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

Albus, Debra; Thurlow, Martha L.

2008-01-01

30

Assessing Calculators as Assessment Accommodations for Students with Disabilities  

ERIC Educational Resources Information Center

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

Bouck, Emily C.; Yadav, Aman

2008-01-01

31

A Model for Providing Community Based Medical Nutrition Therapy for Persons with Developmental Disabilities  

Microsoft Academic Search

LEARNING OUTCOME: To describe a community based Medical Nutrition Therapy service that targets persons with developmental disabilities in Southwestern PennsylvaniaAs the trend towards normalization and community integration of persons with developmental disabilities heightens, community based medical nutrition therapy emerges. Medical Nutrition Therapy services are available on a flexible schedule to meet individual needs. Persons with developmental disabilities require an individualized

C. L. Burke

1997-01-01

32

Disability and mood state in patients with episodic and chronic migraine associated to medication overuse.  

PubMed

This study aims to compare disability and mood state in patients with episodic (EM) and chronic migraine associated to medication overuse (CM-MO), and to assess the relationships between the two outcomes. Patients, matched for age and gender, were administered the MIDAS, the WHO-DAS-2 and BDI-2. Difference between EM and CM-MO was assessed with the Kolmogorov-Smirnov Test; difference in distribution of patients with severe disability and low mood was tested with contingency coefficient; the correlation between MIDAS, WHO-DAS-2 and BDI-2 was tested with Spearman's index. Seventy patients were enrolled: CM-MO patients reported higher BDI-2 scores and higher MIDAS and WHO-DAS-2 scores, and were more likely to have severe disability and low mood state than those with EM; BDI-2 scores were correlated with disability scores, particularly with WHO-DAS-2. The study shows that disability and mood state are negatively impacted by the presence of more frequent headaches and by the overuse of acute medications. PMID:22644196

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

2012-05-01

33

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

Microsoft Academic Search

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

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

2007-01-01

34

Predictors of New Onset Depression in Medically Ill, Disabled Older Adults at One Year Follow up  

PubMed Central

Objective While medical illness and physical disability are strongly associated with depression, the majority of older adults who experience medical illness or disability at any given time are not depressed. The aim of these analyses was to identify risk factors for new onset depression in a sample of medically ill, disabled older adults. Methods We used data from a representative sample of homebound older adults who recently started receiving Medicare home healthcare services for medical or surgical problems (N=539). We report on the rate and baseline predictors of new onset major or minor depression, using DSM-IV criteria and assessed by the SCID, at one-year follow. Our analyses were conducted with a subsample of older adults (N=268) who did not meet criteria for major or minor depression, and were not on an antidepressant medication at our baseline interview. Results At one year follow-up, 10% (28/268) of patients met criteria for either major (3%; 9/268) or minor depression (7%; 19/268). In multivariate analyses, we found that worse self-rated health (OR=.53, p=.042), more somatic depressive symptoms (OR=1.19, p=.015), greater number of ADL limitations at baseline (OR=1.63, p=.014) and greater decline in ADL functioning from baseline to one year (OR=1.59, p=.022) were all independently associated with onset depression. Conclusion These findings underscore the significant fluctuations in both depression and disability in high-risk older adults and suggest that both persistent and new onset disability increase the risk of depression. They may also help in designing preventive strategies to promote the ongoing good mental health of these high-risk patients over time.

Weinberger, Mark I.; Raue, Patrick J.; Meyers, Barnett S.; Bruce, Martha L.

2010-01-01

35

A curriculum to teach medical students to care for people with disabilities: development and initial implementation  

PubMed Central

Background Lack of knowledge and skills, and negative attitudes towards patients with disabilities, may adversely affect the services available to this group and negatively affect their health outcomes. The objective of this paper is to describe the development and initial implementation of a curriculum for teaching medical students to care for patients with disabilities. Methods We followed the six-step approach for developing curricula for medical education: general needs assessment, specific needs assessment, defining goals and objectives, determining the educational strategies, planning the implementation, and developing an evaluation plan. Results The curriculum has well defined goals and objectives covering knowledge, attitudes and skills. It employs both traditional and non-traditional teaching strategies. The implementation is planned over the four-year medical school curriculum in collaboration with a number of academic departments and specialized community-based agencies. The curriculum evaluation includes an attitudinal survey which is administered using a controlled design (pre- and post- exposure to the curriculum). The initial implementation of the curriculum has been very successful. Conclusion We have developed a longitudinal curriculum to teach medical students to care for people with disabilities. A rigorous evaluation of the impact of the curriculum is needed.

2009-01-01

36

Assessment and Accountability for Programs Serving Young Children with Disabilities  

Microsoft Academic Search

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 reviews issues related to the use of assessments in providing

Kathleen Hebbeler; Lauren R. Barton; Sangeeta Mallik

2008-01-01

37

Multiple sclerosis: assessment of disability and disability scales  

Microsoft Academic Search

Attempting to measure the impact of multiple sclerosis (MS) on the individuals patients has become a major issue stimulated\\u000a by both the emergence of new therapeutic agents and the increasing demand to incorporate the patient’s perspective. Disability\\u000a has been the main focus. Recently, new disability scales have been developed and generic scales evaluated in an attempt to\\u000a replace or complement

Alan J. Thompson; Jeremy C. Hobart

1998-01-01

38

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

Microsoft Academic Search

BACKGROUND: Physicians who hold medical disability assessment interviews (social insurance physicians) are probably influenced by stereotypes of claimants, especially because they have limited time available and they have to make complicated decisions. Because little is known about the influences of stereotyping on assessment interviews, the objectives of this paper were to qualitatively investigate: (1) the content of stereotypes used to

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

2010-01-01

39

A Comparison of Medical and Psychobehavioral Emergency Department Visits Made by Adults with Intellectual Disabilities  

PubMed Central

Study Objective. We describe and contrast medical to psychobehavioral emergency visits made by a cohort of adults with intellectual disabilities. Methods. This was a study of 221 patients with intellectual disabilities who visited the emergency department because of a psychobehavioral or medical emergency. Patient profiles are described and logistic regression was used to assess predictors of psychobehavioral emergencies in this group, including age, residence, psychiatric diagnosis, cognitive level, and life events. Results. Ninety-eight individuals had medical emergencies and 123 individuals presented with psychobehavioral emergencies. The most common medical issue was injury and the most common psychobehavioral issue was aggression. In the multivariate analysis, life events (odds ratio (OR) 0.28; 95% confidence interval (CI) 0.10 to 0.75), psychiatric diagnosis (OR 2.35; 95% CI 1.12 to 4.95), and age group (OR 4.97; 95% CI 1.28 to 19.38) were associated with psychobehavioral emergencies. Psychobehavioral emergencies were more likely to result in admission and caregivers reported lower rates of satisfaction with these visits. Conclusion. Emergency departments would benefit from greater understanding of the different types of presentations made by adults with intellectual disabilities, given the unique presentations and outcomes associated with them.

Lunsky, Yona; Balogh, Rob; Khodaverdian, Alin; Elliott, Deborah; Jaskulski, Christine; Morris, Susan

2012-01-01

40

A comparison of medical and psychobehavioral emergency department visits made by adults with intellectual disabilities.  

PubMed

Study Objective. We describe and contrast medical to psychobehavioral emergency visits made by a cohort of adults with intellectual disabilities. Methods. This was a study of 221 patients with intellectual disabilities who visited the emergency department because of a psychobehavioral or medical emergency. Patient profiles are described and logistic regression was used to assess predictors of psychobehavioral emergencies in this group, including age, residence, psychiatric diagnosis, cognitive level, and life events. Results. Ninety-eight individuals had medical emergencies and 123 individuals presented with psychobehavioral emergencies. The most common medical issue was injury and the most common psychobehavioral issue was aggression. In the multivariate analysis, life events (odds ratio (OR) 0.28; 95% confidence interval (CI) 0.10 to 0.75), psychiatric diagnosis (OR 2.35; 95% CI 1.12 to 4.95), and age group (OR 4.97; 95% CI 1.28 to 19.38) were associated with psychobehavioral emergencies. Psychobehavioral emergencies were more likely to result in admission and caregivers reported lower rates of satisfaction with these visits. Conclusion. Emergency departments would benefit from greater understanding of the different types of presentations made by adults with intellectual disabilities, given the unique presentations and outcomes associated with them. PMID:23056948

Lunsky, Yona; Balogh, Rob; Khodaverdian, Alin; Elliott, Deborah; Jaskulski, Christine; Morris, Susan

2012-09-29

41

Assessing pain in children with intellectual disabilities  

PubMed Central

Children with intellectual and developmental disabilities suffer more often from pain than their typically developing peers. Their pain can be difficult to manage, and assessment is often complicated by their limited communication skills, multiple complex pain problems and the presence of maladaptive behaviours. However, current research does provide some guidance for assessing their pain. Although self-report is an alternative for a small number of higher-functioning children, observational measures have the most consistent evidence to support their use at this time. For this reason, the Non-communicating Children’s Pain Checklist – Postoperative Version is recommended for children and youth 18 years of age or younger. However, other measures should be consulted for specific applications. Changes in function and maladaptive behaviour should also be considered as possible reflections of pain. In addition, children’s coping skills should be considered because improving these may reduce the negative impact of pain.

Breau, Lynn M; Burkitt, Chantel

2009-01-01

42

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

PubMed

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

Novillo-Corvalán, Patricia

2011-06-01

43

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

Microsoft Academic Search

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

Ryan D. Edwards

44

Guidelines for Assessment of and Intervention With Persons With Disabilities  

ERIC Educational Resources Information Center

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

American Psychologist, 2012

2012-01-01

45

A new disability rating method according to the job using the Korean Academy of Medical Science disability guideline.  

PubMed

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

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

2012-12-07

46

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

PubMed Central

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

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

2012-01-01

47

Assessment of Function and Disability in Longitudinal Studies  

PubMed Central

Over the past two decades, there has been considerable progress in the assessment of function and disability among older persons. Tests of physical performance are now routinely included in longitudinal studies to measure functional limitations, which are considered the building blocks of functioning. In addition, new strategies have been developed to assess the presence and onset of disability and to expand the scope of disability assessments beyond traditional indicators of difficulty and dependence. Contemporary measurement technologies, such as item response theory and computer adaptive testing, show great promise in the assessment of functional status and disability, but prospective studies are needed to demonstrate their true value, particularly to identify the circumstances in which their use will improve the assessment of functional outcomes in older persons. Another high priority for future research is to validate and further refine strategies to more completely and accurately ascertain the occurrence of disability among older persons.

Gill, Thomas M.

2010-01-01

48

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

ERIC Educational Resources Information Center

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

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

2010-01-01

49

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

ERIC Educational Resources Information Center

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

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

2012-01-01

50

Assessment Methods in Medical Education  

ERIC Educational Resources Information Center

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

Norcini, John J.; McKinley, Danette W.

2007-01-01

51

Learning Disabilities; Introduction to Educational and Medical Management.  

ERIC Educational Resources Information Center

|Designed to assist in the development or improvement of programs for children with learning disabilities, the text includes the following discussions: an introduction to children with these disabilities; a new look at learning disabilities; parent and professional relations; the national problem of learning disabilities; the role of the physician…

Tarnopol, Lester, Ed.

52

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

Microsoft Academic Search

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 from a retrospective chart audit were examined to explain medication management

Andrew T. Russell; Joan Earle Hahn; Katharine Hayward

2011-01-01

53

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

ERIC Educational Resources Information Center

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

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

2006-01-01

54

Assessing Information Technology Skills for Medical Students  

Microsoft Academic Search

Background: Medical informatics is an essential component in the current and future medical practice and education. Results concerning the assessment of medical students' capabilities to acquire and use medical informatics tools were reported. Purposes: This study aims to assess basic medical informatics skills of undergraduate medical students in King Saud University, and how taking courses in this field would be

I. Albarrak

55

Assessment of Risk Manageability of Intellectually Disabled Sex Offenders  

ERIC Educational Resources Information Center

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

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

2004-01-01

56

A Systems Framework for Assessing Attitudes toward the Learning Disabled.  

ERIC Educational Resources Information Center

|The article describes a systems framework for assessing attitudes toward learning disabled students. Generalizations concerning the framework are drawn to assist researchers, school practitioners, and project directors in formulating research questions and analyzing data regarding the nature and effects of attitudes toward the learning disabled.…

Podemski, Richard S.; Marsh, George E., II

1981-01-01

57

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

Microsoft Academic Search

Studies document various associated health risks for children with developmental disabilities (DDs). Further study is needed by disability type. Using the 2006–2010 National Health Interview Surveys, we assessed the prevalence of numerous medical conditions (e.g. asthma, frequent diarrhea\\/colitis, seizures), health care use measures (e.g. seeing a medical specialist and >9 office visits in past year), health impact measures (e.g. needing

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

58

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

ERIC Educational Resources Information Center

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

Learning Disability Quarterly, 2011

2011-01-01

59

Issues in the neuropsychological assessment of children with learning disabilities  

Microsoft Academic Search

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

Byron P. Rourke

1976-01-01

60

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

ERIC Educational Resources Information Center

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

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

61

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

ERIC Educational Resources Information Center

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

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

2011-01-01

62

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

ERIC Educational Resources Information Center

|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.…

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

63

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

ERIC Educational Resources Information Center

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

Lunsky, Yona; Elserafi, Jonny

2012-01-01

64

Social security disability and clinical neuropsychological assessment  

Microsoft Academic Search

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

Antonio E. Puente

1987-01-01

65

Antipsychotic medication prescription patterns in adults with developmental disabilities who have experienced psychiatric crisis.  

PubMed

Antipsychotic medication rates are high in adults with developmental disability. This study considered rates of antipsychotic use in 743 adults with developmental disability who had experienced a psychiatric crisis. Nearly half (49%) of these adults were prescribed antipsychotics. Polypharmacy was common with 22% of those prescribed antipsychotics taking 2 or more antipsychotics at once. Predictors of multiple antipsychotic use included gender, residence, psychiatric diagnosis and previous hospitalizations. Implications of medication prescriptions to this vulnerable population are discussed. PMID:22093645

Lunsky, Yona; Elserafi, Jonny

2011-10-04

66

New directions in assessment for students with disabilities.  

PubMed

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

Telzrow, Cathy F.; McNamara, Kathy

2001-01-01

67

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

Microsoft Academic Search

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

Brigida Hernandez; Christopher Keys; Fabricio Balcazar; Charles Drum

1998-01-01

68

Assessment of Social Skills and Intellectual Disability  

Microsoft Academic Search

\\u000a Social skills foster healthy interpersonal relationships, promote independence, and are crucial to coping with stressful situations.\\u000a Deficits in social skills are a critical component of intellectual disability (ID). They are related to many important personal\\u000a and social outcomes in this population. In many ways, social skills are at the heart of controversies on how to define ID.\\u000a As such, this

Luc Lecavalier; Eric M. Butter

69

Assessment of visual disability using the WHO disability assessment scale (WHO-DAS-II): role of gender  

Microsoft Academic Search

Objective:To study the role of gender in coping with disability in young visually impaired students attending two schools for blindness.Methods:The WHO Disability Assessment Schedule (WHODAS II), 36-Item Interviewer Administered translated Arabic version was used. It evaluates six domains of everyday living in the last 30 days. These domains are: understanding and communicating, getting around, self care, getting along with people,

H E Badr; H Mourad

2009-01-01

70

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

Code of Federal Regulations, 2012 CFR

...MEDICAL ASSISTANCE PROGRAMS ELIGIBILITY IN THE STATES, DISTRICT OF COLUMBIA, THE NORTHERN MARIANA ISLANDS, AND AMERICAN SAMOA Optional Coverage of the Medically Needy § 435.330 Medically needy coverage of the aged, blind, and disabled...

2012-10-01

71

A New Disability-related Health Care Needs Assessment Tool for Persons With Brain Disorders  

PubMed Central

Objectives This study aimed to develop a health needs assessment (HNA) tool for persons with brain disorders and to assess the unmet needs of persons with brain disorders using the developed tool. Methods The authors used consensus methods to develop a HNA tool. Using a randomized stratified systematic sampling method adjusted for sex, age, and districts, 57 registered persons (27 severe and 30 mild cases) with brain disorders dwelling in Seoul, South Korea were chosen and medical specialists investigated all of the subjects with the developed tools. Results The HNA tool for brain disorders we developed included four categories: 1) medical interventions and operations, 2) assistive devices, 3) rehabilitation therapy, and 4) regular follow-up. This study also found that 71.9% of the subjects did not receive appropriate medical care, which implies that the severity of their disability is likely to be exacerbated and permanent, and the loss irrecoverable. Conclusions Our results showed that the HNA tool for persons with brain disorders based on unmet needs defined by physicians can be a useful method for evaluating the appropriateness and necessity of medical services offered to the disabled, and it can serve as the norm for providing health care services for disabled persons. Further studies should be undertaken to increase validity and reliability of the tool. Fundamental research investigating the factors generating or affecting the unmet needs is necessary; its results could serve as basis for developing policies to eliminate or alleviate these factors.

Kim, Yoon; Eun, Sang June; Kim, Wan Ho; Lee, Bum-Suk; Leigh, Ja-Ho; Kim, Jung-Eun

2013-01-01

72

Do medical factors predict disability in older adults with persistent low back pain?  

Microsoft Academic Search

Persistent low back pain (LBP) is one of the most common and challenging persistent pain conditions in older adults. Medical comorbidity also is common in these individuals, but its impact on disability has not been examined. The purpose of this study was, using a cross-sectional design, to examine the functional impact of pain-related and general medical comorbidity on 100 community

Debra K. Weiner; Thomas E. Rudy; Young-Sin Kim; Sara Golla

2004-01-01

73

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

ERIC Educational Resources Information Center

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…

Zijlstra, H. P.; Vlaskamp, C.

2005-01-01

74

Defining and Assessing Medical Informatics Competencies  

Microsoft Academic Search

As academic health sciences libraries assume larger roles in informatics instruction within medical school curricula, librarians are challenged to develop useful and accurate measures for assessing the effectiveness of instructional approaches. The need for this evaluation has intensified as medical schools increase their emphasis on integration of curriculum content and shift to competency-based education and assessment of medical students. This

Jane L. Blumenthal; Brynn E. Mays; Jeffrey M. Weinfeld; Marcus A. Banks; Janette Shaffer

2005-01-01

75

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

PubMed

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

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

2012-12-14

76

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

...additional disability or death due to hospital care, medical or surgical treatment...additional disability or death due to hospital care, medical or surgical treatment...immediately before the beginning of the hospital care, medical or surgical...

2010-07-01

77

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

...additional disability or death due to hospital care, medical or surgical treatment...additional disability or death due to hospital care, medical or surgical treatment...immediately before the beginning of the hospital care, medical or surgical...

2009-07-01

78

Assessment of English Language Learners with Learning Disabilities  

ERIC Educational Resources Information Center

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

Chu, Szu-Yin; Flores, Sobeida

2011-01-01

79

Sexual Risk Assessment for People with Intellectual Disabilities  

ERIC Educational Resources Information Center

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

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

2010-01-01

80

Knowledge and Perceptions of Newly Graduated Medical Practitioners in Malaysia of Their Role in Medical Care of People with Developmental Disabilities  

ERIC Educational Resources Information Center

|Improving content and consistency on developmental disabilities in undergraduate medical curricula has been recommended as a means of improving health outcomes for people with developmental disabilities. Although often the subject of studies in Western countries, little is known about content on developmental disabilities in undergraduate…

Moyle, Judith L.; Iacono, Teresa; Liddell, Merilyn

2010-01-01

81

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

PubMed Central

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

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

1999-01-01

82

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

PubMed

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

Johnston, S J

2002-05-01

83

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

ERIC Educational Resources Information Center

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

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

2011-01-01

84

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

ERIC Educational Resources Information Center

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

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

2006-01-01

85

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

ERIC Educational Resources Information Center

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

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

2011-01-01

86

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

ERIC Educational Resources Information Center

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

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

2012-01-01

87

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

ERIC Educational Resources Information Center

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

Trupin, Laura; And Others

88

Assessing choice making among children with multiple disabilities.  

PubMed

Some learners with multiple disabilities display idiosyncratic gestures that are interpreted as a means of making choices. In the present study, we assessed the validity of idiosyncratic choice-making behaviors of 3 children with multiple disabilities. Opportunities for each child to choose between food and drink were provided under two conditions. In one condition, the children were given the food or drink item corresponding to their prior choice. In the other condition, the teacher delivered the item opposite to that chosen. It was reasoned that valid choice-making behaviors would be reflected in a greater tendency to accept the chosen item and refuse the unchosen item. Direct observations revealed all children consistently indicated choices during both conditions. Choices of both the food and drink items were made by all 3 children. A reversal design demonstrated that acts of refusal were more frequent when choices were followed by delivery of the item opposite to that chosen. Similar assessment procedures may be effective in determining the function of idiosyncratic gestures exhibited by persons with multiple disabilities. For children lacking such skills, intervention to teach valid choice-making behaviors may be needed to complement assessment procedures. PMID:1429325

Sigafoos, J; Dempsey, R

1992-01-01

89

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

National Technical Information Service (NTIS)

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

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

1991-01-01

90

The Disability Rating Index: an instrument for the assessment of disability in clinical settings.  

PubMed

The purpose of this study was to evaluate an instrument for assessment of physical disability, mainly intended for clinical settings, the Disability Rating Index (DRI). Healthy persons (n = 1092), both white and blue collar workers, and patients (n = 366) with different levels of physical capacity, were assessed. Most of the patients (n = 303) underwent rehabilitation programmes for neck/shoulder/low-back pain but some (n = 47) were arthritis patients waiting for hip or knee replacement surgery, or wheelchair patients with multiple sclerosis (n = 16). The reliability was investigated by test-retest studies, intra- and inter-rater and internal consistency studies. Five construct validity tests were carried out: a discrimination study; a converging validity test; a test for sensitivity to small alterations in health status; and two correlational validity tests. Correlation of the self-reported DRI to the actual performance in similar activities was carried out. Responsiveness was tested by correlation of the DRI before/after replacement surgery for arthritis. The test-retest correlations were 0.83-0.95 in the studies, including correlation of different versions. The intra- and inter-rater reproducibility was 0.98 and 0.99 respectively. The Kruskal-Wallis test in the discrimination study yielded p < 0.0001. More than 90% of the respondents completed the questionnaire correctly. Correlation of the DRI to the Functional Status Questionnaire was 0.46. The responsiveness was excellent, p = 0.0001. The DRI proved to be a robust, practical clinical and research instrument with good responsiveness and acceptability for assessment of disability caused by impairment of common motor functions. PMID:7730851

Salén, B A; Spangfort, E V; Nygren, A L; Nordemar, R

1994-12-01

91

Assessment of disability with the World Health Organisation Disability Assessment Schedule II in patients with ankylosing spondylitis  

PubMed Central

Objective: To investigate in ankylosing spondylitis (AS) whether the newly developed World Health Organisation Disability Assessment Schedule II (WHODAS II) is a useful instrument for measuring disability, to assess its responsiveness in relation to other traditional disease specific instruments, and to identify factors that are associated with both short term and long term scores on the WHODAS II. Methods: Patients with AS from a randomised controlled trial assessing the efficacy of spa treatment (n=117) and from a five year longitudinal observational study (n=97) participated. The patients completed several questionnaires, including the WHODAS II. After a three week course of spa treatment, 31 patients again completed all questionnaires to assess responsiveness. To determine to what degree the WHODAS II reflects some AS oriented measures on disease activity, functioning, and quality of life, correlation coefficients between the WHODAS II and these other questionnaires were calculated. Responsiveness was calculated by the effect size (ES) and standardised response mean (SRM). Linear regression analysis was performed to explore which factors might be associated with short term changes on the WHODAS II and to investigate (in the observational study) which factors of WHODAS II might predict disability five years later. Results: Mean score on the WHODAS II was 23.9 (SD 15.5 (range 0.0-76.1)). Scores on the WHODAS II were significantly correlated with all disease specific questionnaires measured (all p<0.001). The WHODAS II showed a comparable short term responsiveness score (SRM 0.41; ES 0.39). In regression analysis these short term changes on the WHODAS II were significantly associated with changes in functioning (ß coefficient 4.25, 95% confidence interval (95% CI) 1.24 to 7.26, p=0.007). In the observational study, disease activity (ß coefficient 0.35, 95% CI 0.17 to 0.53, p<0.000) as well as functioning (ß coefficient 0.23, 95% CI 0.09 to 0.38, p=0.002) seemed to significantly predict disability (WHODAS II) after five years. Conclusion: The WHODAS II is a useful instrument for measuring disability in AS in that it accurately reflects disease specific instruments and that it shows similar responsiveness scores. In AS, a short term change on the WHODAS II is associated with a change in physical function. At the group level, disease activity and physical functioning may predict disability after five years.

van Tubergen, A; Landewe, R; Heuft-Dorenbosch, L; Spoorenberg, A; van der Heijde, D; van der Tempel, H; van der Linden, S

2003-01-01

92

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

Microsoft Academic Search

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

Stephen Hennessey

2011-01-01

93

Evaluation of Serum Prolactin Levels in Intellectually Disabled Patients Using Antipsychotic Medications  

PubMed Central

Background Patients with intellectual disabilities may be treated with antipsychotic medications for a variety of diagnoses. Use of this category of medication can increase prolactin levels and place the patient at risk for sexual dysfunction and lower bone mineral density. The proposed mechanism of action is affinity for the dopamine receptor. Use of bromocriptine, a dopamine receptor antagonist, was proposed to attenuate hyperprolactinemia. Objectives The objectives of this study were to (1) review serum prolactin (PRL) elevations associated with the use of antipsychotic (AP) medications in an intellectually disabled adult population and (2) determine if any association existed between the level of elevation and AP used. Patients and Methods Medical records for adult patients at two Oklahoma facilities for the intellectually disabled were reviewed to evaluate prolactin levels for individuals prescribed antipsychotics. A linear regression model was used to evaluate the relationship between prolactin levels with intellectual disability level, bromocriptine use, demographics, and antipsychotic. Results 73 (n = 53 males, n = 20 females) patients met criteria. The average age was 41.2 years. Nearly 70% of the patients had severe to profound levels of disability. 77% were prescribed second generation antipsychotics; 19% received first generation agents. Two variables, gender and bromocriptine use, were found to be significant predictors of prolactin levels. Mean prolactin level for females was 44 ng/mL (normal range: 4-30 ng/mL, males = 4-23 ng/mL). Patients who did not receive bromocriptine had mean levels of 23 ng/mL. No significant difference in prolactin levels was found for type of AP. Conclusions Mean prolactin levels for females were significantly higher than for males. Both sexes were found to have higher-than-normal levels. Use of bromocriptine was associated with higher prolactin levels. In this population of patients, the type of AP used had no significance on prolactin levels.

Lambert, Tammy L; Farmer, Kevin C; Brahm, Nancy C

2012-01-01

94

Nutritional Assessment: Its Significance in Medical Education.  

ERIC Educational Resources Information Center

|Medical educators must make every effort to achieve an adequate level of nutrition education for all health professionals. Medical schools should adopt a basic, required curriculum including biochemical and physiological aspects of nutrients, a clinical nutrition program for prevention of health hazards, and a course in nutritional assessment.…

Ozerol, Nail H.

1982-01-01

95

An Assessment Tool for Medical Informatics Skills  

Microsoft Academic Search

Computing has developed slowly in British general medical practice, and the impact on patient care has yet to be fully evaluated. There is an acknowledged need for further training in informatics. This article describes a tool for assessing recommended medical informatics skills. The tool is based on self-scoring of 15 skills on a matrix questionnaire. A survey of 1 15

Trefor Roscoe

2004-01-01

96

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

PubMed Central

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.

Ydreborg, Berit; Ekberg, Kerstin; Nilsson, Kerstin

2007-01-01

97

Addressing Assessment in Libyan Medical Education  

PubMed Central

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

Richardson, J; Gill, D; Woolf, K

2009-01-01

98

[Errors in medical records as the cause of negative expert decisions regarding disability pensions].  

PubMed

Psychiatric disorders frequently make the patient unable to perform their work. It is estimated that psychiatric disorders are the third most frequent reason for an expert's decision concerning long-term inability to work justifying the granting of a disability pension. Unfortunately, not all patients are certified positively, i.e. are granted disability pension or receive disability benefits in the expected amount; usually, they are lower than those they applied for. The paper discusses the premises applied by the Social Insurance Institution (ZUS) physicians and court appointed experts in their examination of patients applying for disability benefits. Some patients are positively certified already at the time of the initial contact. Their mode of behavior, functioning and patterns of speech leave no doubt as to the significant exacerbation of their mental disturbances. Another group of patients manifests situational "exacerbation" connected with the stressful nature of a meeting with an expert physician. In such cases, the patient's medical records are of great importance. Evaluation of medical records takes into account regular and systematic character of treatment, as well as the kind of pharmacotherapy applied in the treatment. The patient's discontinuation of treatment just after having been granted disability benefits and restarting it a short time before check-up examination is regarded rather critically. Rare appointments taking place once or twice a year are not recognized as corresponding with the existence of intense and debilitating mental disorders. Duration of treatment before applying for disability pension is also evaluated. The author discusses particular cases in the context of ethical and deontological principles. PMID:17571520

Zyss, Tomasz

99

An Assessment of the Needs of Alaska Residents Who Are Disabled.  

ERIC Educational Resources Information Center

A telephone survey of 4,364 randomly selected households in Alaska aimed at assessing the needs of disabled persons who were not institutionalized. In households that where found to have a disabled member, 514 interviews were conducted with the disabled person or a representative. The survey provided information on: (1) an estimated 22,220 persons…

Hanna, Virgene; Kruse, Jack

100

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

ERIC Educational Resources Information Center

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

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

2002-01-01

101

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

Microsoft Academic Search

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

David Orentlicher

1996-01-01

102

Disability Identity--Disability Pride  

ERIC Educational Resources Information Center

|This paper discusses a way of thinking about disability which has emerged out of the UK Disabled People's Movement over the last three decades in opposition to the preceding medical model of disability which viewed disability as synonymous with problem. Disabled people are increasingly challenging the notion that their embodiment is inherently…

Martin, Nicola

2012-01-01

103

Disability Identity--Disability Pride  

ERIC Educational Resources Information Center

This paper discusses a way of thinking about disability which has emerged out of the UK Disabled People's Movement over the last three decades in opposition to the preceding medical model of disability which viewed disability as synonymous with problem. Disabled people are increasingly challenging the notion that their embodiment is inherently…

Martin, Nicola

2012-01-01

104

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

PubMed

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

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

105

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

PubMed

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

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

106

Assessment and Documentation Considerations for Postsecondary Students with Learning Disabilities  

ERIC Educational Resources Information Center

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

Lindstrom, Jennifer H.; Lindstrom, Will

2011-01-01

107

Assessing Dissimulation Among Social Security Disability Income Claimants  

Microsoft Academic Search

Social Security disability income programs have been beset by increasingly politicized concerns regarding widespread fraud among claimants. This study was an initial investigation of malingering among claimants in Los Angeles seeking disability income on psychological grounds. After a review of 100 disability income applications, a population-appropriate instrument was developed from established psychometric indices of malingering. The Composite Disability Malingering Index

G. A. Elmer Griffin; Jill Normington; Robin May; David Glassmire

1996-01-01

108

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

ERIC Educational Resources Information Center

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

Sze, Susan

2009-01-01

109

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

ERIC Educational Resources Information Center

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

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

2004-01-01

110

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

ERIC Educational Resources Information Center

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

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

2004-01-01

111

Behavioral Assessment and the Planning and Evaluation of Interventions for Developmentally Disabled Children.  

ERIC Educational Resources Information Center

Research in assessment and intervention with developmentally disabled children has led to important advances in recent years. This article identifies conceptual and practical issues important to the process of behavioral assessment, and presents a framework for the behavioral assessment of the developmentally disabled, with special emphasis on…

Powers, Michael D.

1985-01-01

112

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

ERIC Educational Resources Information Center

|Intellectual disability affects different aspects of functioning and quality of life, as well as the ability to independently assess the quality of life itself. The paper examines the agreement in the quality of life assessments made by adolescents with intellectual disability and their parents compared with assessments made by adolescents…

Golubovic, Spela; Skrbic, Renata

2013-01-01

113

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

ERIC Educational Resources Information Center

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

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

2009-01-01

114

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

ERIC Educational Resources Information Center

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

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

2009-01-01

115

Black-White Disparity in Disability: The Role of Medical Conditions  

PubMed Central

OBJECTIVES To describe the independent contributions of selected medical conditions to the disparity between black and white people in disability rates, controlling for demographic and socioeconomic factors. DESIGN Cross-sectional analysis of a community-based cohort. SETTING Urban and rural counties of central North Carolina. PARTICIPANTS Two thousand nine hundred sixty-six adults aged 68 and older participating in the Duke Established Populations for Epidemiologic Studies of the Elderly (EPESE). MEASUREMENTS Self-reported data on sociodemographic characteristics and medical conditions, Short Portable Mental Status Questionnaire, activities of daily living (ADLs). RESULTS Fifty-five percent of the cohort was black. Blacks were more likely than whites to report disability (odds ratio = 1.39, 95% confidence interval = 1.15–1.68). Controlling for age, sex, marital status, and socioeconomic status, blacks were more likely to be obese and have diabetes mellitus, and less likely to report vision problems, fractures, and heart attacks. The higher prevalence of obesity and diabetes mellitus in blacks, after adjustment for sociodemographic factors, accounted for more than 30% of the black–white difference in disability. Conversely, the black–white disability gap would be approximately 45% wider if whites had a lower prevalence of fractures and vision impairment, similar to their black peers. CONCLUSION Higher rates of obesity and diabetes mellitus in older black Americans account for a large amount of the racial disparity in disability, even after controlling for socioeconomic differences. Culturally appropriate interventions that lower the prevalence or the functional consequences of obesity and diabetes mellitus in blacks could substantially decrease this racial health disparity.

Whitson, Heather E.; Hastings, S. Nicole; Landerman, Lawrence R.; Fillenbaum, Gerda G.; Cohen, Harvey J.; Johnson, Kimberly S.

2011-01-01

116

Advancing Resident Assessment in Graduate Medical Education  

PubMed Central

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

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

2009-01-01

117

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

Code of Federal Regulations, 2013 CFR

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

2013-07-01

118

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

Microsoft Academic Search

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

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

2009-01-01

119

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

PubMed Central

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

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

2012-01-01

120

Assessment of Students With Disabilities in Kentucky: Inclusion, Student Performance, and Validity  

Microsoft Academic Search

Students with disabilities are increasingly being included in large-scale, high-stakes testing programs, despite a lack of evidence regarding the validity of scores from many tests for these students. This study examines Kentucky's efforts to include students with disabilities in its statewide assessment. We explore the level of inclusion achieved, the kinds of assessment accommodations offered, the performance of students with

Daniel Koretz; Laura Hamilton

2000-01-01

121

Assessment of Progress in the General Curriculum for Students with Disabilities  

ERIC Educational Resources Information Center

|Legislative initiatives and federal regulations require states to provide students with disabilities access to the general curriculum and to include all students in state assessment systems. Assessing the progress in the general curriculum for students with disabilities challenges states to determine how academic standards apply to all students…

Browder, Diane M.; Wakeman, Shawnee; Flowers, Claudia P.

2006-01-01

122

Guidelines for Providing Accommodations Using CASAS Assessment for Learners with Disabilities  

ERIC Educational Resources Information Center

|These guidelines address methods for administering Comprehensive Adult Student Assessment System (CASAS) assessments using accommodations for learners with documented disabilities. The suggested accommodations for disability categories include provisions for: (1) Accommodations in test administration procedures; and (2) Use of appropriate CASAS…

CASAS - Comprehensive Adult Student Assessment Systems (NJ1), 2005

2005-01-01

123

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

ERIC Educational Resources Information Center

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

Koskentausta, Terhi; Iivanainen, Matti; Almqvist, Fredrik

2004-01-01

124

CBCL in the assessment of psychopathology in Finnish children with intellectual disability  

Microsoft Academic Search

Structured checklists have been used to supplement psychiatric assessment of children with normal intelligence, but for children with intellectual disability, only a few checklists exist. We evaluated the Child Behavior Checklist (CBCL) in the assessment of psychopathology in Finnish children with intellectual disability. The CBCL was completed by parents or other carers of 90 children aged 6–13 years. Of the

Terhi Koskentausta; Matti Iivanainen; Fredrik Almqvist

2004-01-01

125

Urgent Medical Assessment after Child Sexual Abuse  

ERIC Educational Resources Information Center

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

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

2006-01-01

126

Urgent Medical Assessment after Child Sexual Abuse  

ERIC Educational Resources Information Center

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

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

2006-01-01

127

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

Microsoft Academic Search

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

KATHRYN MOSS; MATTHEW JOHNSEN; MICHAEL ULLMAN

1998-01-01

128

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

PubMed

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

Miller, Paul Steven; Levine, Rebecca Leah

2012-08-16

129

Assessment and treatment of depression in medically ill children  

Microsoft Academic Search

The consequences of depression in medically ill children include the disability and morbidity that is associated with depression\\u000a in any patient. They also include an exacerbation of the underlying medical disease and nonadherence to treatment. Thus, medically\\u000a ill children who are depressed constitute a special, high-risk group of patients who may suffer from severe consequences above\\u000a and beyond those that

Eyal Shemesh; Abraham Bartell; Jeffrey H. Newcorn

2002-01-01

130

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

ERIC Educational Resources Information Center

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

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

2009-01-01

131

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

ERIC Educational Resources Information Center

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

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

2009-01-01

132

Disabled Children and Their Families in Ukraine  

Microsoft Academic Search

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

Gillian Bridge

2005-01-01

133

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

ERIC Educational Resources Information Center

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

Konur, O.

2007-01-01

134

Development and assessment of a screening test for detecting childhood disabilities  

Microsoft Academic Search

The paper outlines the development and assessment of a screening test for broad-based identification of major disabilities\\u000a in children under 6 years of age. The Disability Screening Schedule (DSS) has been developed which should act as a one time\\u000a screen for all major disabilities viz. physical, motor, sensory and mental retardation. The DSS was developed after reviewing\\u000a a number of

Geeta Chopra; I. C. Verma; P. Seetharaman

1999-01-01

135

Assessing observational studies of medical treatments  

PubMed Central

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.

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

2005-01-01

136

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

PubMed Central

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

2010-01-01

137

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

Microsoft Academic Search

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

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

1997-01-01

138

Disability Insurance  

PubMed Central

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

Williamson, Elliot A.

1985-01-01

139

Misconceptions about the Assessment and Diagnosis of Reading Disability.  

ERIC Educational Resources Information Center

Outlines the classification of children who experience difficulty reading into two categories - poor readers with learning disabilities and poor readers without disabilities. Examines the validity of this form of classification and offers a new approach for dealing with children with reading problems. Explains that the proposed approach utilizes a…

Joshi, R. Malatesha

2003-01-01

140

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

ERIC Educational Resources Information Center

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

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

2006-01-01

141

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

ERIC Educational Resources Information Center

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

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

2011-01-01

142

Preference, choice, and persons with disabilities: A synopsis of assessments, interventions, and future directions  

Microsoft Academic Search

A recent revolution in service delivery for persons with developmental disabilities encompasses increased client independence and improved quality of life. Specifically, care providers have focused on client expressions of preference, choice-making, and choice availability as key elements of study in this new revolution. We review and critique the primary methods of assessing preference and choice for persons with disabilities, including

Christopher A. Kearney; Tami Jo McKnight

1997-01-01

143

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

Microsoft Academic Search

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

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

144

Including Students with Disabilities in Large Scale Assessments: A Necessary Element of School Reform Efforts.  

ERIC Educational Resources Information Center

|This report presents guidelines for secondary school principals for including students with disabilities in large scale educational assessments. In the summer of 2001, a focus group of 13 administrators were brought together to share these promising practices for ensuring that students with disabilities participate in state and district-wide…

Greene-Bryant, Betty

145

Functional assessment of pediatric pain patients: Psychometric properties of the Functional Disability Inventory  

Microsoft Academic Search

The Functional Disability Inventory (FDI; Walker LS, Greene JW. The functional disability inventory: measuring a neglected dimension of child health status. J Pediatr Psychol 1991;16:39–58) assesses activity limitations in children and adolescents with a variety of pediatric conditions. This study evaluated the psychometric properties of the FDI in pediatric pain patients. Participants included 596 patients with chronic abdominal pain, ages

Robyn Lewis Claar; Lynn S. Walker

2006-01-01

146

Assessing the Occurrence of Learning in Children with Profound Intellectual Disability: A Conditioning Approach.  

ERIC Educational Resources Information Center

|This article discusses basic learning processes utilized by children with profound intellectual disabilities, including classical conditioning, operant conditioning, and habituation. The article also explores how these learning processes may be used in assessing the capabilities and preferences of children with profound intellectual disabilities.…

Remington, Bob

1996-01-01

147

Education and Alternate Assessment for Students with Significant Cognitive Disabilities: Implications for Educators  

ERIC Educational Resources Information Center

State and federal mandates for education reform call for increased accountability and the inclusion of students with disabilities in all accountability efforts. In the rush to implement high-stakes education reforms, particularly those involving tests or assessments, the particular needs of students with severe cognitive disabilities are only now…

Zatta, Mary C.; Pullin, Diana C.

2004-01-01

148

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

Microsoft Academic Search

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

John Gettens; Alexis D. Henry; Jay Himmelstein

2012-01-01

149

Accountability for Students with Disabilities in State and District Assessment Programs. Policy Paper.  

ERIC Educational Resources Information Center

This brief policy paper outlines considerations that school district personnel should address in determining the inclusion of students with disabilities in state and district testing and the use of alternate assessment for certain students with disabilities. It notes that the decision to include or exclude a student from state and district testing…

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

150

Estimates of Active and Disabled Life Expectancy Based on Different Assessment Intervals  

Microsoft Academic Search

Background. Although disability in activities of daily living (ADLs) is a highly dynamic process, analytic strategies for estimating active and disabled life expectancy have assumed stability in ADL function between periodic surveys spanning 12-24 months or have used interval estimation or instantaneous rates based on long assessment intervals. We performed a prospective cohort study to compare estimates of active and

Thomas M. Gill; Heather Allore; Susan E. Hardy; Theodore R. Holford; Ling Han

2005-01-01

151

The Influence of Access to General Education Curriculum on Alternate Assessment Performance of Students With Significant Cognitive Disabilities  

Microsoft Academic Search

The primary purpose of this investigation was to understand the influence of access to the general curriculum on the performance of students with significant cognitive disabilities, as measured by the Wisconsin Alternate Assessment (WAA) for Students with Disabilities. Special education teachers (N = 113) submitted case materials for students with significant disabilities who were assessed using the WAA. Cases included

Andrew T. Roach; Stephen N. Elliott

2006-01-01

152

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

ERIC Educational Resources Information Center

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

Grisham-Brown, Jennifer

2000-01-01

153

Assessment Targets and Protocols for Nonsymbolic Communicators with Profound Disabilities. Instructional/Intervention Tips.  

ERIC Educational Resources Information Center

|This article proposes assessment targets and protocols for children with profound developmental disabilities who are nonsymbolic communicators. Targets include children's actual or perceived communicative behaviors, their communicative partners, and their communicative environments. Protocols consist of interviews, observations, structured…

Ogletree, Billy T.; And Others

1996-01-01

154

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

Microsoft Academic Search

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

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

2011-01-01

155

Medical and Non-Medical Predictors of Disability Discharge Disposition for Navy Personnel with a Back Problem: A Focus on Entitlement.  

National Technical Information Service (NTIS)

The purpose of the present study was to examine the type of medical disability awarded to active-duty, enlisted Navy personnel with a back problem, in relation to length of service, paygrade, severity of back problem, and secondary diagnosis. That focus w...

B. Kilbourne C. V. Chesson S. M. Hilton

1988-01-01

156

Medical and economic implications of cognitive and psychiatric disability of survivorship.  

PubMed

Current research indicates that the majority of survivors of critical illness develop post-intensive care syndrome (PICS), which includes new or worsening cognitive or psychiatric disorders that persist for months to years after critical illness. These cognitive impairments and psychiatric disorders are profound and long-lasting, adversely affecting survivors' daily functioning, ability to return to work, and quality of life, as well as altering the lives of their family members. The medical effects of cognitive and psychiatric disability after critical illness translate directly into a large economic burden. A large and growing body of intensive care unit (ICU) survivors with cognitive and psychiatric morbidities presents challenges for research and identification of best practices and interventions, both during and after the ICU, including rehabilitation to prevent or remediate long-term neurological outcomes. PMID:22875380

Hopkins, Ramona O; Girard, Timothy D

2012-08-08

157

The medical, functional and social challenges faced by older adults with intellectual disability.  

PubMed

Introduction: Little is known about the sociodemographic and clinical profile of older adults with intellectual disabilities (ID) in Singapore. We studied the sociodemographic and clinical profile of older adults with ID and investigated factors associated with caregiver availability and identity in this population. Materials and Methods: The study population involved all adults with ID aged ?40 years receiving services from the Movement for the Intellectually Disabled of Singapore (MINDS), the largest such provider in Singapore. Information on sociodemographic and clinical profiles, functional status, and availability of caregivers were collected via interviewer-administered questionnaires from guardians of older adults with ID. Descriptive characteristics were computed and chi-square and logistic regression identifi ed predictors of caregiver availability and identity. Results: Participation was 95% (227/239). There were differences in client age, gender, and caregiver availability between recipients of residential and non-residential services (all P <0.05). Common comorbidities included hyperlipidaemia (17.6%), hypertension (15.9%), psychiatric diagnoses (16.3%) and epilepsy (10.6%). The majority were fully independent in basic activities of daily living, but only 21.1% were fully communicative. Only a small minority (9.4%) were exercising regularly. The majority (73.5%) of clients had a primary caregiver; almost equal proportions relied on either parents or siblings. Older client age was associated independently with the lack of a primary caregiver, independent of greater functional dependence and presence of medical comorbidities in the client. Conclusion: Older adults with ID have multiple medical, functional, and social issues. More can be done to support the care of this unique group of adults with special needs. PMID:23949263

Wee, Liang En; Koh, Gerald Ch; Auyong, Linda S; Cheong, Angela Lk; Myo, Thant Thant; Lin, Jingyi; Lim, Esther Mk; Tan, Serene Xy; Sundaramurthy, Sridevi; Koh, Chu Wen; Ramakrishnan, Prabha; Aariyapillai-Rajagopal, Reena; Vaidynathan-Selvamuthu, Hemamalini; Khin, Ma Ma

2013-07-01

158

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

ERIC Educational Resources Information Center

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

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

2007-01-01

159

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

ERIC Educational Resources Information Center

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

Unwin, Gemma Louise; Deb, Shoumitro

2008-01-01

160

The Americans with Disabilities Act and Family and Medical Leave Act: Legal Requirements, Negotiations and Policy Considerations.  

ERIC Educational Resources Information Center

|The Americans with Disabilities Act (ADA) and Family and Medical Leave Act (FMLA) are two major pieces of social legislation that impact private and public employers, including school districts. Public school employers must have thorough awareness of the legal requirements of both laws and must analyze the ways in which those requirements…

Juengart, Laurie S.

161

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

ERIC Educational Resources Information Center

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

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

2013-01-01

162

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

Microsoft Academic Search

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

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

2000-01-01

163

10 CFR 712.14 - Medical assessment.  

Code of Federal Regulations, 2013 CFR

...self-reporting or by medical or psychological...or (5) Medical conditions such as cardiovascular disease, endocrine...other neurologic disease, or the use...treatment of conditions that may adversely...initial or annual medical...

2013-01-01

164

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

PubMed Central

BACKGROUND—Methods of classifying chronic obstructive pulmonary disease (COPD) depend largely upon spirometric measurements but disability is only weakly related to measurements of lung function. With the increased use of pulmonary rehabilitation, a need has been identified for a simple and standardised method of categorising disability in COPD. This study examined the validity of the Medical Research Council (MRC) dyspnoea scale for this purpose.?METHODS—One hundred patients with COPD were recruited from an outpatient pulmonary rehabilitation programme. Assessments included the MRC dyspnoea scale, spirometric tests, blood gas tensions, a shuttle walking test, and Borg scores for perceived breathlessness before and after exercise. Health status was assessed using the St George's Respiratory Questionnaire (SGRQ) and Chronic Respiratory Questionnaire (CRQ). The Nottingham Extended Activities of Daily Living (EADL) score and Hospital Anxiety and Depression (HAD) score were also measured.?RESULTS—Of the patients studied, 32 were classified as having MRC grade 3 dyspnoea, 34 MRC grade 4 dyspnoea, and 34 MRC grade 5 dyspnoea. Patients with MRC grades 1 and 2 dyspnoea were not included in the study. There was a significant association between MRC grade and shuttle distance, SGRQ and CRQ scores, mood state and EADL. Forced expiratory volume in one second (FEV1) was not associated with MRC grade. Multiple logistic regression showed that the determinants of disability appeared to vary with the level of disability. Between MRC grades 3 and 4 the significant covariates were exercise performance, SGRQ and depression score, whilst between grades 4 and 5 exercise performance and age were the major determinants.?CONCLUSIONS—The MRC dyspnoea scale is a simple and valid method of categorising patients with COPD in terms of their disability that could be used to complement FEV1 in the classification of COPD severity.??

Bestall, J; Paul, E; Garrod, R; Garnham, R; Jones, P; Wedzicha, J

1999-01-01

165

Using videoconferencing to support teachers to conduct preference assessments with students with autism and developmental disabilities  

Microsoft Academic Search

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

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

2009-01-01

166

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

ERIC Educational Resources Information Center

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

Klein-Ezell, Colleen; Ezell, Dan

2005-01-01

167

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

ERIC Educational Resources Information Center

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

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

2006-01-01

168

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

Microsoft Academic Search

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.

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

2011-01-01

169

A medical assessment algorithm for automated remote triage  

Microsoft Academic Search

Ascertaining the medical status of soldiers deployed in the battlefield is essential for medical and strategic decision-making. The diagnostic and treatment methods used in the battlefield are currently suboptimal due to limited field resources and communication mechanisms. The system described herein is designed to remotely assess the medical status of deployed soldiers to augment resources of the medic, promoting more

S. M. Wendelken; S. P. McGrath; G. T. Blike

2003-01-01

170

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

ERIC Educational Resources Information Center

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

Salmon, Amy

2007-01-01

171

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

PubMed Central

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

2013-01-01

172

Assessing the Prevalence of Intellectual Disability among Young Male Prisoners  

ERIC Educational Resources Information Center

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

Herrington, V.

2009-01-01

173

Assessing Learning Disabled Children's Motivational Orientations in the Classroom.  

ERIC Educational Resources Information Center

|To examine learning disabled children's intrinsic-extrinsic motivational orientation to their schoolwork, 90 LD students in grades 3-7 were administered the Scale of Instrinsic vs. Extrinsic Orientation in the Classroom and the Perceived Competence Scale for Children. Items were read to the students and a short interview based on the students'…

Renick, Mari Jo

174

Assessment of Learning Disabilities Among a Pharmacy Student Population1  

Microsoft Academic Search

American Association of Colleges of Pharmacy GAPS funding provided support to screen 214 pharmacy students enrolled in a Doctor of Pharmacy Program for dyslexia and other learning disabilities. The results have substantial implications for teaching, testing, and student performance in schools of pharmacy. In its simplest definition, dyslexia is \\

James A. Boyd; Constance A. McKenzie; Thomas J. Holmes Jr

1999-01-01

175

An Assessment of Intellectual Disability Among Aboriginal Australians  

ERIC Educational Resources Information Center

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

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

2005-01-01

176

10 CFR 712.36 - Medical assessment process.  

Code of Federal Regulations, 2013 CFR

... Section 712.36 Energy DEPARTMENT OF ENERGY HUMAN RELIABILITY PROGRAM Medical Standards § 712.36 Medical assessment...Designated Psychologist and the SOMD, used to evaluate the reliability of the individual. (i) If the disqualifying...

2013-01-01

177

In search of correlates of learning underlying “learning disability” using a bio-ecological assessment system  

Microsoft Academic Search

A valid and consistent diagnosis of learning disability is constrained by many conceptual and methodological challenges. Chief\\u000a among them is the lack of diagnostic efficiency of standardized tests to shed much light on the nature and quality of the\\u000a “potential disability” underlying children's very poor academic achievement. In this paper, we make the point that any assessment\\u000a measure of learning

Eleanor Armour-Thomas; Sharon-ann Gopaul-McNicol

1997-01-01

178

PSYCHOMETRIC PROPERTIES OF A SCALE TO ASSESS THE SEVERITY OF BATHING DISABILITY  

PubMed Central

Objective To develop and evaluate the psychometric properties of a new bathing disability scale. Design Reliability and validity study. Setting General community. Participants Two subsets of community-living older persons, selected from an ongoing longitudinal study, who had some degree of bathing disability or were at increased risk for bathing disability, as determined during a comprehensive assessment at 36 (N=199) and 54 (N=213) months, respectively. Interventions Not applicable. Main Outcome Measures The bathing disability scale was administered at 36, 54, and 72 months and changes in scores were assessed between 36 and 54 months and 54 and 72 months, respectively, for the two subsets of participants. Convergent construct validity was evaluated by comparisons with changes in ADL (activities of daily living) disability, mobility disability, and the Short Physical Performance Battery (SPPB). Discriminative construct validity was determined by comparisons according to age and physical frailty. Responsiveness was evaluated by comparisons between participants who had and had not been hospitalized and, subsequently, by plotting correlations according to the timing of these hospitalizations. Results The test-retest reliability was high, with an intraclass correlation coefficient=0.76 (95% confidence interval, 0.59–0.94). The internal consistency reliability was excellent with Cronbach’s alpha=0.91–0.97. Changes in scores on the bathing disability scale were positively correlated with changes in scores in ADL and mobility disability and inversely correlated with changes in scores on the SPPB. A greater decline in scores was observed among the oldest old and those who were physically frail, but these differences did not consistently achieve statistical significance. The scale was responsive to the occurrence and/or timing of intervening hospitalizations. Conclusions The bathing disability scale is reliable, valid, and responsive and may be suitable for use in clinical trials to evaluate the effectiveness of interventions to enhance independent bathing.

Gill, Thomas M.; Gahbauer, Evelyne A.; Van Ness, Peter H.

2009-01-01

179

Making choices about medical interventions: the experience of disabled young people with degenerative conditions.  

PubMed

Background? Current western policy, including the UK, advocates choice for service users and their families, taking greater control and being more involved in decision making. However, children's role in health decision making, especially from their own perspective, has received less research attention compared to doctors and parents' perspectives. Objective? To explore the perspective and experiences of disabled young people with degenerative conditions as they face significant medical interventions and engage in decision-making processes. Design and methods? Findings from a longitudinal qualitative study of 10 young people (13-22?years) with degenerative conditions are reported. Individual semi-structured interviews were conducted with participants over 3?years (2007-2010); the paper reports data from all three interview rounds. Interviews focused on medical intervention choices the young people identified as significant. Results? Although the young people in this study felt involved in the medical intervention choices discussed, findings demonstrate a complex and diverse picture of decision making. Results highlighted different decisional roles adopted by the young people, the importance of information heuristics and working with other people whilst engaging in complex processes weighing up different decisional factors. Discussion? Young people's experiences demonstrate the importance of moving beyond viewing health choices as technical or rational decisions. How each young person framed their decision was important. Recognizing this diversity and the importance of emerging themes, such as living a normal life, independence, fear of decisions viewed as 'irreversible' and the role of parents and peers in decision making highlights that, there are clear practice implications including, active practitioner listening, sensitivity and continued holistic family working. PMID:22296527

Mitchell, Wendy A

2012-02-01

180

Variation in practices and attitudes of clinicians assessing PTSD-related disability among veterans.  

PubMed

One hundred thirty-eight Veterans Affairs mental health professionals completed a 128-item Posttraumatic Stress Disorder (PTSD) Practice Inventory that asked about their practices and attitudes related to disability assessment of PTSD. Results indicate strikingly wide variation in the attitudes and practices of clinicians conducting disability assessments for PTSD. In a high percentage of cases, these attitudes and practices conflict with best-practice guidelines. Specifically, 59% of clinicians reported rarely or never using testing, and only 17% indicated routinely using standardized clinical interviews. Less than 1% of respondents reported using functional assessment scales. PMID:21913226

Jackson, James C; Sinnott, Patricia L; Marx, Brian P; Murdoch, Maureen; Sayer, Nina A; Alvarez, Joann M; Greevy, Robert A; Schnurr, Paula P; Friedman, Matthew J; Shane, Andrea C; Owen, Richard R; Keane, Terence M; Speroff, Theodore

2011-09-12

181

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

ERIC Educational Resources Information Center

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

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

2011-01-01

182

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

Microsoft Academic Search

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

Susan Colmar; Amanda Maxwell; Leanne Miller

2006-01-01

183

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

ERIC Educational Resources Information Center

Three adult male sex offenders with developmental disabilities participated in phallometric assessments that involved repeated measures of arousal when exposed to various stimuli. Arousal assessment outcomes were similar to those obtained by Reyes et al. (2006). Additional data-analysis methods provided further information about sexual…

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

2011-01-01

184

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

ERIC Educational Resources Information Center

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

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

2011-01-01

185

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

ERIC Educational Resources Information Center

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

Koritsas, Stella; Iacono, Teresa; Davis, Robert

2012-01-01

186

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

ERIC Educational Resources Information Center

|Three adult male sex offenders with developmental disabilities participated in phallometric assessments that involved repeated measures of arousal when exposed to various stimuli. Arousal assessment outcomes were similar to those obtained by Reyes et al. (2006). Additional data-analysis methods provided further information about sexual…

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

2011-01-01

187

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

ERIC Educational Resources Information Center

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

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

2011-01-01

188

Rasch analysis of the assessment of children's hand skills in children with and without disabilities  

Microsoft Academic Search

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

Chi-Wen Chien; Ted Brown; Rachael McDonald

2011-01-01

189

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

ERIC Educational Resources Information Center

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

Kreiner, Janice; Flexer, Robert

2009-01-01

190

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

ERIC Educational Resources Information Center

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

Harris, Andrew J. R.; Tough, Susan

2004-01-01

191

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

ERIC Educational Resources Information Center

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

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

2008-01-01

192

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

ERIC Educational Resources Information Center

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

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

2010-01-01

193

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

ERIC Educational Resources Information Center

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

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

2010-01-01

194

Learning Disabilities and ADHD  

MedlinePLUS

... Types of illnesses and disabilities 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 ...

195

Pain management in intellectually disabled children: Assessment, treatment, and translational research.  

PubMed

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 intellectually disabled children and almost all children with intellectual disability have comorbidities that need to be addressed. The scope of research has started to broaden. In this review we aim to answer the question: Can we integrate validated ways of pain assessment and postoperative pain treatment in intellectually disabled children to develop specific analgesic algorithms? Regrettably there is little knowledge on possible interaction effects and other relevant pharmacological issues. Possible genotype-phenotype associations related to pain in children with Down syndrome have several promises as six possible candidate genes are located on chromosome 21. In conclusion, the pain assessment tools for intellectually disabled children are there. We should now focus on tailoring the pain treatment. To this aim we need to perform pharmacokinetic and pharmacodynamic studies of analgesics and obtain information about the genotype-phenotype relationships for pain. This can lead to the development of specific analgesic algorithms. PMID:20981763

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

2010-01-01

196

Pain Assessment Among Non-Communicating Intellectually Disabled People Described by Nursing Staff  

PubMed Central

The purpose of this study was to describe pain assessment among non-communicating intellectually disabled people living in long term care described by nursing staff. The target group of the study consisted of the nursing staff working at seven mental retardation units in different parts of Finland. The data were collected during spring 2008 by a semi-structured questionnaire (Non-communicating Children’s Pain Checklist – Revised, N=222), and the response rate was 82% (n=181). The data were analyzed by statistical methods (Kruskall-Wallis test, Mann-Whitney U test) and by content analysis. The findings were described as parameters, frequencies, percentages, and as statistical significance. The nursing staff considered their competence in identifying pain in non-communicating intellectually disabled people to be adequate, and they were of the opinion that enough attention is paid to pain. Almost all nursing staff assessed pain and the effect of treatment of pain on the basis of behavioural changes. Two thirds assessed the pain based on physiological changes. However, no pain assessment tools were used to assess pain and the effects of managing it. Two thirds of the staff considered the pain threshold to be high among non-communicating intellectually disabled people. The findings of this study can be utilized in nursing practice and research, as well as in further education for pain assessment. Additional studies are needed to develop pain assessment to be more systematic among non-communicating intellectually disabled people.

Kankkunen, Paivi; Janis, Paivi; Vehvilainen-Julkunen, Katri

2010-01-01

197

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

PubMed Central

STUDY OBJECTIVE—To examine the impact of non-fatal war related injuries on physical disability in a group of war wounded civilians and to assess their needs.?DESIGN—Cross sectional study. Home interviews were conducted using a structured interview schedule around one month after the injury, to assess impairments, disabilities, and needs.?STUDY POPULATION AND SETTING—War wounded persons in towns and villages in South Lebanon during the attack "Grapes of Wrath" in 1996.?RESULTS—The majority of the study population were young and in their productive age, mostly injured in the street or while hiding in open shelters. Around half of the injuries resulted in impairments, but, there were no age, gender or geographical differentials by severity of impairment. Almost one third (29%) of the students enrolled in schools at the time of the injury reported failure to continue their education and 42% of the working members lost their jobs with no potential for 34% of them to resume their former jobs. The impact of the injury on impairments, motor disabilities and physical independence was highest for injuries to the lower limbs (age and sex adjusted risk ratio (RR) 1.62, 95% confidence intervals (CI) 1.25, 2.10; 2.98, 95% CI 2.09, 4.23; and 2.13, 95% CI 1.39, 3.27, respectively). Despite the acute and early relief services provided by all those concerned at the time of the injury, when asked about unmet needs, the majority of the impaired (66%) reported the need for additional services, mostly medical in nature. The degree of disability was a salient factor for the need for rehabilitative services but not for medical services.?CONCLUSIONS—The chronic and diverse needs of people with war injuries are often neglected and underestimated by the governmental institutions and relief agencies. Research funds as well as services should be allocated to tackle the long term and continuous health and social needs of those injured and their families.???Keywords: war injuries; impairments and disabilities

Sibai, A. M.; Shaar, N. S.; El Yassir, S.

2000-01-01

198

A Medical Ethics Assessment of the Case of Terri Schiavo  

ERIC Educational Resources Information Center

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

Preston, Tom; Kelly, Michael

2006-01-01

199

Contingent Fees in Medical Malpractice Litigation--A Qualitative Assessment  

PubMed Central

The medical profession has experienced high liability insurance premiums accompanied by widespread use of contingent fees in medical malpractice litigation. It is worthwhile, therefore, to assess qualitatively the merits of contingent fees, the evidence suggesting that they are associated with unjustified litigation and their implications for the medical and legal professions.

Ottensmeyer, David J.; Smith, Howard L.; Porter, James

1983-01-01

200

Disability certifications in adult workers: a practical approach.  

PubMed

Family physicians are frequently asked to complete disability certification forms for workers. The certification process can be contentious because of the number of stakeholders, the varying definitions of disability and the nature of the administrative systems. Insufficient training on disability during medical school and residency complicates this process. Disability systems discussed include workers' compensation, private disability insurance, the Americans with Disabilities Act and the Family and Medical Leave Act. Strategies that help the physician complete disability certification forms effectively include identification of disability type, ascertainment of the definition of disability being applied, evaluation of workplace demands and essential job functions, assessment of worker capacity, and accurate and timely completion of the forms in their entirety. PMID:11730313

Barron, B A

2001-11-01

201

Teamwork on inpatient medical units: assessing attitudes and barriers  

Microsoft Academic Search

BackgroundDiscrepant attitudes about teamwork among nurses and physicians exist in operating rooms and intensive care units. Little is known about teamwork attitudes on general medical services.ObjectiveTo assess ratings of teamwork by providers on inpatient medical units and barriers to collaboration.Design and participantsNurses, primary hospital physicians and medical subspeciality consultants on four general medical units were surveyed.MeasurementsProviders rated the quality of

K J OLeary; C. D. Ritter; H. Wheeler; M. K. Szekendi; T. S. Brinton; M. V. Williams

2010-01-01

202

Low back pain assessment for the medical acupuncturist  

Microsoft Academic Search

SummaryLow back pain frequently presents to medical acupuncturists, many of whom are general practitioners working in the public sector. Under these circumstances there is often limited time to devote to an initial assessment of a patient’s presenting complaint. This paper presents an assessment process that is aimed at informing management decisions for medical acupuncturists, although much of the process may

Mike Cummings

2004-01-01

203

Use of medication for the management of behavior problems among adults with intellectual disabilities: a clinicians' consensus survey.  

PubMed

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 psychiatrists, thereby establishing a consensus. A total of 108 completed questionnaires were analyzed. A very strong preference for the use of nonmedication-based interventions was established. Of the medication options presented, atypical antipsychotics were most favored, with Risperidone the most preferred option from within this group. Citalopram was the most preferred antidepressant and Carbamazepine, the most preferred mood stabilizer/antiepileptic. PMID:18173296

Unwin, Gemma Louise; Deb, Shoumitro

2008-01-01

204

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

PubMed

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

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

2011-01-01

205

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

PubMed Central

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

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

2011-01-01

206

Assessing Perceived Professionalism in Medical School Applicants  

ERIC Educational Resources Information Center

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

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

2009-01-01

207

Medical Student Assessment of Videocassettes in Psychiatry  

ERIC Educational Resources Information Center

Five medical students viewed and criticized 11 videocassettes in "The Electronic Textbook of Psychiatry and Neurology." Brief summaries of the resulting critiques are presented here along with evaluation of videocassettes as an educational medium and the conclusion that videocassettes are useful for teaching medical students. (JT)

Heidel, Stephen; And Others

1975-01-01

208

Assessing Multiple Medication Use With Probabilities of Benefits and Harms  

PubMed Central

Objective A quantitative framework to assess harms and benefits of candidate medications in the context of drugs that a patient is already taking is proposed. Method Probabilities of harms and benefits of a given medication are averaged to yield a utility value. The utility values of all medications under consideration are combined as a geometric mean to yield an overall measure of favorability. The grouping of medications yielding the highest favorability value is chosen. Results Five examples of choosing between widely used candidate medications demonstrate the feasibility of the proposed framework. Discussion The framework proposed provides a simple method for considering the trade-offs involved in prescribing multiple medications. It can be adapted to include additional parameters representing severity of condition, prioritization of outcomes, patient preferences, dosages, and medication interactions. Inconsistent reporting in the medical literature of data about benefits and harms of medications, dosages, and interactions constitutes its primary limitation.

Murphy, Terrence E.; Agostini, Joseph V.; Van Ness, Peter H.; Peduzzi, Peter; Tinetti, Mary E.; Allore, Heather G.

2012-01-01

209

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

Microsoft Academic Search

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

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

2007-01-01

210

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

Microsoft Academic Search

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

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

2011-01-01

211

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

ERIC Educational Resources Information Center

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

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

2006-01-01

212

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

ERIC Educational Resources Information Center

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

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

2008-01-01

213

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

Microsoft Academic Search

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

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

2009-01-01

214

Automated assessment of medical training evaluation text.  

PubMed

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

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

2012-11-03

215

Automated Assessment of Medical Training Evaluation Text  

PubMed Central

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

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

2012-01-01

216

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

ERIC Educational Resources Information Center

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

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

2011-01-01

217

A code for assessing teaching skills of parents of developmentally disabled children  

Microsoft Academic Search

The reliability of a code to measure teaching skills was assessed by using it to evaluate a behavioral training program for parents of developmentally disabled children. Twelve sets of parents participated in a program to give them the skills needed to be teachers in the areas of behavior management and language acquisition. Using group meetings and home visits, parents were

Steven E. Weitz

1982-01-01

218

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

ERIC Educational Resources Information Center

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

McLaughlin, Katherine; Cascella, Paul W.

2008-01-01

219

Assessment of Anger and Aggression in Male Offenders With Developmental Disabilities  

Microsoft Academic Search

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

Raymond W. Novaco; John L. Taylor

2004-01-01

220

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

ERIC Educational Resources Information Center

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

Parrish, Polly R.; Stodden, Robert A.

2009-01-01

221

Development of the Brunel Balance Assessment: a new measure of balance disability post stroke  

Microsoft Academic Search

Objective: To report the psychometric properties of the Brunel Balance Assessment (BBA), a new test of balance disability post stroke.Design: Data from 92 subjects were collected and cohorts used to test hierarchical scaling, reliability and validity. Data from 80 people were used to test the hierarchical scaling using an inter-item correlation for redundancy, coefficient of reproducibility (CR) and scalability (CS)

Sarah F. Tyson; Lorraine H. DeSouza

2004-01-01

222

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

ERIC Educational Resources Information Center

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

Horrocks, Erin; Higbee, Thomas S.

2008-01-01

223

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

ERIC Educational Resources Information Center

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

Horrocks, Erin; Higbee, Thomas S.

2008-01-01

224

Assessing the Support Needs of Children with a Disability in Regular Classes.  

ERIC Educational Resources Information Center

An instrument was developed to assess needs of students with disabilities in regular classes and was used as the basis for providing funding support for 12,375 students. The three domains of the instrument, physical needs, learning needs, and social needs, had good construct and face validities and high score reliabilities. (Contains 10…

Foreman, Phil; Bourke, Sid; Mishra, Gita; Frost, Rick

2001-01-01

225

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

ERIC Educational Resources Information Center

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

Kleinert, Harold L.; Kearns, Jacqui Farmer

2010-01-01

226

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

ERIC Educational Resources Information Center

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

Tripp, April; Zhu, Weimo

2005-01-01

227

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

ERIC Educational Resources Information Center

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

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

2012-01-01

228

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

ERIC Educational Resources Information Center

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

Bessant, Judith

2012-01-01

229

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

ERIC Educational Resources Information Center

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

Oberlander, Tim F.

2001-01-01

230

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

ERIC Educational Resources Information Center

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

Parrish, Polly R.; Stodden, Robert A.

2009-01-01

231

‘Measuring Up’? Assessment and students with disabilities in the modern university  

Microsoft Academic Search

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 students and staff are typically characterised by unexpected events,

Judith Bessant

2012-01-01

232

‘Measuring Up’? Assessment and students with disabilities in the modern university  

Microsoft Academic Search

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 students and staff are typically characterised by unexpected events,

Judith Bessant

2011-01-01

233

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

ERIC Educational Resources Information Center

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

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

2009-01-01

234

Functional disability and quality-of-life assessment in clinical practice  

Microsoft Academic Search

Functional disability and quality of life in rheumatoid arthritis (RA) are key outcomes that determine patients' demand for care, and influence their compliance and satisfaction with treatment. In the past decade, there has been a shift from physician-focused assessment toward methods based on the postulate that patients can better report their perceptions of health impairment. There are several disease-specific and

F. Guillemin

235

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

ERIC Educational Resources Information Center

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

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

2010-01-01

236

Using Functional Behavioral Assessment with Individuals with Mental Retardation/Developmental Disabilities  

ERIC Educational Resources Information Center

|As a result of inherent cognitive and language difficulties, individuals with mental retardation/developmental disabilities often are considered difficult to assess appropriately. When cognitive and language difficulties occur in conjunction with behavioral issues, this difficulty is compounded. The IDEA requirement to include a form of…

Gartin, Barbara C.; Murdick, Nikki L.

2005-01-01

237

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

ERIC Educational Resources Information Center

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

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

2009-01-01

238

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

ERIC Educational Resources Information Center

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

Whiteside, Stephen P.

2009-01-01

239

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

Microsoft Academic Search

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

James K. Luiselli; Kathleen Lisowski; Robin Weiss

1998-01-01

240

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

ERIC Educational Resources Information Center

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

Joyce, Theresa; Globe, Amanda; Moody, Clare

2006-01-01

241

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

ERIC Educational Resources Information Center

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

Warger, Cynthia

242

State Assessment Policies on Participation and Accommodations for Students with Disabilities: 1997 Update. Synthesis Report 29.  

ERIC Educational Resources Information Center

This report summarizes states' current policies on the participation of students with disabilities in large-scale assessment and the accommodations available for these students. Among the generalizations from these summaries are (1) state participation and accommodation policies change frequently; (2) for participation decisions, state policies…

Thurlow, Martha L.; Seyfarth, Allison L.; Scott, Dorene L.; Ysseldyke, James E.

243

Accuracy of Self-Assessed Spanish Fluency in Medical Students  

Microsoft Academic Search

Background: Non-English language fluency is increasingly important in patient care. Fluency self-assessment is easily obtained, but its accuracy is unknown. Purposes: The purpose is to determine accuracy of medical students' self-assessed Spanish fluency. Methods: Four matriculating classes assessed their own oral fluency as (“none”:“novice”;“intermediate”;“advanced”;“native-speaker”). Participants who rated themselves greater than “novice” and who expressed interest in medical Spanish coursework took

Daniel S. Reuland; Pamela Y. Frasier; Matthew D. Olson; Lisa M. Slatt; Marco A. Aleman; Alicia Fernandez

2009-01-01

244

Approach to learning disability.  

PubMed

Learning disabilities (LD) is one of the important causes of poor academic performance in school going children. Learning disabilities are developmental disorders that usually manifest during the period of normal education. These disabilities create a significant gap between the true potential and day to day performance of an individual. Dyslexia, dysgraphia and dyscalculia denote the problem related to reading, writing and mathematics. Perinatal problems are certain neurological conditions, known to be associated with LD; however, genetic predisposition seems to be the most probable etiological factors. Evaluation of a child suspected to be having LD consists of medical examination, vision and hearing test analysis of school performance. The psycho-behaviour assessment and education testing are essential in the process of diagnosis. The experienced persons in the field of LD should interpret the results of such tests. With Individualized Remedial Education Plan (IEP) most children learn to cope up with disability and may get integrated in a regular steam. PMID:11450386

Kulkarni, M; Kalantre, S; Upadhye, S; Karande, S; Ahuja, S

2001-06-01

245

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

ERIC Educational Resources Information Center

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

Gutierrez, Mary Kate, Comp.

246

Assessment and management of disability in chronic daily headache  

Microsoft Academic Search

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

William Pryse-Phillips

2005-01-01

247

Risk Assessment in Offenders With Intellectual DisabilityA Comparison Across Three Levels of Security  

Microsoft Academic Search

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

William R. Lindsay; Todd E. Hogue; John L. Taylor; Lesley Steptoe; Paul Mooney; Gregory OBrien; Susan Johnston; Anne H. W. Smith

2008-01-01

248

Predicting Optimal Preference Assessment Methods for Individuals with Developmental Disabilities  

ERIC Educational Resources Information Center

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

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

2007-01-01

249

Assessing the Effects of Teaching a Learning Disabled Child.  

ERIC Educational Resources Information Center

Following a 10-day period of daily assessment on the Goodenough Draw-A-Person Test and a visual matching task, a seven and a half year-old female with cerebral palsy received eight days of half-hour instruction targeting each skill area. Continued daily assessment during instruction demonstrated substantial improvement in test scores. (JW)

Jeffries, K.; Pring, T.

1987-01-01

250

Medication Treatment of Bipolar Disorder in Developmentally Disabled Children and Adolescents  

Microsoft Academic Search

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

Zinoviy A. Gutkovich; Gabrielle A. Carlson

251

State involvement in medical technology assessment  

Microsoft Academic Search

Prologue: America's belief in science and technology has been a defining force in the evolution of our health care system. But conflicting pressures surround the advent of technologies, involv- ing the innovator, the third parties that pay for the innovations' use, and a host of other stakeholders in between. As medical costs have soared and the heavy use of technology

Daniel N. Mendelson; Richard G. Abramson; Robert J. Rubin

1995-01-01

252

42 CFR 436.322 - Medically needy coverage of the disabled.  

Code of Federal Regulations, 2012 CFR

...SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) MEDICAL ASSISTANCE PROGRAMS ELIGIBILITY IN GUAM, PUERTO RICO, AND THE VIRGIN ISLANDS Optional Coverage of the Medically Needy § 436.322 Medically needy coverage of...

2012-10-01

253

Detection and hazard assessment of pathogenic microorganisms in medical wastes  

Microsoft Academic Search

This study was undertaken to investigate the types and concentrations of microbial agents in various medical wastes as well as to characterize their survivals in these wastes at different temperatures for microbial risk assessment. Medical wastes collected from 5 major hospitals in South Korea were classified and stored at three different temperatures (?20, 6, and 30°C). Presence of various microorganisms

Keunhwa Lee; Misoon Kim; Jungeun Lee; Seung-Yong Seong; Gwangpyo Ko

2009-01-01

254

Assessing computer skills in Tanzanian medical students: an elective experience  

Microsoft Academic Search

BACKGROUND: One estimate suggests that by 2010 more than 30% of a physician's time will be spent using information technology tools. The aim of this study is to assess the information and communication technologies (ICT) skills of medical students in Tanzania. We also report a pilot intervention of peer mentoring training in ICT by medical students from the UK tutoring

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

2004-01-01

255

Assessment and Treatment of Dementia in Medical Patients  

Microsoft Academic Search

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

Julia M. Foy; John M. Starr

2000-01-01

256

Assessing Medical Information Needs via an Internet-Based Survey  

Microsoft Academic Search

Genentech's Medical Communications Department provides verbal and written responses to unsolicited requests for medical information relating to company products. Two surveys were conducted with the following objectives: to assess health care professional informational needs during the postapproval period, to evaluate customer satisfaction during a time of increased departmental workload, to explore relevance and usefulness of information provided, and to identify

Stacey M. Fung; Laura Merriman; Maureen Cawley

2009-01-01

257

An Empirical Assessment of Early Offer Reform for Medical Malpractice  

Microsoft Academic Search

The early offer reform proposal for medical malpractice provides an option for claimants to receive prompt payment of all their net economic losses and reasonable attorney fees. Using a large sample of closed individual medical malpractice claims from Texas supplemented by data from Florida, this article provides an empirical assessment of the consequences of the early offer reform. Noneconomic damages

Joni Hersch; Jeffrey OConnell; W. Kip Viscusi

2007-01-01

258

Development of a disability measurement tool for juvenile rheumatoid arthritis. The Juvenile Arthritis Functional Assessment Scale.  

PubMed

A disability assessment tool, the Juvenile Arthritis Functional Assessment Scale, was developed for, and validated in, patients with juvenile rheumatoid arthritis (JRA). Standards for this 10-item tool were developed using the scores of 63 normal school children as controls and comparing these results with those of 71 age-matched JRA patients (age 7-16 years). The JRA patients scored statistically significantly higher on the scale, which also demonstrated excellent internal and convergent validity and internal reliability. The test is easily administered in 10 minutes by a physical or occupational therapist in a clinical or office setting. This tool represents the first normalized disability assessment tool developed for JRA patients. PMID:2818655

Lovell, D J; Howe, S; Shear, E; Hartner, S; McGirr, G; Schulte, M; Levinson, J

1989-11-01

259

Learning Disabilities  

MedlinePLUS

... t get addressed until the teen years when schoolwork — and life — gets more complicated. Most learning disabilities ... learning, such as books on tape or laptop computers for students who have dyslexia. Medication is often ...

260

Assessing preferences of individuals with developmental disabilities: a survey of current practices.  

PubMed

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

Graff, Richard B; Karsten, Amanda M

2012-01-01

261

Assessing Patients' Expectations in Ambulatory Medical Practice  

Microsoft Academic Search

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

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

1997-01-01

262

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

ERIC Educational Resources Information Center

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

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

2008-01-01

263

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

ERIC Educational Resources Information Center

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

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

2009-01-01

264

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

ERIC Educational Resources Information Center

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

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

2009-01-01

265

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

ERIC Educational Resources Information Center

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

Unwin, Gemma L.; Deb, Shoumitro

2011-01-01

266

Medical technology: Assessment, adoption, and utilization  

Microsoft Academic Search

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

Ann Lennarson Greer

1981-01-01

267

Howard Hughes Medical Institute dose assessment survey  

SciTech Connect

Biomedical science researchers often express frustration that health physics practices vary widely between individual institutions. A survey examining both internal and external dose assessment practices was devised and mailed to fifty institutions supporting biomedical science research. The results indicate that health physics dose assessment practices and policies are highly variable. Factors which may contribute to the degree of variation are discussed. 2 tabs.

O`Brien, S.L.; McDougall, M.M.; Barkley, W.E. [Office of Lab. Safety, Chevy Chase, MD (United States)

1996-12-01

268

Participation of Students with Disabilities in Statewide Assessments and the General Education Curriculum: Implications for Administrative Practice.  

ERIC Educational Resources Information Center

|This article examines requirements of the Individuals with Disabilities Education Act (1997) regarding participation of students with disabilities in state- and district-wide assessments and access to the general curriculum. It considers implications for change in school district procedures concerning evaluation and reevaluation, Individualized…

Lashley, Carl

2002-01-01

269

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

Microsoft Academic Search

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

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

2010-01-01

270

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

Microsoft Academic Search

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

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

2001-01-01

271

Assessment Modifications for Students with Disabilities in Sport Education  

ERIC Educational Resources Information Center

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

Tindall, Daniel; Foley, John

2011-01-01

272

Mathematics Assessment for Students with Mild Disabilities: Frameworks and Practices  

ERIC Educational Resources Information Center

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

Cawley, John F.; Parmar, Rene S.

2003-01-01

273

Assessment Modifications for Students with Disabilities in Sport Education  

ERIC Educational Resources Information Center

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

Tindall, Daniel; Foley, John

2011-01-01

274

Motivational Interviews as Goal Assessment for Persons with Psychiatric Disability  

Microsoft Academic Search

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

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

2001-01-01

275

Investigating the Language Assessment Tasks with Learning Disabled Children.  

ERIC Educational Resources Information Center

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

Henderson, Nancy B.; Pine, Shirley J.

276

10 CFR 712.14 - Medical assessment.  

Code of Federal Regulations, 2010 CFR

...and Safety or his or her designee, and a semi-structured interview. (2) For recertification. This psychological evaluation consists of a semi-structured interview. A psychological assessment (test) may...

2010-01-01

277

10 CFR 712.14 - Medical assessment.  

Code of Federal Regulations, 2010 CFR

...and Safety or his or her designee, and a semi-structured interview. (2) For recertification. This psychological evaluation consists of a semi-structured interview. A psychological assessment (test) may...

2009-01-01

278

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

ERIC Educational Resources Information Center

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

Cooper, Lisa Marie

2012-01-01

279

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

ERIC Educational Resources Information Center

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

Phillips, Louise; Wilson, Linda; Wilson, Erin

2010-01-01

280

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

ERIC Educational Resources Information Center

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

Phillips, Louise; Wilson, Linda; Wilson, Erin

2010-01-01

281

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

ERIC Educational Resources Information Center

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

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

2005-01-01

282

Assessment and management of pediatric iatrogenic medical trauma.  

PubMed

Medically ill children are often exposed to traumatizing situations within the medical setting. Approximately 25-30 % of medically ill children develop posttraumatic stress symptoms and 10-20 % of them meet criteria for posttraumatic stress disorder. Parents of medically ill children are at even higher risk for posttraumatic stress symptoms. Most children and parents will experience resolution of mild trauma symptoms without formal psychological or psychiatric treatment. Posttraumatic stress symptoms are associated with medical nonadherence, psychiatric co-morbidities, and poorer health status. Therefore, evidenced-based trauma-focused treatment is indicated for those who remain highly distressed or impaired. This paper reviews approaches to the assessment and management of pediatric iatrogenic medical trauma within a family-based framework. PMID:23307562

Forgey, Marcy; Bursch, Brenda

2013-02-01

283

Historical trends in biological and medical investigations of reading disabilities: 1850-1915.  

PubMed

The theoretical roots of neuropsychological research lie in the case studies of reading disability completed during the late nineteenth and early twentieth centuries. This article reviews the methods, technologies, and operating tenets of these studies. The results suggest that the assumptions of anatomical and functional modularity for cortical processes became guiding principles for diagnosing and correcting reading difficulties. The advent of neuron doctrine shifted the focus of neuropsychological explanations of reading difficulties from gross neuroanatomical studies to investigations of the microstructure of the central nervous system. Early definitions of reading disabilities are interpreted across the dimensions of focal lesions, autonomous cognitive processes, comorbidity with other symptoms and syndromes, etiology, and permanence. PMID:9813962

Pickle, J M

284

Adolescent chronic pain and disability: A review of the current evidence in assessment and treatment  

PubMed Central

Adolescents who suffer from chronic pain also report complex syndrome-associated disability and distress that can detrimentally affect the quality of their lives and the lives of their family members. Over the past 10 years, there have been significant developments in both methods of assessment and in treatment programs. There have also been good developments in clinical assessment tools, although many need further study. However, the evidence base of available treatments remains small, and there is an urgent need for new trials in both pharmacological and nonpharmacological treatments. The greatest challenges are organizational, and the concern is how to bring patients in contact with available treatments. Many patients who could benefit from evidence-supported treatments are not currently able to access treatment. Theoretical developments aimed at explaining chronic pain within the context of the family, as well as family attempts at coping with complex disability, are underway.

Eccleston, Christopher; Clinch, Jacqueline

2007-01-01

285

Assessing accuracy of an electronic provincial medication repository  

PubMed Central

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

2012-01-01

286

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

Microsoft Academic Search

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

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

1982-01-01

287

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

PubMed

The Department of Veterans Affairs (VA) is issuing this interim final rule to amend its adjudication regulation regarding compensation for disabilities suffered by veterans who served in the Southwest Asia Theater of Operations during the Persian Gulf War. This amendment is necessary to extend the period during which disabilities associated with undiagnosed illnesses and medically unexplained chronic multi-symptom illnesses must become manifest in order for a veteran to be eligible for compensation. PMID:22242227

2011-12-29

288

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

PubMed

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

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

2013-01-01

289

Utilisation of medical technology assessment in health policy  

Microsoft Academic Search

Objective: To assess the contribution of medical technology assessment (MTA) to health policy decision making, the question has to be answered whether MTA is actually being used in decision-making processes and what factors are related to its utilisation. Design: We investigated recent Dutch policy decision making concerning four cases, i.e., breast cancer screening, serum alphaprotein (AFP) screening, in vitro fertilisation

Roelof Wieringh; Lisette P. M. van den Heuvel

1997-01-01

290

Assessing the Written Communication Skills of Medical School Graduates  

ERIC Educational Resources Information Center

|The ECFMG[R] Clinical Skills Assessment (CSA[R]) was developed to evaluate whether graduates of international medical schools (IMGs) are ready to enter graduate training programs in the United States. The patient note (PN) exercise, conducted after a 15-minute interview with a standardized patient (SP), is specifically used to assess a…

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

2004-01-01

291

Long-Term Declines in Disability Among Older Men: Medical Care, Public Health, and Occupational Change  

Microsoft Academic Search

Functional disability (difficulty in walking , difficulty in bending, paralysis, blindness in at least one eye, and deafness in at least one ear) in the United States has fallen at an average annual rate of 0.6 percent among men age 50 to 74 from the early twentieth century to the early 1990s. Twenty-four to 41 percent of this decline is

Dora L. Costa

2000-01-01

292

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

ERIC Educational Resources Information Center

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

Iacono, T.; Carling-Jenkins, R.

2012-01-01

293

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

ERIC Educational Resources Information Center

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

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

2004-01-01

294

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

Code of Federal Regulations, 2013 CFR

...result of which the disease or injury was sustained...ii) As applied to medical or surgical treatment, the physical condition prior to the disease or injury will be the condition which the specific medical or surgical...

2013-07-01

295

Emergency Medical Service System Development: Results of the Statewide Emergency Medical Service Technical Assessment Program  

Microsoft Academic Search

Study objective: The National Highway Traffic Safety Administration developed the EMS (emergency medical services) Technical Assessment Program to assist states in developing and improving their EMS systems. The main goals of this evaluation were to document the level of improvement in EMS system development following completion of the Technical Assessment Program and to identify necessary program improvements at the National

Joan A Snyder; Jill M Baren; Susan D Ryan; John L Chew; James S Seidel

1995-01-01

296

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

Code of Federal Regulations, 2013 CFR

...416.996 Continued disability or blindness benefits...you are not eligible for disability or blindness benefits because the physical or mental impairment(s) on...may choose to have your disability or blindness...

2013-04-01

297

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

PubMed Central

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

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

2008-01-01

298

Medically unexplained symptoms and neuropsychological assessment.  

PubMed

Several illnesses expressed somatically that do not have clearly demonstrated pathophysiological origin and that are associated with neuropsychological complaints are reviewed. Among them are nonepileptic seizures, fibromyalgia, chronic fatigue syndrome, Persian Gulf War unexplained illnesses, toxic mold and sick building syndrome, and silicone breast implant disease. Some of these illnesses may be associated with objective cognitive abnormalities, but it is not likely that these abnormalities are caused by traditionally defined neurological disease. Instead, the cognitive abnormalities may be caused by a complex interaction between biological and psychological factors. Nonepileptic seizures serve as an excellent model of medically unexplained symptoms. Although nonepileptic seizures clearly are associated with objective cognitive abnormalities, they are not of neurological origin. There is evidence that severe stressors and PTSD are associated with immune system problems, neurochemical changes, and various diseases; these data blur the distinctions between psychological and organic etiologies. Diagnostic problems are intensified by the fact that many patients are poor historians. Patients are prone to omit history of severe stressors and psychiatric problems, and the inability to talk about stressors increases the likelihood of suffering from physiological forms of stress. PMID:15512927

Binder, Laurence M; Campbell, Keith A

2004-05-01

299

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

PubMed Central

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

Wagner, Joanne M.

2011-01-01

300

Subsequent program participation of former social security disability insurance beneficiaries and supplemental security income recipients whose eligibility ceased because of medical improvement.  

PubMed

The Social Security Administration (SSA) periodically reviews the disabilities of Supplemental Security Income (SSI) recipients and Social Security Disability Insurance (DI) beneficiaries to determine if their impairments still meet the requirements for program eligibility. For individuals whose eligibility was ceased after a full medical review from 2003 to 2008, we track subsequent program participation for up to 8 years. We use survival analyses to estimate the time untilfirst return to SSI and DI and explore the differences in returns by various personal and programmatic characteristics such as age, disability type, time on program, and SSA expectations regarding medical improvement. Overall, we estimate that about 30 percent ofSSI-only recipients whose eligibility ceases because of medical improvement return to the SSI program within 8 years. For DI-only worker beneficiaries whose eligibility ceases, we estimate that 20 percent will return to the DI program within 8 years. PMID:23914620

Hemmeter, Jeffrey; Stegman, Michelle

2013-01-01

301

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

PubMed Central

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

2010-01-01

302

Students' Perceptions of Assessment Practices in a Traditional Medical Curriculum  

Microsoft Academic Search

This study examines advanced medical students' perceptions of assessment practices and their ways of studying for examinations\\u000a as related to their approaches to learning. This study further validates a cluster model obtained in a previous study through\\u000a medical students' interviews. In this cluster model students were divided into four groups on the basis of their approaches\\u000a to learning. The subjects

Sari Lindblom-Ylänne; Kirsti Lonka

2001-01-01

303

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

ERIC Educational Resources Information Center

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

Seelig, Richard

2006-01-01

304

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

ERIC Educational Resources Information Center

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

Seelig, Richard

2006-01-01

305

[Medical expert assessment in criminal processes from the legal viewpoint].  

PubMed

In the area of medical professional blunder, the medical expert witness is the one participant in a trial whose statement is practically decisive for the court or the prosecutor. Legally, the responsibility remains naturally in the legal hand as the expert witness is only the assistant of the judge. The most important demands on the expert witness are strict objectiveness including towards the colleague, no independent inquiries or interrogations, comprehensive processing of the expert assessment, readiness to revise a written expert assessment according to better knowledge or new facts, independence from the client, no legal comments, clarity of language and intellectual honesty. PMID:9064925

Ulsenheimer, K

1996-11-01

306

Concordance between severity of disease, prevalence of nonmotor symptoms, patient-reported quality of life and disability and use of medication in Parkinson's disease.  

PubMed

The aim of this study was to test the concordance between disease severity, prevalence of nonmotor symptoms, age, health-related quality of life (HRQoL), disability and medication use in patients with Parkinson's disease (PD). Severity was classified with the Hoehn and Yahr (HY) scale and Levodopa Equivalent Daily Dose (LEDD) calculated. HRQoL was evaluated with the SF-36, disability with the WHO-DAS II and nonmotor symptoms with the NMSQuest. Patients were clustered using SF-36 and WHO-DAS II into three groups covering the continuum from low disability and HRQoL, to severe disability and HRQoL decrement. Contingency Coefficient were used to verify the relationships between clusters and HY stage; ANOVA to evaluate differences in NMS, age and LEDD between clusters; odds ratio to test the likelihood of taking levodopa or dopamine agonist and being member of the three clusters; t test to evaluate differences in LEDD between patients with HY ?3 or ?2. Eighty-six patients were clustered: 48 had low disability and HRQoL decrement, 18 intermediate disability and HRQoL decrement and 20 high disability and HRQoL decrement. A significant relationship was found between PD severity groups, HRQoL and disability profiles. No differences for age and LEDD were observed in the three groups, and those with more disability and lower HRQoL reported a higher number of nonmotor symptoms; patients in HY ?3 were prescribed higher doses of drugs. In conclusion, we found a substantial concordance between PD staging, prevalence of nonmotor symptoms and patient-reported HRQoL and disability measures. In our opinion, the SF-36 and the WHO-DAS II can be used for profiling patients. PMID:22071794

Raggi, Alberto; Leonardi, Matilde; Covelli, Venusia; Albanese, Alberto; Soliveri, Paola; Carella, Francesco; Romito, Luigi

2011-11-10

307

Sports medical experiences from the International Flower Marathon for disabled wheelers  

Microsoft Academic Search

Little is known about sports medical problems in long distance wheelchair athletes. Using a continuous mon itoring system, we studied participants of a yearly wheelchair event lasting 1 week (International Flower Marathon). The aims were 1) to evaluate the medical problems in 40 athletes who took part in the 1986 edition and 2) to explore whether problems in previous editions

J. H. Hoeberigs; H. B. L. Debets-Eggen; P. M. L. Debets

1990-01-01

308

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

PubMed Central

Purpose To investigate whether the Stanford Health Assessment Questionnaire Disability Index (HAQ-DI) can serve as a generic instrument for measuring disability across different rheumatic diseases and to propose a scoring method based on item response theory (IRT) modeling to support this goal. Methods The HAQ-DI was administered to a cross-sectional sample of patients with confirmed rheumatoid arthritis (n = 619), osteoarthritis (n = 125), or gout (n = 102). The results were analyzed using the generalized partial credit model as an IRT model. Results It was found that 4 out of 8 item categories of the HAQ-DI displayed substantial differential item functioning (DIF) over the three diseases. Further, it was shown that this DIF could be modeled using an IRT model with disease-specific item parameters, which produces measures that are comparable for the three diseases. Conclusion Although the HAQ-DI partially functioned differently in the three disease groups, the measurement regarding the disability level of the patients can be made comparable using IRT methods.

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

2010-01-01

309

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

ERIC Educational Resources Information Center

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

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

2013-01-01

310

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

ERIC Educational Resources Information Center

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

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

2013-01-01

311

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

PubMed Central

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

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

2013-01-01

312

The relationship of workers' compensation to the Americans with Disabilities Act and Family and Medical Leave Act.  

PubMed

This article examines the intersection of workers' compensation laws with the Americans with Disabilities Act (ADA) and the Family and Medical Leave Act (FMLA). Much ADA and FMLA litigation stems from work-related injuries or illnesses. Knowledge of the ADA and FMLA may help prevent workers' compensation cases from resulting in costly employment litigation. Employees who are absent from work for a work-related condition often have rights under other laws, besides workers' compensation laws, such as the ADA and FMLA. Employers need to be cognizant of this while addressing these cases. First, the goals of state workers' compensation laws and the ADA and FMLA are reviewed. Then specific issues involving the intersection of workers' compensation, ADA,and FMLA are discussed. PMID:15182749

Geaney, John H

2004-05-01

313

General practitioners' views on perceived and actual gains, benefits and barriers associated with the implementation of an Australian health assessment for people with intellectual disability.  

PubMed

Background? Health assessments for people with intellectual disability have been implemented in the UK, New Zealand and Australia, and have led to improved health outcomes. The Comprehensive Health Assessment Program (CHAP) has been shown to improve the health of people with intellectual disability. Similar to other health assessments, it is designed to address healthcare needs, many of which are often overlooked in this population, through better communication between the general practitioner (GP), support worker and the person with intellectual disability. This study investigates GP views of the perceived and actual benefits, gains and barriers associated with its uptake and use in practice. Method? As part of a larger randomised controlled trial of the CHAP, 46 GPs in Queensland, Australia, completed two telephone interviews that included open-ended questions about their perceptions of the health assessment. The GPs were enrolled in the intervention arm of the trial. Interviews took place at commencement and conclusion of the trial to gain the views of GPs as they experienced using the CHAP. Thematic analysis was used to identify key themes and patterns from the GP responses. Results? Four themes were identified: better healthcare and uncertain benefits captured GP perceptions of the potential gains associated with use of the CHAP, while two further themes, organisational barriers in the general practice setting and engagement across the healthcare triad highlighted strengths and barriers related to implementation. Anticipated concerns about time raised by GPs at commencement of the trial were borne out in practice, but concerns about communication and cooperation of people with disabilities were not. Matters associated with support worker engagement emerged as an area of concern. Conclusions? GPs perceive the CHAP as a structured and comprehensive approach to the detection of medical problems as well as an aid in overcoming communication barriers between the doctor and the person with disability. Our findings suggest that some GPs may find it difficult to predict the benefits of using health assessments such as the CHAP. Achieving optimal uptake is likely to require attention at policy and systems levels to address: GP time constraints in providing healthcare to this population; enhancement of support worker training and organisational structures to encourage comprehensive health assessment and follow-up activities; and GP awareness of the improved health outcomes shown to derive from the use of comprehensive health assessments. PMID:22774940

Lennox, N G; Brolan, C E; Dean, J; Ware, R S; Boyle, F M; Taylor Gomez, M; van Dooren, K; Bain, C

2012-07-10

314

Assessment of Critical Thinking Ability in Medical Students  

ERIC Educational Resources Information Center

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

Macpherson, Karen; Owen, Cathy

2010-01-01

315

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

Microsoft Academic Search

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

HUMMEL JM

316

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

PubMed Central

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

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

2005-01-01

317

Development of the MG-DIS: an ICF-based disability assessment instrument for myasthenia gravis.  

PubMed

Abstract Purpose: To develop a preliminary version of a disease-specific, patient-reported disability assessment instrument for myasthenia gravis (MG) based on the International Classification of Functioning, Disability and Health (ICF): the MG-DIS. Methods: Five consecutive steps were taken: literature review and selection of outcome measures; linking of measures' concepts to ICF categories and selection of those reported by 30% of the instruments; comparison of linking results with a previous selection of MG-relevant ICF categories; patient interview; development of questions based on retained ICF categories. Results: Thirty-one papers containing 21 different outcome measures were found: 13 ICF categories were linked to them. Fifty-five items were retained after the comparison with the list of MG-specific categories, and were used for patient interview. Thirteen interviews were conducted before saturation of data was reached and the final list was composed of 42 categories: based upon them, 44 questions were developed. Conclusions: The preliminary version of the MG-DIS contains more information than each single MG-specific tool, in particular, for the component of environmental factors. Further research is needed to test its psychometric properties. Implications for Rehabilitation It is important that patient-reported outcome is incorporated in MG patient's assessment. MG features can be evaluated with ICF-based methods. An MG-specific patient-reported disability assessment instrument can be used to monitor changes of functioning in patients on MG-specific treatments, and can be used in clinical trials as outcome measure. PMID:23781909

Raggi, Alberto; Schiavolin, Silvia; Leonardi, Matilde; Antozzi, Carlo; Baggi, Fulvio; Maggi, Lorenzo; Mantegazza, Renato

2013-06-19

318

Diagnosing a Learning Disability in a Hearing-Impaired Child.  

ERIC Educational Resources Information Center

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

Plapinger, Donald; Sikora, Darryn

1990-01-01

319

Assessing the psychological sequelae of staff working with assaultive developmentally disabled children and adolescents in a residential setting  

Microsoft Academic Search

Although much has been written about the incidence of assaults on staff by psychiatric in-patients, there is a dearth of research on the topic of assaulted staff working with developmentally disabled individuals in a residential milieu. The present study used Needs Assessment to investigate whether student-to-staff assault at a residential school serving developmentally disabled children and adolescents was being underreported.

Patricia Simon

2001-01-01

320

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

Microsoft Academic Search

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

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

2004-01-01

321

Initial assessment and treatment with the Airway, Breathing, Circulation, Disability, Exposure (ABCDE) approach  

PubMed Central

The Airway, Breathing, Circulation, Disability, Exposure (ABCDE) approach is applicable in all clinical emergencies for immediate assessment and treatment. The approach is widely accepted by experts in emergency medicine and likely improves outcomes by helping health care professionals focusing on the most life-threatening clinical problems. In an acute setting, high-quality ABCDE skills among all treating team members can save valuable time and improve team performance. Dissemination of knowledge and skills related to the ABCDE approach are therefore needed. This paper offers a practical “how-to” description of the ABCDE approach.

Thim, Troels; Krarup, Niels Henrik Vinther; Grove, Erik Lerkevang; Rohde, Claus Valter; L?fgren, Bo

2012-01-01

322

The usefulness of assessing suggestibility and compliance in prisoners with unidentified intellectual disabilities.  

PubMed

Søndenaa, E., Rasmussen, K., Palmstierna, T. & Nøttestad, J. A. (2010). The usefulness of assessing suggestibility and compliance in prisoners with unidentified intellectual disabilities. Scandinavian Journal of Psychology. This present study explored the relationship of interrogative suggestibility (n = 133) and compliance (n = 118) to intellectual functioning among prison inmates. The Norwegian versions of the Gudjonsson Suggestibility Scale (GSS) and the Gudjonsson Compliance Scale (GCS) were used. The results supported previous findings of a negative correlation between the Gudjonsson scales and IQ, and the scales were found useful throughout the IQ range. The impact of a memory artifact was discussed in the light of recent studies and criticism of the scales. PMID:20338018

Søndenaa, Erik; Rasmussen, Kirsten; Palmstierna, Tom; Nøttestad, Jim Aage

2010-03-19

323

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

ERIC Educational Resources Information Center

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

Lee, Wui-Chiang; Chen, Tzeng-Ji

2012-01-01

324

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

ERIC Educational Resources Information Center

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

Unwin, Gemma L.; Deb, Shoumitro

2008-01-01

325

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

ERIC Educational Resources Information Center

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

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

2009-01-01

326

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

ERIC Educational Resources Information Center

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

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

2004-01-01

327

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

Microsoft Academic Search

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

David Legg; Robert Steadward

2011-01-01

328

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

ERIC Educational Resources Information Center

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

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

2009-01-01

329

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

ERIC Educational Resources Information Center

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

Scior, Katrina; Furnham, Adrian

2011-01-01

330

Human Rehabilitation Techniques, A Technology Assessment. Volume II, Part C, Supplemental Report: Disability Analyses, Chronic Disease Disabilities.  

National Technical Information Service (NTIS)

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

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

1977-01-01

331

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

National Technical Information Service (NTIS)

The Exploration Medical Capability project is creating a catalog of risk assessments using the Integrated Medical Model (IMM). The IMM is a software-based system intended to assist mission planners in preparing for spaceflight missions by helping them to ...

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

2012-01-01

332

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

PubMed

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

Pagliuca, Lorita Marlena Freitag; Maia, Evanira Rodrigues

333

Emotional intelligence assessment in a graduate entry medical school curriculum  

PubMed Central

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

2013-01-01

334

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

ERIC Educational Resources Information Center

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

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

2010-01-01

335

The Assessment of Basic Learning Abilities Test for Predicting Learning of Persons With Intellectual DisabilitiesA Review  

Microsoft Academic Search

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

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

2008-01-01

336

Authentic Assessment and Student Performance in Inclusive Schools. Research Institute on Secondary Education Reform (RISER) for Youth with Disabilities Brief.  

ERIC Educational Resources Information Center

|This research brief explores the extent to which teacher-designed assessments are authentic in inclusive secondary schools and how students with and without disabilities perform on these assessments. Data come from three high schools that are participating in a 5-year national study conducted by the Research Institute on Secondary Education…

King, M. Bruce; Schroeder, Jennifer; Chawszczewski, David

337

Can the Computer-Based Academic Assessment System (CAAS) Be Used to Diagnose Reading Disability in College Students?  

Microsoft Academic Search

Four studies are presented that evaluate the validity of the computer-based academic assessment system (CAAS) as a diagnostic technique for identifying specific reading disability in college students. CAAS assesses component reading skills using computer-presented reading tasks that measure speed and accuracy of performance. CAAS validity was evaluated against 4 requirements of a reading diagnostic: The technique must (a) be valid

Cheryl A. Cisero; James M. Royer; Horace G. Marchant; Stanley J. Jackson

1997-01-01

338

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

ERIC Educational Resources Information Center

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

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

2011-01-01

339

Assessment of computer task performance (ACTP) of children and youth with intellectual and developmental disability.  

PubMed

The aims of this study were to assess the reliability and validity of the Arabic translation of the Assessment of Computer Task Performance (ACTP) when used for children with Intellectual and Developmental Disabilities (IDD) and to determine the relationship between participants' performance when using an adapted pointing device and the teacher's satisfaction of their performance. Thirty boys and girls, Arabic speakers, 6- 21 years old, who had moderate IDD, participated in the study. Two expert occupational therapists used the ACTP to evaluate the performance of five standardized timed computer tasks. The Quebec User Evaluation of Satisfaction with Assistive Technology was used to evaluate the teachers' satisfaction with the prescribed pointing device. The sample in the current study performed slower than typically developing children and youth, and slower than participants with motor impairments, examined in previous studies. Differences were found in performance time between girls and boys, and between three diagnostic subgroups. The participants' success scores of computer performance correlated significantly with the teacher's satisfaction with the prescribed pointing device. Demonstration of the validity and reliability of the Arabic version of the ACTP-Child enables wider use of this tool which is now available in four languages and diverse cultural settings and disability populations, including children and youth with significant IDD. PMID:22299642

Danial-Saad, Alexandra; Tamar Weiss, Patrice L; Schreuer, Naomi

2012-02-03

340

Assessing and managing medically fragile children: tracheostomy and ventilatory support.  

PubMed

Over the past decade, there has been an increase in premature births. Children born prematurely often present with complex medical conditions; some require a tracheostomy. Although many children with tracheostomies require assistance to achieve effective communication, speech-language pathologists may have limited information with respect to the medical issues and communication needs of this population. The purpose of this article is twofold. First, a review of basic information on tracheostomy and ventilatory support in the pediatric population is provided. Second, information on the assessment of communication skills and intervention specific to voice for the child with a tracheostomy is detailed. Two case studies are presented. The case studies illustrate the diversity and medical complexity common to this population and provide practical information for the clinician working with a child with a tracheostomy. PMID:15609639

Woodnorth, Geralyn Harvey

2004-10-01

341

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

Microsoft Academic Search

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

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

2007-01-01

342

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

ERIC Educational Resources Information Center

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

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

2004-01-01

343

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

PubMed

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

2012-10-16

344

Assessing oral cancer knowledge among saudi medical undergraduates.  

PubMed

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

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

2013-12-01

345

Patient and provider views on the use of medical services by women with intellectual disabilities.  

PubMed

Background? People with intellectual disabilities (ID) receive primary care in community-based practices and are encouraged to participate in the physician-patient relationship. However, the nature of this participation is not known. Methods? Qualitative data were analysed to obtain perspectives from patients and providers regarding clinic visits. Patient participants were recruited from community organisations, while physician participants were recruited from emails and phone calls to local and regional practices and a national and regional list serve. Analysis methods derived from grounded theory were used. Results? Twenty-seven women with ID and 22 family physicians were interviewed. Themes important to both groups included time, how the support worker should be used in the encounter and the nature of the physician-patient relationship. Patients expressed frustration at how little time they spent with their physician, and wished that physicians would speak directly to them instead of to their support worker. Physicians felt that patients with ID took too much time, and said that they preferred communicating with the support worker. The interviews also revealed unconscious biases about people with ID. Conclusions? Patient participation is encouraged for people with ID, but is limited because of both physician and patient factors. Greater awareness of these factors may improve care for patients with ID. PMID:22974084

Wilkinson, J; Dreyfus, D; Bowen, D; Bokhour, B

2012-09-14

346

Chronic Illness and Disability  

Microsoft Academic Search

In this paper we describe some of the unique personal, medical, social, and religious challenges facing people living with chronic illness and disability. Our specific focus involves the connections between suffering, healing, and disability in two religious traditions: Buddhism and Christianity. Two core questions focus our inquiry. First, why are chronic illness and disability often associated with merited suffering in

Darla Y. Schumm; Michael Stoltzfus

2007-01-01

347

Assessing the clinical ethical competence of undergraduate medical students.  

PubMed Central

At the University of Newcastle, health law and ethics is taught and assessed in each year of the five-year curriculum. However, the critical question for assessment remains: 'Does teaching ethics have a measurable effect on the clinical activity of medical students who have had such courses?' Those responsible for teaching confront this question each year they sit down to construct their assessment tools. Should they assess what the student knows? Should they assess the student's moral reasoning, that is, what decisions the student makes, and, how these decisions are justified, or should they assess what the student actually does when dealing with patients in the clinical setting, and how he or she does it? From 1982 to 1991, assessment at Newcastle was primarily aimed at determining the quality of the students' ethics knowledge base. This paper describes the strengths and limitations of a purely knowledge-based method of evaluation and why in 1992, we are now attempting to redefine and assess, what we call 'clinical ethical competence' in terms of how students actually apply this knowledge base in a controlled clinical context.

Mitchell, K R; Myser, C; Kerridge, I H

1993-01-01

348

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

ERIC Educational Resources Information Center

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

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

2012-01-01

349

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

ERIC Educational Resources Information Center

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

Modell, Scott J.; Mak, Suzanna

2008-01-01

350

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

PubMed Central

In this study, we used a paired-choice assessment protocol to identify the relative reinforcing value of stimuli and activities for a child with severe disabilities when she failed to settle to sleep at night. The results of this assessment indicated that the child preferred the mother's attention relative to other activities presented. Assessment results were incorporated into an intervention, that produced a reduction in sleep disturbance that was maintained at a 12-month follow up.

O'Reilly, Mark F; Lancioni, Giulio E; Sigafoos, Jeff

2004-01-01

351

Doctors or technicians: assessing quality of medical education  

PubMed Central

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

Hasan, Tayyab

2010-01-01

352

Assessing readiness for medical education: evolution of the medical college admission test.  

PubMed

The attrition rate of 5% to 50% from US medical schools in the 1920s propelled the development of a test that would measure aptitude for medical studies. Since its development in 1928, the Medical College Admission Test (MCAT) has undergone 5 revisions. The first version was divided into 6 to 8 subtests that focused on memory, knowledge of scientific terminology, reading and comprehension, and logic. The second, which appeared in 1946, was reduced to 4 categories: verbal and quantitative skills, science knowledge, and added a category called understanding modern society. The major difference in the third version, launched in 1962, expanded the test's understanding modern society section to a broader test of general information. In 1977, the MCAT underwent its fourth change: its science section, reading and quantitative skill assessment sections were expanded; its general liberal arts knowledge section was eliminated; its scoring report structure and scoring range were altered; and its cultural and social bias was minimized. The current version, beginning in 1991, has undergone another significant change. Although it does not contain independent measures of either liberal arts or numeracy as separate categories, quantitative skills are needed to solve some of the problems in biological and physical sciences. However, its principal innovation is the writing sample section. Through its 74-year history, the various renditions of the MCAT demonstrate that the definition of aptitude for medical education reflects the professional and social mores and values of the time. PMID:12204076

McGaghie, William C

2002-09-01

353

Disability: a welfarist approach  

PubMed Central

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

Savulescu, Julian; Kahane, Guy

2011-01-01

354

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

ERIC Educational Resources Information Center

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

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

2005-01-01

355

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

Microsoft Academic Search

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

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

2000-01-01

356

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

ERIC Educational Resources Information Center

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

Hurst, Melissa; Jolivette, Kristine

2006-01-01

357

Students with Disabilities in Standards-Based Assessment and Accountability Systems: Emerging Issues, Strategies, and Recommendations. Synthesis Report 37.  

ERIC Educational Resources Information Center

|This paper addresses emerging issues affecting students with disabilities in standards-based assessment and accountability systems. Challenges and possible strategies for addressing the challenges are provided as identified by researchers, policymakers, and practitioners, based on a model developed by the National Center on Educational Outcomes.…

Quenemoen, Rachel F.; Lehr, Camilla A.; Thurlow, Martha L.; Massanari, Carol B.

358

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

ERIC Educational Resources Information Center

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

Palomares, Ronald S.; And Others

359

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

ERIC Educational Resources Information Center

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…

Muller, Eve

2007-01-01

360

Reliability, validity and responsiveness of instruments to assess disabilities in personal care in patients with rheumatic disorders: a systematic review  

Microsoft Academic Search

OBJECTIVES: The first aim was to make an inventory of available instruments and questionnaires for the assessment of disabilities in personal care in patients with rheumatic disorders. The second aim was to investigate which of these instruments have acceptable, methodological quality with regard to reliability, validity and responsiveness. The third aim was to investigate the assumption that convergent validity results

R. A. H. M. Swinkels; P. U. Dijkstra; L. M. Bouter

2005-01-01

361

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

ERIC Educational Resources Information Center

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

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

2003-01-01

362

Provision of Testing Accommodations for Students with Disabilities on Statewide Assessments: Statistical Links with Participation and Discipline Rates  

ERIC Educational Resources Information Center

Testing accommodations allow students with disabilities to both participate in and demonstrate their knowledge and abilities on statewide assessments. This article discusses accommodation-related research findings of a 3-year federally funded research study. The data analysis includes an examination of accommodation policies and discipline rates…

Cox, Michael L.; Herner, John G.; Demczyk, Michael J.; Nieberding, Jon J.

2006-01-01

363

Paralympic Athletes and “Knowing Disability  

Microsoft Academic Search

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

Hayley Fitzgerald

2012-01-01

364

Acute medical assessment units: an efficient alternative to in-hospital acute medical care.  

PubMed

Acute Medical Assessment Units (AMAUs) are being proposed as an alternative to congested Emergency Departments (EDs for the assessment of patients with a range of acute medical problems. We retrospectively reviewed the discharge destination of patients referred to a newly established AMAU during a six-month period. During the same period we contrasted activity in the ED for a similar group of patients. 1,562 patients were assessed in the AMAU. 196 (12.5%) were admitted to an in-patient bed and 1,148 (73.5%) were entered into specific diagnosis-driven out-patient pathways. 1,465 patients attended the ED and 635 (43.3%) were admitted. Out-patient alternatives to expensive in-patient care need to be provided at the 'coal face" of acute referral. The AMAU provides this, and as a consequence admission rates are relatively low. This is achieved by directly communicating with GPs, accessing senior clinical decision makers, and providing immediate access to diagnostically driven outpatient pathways. PMID:21465875

Watts, M; Powys, L; Hora, C O; Kinsella, S; Saunders, J; Reid, L; Finucane, P

2011-02-01

365

Physician surveys to assess customary care in medical malpractice cases  

Microsoft Academic Search

OBJECTIVE: Physician experts hired and prepared by the litigants provide most information on standard of care for medical malpractice\\u000a cases. Since this information may not be objective or accurate, we examined the feasibility and potential value of surveying\\u000a community physicians to assess standard of care.\\u000a \\u000a \\u000a DESIGN: Seven physician surveys of mutually exclusive groups of randomly selected physicians.\\u000a \\u000a \\u000a \\u000a \\u000a SETTING: Iowa.\\u000a \\u000a \\u000a \\u000a \\u000a PARTICIPANTS:

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

2002-01-01

366

Social Security Disability Insurance. Training Module.  

National Technical Information Service (NTIS)

Contents: Administration and Sources of Law; Comparison of Disability Programs; Widow(er)s and Surviving Spouses; Application Process; Non-Medical Eligibility Criteria; Definition of Disability; Sequential Evaluation of Disability; Appeals Process; Post-E...

1999-01-01

367

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

ERIC Educational Resources Information Center

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

Lehmann, Ilana; Crimando, William

2008-01-01

368

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

Code of Federal Regulations, 2010 CFR

...continued benefits only if good cause for delay is established...benefits based on disability or blindness. To determine your correct...activity. Unless your earnings cause your income to be too much...cessation of your disability/blindness is still pending,...

2010-04-01

369

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

Code of Federal Regulations, 2010 CFR

...continued benefits only if good cause for delay is established...benefits based on disability or blindness. To determine your correct...activity. Unless your earnings cause your income to be too much...cessation of your disability/blindness is still pending,...

2009-04-01

370

Assessing the Ecotoxicologic Hazards of a Pandemic Influenza Medical Response  

PubMed Central

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

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

2011-01-01

371

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

PubMed Central

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

2011-01-01

372

20 CFR 404.1505 - Basic definition of disability.  

Code of Federal Regulations, 2013 CFR

...Disability and Blindness Definition of Disability § 404.1505 Basic definition of disability. (a) The law defines disability as the inability to do any substantial...medically determinable physical or mental impairment which can be...

2013-04-01

373

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

PubMed Central

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

2013-01-01

374

Nutritional care of medical inpatients: a health technology assessment  

PubMed Central

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

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

2006-01-01

375

Charter for disabled people using hospitals: a completed access audit cycle.  

PubMed

This completed audit cycle assessed access for disabled people to a district general hospital, in relation to standards laid down in the Royal College of Physicians Charter for Disabled People using Hospitals. The project was effective in demonstrating problems and implementing change to overcome them. It was also useful in raising disability awareness in the young investigators, who easily recognised the shortcomings in facilities for disabled people, and is proposed as a possible model for inclusion in medical undergraduate training programmes to raise disability awareness amongst a new generation of doctors. PMID:10816876

Turner-Stokes, L; Turner-Stokes, T; Schon, K; Turner-Stokes, H; Dayal, S; Brier, S

376

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

ERIC Educational Resources Information Center

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

Blackman, Noelle

2008-01-01

377

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

ERIC Educational Resources Information Center

|This article reviews critical issues with integrating different procedures for identifying children with specific learning disabilities permitted in the federal regulations of the 2004 Individual With Disabilities Education Act 2004. Theoretical differences between behavioral approaches that focus on recording behavioral responses based on…

Decker, Scott

2012-01-01

378

Assessing Components of Empathy in Sex-Offenders with Intellectual Disabilities  

ERIC Educational Resources Information Center

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

Ralfs, Sonya; Beail, Nigel

2012-01-01

379

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

ERIC Educational Resources Information Center

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

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

2010-01-01

380

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

ERIC Educational Resources Information Center

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…

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

1999-01-01

381

Sensory Processing in Students with Specific Learning Disabilities: Findings and Implications for Assessment and Intervention Planning  

Microsoft Academic Search

The purpose of this study was to determine whether students with specific learning disabilities (SLD) with and without attention-deficit\\/hyperactivity disorder (ADHD) have different sensory processing when compared to students without disabilities. Parents of 240 students ages 5 to 11 years (120 SLD, 120 typical) completed the Sensory Profile. Multivariate analysis of variance MANOVA revealed that students with SLD have significant

Sunday Dove; Winnie Dunn

2008-01-01

382

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

ERIC Educational Resources Information Center

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

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

2007-01-01

383

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

ERIC Educational Resources Information Center

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

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

2007-01-01

384

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

ERIC Educational Resources Information Center

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

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

2011-01-01

385

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

ERIC Educational Resources Information Center

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

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

2012-01-01

386

Behavioral assessment of the effects of psychotropic medications on demented nursing home residents  

Microsoft Academic Search

The effects of different psychotropic medications were examined for the control of behavior problems associated with dementia in three elderly nursing home residents. A reversal design was used in which the medications were introduced and withdrawn, and their effects were assessed on various resident behaviors using behavioral and motor performance assessments. All medications were effective in decreasing aberrant behaviors, but

Louis D. Burgio; Andre M. Hawkins

1991-01-01

387

Multiple sclerosis in Stockholm County. A pilot study exploring the feasibility of assessment of impairment, disability and handicap by home visits  

Microsoft Academic Search

Objective: A pilot study performed within Stockholm County to evaluate the feasibility of collecting data using a comprehensive evaluation package administered in the home environment to assess impairment, disability and handicap in order to explore the consequences of multiple sclerosis (MS). Design: Home visits to 26 purposefully selected MS patients with different levels of disability, in both ordinary and sheltered

U Einarsson; K Gottberg; S Fredrikson; G Bergendal; L von Koch; L Widén Holmqvist

2003-01-01

388

The Assessment of a Model for Determining Community-Based Needs of American Indians with Disabilities: Follow-Up in Denver, Colorado. Final Report.  

ERIC Educational Resources Information Center

|This study is a follow-up to a 1990 needs assessment of American Indians with disabilities in the Denver (Colorado) region. The study involved a content analysis of transcripts of three focus group meetings of Project Advisory Committee (PAC) members, American Indians with disabilities, and service providers. Overall, PAC members and service…

Marshall, Catherine A.; And Others

389

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

ERIC Educational Resources Information Center

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

Steinberg, Jonathan; Cline, Frederick; Sawaki, Yasuyo

2011-01-01

390

Dysphoria and Anhedonia as Risk Factors for Disability or Death in Older Persons: Implications for the Assessment of Geriatric Depression.  

PubMed

OBJECTIVES: Either dysphoria (sadness) or anhedonia (loss of interest in usually pleasurable activities) is required for a diagnosis of major depression. Although major depression is a known risk factor for disability in older persons, few studies have examined the relationship between the two core symptoms of major depression and disability or mortality. Our objective was to examine the relationship between these two core symptoms and time to disability or death. METHODS: In a longitudinal cohort study, we used the nationally representative Health and Retirement Study to examine this relationship in 11,353 persons older than 62 years (mean: 73 years) followed for up to 13 years. Dysphoria and anhedonia were assessed with the Short Form Composite International Diagnostic Interview. Our outcome measure was time to either death or increased disability, defined as the new need for help in a basic activity of daily living. We adjusted for a validated disability risk index and other confounders. RESULTS: Compared with subjects without either dysphoria or anhedonia, the risk for disability or death was not elevated in elders with dysphoria without anhedonia (adjusted hazard ratio [HR]: 1.11; 95% confidence interval [CI]: 0.91-1.36). The risk was elevated in those with anhedonia without dysphoria (HR: 1.30; 95% CI: 1.06-1.60) and those with both anhedonia and dysphoria (HR: 1.28; 95% CI: 1.13-1.46). CONCLUSION: Our results highlight the need for clinicians to learn whether patients have lost interest in usually pleasurable activities, even if they deny sadness. PMID:23602308

Covinsky, Kenneth E; Cenzer, Irena Stijacic; Yaffe, Kristine; O'Brien, Sarah; Blazer, Dan G

2013-04-18

391

Assessment of physical activity in medical and public health students  

PubMed Central

Background: Reduced level of physical activity, as an important problem of urbanization and industrial development, has a considerable impact on the population morbidity and mortality. The rate of inactivity has been reported to be 60–85% in adults worldwide. Considering the importance of physical activity among youth, the aim of this study was to evaluate the physical activity among university students. Materials and Methods: In this cross-sectional study physical activity was assessed in 399 medical and public health students of Isfahan University of Medical Sciences, Iran. Physical activity was evaluated by standard questionnaire in four fields containing job, transport, work, and leisure time at home. Findings: Regarding moderate physical activity, 48.6% of students were active and the rest were inactive. Regarding severe physical activity, 32.6% were active and the rest were inactive. Mean number of hours for moderate activity per day was 1.96 ± 0.19 h/day in the last 7 days. There was a significant relationship between physical activity and sex and students’ course of study. Conclusion: The results indicated that the level of physical activity was not sufficient among students; therefore, considering its importance among students, it is necessary to educate them regarding lifestyle modification specially to increase the level of physical activity during their leisure time.

Rejali, Mehri; Mostajeran, Mahnaz

2013-01-01

392

Rater errors in a clinical skills assessment of medical students.  

PubMed

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

Iramaneerat, Cherdsak; Yudkowsky, Rachel

2007-09-01

393

An approach to assessing stochastic radiogenic risk in medical imaging  

SciTech Connect

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

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

2011-12-15

394

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

PubMed Central

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

Lingeswaran, Anand

2013-01-01

395

Surgical hemostatic agents: assessment of drugs and medical devices.  

PubMed

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

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

2011-12-01

396

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

PubMed Central

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

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

2002-01-01

397

Scaling indices of disablement.  

PubMed Central

Williams et al. (1976) have suggested the use of Guttman scaling for scoring an index of disability. Two examples confirm the applicability of this method in the context of survey research. One of these examples is of a disablement scale widely employed in local authority social services research. For the purpose of survey assessment of disabled populations, the precise choice of scaling method for scoring disability is often of little consequence.

Bebbington, A C

1977-01-01

398

Assessment of medication management by community-living elderly persons with two standardized assessment tools: A cross-sectional study  

Microsoft Academic Search

Background:The ability of patients to adhere to a medication regimen is imperative for achieving optimal outcomes. Elderly patients, especially those with memory loss, should be evaluated for their ability to manage medications to prevent significant drug-related problems. Assessment tools to determine the ability to manage medication therapy have not been tested in elderly patients with cognitive impairment.

Lisa C. Hutchison; Susan K. Jones; Donna S. West; Jeanne Y. Wei

2006-01-01

399

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

ERIC Educational Resources Information Center

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

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

2010-01-01

400

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

ERIC Educational Resources Information Center

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

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

2011-01-01

401

Neonatal behavioral assessment scale as a predictor of later developmental disabilities of low birth-weight and/or premature infants.  

PubMed

The purpose of this study was to evaluate the usefulness of the Neonatal Behavioral Assessment Scale (NBAS) as a tool to assess the risk of later developmental disabilities. The study subjects were 209 low birth-weight and/or premature infants admitted to the NICU at the Nagasaki University Hospital, Nagasaki, Japan. These infants were examined using the NBAS at 36-38 (NBAS36), 40-42 (NBAS40) and 44-46 weeks (NBAS44) of postmenstrual age, and their developmental outcome was measured using standardized assessments at 5 years of age. Based on the results of diagnosis at 5 years of age, subjects were classified into three groups: Normal, Mild Disability and Severe Disability groups. Multinomial logistic regression analysis showed that lower Motor cluster scores for all assessment periods and lower Orientation cluster scores in the NBAS40 and NBAS44 were significantly associated with an increased risk of both Mild and Severe Disability. Also, the Range of State cluster scores for the NBAS44 were significantly related to the risk of Mild Disability, and the Reflexes cluster scores in the NBAS40 and NBAS44 were the best predictor of Severe Disability. In outcome prediction using the estimated regression coefficients, 94-97% of the subjects in the Normal group, 50-78% in the Mild Disability group and 71-85% in the Severe Disability group were correctly classified. The NBAS could help clinicians to develop a management protocol for infants at risk for developmental disabilities as well as to identify neonates at risk of developmental disabilities. PMID:12850509

Ohgi, Shohei; Arisawa, Kokichi; Takahashi, Tatsuya; Kusumoto, Takashi; Goto, Yoshiko; Akiyama, Tomitaro; Saito, Hiroshi

2003-08-01

402

Compliance assessed by the Medication Event Monitoring System.  

PubMed

The accurate assessment of patient compliance is especially crucial in evaluating the efficacy of a new treatment. Because of the problems associated with parenteral desferrioxamine, the development of a safe, effective, and convenient iron chelator is of high priority. The high morbidity and mortality associated with iron overload requires careful evaluation of the ability of any new agent to promote long term effective iron chelation. Patients' compliance with an orally available chelating agent, 1,2,-dimethyl-3-hydroxypyrid-4-one (L1), that has been demonstrated to induce in vivo iron excretion equivalent to that of desferrioxamine during supervised short term administration, was examined. Compliance was assessed in seven patients by patient interview, by daily diaries reviewed monthly with each patient, and with the use of the Medication Event Monitoring System (MEMS) standard pill bottles with microprocessors in the cap that record the timing and frequency of bottle openings. L1 was dispensed in MEMS containers to the patients, who, unaware of their significance, recorded compliance using a daily diary. Overall compliance rate (% of prescribed doses taken) measured by MEMS was 88.7 +/- 6.8%. When 'doubling of doses' was accounted for, significantly poorer compliance with L1 was noted by MEMS (91.7 +/- 7.4%) than by patients' diaries (95.7 +/- 5.2%). There was no significant difference in patient compliance recorded between the first and last 30 day period of drug administration. MEMS can eliminate the confounding variable of erratic patient compliance in the evaluation of a new drug's efficacy. As MEMS cannot distinguish a missed dose from one doubled at the next bottle opening, the use of patient diaries is a useful adjunct to the accurate assessment of compliance and should be combined with the use of MEMS. PMID:1776885

Olivieri, N F; Matsui, D; Hermann, C; Koren, G

1991-12-01

403

Compliance assessed by the Medication Event Monitoring System.  

PubMed Central

The accurate assessment of patient compliance is especially crucial in evaluating the efficacy of a new treatment. Because of the problems associated with parenteral desferrioxamine, the development of a safe, effective, and convenient iron chelator is of high priority. The high morbidity and mortality associated with iron overload requires careful evaluation of the ability of any new agent to promote long term effective iron chelation. Patients' compliance with an orally available chelating agent, 1,2,-dimethyl-3-hydroxypyrid-4-one (L1), that has been demonstrated to induce in vivo iron excretion equivalent to that of desferrioxamine during supervised short term administration, was examined. Compliance was assessed in seven patients by patient interview, by daily diaries reviewed monthly with each patient, and with the use of the Medication Event Monitoring System (MEMS) standard pill bottles with microprocessors in the cap that record the timing and frequency of bottle openings. L1 was dispensed in MEMS containers to the patients, who, unaware of their significance, recorded compliance using a daily diary. Overall compliance rate (% of prescribed doses taken) measured by MEMS was 88.7 +/- 6.8%. When 'doubling of doses' was accounted for, significantly poorer compliance with L1 was noted by MEMS (91.7 +/- 7.4%) than by patients' diaries (95.7 +/- 5.2%). There was no significant difference in patient compliance recorded between the first and last 30 day period of drug administration. MEMS can eliminate the confounding variable of erratic patient compliance in the evaluation of a new drug's efficacy. As MEMS cannot distinguish a missed dose from one doubled at the next bottle opening, the use of patient diaries is a useful adjunct to the accurate assessment of compliance and should be combined with the use of MEMS.

Olivieri, N F; Matsui, D; Hermann, C; Koren, G

1991-01-01

404

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

National Technical Information Service (NTIS)

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

1978-01-01

405

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

Microsoft Academic Search

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

M Whitfield; J Langan; O Russell

1996-01-01

406

Arthroscopic Assessment for Intra-articular Disorders in Residual Ankle Disability After Sprain  

Microsoft Academic Search

Background: After ankle sprain, there can be many causes of disability, the origins of which cannot be determined using standard diagnostic tools.Hypothesis: Ankle arthroscopy is a useful tool in identifying intra-articular disorders of the talocrural joint in cases of residual ankle disability after sprain.Study Design: Cohort study (diagnosis); Level of evidence, 2.Methods: The authors gathered the independent diagnostic results of

Masato Takao; Yuji Uchio; Kohei Naito; Ikuo Fukazawa; Mitsuo Ochi

2005-01-01

407

Disability and functional assessment in former polio patients with and without postpolio syndrome  

Microsoft Academic Search

Objectives: To compare perceived health problems and disability in former polio subjects with postpolio syndrome (PPS) and those without postpolio syndrome (non-PPS), and to evaluate perceived health problems, disability, physical performance, and muscle strength.Design: Cross-sectional survey; partially blinded data collection.Subjects: One hundred three former polio subjects, aged 32 to 60yrs. This volunteer sample came from referrals and patient contacts. Criterion

Frans Nollet; Anita Beelen; Martin H. Prins; Marianne de Visser; Anthony J. Sargeant; Gustaaf J. Lankhorst; Bareld A. de Jong

1999-01-01

408

A Qualitative Framework to Assess Hospital \\/ Medical Websites  

Microsoft Academic Search

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

Vahid Rafe; Maryam Monfaredzadeh

409

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

Microsoft Academic Search

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

Erik Liljegren

2006-01-01

410

Biorisk Assessment of Medical Diagnostic Laboratories in Nigeria  

PubMed Central

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

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

2013-01-01

411

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

Microsoft Academic Search

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

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

2010-01-01

412

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

PubMed Central

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

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

2011-01-01

413

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

ERIC Educational Resources Information Center

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

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

2010-01-01

414

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

ERIC Educational Resources Information Center

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

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

2010-01-01

415

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

PubMed

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

Burnett, S E; Yerxa, E J

1980-03-01

416

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

Code of Federal Regulations, 2013 CFR

...require a medical certificate...communicable disease or condition that could...paragraph, a medical certificate...that the disease or infection...the present conditions in the particular...flight. The medical certificate must state any conditions or precautions...transmission of the disease or...

2013-01-01

417

Identification of learning disabilities: implications of proposed DSM-5 criteria for school-based assessment.  

PubMed

This article examines the recommended eligibility determination for learning disabilities (LD) in both the Individuals with Disabilities Education Improvement Act and the proposed changes in diagnostic criteria in the DSM-5. The focus is on the inclusion of the criterion of responsiveness to intervention (RTI) and the implications for practice of school psychologists and general and special education teachers. The research base on RTI for diagnostic purposes is examined, and considerations of changing roles for clinicians and school-based practitioners are discussed. PMID:23128455

Cavendish, Wendy

2012-11-05

418

Factors Influencing Hesitancy in Medical Students to Assess History of Victimization in Patients  

Microsoft Academic Search

This study examined factors associated with hesitancy in medical students to assess patients for history of victimization by interpersonal violence. A survey on preferences regarding assessment of victimization history and attitudes toward victims and perpetrators of interpersonal violence was completed by 102 senior undergraduate medical students. Most students disagreed with routine screening of patients. There were no differences in hesitancy

MADHABIKA B. NAYAK

2000-01-01

419

Self-Assessment in Medical Students: Consistency on Short-Essay Subject Matter Examinations.  

ERIC Educational Resources Information Center

Results from an ongoing series of studies designed to describe changes in students' self-assessments across time are presented. In these studies, medical students predicted their performance on essay examinations in their first 2 years of medical school. Self-assessment is a valuable skill for clinical practice, and the importance of knowing what…

Cariaga-Lo, Liza; And Others

420

IMPROVING THE RELIABILITY OF STROKE DISABILITY GRADING IN CLINICAL TRIALS AND CLINICAL PRACTICE: THE RANKIN FOCUSED ASSESSMENT (RFA)  

PubMed Central

Background The modified Rankin scale (mRS) rates global disability after stroke and is the most comprehensive and widely employed primary outcome measure in acute stroke trials. However, substantial inter observer variability in mRS scoring has been reported. This study sought to develop and validate a short, practicable structured assessment that would enhance inter-rater reliability. Methods The Rankin Focused Assessment (RFA) was developed by selecting and refining elements from prior instruments. The RFA takes 3–5 minutes to apply and provides clear, operationalized criteria to distinguish the 7 assignable global disability levels. The RFA was prospectively validated 3 months poststroke among 50 consecutive patients enrolled in the phase 3 NIH FAST-MAG Trial. Results Among the 50 patients, mean age 71.5 (range 43–93), 48% were female, and stroke subtype was hemorrhagic in 24%. At day 90, 43 patients were alive and 7 had died. The mRS median was 2.0 and mean 2.8. When pairs of 14 raters assessed all enrolled patients, the percent agreement was 94%, the weighted kappa was 0.99 (95% CI 0.99–1.0), and the unweighted kappa was 0.93 (95% CI 0.85–1.00). Among the 43 surviving patients, the percent agreement was 93%, the weighted kappa was 0.99 (0.98–1.0), and the unweighted kappa was 0.91 (0.82–1.00). Conclusions The Rankin Focused Assessment yields high inter-rater reliability in the grading of final global disability among consecutive stroke patients participating in a randomized clinical trial. The RFA is brief and practical for use in multicenter clinical trials and quality improvement activities.

Saver, Jeffrey L.; Filip, Bogdan; Hamilton, Scott; Yanes, Anna; Craig, Sharon; Cho, Michelle; Conwit, Robin; Starkman, Sidney

2010-01-01

421

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

ERIC Educational Resources Information Center

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

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

422

Assessment of children's distress during painful medical procedures  

Microsoft Academic Search

Examined the relationship between the distress of 42 pediatric cancer patients (aged 2–20 yrs) in response to medical procedures and a number of psychosocial, medical, and demographic variables. Results indicate that the observation scale used to measure distress was a reliable, valid instrument. The 3 variables most highly predictive of distress included the age of the S, the number of

Susan M. Jay; Mickey Ozolins; Charles H. Elliott; Steven Caldwell

1983-01-01

423

Medication Management Assessment for Older Adults in the Community  

ERIC Educational Resources Information Center

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

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

2006-01-01

424

An Assessment Protocol for Gender Analysis of Medical Literature  

Microsoft Academic Search

Although medical research has been criticized for gender bias, few studies have dealt with how such bias affects medical education and textbooks. There is an extensive body of literature showing that most scientific research has been performed by men on men or on male laboratory animals. The male is often considered the norm, the female the exception. This probably has

Kristina Alexanderson

1999-01-01

425

Medication Management Assessment for Older Adults in the Community  

ERIC Educational Resources Information Center

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

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

2006-01-01

426

A Time-Variant Medical Data Trustworthiness assessment model  

Microsoft Academic Search

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

Bandar Alhaqbani; Colin Fidge

2009-01-01

427

Fear of aids: An assessment of knowledge and attitudes of medical, nursing, and medical technology students  

Microsoft Academic Search

The reluctance of students in health professions to care for AIDS patients is partially based on the perceived risk of transmission of HIV from patient contact. We hypothesize that fear of contagion is due to lack of knowledge and deep?rooted attitudes and emotions existing even in areas of low HIV seroprevalence. We tested this hypothesis on medical, nursing, and medical

Stephen R. Tabet; Anna Maria A. Voltura; Nina Wallerstein; Frederick T. Koster

1992-01-01

428

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

ERIC Educational Resources Information Center

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

van der Putten, Annette; Vlaskamp, Carla

2011-01-01

429

Curriculum, Assessment, and Instruction for Students with Disabilities. The Wadsworth Special Educator Series.  

ERIC Educational Resources Information Center

|This book is designed to provide general and special education teachers with basic information in the workings of special education and to describe teachers' roles in designing meaningful programs for students with disabilities. An introductory chapter describes special education law, terminology, and professional standards. In addition, three…

Bigge, June Lee; Stump, Colleen Shea

430

Skinfold Measurements Enhance Nutrition Assessments and Care Planning for Children With Developmental Delays and Disabilities  

Microsoft Academic Search

Children with developmental delays or disabilities (DDs) may differ from typically developing children in body composition. Alterations in muscle tone, delayed motor development, and impaired mobility may affect the development of lean muscle tissue in children with developmental challenges. Studies show that children with diverse developmental disorders such as cerebral palsy (CP), spina bifida, Prader-Willi syndrome (PWS), and premature birth

Trudi F. Bellou

2011-01-01

431

Vocational Assessment of Secondary Students with Disabilities and the School Psychologist  

ERIC Educational Resources Information Center

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…

Fives, Christopher J.

2008-01-01

432

Identification and Assessment of Children with Developmental Disabilities in Child Welfare  

ERIC Educational Resources Information Center

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

Shannon, Patrick; Tappan, Christine

2011-01-01

433

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

ERIC Educational Resources Information Center

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

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

2010-01-01

434

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

Microsoft Academic Search

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

Stephen E. Condrey; Jeffrey L. Brudney

1998-01-01

435

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

ERIC Educational Resources Information Center

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

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

2006-01-01

436

EMPIRICAL AND THEORETICAL SUPPORT FOR DIRECT DIAGNOSIS OF LEARNING DISABILITIES BY ASSESSMENT OF INTRINSIC PROCESSING WEAKNESSES  

Microsoft Academic Search

Traditionally, the term learning disabilities has been used to refer to problems acquiring academic knowledge and skills that are caused by disorders in basic psychological processes. These processing weaknesses, in turn, are caused by dysfunction of the central nervous system (U.S. Department of Education, 1977). Further, these processing weaknesses are thought to have a strictly limited impact on cognitive development;

Joseph K. Torgesen

437

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

ERIC Educational Resources Information Center

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

Houck, Cherry K.; And Others

1989-01-01

438

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

ERIC Educational Resources Information Center

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

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

2011-01-01

439

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

ERIC Educational Resources Information Center

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

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

2007-01-01

440

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

ERIC Educational Resources Information Center

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

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

2009-01-01

441

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

ERIC Educational Resources Information Center

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

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

2007-01-01

442

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

ERIC Educational Resources Information Center

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

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

2009-01-01

443

Withholding Artificially Provided Nutrition and Hydration from Disabled Children-Assessing Their Quality of Life  

Microsoft Academic Search

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

Amanda L. Stanley

2000-01-01

444

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

ERIC Educational Resources Information Center

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

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

2007-01-01

445

Identification and Assessment of Children with Developmental Disabilities in Child Welfare  

ERIC Educational Resources Information Center

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

Shannon, Patrick; Tappan, Christine

2011-01-01

446

Parent Assessments of Self-Determination Importance and Performance for Students with Autism or Intellectual Disability  

ERIC Educational Resources Information Center

Fostering student self-determination is now considered an essential element of special education and transition services for children and youth with intellectual disability and/or autism. Yet, little is known about the pivotal role parents might play beyond the school campus in fostering self-determination among their children with developmental…

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

2013-01-01

447

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

ERIC Educational Resources Information Center

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

Luiselli, James K., Ed.

2006-01-01

448

Assessing the problem of counterfeit medications in the United Kingdom.  

PubMed

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

Jackson, G; Patel, S; Khan, S

2011-11-09

449

Culture and Disability Behavior  

PubMed Central

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

Brodsky, Carroll M.

1983-01-01

450

Musculoskeletal disorders and the consumption of disability products.  

PubMed

Although consumers' need assessment generally suggest that, what consumers need as products or services influence their consumption, little research on consumption of disability resources, relating to musculoskeletal disorders exists. However, most medical practitioners defined musculoskeletal disorders by symptoms or clinical disorders and other used self-report. The authors examined the effects of musculoskeletal disorders and ultimate consumption of specific products (orthopedic devices, medications), as well as the cost of surgical options (e.g., gastric reduction surgery). Emphasis was on product categories, such as disability devices and consumption of disability resources. The authors conclude that there are positive relationships between musculoskeletal disorders and consumption of disability products, either to maintain certain lifestyles or reduce pains and sufferings. Finally the authors discussed the advancement of marketing theory with musculoskeletal consumption analysis. Opportunity for further research in the area is enhanced and encouraged. PMID:11066724

Elimimian, J U; Smith, P A; Iluore, A

1999-01-01

451

Assessment of toileting difficulties in adults with intellectual disabilities: an examination using the profile of toileting issues (POTI).  

PubMed

A lack of toileting skills is one of many impairments that individuals with intellectual and developmental disabilities experience. Unfortunately, little research has focused on problems in this area including assessment, function, and treatment. A newly developed checklist, the Profile of Toileting Issues (POTI), is being considered for use to screen for toileting issues in this population, and to identify potential functions to target in treatment. The purpose of the current study was to examine the reliability of the POTI. Internal consistency was sound (? = .83) and interrater reliability was significant. The implications of these findings are included. PMID:20940095

Matson, Johnny L; Neal, Daniene; Hess, Julie A; Kozlowski, Alison M

452

Public Health Assessment of BPA in Medical Products  

Center for Biologics Evaluation and Research (CBER)

Text Version... presence of BPA in medical devices and, if ... released following clinical use of the device. ... polymers under clinically relevant extraction conditions and ... More results from www.fda.gov/downloads/advisorycommittees/committeesmeetingmaterials

453

[Guidelines for the sociomedical assessment of performance in patients suffering from chronic non-malignant diseases of the liver and the bile ducts--for the Medical Assessment Services of the German Pension Fund].  

PubMed

The following guidelines were developed for the medical assessment services of the German pension fund. Starting from day-to-day practice, criteria and attributes to guide decisions for a systematisation of the sociomedical assessment of performance in diseases of the liver and the bile ducts were compiled. The guidelines aim at standardising the sociomedical assessment of performance and help to make the decision-making process more transparent, e. g., for the assessment of applications for decreased earning capacity benefits. The guidelines summarise the typical manifestations of diseases of the liver and the bile ducts and describe the necessary medical information for the sociomedical assessment of performance. Relevant assessment criteria for the medical history, clinical examination, and for diagnostic tests are illustrated. The assessment of the individual's capacity is outlined, taking occupational factors into account. Following the determination of dysfunctions, the remaining abilities and disabilities, respectively, are deduced and compared with occupational demands. Finally, inferences are drawn regarding the occupational capacity of the individual. The guidelines followed from an extended procedure to attain a wide consensus in the setting of the German Pension Fund and an upgraded evidence base. PMID:19544282

Horn, S; Irle, H; Knorr, I; Pottins, I; Rohwetter, M; Schuhknecht, P; Timner, K; Becker, E

2009-06-19

454

Medical Issues in the Education and Care of Children Requiring Extensive Special Education Programming. Working Papers in Developmental Disabilities.  

ERIC Educational Resources Information Center

Issues involved in medical treatment and health promotion among severely handicapped students are addressed. The need for general health care and promotion within this population is stressed, with attention to nutrition, physical activity, and hygiene. Medical issues identified by parents of young severely handicapped children included lack of…

Robinson, Cordelia

455

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

PubMed

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

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

2005-02-01

456

Disabled adults in sheltered employment: an assessment of dental needs and costs.  

PubMed Central

In this dental survey of a multi-disability sheltered industry, 233 adults were examined. When compared to adjusted North Carolina values, the workers exhibited poorer oral hygiene with higher rates and severity of periodontal disease. DMF-T totals were equal to those statewide; however, workers had more decayed and fewer missing teeth. Significant unmet restorative and prosthodontic needs were found. Treatment cost estimates at 1983 fees were $421 per capita, with a median fee of $240.

Strauss, R P; Hairfield, W M; George, M C

1985-01-01

457

Improved and standardized method for assessing years lived with disability after injury  

PubMed Central

Abstract Objective To develop a standardized method for calculating years lived with disability (YLD) after injury. Methods The method developed consists of obtaining data on injury cases seen in emergency departments as well as injury-related hospital admissions, using the EUROCOST system to link the injury cases to disability information and employing empirical data to describe functional outcomes in injured patients. Findings Overall, 87 weights and proportions for 27 injury diagnoses involving lifelong consequences were included in the method. Almost all of the injuries investigated (96–100%) could be assigned to EUROCOST categories. The mean number of YLD per case of injury varied with the country studied. Use of the novel method resulted in estimated burdens of injury that were 3 to 8 times higher, in terms of YLD, than the corresponding estimates produced using the conventional methods employed in global burden of disease studies, which employ disability-adjusted life years. Conclusion The novel method for calculating YLD after injury can be applied in different settings, overcomes some limitations of the method used to calculate the global burden of disease, and allows more accurate estimates of the population burden of injury.

Polinder, S; Lyons, RA; Lund, J; Ditsuwan, V; Prinsloo, M; Veerman, JL; van Beeck, EF

2012-01-01

458

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

ERIC Educational Resources Information Center

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

Weigert, Susan C.

2012-01-01

459

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

PubMed Central

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

Jiang, Yongwen; Hesser, Jana Earl

2012-01-01

460

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

PubMed Central

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

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

2011-01-01

461

Innovative learning: employing medical students to write formative assessments.  

PubMed

Peninsula Medical School, UK, employed six students to write MCQ items for a formative applied medical knowledge item bank. The students successfully generated 260 quality MCQs in their six-week contracted period. Informal feedback from students and two staff mentors suggests that the exercise provided a very effective learning environment and that students felt they were 'being paid to learn'. Further research is under way to track the progress of the students involved in the exercise, and to formally evaluate the impact on learning. PMID:17594561

Chamberlain, Suzanne; Freeman, Adrian; Oldham, James; Sanders, David; Hudson, Nicky; Ricketts, Chris

2006-11-01

462

Elders' nonadherence: its assessment and medication reminding by voice mail.  

PubMed

This study investigates four questions related to the problem of medication nonadherence among elders. First, does memory failure play a significant role in nonadherence? Second, can memory-related nonadherence be predicted by simple tests of cognitive performance? Third, can the new portable bar code scanner technology be used to unobtrusively monitor nonadherence? Most importantly, can inexpensive telephone voice mail technology be used to improve medication adherence? The results show that: elders have substantial levels of forgetting; nonadherence decreases with higher cognitive test scores; portable bar code scanners are useful for monitoring adherence; and voice mail reduces tardiness and complete forgetting. PMID:1894156

Leirer, V O; Morrow, D G; Tanke, E D; Pariante, G M

1991-08-01

463

Comprehensive Geriatric Assessment in the Office  

PubMed Central

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

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

1991-01-01

464

Co-occurring mental disorder and intellectual disability in a large sample of Australian prisoners.  

PubMed

Objective: Prisoners with intellectual disability who have a coexisting mental health issue often have unmet health needs and are more likely to reoffend than those with intellectual disability alone. The aims of this study were to estimate the prevalence of co-occurring mental disorder among prisoners with intellectual disability and to explore the association between intellectual disability and mental disorder. Methods: Cross-sectional study of adult prisoners within 6 weeks of release from custody in seven prisons in Queensland, Australia between August 2008 and July 2010. Intellectual disability was assessed using a practical composite screening tool. Prisoners who scored <85 on the Hayes Ability Screening Index and reported either having attended a special school or having been diagnosed with intellectual disability were identified as having an intellectual disability. Mental health was assessed using self-reported psychiatric diagnoses, the Kessler Psychological Distress Scale (K-10), and the Mental Component Summary score of the Short-Form-36 health survey version 2. The association between intellectual disability and mental health was assessed using univariate and multivariate logistic regression. Results: Overall, 1279 prisoners completed the HASI: 316 (24%) scored below the recommended cut off for further diagnostic assessment of intellectual disability, 181 (14%) reported attending a special school, and 56 (4%) reported that they had been diagnosed with an intellectual disability. On our composite measure, 115 (9%) participants were identified as having an intellectual disability. Among prisoners with intellectual disability, the estimated lifetime and current prevalence of co-occurring mental disorders was 52.5% (95% CI 43.3-61.5) and 37.2% (95% CI 28.8-46.5), respectively. Of those with intellectual disability, 13.5% (95% CI 8.3-21.1) reported very high psychological distress, as measured by the K10. Prisoners with intellectual disability were significantly more likely than their non-disabled peers to report a current diagnosis of depression [adjusted odds ratio (AOR) 1.8, 95% CI 1.1-3.2] or substance dependence (AOR 3.7, 95% CI 1.6-8.4], after adjusting for potentially confounding variables. Prisoners with intellectual disability were also significantly more likely than their non-disabled peers to use antipsychotic medication (AOR 1.7, 95% CI 1.0-2.8). Conclusions: Prisoners with an intellectual disability were more likely than their non-disabled peers to have elevated rates of psychiatric comorbidity and unmet treatment needs. There is a need for enhanced collaboration between specialist intellectual disability psychiatric services and mainstream prison mental health services, to ensure coordinated service delivery for this dually disadvantaged group. PMID:23723292

Dias, Shannon; Ware, Robert S; Kinner, Stuart A; Lennox, Nicholas G

2013-05-30

465

Medical student self-assessment of performance on an obstetrics and gynecology clerkship  

Microsoft Academic Search

Objective: The purpose of this study was to evaluate the accuracy of medical student self-assessment of performance on an obstetrics and gynecology clerkship and to assess the influence that demographic and temporal factors had on the accuracy of that assessment. Study Design: From June 1990 to July 2000, 1152 students predicted examination and clerkship grades at the beginning and end

Rodney K. Edwards; Kenneth R. Kellner; Christopher L. Sistrom; Elizabeth J. Magyari

2003-01-01

466

Developing and Assessing Curriculum on the Physics of Medical Instruments  

ERIC Educational Resources Information Center

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

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

2013-01-01

467

Assessing and Managing Medically Fragile Children: Tracheostomy and Ventilatory Support  

ERIC Educational Resources Information Center

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

Woodnorth, Geralyn Harvey

2004-01-01

468

Quality assessment of medical education and use of information technology.  

PubMed

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

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

2009-01-01

469

Medical Student Assessment of Videotape for Teaching in Diagnostic Radiology  

ERIC Educational Resources Information Center

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

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

1976-01-01

470

MRI compatibility and visibility assessment of implantable medical devices  

Microsoft Academic Search

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

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

1999-01-01

471

Assessing Medication Effects in the MTA Study Using Neuropsychological Outcomes  

ERIC Educational Resources Information Center

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

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

2006-01-01

472

Assessing Medication Effects in the MTA Study Using Neuropsychological Outcomes  

ERIC Educational Resources Information Center

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

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

2006-01-01

473

An Assessment of Family and Medical Leave Policy  

Microsoft Academic Search

The US Family and Medical Leave Act (Public Law 103-3, or 29 CFR 825) and similar policies throughout the world, such as maternity leave policies (PL507 Rev 4) in the UK, or Maternity and Parental leave in Canada, are policies that require employers to provide an employee with a period of leave for the birth or adoption of a child,

Stefanie Wilde

2006-01-01

474

CASE STUDY: Safety assessment for new medical device  

Microsoft Academic Search

Noveko, a leading manufacturer of medical devices, wanted to market a new surgical mask that contained several plastic additives, including two antimicrobial compounds. The registration of products with antimicrobial properties can be very challenging in the US and all claims of performance, efficacy and labeling are closely scrutinized by the EPA and FDA. The safety of such articles must also

475

Medical Student Assessment of Videotape for Teaching in Diagnostic Radiology  

ERIC Educational Resources Information Center

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

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

1976-01-01

476

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

PubMed Central

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

Boon, K; Turner, J

2004-01-01

477

20 CFR 416.906 - Basic definition of disability for children.  

Code of Federal Regulations, 2013 CFR

...BLIND, AND DISABLED Determining Disability and Blindness Definition of Disability § 416.906 Basic definition of disability for children. If you are...medically determinable physical or mental impairment or...

2013-04-01

478

Hypertension, Hyperglycemia, and Hyperlipemia among Adolescents with Intellectual Disabilities  

ERIC Educational Resources Information Center

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

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

2010-01-01

479

Psychiatric disability determination under social security in the United States  

Microsoft Academic Search

The Social Security Act provides disability benefits to those insured who are prevented from working by a severe medically determinable impairment. Under the Act, psychiatric impairment is assessed on the basis of demonstrable clinical manifestations including mental status examination and, where needed, by standardized psychological tests yielding quantifiable results. The total function of the person in daily living, both in

Kurt Nussbaum

1974-01-01

480

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

ERIC Educational Resources Information Center

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

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

2010-01-01