Science.gov

Sample records for medical disability assessment

  1. Medication and Reading Disability.

    ERIC Educational Resources Information Center

    Humphries, Laurie L.

    1981-01-01

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

  2. Medical education and disability studies.

    PubMed

    Campbell, Fiona Kumari

    2009-12-01

    The biomedicalist conceptualization of disablement as a personal medical tragedy has been criticized by disability studies scholars for discounting the difference between disability and impairment and the ways disability is produced by socio-environmental factors. This paper discusses prospects for partnerships between disability studies teaching/research and medical education; addresses some of the themes around the necessity of critical disability studies training for medical students; and examines a selection of issues and themes that have arisen from disability education courses within medical schools globally. The paper concludes that providing there is a commitment from senior management, universities are well positioned to apply both vertical and horizontal approaches to teaching disability studies to medical students. PMID:19756985

  3. [How to write a medical report for the assessment of disability].

    PubMed

    Calvet, Xavier; Motos, Jaume; Villoria, Albert

    2014-01-01

    The present article revises practical aspects on the format and content of the clinical reports used for the evaluation of disability for the Spanish Disability Grants System. As a framework for understanding how these clinical reports should be, the review includes also a short overview of the different types of disability grants and the administrative and court mechanisms for granting. PMID:24216011

  4. Travelers with Disabilities and Medical Conditions

    MedlinePLUS

    ... Rule Special Procedures Disabilities & Medical Military Children Seniors Law Enforcement TSA Pre✓® Apply Airports & Airlines FAQ Passenger Support Civil Rights Travel Redress Claims Travel Tips FAQ Disabilities ...

  5. Travelers with Disabilities and Medical Conditions

    MedlinePLUS

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

  6. Athletes with Disabilities. Removing Medical Barriers.

    ERIC Educational Resources Information Center

    Peck, David M.; McKeag, Douglas B.

    1994-01-01

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

  7. Supporting medical students with learning disabilities in Asian medical schools

    PubMed Central

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

    2010-01-01

    Learning disabilities (LDs) represent the largest group of disabilities in higher education (HE) institutes, including medical schools, and the numbers are continuing to rise. The worrying concern is that two-thirds to half of these students with LDs remain undiagnosed when they start their undergraduate education and may even graduate without having their disabilities diagnosed. These students struggle with their academic abilities, receive poor grades and, as a result, develop lower perceptions of their intellectual abilities than do those students without LDs. All these ultimately hamper their professional practice, employment, and career progression. Appropriate and adequate educational policies, provisions, and practices help students to progress satisfactorily. In Asian countries, public and professional awareness about LDs is low, supportive provisions are limited, legislations are inadequate, data are scarce, and equal-opportunity/widening-participation policies are not implemented effectively in the HE sector. This article discusses the issues related to LDs in medical education and draws policy, provision, and practice implications to identify, assess, and support students with LDs in medical schools, particularly in an Asian context. PMID:23745060

  8. Psychoactive Medication and Learning Disabilities

    ERIC Educational Resources Information Center

    Eaton, Marie; And Others

    1977-01-01

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

  9. Assessment of Developmentally Disabled Children.

    ERIC Educational Resources Information Center

    Chase, Joan B.

    1985-01-01

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

  10. Dynamic Assessment of Language Disabilities

    ERIC Educational Resources Information Center

    Martin, Deirdre

    2015-01-01

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

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

    ERIC Educational Resources Information Center

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

    2005-01-01

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

  12. Controversial Medical Treatments of Learning Disabilities

    ERIC Educational Resources Information Center

    Sieben, Robert L.

    1977-01-01

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

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

    ERIC Educational Resources Information Center

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

    2010-01-01

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

  14. Developmental dyscalculia and medical assessment.

    PubMed

    Shalev, R S; Gross-Tsur, V

    1993-02-01

    Developmental dyscalculia (DC) is a primary cognitive disorder of childhood manifested by disturbance of arithmetic ability. As an isolated learning disability (LD), it is usually treated by remedial education and not referred for further medical evaluation. We examined a group of 7 third-grade children with DC attending a mainstream school who had not progressed academically in spite of specific special education intervention. We were able to identify in all 7 children neurological conditions that had direct bearing on the children's cognitive disabilities and remedial programs. One child had petit mal seizures, another developmental Gerstmann syndrome, a third had dyslexia for numbers, and 4 children had attention deficit disorders without hyperactivity. Based on this experience, we suggest that the indications for medical or neurological assessment be broadened to include children who are not improving academically in spite of appropriate professional intervention. PMID:7681863

  15. Medical and Sociocultural Aspects of Disability. Section III.

    ERIC Educational Resources Information Center

    Thornhill, Herbert L.; And Others

    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

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

    ERIC Educational Resources Information Center

    Lin, Leslie Y.

    1987-01-01

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

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

    ERIC Educational Resources Information Center

    Feingold, Benjamin F.

    1977-01-01

    The author replies to the article titled "Controversial Medical Treatments of Learning Disabilities" (R. Sieben), and discusses research on the relationship between food additives and hyperactivity, and dietary treatments for learning disabled children. (IM)

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

    PubMed

    Helms, L B; Helms, C M

    1994-07-01

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

  19. Learning Disabilities, Professionalism, and the Practice of Medical Education.

    ERIC Educational Resources Information Center

    Hafferty, Frederic W.; Gibson, Gary G.

    2003-01-01

    Examines arguments by Little in the preceding article that a successful legal suit for accommodations on a state bar exam is generalizable to learning disabilities and medical education. Explores the legitimacy accorded to academic accommodations in medical education. Asserts that medical schools have a social responsibility to shift their

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

    ERIC Educational Resources Information Center

    Donley, Mandy; Chan, Jeffrey; Webber, Lynne

    2012-01-01

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

  1. 20 CFR 416.993 - Medical evidence in continuing disability review cases.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

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

  2. 20 CFR 416.993 - Medical evidence in continuing disability review cases.

    Code of Federal Regulations, 2013 CFR

    2013-04-01

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

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

    Code of Federal Regulations, 2011 CFR

    2011-04-01

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

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

    Code of Federal Regulations, 2012 CFR

    2012-04-01

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

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

    Code of Federal Regulations, 2014 CFR

    2014-04-01

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

  6. Assessing disability in schizophrenia: tools and contributors.

    PubMed

    Harvey, Philip D

    2014-10-01

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

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

    ERIC Educational Resources Information Center

    Reichgott, Michael J.

    1996-01-01

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

  8. Technology in the Assessment of Learning Disability.

    ERIC Educational Resources Information Center

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

    1998-01-01

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

  9. Technology in the Assessment of Learning Disability.

    ERIC Educational Resources Information Center

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

    1998-01-01

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

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

    ERIC Educational Resources Information Center

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

    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…

  11. Clinician Experiences Assessing Work Disability Related to Mental Disorders

    PubMed Central

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

    2015-01-01

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

  12. 20 CFR 220.110 - Medically disabled.

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ... are based on medically acceptable clinical and laboratory techniques. (c) Addiction to alcohol or drugs. If a claimant has a condition diagnosed as addiction to alcohol or drugs, this condition will...

  13. 20 CFR 220.110 - Medically disabled.

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ... are based on medically acceptable clinical and laboratory techniques. (c) Addiction to alcohol or drugs. If a claimant has a condition diagnosed as addiction to alcohol or drugs, this condition will...

  14. 20 CFR 220.110 - Medically disabled.

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ... are based on medically acceptable clinical and laboratory techniques. (c) Addiction to alcohol or drugs. If a claimant has a condition diagnosed as addiction to alcohol or drugs, this condition will...

  15. 20 CFR 220.110 - Medically disabled.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... are based on medically acceptable clinical and laboratory techniques. (c) Addiction to alcohol or drugs. If a claimant has a condition diagnosed as addiction to alcohol or drugs, this condition will...

  16. 20 CFR 220.110 - Medically disabled.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... are based on medically acceptable clinical and laboratory techniques. (c) Addiction to alcohol or drugs. If a claimant has a condition diagnosed as addiction to alcohol or drugs, this condition will...

  17. Assessing Needs of Library Users with Disabilities.

    ERIC Educational Resources Information Center

    Holt, Cynthia; Hole, Wanda Clements

    1995-01-01

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

  18. Assessing Calculators as Assessment Accommodations for Students with Disabilities

    ERIC Educational Resources Information Center

    Bouck, Emily C.; Yadav, Aman

    2008-01-01

    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%),

  19. Measurement of Environmental Constructs in Disability Assessment Instruments

    ERIC Educational Resources Information Center

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

    2006-01-01

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

  20. Measurement of Environmental Constructs in Disability Assessment Instruments

    ERIC Educational Resources Information Center

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

    2006-01-01

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

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

    ERIC Educational Resources Information Center

    Albus, Debra; Thurlow, Martha L.

    2008-01-01

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

  2. [Benefit assessment of medical devices].

    PubMed

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

    2015-03-01

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

  3. Assessment Methods in Medical Education

    ERIC Educational Resources Information Center

    Norcini, John J.; McKinley, Danette W.

    2007-01-01

    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

  4. [Occupational disability in epilepsy. The assessment criteria].

    PubMed

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

    2016-03-01

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

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

    PubMed

    Novillo-Corvaln, Patricia

    2011-06-01

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

  6. 10 CFR 712.14 - Medical assessment.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... 10 Energy 4 2011-01-01 2011-01-01 false Medical assessment. 712.14 Section 712.14 Energy... Program Procedures § 712.14 Medical assessment. (a) Purpose. The HRP medical assessment is performed to... manner. (b) When performed. (1) The medical assessment is performed initially on HRP candidates...

  7. 10 CFR 712.14 - Medical assessment.

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... 10 Energy 4 2012-01-01 2012-01-01 false Medical assessment. 712.14 Section 712.14 Energy... Program Procedures § 712.14 Medical assessment. (a) Purpose. The HRP medical assessment is performed to... manner. (b) When performed. (1) The medical assessment is performed initially on HRP candidates...

  8. 10 CFR 712.14 - Medical assessment.

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ... 10 Energy 4 2013-01-01 2013-01-01 false Medical assessment. 712.14 Section 712.14 Energy... Program Procedures § 712.14 Medical assessment. (a) Purpose. The HRP medical assessment is performed to... manner. (b) When performed. (1) The medical assessment is performed initially on HRP candidates...

  9. 10 CFR 712.14 - Medical assessment.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... 10 Energy 4 2010-01-01 2010-01-01 false Medical assessment. 712.14 Section 712.14 Energy... Program Procedures § 712.14 Medical assessment. (a) Purpose. The HRP medical assessment is performed to... manner. (b) When performed. (1) The medical assessment is performed initially on HRP candidates...

  10. Assessing Functional Impairment in Siblings Living With Children With Disability

    PubMed Central

    Havercamp, Susan; Jamieson, Barry; Sahr, Timothy

    2013-01-01

    OBJECTIVE: The purpose of this study was to empirically test if siblings of children with disability had higher levels of parent-reported behavioral and emotional functional impairment compared with a peer group of siblings residing with only typically developing children. METHODS: This was a retrospective secondary analysis of data from the Medical Expenditure Panel Survey. We included only households with at least 2 children to ensure sibling relationships. Two groups of siblings were formed: 245 siblings resided in households with a child with disability and 6564 siblings resided in households with typically developing children. Parents responded to questions from the Columbia Impairment Scale to identify functional impairment in their children. RESULTS: On the basis of parent reports and after adjusting for sibling demographic characteristics and household background, siblings of children with disability were more likely than siblings residing with typically developing children to have problems with interpersonal relationships, psychopathological functioning, functioning at school, and use of leisure time (P < .05). The percentage of siblings of children with disability classified with significant functional impairment was 16.0% at the first measurement period and 24.2% at the second (P < .001). For siblings of typically developing children there was a smaller percentage increase from 9.5% to 10.3% (P < .001). CONCLUSIONS: Functional impairment is a key indicator for the need of mental health services and, as such, early assessment and interventions to limit increasing severity and short- to long-term consequences need to be addressed. Health care professionals need to consider a family-based health care approach for families raising children with disability. PMID:23897909

  11. Learning disabilities, professionalism, and the practice of medical education.

    PubMed

    Hafferty, Frederic W; Gibson, Gary G

    2003-02-01

    The authors use the interface of learning disabilities (LDs) and medical education to explore several issues relevant to medical professionalism and the training of future physicians. First, they examine arguments given by Little (in the preceding article) that a successful suit for accommodations on a state bar exam is generalizable to LDs and medical education, and suggest ways in which this may not be true. They then explore two frameworks for understanding medical education: (1) as a process of academic achievement linked to degree attainment, and (2) as a process of professional acculturation linked to competencies. Within this dichotomy, they then explore (1) the legitimacy accorded to different types of accommodations, (2) differing meanings of a "level playing field," and (3) the legal standard of "otherwise able." They also examine the use of intermediaries (e.g., a reader) as a "leveling" strategy and how, in clinical settings, this might violate core standards of autonomous decision making. The authors investigate the nature of "technical standards" in training across medicine and nursing and find a number of differences, particularly in the intent and levels of detail of standards. Across these two domains, they observe a status hierarchy, medical hubris, and the emergence of a "right to fail" as one travels down that hierarchy. The authors also examine medicine as an undifferentiated degree and consider arguments that medical school course requirements should be unbundled. They close by insisting that medical schools have a social responsibility to shift their pedagogic gaze from identifying handicaps in individuals to understanding how the education of physicians can become, quite literally, "handicapping." PMID:12584098

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

    ERIC Educational Resources Information Center

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

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

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

    ERIC Educational Resources Information Center

    Abedi, Jamal

    2009-01-01

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

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

    PubMed

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

    2012-06-01

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

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

    ERIC Educational Resources Information Center

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

    2012-01-01

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

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

    ERIC Educational Resources Information Center

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

    2012-01-01

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

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

    PubMed

    Yamasaki, Masao

    2015-01-01

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

  18. Assessing pain in children with intellectual disabilities.

    PubMed

    Breau, Lynn M; Burkitt, Chantel

    2009-01-01

    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 Noncommunicating 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. PMID:19532853

  19. Medical technology assessment in Finland.

    PubMed

    Kankaanp, J; Linnakko, E; Leisti, S

    1991-01-01

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

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

    ERIC Educational Resources Information Center

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

    2004-01-01

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

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

    ERIC Educational Resources Information Center

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

    2012-01-01

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

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

    ERIC Educational Resources Information Center

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

    2012-01-01

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

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

    ERIC Educational Resources Information Center

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

    2006-01-01

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

  4. 38 CFR 3.358 - Compensation for disability or death from hospitalization, medical or surgical treatment...

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... disability or death from hospitalization, medical or surgical treatment, examinations or vocational... Special Purposes 3.358 Compensation for disability or death from hospitalization, medical or surgical... condition at time of beginning the physical examination as a result of which the disease or injury...

  5. 38 CFR 3.358 - Compensation for disability or death from hospitalization, medical or surgical treatment...

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... disability or death from hospitalization, medical or surgical treatment, examinations or vocational... Special Purposes 3.358 Compensation for disability or death from hospitalization, medical or surgical... condition at time of beginning the physical examination as a result of which the disease or injury...

  6. 38 CFR 3.358 - Compensation for disability or death from hospitalization, medical or surgical treatment...

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... disability or death from hospitalization, medical or surgical treatment, examinations or vocational... Special Purposes 3.358 Compensation for disability or death from hospitalization, medical or surgical... condition at time of beginning the physical examination as a result of which the disease or injury...

  7. Medically necessary sterilization of a minor with intellectual disability: a case report and historical perspective.

    PubMed

    Sowa, Nathaniel A; Rosenstein, Donald L

    2015-01-01

    Medical necessity may lead to secondary sterilization of individuals with intellectual disabilities, but legal statutes mandate that certain procedures be followed in these cases. In this article, we present a case of medically necessary sterilization of an individual with intellectual disability, and we discuss important legal statutes that guide this practice in North Carolina. PMID:25621486

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

    PubMed

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

    1986-11-01

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

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

    ERIC Educational Resources Information Center

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

    2008-01-01

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

  10. 10 CFR 712.14 - Medical assessment.

    Code of Federal Regulations, 2014 CFR

    2014-01-01

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

  11. Disparities in Health Care Access and Receipt of Preventive Services by Disability Type: Analysis of the Medical Expenditure Panel Survey

    PubMed Central

    Horner-Johnson, Willi; Dobbertin, Konrad; Lee, Jae Chul; Andresen, Elena M

    2014-01-01

    Objective To examine differences in access to health care and receipt of clinical preventive services by type of disability among working-age adults with disabilities. Data Source Secondary analysis of Medical Expenditure Panel Survey (MEPS) data from 2002 to 2008. Study Design We conducted cross-sectional logistic regression analyses comparing people with different types of disabilities on health insurance status and type; presence of a usual source of health care; delayed or forgone care; and receipt of dental checkups and cancer screening. Data Collection We pooled annualized MEPS data files across years. Our analytic sample consisted of adults (1864years) with physical, sensory, or cognitive disabilities and nonmissing data for all variables of interest. Principal Findings Individuals with hearing impairment had better health care access and receipt than people with other disability types. People with multiple types of limitations were especially likely to have health care access problems and unmet health care needs. Conclusions There are differences in health care access and receipt of preventive care depending on what type of disability people have. More in-depth research is needed to identify specific causes of these disparities and assess interventions to address health care barriers for particular disability groups. PMID:24962662

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

    ERIC Educational Resources Information Center

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

    2015-01-01

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

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

    ERIC Educational Resources Information Center

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

    2015-01-01

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

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

    PubMed

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

    2012-11-01

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

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

    ERIC Educational Resources Information Center

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

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

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

    ERIC Educational Resources Information Center

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

    2011-01-01

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

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

    ERIC Educational Resources Information Center

    Lunsky, Yona; Elserafi, Jonny

    2012-01-01

    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

  18. 20 CFR 410.424 - Determining total disability: Medical criteria only.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... 20 Employees' Benefits 2 2011-04-01 2011-04-01 false Determining total disability: Medical criteria only. 410.424 Section 410.424 Employees' Benefits SOCIAL SECURITY ADMINISTRATION FEDERAL COAL MINE HEALTH AND SAFETY ACT OF 1969, TITLE IV-BLACK LUNG BENEFITS (1969- ) Total Disability or Death Due...

  19. 20 CFR 410.424 - Determining total disability: Medical criteria only.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... 20 Employees' Benefits 2 2010-04-01 2010-04-01 false Determining total disability: Medical criteria only. 410.424 Section 410.424 Employees' Benefits SOCIAL SECURITY ADMINISTRATION FEDERAL COAL MINE HEALTH AND SAFETY ACT OF 1969, TITLE IV-BLACK LUNG BENEFITS (1969- ) Total Disability or Death Due...

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

    PubMed Central

    Erickson, Steven R.; LeRoy, Barbara

    2015-01-01

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

  1. Injury severity assessment for car occupants in frontal impacts, using disability scaling.

    PubMed

    Norin, H; Krafft, M; Korner, J; Nygren, A; Tingvall, C

    1997-01-01

    Injury classification and assessment is one of the most important fields of injury prevention. At present, injury assessment focuses primarily on the risk of fatalities, in spite of the fact that most people who are injured survive the trauma. The net result of a fatality-based approach is that safety and vehicle engineers must make decisions with an incomplete, and sometimes misleading, picture of the traffic safety problem. By applying disability scaling reflecting long-term consequences to injury data, the most significant disabling injuries can be identified. The priorities change with the level of disability used in the scaling. In this study, the risk of permanent medical disability due to different injuries was derived and linked to abbreviated injury scale (AIS) values for 24,087 different injured body regions. This material is based on insurance data. To study how the importance of different bodily injuries changes with different severity assessments in a realistic real-world injury distribution, Swedish insurance industry disability scaling was applied to 3066 cases of belted Volvo drivers involved in frontal collisions. Crash severity was included in the study by using equivalent barrier speed (EBS). When lower levels of disability are included, injuries to the neck and the extremities become the most important, while brain and skull injuries become the most prominent at higher levels of disability. The results presented in this article should be regarded as a contribution to the development of a suitable disability scaling method. The results can also be utilized to further injury research and vehicle design aimed at reducing injuries which have the most important long-term disability consequences. PMID:9048694

  2. 20 CFR 416.996 - Continued disability or blindness benefits pending appeal of a medical cessation determination.

    Code of Federal Regulations, 2014 CFR

    2014-04-01

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

  3. 20 CFR 416.996 - Continued disability or blindness benefits pending appeal of a medical cessation determination.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

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

  4. 20 CFR 416.996 - Continued disability or blindness benefits pending appeal of a medical cessation determination.

    Code of Federal Regulations, 2012 CFR

    2012-04-01

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

  5. 20 CFR 416.996 - Continued disability or blindness benefits pending appeal of a medical cessation determination.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

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

  6. 20 CFR 416.996 - Continued disability or blindness benefits pending appeal of a medical cessation determination.

    Code of Federal Regulations, 2013 CFR

    2013-04-01

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

  7. 20 CFR 404.1051 - Payments on account of sickness or accident disability, or related medical or hospitalization...

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... disability, or related medical or hospitalization expenses. 404.1051 Section 404.1051 Employees' Benefits SOCIAL SECURITY ADMINISTRATION FEDERAL OLD-AGE, SURVIVORS AND DISABILITY INSURANCE (1950- ) Employment... accident disability, or related medical or hospitalization expenses. (a) We do not include as wages...

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

    ERIC Educational Resources Information Center

    Learning Disability Quarterly, 2011

    2011-01-01

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

  9. The Kaufman Assessment Battery for Children (K-ABC) in the Assessment of Learning Disabled Children.

    ERIC Educational Resources Information Center

    Rethazi, Maya; Wilson, Anne Keeton

    1988-01-01

    Examined whether Kaufman Assessment Battery for Children (K-ABC) could discriminate between learning disabled and normal preadolescents. Tested 43 learning disabled (LD) students and 20 students without learning disabilities. Results indicated that the Achievement score relative to the Mental Processing Composite score was the only measure to

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

    ERIC Educational Resources Information Center

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

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

  11. 14 CFR 382.23 - May carriers require a passenger with a disability to provide a medical certificate?

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... BASIS OF DISABILITY IN AIR TRAVEL Nondiscrimination and Access to Services and Information 382.23 May... with a disability (i) Who is traveling in a stretcher or incubator; (ii) Who needs medical...

  12. 14 CFR 382.23 - May carriers require a passenger with a disability to provide a medical certificate?

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... BASIS OF DISABILITY IN AIR TRAVEL Nondiscrimination and Access to Services and Information 382.23 May... with a disability (i) Who is traveling in a stretcher or incubator; (ii) Who needs medical...

  13. 14 CFR 382.23 - May carriers require a passenger with a disability to provide a medical certificate?

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... BASIS OF DISABILITY IN AIR TRAVEL Nondiscrimination and Access to Services and Information 382.23 May... with a disability (i) Who is traveling in a stretcher or incubator; (ii) Who needs medical...

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

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... BASIS OF DISABILITY IN AIR TRAVEL Nondiscrimination and Access to Services and Information 382.23 May... with a disability (i) Who is traveling in a stretcher or incubator; (ii) Who needs medical...

  15. 14 CFR 382.23 - May carriers require a passenger with a disability to provide a medical certificate?

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ... BASIS OF DISABILITY IN AIR TRAVEL Nondiscrimination and Access to Services and Information 382.23 May... with a disability (i) Who is traveling in a stretcher or incubator; (ii) Who needs medical...

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

    ERIC Educational Resources Information Center

    Tyler, Janet Siantz; Colson, Steven

    1994-01-01

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

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

    ERIC Educational Resources Information Center

    Tyler, Janet Siantz; Colson, Steven

    1994-01-01

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

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

    ERIC Educational Resources Information Center

    Zijlstra, H. P.; Vlaskamp, C.

    2005-01-01

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

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

    ERIC Educational Resources Information Center

    Crossley, Rachel; Withers, Paul

    2009-01-01

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

  20. 42 CFR 436.322 - Medically needy coverage of the disabled.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 42 Public Health 4 2010-10-01 2010-10-01 false Medically needy coverage of the disabled. 436.322 Section 436.322 Public Health CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) MEDICAL ASSISTANCE PROGRAMS ELIGIBILITY IN GUAM, PUERTO RICO, AND THE VIRGIN...

  1. 42 CFR 436.322 - Medically needy coverage of the disabled.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... 42 Public Health 4 2014-10-01 2014-10-01 false Medically needy coverage of the disabled. 436.322 Section 436.322 Public Health CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) MEDICAL ASSISTANCE PROGRAMS ELIGIBILITY IN GUAM, PUERTO RICO, AND THE VIRGIN...

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

    ERIC Educational Resources Information Center

    Zijlstra, H. P.; Vlaskamp, C.

    2005-01-01

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

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

    PubMed

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

    2015-01-15

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

  4. No More Excuses: New Research on Assessing Students with Disabilities

    ERIC Educational Resources Information Center

    Sireci, Stephen G.

    2009-01-01

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

  5. Preference Assessment Procedures for Individuals with Developmental Disabilities

    ERIC Educational Resources Information Center

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

    2004-01-01

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

  6. 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

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

    2010-01-01

    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…

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

    ERIC Educational Resources Information Center

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

    2014-01-01

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

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

    ERIC Educational Resources Information Center

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

    2014-01-01

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

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

    PubMed

    Parker, Malcolm

    2014-09-01

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

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

    PubMed

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

    2014-09-01

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

  11. The unfinished body: the medical and social reshaping of disabled young bodies.

    PubMed

    McLaughlin, Janice; Coleman-Fountain, Edmund

    2014-11-01

    Stories about disability are heavily shaped by the narratives offered by medicine and society. Those narratives enact an 'anomalous' body that is constructed as distant from the norm and therefore 'damaged' but also fixable. In this paper we explore how such narratives, and the practices they encompass, influence the stories disabled young people tell about their bodies and impairment. We do so by drawing on narrative qualitative interviews and visual practices carried out with seventeen disabled young people in a project funded by the Economic and Social Research Council that took place between 2011 and 2012 in the North East of England. The findings discussed here focus on how medical and societal responses to bodily difference become part of the stories disabled young people tell about their bodies, and influence the way they work with the body as something which remains 'unfinished' and therefore both fixable and flawed. Our conclusion is that a narrative of an unfinished body is produced, as young people manage their bodies as something that is integral to their emerging identity, but also as a potential threat that could undermine and give away their labour in making an 'ordinary' functioning body and life. The paper contributes to medical sociology and sociology of the body by producing new knowledge about how disabled embodiment is lived and framed by disabled young people in the context of ongoing attempts to change the body. PMID:25226449

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

    PubMed

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

    2015-04-01

    People with intellectual disabilities (ID) represent a small but important group of hospitalized patients who have higher rates of complications than do patients without ID hospitalized for the same reasons. Complications are potentially avoidable conditions, such as healthcare-acquired infections, healthcare-acquired skin breakdown, falls, and medication errors and reactions. Addressing factors related to complications can focus efforts to improve hospital care. The purpose of this exploratory study was to analyze data from reviews of academic medical center charts (N  =  70) about complications and to examine patient and hospitalization characteristics in relation to complications among adult patients (age ≥ 18 years) with ID hospitalized for nonpsychiatric reasons. Adults with ID tended to be twice as likely to have complications (χ2  =  2.893, df  =  1, p  =  .09) if they had a surgical procedure and were nearly four times as likely to have complications (χ2  =  6.836, df  =  1, p  =  .009) if they had multiple chronic health conditions (three of the following: history of cerebral palsy, autism spectrum symptoms, aggressive behavior, respiratory disorder, and admission through the emergency department). Findings suggest preliminary criteria for assessing risk for complications among hospitalized people with ID and the need for attention to their specific needs when hospitalized. PMID:25860449

  13. Pica in Persons with Developmental Disabilities: Characteristics, Diagnosis, and Assessment

    ERIC Educational Resources Information Center

    Matson, Johnny L.; Belva, Brian; Hattier, Megan A.; Matson, Michael L.

    2011-01-01

    Pica is a very serious and often life threatening problem which occurs largely in persons with developmental disabilities. The topic has received sporadic attention from researchers for several decades. This paper reviews definitions, diagnostic implications, causes, prevalence, and assessment methods that have been described in the research…

  14. Pica in Persons with Developmental Disabilities: Characteristics, Diagnosis, and Assessment

    ERIC Educational Resources Information Center

    Matson, Johnny L.; Belva, Brian; Hattier, Megan A.; Matson, Michael L.

    2011-01-01

    Pica is a very serious and often life threatening problem which occurs largely in persons with developmental disabilities. The topic has received sporadic attention from researchers for several decades. This paper reviews definitions, diagnostic implications, causes, prevalence, and assessment methods that have been described in the research

  15. Clinical Assessment of Adult Sexual Offenders with Learning Disabilities

    ERIC Educational Resources Information Center

    Tudway, Jeremy A.; Darmoody, Malcolm

    2005-01-01

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

  16. Career Assessment and Planning Strategies for Postsecondary Students with Disabilities

    ERIC Educational Resources Information Center

    Roessler, Richard T.; Hennessey, Mary L.; Hogan, Ebony M.; Savickas, Suzanne

    2009-01-01

    Career assessment and planning services that enable students with disabilities to make successful transitions from higher education to careers are an important component often missing in the postsecondary educational experience. Comprehensive services in this regard involve students in considering how to incorporate their preferences, assets, and…

  17. Pick One! Conducting Preference Assessments with Students with Significant Disabilities

    ERIC Educational Resources Information Center

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

    2013-01-01

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

  18. Addressing assessment in libyan medical education.

    PubMed

    Richardson, J; Gill, D; Woolf, K

    2009-01-01

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

  19. [Social-hygienic features of health, life conditions and medical-social assistance to the veterans and disabled veterans of the Great patriotic war in Russia].

    PubMed

    Shchepin, O P; Maksimova, T M; Kakorina, E P; Ismailova, D I; Korol'kova, T A

    1995-01-01

    Disease incidence in participants and subjects disabled in the Great Patriotic War is analyzed as reflected by the records of consultation rate and medical check-ups of this population. Sociologic study provided information about the subjective assessment of the health status and some sociohygienic and biological characteristics of the cohort. The scope of medical care rendered and requirements in corrective devices and specific types of social care were studied. PMID:9273163

  20. 42 CFR 435.330 - Medically needy coverage of the aged, blind, and disabled in States using more restrictive...

    Code of Federal Regulations, 2012 CFR

    2012-10-01

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

  1. 42 CFR 435.330 - Medically needy coverage of the aged, blind, and disabled in States using more restrictive...

    Code of Federal Regulations, 2011 CFR

    2011-10-01

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

  2. 42 CFR 435.330 - Medically needy coverage of the aged, blind, and disabled in States using more restrictive...

    Code of Federal Regulations, 2014 CFR

    2014-10-01

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

  3. 42 CFR 435.330 - Medically needy coverage of the aged, blind, and disabled in States using more restrictive...

    Code of Federal Regulations, 2010 CFR

    2010-10-01

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

  4. 42 CFR 435.330 - Medically needy coverage of the aged, blind, and disabled in States using more restrictive...

    Code of Federal Regulations, 2013 CFR

    2013-10-01

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

  5. Medical Assessment of Late Effects of National Socialist Persecution

    PubMed Central

    Grobin, W.

    1965-01-01

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

  6. Working with Individuals Who Are Medically Fragile or Have Physical Disabilities. Module Six. Facilitator's Edition [and] Student's Edition. Strategies for Paraprofessionals Who Support Individuals with Disabilities Series.

    ERIC Educational Resources Information Center

    Ness, Jean E.

    The sixth in a series of federally supported modules for training paraprofessional school personnel who work with students with disabilities, this module presents information on working with individuals who are medically fragile or have physical disabilities. Both a facilitator's edition and a student's edition are provided. Chapter 1 examines the

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

    PubMed

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

    2015-12-01

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

  8. 38 CFR 3.358 - Compensation for disability or death from hospitalization, medical or surgical treatment...

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 38 Pensions, Bonuses, and Veterans' Relief 1 2010-07-01 2010-07-01 false Compensation for disability or death from hospitalization, medical or surgical treatment, examinations or vocational rehabilitation training (§ 3.800). 3.358 Section 3.358 Pensions, Bonuses, and Veterans' Relief DEPARTMENT OF VETERANS AFFAIRS ADJUDICATION...

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

    ERIC Educational Resources Information Center

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

    2012-01-01

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

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

    ERIC Educational Resources Information Center

    Walters, Janice A.; Croen, Lila G.

    1993-01-01

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

  11. Conforming a Voluntary Medical Leave of Absence Policy to Recent Interpretations of Disability Law

    ERIC Educational Resources Information Center

    Meilman, Philip W.

    2016-01-01

    In 2011, Georgetown University worked to revise its medical leave of absence (MLOA) policy to be in conformity with evolving standards and interpretations of disability law as it pertains to university students. The article describes the new policy, which was reviewed and approved by the U.S. Department of Education's Office for Civil Rights.…

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

    ERIC Educational Resources Information Center

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

    2012-01-01

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

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

    ERIC Educational Resources Information Center

    Gadow, Kenneth D.

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

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

    ERIC Educational Resources Information Center

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

    2011-01-01

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

  15. Atypical Antipsychotic Medication Improves Aggression, but Not Self-Injurious Behaviour, in Adults with Intellectual Disabilities

    ERIC Educational Resources Information Center

    Ruedrich, S. L.; Swales, T. P.; Rossvanes, C.; Diana, L.; Arkadiev, V.; Lim, K.

    2008-01-01

    Objective: Atypical antipsychotic medications have largely supplanted their typical counterparts, both for psychosis and for the treatment of aggression and/or self-injurious behaviour (SIB), in persons with intellectual disabilities (ID). However, with the exception of risperidone, little systematic research supports their use in such persons.

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

    ERIC Educational Resources Information Center

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

    2006-01-01

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

  17. Medical Service Utilization among Youth with School-Identified Disabilities in Residential Care

    ERIC Educational Resources Information Center

    Lambert, Matthew C.; Trout, Alexandra L.; Nelson, Timothy D.; Epstein, Michael H.; W. Thompson, Ronald

    2016-01-01

    Background: Behavioral, social, emotional, and educational risks among children and youth with school identified disabilities served in residential care have been well documented. However, the health care needs and medical service utilization of this high-risk population are less well known. Given the risks associated with children with…

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

    ERIC Educational Resources Information Center

    Walters, Janice A.; Croen, Lila G.

    1993-01-01

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

  19. Conforming a Voluntary Medical Leave of Absence Policy to Recent Interpretations of Disability Law

    ERIC Educational Resources Information Center

    Meilman, Philip W.

    2016-01-01

    In 2011, Georgetown University worked to revise its medical leave of absence (MLOA) policy to be in conformity with evolving standards and interpretations of disability law as it pertains to university students. The article describes the new policy, which was reviewed and approved by the U.S. Department of Education's Office for Civil Rights.

  20. [Competency-based assessment in medical education].

    PubMed

    Champin, Denisse

    2014-01-01

    At present, competency-based curriculum is considered to be the most appropriate model in medical education. Much has been written about this model; however, a crucial aspect of the model is the assessment of competency development which is a different point compared to the traditional model of cognitive assessment. Assessment in the context of the competencybased curriculum model must be aligned with the profile of the competencies that the institution offers. This publication reports the evaluation experience in a Medical School of Peru that applies a competency-based curriculum. PMID:25418658

  1. Dyslexia and Learning Disabilities: Medical Diagnosis with Educational Therapy.

    ERIC Educational Resources Information Center

    Westerman, S. Thomas; And Others

    1982-01-01

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

  2. Visual quality assessment of watermarked medical images

    NASA Astrophysics Data System (ADS)

    Dowling, Jason A.; Planitz, Birgit M.; Maeder, Anthony J.; Du, Jiang; Pham, Binh; Boyd, Colin; Chen, Shaokang; Bradley, Andrew P.; Crozier, Stuart

    2007-03-01

    Increasing transmission of medical images across multiple user systems raises concerns for image security. Hiding watermark information in medical image data files is one solution for enhancing security and privacy protection of data. Medical image watermarking however is not a widely studied area, due partially to speculations on loss in viewer performance caused by degradation of image information. Such concerns are addressed if the amount of information lost due to watermarking can be kept at minimal levels and below visual perception thresholds. This paper describes experiments where three alternative visual quality metrics were used to assess the degradation caused by watermarking medical images. Magnetic Resonance Imaging (MRI) and Computed Tomography (CT) medical images were watermarked using different methods: Block based Discrete Cosine Transform (DCT) and Discrete Wavelet Transform (DWT) with various embedding strengths. The visual degradation of each watermarking parameter setting was assessed using Peak Signal-to-Noise Ratio (PSNR), Structural Similarity Measure (SSIM) and Steerable Visual Difference Predictor (SVDP) numerical metrics. The suitability of each of the three numerical metrics for medical image watermarking visual quality assessment is noted. In addition, subjective test results from human observers are used to suggest visual degradation thresholds.

  3. Advancing Resident Assessment in Graduate Medical Education

    PubMed Central

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

    2009-01-01

    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 20072008 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. PMID:21975993

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

    ERIC Educational Resources Information Center

    Wolforth, Joan

    2012-01-01

    This paper discusses issues regarding the validity and reliability of psychoeducational assessments provided to Disability Services Offices at Canadian Universities. Several vignettes illustrate some current issues and the potential consequences when university students are given less than thorough disability evaluations and ascribed diagnoses.…

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

    ERIC Educational Resources Information Center

    Wolforth, Joan

    2012-01-01

    This paper discusses issues regarding the validity and reliability of psychoeducational assessments provided to Disability Services Offices at Canadian Universities. Several vignettes illustrate some current issues and the potential consequences when university students are given less than thorough disability evaluations and ascribed diagnoses.

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

    PubMed

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

    2012-11-01

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

  7. Outcomes Assessment in Veterinary Medical Education.

    ERIC Educational Resources Information Center

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

    2002-01-01

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

  8. Urgent Medical Assessment after Child Sexual Abuse

    ERIC Educational Resources Information Center

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

    2006-01-01

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

  9. Urgent Medical Assessment after Child Sexual Abuse

    ERIC Educational Resources Information Center

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

    2006-01-01

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

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

    PubMed

    Otte, Christine; Rauch, Anita

    2013-11-27

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

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

    Code of Federal Regulations, 2010 CFR

    2010-10-01

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

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

    Code of Federal Regulations, 2011 CFR

    2011-10-01

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

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

    Code of Federal Regulations, 2012 CFR

    2012-10-01

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

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

    Code of Federal Regulations, 2014 CFR

    2014-10-01

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

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

    Code of Federal Regulations, 2013 CFR

    2013-10-01

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

  16. Medical Conditions and Healthcare Utilization among Adults with Intellectual Disabilities Living in Group Homes in New York City

    ERIC Educational Resources Information Center

    Levy, Joel M.; Botuck, Shelly; Damiani, Marco R.; Levy, Philip H.; Dern, Thomas A.; Freeman, Stephen E.

    2006-01-01

    The shift in living situations for adults with intellectual and other developmental disabilities (IDDD) from family homes to group homes has raised questions about their healthcare needs and access to appropriate healthcare services. This study was undertaken to describe the disability characteristics and medical conditions in a sample of adults

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

    ERIC Educational Resources Information Center

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

    2004-01-01

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

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

    ERIC Educational Resources Information Center

    Hennessey, Stephen

    2011-01-01

    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…

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

    ERIC Educational Resources Information Center

    Hennessey, Stephen

    2011-01-01

    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

  20. 10 CFR 712.36 - Medical assessment process.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... 10 Energy 4 2011-01-01 2011-01-01 false Medical assessment process. 712.36 Section 712.36 Energy DEPARTMENT OF ENERGY HUMAN RELIABILITY PROGRAM Medical Standards § 712.36 Medical assessment process. (a) The Designated Physician, under the supervision of the SOMD, is responsible for the medical assessment of HRP candidates and...

  1. Assessing Stress in Disability: Developing and Piloting the Disability Related Stress Scale

    PubMed Central

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

    2013-01-01

    Background Stress negatively influences health, but few scales capture the unique stressors encountered by people with physical disability. Objective/Hypothesis Conduct a pilot study to develop and evaluate the factor structure of a stress measure targeting unique stressors facing people with physical limitations due to impaired movement of the upper and lower extremities. Methods Development of the Disability Related Stress Scale (DRSS) included: (1) obtaining input regarding content and items from focus groups and outside experts and (2) piloting the instrument. Participants recruited from an independent living center attended a focus group or completed the pilot survey. The piloted measure was a 107 item two-part survey. Part 1 assessed stressors encountered over the past week and Part 2 assessed stressors encountered over the past six months. Participants included a convenience sample of 143 adults who experienced a physical limitation; 26 attended focus groups and 117 completed the instrument. Respondents were predominantly women (60%), Caucasian (58%), and unemployed (92%). Respondents were 50.51 14.46 years old and had lived with their disability for 15.64 13.04 years. Results Exploratory factor analyses revealed a four factor solution for Part 1 and a two factor solution for Part 2 of the DRSS. Estimates of both scales internal consistency (Part 1 Cronbachs ? = .78 84; Part 2 Cronbachs ? = .72) and factor loadings (.401.00 for Part 1; .43.87 for Part 2) indicate adequate reliability. Conclusions Preliminary results provide initial support for the instruments reliability and factor structure although further validation studies are warranted. PMID:22726857

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

    ERIC Educational Resources Information Center

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

    2009-01-01

    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

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

    ERIC Educational Resources Information Center

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

    2009-01-01

    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…

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

    ERIC Educational Resources Information Center

    Lyon, G. Reid, Ed.

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

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

    ERIC Educational Resources Information Center

    Buysse, Virginia; And Others

    1996-01-01

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

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

    ERIC Educational Resources Information Center

    Hanna, Virgene; Kruse, Jack

    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…

  7. ['Medical technology assessment'; more than just efficacy].

    PubMed

    Buskens, E

    2000-03-25

    'Medical technology assessment' means investigating the developments, costs and effects of medical technologies. Practising physicians increasingly are confronted with consequences of management based on such research results. In order to follow and participate in the discussion they should be aware of this and know the jargon. In policy problems, measures of effect in natural units (e.g. cardiovascular mortality) offer advantages over measures of clinical findings (e.g. decrease of the serum cholesterol levels). Survival in various health states and disorders can be compared by multiplying the number of life years gained by a factor for the quality of life in those years. Costs are usually expressed in monetary terms. These may be calculated as direct medical costs on the basis of fees or actual costs for society. The latter is the case when the balancing is based on a societal perspective. The societal perspective enables a more objective assessment of health effects than when a patient perspective is used. 'Incremental cost effectiveness' expresses where extra expenditures will have maximum effect, and bears higher relevance for policy decisions than mean costs per unit of effect. Immaterial matters are more difficult to assess, but should nevertheless be considered in selecting the policy to be implemented. PMID:10761552

  8. Disability retirement

    NASA Technical Reports Server (NTRS)

    Eck, R. L.

    1975-01-01

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

  9. Disability Identity--Disability Pride

    ERIC Educational Resources Information Center

    Martin, Nicola

    2012-01-01

    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…

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

    ERIC Educational Resources Information Center

    Weinberg, Nancy

    1984-01-01

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

  11. Assessment and Documentation Considerations for Postsecondary Students with Learning Disabilities

    ERIC Educational Resources Information Center

    Lindstrom, Jennifer H.; Lindstrom, Will

    2011-01-01

    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

  12. Anonymous Peer Assessment of Medication Management Reviews

    PubMed Central

    Ryan, Greg; Woulfe, Jim; Bartimote-Aufflick, Kathryn

    2010-01-01

    Objectives To investigate whether pharmacy students' anonymous peer assessment of a medication management review (MMR) was constructive, consistent with the feedback provided by an expert tutor, and enhanced the students' learning experience. Design Fourth-year undergraduate pharmacy students were randomly and anonymously assigned to a partner and participated in an online peer assessment of their partner's MMR. Assessment An independent expert graded a randomly selected sample of the MMR's using a schedule developed for the study. A second expert evaluated the quality of the peer and expert feedback. Students also completed a questionnaire and participated in a focus group interview. Student peers gave significantly higher marks than an expert for the same MMR; however, no significant difference between the quality of written feedback between the students and expert was detected. The majority of students agreed that this activity was a useful learning experience. Conclusions Anonymous peer assessment is an effective means of providing additional constructive feedback on student performance on the medication review process. Exposure to other students' work and the giving and receiving of peer feedback were perceived as valuable by students. PMID:20798808

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

    ERIC Educational Resources Information Center

    Golubovic, Spela; Skrbic, Renata

    2013-01-01

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

  14. A Review of Biobehavioral State Assessment of Individuals with Profound Disabilities

    ERIC Educational Resources Information Center

    Richards, Stephen B.; Taylor, Ronald L.

    2005-01-01

    Assessment of individuals with profound disabilities is problematic, particularly when traditional approaches are used. As a result, alternate assessments have been attempted that better suit the needs of these students. One approach that has shown some promise is biobehavioral state assessment. Initially used with infants without disabilities,

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

    ERIC Educational Resources Information Center

    Sze, Susan

    2009-01-01

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

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

    PubMed Central

    Ishii, Shinya; Ogawa, Sumito; Akishita, Masahiro

    2015-01-01

    Both life expectancy and healthy life expectancy in Japan have been increasing and are among the highest in the world, but the gap between them has also been widening. To examine the recent trends in old age disability, chronic medical conditions and mortality in Japan, we retrospectively analyzed three nationally representative datasets: Comprehensive Survey of Living Conditions (20012013), Patient Survey (19962011) and Vital Statistics (19952010). We obtained the sex- and age-stratified trends in disability rate, treatment rates of nine selected chronic medical conditions (cerebrovascular diseases, joint disorders, fractures, osteoporosis, ischemic heart disease, diabetes mellitus, hypertension, pneumonia and malignant neoplasms), total mortality rate and mortality rates from specific causes (cerebrovascular diseases, heart diseases, pneumonia and malignant neoplasms) in both sexes in four age strata (6569, 7074, 7579, 8084 years). Disability rates declined significantly in both sexes. Treatment rates of all selected medical conditions also decreased significantly, except for fractures in women and pneumonia. Both total mortality rate and cause-specific mortality rates decreased in both sexes. We concluded that the recent decline in disability rates, treatment rates of chronic medical conditions and mortality rates points toward overall improvement in health conditions in adults over the age of 65 years in Japan. Nonetheless, considering the increase in the number of older adults, the absolute number of older adults with disability or chronic medical conditions will continue to increase and challenge medical and long-term care systems. PMID:26431468

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

    ERIC Educational Resources Information Center

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

    2009-01-01

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

  18. Medical Discrimination against Children with Disabilities. A Report of the U.S. Commission on Civil Rights.

    ERIC Educational Resources Information Center

    Commission on Civil Rights, Washington, DC.

    This report, prepared pursuant to Public Law 98-183 (Child Abuse Amendments of 1984), examines the nature and extent of the practice of withholding medical treatment or nourishment from infants born with disabilities and makes recommendations to remedy deficiencies in existing law. Evidence suggests that decisions to withhold medically indicated

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

    ERIC Educational Resources Information Center

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

    2009-01-01

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

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

    ERIC Educational Resources Information Center

    Ferguson, L.; Murphy, G. H.

    2014-01-01

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

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

    PubMed Central

    Miller, Paul Steven; Levine, Rebecca Leah

    2013-01-01

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

  2. Knowledge that people with intellectual disabilities have of their inhaled asthma medications: messages for pharmacists.

    PubMed

    Davis, Sharon R; Durvasula, Seeta; Merhi, Diana; Young, Paul M; Traini, Daniela; Bosnic Anticevich, Sinthia Z

    2016-02-01

    Background Fifteen percent of Australians with intellectual disability (ID) are reported to have asthma. People with ID are at risk of poor health knowledge due to deficits in intellectual and adaptive functioning, but their medication knowledge has largely been ignored in research to date. Objective To explore the level of understanding of asthma medication use of people with ID who self-administer their inhaled medications, in order to inform future educational support. Setting The research was conducted in NSW, Australia, at the participants' homes, the point of health care access, or the offices of relevant support organisations. Method In this qualitative study face-to-face interviews were conducted with people with ID using a semi-structured interview guide. The interviews were recorded, transcribed and thematically analysed. Main outcome Identification of barriers to asthma medication self-management by people with ID. Results Seventeen people with ID who self-administer their asthma medications were interviewed. Factors influencing their asthma medication knowledge and use included understanding of their illness and the need for medication; aspects of self-management and autonomy versus dependence. This sample of people with ID had a good understanding of the importance of using their inhaled asthma medications, as well as asthma triggers, and the difference between use of preventer and reliever medications. Both enablers and barriers to asthma medication self-management were identified in the domains of managing attacks, adherence, knowledge of side effects and sources of information on correct use of inhalers. The level of autonomy for medication use varied, with motivation to self-manage asthma influenced by the level of support that was practically available to individual participants. Conclusion This research investigated aspects of asthma medication self-management of people with ID. Based on the barriers identified, pharmacists should promote use of spacers and written asthma action plans as well as counsel people with ID about how to recognise and minimise side effects of asthma medications. Specific strategies for pharmacists when educating people with ID and their caregivers include active listening to determine understanding of concepts, exercising care with language, and working with the person's known routines to maximise adherence with preventer medications. PMID:26560115

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

    ERIC Educational Resources Information Center

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

    2008-01-01

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

  4. MAJOR MOBILITY DISABILITY-ASSESSMENT AND BASELINE PERFORMANCE IN LIFE

    Technology Transfer Automated Retrieval System (TEKTRAN)

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

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

    PubMed

    Foote, S B

    1987-01-01

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

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

    ERIC Educational Resources Information Center

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

    2014-01-01

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

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

    ERIC Educational Resources Information Center

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

    2015-01-01

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

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

    ERIC Educational Resources Information Center

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

    2007-01-01

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

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

    ERIC Educational Resources Information Center

    Davidson, Terence; Smith, Hilary; Burns, Jan

    2014-01-01

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

  10. Adult Library Patrons with Disabilities: An Assessment of Information Access Needs.

    ERIC Educational Resources Information Center

    Hole, Wanda Clements; Holt, Cynthia

    The Phoenix Public Library's Special Needs Center (SNC) has provided service to disabled patrons and professionals who serve the disabled community for over 10 years. Determined to stay abreast of changing needs, the SNC initiated a needs assessment project which included staff, professionals, and patrons. The purposes of the needs assessment were

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

    ERIC Educational Resources Information Center

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

    2015-01-01

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

  12. Guidelines for Providing Accommodations Using CASAS Assessment for Learners with Disabilities

    ERIC Educational Resources Information Center

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

    2005-01-01

    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

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

    ERIC Educational Resources Information Center

    Davidson, Terence; Smith, Hilary; Burns, Jan

    2014-01-01

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

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

    PubMed

    Burton, W N; Conti, D J

    2000-10-01

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

  15. Violence risk assessment as a medical intervention: ethical tensions

    PubMed Central

    Roychowdhury, Ashimesh; Adshead, Gwen

    2014-01-01

    Risk assessment differs from other medical interventions in that the welfare of the patient is not the immediate object of the intervention. However, improving the risk assessment process may reduce the chance of risk assessment itself being unjust. We explore the ethical arguments in relation to risk assessment as a medical intervention, drawing analogies, where applicable, with ethical arguments raised by general medical investigations. The article concludes by supporting the structured professional judgement approach as a method of risk assessment that is most consistent with the respect for principles of medical ethics. Recommendations are made for the future direction of risk assessment indicated by ethical theory. PMID:25237503

  16. 10 CFR 712.36 - Medical assessment process.

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ..., the appropriate procedure described in 10 CFR part 710, subpart A, applies. ... 10 Energy 4 2013-01-01 2013-01-01 false Medical assessment process. 712.36 Section 712.36 Energy DEPARTMENT OF ENERGY HUMAN RELIABILITY PROGRAM Medical Standards § 712.36 Medical assessment process. (a)...

  17. 10 CFR 712.36 - Medical assessment process.

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ..., the appropriate procedure described in 10 CFR part 710, subpart A, applies. ... 10 Energy 4 2012-01-01 2012-01-01 false Medical assessment process. 712.36 Section 712.36 Energy DEPARTMENT OF ENERGY HUMAN RELIABILITY PROGRAM Medical Standards § 712.36 Medical assessment process. (a)...

  18. 10 CFR 712.36 - Medical assessment process.

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ..., the appropriate procedure described in 10 CFR part 710, subpart A, applies. ... 10 Energy 4 2014-01-01 2014-01-01 false Medical assessment process. 712.36 Section 712.36 Energy DEPARTMENT OF ENERGY HUMAN RELIABILITY PROGRAM Medical Standards § 712.36 Medical assessment process. (a)...

  19. 10 CFR 712.36 - Medical assessment process.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

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

  20. Impact of Amitryptiline on Migraine Disability Assessment Score

    PubMed Central

    Nischal, Hanock

    2014-01-01

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

  1. [Medical expert assessment in civil and criminal law--stand for evaluating medical expert assessment].

    PubMed

    Kienzle, H F

    1996-11-01

    The standard for the assessment of the medical expert opinion is defined by the high demands expected from the judgement of a high court: Objectiveness, solid knowledge, self-criticism, in contestability in diction and firmness in the argumentation. From the legal point of view, the knowledge of the medical expert witness has to clearly go beyond the knowledge of his profession. The obligation for objectiveness is the basis of expert witness' activity. From the medical point of view, the physician has to take into account during the preparation of his expert assessment that structural deficiency of the personnel and surgical equipment of a department for surgery frequently plays a role due to the development of surgery to high tech medicine and the hospital physician cannot affect this. It is necessary for a physician as an expert witness to have basic knowledge about the evidence law and the medical liability process. On the other hand, judges and lawyers should basically know the medical way of thinking. PMID:9064929

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

    ERIC Educational Resources Information Center

    Sze, Susan

    2009-01-01

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

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

    NASA Technical Reports Server (NTRS)

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

    2009-01-01

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

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

    ERIC Educational Resources Information Center

    Konur, O.

    2007-01-01

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

  5. 2010-11 Publicly Reported Assessment Results for Students with Disabilities and ELLs with Disabilities. Technical Report 68

    ERIC Educational Resources Information Center

    Albus, Deb; Thurlow, Martha

    2013-01-01

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

  6. Disability associated with mental disorders

    PubMed Central

    Chaudhury, Pranit K.; Deka, Kamala; Chetia, Dhrubajyoti

    2006-01-01

    Background: Disability associated with mental illness is a major contributor to the global burden of disease. The present study looks at some aspects of disability associated with 7 psychiatric disorders: schizophrenia, bipolar affective disorder, anxiety disorders, depression, obsessivecompulsive disorder, dementia, and mental and behavioural disorders due to the use of alcohol. Aims: (i) To evaluate the nature and quantity of disabilities in the study groups; (ii) to compare the degree of disability with the severity of the disorder; (iii) to compare disability among various disorders; and (iv) to study the longitudinal stability of disability in the disease groups. Methods: A total of 228 patients attending the OPD, Department of Psychiatry, Assam Medical College, Dibrugarh, between July 2003 and June 2004, who were diagnosed as per ICD-10 guidelines and SCAN, were included in the study. Severity was assessed by the application of some commonly used rating scales for each specific disorder. The level of disability was assessed by using the Indian Disability Evaluation and Assessment Scale (IDEAS). Patients were followed up at 6 and 12 months. Statistical analysis was done on SPSS version 10. Results: All the 7 disorders under study are associated with significant disability; schizophrenia being maximally disabling. Disability associated with alcohol use disorder and anxiety is comparable to disability on account of OCD. Over a period of 12 months, disability due to depression, alcohol use disorder and anxiety tend to remain significant. PMID:20703393

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

    PubMed

    Andersen, E; Grimsmo, A; Westin, S

    1995-03-20

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

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

    ERIC Educational Resources Information Center

    Zatta, Mary C.; Pullin, Diana C.

    2004-01-01

    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

  9. Graduation Policies for Students with Disabilities Who Participate in States' General Assessments. Synthesis Report 98

    ERIC Educational Resources Information Center

    Thurlow, Martha L.; Albus, Debra A.; Lazarus, Sheryl S.

    2015-01-01

    Graduation requirements and diploma options for students with disabilities who participate in the general assessment has been a topic of interest for many years. The recent push for all students, including those with disabilities, to leave school ready for college and career has heightened the importance of understanding what states are requiring…

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

    ERIC Educational Resources Information Center

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

    2011-01-01

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

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

    ERIC Educational Resources Information Center

    Remington, Bob

    1996-01-01

    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.

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

    ERIC Educational Resources Information Center

    Tripp, April; Zhu, Weimo

    2005-01-01

    Federal legislation has influenced the practice of physical education for students with disabilities for over 30 years. The purpose of this article is to create greater awareness and understanding relative to the laws concerning the assessment of fitness and motor skills of students with disabilities. The article reviews the intentions and

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

    ERIC Educational Resources Information Center

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

    2011-01-01

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

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

    ERIC Educational Resources Information Center

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

    2015-01-01

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

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

    ERIC Educational Resources Information Center

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

    2012-01-01

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

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

    ERIC Educational Resources Information Center

    Perie, Marianne, Ed.

    2010-01-01

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

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

    ERIC Educational Resources Information Center

    Perie, Marianne, Ed.

    2010-01-01

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

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

    ERIC Educational Resources Information Center

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

    2015-01-01

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

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

    ERIC Educational Resources Information Center

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

    2006-01-01

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

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

    ERIC Educational Resources Information Center

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

    2015-01-01

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

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

    ERIC Educational Resources Information Center

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

    2006-01-01

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

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

    ERIC Educational Resources Information Center

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

    2013-01-01

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

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

    ERIC Educational Resources Information Center

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

    2007-01-01

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

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

    ERIC Educational Resources Information Center

    Unwin, Gemma Louise; Deb, Shoumitro

    2008-01-01

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

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

    ERIC Educational Resources Information Center

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

    2013-01-01

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

  6. 78 FR 12130 - Social Security Ruling, SSR 13-3p; Appeal of an Initial Medical Disability Cessation...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-02-21

    .... Michael J. Astrue, Commissioner of Social Security. Policy Interpretation Ruling Title II: Appeal of an... From the Federal Register Online via the Government Publishing Office SOCIAL SECURITY ADMINISTRATION Social Security Ruling, SSR 13-3p; Appeal of an Initial Medical Disability Cessation...

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

    ERIC Educational Resources Information Center

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

    2013-01-01

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

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

    ERIC Educational Resources Information Center

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

    2013-01-01

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

  9. Medical, Functional, and Environmental Aspects of Chronic Illness and Disability: Addressing the C.9 CORE Curriculum Standard

    ERIC Educational Resources Information Center

    Siu, Frances; Parker, Randall; Livneh, Hanoch; Brodwin, Martin

    2008-01-01

    This article provides suggestions for curriculum modifications that may be necessary to meet the new Council on Rehabilitation Education (CORE) Standard C.9, Medical, Functional, and Environmental Implications of Disability. Specifically addressed are (a) goals and objectives for meeting the new standards, (b) suggestions for new curricular units,

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

    ERIC Educational Resources Information Center

    Unwin, Gemma Louise; Deb, Shoumitro

    2008-01-01

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

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

    ERIC Educational Resources Information Center

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

    2007-01-01

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

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

    ERIC Educational Resources Information Center

    Preston, Tom; Kelly, Michael

    2006-01-01

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

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

    PubMed

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

    2014-12-01

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

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

    PubMed Central

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

    2014-01-01

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

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

    PubMed Central

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

    2014-01-01

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

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

    ERIC Educational Resources Information Center

    National Center on Educational Outcomes, 2012

    2012-01-01

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

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

    PubMed Central

    Hewlett, S; Smith, A; Kirwan, J

    2002-01-01

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

  18. Medical Devices Assess, Treat Balance Disorders

    NASA Technical Reports Server (NTRS)

    2009-01-01

    You may have heard the phrase as difficult as walking and chewing gum as a joking way of referring to something that is not difficult at all. Just walking, however, is not all that simple physiologically speaking. Even standing upright is an undertaking requiring the complex cooperation of multiple motor and sensory systems including vision, the inner ear, somatosensation (sensation from the skin), and proprioception (the sense of the body s parts in relation to each other). The compromised performance of any of these elements can lead to a balance disorder, which in some form affects nearly half of Americans at least once in their lifetimes, from the elderly, to those with neurological or vestibular (inner ear) dysfunction, to athletes with musculoskeletal injuries, to astronauts returning from space. Readjusting to Earth s gravity has a significant impact on an astronaut s ability to balance, a result of the brain switching to a different "model" for interpreting sensory input in normal gravity versus weightlessness. While acclimating, astronauts can experience headaches, motion sickness, and problems with perception. To help ease the transition and study the effects of weightlessness on the body, NASA has conducted many investigations into post-flight balance control, realizing this research can help treat patients with balance disorders on Earth as well. In the 1960s, the NASA-sponsored Man Vehicle Laboratory at the Massachusetts Institute of Technology (MIT) studied the effects of prolonged space flight on astronauts. The lab s work intrigued MIT doctoral candidate Lewis Nashner, who began conducting NASA-funded research on human movement and balance under the supervision of Dr. Larry Young in the MIT Department of Aeronautics and Astronautics. In 1982, Nashner s work resulted in a noninvasive clinical technique for assessing the cooperative systems that allow the body to balance, commonly referred to as computerized dynamic posturography (CDP). CDP employs a series of dynamic protocols to isolate and assess balance function deficiencies. The technology was based on Nashner s novel, engineering-inspired concept of balance as an adaptable collaboration between multiple sensory and motor systems. CDP proved useful not only for examining astronauts, but for anyone suffering from balance problems. Today, CDP is the standard medical tool for objectively evaluating balance control.

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

    ERIC Educational Resources Information Center

    Salmon, Amy

    2007-01-01

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

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

    ERIC Educational Resources Information Center

    Salmon, Amy

    2007-01-01

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

  1. Mortality of People with Intellectual and Developmental Disabilities from Select US State Disability Service Systems and Medical Claims Data

    ERIC Educational Resources Information Center

    Lauer, Emily; McCallion, Philip

    2015-01-01

    Background: Monitoring population trends including mortality within subgroups such as people with intellectual and developmental disabilities and between countries provides crucial information about the population's health and insights into underlying health concerns and the need for and effectiveness of public health efforts. Methods: Data from

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

    PubMed Central

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

    2015-01-01

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

  3. Communication Services and Supports for Individuals With Severe Disabilities: Guidance for Assessment and Intervention.

    PubMed

    Brady, Nancy C; Bruce, Susan; Goldman, Amy; Erickson, Karen; Mineo, Beth; Ogletree, Bill T; Paul, Diane; Romski, Mary Ann; Sevcik, Rose; Siegel, Ellin; Schoonover, Judith; Snell, Marti; Sylvester, Lorraine; Wilkinson, Krista

    2016-03-01

    The National Joint Committee for the Communication Needs of People With Severe Disabilities (NJC) reviewed literature regarding practices for people with severe disabilities in order to update guidance provided in documents originally published in 1992. Changes in laws, definitions, and policies that affect communication attainments by persons with severe disabilities are presented, along with guidance regarding assessment and intervention practices. A revised version of the Communication Bill of Rights, a powerful document that describes the communication rights of all individuals, including those with severe disabilities is included in this article. The information contained within this article is intended to be used by professionals, family members, and individuals with severe disabilities to inform and advocate for effective communication services and opportunities. PMID:26914467

  4. Communication Services and Supports for Individuals with Severe Disabilities: Guidance for Assessment and Intervention

    PubMed Central

    Brady, Nancy C.; Bruce, Susan; Goldman, Amy; Erickson, Karen; Mineo, Beth; Ogletree, Bill T.; Paul, Diane; Romski, Mary Ann; Sevcik, Rose; Siegel, Ellin; Schoonover, Judith; Snell, Marti; Sylvester, Lorraine; Wilkinson, Krista

    2015-01-01

    The National Joint Committee for the Communication Needs of People with Severe Disabilities (NJC) reviewed literature regarding practices for people with severe disabilities in order to update guidance provided in documents originally published in 1992. Changes in laws, definitions, and policies that affect communication attainments by persons with severe disabilities are presented, along with guidance regarding assessment and intervention practices. A revised version of the Communication Bill of Rights, a powerful document that describes the communication rights of all individuals, including those with severe disabilities is included in this article. The information contained within this article is intended to be used by professionals, family members, and individuals with severe disabilities to inform and advocate for effective communication services and opportunities. PMID:26914467

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

    ERIC Educational Resources Information Center

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

    2010-01-01

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

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

    ERIC Educational Resources Information Center

    Campbell, Martin; McCue, Michael

    2013-01-01

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

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

    ERIC Educational Resources Information Center

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

    2014-01-01

    Assessment of global functioning is an important consideration in treatment outcome research; yet, there is little guidance on its evidence-based assessment for children with autism spectrum disorders. This study investigated the utility and validity of clinician-rated global functioning using the Developmental Disability-Child Global Assessment

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

    PubMed Central

    Khan, Lateef M.

    2015-01-01

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

  9. A robust, particularist ethical assessment of medical tourism.

    PubMed

    Meghani, Zahra

    2011-04-01

    Recently, in increasing numbers, citizens of wealthy nations are heading to poorer countries for medical care. They are traveling to the global South as medical tourists because in their home nations either they cannot get timely medical care or they cannot afford needed treatments. This essay offers a robust, particularist ethical assessment of the practice of citizens of richer nations traveling to poorer countries for healthcare. PMID:20491867

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

    ERIC Educational Resources Information Center

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

    2013-01-01

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

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

    ERIC Educational Resources Information Center

    Herrington, V.

    2009-01-01

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

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

    ERIC Educational Resources Information Center

    Parmenter, Trevor R.

    2011-01-01

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

  13. An Assessment of Intellectual Disability Among Aboriginal Australians

    ERIC Educational Resources Information Center

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

    2005-01-01

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

  14. An Assessment of Intellectual Disability Among Aboriginal Australians

    ERIC Educational Resources Information Center

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

    2005-01-01

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

  15. Depression among Students with Learning Disabilities: Assessing the Risk

    ERIC Educational Resources Information Center

    Maag, John W.; Reid, Robert

    2006-01-01

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

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

    ERIC Educational Resources Information Center

    Ferris, Helena; O'Flynn, Dermot

    2015-01-01

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

  17. A qualitative framework to assess hospital / medical websites.

    PubMed

    Rafe, Vahid; Monfaredzadeh, Maryam

    2012-10-01

    Nowadays, there are many peoples who access to the internet to search for a proper hospital with their desired medical services. Hence, the website quality of hospitals or medical centers is very important to help patients/users. However, to design high qualitative medical websites, we should first know the medical quality metrics. Then, we should try to find a way to assess different medical websites based on the quality metrics. In fact, medical websites may have a significant role to increase the society's knowledge about people health, provided services for patients etc. Thus, it is necessary to design a framework to evaluate the quality of these websites. Even though there are many medical websites, unfortunately, there are a few studies about quality analysis of medical/hospital websites. In this paper, we propose a qualitative framework to assess different medical websites. The proposed framework consists of 7 main categories, each having different metrics. Finally, to show how these metrics can help designers to assess the websites quality, we have considered 3 different hospitals as case studies. We asked different people including doctors, website designers, and usual peoples to evaluate our defined metrics on each case study. At the end, the results are shown through different charts. PMID:21874337

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

    ERIC Educational Resources Information Center

    Jones, Roger; Panda, Mukta; Desbiens, Norman

    2008-01-01

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

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

    ERIC Educational Resources Information Center

    Jones, Roger; Panda, Mukta; Desbiens, Norman

    2008-01-01

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

  20. 26 CFR 31.3121(a)(2)-1 - Payments on account of sickness or accident disability, medical or hospitalization expenses, or...

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ... 26 Internal Revenue 15 2013-04-01 2013-04-01 false Payments on account of sickness or accident... account of sickness or accident disability, medical or hospitalization expenses, or death. (a) The term... (1) Sickness or accident disability of an employee or any of his dependents, only if payment...

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

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ... 26 Internal Revenue 15 2014-04-01 2014-04-01 false Payments on account of sickness or accident... account of sickness or accident disability, medical or hospitalization expenses, or death. (a) The term... (1) Sickness or accident disability of an employee or any of his dependents, only if payment...

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

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... 26 Internal Revenue 15 2010-04-01 2010-04-01 false Payments on account of sickness or accident... account of sickness or accident disability, medical or hospitalization expenses, or death. (a) The term... (1) Sickness or accident disability of an employee or any of his dependents, only if payment...

  3. 26 CFR 31.3121(a)(2)-1 - Payments on account of sickness or accident disability, medical or hospitalization expenses, or...

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... 26 Internal Revenue 15 2011-04-01 2011-04-01 false Payments on account of sickness or accident... account of sickness or accident disability, medical or hospitalization expenses, or death. (a) The term... (1) Sickness or accident disability of an employee or any of his dependents, only if payment...

  4. [Medical expert assessment in civil and criminal law--legal evaluation of medical expert opinion].

    PubMed

    Schlund, G H

    1996-11-01

    The constitutional position of the judge and the medical expert witness during a lawsuit is explained. From this, the demands on a judicial expert witness for the preparation of his expert assessment are derived and the judge's function in the appointment of the expert witness is explained. Additionally, criteria, duties, and rules are worked out, which should be followed by the judge during assessment of the medical expert testimony. PMID:9064930

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

    ERIC Educational Resources Information Center

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

    2013-01-01

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

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

    ERIC Educational Resources Information Center

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

    2008-01-01

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

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

    ERIC Educational Resources Information Center

    Johnson, Richard W.

    2012-01-01

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

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

    ERIC Educational Resources Information Center

    Koritsas, Stella; Iacono, Teresa; Davis, Robert

    2012-01-01

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

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

    ERIC Educational Resources Information Center

    Harris, Andrew J. R.; Tough, Susan

    2004-01-01

    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.

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

    ERIC Educational Resources Information Center

    Pouls, Claudia; Jeandarme, Inge

    2015-01-01

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

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

    ERIC Educational Resources Information Center

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

    2010-01-01

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

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

    ERIC Educational Resources Information Center

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

    2011-01-01

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

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

    ERIC Educational Resources Information Center

    Cole, Christine L.; Shapiro, Edward S.

    2005-01-01

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

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

    ERIC Educational Resources Information Center

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

    2012-01-01

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

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

    ERIC Educational Resources Information Center

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

    2010-01-01

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

  16. Using Curriculum-Based Assessment in the Responsiveness to Intervention Diagnostic Model for Learning Disabilities

    ERIC Educational Resources Information Center

    Burns, Matthew K.; Dean, Vincent J.; Klar, Sandy

    2004-01-01

    The Responsiveness to Intervention (RI) model for diagnosing learning disabilities has been proposed as an alternative to previous definitions. Given the importance of reliable and valid assessment in the instructional process, assessment must be a crucial aspect of any RI approach. Curriculum-based measurement (CBM) has been discussed in previous…

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

    ERIC Educational Resources Information Center

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

    2012-01-01

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

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

    ERIC Educational Resources Information Center

    Swanson, H. Lee; Howard, Crystal B.

    2005-01-01

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

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

    ERIC Educational Resources Information Center

    Colmar, Susan; Maxwell, Amanda; Miller, Leanne

    2006-01-01

    A 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

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

    ERIC Educational Resources Information Center

    Johnson, Richard W.

    2012-01-01

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

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

    ERIC Educational Resources Information Center

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

    2002-01-01

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

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

    ERIC Educational Resources Information Center

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

    2008-01-01

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

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

    ERIC Educational Resources Information Center

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

    2006-01-01

    Ten individuals, residing in a treatment facility specializing in the rehabilitation of sex offenders with developmental disabilities, participated in an arousal assessment involving the use of the penile plethysmograph. The arousal assessments involved measuring change in penile circumference to various categories of stimuli both appropriate

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

    ERIC Educational Resources Information Center

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

    2009-01-01

    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

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

    ERIC Educational Resources Information Center

    Pouls, Claudia; Jeandarme, Inge

    2015-01-01

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

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

    ERIC Educational Resources Information Center

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

    2011-01-01

    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…

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

    ERIC Educational Resources Information Center

    Johnson, Virginia Anne; Parkerson, Sandra

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

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

    ERIC Educational Resources Information Center

    Koritsas, Stella; Iacono, Teresa; Davis, Robert

    2012-01-01

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

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

    ERIC Educational Resources Information Center

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

    2002-01-01

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

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

    ERIC Educational Resources Information Center

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

    2011-01-01

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

  11. Improving Tobacco Dependence Treatment Delivery: Medical Student Training and Assessment.

    PubMed

    Folan, Patricia A; Juster, Harlan R; Lennon, Susan E; Briest, Patricia J; Gero, C Beth

    2015-08-01

    Tobacco dependence is a chronic condition, with cigarette smoking considered the leading cause of preventable death, disease, and disability in the U.S. Currently, the U.S. adult smoking rate is 17.8%. National surveys reveal that approximately half of all smokers who have been treated by a healthcare provider in the last 12 months received Public Health Service-recommended guideline-concordant tobacco dependence treatment. Although smoking prevalence has been declining, several disparate groups continue to smoke at rates significantly higher than the national average, including those with low income, low educational attainment, or mental health disorders. To address these disparities and more effectively address tobacco use, provision of guideline-concordant tobacco dependence treatment within the healthcare system must improve. We discuss changes to the medical licensing examination that may result in enhanced tobacco dependence treatment education and skills training for students in medical school. PMID:26091923

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

    ERIC Educational Resources Information Center

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

    2014-01-01

    Assessment of global functioning is an important consideration in treatment outcome research; yet, there is little guidance on its evidence-based assessment for children with autism spectrum disorders. This study investigated the utility and validity of clinician-rated global functioning using the Developmental Disability-Child Global Assessment…

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

    PubMed

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

    2015-03-01

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

  14. Virtual reality in medical education and assessment

    NASA Technical Reports Server (NTRS)

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

    1994-01-01

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

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

    PubMed

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

    2015-04-01

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

  16. Functioning and Disability Analysis of Patients with Traumatic Brain Injury and Spinal Cord Injury by Using the World Health Organization Disability Assessment Schedule 2.0

    PubMed Central

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

    2015-01-01

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

  17. The role of assessment in competency-based medical education.

    PubMed

    Holmboe, Eric S; Sherbino, Jonathan; Long, Donlin M; Swing, Susan R; Frank, Jason R

    2010-01-01

    Competency-based medical education (CBME), by definition, necessitates a robust and multifaceted assessment system. Assessment and the judgments or evaluations that arise from it are important at the level of the trainee, the program, and the public. When designing an assessment system for CBME, medical education leaders must attend to the context of the multiple settings where clinical training occurs. CBME further requires assessment processes that are more continuous and frequent, criterion-based, developmental, work-based where possible, use assessment methods and tools that meet minimum requirements for quality, use both quantitative and qualitative measures and methods, and involve the wisdom of group process in making judgments about trainee progress. Like all changes in medical education, CBME is a work in progress. Given the importance of assessment and evaluation for CBME, the medical education community will need more collaborative research to address several major challenges in assessment, including "best practices" in the context of systems and institutional culture and how to best to train faculty to be better evaluators. Finally, we must remember that expertise, not competence, is the ultimate goal. CBME does not end with graduation from a training program, but should represent a career that includes ongoing assessment. PMID:20662580

  18. Peer Assessment among First Year Medical Students in Anatomy

    ERIC Educational Resources Information Center

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

    2014-01-01

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

  19. Peer Assessment among First Year Medical Students in Anatomy

    ERIC Educational Resources Information Center

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

    2014-01-01

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

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

    PubMed Central

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

    2011-01-01

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

  1. Medically unexplained symptoms and neuropsychological assessment.

    PubMed

    Binder, Laurence M; Campbell, Keith A

    2004-05-01

    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

  2. Competency-based Medical Education, Entrustment and Assessment.

    PubMed

    Modi, Jyoti Nath; Gupta, Piyush; Singh, Tejinder

    2015-05-01

    The realization that medical graduates are failing to serve the health needs of the society has compelled the medical educationists and regulatory authorities worldwide to review the medical training. A medical curriculum oriented towards developing the key competencies that enable a fresh graduate to be delivering socially responsive health care is seen as a promising step towards alleviating this problem. This calls for a departure from the traditional approach of organizing the curricular components around educational objectives, to a competency-based approach for planning the curriculum. The present article discusses the concept of competency-based medical education in Indian context, the steps in planning and implementing such a curriculum, and the key aspects of assessment for its effective implementation. PMID:26061928

  3. Self-assessment of pubertal maturation in socially disadvantaged learning-disabled adolescents.

    PubMed

    Hardoff, D; Tamir, A

    1993-07-01

    Reasonable concordance has been demonstrated between physicians assessment of pubertal maturation and self-assessment by healthy adolescents studying in the mainstream educational system. The purpose of this study was to determine whether pubertal maturation self-assessment may be used as a reliable screening instrument in learning-disabled adolescents. Self-assessment of sexual maturation, was investigated in 80 7th- and 8th-grade Israeli students studying in a residential school for socially disadvantaged learning-disabled adolescents of normal intelligence (LD group), and in 63 Israeli students of the same age group attending a mainstream urban school (C group). All 143 students were examined by one investigator for their annual physicals, and clinical assessment of Tanner stage was then performed. Following the examination students were asked to identify their present pubic hair maturation stage according to Tanner plates. Of the LD group, 58% assessed their pubertal stage in agreement with the investigator's assessment as did 70% of the C group. Underestimation of pubertal stage was more common in students more advanced in their pubertal development, and overestimation was more common among students who were less advanced in their maturation. Within approximation of one Tanner stage difference between the examiner and student assessments, concordance rate reached 95% in both groups. Self-assessment of pubertal development in school settings may be used as a reliable screening instrument in learning-disabled adolescents with normal intelligence, when an approximation of one developmental stage is accepted. PMID:8399253

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

    PubMed Central

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

    2015-01-01

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

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

    PubMed

    Gaudreault, Nathaly; Maillette, Pascale; Coutu, Marie-France; Durand, Marie-Jos; Hagemeister, Nicola; Hbert, Luc J

    2014-12-01

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

  6. Assessing the Likelihood of Rare Medical Events in Astronauts

    NASA Technical Reports Server (NTRS)

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

    2011-01-01

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

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

    PubMed Central

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

    2014-01-01

    The purpose of this study was to assess the self-determination of Spanish high school students with Intellectual Disability and other Special Educational Needs (SEN). A total of 371 students between 11 and 17 years of age participated in the study. Of these, 46.4% (n=171) presented SEN, specifically learning disabilities (n=97; 26.2%), borderline and intellectual disability with higher IQ scores (n=43; 11.6%) and mild intellectual disability (n=32; 8.6%). The remaining students without SEN made up the control group. The assessment was carried out using a translated and validated Spanish version of The Arc’s Self-Determination Scale (Wehmeyer, 1995). This measure had appropriate psychometric properties. Students with SEN obtained significantly lower scores than their peers without SEN. However, no differences were found in relation to the type of SEN or, more specifically, in relation to the presence of intellectual disability. The educational implications of the results are discussed. PMID:25057433

  8. Development and validation of a questionnaire to assess disabling foot pain.

    PubMed

    Garrow, A P; Papageorgiou, A C; Silman, A J; Thomas, E; Jayson, M I; Macfarlane, G J

    2000-03-01

    This study outlines the design and validation of a new self-administered instrument for assessing foot pain and disability. The 19-item questionnaire was tested on 45 rheumatology patients, 33 patients who had attended their general practitioner with a foot-related problem and 1000 responders to a population survey of foot disorders. Levels of reported disability were found to be greatest for rheumatology patients and least for community subjects. In addition, the instrument was able to detect differences in disability levels reported by community subjects who did and did not consult with a health care professional and those who did and did not have a history of past and current foot pain. A good level of agreement was found when items on the questionnaire were compared with similar items on the ambulation sub-scale of the Functional Limitation Profile questionnaire. A Cronbach's alpha value of 0.99 and item-total correlation values between 0.25 and 0.62 confirmed the internal consistency of the instrument. Finally the results of a principal components analysis identified three constructs that reflected disabilities that are associated with foot pain: functional limitation, pain intensity and personal appearance. The design of the foot disability questionnaire makes it a suitable instrument for assessing the impact of painful foot conditions in both community and clinical populations. PMID:10692609

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

    ERIC Educational Resources Information Center

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

    2008-01-01

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

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

    ERIC Educational Resources Information Center

    Unwin, Gemma L.; Deb, Shoumitro

    2011-01-01

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

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

    ERIC Educational Resources Information Center

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

    2008-01-01

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

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

    ERIC Educational Resources Information Center

    Unwin, Gemma L.; Deb, Shoumitro

    2011-01-01

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

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

    ERIC Educational Resources Information Center

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

    2009-01-01

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

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

    PubMed

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

    2015-01-01

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

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

    ERIC Educational Resources Information Center

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

    2009-01-01

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

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

    ERIC Educational Resources Information Center

    Crepeau-Hobson, Franci; Vujeva, Hana

    2012-01-01

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

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

    ERIC Educational Resources Information Center

    Kleinert, Harold L.; Kearns, Jacqui Farmer

    2010-01-01

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

  18. Task Variation versus Task Repetition for People with Profound Developmental Disabilities: An Assessment of Preferences.

    ERIC Educational Resources Information Center

    Lancioni, Giulio E.; O'Reilly, Mark F.; Mantini, Margherita; Compodonico, Francesa

    1998-01-01

    An assessment of preferences between task variation and task repetition with four adults with profound developmental disabilities was implemented. After participants were exposed to both conditions, they were allowed to chose between them. Results showed all participants had strong preferences; three preferred task variation and one task

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

    ERIC Educational Resources Information Center

    Mechling, Linda C.; Bishop, Vanessa A.

    2011-01-01

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

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

    ERIC Educational Resources Information Center

    Koski, Katja; Launonen, Kaisa

    2012-01-01

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

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

    ERIC Educational Resources Information Center

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

    2012-01-01

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

  2. Functional Behavioral Assessment and Students at Risk for or with Emotional Disabilities: Current Issues and Considerations

    ERIC Educational Resources Information Center

    Gable, Robert A.; Park, Kristy Lee; Scott, Terrance M.

    2014-01-01

    The use of functional behavioral assessment (FBA) is an effective tool to address a wide range of severe behavior problems of students at risk for or with emotional disabilities (ED). However, the transformation of a procedure proven effective under highly-controlled clinical conditions to a practical and effective strategy for use in applied…

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

    ERIC Educational Resources Information Center

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

    2013-01-01

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

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

    ERIC Educational Resources Information Center

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

    2010-01-01

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

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

    ERIC Educational Resources Information Center

    Whiteside, Stephen P.

    2009-01-01

    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

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

    ERIC Educational Resources Information Center

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

    2012-01-01

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

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

    ERIC Educational Resources Information Center

    Oberlander, Tim F.

    2001-01-01

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

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

    ERIC Educational Resources Information Center

    Kleinert, Harold L.; Kearns, Jacqui Farmer

    2010-01-01

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

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

    ERIC Educational Resources Information Center

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

    2014-01-01

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

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

    ERIC Educational Resources Information Center

    Horrocks, Erin; Higbee, Thomas S.

    2008-01-01

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

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

    ERIC Educational Resources Information Center

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

    2009-01-01

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

  12. A method of displaying assessment information about people with multiple handicaps as a disability profile.

    PubMed

    Rohde, J; Farmer, R; Glover, G; Nursey, A

    1989-02-01

    A method is described of displaying information about the range of multiple disabilities experienced by individuals who are also mentally handicapped, using the assessments available on a Mental Handicap Register. The presentation, in the graphical form suggested, enables groups to be compared whilst retaining details of an individual's problems. PMID:2522552

  13. Psychological Factors in Risk Assessment and Management of Inappropriate Sexual Behaviour by Men with Intellectual Disabilities

    ERIC Educational Resources Information Center

    Smith, Mark; Willner, Paul

    2004-01-01

    Aim: This study examined the responses of care managers and direct care staff to vignettes of inappropriate sexual behaviour (ISB) by a man with an intellectual disability. The aim was to identify psychological factors that influenced their assessment of risk and the perceived need for risk management strategies. Method: The vignettes varied in

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

    ERIC Educational Resources Information Center

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

    2005-01-01

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

  15. Bibliography for Families: Assessing Children for the Presence of a Disability.

    ERIC Educational Resources Information Center

    Kupper, Lisa, Ed.

    This bibliography, intended for families, lists 65 resources on assessing children for the presence of a disability. Resources are intended to ensure that all members of the Individualized Education Program team, including parents, have an appropriate base of information. Resources were published from 1983 through 1994 and are grouped into the

  16. A Bibliography for Schools: Assessing Children for the Presence of a Disability.

    ERIC Educational Resources Information Center

    Kupper, Lisa, Ed.

    This bibliography lists 132 resources for assessing students for the presence of a disability. Resources were published from 1983 through 1994 and are grouped into the following categories: (1) textbooks; (2) resources providing reviews and critiques of specific tests; (3) other sources of information; (4) selected resources on curriculum-based

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

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-05-21

    ... From the Federal Register Online via the Government Publishing Office DEPARTMENT OF HEALTH AND HUMAN SERVICES Centers for Disease Control and Prevention Disease, Disability, and Injury Prevention and Control Special Emphasis Panel (SEP): Assessment of Post-Treatment Lyme Disease Syndrome, Funding Opportunity Announcement (FOA) CK10-004,...

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

    PubMed Central

    Ellur, Sunderraj

    2012-01-01

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

  19. Assessment of Anger and Aggression in Male Offenders With Developmental Disabilities

    ERIC Educational Resources Information Center

    Novaco, Raymond W.; Taylor, John L.

    2004-01-01

    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

  20. Functional Behavioral Assessment and Students at Risk for or with Emotional Disabilities: Current Issues and Considerations

    ERIC Educational Resources Information Center

    Gable, Robert A.; Park, Kristy Lee; Scott, Terrance M.

    2014-01-01

    The use of functional behavioral assessment (FBA) is an effective tool to address a wide range of severe behavior problems of students at risk for or with emotional disabilities (ED). However, the transformation of a procedure proven effective under highly-controlled clinical conditions to a practical and effective strategy for use in applied

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

    ERIC Educational Resources Information Center

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

    2012-01-01

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

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

    ERIC Educational Resources Information Center

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

    2012-01-01

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

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

    ERIC Educational Resources Information Center

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

    2013-01-01

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

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

    ERIC Educational Resources Information Center

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

    2013-01-01

    Purpose: This research investigated the use of a dynamic assessment (DA) to identify differences among young children with severe disabilities, which would predict progress in learning behaviors indicating coordinated joint attention (CJA). Method: Six children 10-24 months of age were enrolled in a 16-week treatment for behaviors indicating CJA,

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

    ERIC Educational Resources Information Center

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

    2009-01-01

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

  6. Assessment and Characteristics of Older Adults with Intellectual Disabilities Who Are Not Accessing Specialist Intellectual Disability Services

    ERIC Educational Resources Information Center

    Dodd, Philip; Guerin, Suzanne; Mulvany, Fiona; Tyrrell, Janette; Hillery, John

    2009-01-01

    Background: Individuals with intellectual disabilities (I.D.) who are not accessing any specialist services are a vulnerable group, especially with advancing age. In Ireland, the National Intellectual Disability Database (N.I.D.D.) records the current and future service needs of people with intellectual disabilities, as well as those individuals

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

    ERIC Educational Resources Information Center

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

    2008-01-01

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

  8. Disablement, Disability and the Nigerian Society.

    ERIC Educational Resources Information Center

    Abang, Theresa B.

    1988-01-01

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

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

    PubMed

    Sarimski, Klaus

    2004-01-01

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

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

    PubMed

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

    2015-01-01

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

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

    PubMed Central

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

    2014-01-01

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

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

    ERIC Educational Resources Information Center

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

    2007-01-01

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

  13. Assessing geriatrics in undergraduate medical education: two different approaches.

    PubMed

    Eleazer, G Paul; Liken, Michelle; Hirth, Victor A; Johnson, David; Lucas, Amy; Egbert, John; Boland, Rebecca H; Wieland, Darryl

    2004-01-01

    Most medical schools do not have a separate course in geriatrics, but rather incorporate geriatrics into existing courses. Tracking and assessing curriculum content is more difficult in this setting. This paper describes and compares two approaches to assess curriculum content in geriatrics: a survey of course directors and a course objectives review. The results suggest that course directors report more geriatric content when asked as part of a regular survey than they identify as specific course objectives. Course objectives may be more reflective of the actual emphasis placed on aging-related material in courses. These two approaches appear to be complementary. Medical educators may find both self-report and course objective analysis to be useful and complementary in tracking geriatric material in the undergraduate medical curriculum. PMID:15871933

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

    PubMed Central

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

    1993-01-01

    Cardiac disability ratings in workers' compensation cases currently lack any consistent scientific basis, with varying medical evidence used by different examiners in the same case. Opinions about the extent of disability may differ with the same patient, delaying resolution and the delivery of benefits. We describe guidelines for determining cardiac impairment and suggest a schedule for rating disability based on evidence. Our experience is in California, but arriving at equitable ratings for disability purposes is a nationwide challenge. Exercise stress testing provides the best reproducible data to test the heart's ability to do work. When exercise stress testing is not possible or adequate, alternative or supplemental testing is necessary. Certain conditions, such as hypertension, arrhythmias, coronary artery spasm, and a history of coronary artery operations or myocardial infarction, may affect "cardiac disability" but may not necessarily be reflected in exercise testing. PMID:8460507

  15. Assessment of global functioning in adolescents with autism spectrum disorders: utility of the Developmental Disability-Child Global Assessment Scale.

    PubMed

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

    2014-05-01

    Assessment of global functioning is an important consideration in treatment outcome research; yet, there is little guidance on its evidence-based assessment for children with autism spectrum disorders. This study investigated the utility and validity of clinician-rated global functioning using the Developmental Disability-Child Global Assessment Scale in a sample of higher functioning adolescents with autism spectrum disorders and comorbid anxiety disorders enrolled in a randomized controlled trial (n = 30). Pretreatment Developmental Disability-Child Global Assessment Scale scores correlated with severity of autism spectrum disorders core symptoms (r = -.388, p = .034), pragmatic communication (r = .407, p = .032), and verbal ability (r = .449, p = .013) and did not correlate with severity of anxiety symptoms or with parent-reported adaptive behavior. Change in Developmental Disability-Child Global Assessment Scale scores during treatment was associated with autism spectrum disorders symptomatic improvement (r = .414, p = .040) and with improved general communication (r = .499, p = .013). Results support the importance of assessing global functioning in addition to symptom change and treatment response in clinical trials. PMID:23965288

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

    ERIC Educational Resources Information Center

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

    2007-01-01

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

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

    ERIC Educational Resources Information Center

    Iacono, T.; Carling-Jenkins, R.

    2012-01-01

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

  18. [Medical expert assessment in civil and criminal law--medical expert assessment from the viewpoint of the attorney].

    PubMed

    Dierks, C

    1996-11-01

    Dealing with a medical expert assessment requires experience and perseverance of the lawyer. Exact knowledge about the expert opinion itself and the procedural options is of greatest importance due to the decisive impact of the medical expert assessment on the outcome of the lawsuit. The lawyer has to consider at any time of the process whether he can initiate an expert assessment, whether he has to evaluate, criticize or question obtained expert assessments, whether he has to challenge the expert or possibly has to introduce another expert into the lawsuit. The expert witness has to have professional knowledge and the lawyer as well as the court have to absorb this knowledge and use it accordingly. PMID:9064931

  19. Cross-Country Differences in the Additive Effects of Socioeconomics, Health Behaviors and Medical Comorbidities on Disability among Older Adults with Heart Disease

    PubMed Central

    Assari, Shervin

    2015-01-01

    Abstract Background: Patients with heart disease experience limited activities of daily living (ADL). This is a cross-country comparison of the additive effects of Socioeconomics, health behaviors, and the number of medical comorbidities on disability among patients with heart disease. Methods: The current study used a cross-sectional design. Data came from the Research on Early Life and Aging Trends and Effects (RELATE). The current analysis utilized data on elderly individuals (age ?60 y) from 13 countries. The outcome was any ADL limitation (i.e. bathing, dressing, using toilet, transferring, lifting heavy things, shopping, and eating meals). Socioeconomics (i.e. age, gender, education, and income), health behaviors (i.e. exercise, smoking, and drinking), and number of chronic medical conditions (i.e. hypertension, respiratory, arthritis, stroke, and diabetes) were entered into country-specific logistic regressions, considering at least one limitation in ADL as the main outcome. Results: Number of comorbid medical conditions and age were positively associated with disability in 85% of the countries. Physical activity and drinking were linked to disability in 54%and 31% of countries, respectively. Higher education and income were associated with lower disability in 31% and 23% of the countries, respectively. Female gender was associated with higher disability only in 15% of the countries. Smoking was not associated with disability, while the effects of socioeconomics, drinking, exercise, and medical comorbidities were controlled. Conclusion: Determinants of disability depend on the country; accordingly, locally designed health promotion interventions may be superior to the universal interventions for patients with heart disease. Medical comorbidities, however, should be universally diagnosed and treated. PMID:26157460

  20. Teaching and assessing professionalism in medical learners and practicing physicians.

    PubMed

    Mueller, Paul S

    2015-04-01

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

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

    PubMed

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

    2015-10-15

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

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

    ERIC Educational Resources Information Center

    Seelig, Richard

    2006-01-01

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

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

    ERIC Educational Resources Information Center

    Seelig, Richard

    2006-01-01

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

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

    ERIC Educational Resources Information Center

    Gerber, F.; Carminati, G. Galli

    2013-01-01

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

  5. Needs Assessment for Computer-Based Medical Decision Support Systems

    PubMed Central

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

    1988-01-01

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

  6. Emotional intelligence assessment in a graduate entry medical school curriculum

    PubMed Central

    2013-01-01

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

  7. Assessment Modifications for Students with Disabilities in Sport Education

    ERIC Educational Resources Information Center

    Tindall, Daniel; Foley, John

    2011-01-01

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

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

    PubMed

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

    2008-02-01

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

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

    NASA Technical Reports Server (NTRS)

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

    2008-01-01

    The Integrated Medical Model (IMM) Project is a software-based technique that will identify and quantify the medical needs and health risks of exploration crew members during space flight and evaluate the effectiveness of potential mitigation strategies. The IMM Project employs an evidence-based approach that will quantify probability and consequences of defined in-flight medical risks, mitigation strategies, and tactics to optimize crew member health. Using stochastic techniques, the IMM will ultimately inform decision makers at both programmatic and institutional levels and will enable objective assessment of crew health and optimization of mission success using data from relevant cohort populations and from the astronaut population. The objectives of the project include: 1) identification and documentation of conditions that may occur during exploration missions (Baseline Medical Conditions List [BMCL), 2) assessment of the likelihood of conditions in the BMCL occurring during exploration missions (incidence rate), 3) determination of the risk associated with these conditions and quantify in terms of end states (Loss of Crew, Loss of Mission, Evacuation), 4) optimization of in-flight hardware mass, volume, power, bandwidth and cost for a given level of risk or uncertainty, and .. validation of the methodologies used.

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

    ERIC Educational Resources Information Center

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

    2005-01-01

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

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

    ERIC Educational Resources Information Center

    Cooper, Lisa Marie

    2012-01-01

    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

  12. [Temporary disability and its legal implications].

    PubMed

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

    2014-03-01

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

  13. An assessment tool for acutely ill medical patients.

    PubMed

    Gleeson, Margaret; Kellett, John; Cowan, Mairead; Casey, Marie

    This article reports the implementation and impact of a standardized systematic evidence-based predictive score for the initial assessment of acutely ill medical patients. The Simple Clinical Score (SCS) was introduced in the A&E department and the medical floor of the authors' hospital between June 2007 and July 2008. The SCS was well received by the staff - 67% felt it greatly improved patient assessment and was very valuable for ensuring appropriate placement of the patient after admission and improved the quality of care. This article describes the change process, the pilot evaluation and the training programme undertaken during the implementation of the SCS. It is hoped that this experience will be of value to other project teams who are undertaking similar initiatives. PMID:19448581

  14. Transferring young people with profound intellectual and multiple disabilities from pediatric to adult medical care: parents' experiences and recommendations.

    PubMed

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

    2013-06-01

    Many children with profound intellectual and multiple disabilities (PIMD) now reach adulthood. The aim of this study was to elicit parents' experiences with the transfer from pediatric to adult medical care. A convenience sample of 131 Dutch parents of young people with PIMD (16-26 years) completed a web-based questionnaire. Twenty-two percent of the young persons were still in pediatric care; 22% of the others had no care coordinator, although their health needs were the same. Parents valued the care provided by the pediatrician, and wished to see it continued. They were critical about how they had been prepared for transfer to adult care. Parents provided suggestions to improve transitional care, such as early start, information provision, and a joint consultation between pediatric and adult care. PMID:23834214

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

    PubMed Central

    Wagner, Joanne M.

    2011-01-01

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

  16. 20 CFR 404.1593 - Medical evidence in continuing disability review cases.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... physician, psychologist, or others who have treated or evaluated you, as well as any other evidence that... your physician, psychologist, or other medical sources. See § 404.1512(d)(1) concerning what we mean...

  17. 38 CFR 3.358 - Compensation for disability or death from hospitalization, medical or surgical treatment...

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... injury will be the condition which the specific medical or surgical treatment was designed to relieve. (2... or if its use is implicit in the performance of some task or operation the trainee must learn...

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

    PubMed Central

    Mueller, Paul S.

    2015-01-01

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

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

    PubMed Central

    2010-01-01

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

  20. Assessing computer skills in Tanzanian medical students: an elective experience

    PubMed Central

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

    2004-01-01

    Background One estimate suggests that by 2010 more than 30% of a physician's time will be spent using information technology tools. The aim of this study is to assess the information and communication technologies (ICT) skills of medical students in Tanzania. We also report a pilot intervention of peer mentoring training in ICT by medical students from the UK tutoring students in Tanzania. Methods Design: Cross sectional study and pilot intervention study. Participants: Fourth year medical students (n = 92) attending Muhimbili University College of Health Sciences, Dar es Salaam, Tanzania. Main outcome measures: Self-reported assessment of competence on ICT-related topics and ability to perform specific ICT tasks. Further information related to frequency of computer use (hours per week), years of computer use, reasons for use and access to computers. Skills at specific tasks were reassessed for 12 students following 4 to 6 hours of peer mentoring training. Results The highest levels of competence in generic ICT areas were for email, Internet and file management. For other skills such as word processing most respondents reported low levels of competence. The abilities to perform specific ICT skills were low – less than 60% of the participants were able to perform the core specific skills assessed. A period of approximately 5 hours of peer mentoring training produced an approximate doubling of competence scores for these skills. Conclusion Our study has found a low level of ability to use ICT facilities among medical students in a leading university in sub-Saharan Africa. A pilot scheme utilising UK elective students to tutor basic skills showed potential. Attention is required to develop interventions that can improve ICT skills, as well as computer access, in order to bridge the digital divide. PMID:15306029

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

    PubMed Central

    Zabalia, Marc

    2013-01-01

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

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

    ERIC Educational Resources Information Center

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

    2013-01-01

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

  3. 26 CFR 31.3306(b)(4)-1 - Payments on account of sickness or accident disability, or medical or hospitalization expenses.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... 26 Internal Revenue 15 2010-04-01 2010-04-01 false Payments on account of sickness or accident disability, or medical or hospitalization expenses. 31.3306(b)(4)-1 Section 31.3306(b)(4)-1 Internal Revenue INTERNAL REVENUE SERVICE, DEPARTMENT OF THE TREASURY (CONTINUED) EMPLOYMENT TAXES AND COLLECTION OF INCOME TAX AT SOURCE EMPLOYMENT TAXES...

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

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... 26 Internal Revenue 15 2010-04-01 2010-04-01 false Payments on account of sickness or accident disability, or medical or hospitalization expenses. 31.3121(a)(4)-1 Section 31.3121(a)(4)-1 Internal Revenue INTERNAL REVENUE SERVICE, DEPARTMENT OF THE TREASURY (CONTINUED) EMPLOYMENT TAXES AND COLLECTION OF INCOME TAX AT SOURCE EMPLOYMENT TAXES...

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

    ERIC Educational Resources Information Center

    Lee, Wui-Chiang; Chen, Tzeng-Ji

    2012-01-01

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

  6. 26 CFR 31.3121(a)(2)-1 - Payments on account of sickness or accident disability, medical or hospitalization expenses, or...

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ... 26 Internal Revenue 15 2012-04-01 2012-04-01 false Payments on account of sickness or accident disability, medical or hospitalization expenses, or death. 31.3121(a)(2)-1 Section 31.3121(a)(2)-1 Internal Revenue INTERNAL REVENUE SERVICE, DEPARTMENT OF THE TREASURY (CONTINUED) EMPLOYMENT TAXES AND COLLECTION OF INCOME TAX AT SOURCE EMPLOYMENT...

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

    ERIC Educational Resources Information Center

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

    2004-01-01

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

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

    ERIC Educational Resources Information Center

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

    2013-01-01

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

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

    ERIC Educational Resources Information Center

    Huyard, Caroline

    2012-01-01

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

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

    ERIC Educational Resources Information Center

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

    2004-01-01

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

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

    ERIC Educational Resources Information Center

    Unwin, Gemma L.; Deb, Shoumitro

    2008-01-01

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

  12. 38 CFR 3.361 - Benefits under 38 U.S.C. 1151(a) for additional disability or death due to hospital care, medical...

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 38 Pensions, Bonuses, and Veterans' Relief 1 2010-07-01 2010-07-01 false Benefits under 38 U.S.C. 1151(a) for additional disability or death due to hospital care, medical or surgical treatment, examination, training and rehabilitation services, or compensated work therapy program. 3.361 Section 3.361 Pensions, Bonuses, and Veterans'...

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

    ERIC Educational Resources Information Center

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

    2009-01-01

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

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

    ERIC Educational Resources Information Center

    Huyard, Caroline

    2012-01-01

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

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

    ERIC Educational Resources Information Center

    Lee, Wui-Chiang; Chen, Tzeng-Ji

    2012-01-01

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

  16. All-data approach to assessing financial capability in people with psychiatric disabilities.

    PubMed

    Lazar, Christina M; Black, Anne C; McMahon, Thomas J; Rosenheck, Robert A; Ries, Richard; Ames, Donna; Rosen, Marc I

    2016-04-01

    The goal of this project was to develop an evidence-based method to assess the ability of disabled persons to manage federal disability payments. This article describes the development of the Financial Incapability Structured Clinical Assessment done Longitudinally (FISCAL) measure of financial capability. The FISCAL was developed by an iterative process of literature review, pilot testing, and expert consultation. Independent assessors used the FISCAL to rate the financial capability of 118 participants (57% female, 58% Caucasian) who received Social Security disability payments, had recently been treated in acute care facilities for psychiatric disorders, and who did not have representative payees or conservators. Altogether, 48% of participants were determined financially incapable by the FISCAL, of whom 60% were incapable because of unmet basic needs, 91% were incapable because of spending that harmed them (e.g., on illicit drugs or alcohol), 56% were incapable because of both unmet needs and harmful spending, and 5% were incapable because of contextual factors. As expected, incapable individuals scored higher on a measure of money mismanagement (p < .001) compared with capable individuals. Interrater reliability for FISCAL capability determinations was very good (κ = .77) and interrater agreement was 89%. In this population, the FISCAL had construct validity; ratings demonstrated good reliability and correlated with a related measure. Potentially, the FISCAL can be used to validate other measures of capability and to help understand how people on limited incomes manage their funds. (PsycINFO Database Record PMID:26146947

  17. Doctors or technicians: assessing quality of medical education

    PubMed Central

    Hasan, Tayyab

    2010-01-01

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

  18. Continuing medical education, needs assessment, and program development: theoretical constructs.

    PubMed

    Aherne, M; Lamble, W; Davis, P

    2001-01-01

    Continuing medical education (CME) program development and needs assessment have historically been practiced within the tradition of Ralph Tyler's education model. In light of transformational social, political, economic, and technical forces that demand greater account-ability and responsiveness from physicians, CME units are challenged to transform their cultures and structures from models that deliver education to models that support the facilitation of learning for enhanced competence and performance. This article describes key change forces for physicians and brings program development and needs assessment into focus for the discussion. The impact of change forces on program development and needs assessment are examined, and some techniques to move beyond the traditional approach of felt needs are presented as a way of enabling strategic administrative planning and change management. PMID:11291588

  19. [Medical rehabilitation of disability insurance--determination of the status and future perspectives].

    PubMed

    Wille, G

    1989-01-01

    The legal prerequisites for medical rehabilitation offered by the pension insurance institutions are described. The definition of position includes the attitude towards applying for rehabilitation and its repercussions on the selection of rehabilitation, specific questions with regard to expert opinion, the indications for general medical rehabilitation measures and the changes within the concept of rehabilitation. Future possibilities are shown. Some examples of rehabilitation measures relating to specific indications are chosen to demonstrate successes and problems in this regard. Finally, the present state of research in rehabilitation and its future development are considered. PMID:2531327

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

    ERIC Educational Resources Information Center

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

    2013-01-01

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

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

    ERIC Educational Resources Information Center

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

    2004-01-01

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

  2. The Social Security Disability Evaluation Study.

    PubMed

    Kennedy, C; Simmens, S J; Pincus, H A; Goldman, H H; Sharfstein, S S

    1990-01-01

    Disability has continued to gain attention as a research topic in the mental health field. Both the SSA and the National Institute of Disability and Rehabilitation Research currently fund research aimed at understanding the vocational needs of severely mentally ill adults, particularly those in supportive employment programs. The National Institute of Mental Health funds research on disability and rehabilitation, particularly research on innovative approaches to increasing the individual's level of functioning and quality of life. All of these federal agencies anticipate continued funding of research on disability. This evaluation of the SSA's 1985 medical standards and guidelines by the APA is an example of the type of disability research that seeks to address issues related to individuals as well as important policy questions. In this evaluation, both the appropriateness and utility of the standards and guidelines were assessed, and the quality of disability decisions for severely mentally impaired applicants was studied. PMID:2352528

  3. Assessment of MEMS energy harvester for medical applications

    NASA Astrophysics Data System (ADS)

    Smilek, Jan; Hadas, Zdenek

    2015-05-01

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

  4. The expression and assessment of emotions and internal states in individuals with severe or profound intellectual disabilities.

    PubMed

    Adams, Dawn; Oliver, Chris

    2011-04-01

    The expression of emotions and internal states by individuals with severe or profound intellectual disabilities is a comparatively under-researched area. Comprehensive or standardized methods of assessing or understanding the emotions and internal states within this population, whose ability to communicate is significantly compromised, do not exist. The literature base will be discussed and compared to that applicable to the general population. Methods of assessing broader internal states, notably depression, anxiety, and pain within severe or profound intellectual disabilities are also addressed. Finally, this review will examine methods of assessing internal states within genetic syndromes, including hunger, social anxiety, and happiness within Prader-Willi, Fragile-X and Angelman syndrome. This will allow for identification of robust methodologies used in assessing the expression of these internal states, some of which may be useful when considering how to assess emotions within individuals with intellectual disabilities. PMID:21382536

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

    PubMed Central

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

    2013-01-01

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

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

    PubMed Central

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

    2013-01-01

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

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

    PubMed Central

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

    2015-01-01

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

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

    ERIC Educational Resources Information Center

    Scranton, Thomas R.; And Others

    1978-01-01

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

  9. Risk assessment - hospital view in selecting medical technology.

    PubMed

    David, Yadin; Jahnke, Ernest; Blair, Curtis

    2004-01-01

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

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

    PubMed Central

    Thim, Troels; Krarup, Niels Henrik Vinther; Grove, Erik Lerkevang; Rohde, Claus Valter; Lfgren, Bo

    2012-01-01

    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. PMID:22319249

  11. An evaluation of a stimulus preference assessment of auditory stimuli for adolescents with developmental disabilities.

    PubMed

    Horrocks, Erin; Higbee, Thomas S

    2008-01-01

    Previous researchers have used stimulus preference assessment (SPA) methods to identify salient reinforcers for individuals with developmental disabilities including tangible, leisure, edible and olfactory stimuli. In the present study, SPA procedures were used to identify potential auditory reinforcers and determine the reinforcement value of preferred and non-preferred auditory stimuli. The results from this study suggest that the paired stimulus procedure utilized was effective in identifying preferred and non-preferred auditory stimuli, as the contingent application of the identified auditory stimuli produced higher rates of correct responding than did non-preferred auditory stimuli for all participants. PMID:17097267

  12. Functional assessment and treatment of sleeping problems with developmentally disabled children: six case studies.

    PubMed

    Didden, R; Curfs, L M; Sikkema, S P; de Moor, J

    1998-03-01

    Sleeping problems are common among developmentally disabled children of young age and they may have adverse effects on the well-being of both child and parents. In the present study, results from functional assessment with four children suggested that sleeping problems were reinforced by parental attention whilst an undiagnosed seizure disorder was associated with nighttime crying with one child. Conditioned anxiety resulted in problems in settling to sleep with a sixth child. Behavioral (i.e., extinction, desensitization) and pharmacological (i.e., anticonvulsant) treatment resulted in a substantial reduction in sleeping problems with all children. Follow-up data indicate that effects were maintained. PMID:9627828

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

    PubMed

    Jimnez, Rosa E; Gutirrez, Angela R; Benitez, Iralys M

    2003-02-01

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

  14. Assessing the Ecotoxicologic Hazards of a Pandemic Influenza Medical Response

    PubMed Central

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

    2011-01-01

    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 014% and 532% potentially affected fraction (PAF), respectively, and river toxicity to vary between 014% and 030% 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. PMID:21367688

  15. Including Pupils with Special Educational Needs and Disability in National Assessment: Comparison of Three Country Case Studies through an Inclusive Assessment Framework

    ERIC Educational Resources Information Center

    Douglas, Graeme; McLinden, Mike; Robertson, Christopher; Travers, Joseph; Smith, Emma

    2016-01-01

    The assessment of educational progress and outcomes of pupils is important to all concerned with education. This includes testing which is undertaken for accountability and award bearing purposes. This article examines how students with special educational needs and disability (SEND) are included in assessment. An "inclusive assessment"…

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

    PubMed

    Pagliuca, Lorita Marlena Freitag; Maia, Evanira Rodrigues

    2012-01-01

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

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

    PubMed Central

    Tamashiro, Lilian Mayumi Chinen; Peres, Heloisa Helena Ciqueto

    2014-01-01

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

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

    ERIC Educational Resources Information Center

    Lindsay, Katherine

    2004-01-01

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

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

    ERIC Educational Resources Information Center

    Scior, Katrina; Furnham, Adrian

    2011-01-01

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

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

    PubMed Central

    2013-01-01

    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. PMID:24103444

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

    ERIC Educational Resources Information Center

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

    2013-01-01

    Research Findings: This study examined the measurement equivalence of the "Teaching Strategies GOLD[R]" assessment system across subgroups of children based on their primary language and disability status. This study is based on teacher-collected assessment data for 3-, 4-, and 5-year-old children for the fall of 2010, winter of 2010, and spring

  2. Standards of Work Performance. A Functional Assessment and Training Manual for Training People with Disabilities for Employment.

    ERIC Educational Resources Information Center

    Riches, Vivienne C.

    This manual is designed to assist trainers in using the Australian Standards of Work Performance in ongoing functional assessment and databased training of disabled persons for employment. It is divided into three sections. Section 1 begins with an overview of the functional assessment component of a databased training system and details the

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

    ERIC Educational Resources Information Center

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

    2010-01-01

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

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

    ERIC Educational Resources Information Center

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

    2013-01-01

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

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

    ERIC Educational Resources Information Center

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

    2013-01-01

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

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

    ERIC Educational Resources Information Center

    Millar, Dorothy Squatrito

    2014-01-01

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

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

    ERIC Educational Resources Information Center

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

    2011-01-01

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

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

    ERIC Educational Resources Information Center

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

    2013-01-01

    Research Findings: This study examined the measurement equivalence of the "Teaching Strategies GOLD[R]" assessment system across subgroups of children based on their primary language and disability status. This study is based on teacher-collected assessment data for 3-, 4-, and 5-year-old children for the fall of 2010, winter of 2010, and spring…

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

    ERIC Educational Resources Information Center

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

    2010-01-01

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

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

    NASA Technical Reports Server (NTRS)

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

    2010-01-01

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

  11. Medical libraries and the assessment of user needs.

    PubMed

    Rees, A M

    1966-04-01

    Users of information in science and technology have been studied in great detail with respect to material read, amount of time spent in reading and searching the literature, categories of questions asked, and so on. Probing for this information has been undertaken by means of structured and unstructured interviews, diaries, surveys, and questionnaires.Although a large amount of data has emerged on information usage and flow, the subjective response of scientists furnishes comment only on the satisfaction produced by present information services and does not yield insight into the extent to which needs remain unsatisfied. Relevance figures based upon the response of systems to questions cannot be equated with satisfaction of needs, since questions constitute, in most cases, inadequate representations of underlying information needs. Assessment of the needs of users of medical libraries and information systems must, in fact, be made in relation to the observed behavior and experience of biomedical scientists. There is room for well-designed experimentation which can explore the interaction of both psychological and environmental factors. Significant differences in information needs exist among and between individuals such as researchers and clinicians in the same environment. With respect to environment, it is hypothesized that the information needs of medical practitioners in remote areas might differ significantly from those of their colleagues working in large metropolitan centers in close proximity to medical schools, research institutions, and other rich sources of information fallout. It is anticipated that experimentation will eventually result in a methodology which will permit the determination and prediction of the information needs of any identified groups of users in a specific environment. PMID:5910386

  12. Rapid Assessment Medical Support (RAMS) for active shooter incidents.

    PubMed

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

    2015-01-01

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

  13. Assessment of cardiovascular and noncardiovascular medical device recalls.

    PubMed

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

    2014-06-01

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

  14. Sonoluminescence And Its Application To Medical Ultrasound Risk Assessment

    NASA Astrophysics Data System (ADS)

    Crum, Lawrence A.; Gaitan, D. Felipe

    1989-12-01

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

  15. The outcome of medical outcomes assessment: it's not necessarily academic.

    PubMed

    Gunderman, R B

    1997-08-01

    The outcomes assessment movement has the potential to significantly enhance the practice of medicine by enabling physicians to identify and implement what works. It represents a rich wellspring of material for investigation and is already proving to be an important source of research support. As such, it also represents a boon to academic medicine, whose activities in patient care, research, and education it may enrich. Yet outcomes research may also prove itself a threat to academic medicine insofar as the "outcomes" of the academic medical center are not adequately represented in its deliberations and recommendations. Ultimately, the results of the outcomes movement will be defined--both now and in the generation to come--by medicine's guiding vision. It behooves those who care about academic medicine to recall that this vision itself is a highly prized outcome. PMID:9282142

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

    SciTech Connect

    Wolbarst, Anthony B.; Hendee, William R.

    2011-12-15

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

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

    PubMed

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

    2014-12-01

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

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

    PubMed Central

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

    2015-01-01

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

  19. Developmental Disabilities Modification of Childrens Global Assessment Scale (DD-CGAS)

    PubMed Central

    Wagner, Ann; Lecavalier, Luc; Arnold, L. Eugene; Aman, Michael G.; Scahill, Lawrence; Stigler, Kimberly A.; Johnson, Cynthia R.; McDougle, Christopher J.; Vitiello, Benedetto

    2007-01-01

    Background Interventions for pervasive developmental disorders (PDD) aim to alleviate symptoms and improve functioning. To measure global functioning in treatment studies, the Childrens Global Assessment Scale was modified and psychometric properties of the revised version (DD-CGAS) were assessed in children with PDD. Methods Developmental disabilities-relevant descriptors were developed for the DD-CGAS and administration procedures were established to enhance rater consistency. Ratings of clinical case vignettes were used to assess inter-rater reliability and temporal stability. Validity was assessed by correlating the DD-CGAS with measures of functioning and symptoms in 83 youngsters with PDD. Sensitivity to change was assessed by comparing change from baseline to post-treatment with change on the Aberrant Behavior Checklist Irritability and Clinical Global ImpressionsImprovement subscale scores in a subset of 14 children. Results Inter-rater reliability (ICC=.79) and temporal stability (average ICC = .86) were excellent. DD-CGAS scores correlated with measures of functioning and symptoms with moderate to large effect sizes. Changes on the DD-CGAS correlated with changes on the ABC-I (r=.?71) and CGI-I (r=?.52). The pre-post DD-CGAS change had an effect size of .72. Conclusions The DD-CGAS is a reliable instrument with apparent convergent validity for measuring global functioning of children with PDD in treatment studies. PMID:17276748

  20. [Systematic assessment and improvement of medical data quality].

    PubMed

    Jacke, C O; Kalder, M; Koller, M; Wagner, U; Albert, U S

    2012-11-01

    Public health research depends on empirical information that is based on data of high quality. The aim of this study was to apply the current guidelines developed by the Technology and Methodology Platform for Networked Medical Research (TMF) for the independent assessment and enhancement of data quality. A clinical register of female breast cancer patients from two periods (N?=?389 of 1996-1997 and N?=?488 of 2003-2004) was used. To check the plausibility, organization, and correctness of the data quality levels, data quality indicators (DQI) were chosen, operationalized, and the variance ratios of normative-analytic-defined thresholds were calculated. Significant deviations led to data improvement, which included the commonly known source data verification (SDV). A summary data quality score was calculated before and after application of the guidelines. Eleven out of 24 DQIs were tested. Data quality systematically increased from 51.6 to 67.7%. The guidelines facilitate a systematic assessment and improvement of data quality with a reasonable use of resources. This target-oriented procedure allows for a high transparency of the available data quality, which is essential for health research. PMID:23114449

  1. Oral Assessment and Postgraduate Medical Examinations: Establishing Conditions for Validity, Reliability and Fairness

    ERIC Educational Resources Information Center

    Memon, Muhammed Ashraf; Joughin, Gordon Rowland; Memon, Breda

    2010-01-01

    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…

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

    ERIC Educational Resources Information Center

    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

    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'

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

    ERIC Educational Resources Information Center

    Wilbanks, Jammie T.

    2012-01-01

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

  4. Oral Assessment and Postgraduate Medical Examinations: Establishing Conditions for Validity, Reliability and Fairness

    ERIC Educational Resources Information Center

    Memon, Muhammed Ashraf; Joughin, Gordon Rowland; Memon, Breda

    2010-01-01

    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

  5. A Systematic Review of Medication Exposure Assessment in Prospective Cohort Studies of Community Dwelling Older Australians

    PubMed Central

    Poole, Susan G.; Bell, J. Simon; Jokanovic, Natali; Kirkpatrick, Carl M.; Dooley, Michael J.

    2015-01-01

    Introduction It is not known to what extent medication use has been comprehensively assessed in prospective cohort studies of older Australians. Understanding the varying methods to assess medication use is necessary to establish comparability and to understand the opportunities for pharmacoepidemiological analysis. The objective of this review was to compare and contrast how medication-related data have been collected in prospective cohorts of community-dwelling older Australians. Methods MEDLINE and EMBASE (19902014) were systematically searched to identify prospective cohorts of ?1000 older participants that commenced recruitment after 1990. The data collection tools used to assess medication use in each cohort were independently examined by two investigators using a structured approach. Results Thirteen eligible cohorts were included. Baseline medication use was assessed in participant self-completed surveys (n = 3), by an investigator inspecting medications brought to a clinic interview (n = 7), and by interviewing participants in their home (n = 3). Five cohorts sought participant consent to access administrative claims data. Six cohorts used multiple methods to assess medication use across one or more study waves. All cohorts assessed medication use at baseline and 12 cohorts in follow-up waves. Twelve cohorts recorded prescription medications by trade or generic name; 12 cohorts recorded medication strength; and 9 recorded the daily medication dose in at least one wave of the cohort. Seven cohorts asked participants about their current medication use without providing a definition of current; and nine cohorts asked participants to report medication use over recall periods ranging from 1-week to 3-months in at least one wave of the cohort. Sixty-five original publications, that reported the prevalence or outcomes of medication use, in the 13 cohorts were identified (median = 3, range 121). Conclusion There has been considerable variability in the assessment of medication use within and between cohorts. This may limit the comparability of medication data collected in these cohorts. PMID:25909191

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

    NASA Technical Reports Server (NTRS)

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

    2012-01-01

    The Exploration Medical Capability project is creating a catalog of risk assessments using the Integrated Medical Model (IMM). The IMM is a software-based system intended to assist mission planners in preparing for spaceflight missions by helping them to make informed decisions about medical preparations and supplies needed for combating and treating various medical events using Probabilistic Risk Assessment. The objective is to use statistical analyses to inform the IMM decision tool with estimated probabilities of medical events occurring during an exploration mission. Because data regarding astronaut health are limited, Bayesian statistical analysis is used. Bayesian inference combines prior knowledge, such as data from the general U.S. population, the U.S. Submarine Force, or the analog astronaut population located at the NASA Johnson Space Center, with observed data for the medical condition of interest. The posterior results reflect the best evidence for specific medical events occurring in flight. Bayes theorem provides a formal mechanism for combining available observed data with data from similar studies to support the quantification process. The IMM team performed Bayesian updates on the following medical events: angina, appendicitis, atrial fibrillation, atrial flutter, dental abscess, dental caries, dental periodontal disease, gallstone disease, herpes zoster, renal stones, seizure, and stroke.

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

    ERIC Educational Resources Information Center

    Modell, Scott J.; Mak, Suzanna

    2008-01-01

    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

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

    ERIC Educational Resources Information Center

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

    2012-01-01

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

  9. Assessment of the Learning Disabled with Regard to Cognitive Functioning and Cognitive Complexity.

    ERIC Educational Resources Information Center

    Castiglione, Samuel S., Jr.

    1981-01-01

    As information on the cognitive functioning of learning disabled children emerges, a parallel, independent body of knowledge suggests investigating the cognitive complexity of learning disabled children, both to improve the conceptual understanding of learning disability and to support guidelines for relevant educational recommendations. (Author)

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

    ERIC Educational Resources Information Center

    Modell, Scott J.; Mak, Suzanna

    2008-01-01

    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…

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

    ERIC Educational Resources Information Center

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

    2012-01-01

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

  12. Recommendations for Making Decisions about the Participation of Students with Disabilities in Statewide Assessment Programs: A Report on a Working Conference To Develop Guidelines for Statewide Assessments and Students with Disabilities. Synthesis Report 15.

    ERIC Educational Resources Information Center

    Ysseldyke, James E.; And Others

    This report is a summary of a May 1994 meeting on the participation of students with disabilities in statewide assessment programs. The report reviews the background of the meeting, states the issues addressed, and summarizes the major points of agreement reached. A set of recommendations is offered for making participation and accommodation

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

    ERIC Educational Resources Information Center

    Lehmann, Ilana; Crimando, William

    2008-01-01

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

  14. [Medical expert assessment in civil and criminal law from the medical viewpoint].

    PubMed

    Carstensen, G

    1996-11-01

    The demands on a medical witness are discussed. Physicians have to learn to deal with the legal conditions of their profession but lawyers have to be ready to understand the circumstances of the medical activity. Since 1975, independent medical bodies in the form of arbitration committees and expert boards have been founded in the Federal Republic of Germany. This extended the field of action for medical experts. However, a definition of the term "expert" is missing. There are rules for the continuing medical training by the German societies of physicians which should guide the courts. PMID:9064926

  15. Relationships between spinal mobility, physical performance tests, pain intensity and disability assessments in chronic low back pain patients.

    PubMed

    Grönblad, M; Hurri, H; Kouri, J P

    1997-03-01

    Correlations between the Oswestry Disability Questionnaire (ODQ), the Pain Disability Index (PDI), PDI subscales PDI factor 1 (PDI 1), PDI factor 2 (PDI 2) and visual analogue scale (VAS) pain intensity on the one hand and spine range of motion measures and static and dynamic functional performance tests on the other, were studied in 52 chronic low back pain patients. Comparable groups of male and female patients were studied. A moderately significant (p < 0.01) inverse correlation was observed between the ODQ and rotation to the left even after correction for age, but not when men and women were studied separately. A significant (r = -0.480, p < 0.001) inverse correlation was observed between the repeated squatting test and pain intensity and in men both pain intensity and disability correlated (r = -0.607, p < 0.001) with this particular test. Only for the women were there moderately significant (p < 0.01) inverse correlations between disability assessments and all the physical performance tests with the exception of the static back muscle test. In the women only the isometric lifting test showed a moderately significant inverse correlation (r = -0.504, p < 0.01) with pain intensity. Such apparent gender differences in the overlap between physical performance tests and self-report disability assessments and pain intensity may be clinically relevant. The results will, however, require confirmation on larger groups of chronic low back pain patients. PMID:9084101

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

    PubMed Central

    Diard, Julien; Rynik, Vincent; Lorenceau, Jean

    2013-01-01

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

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

    PubMed

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

    2015-11-01

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

  18. 76 FR 64429 - Advisory Committee on Prosthetics and Special-Disabilities Programs; Notice of Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-10-18

    ... art prosthetics and the associated rehabilitation research, development, and evaluation of such... briefed by the Chief Disability and Medical Assessment Officer; Physical Therapy Program Specialist; Executive Director, Federal Recovery Coordination Program; Deputy Director, Recreation Therapy;...

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

    ERIC Educational Resources Information Center

    Meteyard, John D.; Gilmore, Linda

    2015-01-01

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

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

    ERIC Educational Resources Information Center

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

    2003-01-01

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

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

    ERIC Educational Resources Information Center

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

    2011-01-01

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

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

    ERIC Educational Resources Information Center

    Cho, Hyun-Jeong; Kingston, Neal

    2013-01-01

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

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

    ERIC Educational Resources Information Center

    Machek, Greg R.; Nelson, Jason M.

    2010-01-01

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

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

    ERIC Educational Resources Information Center

    Elliott, Judy L.; And Others

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

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

    ERIC Educational Resources Information Center

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

    2003-01-01

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

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

    ERIC Educational Resources Information Center

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

    2015-01-01

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

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

    ERIC Educational Resources Information Center

    Dixon, Valerie E.

    2011-01-01

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

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

    ERIC Educational Resources Information Center

    Knight, B. Caleb; And Others

    1990-01-01

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

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

    ERIC Educational Resources Information Center

    Cho, Hyun-Jeong; Kingston, Neal

    2013-01-01

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

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

    ERIC Educational Resources Information Center

    Dixon, Valerie E.

    2011-01-01

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

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

    ERIC Educational Resources Information Center

    Hurst, Melissa; Jolivette, Kristine

    2006-01-01

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

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

    ERIC Educational Resources Information Center

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

    2015-01-01

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

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

    ERIC Educational Resources Information Center

    Meteyard, John D.; Gilmore, Linda

    2015-01-01

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

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

    ERIC Educational Resources Information Center

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

    2012-01-01

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

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

    ERIC Educational Resources Information Center

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

    2013-01-01

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

  16. Biorisk Assessment of Medical Diagnostic Laboratories in Nigeria

    PubMed Central

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

    2013-01-01

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

  17. Paralympic Athletes and "Knowing Disability"

    ERIC Educational Resources Information Center

    Fitzgerald, Hayley

    2012-01-01

    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

  18. [Forensic-medical assessment of terroristic chemical attacks].

    PubMed

    Babakhanian, R B; Bushuev, E S

    2005-01-01

    By potential damage, chemical terroristic attacks are much more dangerous than terroristic bombing. To fight chemical terrorism it is necessary to create the system of medical-environmental defense of the population. In line with emergency medicine, forensic medical service is a very important element of the antiterroristic defense. The activity of forensic-medical experts in the field of terroristic chemical attack is analysed. PMID:16279494

  19. Brenna's story: A critical reflection and analysis of one mother's experience of navigating the medical system with a child with intellectual disabilities.

    PubMed

    Bye, Amanda; Aston, Megan

    2016-03-01

    Children with intellectual disabilities spend more time in the health-care system than mainstream children. Parents have to learn how to navigate the system by coordinating appointments, understanding the referral process, knowing what services are available, and advocating for those services. This places an incredible amount of responsibility on families. This article is one mother's personal story and reflection about her journey through the Canadian health-care system in Nova Scotia, with her daughter who has an intellectual disability. The reflection identifies moments of tension experienced by a mother and how she was expected to be a medical system navigator, doctor-educator, time manager, and care coordinator and the roles that led to feelings of repression, extreme frustration, and fear. A final discussion offers an analysis of her experience, using concepts from feminist post-structuralism. PMID:25952335

  20. Objective assessment of sleep and sleep problems in older adults with intellectual disabilities.

    PubMed

    van de Wouw, Ellen; Evenhuis, Heleen M; Echteld, Michael A

    2013-08-01

    Little is known about sleep in older adults with intellectual disability (ID). Aim of this study was to investigate sleep and its associated factors, and to estimate the prevalence of sleep problems in this population. This study was part of the healthy aging and intellectual disabilities study. Sleep was assessed using the Actiwatch, a watch-like device that measures sleep and wakefulness based on movement activity. Participants (n=551) wore the Actiwatch at least seven days and nights continuously. Variables of interest were time in bed (TIB), sleep onset latency, total sleep time, wake after sleep onset, sleep efficiency and get-up time latency. Multivariate analyses were used to investigate factors associated with these sleep parameters. Provisional definitions were drafted to estimate the prevalence of sleep problems. Mean TIB was 630 min. Longer TIB was independently associated with higher age, more severe level of ID, living at a central facility, wheelchair dependence, female gender and depressive symptoms (adjusted R(2)=.358, F-change=8.302, p<.001). The prevalence of sleep problems was 23.9% settling problem, 63.1% night waking problem, 20.9% short sleep time, 9.3% early waking problem. 72% of the participants had at least one problem, 12.3% had three or more sleep problems. Older adults with ID lie in bed very long, and the prevalence of sleep problems is high. Further research should focus on causality of the relationships found in this study, and effects of sleep problems on health and well-being in this population. PMID:23692894

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

    ERIC Educational Resources Information Center

    Gannon, Sam C.

    2011-01-01

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

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

    ERIC Educational Resources Information Center

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

    2014-01-01

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

  3. Medication Management Assessment for Older Adults in the Community

    ERIC Educational Resources Information Center

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

    2006-01-01

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

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

    ERIC Educational Resources Information Center

    Hidalgo, Jess Lpez-Torres; Pretel, Fernando Andrs; Bravo, Beatriz Navarro; Rabadan, Francisco Escobar; Serrano Selva, Juan Pedro; Latorre Postigo, Jose Miguel; Martnez, Ignacio Prraga

    2014-01-01

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

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

    PubMed Central

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

    2014-01-01

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

  6. Human Factors/Usability Barriers to Home Medical Devices Among Individuals with Disabling Conditions: In-depth Interviews with Positive Airway Pressure Device Users

    PubMed Central

    Fung, Constance H.; Igodan, Uyi; Alessi, Cathy; Martin, Jennifer L.; Dzierzewski, Joseph M.; Josephson, Karen; Kramer, B. Josea

    2014-01-01

    Background Evidence suggests that medical equipment often fails to accommodate the needs of individuals with disabling conditions. Few studies have focused on the accessibility of home medical devices such as positive airway pressure (PAP), which is a type of home medical equipment prescribed for long-term therapy. Objective The purpose of this study was to explore in detail the types of difficulties experienced by patients with physical/sensory impairments who use PAP devices, as an initial step in designing a questionnaire to survey users about this topic. Methods In this descriptive study, in-depth interviews were conducted with 19 participants (9 patients with physical/sensory impairment and 10 healthcare providers). Interviews were coded and analyzed for major topics. Results Participants detailed the numerous ways in which current PAP devices fail to meet the needs of individuals with physical/sensory impairments (e.g., tremor, poor depth perception, paresis), by requiring patients to perform manually difficult tasks, such as inserting PAP parts through small apertures, attaching parts using a twisting motion, and lifting arms overhead to apply PAP headgear. These demands contributed to patients' frustration with and reduced usage of the home medical device. Conclusions Our findings suggest that home medical devices such as PAP may not be currently designed to meet the needs of some users with physical/sensory impairments. Additional studies are needed to measure the prevalence and impact of impairment-related barriers on PAP adherence for this common medical equipment. PMID:25126995

  7. [Work disability in public press professions].

    PubMed

    Akermann, S

    2002-09-01

    In this study more than 1,000 cases of long-term disability among members of the press and media were evaluated. Mental disorders were the main cause of disability in almost every fourth case. In women psychiatric illnesses were even more important. The most common diagnosis was that of a depressive disorder which accounted for more than half of all psychiatric cases. The causes of disability of other insurance systems such as the German social security scheme and the pension and disability plan for the medical profession were compared. Mental illnesses are the leading cause of disability in white collar workers and orthopaedic illnesses, especially disorders of the vertebral column, are the leading cause in blue collar workers, as one might have expected. In females mental disorders are even more common than in men whereas men tend to have more cardiovascular problems than women. In this study also some interesting features regarding disability caused by various illnesses after long-term follow-up were found. This opens unknown perspectives allowing new assessment of diseases and eventually will enable the actuary to price medical diagnoses for disability insurance. PMID:12242775

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

    PubMed

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

    2015-04-01

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

  9. Oral health care for children with developmental disabilities.

    PubMed

    Norwood, Kenneth W; Slayton, Rebecca L

    2013-03-01

    Children with developmental disabilities often have unmet complex health care needs as well as significant physical and cognitive limitations. Children with more severe conditions and from low-income families are particularly at risk with high dental needs and poor access to care. In addition, children with developmental disabilities are living longer, requiring continued oral health care. This clinical report describes the effect that poor oral health has on children with developmental disabilities as well as the importance of partnerships between the pediatric medical and dental homes. Basic knowledge of the oral health risk factors affecting children with developmental disabilities is provided. Pediatricians may use the report to guide their incorporation of oral health assessments and education into their well-child examinations for children with developmental disabilities. This report has medical, legal, educational, and operational implications for practicing pediatricians. PMID:23439896

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

    PubMed

    Jackson, G; Patel, S; Khan, S

    2012-03-01

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

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

    NASA Technical Reports Server (NTRS)

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

    2011-01-01

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

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

    ERIC Educational Resources Information Center

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

    2011-01-01

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

  13. 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

    Marshall, Catherine A.; And Others

    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

  14. Medical tourism: assessing the evidence on treatment abroad.

    PubMed

    Lunt, Neil; Carrera, Percivil

    2010-05-01

    The review focuses on one growing dimension of health care globalisation - medical tourism, whereby consumers elect to travel across borders or to overseas destinations to receive their treatment. Such treatments include cosmetic and dental surgery; cardio, orthopaedic and bariatric surgery; IVF treatment; and organ and tissue transplantation. The review sought to identify the medical tourist literature for out-of-pocket payments, focusing wherever possible on evidence and experience pertaining to patients in mid-life and beyond. Despite increasing media interest and coverage hard empirical findings pertaining to out-of-pocket medical tourism are rare. Despite a number of countries offering relatively low cost treatments we know very little about many of the numbers and key indicators on medical tourism. The narrative review traverses discussion on medical tourist markets, consumer choice, clinical outcomes, quality and safety, and ethical and legal dimensions. The narrative review draws attention to gaps in research evidence and strengthens the call for more empirical research on the role, process and outcomes of medical tourism. In concluding it makes suggestion for the content of such a strategy. PMID:20185254

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

    ERIC Educational Resources Information Center

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

    2011-01-01

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

  16. Rapid Assessment of Severe Cognitive Impairment in Individuals with Developmental Disabilities

    ERIC Educational Resources Information Center

    Walsh, D. M.; Finwall, J.; Touchette, P. E.; McGregor, M. R.; Fernandez, G. E.; Lott, I. T.; Sandman, C. A.

    2007-01-01

    Background: Most standardized intelligence tests require more than 1hour for administration, which is problematic when evaluating individuals with intellectual disabilities and developmental disabilities (IDDD), because a significant proportion of these individuals can not tolerate lengthy evaluations. Furthermore, most standardized intelligence

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

    ERIC Educational Resources Information Center

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

    1999-01-01

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

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

    ERIC Educational Resources Information Center

    Ralfs, Sonya; Beail, Nigel

    2012-01-01

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

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

    ERIC Educational Resources Information Center

    Decker, Scott

    2012-01-01

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

  20. Communication Services and Supports for Individuals with Severe Disabilities: Guidance for Assessment and Intervention

    ERIC Educational Resources Information Center

    Brady, Nancy C.; Bruce, Susan; Goldman, Amy; Erickson, Karen; Mineo, Beth; Ogletree, Bill T.; Paul, Diane; Romski, Mary Ann; Sevcik, Rose; Siegel, Ellin; Schoonover, Judith; Snell, Marti; Sylvester, Lorraine; Wilkinson, Krista

    2016-01-01

    The National Joint Committee for the Communication Needs of People With Severe Disabilities (NJC) reviewed literature regarding practices for people with severe disabilities in order to update guidance provided in documents originally published in 1992. Changes in laws, definitions, and policies that affect communication attainments by persons