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Sample records for abuse accommodation syndrome

  1. Sex, lies, and statistics: inferences from the child sexual abuse accommodation syndrome.

    PubMed

    Weiss, Kenneth J; Curcio Alexander, Julia

    2013-01-01

    Victims of child sexual abuse often recant their complaints or do not report incidents, making prosecution of offenders difficult. The child with sexual abuse accommodation syndrome (CSAAS) has been used to explain this phenomenon by identifying common behavioral responses. Unlike PTSD but like rape trauma syndrome, CSAAS is not an official diagnostic term and should not be used as evidence of a defendant's guilt or to imply probative value in prosecutions. Courts have grappled with the ideal use of CSAAS in the evaluation of child witness testimony. Expert testimony should be helpful to the jurors without prejudicing them. The New Jersey Supreme Court ruled recently that statistical evidence about CSAAS implying the probability that a child is truthful runs the risk of confusing jury members and biasing them against the defendant. We review the parameters of expert testimony and its admissibility in this area, concluding that statistics about CSAAS should not be used to draw inferences about the victim's credibility or the defendant's guilt. PMID:24051595

  2. Sex, lies, and statistics: inferences from the child sexual abuse accommodation syndrome.

    PubMed

    Weiss, Kenneth J; Curcio Alexander, Julia

    2013-01-01

    Victims of child sexual abuse often recant their complaints or do not report incidents, making prosecution of offenders difficult. The child with sexual abuse accommodation syndrome (CSAAS) has been used to explain this phenomenon by identifying common behavioral responses. Unlike PTSD but like rape trauma syndrome, CSAAS is not an official diagnostic term and should not be used as evidence of a defendant's guilt or to imply probative value in prosecutions. Courts have grappled with the ideal use of CSAAS in the evaluation of child witness testimony. Expert testimony should be helpful to the jurors without prejudicing them. The New Jersey Supreme Court ruled recently that statistical evidence about CSAAS implying the probability that a child is truthful runs the risk of confusing jury members and biasing them against the defendant. We review the parameters of expert testimony and its admissibility in this area, concluding that statistics about CSAAS should not be used to draw inferences about the victim's credibility or the defendant's guilt.

  3. Stockholm Syndrome and Child Sexual Abuse

    ERIC Educational Resources Information Center

    Julich, Shirley

    2005-01-01

    This article, based on an analysis of unstructured interviews, identifies that the emotional bond between survivors of child sexual abuse and the people who perpetrated the abuse against them is similar to that of the powerful bi-directional relationship central to Stockholm Syndrome as described by Graham (1994). Aspects of Stockholm Syndrome…

  4. Links between nutrition, drug abuse, and the metabolic syndrome.

    PubMed

    Virmani, Ashraf; Binienda, Zbigniew; Ali, Syed; Gaetani, Franco

    2006-08-01

    Nutritional deficiency in combination with drug abuse may increase risk of developing the metabolic syndrome by augmenting cell damage, excitotoxicity, reducing energy production, and lowering the antioxidant potential of the cells. We have reviewed here the following points: effects of drugs of abuse on nutrition and brain metabolism; effects of nutrition on actions of the drugs of abuse; drug abuse and probability of developing metabolic syndrome; role of genetic vulnerability in nutrition/drug abuse and brain damage; and the role of neuroprotective supplements in drug abuse. Nutrition education is an essential component of substance abuse treatment programs and can enhance substance abuse treatment outcomes. The strategies available, in particular the nutritional approach to protect the drug abusers from the metabolic syndrome and other diseases are discussed.

  5. STOP Abusive Behavior Syndrome: Developing a Community Response.

    ERIC Educational Resources Information Center

    Holzman, Lois; Rivera, Mary

    This paper discusses the social-therapeutic approach to preventing abusive behavior, and describes the implementation of specific STOP Abusive Behavior Syndrome (ABS) projects in New York City, New York. The projects' goal is to empower people to continually develop throughout their lifespans. Basic tenants include the following: (1) emotions are…

  6. [Posterior iris bowing after accommodation--elucidation of the etiology of pigment dispersion syndrome].

    PubMed

    Ueda, J; Sawaguchi, S; Watanabe, J; Shirakashi, M; Abe, H

    1997-02-01

    Recent advancements in imaging the anterior segment structures using the ultrasound biomicro scope (UBM) have proven the involvement of posterior iris bowing due to reverse pupillary block as the cause of pigment dispersion syndrome. In this report, we examined whether the posterior iris bowing occurs even in normal eyes following accommodation, and whether the degree of iris concavity tends to be greater in myopic eyes than in emmetropic eyes. The subjects were normal eyes with sufficient accommodation power, i.e. 5 myopic eyes with less than-5 diopter reflection, 5 emmetropic eyes within +/- 1 dioptor reflection, respectively. We obtained UBM images of the iris at 4 portions before and after accommodation, and measured the degree of posterior iris bowing. We found that almost all data shift posteriorly after accommodation, and that the iris concavity is more distinct in myopic eyes than in emmetropic eyes both before and after accommodation (before: p = 0.0004, after: p < 0.0001). From these results, we confirmed that iris concavity after accommodation occurs in normal eyes but not enough for iridozonular contact, and that pigment dispersion syndrome results from augmented iris concavity owing to pre-existing factors such as iris flexibility, myopia, and sufficient accommodation power. PMID:9124102

  7. Sick building syndrome in like symptoms in emergency prefabricated accommodation.

    PubMed

    Muzi, G; Accattoli, M P; dell'Omo, M; Frillici, C; Sapia, I E; Abbritti, G

    2004-01-01

    The present study investigated the sources of discomfort and the symptoms reported by earthquake victims residing in temporary emergency prefabricated accommodation (prefab). The investigation was carried out by means of a questionnaire. 203 prefab occupants and 13 inhabitants of houses, who were chosen as reference population, replied in winter and 233 prefab occupants and 154 inhabitants of houses replied in summer. In both seasons more people living in prefabs indentified dry air, stuffy air, stale air, dust, dampness, uncomfortable temperature and bad odours as sources of discomfort. They also complained of general symptoms (headache, irritablility, insomnia, difficulty in concentration) and irritative symptoms of the eyes, upper and lower airways and skin. Multiple regression analysis identified the type of accommodation as the variable that most influenced the onset of general, ocular, upper and lower airway symptoms. Intrinsic characteristics of the prefabs (being constructed with synthetic materials, combustion sources, poor ventilation and insulation) and psychosocial factors e. losing their home, could have contributed to the onset of symptoms. PMID:15345200

  8. Childhood Sexual Abuse and Psychosomatic Symptoms in Irritable Bowel Syndrome

    ERIC Educational Resources Information Center

    Ross, Colin A.

    2005-01-01

    Irritable bowel syndrome is characterized by chronic gastrointestinal symptoms without a demonstrable physical cause. In a subgroup of patients, irritable bowel syndrome may be part of a cluster of psychosomatic symptoms related to childhood sexual abuse. To investigate this possibility, the Dissociative Disorders Interview Schedule (DDIS), the…

  9. Unexplained Facial Scar: Child Abuse or Ehlers-Danlos Syndrome?

    PubMed Central

    Abtahi-Naeini, Bahareh; Shapouri, Javad; Masjedi, Mohsen; Saffaei, Ali; Pourazizi, Mohsen

    2014-01-01

    Context: Child abuse is a serious problem, and its physical manifestations can be mimicked by certain diseases and conditions. These conditions can include genetic, congenital and other disorders that may result in poor weight gain, bone fractures or skin lesions that look like bruises or burns. Case Report: This paper reports the case of a seven-year-old girl with Ehlers-Danlos Syndrome (EDS), which was misdiagnosed as child abuse. This child was referred to us for treatment of an unexplained facial scar that was alleged to be the result of child abuse. Conclusion: When unusual skin presentations are observed, dermatologists should consider the possibility of child abuse to protect the child. Furthermore, they should be aware of the cutaneous abnormalities that mimic injuries associated with abuse to avoid the unnecessary reporting of child abuse. PMID:25535610

  10. Comparing and Combining Accommodation and Remediation Interventions to Improve the Written-Language Performance of Children with Asperger Syndrome

    ERIC Educational Resources Information Center

    Schneider, Ariane B.; Codding, Robin S.; Tryon, Georgiana S.

    2013-01-01

    The relative effectiveness of two writing accommodations, word processing (WP) and speech-recognition (SR) technology, was examined relative to the writing skills of four boys with Asperger syndrome. The more effective accommodation was then combined with the Self-Regulated Strategy Development (SRSD) writing intervention and compared with SRSD…

  11. New Drugs of Abuse and Withdrawal Syndromes.

    PubMed

    Andrabi, Sara; Greene, Spencer; Moukaddam, Nidal; Moukkadam, Nidal; Li, Benjamin

    2015-11-01

    New drugs of abuse continue to emerge, including synthetic cannabinoids, synthetic cathinones, and hallucinogens. It is important to recognize their individual psychopharmacologic properties, symptoms of intoxication, and symptoms of withdrawal. Providers must be vigilant of acute medical or psychiatric complications that may arise from use of these substances. Treatment of the patient also includes recognition of any substance use disorders as well as comorbid psychiatric disorders. Although pharmacologic treatments for substance use disorder (of the drugs included in this article) are limited, there are a variety of psychotherapeutic modalities that may be of some benefit.

  12. [The shaken baby syndrome as a kind of domestic abuse].

    PubMed

    Talarowska, Monika; Florkowski, Antoni; Mossakowska, Joanna; Gałecki, Piotr

    2010-07-01

    In the recent decades research on child abuse has grown impressively. Four types of child abuse: physical, psychological (emotional), sexual, and neglect have been clinically observed and defined. In 1972, John Caffey, a pediatric radiologist, published an article on the theory and practice of the abusive shaking of infants. This was followed, in 1974, with a second article on the whiplash shaken baby syndrome (SBS). Shaken baby syndrome, is caused by the violent shaking of a child with or without contact between the child's head and a hard surface. Such contact may result in head trauma, including subdural hematoma, diffuse axonal injury and retinal hemorrhage. The annual estimated rate of inflicted traumatic brain injury is 30 cases per 100,000 children aged 1 year of younger. Shaken baby syndrome often occurs after shaking in response to crying bouts. In 2001, an estimated 903,000 children were victims of SBS. Additionally, 1300 children were fatally injured from SBS the same year. The ability to detect SBS is difficult secondary to under reporting and misdiagnosis. There is no established set of symptoms that indicate SBS.

  13. Prevalence of narcotic bowel syndrome in opioid abusers in iran.

    PubMed

    Ahmadi, Bizhan; Arab, Peyman; Zahedi, Mohammad Javad; Shafieipour, Sara; Drossman, Douglas A; Banivaheb, Ghodseyeh

    2014-10-01

    BACKGROUND In spite of the increasing trend in opioid abusers worldwide, the prevalence of narcotic bowel syndrome (NBS) is undetermined. We aimed to estimate the prevalence of NBS and other opioid bowel dysfunction (OBD) in opioid abusers in Kerman, southeast Iran. According to the best of our knowledge, this is the first study to assess the prevalence of NBS in opioid abusers. METHODS By referring to addiction treatment centers in Kerman city and in a cross-sectional study, 577 subjects with opium or opioid subtracts abuse were included in our study. A validated questionnaire was used for OBD assessment and diagnosis of NBS was made according to both the presence of chronic abdominal pain despite increasing the opioid dose and ruling out other causes of abdominal pain. SPSS software version 16 was used for data analysis. p value<0.05 was considered as statistically significant. RESULTS Constipation, regurgitation, and heartburn were the most gastrointestinal complaints that were found in 132(22.9%), 123(21.3%) and 91(15.8%) subjects, respectively. Only 16(2.8%) participants fulfilled all the NBS criteria. Simultaneous use of non-narcotic sedative drugs increased the risk of NBS significantly (the odds ratio 3:1 and p=0.049). CONCLUSION NBS is not rare among opioid abusers and should be considered as a cause of chronic abdominal pain in this group. PMID:25349684

  14. Ehlers-Danlos syndrome(s) mimicking child abuse: Is there an impact on clinical practice?

    PubMed

    Castori, Marco

    2015-12-01

    Ehlers-Danlos syndrome is a heterogeneous group of heritable connective tissue disorders characterized by increased fragility of various non-ossified tissues. It is usually ascertained due to abnormal skin texture, scarring complications, vascular fragility, or chronic symptoms, such as fatigue and musculoskeletal pain. Sometimes, Ehlers-Danlos syndrome remains undetected until the patient, usually in the pediatric age, shows extensive or severe mucocutaneous injuries after only minor traumas. In this scenario, the misdiagnosis of Ehlers-Danlos syndrome with child abuse is a possibility, as occasionally reported in the literature. Recently, more attention was posed by lay people between the possible association of Ehlers-Danlos syndrome and bone fragility. Literature and personal experience show a strong association between Ehlers-Danlos syndrome, generalized joint hypermobility and reduced bone mass density in older children and adults, especially fertile women. The existence of a true increased risk of fracture in Ehlers-Danlos syndrome is still a matter of debate in children and adults with little and conflicting evidence. In case of suspected child abuse, Ehlers-Danlos syndrome is certainly on the differential for bruising, especially in EDS types with marked cutaneous and capillary involvement. In suspected child abuse cases, careful examination of the index case and her/his extended family is routine, as well as exclusion of other disorders such as osteogenesis imperfecta. The hypothesis of Ehlers-Danlos syndrome as an alternative explanation for infantile fractures remains speculative.

  15. Ehlers-Danlos syndrome(s) mimicking child abuse: Is there an impact on clinical practice?

    PubMed

    Castori, Marco

    2015-12-01

    Ehlers-Danlos syndrome is a heterogeneous group of heritable connective tissue disorders characterized by increased fragility of various non-ossified tissues. It is usually ascertained due to abnormal skin texture, scarring complications, vascular fragility, or chronic symptoms, such as fatigue and musculoskeletal pain. Sometimes, Ehlers-Danlos syndrome remains undetected until the patient, usually in the pediatric age, shows extensive or severe mucocutaneous injuries after only minor traumas. In this scenario, the misdiagnosis of Ehlers-Danlos syndrome with child abuse is a possibility, as occasionally reported in the literature. Recently, more attention was posed by lay people between the possible association of Ehlers-Danlos syndrome and bone fragility. Literature and personal experience show a strong association between Ehlers-Danlos syndrome, generalized joint hypermobility and reduced bone mass density in older children and adults, especially fertile women. The existence of a true increased risk of fracture in Ehlers-Danlos syndrome is still a matter of debate in children and adults with little and conflicting evidence. In case of suspected child abuse, Ehlers-Danlos syndrome is certainly on the differential for bruising, especially in EDS types with marked cutaneous and capillary involvement. In suspected child abuse cases, careful examination of the index case and her/his extended family is routine, as well as exclusion of other disorders such as osteogenesis imperfecta. The hypothesis of Ehlers-Danlos syndrome as an alternative explanation for infantile fractures remains speculative. PMID:26452443

  16. Acute coronary syndrome after levamisole-adultered cocaine abuse.

    PubMed

    Michaud, Katarzyna; Grabherr, Silke; Shiferaw, Kebede; Doenz, Franceso; Augsburger, Marc; Mangin, Patrice

    2014-01-01

    Cocaine is a well known trigger of acute coronary syndromes. Over the last 10 years levamisole, a veterinary anthelminthic drug has been increasingly used as an adulterant of cocaine. Levamisole was used to treat pediatric nephritic syndrome and rheumatoid arthritis before being withdrawn from the market due to its significant toxicity, i.e. hematological complications and vasculitis. The major complications of levamisole-adultered cocaine reported up to now are hematological and dermatological. The case reported here is of a 25 year old man with a history of cocaine abuse who died at home after complaining of retrosternal pain. Postmortem CT-angiography, autopsy, and chemical and toxicological analyses were performed. An eroded coronary artery plaque was found at the proximal segment of the left anterior descending coronary artery. Two myocardial infarct scars were present in the left ventricle. Microscopic examination of the coronary artery revealed infiltration of eosinophils into the adventitia and intima. Toxicological examination confirmed the presence of cocaine and its metabolites in the peripheral blood, and of levamisole in the urine and pericardial fluid. Eosinophilic inflammatory coronary artery pathologies have been clinically linked to coronary dissection, hypersensitivity coronary syndrome and vasospastic allergic angina. The coronary pathology in the presented case could be a complication of levamisole-adultered cocaine use, in which an allergic or immune-mediated mechanism might play a role. The rise in cocaine addiction worldwide and the increase of levamisole adulterated cocaine highlights the importance of updating our knowledge of the effects of adultered cocaine abuse. PMID:24365689

  17. Munchausen syndrome by proxy abuse perpetrated by men

    PubMed Central

    Meadow, R.

    1998-01-01

    Fifteen families are described in which one or more child incurred factitious illness abuse as a result of the father's false story and actions. The degree of direct physical harm, and the chance of death, was high in those families in which the father had Munchausen syndrome or marked somatising disorder. Eleven children died and another six survived repetitive smothering or poisoning. Although the extent of the risk to children living with a parent who has marked somatising disorder is unsure, there must be vigilance on behalf of those children.

 PMID:9613349

  18. Shaken baby syndrome as a form of abusive head trauma.

    PubMed

    Al-Saadoon, Muna; Elnour, Ibtisam B; Ganesh, Anuradha

    2011-08-01

    Shaken baby syndrome (SBS) is a form of abuse that is characterised by brain injury. Because of the subtle and yet debilitating neurobehavioural impairment which ensues, SBS represents a diagnostic dilemma for attending clinicians. The situation is made worse by the young age of the affected child who may not be capable of explaining what happened. SBS has been reported in many parts of the world. To our knowledge, there is a dearth of literature on the topic from Arab/Islamic countries. This article attempts to shed light on the syndrome by reviewing information on the aetiology of SBS, as well as on its diagnosis and the reasons for delayed diagnosis. The central aim of this review is to increase awareness of SBS so that enlightened policies for prevention and intervention could be developed in the region and particularly in Oman.

  19. Patients reporting ritual abuse in childhood: a clinical syndrome. Report of 37 cases.

    PubMed

    Young, W C; Sachs, R G; Braun, B G; Watkins, R T

    1991-01-01

    Thirty-seven adult dissociative disorder patients who reported ritual abuse in childhood by satanic cults are described. Patients came from a variety of separate clinical settings and geographical locations and reported a number of similar abuses. The most frequently reported types of ritual abuse are outlined, and a clinical syndrome is presented which includes dissociative states with satanic overtones, severe post-traumatic stress disorder, survivor guilt, bizarre self abuse, unusual fears, sexualization of sadistic impulses, indoctrinated beliefs, and substance abuse. Questions relating to issues of reliability, credibility and verifiability are addressed in depth, and the findings and implications are discussed. PMID:2043970

  20. Munchausen Syndrome by Proxy: An Alarming Face of Child Abuse

    PubMed Central

    Gehlawat, Pratibha; Gehlawat, Virender Kumar; Singh, Priti; Gupta, Rajiv

    2015-01-01

    Munchausen syndrome by proxy (MSBP) is emerging as a serious form of child abuse. It is an intentional production of illness in another, usually children by mothers, to assume sick role by proxy. It is poorly understood and a controversial diagnosis. Treatment is very difficult. We present a case of 9-year-old boy brought to Pt. B. D. Sharma, PGIMS, Rohtak, a tertiary care hospital in northern India by his father and paternal uncle with complaints of hematemesis since July 2012. He underwent many invasive procedures until the diagnosis of MSBP was finally considered. The examination of the blood sample confirmed the diagnosis. The child was placed under custody of his mother. The case was reported to social services, which incorporated whole family in the management. PMID:25722520

  1. Munchausen syndrome by proxy: an alarming face of child abuse.

    PubMed

    Gehlawat, Pratibha; Gehlawat, Virender Kumar; Singh, Priti; Gupta, Rajiv

    2015-01-01

    Munchausen syndrome by proxy (MSBP) is emerging as a serious form of child abuse. It is an intentional production of illness in another, usually children by mothers, to assume sick role by proxy. It is poorly understood and a controversial diagnosis. Treatment is very difficult. We present a case of 9-year-old boy brought to Pt. B. D. Sharma, PGIMS, Rohtak, a tertiary care hospital in northern India by his father and paternal uncle with complaints of hematemesis since July 2012. He underwent many invasive procedures until the diagnosis of MSBP was finally considered. The examination of the blood sample confirmed the diagnosis. The child was placed under custody of his mother. The case was reported to social services, which incorporated whole family in the management. PMID:25722520

  2. Natural killer cells in intravenous drug abusers with lymphadenopathy syndrome.

    PubMed Central

    Poli, G; Introna, M; Zanaboni, F; Peri, G; Carbonari, M; Aiuti, F; Lazzarin, A; Moroni, M; Mantovani, A

    1985-01-01

    We have investigated 25 intravenous drug abusers with the clinical and laboratory features of lymphadenopathy syndrome (LAS) and 10 AIDS patients for the expression of NK activity. LAS and AIDS patients had low NK cytotoxicity compared to normal donors. The defective NK cytotoxicity was analysed in the eight LAS subjects with most marked depression. NK effectors were identified by morphology (large granular lymphocytes, LGL) and monoclonal antibody-defined surface markers (B73.1, N901, HNK1). LAS patients had normal percentages of LGL and B73.1+ and N901+ cells. with the exception of two subjects with very low frequency of B73.1+ and N901+ cells. The percentage of HNK1+ cells was increased in LAS, probably because of the reactivity of this reagent with a subset of conventional OKT8+ cells, relatively augmented in LAS subjects. Depletion of monocytes did not enhance NK activity consistently. LAS patients had a normal frequency of cells capable of binding K562. In-vitro exposure to interferon beta (natural) or gamma (recombinant) augmented the defective NK activity of LAS subjects. Thus, patients with LAS have defective NK activity that cannot be accounted for by a low frequency of the relevant effector cells or by monocytic suppressors. These observations suggest a functional defect of NK cells at one or more of the post-binding steps required for the completion of killing. PMID:2415279

  3. A stepwise approach for the management of capsular contraction syndrome in hinge-based accommodative intraocular lenses

    PubMed Central

    Page, Timothy P; Whitman, Jeffrey

    2016-01-01

    Purpose The aims of this study are to define the various stages of capsular contraction syndrome (CCS) and its effect on refractive error with hinge-based accommodating intraocular lenses (IOLs) and to describe a systematic approach for the management of the different stages of CCS. Methods Hinge-based accommodative IOLs function via flexible hinges that vault the optic forward during accommodation. However, it is the flexibility of the IOL that makes it prone to deformation in the event of CCS. The signs of CCS are identified and described as posterior capsular striae, fibrotic bands across the anterior or posterior capsule, and capsule opacification. Various degrees of CCS may affect hinge-based accommodating IOLs in a spectrum from subtle changes in IOL appearance to significant increases in refractive error and loss of uncorrected visual acuity. The signs of CCS and its effect on IOL position and the resulting changes in refractive error are matched to appropriate treatment plans. Results A surgeon can avoid CCS and manage the condition if familiar with the early signs of CCS. If CCS is identified, yttrium–aluminum–garnet laser capsulotomy should be considered. If moderate CCS occurs, it may be effectively treated with insertion of a capsular tension ring. If CCS is allowed to progress to advanced stages, an IOL exchange may be necessary. Conclusion Surgeons should be familiar with the stages of CCS and subsequent interventions. The steps outlined in this article help to guide surgeons in the prevention and management of CCS with hinge-based accommodative IOLs in order to provide improved refractive outcomes for patients. PMID:27354757

  4. A Theoretical Foundation for Understanding Clergy-Perpetrated Sexual Abuse

    ERIC Educational Resources Information Center

    Fogler, Jason M.; Shipherd, Jillian C.; Rowe, Erin; Jensen, Jennifer; Clarke, Stephanie

    2008-01-01

    Incorporating elements from broadband theories of psychological adaptation to extreme adversity, including Summit's (1983) Child Sexual Abuse Accommodation Syndrome, Finkelhor and Browne's (1986) Traumagenic Dynamics Model of sexual abuse, and Pyszczynski and colleagues' (1997) Terror Management Theory, this paper proposes a unified theoretical…

  5. Abuse

    MedlinePlus

    ... also may fall prey to strangers who take advantage of their cognitive impairment. Types of abuse Signs ... property) to his or her disadvantage or the advantage of someone else Sexual abuse: touching, fondling or ...

  6. Instructional Accommodations for Students with Asperger Syndrome in the General High School Classroom

    ERIC Educational Resources Information Center

    Baylis, Myrna

    2011-01-01

    General education teachers in the secondary sector are held responsible for adapting their lessons and classroom environment for students with Asperger Syndrome. With the growing number of students with Autism Spectrum Disorder being placed in general education classrooms, teachers are faced with yet another challenge in making their curriculum…

  7. Accommodative Esotropia

    MedlinePlus

    ... Eye Terms Conditions Frequently Asked Questions Español Condiciones Chinese Conditions Accommodative Esotropia En Español Read in Chinese What is accommodative esotropia? Accommodative esotropia, or refractive ...

  8. Concerns about Research and Prevention Strategies in Munchausen Syndrome by Proxy (MSBP) Abuse.

    ERIC Educational Resources Information Center

    Eminson, Mary; Jureidini, Jon

    2003-01-01

    This article examines three motives for research into Munchausen Syndrome by Proxy child abuse, which are to enhance treatment, to understand the psychopathology of perpetrators, and to find interventions to prevent its occurrence. It argues that only the first justification is valid and proposes that research energy be directed toward…

  9. Beyond Munchausen syndrome by proxy: identification and treatment of child abuse in a medical setting.

    PubMed

    Stirling, John

    2007-05-01

    The condition widely known as Munchausen syndrome by proxy comprises both physical abuse and medical neglect and is also a form of psychological maltreatment. Although it is a relatively rare form of child abuse, pediatricians need to have a high index of suspicion when faced with seemingly inexplicable findings or treatment failures. The fabrication of a pediatric illness is a form of child abuse and not merely a mental health disorder, and there is a possibility of an extremely poor prognosis if the child is left in the home. In this statement, factors are identified that may help the physician recognize this insidious type of child abuse that occurs in a medical setting, and recommendations are provided for physicians regarding when to report a case to their state's child protective service agency.

  10. The syndrome of abuse dwarfism (psychosocial dwarfism or reversible hyposomatotropism).

    PubMed

    Money, J

    1977-05-01

    In abuse dwarfism the behavioral signs include some or all of the following: (1) a history of unusual eating and drinking behavior, reversible on change of domicile, such as eating from a garbage can and drinking from a toilet bowl, stealing food, alleged picky eating and rejecting food at the table, polydipsia and polyphagia, possibly alternating with vomiting and possibly also with self-starvation; (2) a history of such behavioral symptoms as enuresis, encopresis, social apathy or inertia, defiant aggressiveness, sudden tantrums, crying spasms, insomnia, eccentric sleeping and waking schedule, pain agnosia, and self-injury, all occurring only in the growth-retarding environment; (3) retarded motor development, with improvement on removal of the child from the domiclle of abuse; (4) retarded intellectual growht, reversible on change of domicile by as much as 30 to 50 IQ points; and (5) a history of pathologic family relationships, including unusual cruelty and neglect, either somatic or psychic or both. PMID:857651

  11. [Bilateral tibial compartment syndrome with crush symptoms after cannabis abuse].

    PubMed

    Huber, F X; Eckstein, H H; Allenberg, J R

    1997-08-01

    Acute compartmental syndrome (CS) is a surgical emergency. Different conditions in which high non-physiological pressure appears within a closed fascial space reduce the necessary blood perfusion. CS is caused by trauma, burns, bleeding in patients with coagulopathies arterial injuries, nephrotic syndrome or unusual physical exercise with secondary compartmental swelling. When decompression occurs too late, permanent loss of function and limb contracture may result. In the following paper we report on a case of four-compartmental syndrome in the lower legs of a patient with drug intoxication. After cannabis consumption, the patient fell asleep sitting cross-legged. During our first examination several hours later, the signs of compartmental syndrome with spontaneous pain, turgid swelling and paresis were present. Bilateral skin incision technique was used to gain entrance into the four compartments in both lower legs. Immediately after the operation, the patient showed crush syndrome with high serum creatine kinase activity 140.501 U/l and acute renal failure caused by rhabdomyolysis. Within 2 weeks of haemofiltration and dialysis, a full recovery to a normal serum creatinine level of 0.7 mg/dl was achieved. After emergency treatment and rehabilitation, the patient showed neither vascular nor neural defects. PMID:9377997

  12. Superior Mesenteric Artery Syndrome Associated with Rapid Weight Loss Attributed to Amphetamine Abuse

    PubMed Central

    Fazio, Richard M.; Chen, On; Eldarawy, Wael

    2015-01-01

    Superior mesenteric artery (SMA) syndrome arises from a reduction in the angle formed between the SMA and the aorta, thereby compressing the third portion of the duodenum. This phenomenon may be caused by a number of factors, one of which being acute weight loss. We report a case of a female patient presenting with abdominal pain and vomiting who developed superior mesenteric artery (SMA) syndrome as a result of rapid weight loss, thought to be secondary to amphetamine abuse. This association can often be overlooked and, to our knowledge, has not been previously reported. PMID:26351593

  13. A case of severe hyperkalaemia and compartment syndrome due to rhabdomyolysis after drugs abuse.

    PubMed

    Ochoa-Gómez, J; Villar-Arias, A; Aresti, Irune; Marco-Aguilar, Pedro

    2002-07-01

    Severe hyperkalaemia is one of the complications of the non-traumatic rhabdomyolysis, which have been related to drug abuse, alcohol, etc. We report on a case of bilateral tibial compartment syndrome, severe hyperkalaemia and rhabdomyolysis after drug abuse. A 35-year-old male intravenous drug user was admitted to the emergency department after being found unconscious in his cell of the prison. Physical examination at emergency department revealed no abnormalities except constricted pupils. Two hours after admission a wide QRS was observed in the electrocardiography and he developed asystole. Cardiopulmonary resuscitation was performed and transcutaneous pacing was applied at the beginning of cardiac arrest (150 mAmp and stimulation frequency 80 beats/min). At the moment of cardiac arrest, laboratory test showed potassium 9.2 mmol/l. Return of spontaneous circulation occurred in 21 min, and he was admitted to the Intensive Care Unit. Thirty-six hours after admission a compartment syndrome of both lower legs was suspected because of oedema with peripheral pulses. Rhabdomyolysis has been reported after drug abuse. There is severe hyperkalaemia which should be identified and treated. A more rare complication of rhabdomyolysis is the compartment syndrome, a surgical emergency, which requires immediate fasciotomy to prevent serious complications.

  14. Acute lumbosacral plexopathy from gluteal compartment syndrome after drug abuse: a case report.

    PubMed

    Mitsiokapa, Evanthia A; Mavrogenis, Andreas F; Salacha, Andromachi; Tzanos, George

    2013-01-01

    Acute lumbosacral plexus injury from gluteal compartment syndrome is extremely rare. Physicians should be aware of this diagnosis when examining patients with altered mental status, prolonged immobilization, and gluteal muscle compression. This case report presents a patient with acute complete left lumbosacral plexus paralysis and acute renal failure after gluteal compartment syndrome secondary to prolonged immobilization from drug abuse. Clinical examination, imaging of the pelvis, renal function, creatine phosphokinase, and urine myoglobin were indicative of gluteal compartment syndrome and rhabdomyolysis. Electrodiagnostic studies showed complete limb paralysis. Medical treatment and rehabilitation was administered. Renal function recovered within the 1st week; function at the proximal muscles of the left lower limb improved within 6 months, with mild discomfort on sitting at the buttock, foot drop, and sensory deficits at the leg and dorsum of foot.

  15. Monocyte function in intravenous drug abusers with lymphadenopathy syndrome and in patients with acquired immunodeficiency syndrome: selective impairment of chemotaxis.

    PubMed Central

    Poli, G; Bottazzi, B; Acero, R; Bersani, L; Rossi, V; Introna, M; Lazzarin, A; Galli, M; Mantovani, A

    1985-01-01

    We have investigated monocyte function in 17 intravenous drug abusers with the clinical and laboratory features of lymphadenopathy syndrome (LAS). LAS patients had normal numbers of circulating monocytes. Monocytes from LAS patients were comparable to cells from normal donors in terms of phagocytosis of latex beads, interleukin-1 secretion, O2- release and killing of antibody-sensitized lymphoma cells or actinomycin D pretreated WEHI 164 cells. In contrast 13 out of 17 LAS subjects tested in this respect as well as six out of nine AIDS patients showed a marked defect of monocyte chemotaxis. Thus monocytes from patients with LAS or AIDS have a selective defect of monocyte chemotaxis. PMID:2998656

  16. Update on injury mechanisms in abusive head trauma--shaken baby syndrome.

    PubMed

    Nadarasa, Jeyendran; Deck, Caroline; Meyer, Franck; Willinger, Rémy; Raul, Jean-Sébastien

    2014-12-01

    Violently shaking a baby leads to clinical presentations ranging from seizures to cardiopulmonary arrest. The main injuries sustained are retinal hemorrhages, subdural hemorrhages, and sometimes fractures and spine injury. It is important to have a global view of the injuries sustained by the infant to correctly discuss the biomechanical aspects of abusive head trauma. Recent works based on finite element models have shown that whiplash-shaking alone is enough to generate vitreo-retinal traction leading to retinal hemorrhage and to cause the rupture of bridging veins leading to subdural hemorrhage. We will review the main papers dealing with the mechanisms of shaken baby syndrome and present the most relevant hypothesis concerning the biomechanical aspects of injuries related to shaken baby syndrome.

  17. Frontotemporal Dementia-Like Syndrome Following Recall of Childhood Sexual Abuse.

    PubMed

    Cohen, Lisa J; Brody, David

    2015-06-01

    Numerous psychopathological syndromes have been attributed to posttraumatic stress, both at the time of the trauma and many years later. To date, however, there is little literature on pseudodementia as a delayed traumatic stress response. The authors present a case history of a 50-year-old woman who developed severe cognitive impairment following retrieval of previously forgotten memories of childhood sexual abuse. Her cognitive condition deteriorated rapidly and dramatically. Neuropsychological assessment and clinical presentation led to a diagnosis of frontotemporal dementia (vs. corticobasal degeneration). Detailed neurologic and medical evaluations could not identify any underlying physical cause. Her condition progressively worsened over 9 months, at which point memantine, an N-methyl-D-aspartate receptor antagonist, was begun. The patient regained full functioning over the next year. Although an organic cause could not be ruled out, it was likely that recovery of traumatic memories was contributory to the patient's condition, as ongoing psychotherapy had begun 1 year into the course. If additional cases with similar presentations are reported, such cases would corroborate the notion that persistent, severe, and reversible cognitive impairment constitutes a previously unrecognized and atypical posttraumatic response.

  18. High self-reported rates of neglect and emotional abuse, by persons with binge eating disorder and night eating syndrome.

    PubMed

    Allison, Kelly C; Grilo, Carlos M; Masheb, Robin M; Stunkard, Albert J

    2007-12-01

    This study compared rates of self-reported childhood maltreatment in three groups diagnosed using semi-structured interviews: binge eating disorder (BED; n=176), night eating syndrome (NES, n=57), and overweight/obese comparison (OC, n=38). We used the Childhood Trauma Questionnaire (CTQ) to assess childhood maltreatment and the Beck Depression Inventory-II to assess depression levels. Reports of maltreatment were common in patients with BED (82%), NES (79%), and OC (71%). The BED group reported significantly more forms of maltreatment above clinical cut-points (2.4) than the OC (1.4) group but not the NES (1.8) group. The BED and NES groups reported more emotional abuse than the OC group. A higher proportion of the BED group reported emotional neglect and a higher proportion of the NES group reported physical neglect. Depression levels, which were higher in BED and NES than OC, were associated with higher levels of physical and emotional abuse and neglect. In conclusion, reported rates of physical and sexual abuse differed little across groups, whereas reports of neglect and emotional abuse were higher in the BED and NES groups than in the OC group and were associated with elevated depression levels.

  19. A finite element analysis of the retinal hemorrhages accompanied by shaken baby syndrome/abusive head trauma.

    PubMed

    Yoshida, Makoto; Yamazaki, Junpei; Mizunuma, Hiroshi

    2014-11-01

    We aimed to elucidate the mechanism of the retinal hemorrhage (RH) accompanied by shaken baby syndrome or abusive head trauma (SBS/AHT) by analyses using a computational model. We focused on a hypothesis that the vitreoretinal traction due to acceleration and deceleration caused by abusive shaking leads to retinal hemorrhage. A finite element (FE) mechanical model with simple spherical geometry was constructed. When the FE mechanical model was virtually shaken, the intensity of the stress applied to the retinal plane agreed well with the results from an analysis using a physical model made of agar gel. Impacts due to falling events induced more intensive tensile stresses, but with shorter duration, than the shake did. By applying a mathematical theory on tackiness, we propose a hypothesis that the time integration of the stress, in the unit of Pa·s, would be a good predictor of the RH accompanied by SBS/AHT. A single cycle of abusive shake amounted to 101Pa·s of time integration of inflicted stress, while a single impact event amounted to 36Pa·s. This would explain the paradoxical observation that shaking induces RH while RH due to impact events is only seen in a major event such as a fatal motor vehicle accident. PMID:25282076

  20. A finite element analysis of the retinal hemorrhages accompanied by shaken baby syndrome/abusive head trauma.

    PubMed

    Yoshida, Makoto; Yamazaki, Junpei; Mizunuma, Hiroshi

    2014-11-01

    We aimed to elucidate the mechanism of the retinal hemorrhage (RH) accompanied by shaken baby syndrome or abusive head trauma (SBS/AHT) by analyses using a computational model. We focused on a hypothesis that the vitreoretinal traction due to acceleration and deceleration caused by abusive shaking leads to retinal hemorrhage. A finite element (FE) mechanical model with simple spherical geometry was constructed. When the FE mechanical model was virtually shaken, the intensity of the stress applied to the retinal plane agreed well with the results from an analysis using a physical model made of agar gel. Impacts due to falling events induced more intensive tensile stresses, but with shorter duration, than the shake did. By applying a mathematical theory on tackiness, we propose a hypothesis that the time integration of the stress, in the unit of Pa·s, would be a good predictor of the RH accompanied by SBS/AHT. A single cycle of abusive shake amounted to 101Pa·s of time integration of inflicted stress, while a single impact event amounted to 36Pa·s. This would explain the paradoxical observation that shaking induces RH while RH due to impact events is only seen in a major event such as a fatal motor vehicle accident.

  1. Family history of mental illness or alcohol abuse and the irritable bowel syndrome

    PubMed Central

    Knight, James R.; Locke, G. Richard; Zinsmeister, Alan R.; Schleck, Cathy D.; Talley, Nicholas J.

    2015-01-01

    Objective We have observed that many patients with IBS drink very little alcohol, and postulated this may reflect membership in families affected by alcoholism and mental illness. We aimed to evaluate whether a family history of substance or alcohol abuse, or psychiatric illness, is associated with IBS. Methods A valid GI questionnaire was mailed to a randomly selected population-based cohort to identify IBS and healthy controls. The electronic medical record was reviewed to record the subjects’ self-reported personal and family health histories. Results 2300 subjects responded (response rate 55%; IBS 13% n=287). 230 subjects with IBS and 318 controls were eligible. Family history of alcohol/substance abuse was reported by 33% of cases and 25% of controls (OR 1.4, 95% CI 1.0–2.1, p=0.06). Family history of psychiatric illness was reported by 37% of cases and 22% of controls (OR 2.0, 95% CI 1.3–2.9, p<0.001). In the absence of a personal history of alcohol use, a family history of alcohol/substance abuse was predictive of IBS status (OR adjusted for age and gender 1.5, 95% CI 1.0–2.3, p=0.05). In the absence of a personal history of alcohol use, reporting both a family history of alcohol/substance abuse and anxiety/depression/mental illness was clearly predictive of IBS status (OR 2.5, 95% CI 1.4–4.5; p<0.005). Substance abuse as a child was associated with an increased risk of IBS (OR 2.3, 95% CI 1.1–4.8; p<0.03). Conclusion IBS is independently associated with a family history of psychiatric illness and may be linked to a family history of alcohol/substance abuse. PMID:25582802

  2. Psychiatric Syndromes in Adolescents with Marijuana Abuse and Dependency in Outpatient Treatment

    ERIC Educational Resources Information Center

    Diamond, Guy; Panichelli-Mindel, Susan M.; Shera, David; Dennis, Mike; Tims, Frank; Ungemack, Jane

    2006-01-01

    Objective: The purpose of the current study to assist in understanding the prevalence and clinical correlates of psychiatric distress in adolescents seeking outpatient services for marijuana abuse or dependency. Methods: In a multi-site randomized clinical trial, 600 adolescents and their parents were assessed at intake using the Global Appraisals…

  3. Physical Abuse

    MedlinePlus

    Navigation Physical Abuse Sexual Abuse Domestic Violence Psychological Abuse Financial Abuse Neglect Critical Issues What Communities Can Do The Role of Professionals and Concerned Citizens Help for Victims ...

  4. Sexual Abuse

    MedlinePlus

    Navigation Physical Abuse Sexual Abuse Domestic Violence Psychological Abuse Financial Abuse Neglect Critical Issues What Communities Can Do The Role of Professionals and Concerned Citizens Help for Victims ...

  5. Habitability sleep accommodations

    NASA Technical Reports Server (NTRS)

    Fisher, H. T.

    1985-01-01

    Schematic outlines are presented with various design requirements for the accommodation of the spacecrew of Space Stations. The primary concern is for sleeping accommodations. Some other general requirements given are for a rest place, entertainment, dressing area, personal item stowage, body restraint, total privacy, external viewing, and grooming provisions. Several plans are given for sleep quarters concepts.

  6. Accommodation for flickering stimuli.

    PubMed

    Owens, D A; Wolfe, J M

    1985-01-01

    A laser optometer was used to measure accommodative responses of three observers for sinusoidal gratings presented in Maxwellian view at optical distances ranging from 0 to 4 diopters. Contrast of the stimuli was modulated spatially at 1.0, 4.2 and 6.5 cycles deg.-1 (cpd), and temporally at six frequencies ranging from 3.0 to 40 Hz. Accommodation was consistently more accurate for the 4.2 cpd than for either the 1.0 or 6.5 cpd gratings. Furthermore, accommodative responsiveness for the 4.2 cpd was not affected by temporal modulation, while that for the other spatial frequencies improved monotonically as a function of temporal frequency. These results reinforce earlier reports that accommodation is most responsive for contrast of intermediate spatial frequencies and they indicate that stimulus flicker generally degrades accommodation for spatial contrast.

  7. Elder Abuse and Substance Abuse

    MedlinePlus

    ... Additional Resources Return to: What is Elder Abuse? Elder Abuse and Substance Abuse Substance abuse has been identified ... the most frequently cited risk factor associated with elder abuse and neglect. It may be the victim and/ ...

  8. Accommodating Translational Research

    ERIC Educational Resources Information Center

    Giles, Howard

    2008-01-01

    This is an article in a series illustrating the way scholars in communication have pursued translating their research into practice. The translational nature of communication accommodation theory and examples of its application are the focus of this contribution.

  9. Influence of abuse history on gastric sensorimotor function in functional dyspepsia.

    PubMed

    Geeraerts, B; Van Oudenhove, L; Fischler, B; Vandenberghe, J; Caenepeel, P; Janssens, J; Tack, J

    2009-01-01

    Patients with functional gastrointestinal disorders have elevated rates of sexual or physical abuse, which may be associated with altered rectal sensorimotor function in irritable bowel syndrome. The aim was to study the association between abuse history and gastric sensorimotor function in functional dyspepsia (FD). We studied gastric sensorimotor function with barostat (sensitivity, compliance and accommodation) and gastric emptying test in 233 consecutive FD patients from a tertiary care centre (162 women, mean age 41.6 +/- 0.9). Patients filled out self-report questionnaires on history of sexual and physical abuse during childhood or adulthood. Eighty-four patients (out of 198, 42.4%) reported an overall history of abuse [sexual and physical in respectively 30.0% (60/200) and 20.3% (42/207)]. FD patients reporting general as well as severe childhood sexual abuse have significantly lower discomfort thresholds during gastric distension [respectively 10.5 +/- 0.4 vs 7.5 +/- 1.0 mmHg above minimal distending pressure (MDP), P = 0.014 and 10.5 +/- 0.4 vs 6.6 +/- 1.2 mmHg above MDP, P = 0.007]. The corresponding intra-balloon volume was also significantly lower (respectively 579 +/- 21 vs 422 +/- 59 mL, P = 0.013 and 579 +/- 19 vs 423 +/- 79 mL, P = 0.033). Gastric accommodation was significantly more pronounced in patients reporting rape during adulthood (91 +/- 12 vs 130 +/- 40 mL, P = 0.016). Abuse history was not associated with differences in gastric emptying. A history of abuse is associated with alterations in gastric sensorimotor function in FD. Particularly sexual abuse, rather than physical abuse, may influence gastric sensitivity and motor function. PMID:18694440

  10. [Characteristics of the pharmacological treatment of toxic liver damage in patients with an alcohol abused syndrome and an acute severe ethanol poison].

    PubMed

    Shilov, V V; Shikalova, I A; Vasil'ev, S A; Loladze, A T; Batotsyrenov, B V

    2012-01-01

    The examination of 130 patients with an alcohol abused syndrome and a severe ethanol poison have revealed that ethanol action are accompanied by significant metabolic disturbances. The comparative evaluation of the inclusion of heptral and remaxol in the treatment has shown that remaxol improves the clinical course of mentioned disorders decreasing the frequency and duration of alcohol delirium. Patients treated with this drug spent less time in acute care and their treatment duration was shorter. Remaxol reduces more effectively the severity of metabolic disorders.

  11. Accommodating Picky Palates

    ERIC Educational Resources Information Center

    Lum, Lydia

    2007-01-01

    Healthy gourmet offerings are fast becoming the norm at college dining halls around the country. At a time when the children of Baby Boomers are hitting higher education in record numbers, college officials have scrambled to accommodate their picky palates and their insistence for healthier meals than were served to past generations. At the same…

  12. Workplace accommodations: evidence based outcomes.

    PubMed

    Schartz, Helen A; Hendricks, D J; Blanck, Peter

    2006-01-01

    One central component to meaningful employment for people with disabilities is the ADA's workplace accommodation provision that allows qualified individuals to perform essential job functions. Little empirical evidence is available to evaluate the costs, benefits, and effectiveness of accommodations. Previous research has focused on direct costs. This article advocates an inclusive accommodation cost/benefit analysis to include direct and indirect costs and benefits and to differentiate disability-related accommodation costs from typical employee costs. The inclusive cost/benefit analysis is applied to preliminary data from interviews with employers who contacted the Job Accommodation Network (JAN). Results suggest that accommodations are low cost, beneficial and effective.

  13. Breaking the Abuser-Abused Paradigm in the Classroom.

    ERIC Educational Resources Information Center

    Holzman, Lois; Strickland, Gloria

    The STOP Abusive Behavior Syndrome (STOP ABS) Project attempts to implement a community-based discipline model for inner-city elementary schools that avoids both physical and emotional abuse by teachers and students, while contributing to the students' overall development. Prevailing disciplinary models either relate to children as objects to be…

  14. Visual accommodation trainer-tester

    NASA Technical Reports Server (NTRS)

    Randle, R. J., Jr. (Inventor)

    1983-01-01

    An apparatus for training of the human visual accommodation system is presented, specifically, useful for training a person to volitionally control his focus to his far point (normaly infinity) from a position of myopia due to functional causes. The functional causes could be due, for example, to a behavioral accommodative spasm or the effects of an empty field. The device may also be used to measure accommodation, the accommodation resting position and the near and far points of vision.

  15. The "Discovery" of Child Abuse

    ERIC Educational Resources Information Center

    Pfohl, Stephen J.

    1977-01-01

    Surveys the history of social reaction to child abuse, discusses the cultural values promoting the protection of children, points out how much pediatric radiology benefited from its "discovery" of "the battered child syndrome" in the early sixties, and concludes that the labeling of child abusers as "sick" has shielded them from criminal…

  16. Folk Remedies and Child Abuse: A Review with Emphasis on Caida de Mollera and Its Relationship to Shaken Baby Syndrome.

    ERIC Educational Resources Information Center

    Hansen, Karen Kirhofer

    1998-01-01

    Reviews a variety of folk remedies such as coining (Southeast Asia), cupping (primarily Russia), and moxibustion (Asia), which may be confused with child abuse. It especially considers the Hispanic folk illness "caida de mollera" (fallen fontanelle) but rejects the idea in the literature that folk treatment can cause the injuries seen in the…

  17. Intensity of amnesia during hypnosis is positively correlated with estimated prevalence of sexual abuse and alien abductions: implications for the false memory syndrome.

    PubMed

    Dittburner, T L; Persinger, M A

    1993-12-01

    20 normal young women listened to an ambiguous story concerning a young boy who experienced fear, odd smells, and a smothering sensation during the night and skin lesions the next morning. After the Hypnotic Induction Profile (HIP) had been established, they were asked to estimate either the percentage prevalence of childhood sexual abuse or alien abduction in the general population. There were moderate (0.50) positive correlations between the subjects' estimates of prevalence and the amount of amnesia ("lost time") and indices of right-hemispheric anomalies (history of sensed presence and left-ear suppressions during a dichotic-listening task). Relevance of observations to formation of the False Memory Syndrome and to the development of nonpsychotic delusions is discussed.

  18. Paleodigms and paleodigmatics: a new theoretical construct applicable to Munchausen's syndrome by proxy, child-abuse dwarfism, paraphilias, anorexia nervosa, and other syndromes.

    PubMed

    Money, J

    1989-01-01

    A paleodigm is a formulation of ancient folk wisdom that encodes a causal explanation in a saying or story that penetrates the idiom of everyday language and influences behavior. Although paleodigms are not, per se, causative, they have diagnostic, prognostic, and therapeutic significance in syndromes like Munchausen's syndrome by proxy.

  19. Munchausen by Proxy Syndrome

    MedlinePlus

    ... syndrome (MBPS) is a relatively rare form of child abuse that involves the exaggeration or fabrication of illnesses ... by a primary caretaker. Also known as "medical child abuse," MBPS was named after Baron von Munchausen, an ...

  20. Aspects of abuse: abusive head trauma.

    PubMed

    Hinds, Tanya; Shalaby-Rana, Eglal; Jackson, Allison M; Khademian, Zarir

    2015-03-01

    Abusive Head Trauma (AHT) is a form of child physical abuse that involves inflicted injury to the brain and its associated structures. Abusive Head Trauma, colloquially called Shaken Baby Syndrome, is the most common cause of serious or fatal brain injuries in children aged 2 years and younger. The American Academy of Pediatrics recommends the term Abusive Head Trauma, as opposed to Shaken Baby Syndrome, as the former term encompasses multiple forms of inflicted head injury (inertial, contact, and hypoxic-ischemic) and a range of clinical presentations and radiologic findings and their sequelae. Children diagnosed with AHT are 5 times more likely to die compared with accidentally head-injured children, yet signs and symptoms are not always obvious, and therefore the diagnosis can be overlooked. Therefore, the American Academy of Pediatrics has tasked pediatricians with knowing how and when to begin an evaluation of children with signs and symptoms that could possibly be due to AHT. Overall, a detailed history of present illness and medical history, recognition of physical and radiological findings, and careful interpretation of retinal pathology are important aspects of formulating the differential diagnoses and increasing or decreasing the index of suspicion for AHT.

  1. Retinal Image Quality During Accommodation

    PubMed Central

    López-Gil, N.; Martin, J.; Liu, T.; Bradley, A.; Díaz-Muñoz, D.; Thibos, L.

    2013-01-01

    Purpose We asked if retinal image quality is maximum during accommodation, or sub-optimal due to accommodative error, when subjects perform an acuity task. Methods Subjects viewed a monochromatic (552nm), high-contrast letter target placed at various viewing distances. Wavefront aberrations of the accommodating eye were measured near the endpoint of an acuity staircase paradigm. Refractive state, defined as the optimum target vergence for maximising retinal image quality, was computed by through-focus wavefront analysis to find the power of the virtual correcting lens that maximizes visual Strehl ratio. Results Despite changes in ocular aberrations and pupil size during binocular viewing, retinal image quality and visual acuity typically remain high for all target vergences. When accommodative errors lead to sub-optimal retinal image quality, acuity and measured image quality both decline. However, the effect of accommodation errors of on visual acuity are mitigated by pupillary constriction associated with accommodation and binocular convergence and also to binocular summation of dissimilar retinal image blur. Under monocular viewing conditions some subjects displayed significant accommodative lag that reduced visual performance, an effect that was exacerbated by pharmacological dilation of the pupil. Conclusions Spurious measurement of accommodative error can be avoided when the image quality metric used to determine refractive state is compatible with the focusing criteria used by the visual system to control accommodation. Real focusing errors of the accommodating eye do not necessarily produce a reliably measurable loss of image quality or clinically significant loss of visual performance, probably because of increased depth-of-focus due to pupil constriction. When retinal image quality is close to maximum achievable (given the eye’s higher-order aberrations), acuity is also near maximum. A combination of accommodative lag, reduced image quality, and reduced

  2. The Accommodation Operation. Accommodation Management Module. Operational Management Programme.

    ERIC Educational Resources Information Center

    Chapman, Janet

    This module on accommodation operation is intended to help supervisors or managers achieve a balance in the day-to-day running of the premises and plan for a smooth and successful future. Much of the material is concerned with the housekeeping aspects of accommodation management. The material is presented in a self-instructional format in seven…

  3. [A clinic and pathway comorbidity aetiology of the somatoform disorder, abuse syndromes and addictions at adolescent age].

    PubMed

    Chernyshov, O V

    2014-01-01

    The clinical features of forming of komorbydnoho combination of vegetative disfunction are studied with the displays of chronic pain. It examined 82 adolescents--48 girls (58.5%) and 34 boys (41.5%) aged 16-17 years. All teenagers have noted the presence of the dual problems of stress in their lives. Girls feel a greater impact of stressful factors than boys. The largest number of connected stressful factors were found in the subgroup of women with the syndrome tsefalhiyi, and the lowest was observed among boys with abdominalhiyi syndrome.

  4. Abusive Relationships

    MedlinePlus

    ... relationships and friendships. Emotional abuse (stuff like teasing, bullying, and humiliating others) can be difficult to recognize ... How to Break Up Respectfully Abuse Dealing With Bullying Date Rape Getting Over a Break-Up Posttraumatic ...

  5. Drug Abuse

    MedlinePlus

    ... as drugged driving, violence, stress, and child abuse. Drug abuse can lead to homelessness, crime, and missed work or problems with keeping a job. It harms unborn babies and destroys families. There are different types of treatment for drug abuse. But the best is to prevent drug ...

  6. Child Abuse

    MedlinePlus

    ... or become violent. An older child may use drugs or alcohol, try to run away or abuse others. Child abuse is a serious problem. If you suspect a child is being abused or neglected, call the police or your local child welfare agency.

  7. Nonverbal Accommodation in Healthcare Communication

    PubMed Central

    D’Agostino, Thomas A.; Bylund, Carma L.

    2016-01-01

    This exploratory study examined patterns of nonverbal accommodation within healthcare interactions and investigated the impact of communication skills training and gender concordance on nonverbal accommodation behavior. The Nonverbal Accommodation Analysis System (NAAS) was used to code the nonverbal behavior of physicians and patients within 45 oncology consultations. Cases were then placed in one of seven categories based on patterns of accommodation observed across the interaction. Results indicated that across all NAAS behavior categories, physician-patient interactions were most frequently categorized as Joint Convergence, followed closely by Asymmetrical-Patient Convergence. Among paraverbal behaviors, talk time, interruption, and pausing were most frequently characterized by Joint Convergence. Among nonverbal behaviors, eye contact, laughing, and gesturing were most frequently categorized as Asymmetrical-Physician Convergence. Differences were predominantly non-significant in terms of accommodation behavior between pre and post-communication skills training interactions. Only gesturing proved significant, with post-communication skills training interactions more likely to be categorized as Joint Convergence or Asymmetrical-Physician Convergence. No differences in accommodation were noted between gender concordant and non-concordant interactions. The importance of accommodation behavior in healthcare communication is considered from a patient-centered care perspective. PMID:24138223

  8. Anthropometric accommodation in USAF cockpits

    NASA Technical Reports Server (NTRS)

    Zehner, Gregory F.

    1994-01-01

    Over the past three years, a new set of methodologies has been developed to specify and evaluate anthropometric accommodation in USAF crewstation designs. These techniques are used to improve the ability of the pilot to reach controls, to safely escape the aircraft, to achieve adequate mobility and comfort, and to assure full access to the visual field both inside and outside the aircraft. This paper summarized commonly encountered aircraft accommodation problems, explains the failure of the traditional 'percentile man' design concept to resolve these difficulties, and suggests an alternative approach for improving cockpit design to better accommodate today's more heterogeneous flying population.

  9. Spectral bandwidth and ocular accommodation

    NASA Astrophysics Data System (ADS)

    Aggarwala, Karan R.; Kruger, Ekaterina S.; Mathews, Steven; Kruger, Philip B.

    1995-03-01

    Previous studies have suggested that targets illuminated by monochromatic (narrow-band) light are less effective in stimulating the eye to change its focus than are black-white (broadband) targets. The present study investigates the influence of target spectral bandwidth on the dynamic accommodation response in eight subjects. The fixation target was a 3.5-cycle / deg square-wave grating illuminated by midspectral light of various bandwidths [10, 40, and 80 nm and white (CIE Illuminant B)]. The target was moved sinusoidally toward and away from the eye, and accommodation responses were recorded and Fourier analyzed. Accommodative gain increases, and phase lag decreases, with increasing spectral bandwidth. Thus the eye focuses more accurately on targets of wider spectral bandwidth. The visual system appears to have the ability to analyze polychromatic blur to determine the state of focus of the eye for the purpose of guiding the accommodation response. blur, chromatic, focus, retinal image, spectral, wavelength

  10. Spiritual abuse.

    PubMed

    Purcell, B C

    1998-01-01

    Spiritual abuse is the act of making people believe--whether by stating or merely implying--that they are going to be punished in this life and/or tormented in hell-fire forever for failure to live life good enough to please God and thus earn admission to heaven. Spiritual terrorism is the most extreme form of spiritual abuse and may cause serious mental health problems. Those people who have not been spiritually terrorized have not necessarily been spared from spiritual abuse and therefore may still be in need of competent, spiritual counseling. Spiritual abuse, which may be active or passive, can best be conceptualized on a continuum from terroristic to zero abuse. Severity is determined by intensity, age of onset, duration, and individual reaction. The underlying issue in all forms of abuse is control. PMID:9729974

  11. Accommodative load for stereoscopic displays

    NASA Astrophysics Data System (ADS)

    Omori, Masako; Ishihara, Shin'ya; Hasegawa, Satoshi; Ishigaki, Hisao; Watanabe, Tomoyuki; Miyao, Masaru; Tahara, Hiroshi

    2005-03-01

    In the present study, we examined the visual accommodation of subjects who were gazing fixedly at 3D images from two different displays: a cathode ray tube (CRT) while wearing special glasses and a liquid crystal display (LCD) while not wearing special glasses. The subjects were 3 people aged 20 years (2 people) and 36 years, all with normal vision. Visual function was tested using a custom-made apparatus (Nidek AR-1100). The instrument objectively measured visual accommodative changes of the right eye in both binocular and natural viewing conditions. The target shown to subjects moved away slowly and disappeared at a distance about 3 m from the eye. The results suggested that it was easy and comfortable to focus on both the LCD and CRT. When the subjects viewed the progressively receding target, their accommodation was about 0.8 D at the presumed furthest points, a level at which the ciliary muscle is relaxed. The accommodative power differed by about 1.5 D from the near to far point. Thus, the ciliary muscle is repeatedly strained and relaxed while the subject views the moving target. In the present study, the subjects" accommodative amplitude was changed when the target moved from the near to far point.

  12. Fetal Abuse.

    ERIC Educational Resources Information Center

    Kent, Lindsey; And Others

    1997-01-01

    Five cases of fetal abuse by mothers suffering from depression are discussed. Four of the women had unplanned pregnancies and had considered termination of the pregnancy. Other factors associated with fetal abuse include pregnancy denial, pregnancy ambivalence, previous postpartum depression, and difficulties in relationships. Vigilance for…

  13. Measurements of thermal accommodation coefficients.

    SciTech Connect

    Rader, Daniel John; Castaneda, Jaime N.; Torczynski, John Robert; Grasser, Thomas W.; Trott, Wayne Merle

    2005-10-01

    A previously-developed experimental facility has been used to determine gas-surface thermal accommodation coefficients from the pressure dependence of the heat flux between parallel plates of similar material but different surface finish. Heat flux between the plates is inferred from measurements of temperature drop between the plate surface and an adjacent temperature-controlled water bath. Thermal accommodation measurements were determined from the pressure dependence of the heat flux for a fixed plate separation. Measurements of argon and nitrogen in contact with standard machined (lathed) or polished 304 stainless steel plates are indistinguishable within experimental uncertainty. Thus, the accommodation coefficient of 304 stainless steel with nitrogen and argon is estimated to be 0.80 {+-} 0.02 and 0.87 {+-} 0.02, respectively, independent of the surface roughness within the range likely to be encountered in engineering practice. Measurements of the accommodation of helium showed a slight variation with 304 stainless steel surface roughness: 0.36 {+-} 0.02 for a standard machine finish and 0.40 {+-} 0.02 for a polished finish. Planned tests with carbon-nanotube-coated plates will be performed when 304 stainless-steel blanks have been successfully coated.

  14. Visual accommodation trainer-tester

    NASA Technical Reports Server (NTRS)

    Randle, Robert J. (Inventor)

    1988-01-01

    An apparatus for training the human visual accommodation system is described. Specifically, the apparatus is useful for training personnel to volitionally control focus to the far point (normally infinity) from a position of myopia due to functional causes. The functional causes could be due, for example, to a behavioral accommodative spasm or the effects of an empty field. The device may also be used to measure accommodation, the accommodation resting position and the near and far points of vision. The device comprises a number of optical elements arranged on a single optical axis. Several of the elements are arranged in order on a movable stage in fixed relationship to each other: a light source, a lens, a target, an aperture and/or a second lens. On a base and in fixed relationship to each other are eyepiece and third lens. A stage generates an image of the target and the stage is movable with respect to the base by means of a knob. The device is utilized for the various training and test functions by following a series of procedural steps, and interchanging the apertures as necessary for the selected procedure.

  15. Accommodations for Multiple Choice Tests

    ERIC Educational Resources Information Center

    Trammell, Jack

    2011-01-01

    Students with learning or learning-related disabilities frequently struggle with multiple choice assessments due to difficulty discriminating between items, filtering out distracters, and framing a mental best answer. This Practice Brief suggests accommodations and strategies that disability service providers can utilize in conjunction with…

  16. Cultural Accommodation Model of Counseling

    ERIC Educational Resources Information Center

    Leong, Frederick T. L.

    2011-01-01

    The current article provides an overview to the cultural accommodation model (CAM) of counseling (Leong & Lee, 2006) that may help guide employment counselors' work. The integrative multidimensional model of cross-cultural counseling (Leong, 1996), a precursor to the CAM, is also reviewed.

  17. Reasonable Accommodation in Training Safety.

    ERIC Educational Resources Information Center

    Sandoz, Jeff

    A pictograph and icon-driven training program has been specifically designed for educators who are responsible for teaching the developmentally disabled regarding the safe use of hazardous chemicals. In alignment with the Americans with Disabilities Act, it offers "reasonable accommodation" by those who educate and train this special population in…

  18. Educators' Interpretations of Ambiguous Accommodations

    ERIC Educational Resources Information Center

    Byrnes, MaryAnn

    2008-01-01

    This exploratory case study examined how general and special education teachers in one school district interpreted three frequently used accommodations. Although a majority of both groups agreed on interpretations of extended time, there was little agreement, considerable variation, and some contradiction in their understanding of the changes…

  19. Accommodating Law Faculty with Disabilities.

    ERIC Educational Resources Information Center

    Tucker, Bonnie Poitras; Smith, Joseph F., Jr.

    1996-01-01

    The obligations of law schools, under federal law, to accommodate faculty with disabilities are examined. Employment provisions of the 1990 Americans with Disabilities Act and the Rehabilitation Act of 1973 and the definition of a disabled individual are reviewed, and real and hypothetical scenarios in hiring and employing law teachers are…

  20. A centre for accommodative vergence motor control

    NASA Technical Reports Server (NTRS)

    Wilson, D.

    1973-01-01

    Latencies in accommodation, accommodative-vergence, and pupil-diameter responses to changing accommodation stimuli, as well as latencies in pupil response to light-intensity changes were measured. From the information obtained, a block diagram has been derived that uses the least number of blocks for representing the accommodation, accommodative-vergence, and pupil systems. The signal transmission delays over the various circuits of the model have been determined and compared to known experimental physiological-delay data. The results suggest the existence of a motor center that controls the accommodative vergence and is completely independent of the accommodation system.

  1. Adjudication of Child Sexual Abuse Cases.

    ERIC Educational Resources Information Center

    Myers, John E. B.

    1994-01-01

    Discusses issues in the adjudication of child sexual abuse allegations and reviews research about the believability of child witnesses. It also examines accommodations for children that could assist the child witness and encourage accurate testimony, while continuing to protect the rights of the accused. Criminal, juvenile, and divorce court…

  2. An overlooked effect of systemic anticholinergics: alteration on accommodation amplitude

    PubMed Central

    Sekeroglu, Mehmet Ali; Hekimoglu, Emre; Anayol, Mustafa Alpaslan; Tasci, Yasemin; Dolen, Ismail

    2016-01-01

    AIM To investigate the effect of oral solifenacin succinate, tolterodine-L-tartarate and oxybutinin hydrochloride (HCl) on accommodation amplitude. METHODS Female overactive bladder syndrome (OAB) patients who were planned to use oral anticholinergics, patients that uses solifenacin succinate 5 mg (Group I, n=25), tolterodine-L-tartarate 4 mg (Group II, n=25), and oxybutinin HCl 5 mg b.i.d (Group III, n=25) and age matched healthy female subjects (Group IV, n=25) were recruited and complete ophthalmological examination and accommodation amplitude assessment were done at baseline and 4wk after initiation of treatment. RESULTS The mean age of 100 consecutive female subjects was 51.6±5.7 (40-60)y and there were no statistically significant difference with regard to the mean age (P=0.107) and baseline accommodation amplitude (P=0.148) between study groups. All treatment groups showed a significant decrease in accommodation amplitude following a 4-week course of anticholinergic treatment (P=0.008 in Group I, P=0.002 in Group II, P=0.001 in Group III), but there was no statistically significant difference in Group IV (P=0.065). CONCLUSION A 4-week course of oral anticholinergic treatment have statistically significant effect on accommodation amplitude. Clinicians should avoid both overestimating this result, as this would unnecessarily restrict therapeutic possibilities, and also underestimating it which may lead to drug intolerance. PMID:27275433

  3. STS payload data collection and accommodations analysis study. Volume 3: Accommodations analysis

    NASA Technical Reports Server (NTRS)

    1978-01-01

    Payload requirements were compared to launch site accommodations and flight accommodations for a number of Spacelab payloads. Experiment computer operating system accommodations were also considered. A summary of accommodations in terms of resources available for payload discretionary use and recommendations for Spacelab/STS accommodation improvements are presented.

  4. Modal Identification Experiment accommodations review

    NASA Technical Reports Server (NTRS)

    Klich, Phillip J.; Stillwagen, Frederic H.; Mutton, Philip

    1994-01-01

    The Modal Identification Experiment (MIE) will monitor the structure of the Space Station Freedom (SSF), and measure its response to a sequence of induced disturbances. The MIE will determine the frequency, damping, and shape of the important modes during the SSF assembly sequence including the Permanently Manned Configuration. This paper describes the accommodations for the proposed instrumentation, the data processing hardware, and the communications data rates. An overview of the MIE operational modes for measuring SSF acceleration forces with accelerometers is presented. The SSF instrumentation channel allocations and the Data Management System (DMS) services required for MIE are also discussed.

  5. 14 CFR 1251.201 - Reasonable accommodation.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... 14 Aeronautics and Space 5 2010-01-01 2010-01-01 false Reasonable accommodation. 1251.201 Section 1251.201 Aeronautics and Space NATIONAL AERONAUTICS AND SPACE ADMINISTRATION NONDISCRIMINATION ON BASIS OF HANDICAP Employment Practices § 1251.201 Reasonable accommodation. (a) A recipient shall make reasonable accommodation to the known physical...

  6. 46 CFR 108.143 - Accommodation space.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 46 Shipping 4 2011-10-01 2011-10-01 false Accommodation space. 108.143 Section 108.143 Shipping... EQUIPMENT Construction and Arrangement Structural Fire Protection § 108.143 Accommodation space. (a) Each corridor bulkhead in an accommodation space must be an A class or B class bulkhead except if an A...

  7. Middle School Teachers' Assignment of Test Accommodations

    ERIC Educational Resources Information Center

    Crawford, Lindy; Ketterlin-Geller, Leanne R.

    2013-01-01

    Twenty middle school special education teachers from five states were interviewed in order to gain insight into their understanding of accommodation practices. Interview questions solicited information about teachers' understanding of test accommodations, the decision-making process they employed when choosing accommodations, and their reasons for…

  8. Advanced Solar Observatory (ASO) accommodations requirements study

    NASA Technical Reports Server (NTRS)

    1989-01-01

    Results of an accommodations analysis for the Advanced Solar Observatory on Space Station Freedom are reported. Concepts for the High Resolution Telescope Cluster, Pinhole/Occulter Facility, and High Energy Cluster were developed which can be accommodated on Space Station Freedom. It is shown that workable accommodations concepts are possible. Areas of emphasis for the next stage of engineering development are identified.

  9. 46 CFR 108.143 - Accommodation space.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 46 Shipping 4 2010-10-01 2010-10-01 false Accommodation space. 108.143 Section 108.143 Shipping... EQUIPMENT Construction and Arrangement Structural Fire Protection § 108.143 Accommodation space. (a) Each corridor bulkhead in an accommodation space must be an A class or B class bulkhead except if an A...

  10. 46 CFR 108.143 - Accommodation space.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... 46 Shipping 4 2012-10-01 2012-10-01 false Accommodation space. 108.143 Section 108.143 Shipping... EQUIPMENT Construction and Arrangement Structural Fire Protection § 108.143 Accommodation space. (a) Each corridor bulkhead in an accommodation space must be an A class or B class bulkhead except if an A...

  11. 46 CFR 108.143 - Accommodation space.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... 46 Shipping 4 2013-10-01 2013-10-01 false Accommodation space. 108.143 Section 108.143 Shipping... EQUIPMENT Construction and Arrangement Structural Fire Protection § 108.143 Accommodation space. (a) Each corridor bulkhead in an accommodation space must be an A class or B class bulkhead except if an A...

  12. 46 CFR 108.143 - Accommodation space.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... 46 Shipping 4 2014-10-01 2014-10-01 false Accommodation space. 108.143 Section 108.143 Shipping... EQUIPMENT Construction and Arrangement Structural Fire Protection § 108.143 Accommodation space. (a) Each corridor bulkhead in an accommodation space must be an A class or B class bulkhead except if an A...

  13. Soyuz/ACRV accommodation study

    NASA Astrophysics Data System (ADS)

    Cruz, Jonathan; Gould, Marston J.; Dahlstrom, Eric

    1993-11-01

    Included is a set of viewgraphs that present the results of a study conducted at the LaRC Space Station Freedom Office at the request of the Space Station Freedom Level 1 Program Office and the JSC ACRV Project Office to determine the implications of accommodating two Soyuz TM spacecraft as Assured Crew Return Vehicles (ACRV) on the Space Station Freedom (SSF) at the Permanently Crewed Capability (PCC) stage. The study examined operational as well as system issues associated with the accommodation of the Soyuz for several potential configuration options. Operational issues considered include physical hardware clearances, worst case Soyuz departure paths, and impacts to baseline operations such as Pressurized Logistics Module (PLM) exchange, Space Station Remote Manipulator System (SSRMS) attachment, Extravehicular Activity (EVA), and automatic rendezvous and docking (AR&D). Systems impact analysis included determining differences between Soyuz interface requirements and SSF capabilities for the Electrical Power System (EPS), Thermal Control System (TCS), Communications and Tracking (C&T), Audio-Video Subsystem (A/V), Data Management System (DMS), and Environmental Control and Life Support System (ECLSS). Significant findings of this study have indicated that the current AV capability of the Soyuz will need to be increased to provide adequate departure clearances for a worst case escape from an uncontrolled SSF and that an interface element will be required to mate the Soyuz vehicles to station, provide for AR&D structural loads, and to house Soyuz-to-SSF system interfaces.

  14. Soyuz/ACRV accommodation study

    NASA Technical Reports Server (NTRS)

    Cruz, Jonathan; Gould, Marston J.; Dahlstrom, Eric

    1993-01-01

    Included is a set of viewgraphs that present the results of a study conducted at the LaRC Space Station Freedom Office at the request of the Space Station Freedom Level 1 Program Office and the JSC ACRV Project Office to determine the implications of accommodating two Soyuz TM spacecraft as Assured Crew Return Vehicles (ACRV) on the Space Station Freedom (SSF) at the Permanently Crewed Capability (PCC) stage. The study examined operational as well as system issues associated with the accommodation of the Soyuz for several potential configuration options. Operational issues considered include physical hardware clearances, worst case Soyuz departure paths, and impacts to baseline operations such as Pressurized Logistics Module (PLM) exchange, Space Station Remote Manipulator System (SSRMS) attachment, Extravehicular Activity (EVA), and automatic rendezvous and docking (AR&D). Systems impact analysis included determining differences between Soyuz interface requirements and SSF capabilities for the Electrical Power System (EPS), Thermal Control System (TCS), Communications and Tracking (C&T), Audio-Video Subsystem (A/V), Data Management System (DMS), and Environmental Control and Life Support System (ECLSS). Significant findings of this study have indicated that the current AV capability of the Soyuz will need to be increased to provide adequate departure clearances for a worst case escape from an uncontrolled SSF and that an interface element will be required to mate the Soyuz vehicles to station, provide for AR&D structural loads, and to house Soyuz-to-SSF system interfaces.

  15. Cocaine abuse during pregnancy.

    PubMed

    Cressman, Alex M; Natekar, Aniket; Kim, Eunji; Koren, Gideon; Bozzo, Pina

    2014-07-01

    Cocaine abuse during pregnancy is a significant public health problem but is infrequently discussed between physicians and patients. The impact of in utero cocaine exposure on pregnancy and the baby has received significant media attention in preceding decades because of fears of teratogenicity, long-term health consequences, and poor cognitive and neurodevelopmental outcomes. We sought to review the medical literature examining these phenomena. We identified risks to the pregnancy and baby in women abusing cocaine during pregnancy. These include preterm birth, placenta-associated syndromes (e.g., placental abruption, preeclampsia, and placental infarction), and impaired fetal growth. Long-term neurodevelopmental and cognitive deficits include (but are not limited to) poorer language development, learning and perceptual reasoning, behavioural problems, and adverse effects on memory and executive function. However, these results should be interpreted cautiously because cocaine abuse may be accompanied by many other maternal and sociodemographic risk factors, so it is difficult to ascertain the effect of cocaine alone. Therefore, it is critical to counsel patients about potential risk, and perhaps more importantly, to treat addiction and to better understand, and advocate for improvements to, these patients' high-risk environment.

  16. Vestibular-ocular accommodation reflex in man

    NASA Technical Reports Server (NTRS)

    Clark, B.; Randle, R. J.; Stewart, J. D.

    1975-01-01

    Stimulation of the vestibular system by angular acceleration produces widespread sensory and motor effects. The present paper studies a motor effect which has not been reported in the literature, i.e., the influence of rotary acceleration of the body on ocular accommodation. The accommodation of 10 young men was recorded before and after a high-level deceleration to zero velocity following 30 sec of rotating. Accommodation was recorded continuously on an infrared optometer for 110 sec under two conditions: while the subjects observed a target set at the far point, and while they viewed the same target through a 0.3-mm pinhole. Stimulation by high-level rotary deceleration produced positive accommodation or a pseudomyopia under both conditions, but the positive accommodation was substantially greater and lasted much longer during fixation through the pinhole. It is hypothesized that this increase in accommodation is a result of a vestibular-ocular accommodation reflex.

  17. Shaken Baby Syndrome.

    ERIC Educational Resources Information Center

    Alexander, Randell C.; Smith, Wilbur L.

    1998-01-01

    Discusses the history, epidemiology, biomechanics, diagnosis, treatment, outcomes, long-term management, and prevention of shaken baby syndrome. It presents medical-legal issues as well as a discussion of programs aimed at prevention of physical abuse. (Author/DB)

  18. Psychiatric disorders, spouse abuse and child abuse.

    PubMed

    Bland, R C; Orn, H

    1986-01-01

    The results of 2000 standardized psychiatric diagnostic interviews of randomly selected adult household residents of Edmonton showed that having had any psychiatric diagnosis increased the risk for being involved in spouse and child abuse, particularly for those with alcohol abuse/dependence plus anti-social personality or depression. Altogether 56% of spouse abusers and 69% of child abusers had a lifetime psychiatric diagnosis.

  19. [Child abuse: a disturbing problem].

    PubMed

    Martínez-Martínez, E; Reyes-Rodrguez, R

    1993-08-01

    This current information on "battered child syndrome" (BCS) was obtained during 1990 from nine institutions in Tijuana, Baja California; 549 cases of BCS were studied, of which 338 were female, 203 male, eight of indeterminate sex due to loss documentation. Child abuse was manifested in all its forms: beatings, sexual abuse, neglect, and affective indifference. The victim's and perpetrator's characters were analyzed together with other factors which had to be taken into consideration in order to detect results which were similarly described in the literature. It is of utmost importance to alert all medical staff to this terrible social problem for the complete treatment of the affected child and the family environment. Community support, and legislation to adequately cover rights of minors and their protection are imperative to elimination of the battered child syndrome. PMID:8357515

  20. Child Abuse: Definition.

    ERIC Educational Resources Information Center

    Wilson, Timothy L.-Y.

    The purpose of this paper was to elaborate on the definitions of child abuse in order to improve the understanding of child abuse. The definitions given by the U.S. House Joint Committee on Child Abuse in the Child Abuse Prevention and Treatment Act, and in research by Holden (1984), are cited. These definitions refer to the nature of abusive acts…

  1. Presbyopia correction and the accommodation in reserve.

    PubMed

    Millodot, M; Millodot, S

    1989-04-01

    One method of determining the additional correction for presbyopia suggests leaving a percentage of the amplitude of accommodation in reserve. The rationale for this assumption seems logical because using all of the available accommodation is not sustainable without discomfort. However there is no empirical evidence indicating what percentage of the amplitude of accommodation should actually be left in reserve. Common figures adopted have been one-half and one-third. In this investigation the percentage of accommodation used is deduced mathematically after having determined the following: 1. The 'add' by the direct subjective clinical method. 2. Measured the amplitude of accommodation. 3. Measured the reading distance in 305 presbyopes ranging from 40 to 83 years of age. The results showed a small decline in the amplitude of accommodation up to the age of 52, after which age the measurements were scattered about a steady level. This finding suggests that after the age of 52 the results are based on the depth-of-focus of the eye. Females had slightly greater accommodation than males of the same age. The power of the add was significantly correlated to the age of the subject. The mean percentage of accommodation used for the 305 subjects was found to be 50.7%, thus confirming the rule of leaving half of the accommodation in reserve, although there were large variations: there were differences between males and females and with age the percentage of measured accommodation used, after having determined the correct add, diminished. Similarly the percentage of accommodation also decreased for shorter reading distances.

  2. Zolpidem dependence, abuse and withdrawal: A case report

    PubMed Central

    Heydari, Mostafa; Isfeedvajani, Mohsen Saberi

    2013-01-01

    Zolpidem, a nonbenzodiazepine hypnotic, binds to the benzodiazepine binding site on the gamma-aminobutyric acid type A (GABA-A) receptors. Many studies have reported efficacy and safety of zolpidem in treatment of insomnia, low abuse, and dependence capability. However, many cases of zolpidem abuse and dependence were reported around the world. This case showed that zolpidem can exert abuse capability, euphoric mood, tolerance, and withdrawal syndrome. PMID:24520235

  3. Estimating Local Child Abuse.

    ERIC Educational Resources Information Center

    Ards, Sheila

    1989-01-01

    Three conceptual approaches to estimating local child abuse rates using the National Incidence Study of Child Abuse and Neglect data set are evaluated. All three approaches yield estimates of actual abuse cases that exceed the number of reported cases. (SLD)

  4. Child Sexual Abuse

    MedlinePlus

    ... victim of prolonged sexual abuse usually develops low self-esteem, a feeling of worthlessness and an abnormal or ... can help abused children regain a sense of self-esteem, cope with feelings of guilt about the abuse, ...

  5. How to Handle Abuse

    MedlinePlus

    ... them. Another word for hurting someone is "abuse." Child abuse (say: ah-BYOOS) can affect all kinds of ... a babysitter, teacher, coach, or a bigger kid. Child abuse can happen anywhere — at home, school, childcare, or ...

  6. 45 CFR 1232.10 - Reasonable accommodation.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 45 Public Welfare 4 2010-10-01 2010-10-01 false Reasonable accommodation. 1232.10 Section 1232.10 Public Welfare Regulations Relating to Public Welfare (Continued) CORPORATION FOR NATIONAL AND COMMUNITY... ASSISTANCE Employment and Volunteer Service Practices § 1232.10 Reasonable accommodation. (a) A...

  7. 22 CFR 142.12 - Reasonable accommodation.

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ... 22 Foreign Relations 1 2013-04-01 2013-04-01 false Reasonable accommodation. 142.12 Section 142.12 Foreign Relations DEPARTMENT OF STATE CIVIL RIGHTS NONDISCRIMINATION ON THE BASIS OF HANDICAP IN PROGRAMS OR ACTIVITIES RECEIVING FEDERAL FINANCIAL ASSISTANCE Employment Practices § 142.12 Reasonable accommodation. (a) A recipient shall...

  8. 22 CFR 142.12 - Reasonable accommodation.

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ... 22 Foreign Relations 1 2014-04-01 2014-04-01 false Reasonable accommodation. 142.12 Section 142.12 Foreign Relations DEPARTMENT OF STATE CIVIL RIGHTS NONDISCRIMINATION ON THE BASIS OF HANDICAP IN PROGRAMS OR ACTIVITIES RECEIVING FEDERAL FINANCIAL ASSISTANCE Employment Practices § 142.12 Reasonable accommodation. (a) A recipient shall...

  9. 43 CFR 17.211 - Reasonable accommodation.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... 43 Public Lands: Interior 1 2012-10-01 2011-10-01 true Reasonable accommodation. 17.211 Section 17.211 Public Lands: Interior Office of the Secretary of the Interior NONDISCRIMINATION IN FEDERALLY ASSISTED PROGRAMS OF THE DEPARTMENT OF THE INTERIOR Nondiscrimination on the Basis of Handicap § 17.211 Reasonable accommodation. (a) A recipient...

  10. Accommodation Outcomes and the ICF Framework

    ERIC Educational Resources Information Center

    Schreuer, Naomi

    2009-01-01

    Accommodation of the environment and technology is one of the key mediators of adjustment to disability and participation in community. In this article, accommodations are tested empirically as facilitators of return to work and participation, as defined by the "International Classification of Disability, Function, and Health" (ICF) and the…

  11. 46 CFR 169.317 - Accommodations.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 46 Shipping 7 2011-10-01 2011-10-01 false Accommodations. 169.317 Section 169.317 Shipping COAST GUARD, DEPARTMENT OF HOMELAND SECURITY (CONTINUED) NAUTICAL SCHOOLS SAILING SCHOOL VESSELS Construction and Arrangement Living Spaces § 169.317 Accommodations. (a) Quarters must have sufficient fresh...

  12. Decreased accommodation during decompensation of distance exotropia

    PubMed Central

    Horwood, Anna M; Riddell, Patricia M

    2015-01-01

    Objective Disparity cues can be a major drive to accommodation via the CA/C (convergence accommodation to convergence) linkage but, on decompensation of exotropia, disparity cues are extinguished by suppression, so this drive is lost. This study investigated accommodation and vergence responses to disparity, blur and proximal cues in a group of distance exotropes aged between 4-11 years both during decompensation and when exotropic. Methods 19 participants with distance exotropia were tested using a PlusoptiXSO4 photorefractor set in a remote haploscopic device which assessed simultaneous vergence and accommodation to a range of targets incorporating different combinations of blur, disparity and proximal cues at four fixation distances between 2m and 33cm. Responses on decompensation were compared to those from the same children when their deviation was controlled. Results Manifest exotropia was more common in the more impoverished cue conditions. When decompensated for near, mean accommodation gain for the all-cue (naturalistic) target reduced significantly (p<0.0001), with resultant mean under-accommodation of 2.33D at 33cm. The profile of near cues usage changed after decompensation, with blur and proximity driving residual responses, but these remaining cues did not compensate for loss of accommodation caused by the removal of disparity. Conclusions Accommodation often reduces on decompensation of distance exotropia as the drive from convergence is extinguished, providing a further reason to try to prevent decompensation for near. PMID:21873311

  13. 46 CFR 169.317 - Accommodations.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... of the stem. The space must not be located totally below the deepest load waterline. (b) Bulkheads separating accommodations from machinery spaces, paint lockers, storerooms, washrooms, and toilet facilities... and Arrangement Living Spaces § 169.317 Accommodations. (a) Quarters must have sufficient fresh...

  14. 46 CFR 169.317 - Accommodations.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... of the stem. The space must not be located totally below the deepest load waterline. (b) Bulkheads separating accommodations from machinery spaces, paint lockers, storerooms, washrooms, and toilet facilities... and Arrangement Living Spaces § 169.317 Accommodations. (a) Quarters must have sufficient fresh...

  15. 46 CFR 169.317 - Accommodations.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... of the stem. The space must not be located totally below the deepest load waterline. (b) Bulkheads separating accommodations from machinery spaces, paint lockers, storerooms, washrooms, and toilet facilities... and Arrangement Living Spaces § 169.317 Accommodations. (a) Quarters must have sufficient fresh...

  16. 46 CFR 169.317 - Accommodations.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... of the stem. The space must not be located totally below the deepest load waterline. (b) Bulkheads separating accommodations from machinery spaces, paint lockers, storerooms, washrooms, and toilet facilities... and Arrangement Living Spaces § 169.317 Accommodations. (a) Quarters must have sufficient fresh...

  17. Accommodation Requests: Who Is Asking for What?

    ERIC Educational Resources Information Center

    Von Schrader, Sarah; Xu, Xu; Bruyère, Susanne M.

    2014-01-01

    Purpose: Workplace accommodations are central to improving employment outcomes for people with and without disabilities; this study presents national estimates comparing accommodation requests and receipt as reported by individuals with and without disabilities. Method: Estimates are developed from the May 2012 Current Population Survey Disability…

  18. 45 CFR 84.12 - Reasonable accommodation.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 45 Public Welfare 1 2010-10-01 2010-10-01 false Reasonable accommodation. 84.12 Section 84.12 Public Welfare DEPARTMENT OF HEALTH AND HUMAN SERVICES GENERAL ADMINISTRATION NONDISCRIMINATION ON THE... nature and cost of the accommodation needed. (d) A recipient may not deny any employment opportunity to...

  19. Assessment of AIDS Risk among Treatment Seeking Drug Abusers.

    ERIC Educational Resources Information Center

    Black, John L.; And Others

    Intravenous (IV) drug abusers are at risk for contracting transmittable diseases such as acquired immunodeficiency syndrome (AIDS) and hepatitis B. This study was conducted to investigate the prevalence of risk behaviors for acquiring and transmitting AIDS and hepatitis B among treatment-seeking drug abusers (N=168). Subjects participated in a…

  20. Child abuse by drowning.

    PubMed

    Griest, K J; Zumwalt, R E

    1989-01-01

    Drowning as a form of subtle fatal child abuse is difficult to distinguish from accidental immersion or from sudden unexpected natural death when the circumstances of immersion are concealed. Homicidal drownings are unwitnessed, usually occurring in the home, and the victims are young, either infants or toddlers. Accidental drownings are more likely to involve toddlers or older children in public areas such as swimming pools, drainage ditches, lakes, and rivers. This is especially true in rural areas. In cities, bathtubs remain a major site of accidental childhood drownings. Perpetrators of deliberate drownings often fit the sociopathologic profile of a child abuser. Because there is often a survival interval between immersion and death, pathologic findings consistent with postimmersion syndrome suggest the cause of death. Foreign material in the lungs, if immersion was other than in clear tap water, and injuries of the face are other positive correlating factors. A thorough investigation of the circumstances and cooperation between the investigating agency and the pathologist are essential to determine the correct manner of death in these cases. PMID:2909975

  1. Child abuse by drowning.

    PubMed

    Griest, K J; Zumwalt, R E

    1989-01-01

    Drowning as a form of subtle fatal child abuse is difficult to distinguish from accidental immersion or from sudden unexpected natural death when the circumstances of immersion are concealed. Homicidal drownings are unwitnessed, usually occurring in the home, and the victims are young, either infants or toddlers. Accidental drownings are more likely to involve toddlers or older children in public areas such as swimming pools, drainage ditches, lakes, and rivers. This is especially true in rural areas. In cities, bathtubs remain a major site of accidental childhood drownings. Perpetrators of deliberate drownings often fit the sociopathologic profile of a child abuser. Because there is often a survival interval between immersion and death, pathologic findings consistent with postimmersion syndrome suggest the cause of death. Foreign material in the lungs, if immersion was other than in clear tap water, and injuries of the face are other positive correlating factors. A thorough investigation of the circumstances and cooperation between the investigating agency and the pathologist are essential to determine the correct manner of death in these cases.

  2. A role for genetic accommodation in evolution?

    PubMed

    Braendle, Christian; Flatt, Thomas

    2006-09-01

    Whether evolutionary change can occur by genetic assimilation, or more generally by genetic accommodation, remains controversial. Here we examine some of the experimental evidence for both phenomena. Several experiments in Drosophila suggest that assimilation is possible, and a new paper shows that a color polyphenism in the tobacco hornworm, Manduca sexta, can evolve by genetic accommodation. We argue that genetic accommodation, including assimilation, is a plausible mechanism in evolution; however, more work is required to test how this mechanism acts and how often it is involved in evolutionary change.

  3. Exploring the controversy in child abuse pediatrics and false accusations of abuse.

    PubMed

    Gabaeff, Steven C

    2016-01-01

    There is a controversy in child abuse pediatrics between an established corps of child abuse pediatricians aligned with hospital colleagues and law enforcement, and a multi-specialty challenger group of doctors and other medical professionals working with public interest lawyers. The latter group questions the scientific validity of the core beliefs of child abuse pediatricians and believes that there are a substantial number of false accusations of abuse occurring. An unproven primary hypothesis, crafted around 1975 by a small group of pediatricians with an interest in child abuse, lies at the foundation of child abuse pediatrics. With no scientific study, it was hypothesized that subdural hemorrhage (SDH) and retinal hemorrhage (RH) were diagnostic of shaking abuse. That hypothesis became the so-called "shaken baby syndrome." Through the period 1975-1985, in a coordinated manner, these child abuse specialists coalesced under the American Academy of Pediatrics and began working with district attorneys and social workers, informing them of the ways in which their hypothesis could be applied to prosecutions of child abuse and life-altering social service interventions. In a legal context, using then-prevailing evidentiary rules which treated scientific expert testimony as valid if it was "generally accepted" in the field, they represented falsely that there was general acceptance of their hypothesis and therefore it was valid science. As the ability to convict based on this unproven prime hypothesis (SDH and RH equals abuse) increased, some defense attorneys were professionally compelled by their own doubts to reach out to experts from other fields with experience with SDH and RH, trauma, and biomechanics, for second opinions. Medical and legal challenges to the established thinking soon emerged, based on both old and new evidenced-based literature. As the intensity of the controversy increased, the probability of false accusation became more apparent and the need

  4. [Child psychiatric assessment and the debate regarding the abuse of abuse].

    PubMed

    Fegert, J M

    1995-03-01

    The current discussion on false allegations in sexual abuse cases has led to a polarization in the views expressed about the credibility of children. Some authors even speak of a "child sexual accuse syndrome" or of a "sexual abuse allegation in divorce" (SAID) syndrome. A phenomenological analysis of the multiple reasons for misinterpretations is presented. Instead of stressing the importance only of false positives in child sexual abuse questions, an attempt is made to describe reasons for false negatives. Based on a retrospective analysis of 50 consecutive child psychiatric experts in connection with court cases, there does not appear to be an increase in false accusations. Rather, only about one third of the cases even involved suspected sexual abuse. Sexual abuse allegations were much more frequent in girls than in boys. Of 20 abuse allegations we judge four to be false allegations. In only one of these cases, that of an adolescent girl who had been abused in childhood, was the false allegation intended.

  5. Sexual Abuse: Somatic and Emotional Reactions.

    ERIC Educational Resources Information Center

    Rimza, Mary Ellen; And Others

    1988-01-01

    Chart reviews and telephone interviews with 72 sexual abuse victims found that 48 of the children had symptoms similar to the "rape trauma" syndrome. Two-thirds of victims commonly had somatic complaints (such as abdominal pain) and emotional/behavioral problems (runaway behavior, suicide attempts). (DB)

  6. Parent Abuse: A Review

    ERIC Educational Resources Information Center

    Kennair, Nicola; Mellor, David

    2007-01-01

    A recent focus of research and clinical practice has been on the issue of abuse of parents by their children (parent abuse). This paper reviews the literature on this phenomenon. While parent abuse falls under the umbrella of family violence, it appears to be qualitatively different from other forms of intra-family abuse. Research has primarily…

  7. Counseling Abused Children.

    ERIC Educational Resources Information Center

    McFadden, Emily Jean

    This guide on counseling abused children was written to help counselors meet the needs of children and adolescents and to provide ways of working with the child's family. Chapter 1 presents an overview of child maltreatment by identifying types of maltreatment (neglect, physical abuse, sexual abuse and exploitation, and emotional abuse or neglect)…

  8. Accommodation response for integral photography still images

    NASA Astrophysics Data System (ADS)

    Yano, Sumio; Park, Min-Chul

    2015-05-01

    In this paper the accommodation responses for integral photography still images were measured. The experimental results showed that the accommodation responses for integral photography images showed a linear change with images showing the depth position of integral photography, even if the integral photography images were located out of the depth of the field. Furthermore, the discrimination of depth perception, which relates to a blur effect in integral photography images, was subjectively evaluated for the examination of its influence on the accommodation response. As a result, the range of the discrimination of depth perception was narrow in comparison to the range of the rectilinear accommodation response. However, these results were consistent according to the propensity of statistical significance for the discrimination of depth perception in the out range of subjectively effective discriminations.

  9. 45 CFR 605.12 - Reasonable accommodation.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... Public Welfare Regulations Relating to Public Welfare (Continued) NATIONAL SCIENCE FOUNDATION... to the known physical or mental limitations of an otherwise qualified handicapped applicant or... reasonable accommodation to the physical or mental limitations of the employee or applicant....

  10. 10 CFR 4.123 - Reasonable accommodation.

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... NUCLEAR REGULATORY COMMISSION NONDISCRIMINATION IN FEDERALLY ASSISTED PROGRAMS OR ACTIVITIES RECEIVING FEDERAL FINANCIAL ASSISTANCE FROM THE COMMISSION Regulations Implementing Section 504 of the... shall make reasonable accommodation to the known physical or mental limitations of an...

  11. 10 CFR 4.123 - Reasonable accommodation.

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... NUCLEAR REGULATORY COMMISSION NONDISCRIMINATION IN FEDERALLY ASSISTED PROGRAMS OR ACTIVITIES RECEIVING FEDERAL FINANCIAL ASSISTANCE FROM THE COMMISSION Regulations Implementing Section 504 of the... shall make reasonable accommodation to the known physical or mental limitations of an...

  12. 50 CFR 260.101 - Lavatory accommodations.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... Fishery Products for Human Consumption Requirements for Plants Operating Under Continuous Inspection on A... water, soap, and single service towels, shall be provided. Such accommodations shall be in or...

  13. 50 CFR 260.101 - Lavatory accommodations.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... Fishery Products for Human Consumption Requirements for Plants Operating Under Continuous Inspection on A... water, soap, and single service towels, shall be provided. Such accommodations shall be in or...

  14. 50 CFR 260.101 - Lavatory accommodations.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... Fishery Products for Human Consumption Requirements for Plants Operating Under Continuous Inspection on A... water, soap, and single service towels, shall be provided. Such accommodations shall be in or...

  15. 50 CFR 260.101 - Lavatory accommodations.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... Fishery Products for Human Consumption Requirements for Plants Operating Under Continuous Inspection on A... water, soap, and single service towels, shall be provided. Such accommodations shall be in or...

  16. 50 CFR 260.101 - Lavatory accommodations.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... Fishery Products for Human Consumption Requirements for Plants Operating Under Continuous Inspection on A... water, soap, and single service towels, shall be provided. Such accommodations shall be in or...

  17. 43 CFR 17.211 - Reasonable accommodation.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ..., and other similar actions. This list is neither all inclusive nor meant to suggest that employers must... of the accommodation needed. (d) A recipient may not deny any employment opportunity to a...

  18. Employers' knowledge and utilization of accommodations.

    PubMed

    Unger, Darlene; Kregel, John

    2003-01-01

    Increasingly, employers are providing a variety of accommodations to applicants or employees with disabilities. However, little is know about the resources that employers access to identify and develop accommodations in the recruitment, hiring and retention of employees with disabilities. Human resource professionals and supervisors were surveyed to determine the extent to which businesses were aware of, and utilized, the vast array of workplace supports available. Findings indicated that employers have limited awareness of workplace supports and rely primarily on their own organizational resources in identifying and securing accommodations. Yet, business professionals expressed confidence in their ability to meet and support the needs of employees with disabilities despite many supervisors indicating that they did not have the authority to secure accommodations for workers with disabilities.

  19. 45 CFR 84.12 - Reasonable accommodation.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... physical or mental limitations of an otherwise qualified handicapped applicant or employee unless the... accommodation to the physical or mental limitations of the employee or applicant. ... Public Welfare DEPARTMENT OF HEALTH AND HUMAN SERVICES GENERAL ADMINISTRATION NONDISCRIMINATION ON...

  20. Reduced accommodation in children with cerebral palsy.

    PubMed

    Leat, S J

    1996-09-01

    Accommodation in 43 subjects with cerebral palsy was measured objectively using a dynamic retinoscopy technique, which has already been shown to be reliable and repeatable. The subject's ages ranged from 3 to 35 years. Of these, 42% were found to have an accommodative response pattern which was different from the normal control group for his/her age. Nearly 29% had an estimated amplitude of accommodation of 4 D or less. The presence of reduced accommodation was found to be associated with reduced visual acuity, but was not associated with cognitive or communication ability, refractive error or age. The prevalence of other ocular disorders in this group is also high. These findings have developmental and educational implications.

  1. 38 CFR 18.412 - Reasonable accommodation.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... similar actions. (c) In determining under paragraph (a) of this section whether an accommodation would..., number and type of facilities, and size of budget; (2) The type of the recipient's operation,...

  2. 22 CFR 217.12 - Reasonable accommodation.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... similar actions. (c) In determining pursuant to paragraph (a) of this section whether an accommodation... employees, number and type of facilities and size of budget; (2) The type of the recipient's...

  3. 45 CFR 1232.10 - Reasonable accommodation.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... similar actions. (c) In determining pursuant to paragraph (a) of this section whether an accommodation... employees or volunteers, number and type of facilities, and size of budget; (2) The type of the...

  4. 22 CFR 217.12 - Reasonable accommodation.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... similar actions. (c) In determining pursuant to paragraph (a) of this section whether an accommodation... employees, number and type of facilities and size of budget; (2) The type of the recipient's...

  5. 45 CFR 1232.10 - Reasonable accommodation.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... similar actions. (c) In determining pursuant to paragraph (a) of this section whether an accommodation... employees or volunteers, number and type of facilities, and size of budget; (2) The type of the...

  6. Space shuttle baseline accommodations for payloads

    NASA Technical Reports Server (NTRS)

    1972-01-01

    The space shuttle system as it relates to payloads is described. This study provides potential users of the space shuttle with a uniform base of information on the accommodations between the payload and the shuttle. By utilizing this information, preliminary payload planning and design studies can be evaluated and compared against a common set of shuttle/payload accommodations. This information also minimizes the necessity for each payload study to develop information on the shuttle configuration.

  7. International issues in abusive head trauma.

    PubMed

    Frasier, Lori D; Kelly, Patrick; Al-Eissa, Majid; Otterman, Gabriel J

    2014-12-01

    In the decades since Dr. John Caffey described a series of children with chronic subdural hematoma and long bone fractures, there has been a substantial increase in the medical recognition of various forms child abuse. In the United States, the term shaken baby syndrome was coined to explain a constellation of injuries assumed to be the result of violent shaking of infants. After improved understanding of the variety of mechanisms that occur when children are abused, abusive head trauma (AHT) has become the recommended terminology. AHT is a more comprehensive term that reflects the brain injuries that children suffer as the result of abuse. AHT continues to include shaking as a mechanism of injury as well as shaking with impact, impact alone, crushing injuries or combinations of several mechanisms. The medical community in the United States has led the way in developing new terminology and research to describe this unique and devastating form of abuse. The globalization of medicine and rapid information transfer has resulted in AHT becoming well-recognized internationally as a form of serious and fatal child abuse. This paper will review the historical basis in the United States for the diagnosis of AHT. We will also review some of the current international issue in epidemiology, diagnosis, legal processes and outcomes in selected countries/regions where child abuse physicians are actively involved in the evaluation of AHT. PMID:25501737

  8. Prescription Sedative Misuse and Abuse.

    PubMed

    Weaver, Michael F

    2015-09-01

    Sedatives are widely prescribed for anxiety or insomnia and include benzodiazepines, selective benzodiazepine receptor subtype agonists (z-drugs), and barbiturates. These sedatives are controlled substances due to their potential for misuse and abuse. Misuse is often self-medication (chemical coping) of psychological symptoms in ways unauthorized by the prescriber, usually as dose escalation leading to requests for early refills. Sedatives are abused for euphoric effects, which may have dangerous consequences. Some sedative overdoses can be treated with flumazenil, a reversal agent, along with supportive care. Sedative withdrawal syndrome is treated by tapering the sedative and may require hospitalization. Long-term treatment of sedative addiction requires counseling, often with the help of an addiction-treatment professional.

  9. Prescription Sedative Misuse and Abuse

    PubMed Central

    Weaver, Michael F.

    2015-01-01

    Sedatives are widely prescribed for anxiety or insomnia and include benzodiazepines, selective benzodiazepine receptor subtype agonists (z-drugs), and barbiturates. These sedatives are controlled substances due to their potential for misuse and abuse. Misuse is often self-medication (chemical coping) of psychological symptoms in ways unauthorized by the prescriber, usually as dose escalation leading to requests for early refills. Sedatives are abused for euphoric effects, which may have dangerous consequences. Some sedative overdoses can be treated with flumazenil, a reversal agent, along with supportive care. Sedative withdrawal syndrome is treated by tapering the sedative and may require hospitalization. Long-term treatment of sedative addiction requires counseling, often with the help of an addiction-treatment professional. PMID:26339207

  10. The neonatal nurse's role in preventing abusive head trauma.

    PubMed

    Allen, Kimberly A

    2014-10-01

    Abusive head trauma in infants occurs in 24.6 to 39.8 per 100,000 infants in developed countries. Abusive head trauma refers to any type of intentional head trauma an infant sustains, as a result of an injury to the skull or intracranial contents from a blunt force and/or violent shaking. The clinical question was: what evidence-based interventions have been implemented by neonatal nurses to prevent abusive head trauma in infants? PubMed was searched to obtain English language publications from 2005 to May 2014 for interventions focused on preventing abusive head trauma using the key term "shaken baby syndrome." A total of 10 studies were identified that met the inclusion criteria. All of the interventions targeted prevention of abusive head trauma with information about abusive head trauma/shaken baby syndrome and the "normal" infant crying behaviors. Interventions taught parents why infants cried, how to calm the infants, ways to cope with inconsolable infants, and how to develop a plan for what to do if they could not cope anymore. Parents who participated in the interventions were consistently able to explain the information and tell others about the dangers of shaking infants compared to the control parents. Only 2 studies calculated the preintervention abusive head trauma rate and the postintervention frequency of abusive head trauma. Each found significant differences in abusive head trauma.

  11. Accommodation functions: co-dependency and relationship to refractive error.

    PubMed

    Allen, Peter M; O'Leary, Daniel J

    2006-02-01

    We assessed the extent to which different accommodative functions are correlated and whether accommodative functions predict the refractive error or the progression of myopia over a 12 month period in 64 young adults (30 myopes and 34 non-myopes). The functions were: amplitude of accommodation; monocular and binocular accommodative facility (6 m and 40 cm); monocular and binocular accommodative response to target distance; AC/A and CA/C ratios, tonic accommodation (dark focus and pinhole), accommodative hysteresis, and nearwork-induced transient myopia. Within groups of related accommodative functions (such as facility measures or open-loop measures) measurements on individuals were generally significantly correlated, however correlations between functions from different groups were generally not significant. Although accommodative amplitude and pinhole (open loop) accommodation were significantly different in myopes than in non-myopes, these functions were unrelated to myopia progression. Facility of accommodation and accommodative lag was independent predictors of myopia progression. PMID:16009391

  12. Accommodation functions: co-dependency and relationship to refractive error.

    PubMed

    Allen, Peter M; O'Leary, Daniel J

    2006-02-01

    We assessed the extent to which different accommodative functions are correlated and whether accommodative functions predict the refractive error or the progression of myopia over a 12 month period in 64 young adults (30 myopes and 34 non-myopes). The functions were: amplitude of accommodation; monocular and binocular accommodative facility (6 m and 40 cm); monocular and binocular accommodative response to target distance; AC/A and CA/C ratios, tonic accommodation (dark focus and pinhole), accommodative hysteresis, and nearwork-induced transient myopia. Within groups of related accommodative functions (such as facility measures or open-loop measures) measurements on individuals were generally significantly correlated, however correlations between functions from different groups were generally not significant. Although accommodative amplitude and pinhole (open loop) accommodation were significantly different in myopes than in non-myopes, these functions were unrelated to myopia progression. Facility of accommodation and accommodative lag was independent predictors of myopia progression.

  13. Effects of self-accommodation and plastic accommodation in martensitic transformations and morphology of martensites

    NASA Astrophysics Data System (ADS)

    Nanju, Gu; Xiaoyan, Song; Jianxin, Zhang; Fuxing, Yin; Ruixiang, Wang

    1995-08-01

    The effects of self-accommodation and plastic accommodation in martensitic transformations and the displacement vector for lattice deformation are discussed. The authors propose that the formation of an invariant habit plane is connected with the self-accomodation between different martensitic variants and results in the formation of internal twinned martensites; the plastic accommodation, rather than self-accommodation, occurs between parent and new phases when the strength is low or the dislocation density is high for the parent phase and the invariant habit plane is difficult to form, resulting in the formation of dislocation martensites.

  14. Fetal Alcohol Syndrome "Chemical Genocide."

    ERIC Educational Resources Information Center

    Asetoyer, Charon

    In the Northern Plains of the United States, 100% of Indian reservations are affected by alcohol related problems. Approximately 90% of Native American adults are currently alcohol users or abusers or are recovering from alcohol abuse. Alcohol consumption has a devastating effect on the unborn. Fetal Alcohol Syndrome (FAS) is an irreversible birth…

  15. Overview for Attached Payload Accommodations and Environments

    NASA Technical Reports Server (NTRS)

    Schaffer, Craig; Cook, Gene; Nabizadeh, Rodney; Phillion, James

    2007-01-01

    External payload accommodations are provided at attach sites on the U.S provided ELC, U.S. Truss, the Japanese Experiment Module Exposed Facility (JEM EF) and the Columbus EPF (External Payload Facilities). The Integrated Truss Segment (ITS) provides the backbone structure for the ISS. It attaches the solar and thermal control arrays to the rest of the complex, and houses cable distribution trays Extravehicular Activity (EVA) support equipment such as handholds and lighting; and providing for Extravehicular Robotic (EVR) accommodations using the Mobile Servicing System (MSS). It also provides logistics and maintenance, and payload attachment sites. The attachment sites accommodate logistics and maintenance and payloads carriers, zenith and nadir. The JEM-EF, a back porch-like attachment to the JEM Pressurized Module, accommodates up to eight payloads, which can be serviced by the crew via the JEM PM's airlock and dedicated robotic arm. The Columbus-EPF is another porch-like platform that can accommodate two zenith and two nadir looking payloads.

  16. Accommodation, pattern glare, and coloured overlays.

    PubMed

    Allen, Peter M; Dedi, Sonia; Kumar, Dimple; Patel, Tanuj; Aloo, Mohammed; Wilkins, Arnold J

    2012-01-01

    We manipulated the accommodative response using positive and negative lenses to study any association between symptoms of pattern glare and accommodation. Two groups of eighteen young adults were selected from seventy-eight on the basis (i) that their rate of reading increased by 5% or more with an overlay compared to their rate without it, and (ii) that they reported more than 2 symptoms of pattern glare (group 1) or had no such increment in reading speed and reported fewer than 3 symptoms (group 2). Under double-masked conditions participants observed at 0.4 m a pattern of stripes while measurements of accommodation were made using an open field autorefractor with and without positive and negative trial lenses (0.75 D), and with and without a coloured overlay. Pattern glare was also assessed with and without the trial lenses. Without lenses, the mean accommodative response in group 1 was 1.55 D, a lag of 0.95 D +/- 0.24 D relative to the demand. The lag decreased by 0.43 D (p < 0.0001) when the chosen overlay was used, an effect that was not shown in group 2 even when lag increased with negative trial lenses (p = 0.13). In both groups, pattern glare scores were reduced by the trial lenses, but were unaffected by the sign of the lenses. This suggests that symptoms of pattern glare are not strongly associated with accommodative response. PMID:23586285

  17. Bio-inspired accommodating fluidic intraocular lens.

    PubMed

    Qiao, Wen; Johnson, Daniel; Tsai, Frank S; Cho, Sung Hwan; Lo, Yu-Hwa

    2009-10-15

    The invention of intraocular lens (IOL), a substitute for crystalline lens, represents a major advancement in cataract surgery. After about sixty years of IOL development, one key remaining problem is its limited accommodation range compared with natural eyes. To overcome this performance limit, we explore bio-inspired fluidic IOL. By mimicking the working principle of natural eyes, a fluidic intraocular lens can achieve an exceedingly large accommodation range. An experiment on fluidic IOL demonstrated a very high tuning range of 12 D. This accommodation range was achieved with a modest amount of force (0.06 N) and equatorial radius change (0.286 mm), in conditions matching well with the characteristics of aged eyes. PMID:19838277

  18. Cough and Cold Medicine Abuse

    MedlinePlus

    ... and Cold Medicine Abuse DrugFacts: Cough and Cold Medicine Abuse Email Facebook Twitter Revised May 2014 Some ... diverted for abuse. How Are Cough and Cold Medicines Abused? Cough and cold medicines are usually consumed ...

  19. Prediction of anthropometric accommodation in aircraft cockpits

    NASA Astrophysics Data System (ADS)

    Zehner, Gregory Franklin

    Designing aircraft cockpits to accommodate the wide range of body sizes existing in the U.S. population has always been a difficult problem for Crewstation Engineers. The approach taken in the design of military aircraft has been to restrict the range of body sizes allowed into flight training, and then to develop standards and specifications to ensure that the majority of the pilots are accommodated. Accommodation in this instance is defined as the ability to: (1) Adequately see, reach, and actuate controls; (2) Have external visual fields so that the pilot can see to land, clear for other aircraft, and perform a wide variety of missions (ground support/attack or air to air combat); and (3) Finally, if problems arise, the pilot has to be able to escape safely. Each of these areas is directly affected by the body size of the pilot. Unfortunately, accommodation problems persist and may get worse. Currently the USAF is considering relaxing body size entrance requirements so that smaller and larger people could become pilots. This will make existing accommodation problems much worse. This dissertation describes a methodology for correcting this problem and demonstrates the method by predicting pilot fit and performance in the USAF T-38A aircraft based on anthropometric data. The methods described can be applied to a variety of design applications where fitting the human operator into a system is a major concern. A systematic approach is described which includes: defining the user population, setting functional requirements that operators must be able to perform, testing the ability of the user population to perform the functional requirements, and developing predictive equations for selecting future users of the system. Also described is a process for the development of new anthropometric design criteria and cockpit design methods that assure body size accommodation is improved in the future.

  20. Trimebutine: abuse, addiction and overdose.

    PubMed

    2013-10-01

    Trimebutine, an antispasmodic drug, is used to relieve pain associated with irritable bowel syndrome, despite a lack of proven efficacy. Trimebutine has been shown to act on peripheral opioid receptors. Cases of trimebutine abuse and addiction have been reported in young adults, especially with the injectable form. Cases of serious accidental or intentional trimebutine overdose have been reported in infants and young adults, leading to neurological disorders (loss of consciousness, coma, drowsiness and convulsions) and cardiac disorders (bradycardia, ventricular tachycardia, arterial hypertension). Time to symptom onset was less than 3 hours after trimebutine intake. In practice, trimebutine is by no means a harmless drug, contrary to the impression given by the limited safety data available. Patients with pain due to irritable bowel syndrome should be informed of the adverse effects of trimebutine, and the harm-benefit balance should be reassessed in patients already taking this drug. PMID:24298588

  1. Recognition and prevention of inhalant abuse.

    PubMed

    Anderson, Carrie E; Loomis, Glenn A

    2003-09-01

    Inhalant abuse is a prevalent and often overlooked form of substance abuse in adolescents. Survey results consistently show that nearly 20 percent of children in middle school and high school have experimented with inhaled substances. The method of delivery is inhalation of a solvent from its container, a soaked rag, or a bag. Solvents include almost any household cleaning agent or propellant, paint thinner, glue, and lighter fluid. Inhalant abuse typically can cause a euphoric feeling and can become addictive. Acute effects include sudden sniffing death syndrome, asphyxia, and serious injuries (e.g., falls, burns, frostbite). Chronic inhalant abuse can damage cardiac, renal, hepatic, and neurologic systems. Inhalant abuse during pregnancy can cause fetal abnormalities. Diagnosis of inhalant abuse is difficult and relies almost entirely on a thorough history and a high index of suspicion. No specific laboratory tests confirm solvent inhalation. Treatment is generally supportive, because there are no reversal agents for inhalant intoxication. Education of young persons and their parents is essential to decrease experimentation with inhalants. PMID:13678134

  2. Students and Drug Abuse

    ERIC Educational Resources Information Center

    Todays Educ, 1969

    1969-01-01

    Introduction to "Students and Drug Abuse, prepared by the Public Information Branch and Center for Studies of Narcotic and Drug Abuse, National Institute of Mental Health, in cooperation with the staff of Today's Education.

  3. Cough & Cold Medicine Abuse

    MedlinePlus

    ... I Help a Friend Who Cuts? Cough & Cold Medicine Abuse KidsHealth > For Teens > Cough & Cold Medicine Abuse ... DXM Why Do People Use Cough and Cold Medicines to Get High? There's an ingredient in many ...

  4. Abuse during Pregnancy

    MedlinePlus

    ... depressed, eat unhealthy foods, or pick up bad habits such as smoking or drinking . An abusive partner may try to ... depressed, eat unhealthy foods, or pick up bad habits such as smoking or drinking . An abusive partner may try to ...

  5. Prescription Drug Abuse

    MedlinePlus

    ... what the doctor prescribed, it is called prescription drug abuse. It could be Taking a medicine that ... purpose, such as getting high Abusing some prescription drugs can lead to addiction. These include narcotic painkillers, ...

  6. Child Abuse: Educator's Responsibilities. Revised.

    ERIC Educational Resources Information Center

    California State Office of the Attorney General, Sacramento. Crime Prevention Center.

    This document presents the educator with a guide to child abuse. A section defining child abuse examines the issues of physical abuse, physical neglect, sexual abuse, and emotional maltreatment. Areas discussed for these types of abuse include abuse indicators, location of injury, history, behavioral indicators, and types of injury. Incestuous and…

  7. Accommodating Presuppositions Is Inappropriate in Implausible Contexts

    ERIC Educational Resources Information Center

    Singh, Raj; Fedorenko, Evelina; Mahowald, Kyle; Gibson, Edward

    2016-01-01

    According to one view of linguistic information (Karttunen, 1974; Stalnaker, 1974), a speaker can convey contextually new information in one of two ways: (a) by "asserting" the content as new information; or (b) by "presupposing" the content as given information which would then have to be "accommodated." This…

  8. Accommodating Student Diversity in Remote Sensing Instruction.

    ERIC Educational Resources Information Center

    Hammen, John L., III.

    1992-01-01

    Discusses the difficulty of teaching computer-based remote sensing to students of varying levels of computer literacy. Suggests an instructional method that accommodates all levels of technical expertise through the use of microcomputers. Presents a curriculum that includes an introduction to remote sensing, digital image processing, and…

  9. 34 CFR 104.12 - Reasonable accommodation.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... 34 Education 1 2012-07-01 2012-07-01 false Reasonable accommodation. 104.12 Section 104.12 Education Regulations of the Offices of the Department of Education OFFICE FOR CIVIL RIGHTS, DEPARTMENT OF EDUCATION NONDISCRIMINATION ON THE BASIS OF HANDICAP IN PROGRAMS OR ACTIVITIES RECEIVING FEDERAL FINANCIAL ASSISTANCE Employment Practices §...

  10. 45 CFR 1232.10 - Reasonable accommodation.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... 45 Public Welfare 4 2013-10-01 2013-10-01 false Reasonable accommodation. 1232.10 Section 1232.10 Public Welfare Regulations Relating to Public Welfare (Continued) CORPORATION FOR NATIONAL AND COMMUNITY SERVICE NONDISCRIMINATION ON BASIS OF HANDICAP IN PROGRAMS OR ACTIVITIES RECEIVING FEDERAL FINANCIAL ASSISTANCE Employment and Volunteer...

  11. 45 CFR 1151.32 - Reasonable accommodation.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 45 Public Welfare 3 2010-10-01 2010-10-01 false Reasonable accommodation. 1151.32 Section 1151.32 Public Welfare Regulations Relating to Public Welfare (Continued) NATIONAL FOUNDATION ON THE ARTS AND THE HUMANITIES NATIONAL ENDOWMENT FOR THE ARTS NONDISCRIMINATION ON THE BASIS OF HANDICAP Discrimination Prohibited Employment § 1151.32...

  12. 45 CFR 1151.32 - Reasonable accommodation.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 45 Public Welfare 3 2011-10-01 2011-10-01 false Reasonable accommodation. 1151.32 Section 1151.32 Public Welfare Regulations Relating to Public Welfare (Continued) NATIONAL FOUNDATION ON THE ARTS AND THE HUMANITIES NATIONAL ENDOWMENT FOR THE ARTS NONDISCRIMINATION ON THE BASIS OF HANDICAP Discrimination Prohibited Employment § 1151.32...

  13. 45 CFR 1151.32 - Reasonable accommodation.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... 45 Public Welfare 3 2014-10-01 2014-10-01 false Reasonable accommodation. 1151.32 Section 1151.32 Public Welfare Regulations Relating to Public Welfare (Continued) NATIONAL FOUNDATION ON THE ARTS AND THE HUMANITIES NATIONAL ENDOWMENT FOR THE ARTS NONDISCRIMINATION ON THE BASIS OF HANDICAP Discrimination Prohibited Employment § 1151.32...

  14. 45 CFR 84.12 - Reasonable accommodation.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... 45 Public Welfare 1 2014-10-01 2014-10-01 false Reasonable accommodation. 84.12 Section 84.12 Public Welfare Department of Health and Human Services GENERAL ADMINISTRATION NONDISCRIMINATION ON THE... qualified handicapped employee or applicant if the basis for the denial is the need to make...

  15. 45 CFR 84.12 - Reasonable accommodation.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... 45 Public Welfare 1 2013-10-01 2013-10-01 false Reasonable accommodation. 84.12 Section 84.12 Public Welfare DEPARTMENT OF HEALTH AND HUMAN SERVICES GENERAL ADMINISTRATION NONDISCRIMINATION ON THE... qualified handicapped employee or applicant if the basis for the denial is the need to make...

  16. 45 CFR 84.12 - Reasonable accommodation.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 45 Public Welfare 1 2011-10-01 2011-10-01 false Reasonable accommodation. 84.12 Section 84.12 Public Welfare DEPARTMENT OF HEALTH AND HUMAN SERVICES GENERAL ADMINISTRATION NONDISCRIMINATION ON THE... qualified handicapped employee or applicant if the basis for the denial is the need to make...

  17. Cultural Accommodation as Method and Metaphor

    ERIC Educational Resources Information Center

    Leong, Frederick T. L.

    2007-01-01

    The author summarizes the cultural accommodation model (CAM) of cross-cultural psychotherapy (F. T. L. Leong & S. H. Lee, 2006). This summary is divided into 2 parts, with the 1st part describing the theoretical development of the CAM as a method of psychotherapy and the research approach underlying it. This section includes a description of the…

  18. Is accommodation colorblind? Focusing chromatic contours.

    PubMed

    Wolfe, J M; Owens, D A

    1981-01-01

    Two adjacent regions define an edge if they differ in either color or luminance. If the difference is purely chromatic, the edge is said to be isoluminant. Isoluminant contours are often perceptually unstable. Perhaps some of this instability could be explained if isoluminant contours were difficult to bring into focus. To test this hypothesis, a vernier optometer was used to measure the accuracy of steady-state accommodation for the vertical boundary of a red-green bipartite field. This edge was presented at optical distances of 0, 1.5, 3.0, and 4.5 diopters, with brightness contrasts between the two hemifields of 0% (isoluminant), 15%, 58%, and 100%. Accommodation was essentially unresponsiveness to the isoluminant edge and exhibited increasing focusing accuracy with increased brightness contrast. Control experiments replicated this finding for red-orange, green-blue, and white-white fields. These results imply that luminance contrast is a necessary stimulus for monocular accommodation. Inappropriate accommodation may be a factor contributing to the perceptual instability of isoluminant patterns. PMID:7255083

  19. 10 CFR 1040.67 - Reasonable accommodation.

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... 10 Energy 4 2014-01-01 2014-01-01 false Reasonable accommodation. 1040.67 Section 1040.67 Energy DEPARTMENT OF ENERGY (GENERAL PROVISIONS) NONDISCRIMINATION IN FEDERALLY ASSISTED PROGRAMS OR ACTIVITIES Nondiscrimination on the Basis of Handicap-Section 504 of the Rehabilitation Act of 1973, as Amended...

  20. 10 CFR 1040.67 - Reasonable accommodation.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... 10 Energy 4 2010-01-01 2010-01-01 false Reasonable accommodation. 1040.67 Section 1040.67 Energy DEPARTMENT OF ENERGY (GENERAL PROVISIONS) NONDISCRIMINATION IN FEDERALLY ASSISTED PROGRAMS OR ACTIVITIES Nondiscrimination on the Basis of Handicap-Section 504 of the Rehabilitation Act of 1973, as Amended...

  1. 10 CFR 1040.67 - Reasonable accommodation.

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... 10 Energy 4 2012-01-01 2012-01-01 false Reasonable accommodation. 1040.67 Section 1040.67 Energy DEPARTMENT OF ENERGY (GENERAL PROVISIONS) NONDISCRIMINATION IN FEDERALLY ASSISTED PROGRAMS OR ACTIVITIES Nondiscrimination on the Basis of Handicap-Section 504 of the Rehabilitation Act of 1973, as Amended...

  2. 10 CFR 1040.67 - Reasonable accommodation.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... 10 Energy 4 2011-01-01 2011-01-01 false Reasonable accommodation. 1040.67 Section 1040.67 Energy DEPARTMENT OF ENERGY (GENERAL PROVISIONS) NONDISCRIMINATION IN FEDERALLY ASSISTED PROGRAMS OR ACTIVITIES Nondiscrimination on the Basis of Handicap-Section 504 of the Rehabilitation Act of 1973, as Amended...

  3. Accommodating Faculty Members Who Have Disabilities. Report

    ERIC Educational Resources Information Center

    American Association of University Professors, 2012

    2012-01-01

    In recent years the rights and responsibilities of students who have disabilities have received considerable attention. Professors routinely accommodate students with a front-row seat in class or extended time on an examination. Faculty members who have disabilities have received far less attention. This report from a subcommittee of Committee A…

  4. Testing Accommodations for Students with Disabilities.

    ERIC Educational Resources Information Center

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

    This brief guide explains the use of testing accommodations for students with a disability participating in state or district educational assessments under federal and Florida state law. These include the Individuals with Disabilities Education Act of 1997, Section 504 of the Rehabilitation Act, and the Florida Administrative Code. Planning…

  5. Anthropometric Accommodation in Space Suit Design

    NASA Technical Reports Server (NTRS)

    Rajulu, Sudhakar; Thaxton, Sherry

    2007-01-01

    Design requirements for next generation hardware are in process at NASA. Anthropometry requirements are given in terms of minimum and maximum sizes for critical dimensions that hardware must accommodate. These dimensions drive vehicle design and suit design, and implicitly have an effect on crew selection and participation. At this stage in the process, stakeholders such as cockpit and suit designers were asked to provide lists of dimensions that will be critical for their design. In addition, they were asked to provide technically feasible minimum and maximum ranges for these dimensions. Using an adjusted 1988 Anthropometric Survey of U.S. Army (ANSUR) database to represent a future astronaut population, the accommodation ranges provided by the suit critical dimensions were calculated. This project involved participation from the Anthropometry and Biomechanics facility (ABF) as well as suit designers, with suit designers providing expertise about feasible hardware dimensions and the ABF providing accommodation analysis. The initial analysis provided the suit design team with the accommodation levels associated with the critical dimensions provided early in the study. Additional outcomes will include a comparison of principal components analysis as an alternate method for anthropometric analysis.

  6. A Developmental Model of Infant Visual Accommodation.

    ERIC Educational Resources Information Center

    Banks, Martin S.; Leitner, Edward F.

    This paper reports the major findings and interprets the results of longitudinal and cross-sectional exPeriments concerning the development of visual accommodation in infants 1 to 3 months of age. The stimulus was a high-contrast, random checkerboard which was presented at three different distances from the infants (25, 50 or 100 cm). The physical…

  7. 9 CFR 354.225 - Lavatory accommodations.

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... 9 Animals and Animal Products 2 2012-01-01 2012-01-01 false Lavatory accommodations. 354.225 Section 354.225 Animals and Animal Products FOOD SAFETY AND INSPECTION SERVICE, DEPARTMENT OF AGRICULTURE... containers shall be provided for used towels and other wastes. (c) An adequate number of hand...

  8. 9 CFR 354.225 - Lavatory accommodations.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... 9 Animals and Animal Products 2 2011-01-01 2011-01-01 false Lavatory accommodations. 354.225 Section 354.225 Animals and Animal Products FOOD SAFETY AND INSPECTION SERVICE, DEPARTMENT OF AGRICULTURE... containers shall be provided for used towels and other wastes. (c) An adequate number of hand...

  9. 22 CFR 142.12 - Reasonable accommodation.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ..., acquisition or modification of equipment or devices, the provision of readers or interpreters, and other... facilities, and size of budget; (2) Job restructuring, part-time or modified work schedules, acquisition and... sign language, when appropriate. (3) The nature and cost of the accommodation needed. (d) A...

  10. 22 CFR 142.12 - Reasonable accommodation.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ..., acquisition or modification of equipment or devices, the provision of readers or interpreters, and other... facilities, and size of budget; (2) Job restructuring, part-time or modified work schedules, acquisition and... sign language, when appropriate. (3) The nature and cost of the accommodation needed. (d) A...

  11. 45 CFR 1170.22 - Reasonable accommodation.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 45 Public Welfare 3 2010-10-01 2010-10-01 false Reasonable accommodation. 1170.22 Section 1170.22 Public Welfare Regulations Relating to Public Welfare (Continued) NATIONAL FOUNDATION ON THE ARTS AND THE HUMANITIES NATIONAL ENDOWMENT FOR THE HUMANITIES NONDISCRIMINATION ON THE BASIS OF HANDICAP IN...

  12. 45 CFR 1170.22 - Reasonable accommodation.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 45 Public Welfare 3 2011-10-01 2011-10-01 false Reasonable accommodation. 1170.22 Section 1170.22 Public Welfare Regulations Relating to Public Welfare (Continued) NATIONAL FOUNDATION ON THE ARTS AND THE HUMANITIES NATIONAL ENDOWMENT FOR THE HUMANITIES NONDISCRIMINATION ON THE BASIS OF HANDICAP IN...

  13. Unflagged SATs: Who Benefits from Special Accommodations?

    ERIC Educational Resources Information Center

    Abrams, Samuel J.

    2005-01-01

    When the College Board announced, in the summer of 2002, that it would stop "flagging" the test scores of students who were given special accommodations for the SAT, the gold standard exam for college admission, disability advocates were thrilled. "A triumphant day for millions of people with dyslexia and other disabilities," exclaimed Thomas…

  14. Accommodating Students' Religious Needs. Teaching Strategy.

    ERIC Educational Resources Information Center

    Update on Law-Related Education, 1998

    1998-01-01

    Offers a lesson for secondary students that addresses the role of public schools in religious expression where the students consider how or if schools can accommodate the religious needs of students. Focuses on the religious obligations of Muslim students as a case study. Provides a student handout. (CMK)

  15. Academic Accommodations for Students with Psychiatric Disabilities.

    ERIC Educational Resources Information Center

    Souma, Alfred; Rickerson, Nancy; Burgstahler, Sheryl

    This brief paper summarizes the literature on academic accommodations for students with psychiatric disabilities. A definition of psychiatric disability precedes a brief summary of the following specific psychiatric diagnoses: depression, bipolar affective disorder; borderline personality disorder; schizophrenia; and anxiety disorders. Also noted…

  16. Accommodating Workers with Spinal Cord Injury.

    ERIC Educational Resources Information Center

    Dowler, Denetta; Batiste, Linda; Whidden, Eddie

    1998-01-01

    Examination of over 1,000 calls to the Job Accommodation Network involving workers with spinal cord injury identified the nature of the industry, job, career progression, and accessibility solutions. The number of calls increased dramatically after passage of the Americans with Disabilities Act. (SK)

  17. 45 CFR 1170.22 - Reasonable accommodation.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... 45 Public Welfare 3 2013-10-01 2013-10-01 false Reasonable accommodation. 1170.22 Section 1170.22 Public Welfare Regulations Relating to Public Welfare (Continued) NATIONAL FOUNDATION ON THE ARTS AND THE HUMANITIES NATIONAL ENDOWMENT FOR THE HUMANITIES NONDISCRIMINATION ON THE BASIS OF HANDICAP IN...

  18. 45 CFR 1170.22 - Reasonable accommodation.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... 45 Public Welfare 3 2012-10-01 2012-10-01 false Reasonable accommodation. 1170.22 Section 1170.22 Public Welfare Regulations Relating to Public Welfare (Continued) NATIONAL FOUNDATION ON THE ARTS AND THE HUMANITIES NATIONAL ENDOWMENT FOR THE HUMANITIES NONDISCRIMINATION ON THE BASIS OF HANDICAP IN...

  19. 45 CFR 1170.22 - Reasonable accommodation.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... 45 Public Welfare 3 2014-10-01 2014-10-01 false Reasonable accommodation. 1170.22 Section 1170.22 Public Welfare Regulations Relating to Public Welfare (Continued) NATIONAL FOUNDATION ON THE ARTS AND THE HUMANITIES NATIONAL ENDOWMENT FOR THE HUMANITIES NONDISCRIMINATION ON THE BASIS OF HANDICAP IN...

  20. 28 CFR 42.511 - Reasonable accommodation.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... similar actions. (c) Whether an accommodation would impose an undue hardship on the operation of a... overall size of the recipient's program or activity with respect to number of employees, number and type of facilities, and size of budget; (2) The type of the recipient's operation, including...

  1. 34 CFR 104.12 - Reasonable accommodation.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 34 Education 1 2010-07-01 2010-07-01 false Reasonable accommodation. 104.12 Section 104.12 Education Regulations of the Offices of the Department of Education OFFICE FOR CIVIL RIGHTS, DEPARTMENT OF EDUCATION NONDISCRIMINATION ON THE BASIS OF HANDICAP IN PROGRAMS OR ACTIVITIES RECEIVING FEDERAL...

  2. Accommodating Band Students with Visual Impairments

    ERIC Educational Resources Information Center

    Coates, Rick Lee

    2012-01-01

    This article offers a discussion about some of the accommodations and modifications used in music instruction. The focus here is on the musical tasks and challenges faced by band students with visual impairments. Research and literature reveal an interest in the topic but a lack of accessible materials for immediate use in the classroom and…

  3. Substance Abuse. Policy Statement.

    ERIC Educational Resources Information Center

    National Collaboration for Youth, Washington, DC.

    This paper presents the policy statement on substance abuse from the National Collaboration for Youth (NCY). The policy statement section lists programs and activities supported by the NCY. A section on background includes a statement of the issue of substance abuse. Areas examined in this section include alcohol abuse and drunk driving among…

  4. Elder Abuse Awareness Project.

    ERIC Educational Resources Information Center

    Morrow, Marilyn J.; Doyle, Kathleen

    The Elder Abuse Awareness Project was developed to determine the incidence of abuse and neglect of elderly people in several rural counties in central Illinois. A primary purpose of the study was to survey service providers as to their actual encounters with elder abuse and neglect. Each provider was asked about warning signs or cues that were…

  5. Child Abuse and Neglect.

    ERIC Educational Resources Information Center

    International Children's Centre, Paris (France).

    A series of four documents address the definition and identification of child abuse and neglect. In the first, which is designed for professionals, a historical review is followed by discussion of clinical and social evidence of abuse. Resources for managing child abuse are described, and personnel functions are outlined. The second document,…

  6. Dynamics of Parental Abuse

    PubMed Central

    Hardin, Eugene; Schlater, Theodore L.

    1987-01-01

    The dynamics of the various categories of parental abuse are examined with special emphasis on abuse by adult offspring living in the same household or adults acting as caretakers or legal guardians for their elderly parents. Society's role in the dynamics of parental abuse is examined.

  7. 46 CFR 92.20-20 - Sleeping accommodations.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 46 Shipping 4 2011-10-01 2011-10-01 false Sleeping accommodations. 92.20-20 Section 92.20-20... CONSTRUCTION AND ARRANGEMENT Accommodations for Officers and Crew § 92.20-20 Sleeping accommodations. (a) Where practicable, each licensed officer must be provided with a separate stateroom. (b) Sleeping accommodations...

  8. 46 CFR 92.20-20 - Sleeping accommodations.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 46 Shipping 4 2010-10-01 2010-10-01 false Sleeping accommodations. 92.20-20 Section 92.20-20... CONSTRUCTION AND ARRANGEMENT Accommodations for Officers and Crew § 92.20-20 Sleeping accommodations. (a) Where practicable, each licensed officer must be provided with a separate stateroom. (b) Sleeping accommodations...

  9. 46 CFR 92.20-20 - Sleeping accommodations.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... 46 Shipping 4 2014-10-01 2014-10-01 false Sleeping accommodations. 92.20-20 Section 92.20-20... CONSTRUCTION AND ARRANGEMENT Accommodations for Officers and Crew § 92.20-20 Sleeping accommodations. (a) Where practicable, each licensed officer must be provided with a separate stateroom. (b) Sleeping accommodations...

  10. 46 CFR 92.20-20 - Sleeping accommodations.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... 46 Shipping 4 2012-10-01 2012-10-01 false Sleeping accommodations. 92.20-20 Section 92.20-20... CONSTRUCTION AND ARRANGEMENT Accommodations for Officers and Crew § 92.20-20 Sleeping accommodations. (a) Where practicable, each licensed officer must be provided with a separate stateroom. (b) Sleeping accommodations...

  11. 46 CFR 92.20-20 - Sleeping accommodations.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... 46 Shipping 4 2013-10-01 2013-10-01 false Sleeping accommodations. 92.20-20 Section 92.20-20... CONSTRUCTION AND ARRANGEMENT Accommodations for Officers and Crew § 92.20-20 Sleeping accommodations. (a) Where practicable, each licensed officer must be provided with a separate stateroom. (b) Sleeping accommodations...

  12. 46 CFR 72.20-20 - Sleeping accommodations.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 46 Shipping 3 2011-10-01 2011-10-01 false Sleeping accommodations. 72.20-20 Section 72.20-20... ARRANGEMENT Accommodations for Officers and Crew § 72.20-20 Sleeping accommodations. (a) Where practicable, each licensed officer shall be provided with a separate stateroom. (b) Sleeping accommodations for...

  13. 46 CFR 72.20-20 - Sleeping accommodations.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... 46 Shipping 3 2012-10-01 2012-10-01 false Sleeping accommodations. 72.20-20 Section 72.20-20... ARRANGEMENT Accommodations for Officers and Crew § 72.20-20 Sleeping accommodations. (a) Where practicable, each licensed officer shall be provided with a separate stateroom. (b) Sleeping accommodations for...

  14. 46 CFR 72.20-20 - Sleeping accommodations.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... 46 Shipping 3 2013-10-01 2013-10-01 false Sleeping accommodations. 72.20-20 Section 72.20-20... ARRANGEMENT Accommodations for Officers and Crew § 72.20-20 Sleeping accommodations. (a) Where practicable, each licensed officer shall be provided with a separate stateroom. (b) Sleeping accommodations for...

  15. 46 CFR 72.20-20 - Sleeping accommodations.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 46 Shipping 3 2010-10-01 2010-10-01 false Sleeping accommodations. 72.20-20 Section 72.20-20... ARRANGEMENT Accommodations for Officers and Crew § 72.20-20 Sleeping accommodations. (a) Where practicable, each licensed officer shall be provided with a separate stateroom. (b) Sleeping accommodations for...

  16. 46 CFR 72.20-20 - Sleeping accommodations.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... 46 Shipping 3 2014-10-01 2014-10-01 false Sleeping accommodations. 72.20-20 Section 72.20-20... ARRANGEMENT Accommodations for Officers and Crew § 72.20-20 Sleeping accommodations. (a) Where practicable, each licensed officer shall be provided with a separate stateroom. (b) Sleeping accommodations for...

  17. Communication Accommodation between Chinese and Australian Students and Academic Staff.

    ERIC Educational Resources Information Center

    Gallois, Cynthia; And Others

    A study tested paths predicted by Communication Accommodation Theory (CAT) in the context of interactions between 105 Chinese and 283 Anglo-Australian students and 98 academic staff in situations of potential conflict. Videotapes of student-lecturer interactions in which speakers accommodated, over-accommodated, or under-accommodated were rated by…

  18. Water Accommodation on Bare and Coated Ice

    NASA Astrophysics Data System (ADS)

    Kong, Xiangrui

    2015-04-01

    A good understanding of water accommodation on ice surfaces is essential for quantitatively predicting the evolution of clouds, and therefore influences the effectiveness of climate models. However, the accommodation coefficient is poorly constrained within the literature where reported values vary by up to three orders of magnitude. In addition, the complexity of the chemical composition of the atmosphere plays an important role in ice phase behavior and dynamics. We employ an environmental molecular beam (EMB) technique to investigate molecular water interactions with bare and impurity coated ice at temperatures from 170 K to 200 K. In this work, we summarize results of water accommodation experiments on bare ice (Kong et al., 2014) and on ice coated by methanol (Thomson et al., 2013), butanol (Thomson et al., 2013) and acetic acid (Papagiannakopoulos et al., 2014), and compare those results with analogous experiments using hexanol and nitric acid coatings. Hexanol is chosen as a complementary chain alcohol to methanol and butanol, while nitric acid is a common inorganic compound in the atmosphere. The results show a strong negative temperature dependence of water accommodation on bare ice, which can be quantitatively described by a precursor model. Acidic adlayers tend to enhance water uptake indicating that the system kinetics are thoroughly changed compared to bare ice. Adsorbed alcohols influence the temperature dependence of the accommodation coefficient and water molecules generally spend less time on the surfaces before desorbing, although the measured accommodation coefficients remain high and comparable to bare ice for the investigated systems. We conclude that impurities can either enhance or restrict water uptake in ways that are influenced by several factors including temperature and type of adsorbant, with potential implications for the description of ice particle growth in the atmosphere. This work was supported by the Swedish Research Council and

  19. Accommodation and induced myopia in marmosets.

    PubMed

    Troilo, David; Quinn, Nicole; Baker, Kayla

    2007-04-01

    Accommodation may indirectly influence visually guided eye growth by affecting the retinal defocus signal used to guide growth. Specifically, increased lags of accommodation associated with low stimulus-response (S-R) function slopes will impose increased hyperopic blur on the retina and may induce axial elongation and myopia. The purpose of this study was (1) to measure accommodation in awake, free viewing marmosets and (2) compare accommodation behavior in marmosets before and after inducing different amounts of myopia with binocular spectacle lenses. In untreated marmosets, the average accommodation S-R slope approached one, but showed considerable inter-individual variability (mean+/-SD: 0.964+/-0.249 for monocular viewing; 0.895+/-0.235 for binocular viewing; monocular and binocular measures not significantly different). The monocular S-R slopes were significantly reduced following a period of lens rearing that produced axial myopia (change in slope=-0.30+/-0.30, p<.01) and the reduction in slope was proportional to the amount of myopia induced (p<.01). The S-R slopes measured either under monocular or binocular conditions before induction of myopia were not well correlated with the degree of myopia induced (monocular: r=-.240, p=.453; binocular: r=-.060, p=.824). These results support the hypothesis that the reduction in S-R slope in myopes is a consequence of the myopia induced. The alternative hypothesis-that low S-R slope increases susceptibility to the development of myopia--is not supported by the weak correlation between the pre-manipulation S-R slopes and the magnitude of the myopic shift.

  20. Inhalant Abuse and Dextromethorphan.

    PubMed

    Storck, Michael; Black, Laura; Liddell, Morgan

    2016-07-01

    Inhalant abuse is the intentional inhalation of a volatile substance for the purpose of achieving an altered mental state. As an important, yet underrecognized form of substance abuse, inhalant abuse crosses all demographic, ethnic, and socioeconomic boundaries, causing significant morbidity and mortality in school-aged and older children. This review presents current perspectives on epidemiology, detection, and clinical challenges of inhalant abuse and offers advice regarding the medical and mental health providers' roles in the prevention and management of this substance abuse problem. Also discussed is the misuse of a specific "over-the-counter" dissociative, dextromethorphan. PMID:27338970

  1. Preventing and Recognizing Prescription Drug Abuse

    MedlinePlus

    ... Abuse » Preventing and recognizing prescription drug abuse Prescription Drug Abuse Email Facebook Twitter Preventing and recognizing prescription drug abuse To ensure proper medical care, patients should discuss ...

  2. Design Principles to Accommodate Older Adults

    PubMed Central

    Farage, Miranda A.; Miller, Kenneth W.; Ajayi, Funmi; Hutchins, Deborah

    2012-01-01

    The global population is aging. In many industrial countries, almost one in five people are over age 65. As people age, gradual changes ensue in vision, hearing, balance, coordination, and memory. Products, communication materials, and the physical environment must be thoughtfully designed to meet the needs of people of all ages. This article summarizes normal changes in sensory function, mobility, balance, memory, and attention that occur with age. It presents practical guidelines that allow design professionals to accommodate these changes and better meet the needs of older adults. Designing for older adults is inclusive design: it accommodates a range of physical and cognitive abilities and promotes simplicity, flexibility, and ease of use for people of any age. PMID:22980147

  3. Strain accommodation beneath structures on Mars

    NASA Technical Reports Server (NTRS)

    Golombek, M. P.; Tanaka, Kenneth L.; Banerdt, W. B.

    1991-01-01

    A recent review of tectonic features on Mars shows that most of their subsurface structures can be confidently extended only a few kilometers deep (exceptions are rifts, in which bounding normal faults penetrate the entire brittle lithosphere, with ductile flow at deeper levels). Nevertheless, a variety of estimates of elastic lithosphere thickness and application of accepted failure criteria under likely conditions on Mars suggest a brittle lithosphere that is many tens of kilometers thick. This raises the question of how the strain (extension or shortening) accommodated by grabens and wrinkle ridges within the upper few kilometers is being accommodated at deeper levels in the lithosphere. Herein, the nonrift tectonic features present on Mars are briefly reviewed, along with their likely subsurface structures, and some inferences and implications are presented for behavior of the deeper lithosphere.

  4. Moving beyond misperceptions: the provision of workplace accommodations.

    PubMed

    Hernandez, Brigida; McDonald, Katherine; Lepera, Nicole; Shahna, Monna; Wang, T Arthur; Levy, Joel M

    2009-01-01

    This mixed-methods study examined the provision of workplace accommodations in the health care, hospitality, and retail sectors. First, focus groups with administrators from each sector revealed that accommodations costs were viewed as minimal (although frontline managers were perceived as having misperceptions). Second, the provision of accommodations as documented through human resources records for health care and hospitality indicated that accommodations were infrequent, not costly, and provided to employees with disabilities. Finally, retail employees (irrespective of disability status) reported many more accommodations than health care and hospitality workers. To dispel misperceptions related to accommodations, education is critical and social workers are well-positioned for this role.

  5. Moving beyond misperceptions: the provision of workplace accommodations.

    PubMed

    Hernandez, Brigida; McDonald, Katherine; Lepera, Nicole; Shahna, Monna; Wang, T Arthur; Levy, Joel M

    2009-01-01

    This mixed-methods study examined the provision of workplace accommodations in the health care, hospitality, and retail sectors. First, focus groups with administrators from each sector revealed that accommodations costs were viewed as minimal (although frontline managers were perceived as having misperceptions). Second, the provision of accommodations as documented through human resources records for health care and hospitality indicated that accommodations were infrequent, not costly, and provided to employees with disabilities. Finally, retail employees (irrespective of disability status) reported many more accommodations than health care and hospitality workers. To dispel misperceptions related to accommodations, education is critical and social workers are well-positioned for this role. PMID:20183631

  6. High prevalence of symptoms in a severely abused “non-patient” women population

    PubMed Central

    Pallotta, N; Piacentino, D; Ciccantelli, B; Rivera, M; Golini, N; Spagnoli, A; Vincoli, G; Farchi, S

    2014-01-01

    Objective The objective of this article is to assess the prevalence of somatic symptoms and of gastrointestinal (GI) syndromes in abused “non-patient” women and the association with the time of perpetration, type, and severity of abuse. Methods Sixty-seven women, 18–58 years, receiving shelter in anti-violence associations were invited to fill out an anonymous questionnaire with a medical and an abuse section. The severity of abuse was expressed as the 0–6 Abuse Severity Measure (ASM). The association between abuse characteristics and the number of symptoms, and GI syndromes was assessed by Poisson regression model. Results Most women suffered from childhood and adulthood sexual and physical abuse. They reported a mean of 5.1 GI symptoms (range 0–13; median 5; IQR 6) and of 1.3 extra-GI symptoms (range 0–6; median 1; IQR 2); 30% of women matched the Rome II Criteria for one, 36% for two, and 4.4% for three or more syndromes, respectively. Women with an ASM of 5–6, having suffered from both sexual and physical abuse, reported significantly (p = 0.02) more GI symptoms, but not extra-GI ones (p = 0.07), and met criteria for more GI syndromes than women with an ASM ≤4 and those reporting only one type of abuse. No association was found between the time of perpetration of the abuse and the number of GI and extra-GI symptoms. Conclusions Symptoms in abused “non-patient” women mainly concern the abdomen and the GI tract. A history of severe, combined physical and sexual abuse is associated with a higher number of GI symptoms. PMID:25452847

  7. Alternative drugs of abuse.

    PubMed

    Sutter, M E; Chenoweth, J; Albertson, T E

    2014-02-01

    The incidence of drug abuse with alternative agents is increasing. The term "alternative drugs of abuse" is a catch-all term for abused chemicals that do not fit into one of the classic categories of drugs of abuse. The most common age group abusing these agents range from 17 to 25 years old and are often associated with group settings. Due to their diverse pharmacological nature, legislative efforts to classify these chemicals as a schedule I drug have lagged behind the development of new alternative agents. The potential reason for abuse of these agents is their hallucinogenic, dissociative, stimulant, anti-muscarinic, or sedative properties. Some of these drugs are easily obtainable such as Datura stramonium (Jimson Weed) or Lophophora williamsii (Peyote) because they are natural plants indigenous to certain regions. The diverse pharmacology and clinical effects of these agents are so broad that they do not produce a universal constellation of signs and symptoms. Detailed physical exams are essential for identifying clues leading one to suspect an alternative drug of abuse. Testing for the presence of these agents is often limited, and even when available, the results do not return in a timely fashion. Intoxications from these agents pose unique challenges for health care providers. Physician knowledge of the physiological effects of these alternative agents and the local patterns of drug of abuse are important for the accurate diagnosis and optimal care of poisoned patients. This review summarizes the current knowledge of alternative drugs of abuse and highlights their clinical presentations. PMID:23636733

  8. [Sexual abuse of minors].

    PubMed

    Hayez, J Y

    1991-01-01

    The author gives a definition of sexual abuse on minors, emphasizing its more frequent occurrence inside the family (incest) than outside. He describes the countertransference reactions induced by this type of abuse, especially in professional teams who tend to put each other in a position of rivalry. Next, he sketches the pathogeny of sexual abuse, the clinical signs and the long term effects. The author deduces what should be the first signs of sexual abuse and proposes a pattern of diagnosis. Finally, he explains a management model, of the crisis and the follow-up of this difficult situation. PMID:1670411

  9. Elder physical abuse.

    PubMed

    Young, Lisa M

    2014-11-01

    Physical abuse of the elderly is a significant public health concern. The true prevalence of all types is unknown, and under-reporting is known to be significant. The geriatric population is projected to increase dramatically over the next 10 years, and the number of abused individuals is projected to increase also. It is critical that health care providers feel competent in addressing physical elder abuse. This article presents cases illustrating the variety of presenting symptoms that may be attributed to physical elder abuse.

  10. Alternative drugs of abuse.

    PubMed

    Sutter, M E; Chenoweth, J; Albertson, T E

    2014-02-01

    The incidence of drug abuse with alternative agents is increasing. The term "alternative drugs of abuse" is a catch-all term for abused chemicals that do not fit into one of the classic categories of drugs of abuse. The most common age group abusing these agents range from 17 to 25 years old and are often associated with group settings. Due to their diverse pharmacological nature, legislative efforts to classify these chemicals as a schedule I drug have lagged behind the development of new alternative agents. The potential reason for abuse of these agents is their hallucinogenic, dissociative, stimulant, anti-muscarinic, or sedative properties. Some of these drugs are easily obtainable such as Datura stramonium (Jimson Weed) or Lophophora williamsii (Peyote) because they are natural plants indigenous to certain regions. The diverse pharmacology and clinical effects of these agents are so broad that they do not produce a universal constellation of signs and symptoms. Detailed physical exams are essential for identifying clues leading one to suspect an alternative drug of abuse. Testing for the presence of these agents is often limited, and even when available, the results do not return in a timely fashion. Intoxications from these agents pose unique challenges for health care providers. Physician knowledge of the physiological effects of these alternative agents and the local patterns of drug of abuse are important for the accurate diagnosis and optimal care of poisoned patients. This review summarizes the current knowledge of alternative drugs of abuse and highlights their clinical presentations.

  11. Accommodation of COTS LCDs in military displays

    NASA Astrophysics Data System (ADS)

    Armstrong, James B.; Henz, James M.; Dodd, Sonia R.

    1998-09-01

    Commercial off the shelf (COTS) liquid crystal displays are attractive as an alternative to LCDs that are custom designed and manufactured for the military environment. Commercial displays require significant modification to accommodate their use. This paper describes specific modifications that create a thermal cocoon around a nominal 3.6 X 4.6-inch commercial industrial/automotive display. The thermal design techniques allow the display to function in the particularly challenging F-16 thermal environment without exceeding the display's operating specification. The work is extended to examine what additional design extensions are required for still larger displays.

  12. Hidden Disabilities: A Look at Alcohol and Other Drug Abuse Prevention.

    ERIC Educational Resources Information Center

    VSA Educational Services, Washington, DC. Resource Center on Substance Abuse Prevention and Disability.

    This leaflet discusses alcohol and other drug abuse prevention for individuals with hidden disabilities such as cancer, epilepsy, diabetes, kidney failure, hemophilia, hypertension, early stages of acquired immune deficiency syndrome (AIDS), or heart disease. Their increased risk for alcohol and other drug abuse and reasons for increased risk are…

  13. 14 CFR 152.421 - Public accommodations, services, and benefits.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... 14 Aeronautics and Space 3 2011-01-01 2011-01-01 false Public accommodations, services, and... TRANSPORTATION (CONTINUED) AIRPORTS AIRPORT AID PROGRAM Nondiscrimination in Airport Aid Program § 152.421 Public accommodations, services, and benefits. Requirements relating to the provision of public accommodations,...

  14. 14 CFR 152.421 - Public accommodations, services, and benefits.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... 14 Aeronautics and Space 3 2010-01-01 2010-01-01 false Public accommodations, services, and... TRANSPORTATION (CONTINUED) AIRPORTS AIRPORT AID PROGRAM Nondiscrimination in Airport Aid Program § 152.421 Public accommodations, services, and benefits. Requirements relating to the provision of public accommodations,...

  15. Assessment of launch site accommodations versus Spacelab payload requirements

    NASA Technical Reports Server (NTRS)

    1977-01-01

    The Kennedy launch site capability for accommodating spacelab payload operations was assessed. Anomalies between facility accommodations and requirements for the Spacelab III (Strawman), OA Mission 83-2, Dedicated Life Sciences, and Combined Astronomy missions are noted. Recommendations for revision of the accommodations handbook are summarized.

  16. 46 CFR 167.50-1 - Hospital accommodations.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 46 Shipping 7 2010-10-01 2010-10-01 false Hospital accommodations. 167.50-1 Section 167.50-1... SHIPS Accommodations § 167.50-1 Hospital accommodations. Each nautical school ship, which makes voyages... compartment suitably separated from other spaces for hospital purposes, and such compartment shall have...

  17. 28 CFR 36.310 - Transportation provided by public accommodations.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... 28 Judicial Administration 1 2011-07-01 2011-07-01 false Transportation provided by public... BASIS OF DISABILITY BY PUBLIC ACCOMMODATIONS AND IN COMMERCIAL FACILITIES Specific Requirements § 36.310 Transportation provided by public accommodations. (a) General. (1) A public accommodation that...

  18. 28 CFR 36.310 - Transportation provided by public accommodations.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... 28 Judicial Administration 1 2014-07-01 2014-07-01 false Transportation provided by public... BASIS OF DISABILITY BY PUBLIC ACCOMMODATIONS AND IN COMMERCIAL FACILITIES Specific Requirements § 36.310 Transportation provided by public accommodations. (a) General. (1) A public accommodation that...

  19. 28 CFR 36.310 - Transportation provided by public accommodations.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 28 Judicial Administration 1 2010-07-01 2010-07-01 false Transportation provided by public... BASIS OF DISABILITY BY PUBLIC ACCOMMODATIONS AND IN COMMERCIAL FACILITIES Specific Requirements § 36.310 Transportation provided by public accommodations. (a) General. (1) A public accommodation that...

  20. 28 CFR 36.310 - Transportation provided by public accommodations.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... 28 Judicial Administration 1 2013-07-01 2013-07-01 false Transportation provided by public... BASIS OF DISABILITY BY PUBLIC ACCOMMODATIONS AND IN COMMERCIAL FACILITIES Specific Requirements § 36.310 Transportation provided by public accommodations. (a) General. (1) A public accommodation that...

  1. 28 CFR 36.310 - Transportation provided by public accommodations.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... 28 Judicial Administration 1 2012-07-01 2012-07-01 false Transportation provided by public... BASIS OF DISABILITY BY PUBLIC ACCOMMODATIONS AND IN COMMERCIAL FACILITIES Specific Requirements § 36.310 Transportation provided by public accommodations. (a) General. (1) A public accommodation that...

  2. 46 CFR 127.260 - Ventilation for accommodations.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 46 Shipping 4 2010-10-01 2010-10-01 false Ventilation for accommodations. 127.260 Section 127.260 Shipping COAST GUARD, DEPARTMENT OF HOMELAND SECURITY (CONTINUED) OFFSHORE SUPPLY VESSELS CONSTRUCTION AND ARRANGEMENTS Particular Construction and Arrangements § 127.260 Ventilation for accommodations. (a) Each accommodation space must be...

  3. 46 CFR 127.260 - Ventilation for accommodations.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... 46 Shipping 4 2013-10-01 2013-10-01 false Ventilation for accommodations. 127.260 Section 127.260 Shipping COAST GUARD, DEPARTMENT OF HOMELAND SECURITY (CONTINUED) OFFSHORE SUPPLY VESSELS CONSTRUCTION AND ARRANGEMENTS Particular Construction and Arrangements § 127.260 Ventilation for accommodations. (a) Each accommodation space must be...

  4. An Analysis and Rejection of Arguments for Religious Accommodation

    ERIC Educational Resources Information Center

    Kline, Lisa Anne

    2009-01-01

    This dissertation provides a comprehensive critical analysis of six main arguments for religious accommodation, with a specific focus on fundamentalist religious groups and the accommodation of their practices within liberal democratic societies. This analysis reveals that the types of practices that these arguments aim to accommodate primarily…

  5. 46 CFR 154.325 - Accommodation, service, and control spaces.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... 46 Shipping 5 2012-10-01 2012-10-01 false Accommodation, service, and control spaces. 154.325... Equipment Ship Arrangements § 154.325 Accommodation, service, and control spaces. (a) Accommodation, service, and control spaces must be outside the cargo area. (b) If a hold space having a cargo...

  6. The development of visual accommodation during early infancy.

    PubMed

    Banks, M S

    1980-09-01

    4 experiments were conducted concerning the development of visual accommodation in 1- to 3-month-old infants. In experiments 1 and 2 dynamic retinoscopy was used to measure accomodation responses at 3 stimulus distances. The results of experiment 1 revealed better accommodative capability from 1 to 3 months than reported originally. The procedure of experiment 2 was somewhat different but the results confirmed those of experiment 1. In experiment 3, accommodative responses at 7 stimulus distances were carefully measured in a small number of infants. These data provided estimates of the shape of infants' accommodation functions. In experiment 4, we used infrared photography to measure infants' pupil diameters while they viewed the stimuli of experiments 1 and 2. 2 simple hypotheses of the developmental mechanisms which underlie early accommodative development were considered. First, development of the motor component of the accommodative system might determine accommodative development. Second, development of the sensory component of the accommodative system might determine the observed development. The first hypothesis was tentatively rejected because it is inconsistent with some clinical findings. Evaluation of the second hypothesis involved calculating infants' depth of focus. We used those depth-of-focus values to predict how well infants of different ages should accommodate if their only limitation were in the sensory component of the accommodative system. The agreement between those predictions and observed accommodation was excellent, suggesting that changes in depth of focus in the first 3 months are largely responsible for growth in accommodation. The theoretical implications of this finding are discussed.

  7. 46 CFR 108.211 - Miscellaneous accommodation spaces.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 46 Shipping 4 2011-10-01 2011-10-01 false Miscellaneous accommodation spaces. 108.211 Section 108... DESIGN AND EQUIPMENT Construction and Arrangement Accommodation Spaces § 108.211 Miscellaneous accommodation spaces. (a) Each unit must have enough facilities for personnel to wash their own...

  8. 46 CFR 154.325 - Accommodation, service, and control spaces.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 46 Shipping 5 2011-10-01 2011-10-01 false Accommodation, service, and control spaces. 154.325... Equipment Ship Arrangements § 154.325 Accommodation, service, and control spaces. (a) Accommodation, service, and control spaces must be outside the cargo area. (b) If a hold space having a cargo...

  9. 46 CFR 108.197 - Construction of accommodation spaces.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 46 Shipping 4 2011-10-01 2011-10-01 false Construction of accommodation spaces. 108.197 Section... UNITS DESIGN AND EQUIPMENT Construction and Arrangement Accommodation Spaces § 108.197 Construction of accommodation spaces. (a) Each sleeping, mess, recreational, or hospital space that is adjacent to...

  10. 46 CFR 108.195 - Location of accommodation spaces.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ...) On all units, the deckhead of each accommodation space must be above the deepest load line. ... 46 Shipping 4 2014-10-01 2014-10-01 false Location of accommodation spaces. 108.195 Section 108... DESIGN AND EQUIPMENT Construction and Arrangement Accommodation Spaces § 108.195 Location...

  11. 46 CFR 108.195 - Location of accommodation spaces.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ...) On all units, the deckhead of each accommodation space must be above the deepest load line. ... 46 Shipping 4 2010-10-01 2010-10-01 false Location of accommodation spaces. 108.195 Section 108... DESIGN AND EQUIPMENT Construction and Arrangement Accommodation Spaces § 108.195 Location...

  12. 46 CFR 108.195 - Location of accommodation spaces.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ...) On all units, the deckhead of each accommodation space must be above the deepest load line. ... 46 Shipping 4 2011-10-01 2011-10-01 false Location of accommodation spaces. 108.195 Section 108... DESIGN AND EQUIPMENT Construction and Arrangement Accommodation Spaces § 108.195 Location...

  13. 46 CFR 108.195 - Location of accommodation spaces.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ...) On all units, the deckhead of each accommodation space must be above the deepest load line. ... 46 Shipping 4 2012-10-01 2012-10-01 false Location of accommodation spaces. 108.195 Section 108... DESIGN AND EQUIPMENT Construction and Arrangement Accommodation Spaces § 108.195 Location...

  14. 46 CFR 108.195 - Location of accommodation spaces.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ...) On all units, the deckhead of each accommodation space must be above the deepest load line. ... 46 Shipping 4 2013-10-01 2013-10-01 false Location of accommodation spaces. 108.195 Section 108... DESIGN AND EQUIPMENT Construction and Arrangement Accommodation Spaces § 108.195 Location...

  15. Student Perceptions of the Accommodation Process in Postsecondary Education

    ERIC Educational Resources Information Center

    Kurth, Noelle; Mellard, Daryl

    2006-01-01

    One cause of the underrepresentation of students with disabilities in postsecondary education may be a lack of appropriate and effective accommodations (e.g., West et al., 1993). This study hypothesized that ineffective and inappropriate accommodations result from an accommodation selection process that focuses on disability type rather than…

  16. 46 CFR 108.197 - Construction of accommodation spaces.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 46 Shipping 4 2010-10-01 2010-10-01 false Construction of accommodation spaces. 108.197 Section... UNITS DESIGN AND EQUIPMENT Construction and Arrangement Accommodation Spaces § 108.197 Construction of accommodation spaces. (a) Each sleeping, mess, recreational, or hospital space that is adjacent to...

  17. 46 CFR 154.325 - Accommodation, service, and control spaces.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 46 Shipping 5 2010-10-01 2010-10-01 false Accommodation, service, and control spaces. 154.325... Equipment Ship Arrangements § 154.325 Accommodation, service, and control spaces. (a) Accommodation, service, and control spaces must be outside the cargo area. (b) If a hold space having a cargo...

  18. 46 CFR 108.211 - Miscellaneous accommodation spaces.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 46 Shipping 4 2010-10-01 2010-10-01 false Miscellaneous accommodation spaces. 108.211 Section 108... DESIGN AND EQUIPMENT Construction and Arrangement Accommodation Spaces § 108.211 Miscellaneous accommodation spaces. (a) Each unit must have enough facilities for personnel to wash their own...

  19. 46 CFR 108.197 - Construction of accommodation spaces.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... 46 Shipping 4 2013-10-01 2013-10-01 false Construction of accommodation spaces. 108.197 Section... UNITS DESIGN AND EQUIPMENT Construction and Arrangement Accommodation Spaces § 108.197 Construction of accommodation spaces. (a) Each sleeping, mess, recreational, or hospital space that is adjacent to...

  20. 46 CFR 108.197 - Construction of accommodation spaces.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... 46 Shipping 4 2014-10-01 2014-10-01 false Construction of accommodation spaces. 108.197 Section... UNITS DESIGN AND EQUIPMENT Construction and Arrangement Accommodation Spaces § 108.197 Construction of accommodation spaces. (a) Each sleeping, mess, recreational, or hospital space that is adjacent to...

  1. 46 CFR 154.325 - Accommodation, service, and control spaces.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... 46 Shipping 5 2013-10-01 2013-10-01 false Accommodation, service, and control spaces. 154.325... Equipment Ship Arrangements § 154.325 Accommodation, service, and control spaces. (a) Accommodation, service, and control spaces must be outside the cargo area. (b) If a hold space having a cargo...

  2. 46 CFR 108.211 - Miscellaneous accommodation spaces.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... 46 Shipping 4 2013-10-01 2013-10-01 false Miscellaneous accommodation spaces. 108.211 Section 108... DESIGN AND EQUIPMENT Construction and Arrangement Accommodation Spaces § 108.211 Miscellaneous accommodation spaces. (a) Each unit must have enough facilities for personnel to wash their own...

  3. 46 CFR 108.211 - Miscellaneous accommodation spaces.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... 46 Shipping 4 2014-10-01 2014-10-01 false Miscellaneous accommodation spaces. 108.211 Section 108... DESIGN AND EQUIPMENT Construction and Arrangement Accommodation Spaces § 108.211 Miscellaneous accommodation spaces. (a) Each unit must have enough facilities for personnel to wash their own...

  4. 46 CFR 108.197 - Construction of accommodation spaces.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... 46 Shipping 4 2012-10-01 2012-10-01 false Construction of accommodation spaces. 108.197 Section... UNITS DESIGN AND EQUIPMENT Construction and Arrangement Accommodation Spaces § 108.197 Construction of accommodation spaces. (a) Each sleeping, mess, recreational, or hospital space that is adjacent to...

  5. 46 CFR 108.211 - Miscellaneous accommodation spaces.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... 46 Shipping 4 2012-10-01 2012-10-01 false Miscellaneous accommodation spaces. 108.211 Section 108... DESIGN AND EQUIPMENT Construction and Arrangement Accommodation Spaces § 108.211 Miscellaneous accommodation spaces. (a) Each unit must have enough facilities for personnel to wash their own...

  6. Quick and Easy Adaptations and Accommodations for Early Childhood Students

    ERIC Educational Resources Information Center

    Breitfelder, Leisa M.

    2008-01-01

    Research-based information is used to support the idea of the use of adaptations and accommodations for early childhood students who have varying disabilities. Multiple adaptations and accommodations are outlined. A step-by-step plan is provided on how to make specific adaptations and accommodations to fit the specific needs of early childhood…

  7. Extended Time Testing Accommodations: What Does the Research Say?

    ERIC Educational Resources Information Center

    Lovett, Benjamin J.

    2011-01-01

    Extended time is among the most common testing accommodations given to students with a wide range of disabilities. However, although school psychologists are often involved in accommodation decisions, many are unaware of research from the past decade that has changed their understanding of extended time. Used properly, testing accommodations let…

  8. The OEOP Duties of Reasonable Accommodation

    NASA Technical Reports Server (NTRS)

    Coppedge, Angela

    1995-01-01

    I was fortunate enough to be assigned two assignments during my ten weeks here at NASA's Langley Research Center, in the Office of Equal Opportunity Programs (OEOP). One of my projects gave me the chance to gain experience in developing calculation formulas for the EXCEL computer system, while my second project gave me the chance to put my research skills and legal knowledge to use. The function of the OEOP is to ensure the adherence to personnel policy and practices in the employment, development, advancement and treatment of Federal employees and applicants for employment. This includes veterans and disabled as well. My initial project involved the research of hiring and promotion among the different minorities and females employed here at Langley. The objective of my first project was to develop graphs that showed the number of promotions during the past five years for each minority group here on the Center. I also had to show the average number of years it took for each promotion. The objective of my second and main research project was to find and research cases regarding the reasonable accommodation of disabled workers. The research of these cases is to ensure that individuals with disabilities are provided the necessary accommodations that are essential to the function of their job.

  9. Sexual abuse in children - what to know

    MedlinePlus

    Sexual abuse - children ... are sexually abused before they turn 18. Sexual abuse of children is any activity that the abuser ... or vagina Tongue kissing Oral sex Intercourse Sexual abuse can also happen without physical contact, such as: ...

  10. Antitussives and substance abuse

    PubMed Central

    Burns, Jarrett M; Boyer, Edward W

    2013-01-01

    Abuse of antitussive preparations is a continuing problem in the United States and throughout the world. Illicit, exploratory, or recreational use of dextromethorphan and codeine/promethazine cough syrups is widely described. This review describes the pharmacology, clinical effects, and management of toxicity from commonly abused antitussive formulations. PMID:24648790

  11. Defining Child Abuse.

    ERIC Educational Resources Information Center

    Giovannoni, Jeanne M.; Becerra, Rosina M.

    In seeking to clarify the meaning of the terms "child abuse" and "child neglect" it has been assumed that, like other forms of social deviance, they are socially defined phenomena. Interviews were conducted with those professionals (lawyers, pediatricians, police officers, and social workers) who daily handle the problems of abuse and neglect for…

  12. Substance Abuse and Disability.

    ERIC Educational Resources Information Center

    Sales, Amos

    A review of the literature provides the conclusion that individuals with a disability versus those without a disability are more likely to have a substance abuse problem and less likely to get effective treatment. Data suggest 10-40% of all individuals in treatment for substance abuse have a coexisting physical or mental disability. Alcohol rates…

  13. Antitussives and substance abuse.

    PubMed

    Burns, Jarrett M; Boyer, Edward W

    2013-01-01

    Abuse of antitussive preparations is a continuing problem in the United States and throughout the world. Illicit, exploratory, or recreational use of dextromethorphan and codeine/promethazine cough syrups is widely described. This review describes the pharmacology, clinical effects, and management of toxicity from commonly abused antitussive formulations. PMID:24648790

  14. Adolescent Substance Abuse.

    ERIC Educational Resources Information Center

    Thorne, Craig R.; DeBlassie, Richard R.

    1985-01-01

    Cummings (1979), citing evidence from the National Institute of Drug Abuse, reports that one of every eleven adult Americans suffers from a severe addictive problem. Drug addiction is epidemic among teenagers; one of every six teenagers suffers from a severe addictive problem. This paper focuses on adolescent drug/substance abuse. (Author)

  15. Accommodative lag and fluctuations when optical aberrations are manipulated.

    PubMed

    Gambra, Enrique; Sawides, Lucie; Dorronsoro, Carlos; Marcos, Susana

    2009-06-09

    We evaluated the accommodative response to a stimulus moving from 0 to 6 D following a staircase function under natural, corrected, and induced optical aberrations, using an adaptive-optics (AO) electromagnetic deformable mirror. The accommodative response of the eye (through the mirror) and the change of aberrations were measured on 5 subjects using a Hartmann-Shack wavefront sensor operating at 12.8 Hz. Five conditions were tested: (1) natural aberrations, (2) AO correction of the unaccommodated state and induction (over 6-mm pupils) of (3) +1 microm and (4) -1 microm of spherical aberration and (5) -2 microm of vertical coma. Four subjects showed a better accommodative response with AO correction than with their natural aberrations. The induction of negative spherical aberration also produced a better accommodative response in the same subjects. Accommodative lag increased in all subjects when positive spherical aberration and coma were induced. Fluctuations of the accommodative response (computed during each 1-D period of steady accommodation) increased with accommodative response when high-order aberrations were induced. The largest fluctuations occurred for induced negative spherical aberration and the smallest for natural and corrected aberrations. The study demonstrates that aberrations influence accommodative lag and fluctuations of accommodation and that correcting aberrations improves rather than compromises the accommodative response.

  16. Disorders of Accommodative Convergation and Accommodation (AC/A) Relations at Traumatic Brain Injury

    PubMed Central

    Serdarevic, Raif

    2015-01-01

    Introduction: Accommodative Convergence/Accommodation (AC/A) ratio is constant at one and the same person in the course of life, i.e. the same ratio accommodative convergence monitor any change in accommodation measured in diopters. Such a perfect relationship is possible if there are no refractive anomalies in both eyes and oculomotor imbalance of eye muscles. Material and methods: We are examined 50 patients with close brain injury, and patients which had problems with near vision, accommodation and convergency were reducted, with loss motor fussion, and preserved stereoscopis vision, and showed us, that disturbances are clear motor and folowed with incapable of patient to hold of superposition view to watching object. Results: The difference in average proximity distance vision and reading time with no fatigue after 6 months a statistically significant, the value of t-test, t = 1873 for p <0.01, r = 0. 718. The value of convergent fusion 6 months after treatment in 30% of the patients was from 0 to16 Pd, S. D. = 18. 6, and χ2 = 7. 22. In 18% of the patients was from 0 to 10 Pd, S. D = 17. 61, and χ2 = 5. 41, at 20% of patients 0 to 22 Pd, SD = 14. 18, χ2 = 6. 84, in 16% of patients 0 to 4 Pd, SD = 16. 41, χ2 t-test = 5. 13 and the remaining 16% of patients the value of convergent fusion is about 1 PD, S. D = 15. 01, χ2 t = 5. 18. All patients showed significant improvement in near vision compared to the value of convergent fusion before treatment where χ2 t-test = 9.41, after 6 months of treatment, there is considerable significance p < 0 01, t–test 0. 914, correlation coefficient r = 0. 881. Conclusion: Disturbances of AC / A ratio should be evaluated only with regard to all symptoms and is only possible by proper rating interference in reading. PMID:26005257

  17. Physical abuse in pregnancy.

    PubMed Central

    Stewart, D E; Cecutti, A

    1993-01-01

    OBJECTIVES: To determine the prevalence of physical abuse during late pregnancy and to investigate how abused and nonabused pregnant women differ in demographic characteristics, health habits, psychologic distress and attitudes about fetal health. DESIGN: Survey of women attending for prenatal health care or admitted to hospital for delivery. The information was obtained on one occasion from self-report questionnaires, completed with the option of anonymity. SETTINGS: Community-based prenatal clinic, private obstetricians' offices in a large city, private family physicians' offices in a large city, family physicians' offices in a small town, and a university teaching hospital. PATIENTS: English-speaking women at 20 weeks' or more gestation attending or admitted consecutively. INTERVENTIONS: Three self-report questionnaires: the General Health Questionnaire (GHQ), the Fetal Health Locus of Control (FHLC) and the study questionnaire. RESULTS: Thirteen women (2.4%) refused to participate in the survey. Of the 548 women who completed the questionnaires 36 (6.6%) reported physical abuse during the current pregnancy and 60 (10.9%) before it. There were no significant differences in rates of abuse between settings. Of the women abused during the pregnancy 23 (63.9%) reported increased abuse during the pregnancy, and 28 (77.8%) remained with the abuser. Twenty-four pregnant women (66.7%) received medical treatment for abuse, but only 1 (2.8%) told her prenatal care provider of the abuse. Factor analysis revealed three factors associated with physical abuse in pregnancy: "social instability" (comprising low age, unmarried status, lower level of education, unemployment and unplanned pregnancy), "unhealthy lifestyle" (comprising poor diet, alcohol use, illicit drug use and emotional problems) and "physical health problems" (comprising health problems and prescription drug use). The GHQ scores showed that the abused women were significantly more emotionally distressed than the

  18. Adaptive Accommodation Control Method for Complex Assembly

    NASA Astrophysics Data System (ADS)

    Kang, Sungchul; Kim, Munsang; Park, Shinsuk

    Robotic systems have been used to automate assembly tasks in manufacturing and in teleoperation. Conventional robotic systems, however, have been ineffective in controlling contact force in multiple contact states of complex assemblythat involves interactions between complex-shaped parts. Unlike robots, humans excel at complex assembly tasks by utilizing their intrinsic impedance, forces and torque sensation, and tactile contact clues. By examining the human behavior in assembling complex parts, this study proposes a novel geometry-independent control method for robotic assembly using adaptive accommodation (or damping) algorithm. Two important conditions for complex assembly, target approachability and bounded contact force, can be met by the proposed control scheme. It generates target approachable motion that leads the object to move closer to a desired target position, while contact force is kept under a predetermined value. Experimental results from complex assembly tests have confirmed the feasibility and applicability of the proposed method.

  19. Accommodating life sciences on the Space Station

    NASA Technical Reports Server (NTRS)

    Arno, Roger D.

    1987-01-01

    The NASA Ames Research Center Biological Research Project (BRP) is responsible for identifying and accommodating high priority life science activities, utilizing nonhuman specimens, on the Space Station and is charged to bridge the gap between the science community and the Space Station Program. This paper discusses the approaches taken by the BRP in accomodating these research objectives to constraints imposed by the Space Station System, while maintaining a user-friendly environment. Consideration is given to the particular research disciplines which are given priority, the science objectives in each of these disciplines, the functions and activities required by these objectives, the research equipment, and the equipment suits. Life sciences programs planned by the Space Station participating partners (USA, Europe, Japan, and Canada) are compared.

  20. The ACCESS Mission: ISS Accommodation Study

    NASA Technical Reports Server (NTRS)

    Wefel, John P.; Wilson, Thomas L.; McKay, Gordon A. (Technical Monitor)

    2000-01-01

    ACCESS (Advanced Cosmic-ray Composition Experiment for Space Station) is a new mission concept payload for the International Space Station (ISS) which has undergone a preliminary accommodation study. ACCESS science goals include new measurements of the rare ultra-high energy and ultra-heavy components of the cosmic radiation above the Earth's atmosphere. The critical resource made available by the ISS is collecting power; up to 10,000 square meters-sr-days, for a four-year stay on-orbit, allows ACCESS to go beyond balloon-borne detectors. The instrument, consisting of a charge module, a transition radiation detector, and a calorimeter, measures nuclei throughout the periodic table. The study demonstrates that the ISS as a stable science platform at the threshold of space, can make improved cosmic-ray investigations possible in the next century.

  1. FDI and Accommodation Using NN Based Techniques

    NASA Astrophysics Data System (ADS)

    Garcia, Ramon Ferreiro; de Miguel Catoira, Alberto; Sanz, Beatriz Ferreiro

    Massive application of dynamic backpropagation neural networks is used on closed loop control FDI (fault detection and isolation) tasks. The process dynamics is mapped by means of a trained backpropagation NN to be applied on residual generation. Process supervision is then applied to discriminate faults on process sensors, and process plant parameters. A rule based expert system is used to implement the decision making task and the corresponding solution in terms of faults accommodation and/or reconfiguration. Results show an efficient and robust FDI system which could be used as the core of an SCADA or alternatively as a complement supervision tool operating in parallel with the SCADA when applied on a heat exchanger.

  2. Astrophysical payload accommodation on the space station

    NASA Technical Reports Server (NTRS)

    Woods, B. P.

    1985-01-01

    Surveys of potential space station astrophysics payload requirements and existing point mount design concepts were performed to identify potential design approaches for accommodating astrophysics instruments from space station. Most existing instrument pointing systems were designed for operation from the space shuttle and it is unlikely that they will sustain their performance requirements when exposed to the space station disturbance environment. The technology exists or is becoming available so that precision pointing can be provided from the space station manned core. Development of a disturbance insensitive pointing mount is the key to providing a generic system for space station. It is recommended that the MSFC Suspended Experiment Mount concept be investigated for use as part of a generic pointing mount for space station. Availability of a shirtsleeve module for instrument change out, maintenance and repair is desirable from the user's point of view. Addition of a shirtsleeve module on space station would require a major program commitment.

  3. Fault Accommodation in Control of Flexible Systems

    NASA Technical Reports Server (NTRS)

    Maghami, Peiman G.; Sparks, Dean W., Jr.; Lim, Kyong B.

    1998-01-01

    New synthesis techniques for the design of fault accommodating controllers for flexible systems are developed. Three robust control design strategies, static dissipative, dynamic dissipative and mu-synthesis, are used in the approach. The approach provides techniques for designing controllers that maximize, in some sense, the tolerance of the closed-loop system against faults in actuators and sensors, while guaranteeing performance robustness at a specified performance level, measured in terms of the proximity of the closed-loop poles to the imaginary axis (the degree of stability). For dissipative control designs, nonlinear programming is employed to synthesize the controllers, whereas in mu-synthesis, the traditional D-K iteration is used. To demonstrate the feasibility of the proposed techniques, they are applied to the control design of a structural model of a flexible laboratory test structure.

  4. Abusive Head Trauma (Shaken Baby Syndrome)

    MedlinePlus

    ... Ones & When? Smart School Lunches Emmy-Nominated Video "Cerebral Palsy: Shannon's Story" 5 Things to Know About Zika & ... problems with memory and attention severe mental retardation cerebral palsy Even in milder cases, in which babies look ...

  5. Using hidden cameras to monitor suspected parental abuse.

    PubMed

    Arterburn, T

    2001-01-01

    In using hidden cameras to monitor suspected parental abuse a security requirement or an invasion of privacy? Covert surveillance of patients suspected of having Munchausen syndrome by proxy at an Atlanta children's hospital resulted in considerable media scrutiny when researchers published their findings. This article presents details of the research, the involvement of security officers, and the reactions of local authorities and health officials.

  6. Understanding emotional abuse.

    PubMed

    Rees, C A

    2010-01-01

    Emotional abuse lacks the public and political profile of physical and sexual abuse, despite being at their core and frequently their most damaging dimension. Difficulties in recognition, definition and legal proof put children at risk of remaining in damaging circumstances. Assessment of the emotional environment is necessary when interpreting possible physical or sexual abuse and balancing the risks and benefits of intervention. This article considers factors contributing to professional difficulty. It is suggested that understanding emotional abuse from the first principles of the causes and implications of the dysfunctional parent-child relationships it represents can help prevention, recognition and timely intervention. It may facilitate the professional communication needed to build up a picture of emotional abuse and of the emotional context of physical and sexual abuse. Doing so may contribute to the safety of child protection practice. The long-term cost of emotional abuse for individuals and society should be a powerful incentive for ensuring that development of services and clinical research are priorities, and that the false economy of short-term saving is avoided.

  7. Child Abuse and Mandated Reporting

    ERIC Educational Resources Information Center

    Woika, Shirley; Bowersox, Carissa

    2013-01-01

    Teachers and teachers-in-training are mandated reporters; they are legally required to report any suspected child abuse or neglect. This article describes: (1) How to file a report; (2) How prevalent child abuse is; (3) What abuse is; (4) What it means to be a mandated reporter; (5) When the report should be made; and (6) What to do if abuse is…

  8. When Caregivers Sexually Abuse Children.

    ERIC Educational Resources Information Center

    Tully, Fred

    1998-01-01

    A veteran child therapist reflects on the distressing problem of adults who sexually violate children and youth in their care. Discusses changes in society that may be the cause of increased child sexual abuse. Offers three "truths" concerning child sexual abuse. Presents the account of an abuser and discusses what happens when an abuser is…

  9. Encountering Child Abuse at Camp.

    ERIC Educational Resources Information Center

    Durall, John K.

    1997-01-01

    Defines child abuse, including the three categories: physical, sexual, and psychological. Presents characteristics and behaviors of each type of abuse, and long-term effects. Discusses how to handle abuse that occurs at camp, and the effects on the camp. Sidebars present abuse statistics, 15 activities that promote psychological wellness, and 8…

  10. Workplace abuse: finding solutions.

    PubMed

    Christmas, Kate

    2007-01-01

    The atmosphere within the work setting speaks volumes about your culture, and is often a primary factor in recruitment and retention (or turnover) of staff. Workplace tension and abuse are significant contributing factors as to why nurses are exiting workplaces--and even leaving the profession. Abuse can take many forms from inappropriate interpersonal communication to sexual harassment and even violence. Administrators should adopt a zero tolerance policy towards abusive communication. Addressing peer behavior is essential, but positive behavior must also be authentically modeled from the CNO and other nursing leaders. Raising awareness and holding individuals accountable for their behavior can lead to a safer and more harmonious work environment.

  11. Child abuse - physical

    MedlinePlus

    ... to a child of any race, religion, or economic status. HELP AN ABUSED CHILD Learn about the ... as cigarette burns Choke marks around the neck Circular marks around the wrists or ankles from twisting ...

  12. Alcoholism and Alcohol Abuse

    MedlinePlus

    ... This means that their drinking causes distress and harm. It includes alcoholism and alcohol abuse. Alcoholism, or ... brain, and other organs. Drinking during pregnancy can harm your baby. Alcohol also increases the risk of ...

  13. Substance Abuse/Use

    MedlinePlus

    ... Video Games Video Sharing Sites Webcasts/ Webinars Widgets Wikis Follow Us on New Media Virtual Office Hours ... users when they are included as part of medical and substance abuse treatment and prevention services. Syringe ...

  14. Sexual Abuse of Children.

    ERIC Educational Resources Information Center

    Csapo, Marg

    1988-01-01

    Canadian reports and legislation are reviewed to highlight the school's role in prevention and reporting of suspicions of child sexual abuse. The vulnerability of handicapped children and child pornography are two areas of victimization emphasized. (Author/DB)

  15. Regional Sign Language Varieties in Contact: Investigating Patterns of Accommodation.

    PubMed

    Stamp, Rose; Schembri, Adam; Evans, Bronwen G; Cormier, Kearsy

    2016-01-01

    Short-term linguistic accommodation has been observed in a number of spoken language studies. The first of its kind in sign language research, this study aims to investigate the effects of regional varieties in contact and lexical accommodation in British Sign Language (BSL). Twenty-five participants were recruited from Belfast, Glasgow, Manchester, and Newcastle and paired with the same conversational partner. Participants completed a "spot-the-difference" task which elicited a considerable amount of contrasting regionally specific sign data in the participant-confederate dyads. Accommodation was observed during the task with younger signers accommodating more than older signers. The results are interpreted with reference to the relationship between language contact and lexical accommodation in BSL, and address how further studies could help us better understand how contact and accommodation contribute to language change more generally.

  16. Regional Sign Language Varieties in Contact: Investigating Patterns of Accommodation.

    PubMed

    Stamp, Rose; Schembri, Adam; Evans, Bronwen G; Cormier, Kearsy

    2016-01-01

    Short-term linguistic accommodation has been observed in a number of spoken language studies. The first of its kind in sign language research, this study aims to investigate the effects of regional varieties in contact and lexical accommodation in British Sign Language (BSL). Twenty-five participants were recruited from Belfast, Glasgow, Manchester, and Newcastle and paired with the same conversational partner. Participants completed a "spot-the-difference" task which elicited a considerable amount of contrasting regionally specific sign data in the participant-confederate dyads. Accommodation was observed during the task with younger signers accommodating more than older signers. The results are interpreted with reference to the relationship between language contact and lexical accommodation in BSL, and address how further studies could help us better understand how contact and accommodation contribute to language change more generally. PMID:26405209

  17. Vaccines for Drug Abuse

    PubMed Central

    Shen, Xiaoyun; Orson, Frank M.; Kosten, Thomas R.

    2012-01-01

    Current medications for drug abuse have had only limited success. Anti-addiction vaccines to elicit antibodies that block the pharmacological effects of drugs have great potential for treating drug abuse. We review the status for two vaccines that are undergoing clinical trials (cocaine and nicotine) and two that are still in pre-clinical development (methamphetamine and heroin). We also outline the challenges and ethical concerns for anti-addiction vaccine development and their use as future therapeutics. PMID:22130115

  18. Synthetic cathinone abuse

    PubMed Central

    Capriola, Michael

    2013-01-01

    The abuse of synthetic cathinones, widely known as bath salts, has been increasing since the mid-2000s. These substances are derivatives of the naturally occurring compound cathinone, which is the primary psychoactive component of khat. The toxicity of synthetic cathinones includes significant sympathomimetic effects, as well as psychosis, agitation, aggression, and sometimes violent and bizarre behavior. Mephedrone and methylenedioxypyrovalerone are currently the predominantly abused synthetic cathinones. PMID:23869180

  19. Accommodation in Astigmatic Children During Visual Task Performance

    PubMed Central

    Harvey, Erin M.; Miller, Joseph M.; Apple, Howard P.; Parashar, Pavan; Twelker, J. Daniel; Crescioni, Mabel; Davis, Amy L.; Leonard-Green, Tina K.; Campus, Irene; Sherrill, Duane L.

    2014-01-01

    Purpose. To determine the accuracy and stability of accommodation in uncorrected children during visual task performance. Methods. Subjects were second- to seventh-grade children from a highly astigmatic population. Measurements of noncycloplegic right eye spherical equivalent (Mnc) were obtained while uncorrected subjects performed three visual tasks at near (40 cm) and distance (2 m). Tasks included reading sentences with stimulus letter size near acuity threshold and an age-appropriate letter size (high task demands) and viewing a video (low task demand). Repeated measures ANOVA assessed the influence of astigmatism, task demand, and accommodative demand on accuracy (mean Mnc) and variability (mean SD of Mnc) of accommodation. Results. For near and distance analyses, respectively, sample size was 321 and 247, mean age was 10.37 (SD 1.77) and 10.30 (SD 1.74) years, mean cycloplegic M was 0.48 (SD 1.10) and 0.79 diopters (D) (SD 1.00), and mean astigmatism was 0.99 (SD 1.15) and 0.75 D (SD 0.96). Poor accommodative accuracy was associated with high astigmatism, low task demand (video viewing), and high accommodative demand. The negative effect of accommodative demand on accuracy increased with increasing astigmatism, with the poorest accommodative accuracy observed in high astigmats (≥3.00 D) with high accommodative demand/high hyperopia (1.53 D and 2.05 D of underaccommodation for near and distant stimuli, respectively). Accommodative variability was greatest in high astigmats and was uniformly high across task condition. No/low and moderate astigmats showed higher variability for the video task than the reading tasks. Conclusions. Accuracy of accommodation is reduced in uncorrected children with high astigmatism and high accommodative demand/high hyperopia, but improves with increased visual task demand (reading). High astigmats showed the greatest variability in accommodation. PMID:25103265

  20. Cultural accommodation as method and metaphor.

    PubMed

    Leong, Frederick T L

    2007-11-01

    The author summarizes the cultural accommodation model (CAM) of cross-cultural psychotherapy (F. T. L. Leong & S. H. Lee, 2006). This summary is divided into 2 parts, with the 1st part describing the theoretical development of the CAM as a method of psychotherapy and the research approach underlying it. This section includes a description of the author's program of research in which the development of the CAM, as well as its precursors, is embedded. L. H. Rogler, R. G. Malgady, and O. Rodriguez's (1989) framework has served as the foundation of the author's program of research on Asian American mental health. In focusing on the 4th stage of L. H. Rogler et al.'s model, F. T. L. Leong (1996) developed an integrative and multidimensional model of cross-cultural psychotherapy based on C. Kluckhohn and H. A. Murray's (1950) tripartite model. The CAM is an extension of F. T. L. Leong's (1996) integrative multidimensional model. The 2nd part of this article provides some speculation about the development of the CAM as a metaphor for the author's development as a psychotherapist and a psychological scientist. PMID:18020785

  1. Accommodating Actuator Failures in Flight Control Systems

    NASA Technical Reports Server (NTRS)

    Hess, R. A.; Siwakosit, W.; Chung, J.

    1998-01-01

    A technique for the design of flight control systems that can accommodate a set of actuator failures is presented. As employed herein, an actuator failure is defined as any change in the parametric model of the actuator which can adversely affect actuator performance. The technique is based upon the formulation of a fixed feedback topology which ensures at least stability in the presence of the failures in the set. The fixed compensation is obtained from a loop-shaping design procedure similar to Quantitative Feedback Theory and provides stability robustness in the presence of uncertainty in the vehicle dynamics caused by the failures. System adaptation to improve performance after actuator failure(s) occurs through a static gain adjustment in the compensator followed by modification of the system prefilter. Precise identification of the vehicle dynamics is unnecessary. Application to a single-input, single-output design using a simplified model of the longitudinal dynamics of the NASA High Angle of Attack Research Vehicle is discussed. Non-real time simulations of the system including a model of the pilot demonstrate the effectiveness and limitations of the approach.

  2. Research centrifuge accommodations on Space Station Freedom

    NASA Technical Reports Server (NTRS)

    Arno, Roger D.; Horkachuk, Michael J.

    1990-01-01

    Life sciences research using plants and animals on the Space Station Freedom requires the ability to maintain live subjects in a safe and low stress environment for long durations at microgravity and at one g. The need for a centrifuge to achieve these accelerations is evident. Programmatic, technical, and cost considerations currently favor a 2.5 meter diameter centrifuge located either in the end cone of a Space Station Freedom node or in a separate module. A centrifuge facility could support a mix of rodent, plant, and small primate habitats. An automated cage extractor could be used to remove modular habitats in pairs without stopping the main rotor, minimizing the disruption to experiment protocols. The accommodation of such a centrifuge facility on the Space Station represents a significant demand on the crew time, power, data, volume, and logistics capability. It will contribute to a better understanding of the effects of space flight on humans, an understanding of plant growth in space for the eventual production of food, and an understanding of the role of gravity in biological processes.

  3. Magnitude and rate of accommodation in diving and nondiving birds.

    PubMed

    Sivak, J G; Hildebrand, T; Lebert, C

    1985-01-01

    Accommodation was measured in a variety of waterfowl by projecting parallel low power helium-neon laser beams through the pupils of excised eyes placed in saline. The posterior globe was removed, allowing the beams, refracted only by the lens, to focus well behind the eye. Electrical stimulation of the ciliary muscle results in accommodative movement of the focal point toward the eye. Study of video recordings show that diving ducks (Mergus cucullatus and Bucephala clangala) can accommodate the 70-80 D needed to focus light on the retina when the eye is in water. Diving and nondiving species are compared in amount and rate of accommodation. PMID:4049742

  4. Hypo-accommodation Responses in Hypermetropic Infants and Children

    PubMed Central

    Horwood, Anna M; Riddell, Patricia M

    2015-01-01

    Aims Accommodation to overcome hypermetropia is implicated in emmetropisation. This study recorded accommodation responses in a wide range of emmetropising infants and older children with clinically significant hypermetropia to assess common characteristics and differences. Methods A PlusoptiXSO4 photorefractor in a laboratory setting was used to collect binocular accommodation data from participants viewing a detailed picture target moving between 33cm and 2m. 38 typically developing infants were studied between 6-26 weeks of age and were compared with cross-sectional data from children 5-9 years of age with clinically significant hypermetropia (n=15), corrected fully accommodative strabismus (n=14) and 27 age-matched controls. Results Hypermetropes of all ages under-accommodated compared to controls at all distances, whether corrected or not (p<0.00001) and lag related to manifest refraction. Emmetropising infants under-accommodated most in the distance, while the hypermetropic patient groups under-accommodated most for near. Conclusions Better accommodation for near than distance is demonstrated in those hypermetropic children who go on to emmetropise. This supports the approach of avoiding refractive correction in such children. In contrast, hypermetropic children referred for treatment for reduced distance visual acuity are not likely to habitually accommodate to overcome residual hypermetropia left by an under-correction. PMID:20603431

  5. [Battered child syndrome: clinical and radiological aspects].

    PubMed

    Jlalia, Zied; Znaigui, Talel; Smida, Mahmoud

    2016-01-01

    Physical child abuse or battered child syndrome is responsible for over 75.000 deaths per year in France. This public health problem is under-diagnosed in Tunisia and in the world. The path toward the recognition of battered child syndrom was arduous even in some western societies. This study aims to highlight this problem to healthcare practitioners in order that accurate diagnosis and appropriate management may be provided. Physical child abuse has wrongly been referred to as Silverman syndrome that includes only skeletal lesions in children such as fractures. PMID:27642408

  6. Abuse of medications that theoretically are without abuse potential.

    PubMed

    Reeves, Roy R; Ladner, Mark E; Perry, Candace L; Burke, Randy S; Laizer, Janet T

    2015-03-01

    The potential for abuse of medications that are controlled substances is well known. Abuse of certain noncontrolled prescription drugs and over-the-counter medications also may occur. To some degree, any medication that exerts psychoactive effects may be abused if taken in high enough doses or by means that result in high serum or cerebrospinal fluid levels. Many clinicians may be unaware of the potential for abuse of these medications. This review examines evidence of the possibility of abuse of several common medications that theoretically do not have abuse potential, including cough and cold preparations, antihistamines, anticholinergics, antipsychotics, antidepressants, anticonvulsants, skeletal muscle relaxants, and antiemetics. Means by which such medications may be abused and biochemical and physiological mechanisms fostering their abuse also are discussed.

  7. Handbook of Job Analysis for Reasonable Accommodation. Personnel Management Series.

    ERIC Educational Resources Information Center

    Yuspeh, Sheldon

    This is the second in a series of booklets on reasonable accommodation. It focuses on a job analysis process that can be used to plan and select appropriate actions necessary to accommodate handicapped persons in specific jobs and work environments. The guide is aimed especially at federal agencies, which are required to make reasonable…

  8. 46 CFR 190.20-20 - Sleeping accommodations.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 46 Shipping 7 2011-10-01 2011-10-01 false Sleeping accommodations. 190.20-20 Section 190.20-20... CONSTRUCTION AND ARRANGEMENT Accomodations for Officers, Crew, and Scientific Personnel § 190.20-20 Sleeping...) Sleeping accommodations for the crew must be divided into rooms, no one of which must berth more than...

  9. 46 CFR 190.20-20 - Sleeping accommodations.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... 46 Shipping 7 2013-10-01 2013-10-01 false Sleeping accommodations. 190.20-20 Section 190.20-20... CONSTRUCTION AND ARRANGEMENT Accomodations for Officers, Crew, and Scientific Personnel § 190.20-20 Sleeping...) Sleeping accommodations for the crew must be divided into rooms, no one of which must berth more than...

  10. 46 CFR 190.20-20 - Sleeping accommodations.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... 46 Shipping 7 2012-10-01 2012-10-01 false Sleeping accommodations. 190.20-20 Section 190.20-20... CONSTRUCTION AND ARRANGEMENT Accomodations for Officers, Crew, and Scientific Personnel § 190.20-20 Sleeping...) Sleeping accommodations for the crew must be divided into rooms, no one of which must berth more than...

  11. 46 CFR 190.20-20 - Sleeping accommodations.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... 46 Shipping 7 2014-10-01 2014-10-01 false Sleeping accommodations. 190.20-20 Section 190.20-20... CONSTRUCTION AND ARRANGEMENT Accomodations for Officers, Crew, and Scientific Personnel § 190.20-20 Sleeping...) Sleeping accommodations for the crew must be divided into rooms, no one of which must berth more than...

  12. 24 CFR 966.7 - Accommodation of persons with disabilities.

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ... 24 Housing and Urban Development 4 2012-04-01 2012-04-01 false Accommodation of persons with disabilities. 966.7 Section 966.7 Housing and Urban Development REGULATIONS RELATING TO HOUSING AND URBAN... Requirements § 966.7 Accommodation of persons with disabilities. (a) For all aspects of the lease and...

  13. 24 CFR 966.7 - Accommodation of persons with disabilities.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... 24 Housing and Urban Development 4 2010-04-01 2010-04-01 false Accommodation of persons with disabilities. 966.7 Section 966.7 Housing and Urban Development Regulations Relating to Housing and Urban... Requirements § 966.7 Accommodation of persons with disabilities. (a) For all aspects of the lease and...

  14. 24 CFR 966.7 - Accommodation of persons with disabilities.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... 24 Housing and Urban Development 4 2011-04-01 2011-04-01 false Accommodation of persons with disabilities. 966.7 Section 966.7 Housing and Urban Development REGULATIONS RELATING TO HOUSING AND URBAN... Requirements § 966.7 Accommodation of persons with disabilities. (a) For all aspects of the lease and...

  15. 24 CFR 966.7 - Accommodation of persons with disabilities.

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ... 24 Housing and Urban Development 4 2014-04-01 2014-04-01 false Accommodation of persons with disabilities. 966.7 Section 966.7 Housing and Urban Development REGULATIONS RELATING TO HOUSING AND URBAN... Requirements § 966.7 Accommodation of persons with disabilities. (a) For all aspects of the lease and...

  16. 24 CFR 966.7 - Accommodation of persons with disabilities.

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ... 24 Housing and Urban Development 4 2013-04-01 2013-04-01 false Accommodation of persons with disabilities. 966.7 Section 966.7 Housing and Urban Development REGULATIONS RELATING TO HOUSING AND URBAN... Requirements § 966.7 Accommodation of persons with disabilities. (a) For all aspects of the lease and...

  17. Effects of Learning Style Accommodation on Achievement of Second Graders.

    ERIC Educational Resources Information Center

    Knight, Carol Bugg

    The purpose of this study was to devise an instructional model accommodating students' learning styles in the following areas: sound, light, temperature, design, and mobility. Specifically, this study determined if students in an experimental group with environmental accommodations to their preferred modes of learning differed from students in a…

  18. Effects of Learning Style Accommodation on Achievement of Second Graders.

    ERIC Educational Resources Information Center

    Knight, Carol Bugg; Halpin, Gerald; Halpin, Glennelle

    1996-01-01

    Whether grades earned in reading, mathematics, and language by 158 second graders when learning environmental accommodations were made in the areas of light, sound, temperature, design, and mobility differed from grades of control group students without these accommodations was studied. Control group students had higher mathematics and language…

  19. High velocity atomic oxygen/surface accommodation studies

    NASA Technical Reports Server (NTRS)

    Krech, R. H.; Gauthier, M. J.; Caledonia, G. E.

    1991-01-01

    This paper provides the first experimental evaluation of the energy-accommodation coefficients of 8km/s oxygen atoms on selected materials. Preliminary measurements have been provided for three materials at normal incidence. Neglecting chemical energy, the accommodation coefficients for Ni, Au, and reaction-cured glass are approximately 0.6 +/- 50 percent.

  20. 46 CFR 127.260 - Ventilation for accommodations.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... vessel of 100 or more gross tons must be provided with a mechanical ventilation system unless the... 46 Shipping 4 2014-10-01 2014-10-01 false Ventilation for accommodations. 127.260 Section 127.260... ARRANGEMENTS Particular Construction and Arrangements § 127.260 Ventilation for accommodations. (a)...

  1. 46 CFR 127.260 - Ventilation for accommodations.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... vessel of 100 or more gross tons must be provided with a mechanical ventilation system unless the... 46 Shipping 4 2011-10-01 2011-10-01 false Ventilation for accommodations. 127.260 Section 127.260... ARRANGEMENTS Particular Construction and Arrangements § 127.260 Ventilation for accommodations. (a)...

  2. Impact of Accommodation Strategies on English Language Learners' Test Performance.

    ERIC Educational Resources Information Center

    Abedi, Jamal; Lord, Carol; Hofstetter, Carolyn; Baker, Eva

    2000-01-01

    Examined the performance of English language learners (ELLs) on mathematics word problems, the effect of accommodation strategies, and the impact of students' background characteristics on accommodation effectiveness. Results for 946 eighth graders show that ELL students were helped by modified English, extra time, and use of a glossary plus extra…

  3. 13 CFR 112.6 - Discrimination in accommodations or services.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... 13 Business Credit and Assistance 1 2011-01-01 2011-01-01 false Discrimination in accommodations or services. 112.6 Section 112.6 Business Credit and Assistance SMALL BUSINESS ADMINISTRATION NONDISCRIMINATION IN FEDERALLY ASSISTED PROGRAMS OF SBA-EFFECTUATION OF TITLE VI OF THE CIVIL RIGHTS ACT OF 1964 § 112.6 Discrimination in accommodations...

  4. 29 CFR 1630.9 - Not making reasonable accommodation. \\

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... 29 Labor 4 2011-07-01 2011-07-01 false Not making reasonable accommodation. \\ 1630.9 Section 1630.9 Labor Regulations Relating to Labor (Continued) EQUAL EMPLOYMENT OPPORTUNITY COMMISSION... making reasonable accommodation.\\ (a) It is unlawful for a covered entity not to make...

  5. Family Accommodation in Pediatric Obsessive-Compulsive Disorder

    ERIC Educational Resources Information Center

    Storch, Eric A.; Geffken, Gary R.; Merlo, Lisa J.; Jacob, Marni L.; Murphy, Tanya K.; Goodman, Wayne K.; Larson, Michael J.; Fernandez, Melanie; Grabill, Kristen

    2007-01-01

    Despite the importance of the family in the treatment of pediatric obsessive-compulsive disorder (OCD), relatively little empirical attention has been directed to family accommodation of symptoms. This study examined the relations among family accommodation, OCD symptom severity, functional impairment, and internalizing and externalizing behavior…

  6. Transition to Postsecondary: New Documentation Guidance for Access to Accommodations

    ERIC Educational Resources Information Center

    Klotz, Mary Beth

    2012-01-01

    The Association on Higher Education and Disability (AHEAD) recently developed a conceptual framework that substantially revises its guidance for disability documentation for accommodations in higher education settings. This new document, "Supporting Accommodation Requests: Guidance on Documentation Practices," was written in response to the…

  7. Semicommunication and Accommodation: Observations from the Linguistic Situation in Scandinavia.

    ERIC Educational Resources Information Center

    Braunmuller, Kurt

    2002-01-01

    Focuses on semicommunication and accommodation and discusses two longer extracts from a large corpus of authentic communication from Scandinavia. Various aspects of a comprehensive model of semicommunication are presented and discussed, showing code switching and accommodation are not considered antagonistic but rather as scalar phenomena covering…

  8. Regional Sign Language Varieties in Contact: Investigating Patterns of Accommodation

    ERIC Educational Resources Information Center

    Stamp, Rose; Schembri, Adam; Evans, Bronwen G.; Cormier, Kearsy

    2016-01-01

    Short-term linguistic accommodation has been observed in a number of spoken language studies. The first of its kind in sign language research, this study aims to investigate the effects of regional varieties in contact and lexical accommodation in British Sign Language (BSL). Twenty-five participants were recruited from Belfast, Glasgow,…

  9. Examining Student Factors in Sources of Setting Accommodation DIF

    ERIC Educational Resources Information Center

    Lin, Pei-Ying; Lin, Yu-Cheng

    2014-01-01

    This exploratory study investigated potential sources of setting accommodation resulting in differential item functioning (DIF) on math and reading assessments for examinees with varied learning characteristics. The examinees were those who participated in large-scale assessments and were tested in either standardized or accommodated testing…

  10. Students' Perceptions of Accommodations in High School and College

    ERIC Educational Resources Information Center

    Bolt, Sara E.; Decker, Dawn M.; Lloyd, Megan; Morlock, Larissa

    2011-01-01

    A total of 55 college students with reading- and writing-related disabilities were asked to report on their high school and college experiences with 14 accommodations. Receiving assistance with having materials read aloud, extended time, and individual setting were the accommodations reported as being used by most students. Students tended to…

  11. Accommodation and relocation decision making in continuing care retirement communities.

    PubMed

    Netting, F E; Wilson, C C

    1991-11-01

    Accommodations and relocations in continuing care retirement communities (CCRCs) affect the lives of staff and residents. This article defines the CCRC concept and reviews the literature relevant to accommodation and relocation changes within CCRCs. Implications for health and human services practitioners who work with older CCRC residents, along with specific issues, are discussed.

  12. Religious Observance Accommodation in Ontario Universities. Discussion Paper.

    ERIC Educational Resources Information Center

    Reed, Carole Ann

    This paper highlights the religious accommodations that Ontario (Canada) universities have undertaken to create an inclusive, supportive learning community for all students, faculty, and staff. It outlines the demographic changes and public policy surrounding religious accommodation issues in Canada and in Ontario in particular, focusing on the…

  13. The Reasonable Accommodations Provisions of the Americans with Disabilities Act.

    ERIC Educational Resources Information Center

    Miles, Albert; And Others

    1991-01-01

    The Americans with Disabilities Act (ADA) provides broad-based protection for disabled persons by imposing far-reaching obligations on private-sector employers, public services and accommodations, transportation, and telecommunications. Provides a descriptive overview of the reasonable accommodations provisions of Title I and II of the ADA. (34…

  14. The complexities of elder abuse.

    PubMed

    Roberto, Karen A

    2016-01-01

    Elder abuse is a growing societal concern, affecting at least 1 in 10 older Americans. Researchers and practitioners alike consistently assert that a dramatic discrepancy exists between the prevalence rates of elder abuse and the number of elder abuse cases reported. As a field of study, recognition and understanding of elder abuse is still emerging. Comparing findings of a small, but growing, body of literature on perceived and substantiated cases of elder abuse is challenging because there is no uniform term or agreed-upon definition used among state governments, researchers, health care and service providers, and advocates. This article summarizes current understanding of elder abuse, including what constitutes elder abuse, risk factors for elder abuse, perpetrators of elder abuse, and outcomes of elder abuse. Issues associated with the detection of elder abuse and intervention strategies for victims of abuse are addressed. In the final section, potential roles and contributions of psychologists for advancing elder abuse research, professional practice, and policy development are highlighted. (PsycINFO Database Record

  15. Cultural value orientations, internalized homophobia, and accommodation in romantic relationships.

    PubMed

    Gaines, Stanley O; Henderson, Michael C; Kim, Mary; Gilstrap, Samuel; Yi, Jennifer; Rusbult, Caryl E; Hardin, Deletha P; Gaertner, Lowell

    2005-01-01

    In the present study, we examined the impact of cultural value orientations (i.e., the personally oriented value of individualism, and the socially oriented values of collectivism, familism, romanticism, and spiritualism) on accommodation (i.e., voice and loyalty, rather than exit and neglect, responses to partners' anger or criticism) in heterosexual and gay relationships; and we examined the impact of internalized homophobia (i.e., attitudes toward self, other, and disclosure) on accommodation specifically in gay relationships. A total of 262 heterosexuals (102 men and 162 women) and 857 gays (474 men and 383 women) participated in the present study. Consistent with hypotheses, among heterosexuals and gays, socially oriented values were significantly and positively related to accommodation (whereas the personally oriented value of individualism was unrelated to accommodation); and among gays in particular, internalized homophobia was significantly and negatively related to accommodation. Implications for the study of heterosexual and gay relationships are discussed. PMID:16368666

  16. The Revictimization of Adult Women With Histories of Childhood Abuse

    PubMed Central

    CHU, JAMES A.

    1992-01-01

    Both clinical experience and recent research statistics support the observation that childhood abuse survivors are vulnerable to revictimization as adults. The responsibility for revictimization, such as physical or sexual assault, belongs to the perpetrators. However, the factors that make abuse survivors more vulnerable to exploitation need to be examined and understood in order to provide adequate treatment and protection. This discussion integrates an understanding of three powerful forces—the repetition compulsion, post-traumatic syndromes, and profound relational disturbances—that permit the process of revictimization to occur. PMID:22700102

  17. Neonatal opioid withdrawal syndrome.

    PubMed

    Sutter, Mary Beth; Leeman, Lawrence; Hsi, Andrew

    2014-06-01

    Neonatal opioid withdrawal syndrome is common due to the current opioid addiction epidemic. Infants born to women covertly abusing prescription opioids may not be identified as at risk until withdrawal signs present. Buprenorphine is a newer treatment for maternal opioid addiction and appears to result in a milder withdrawal syndrome than methadone. Initial treatment is with nonpharmacological measures including decreasing stimuli, however pharmacological treatment is commonly required. Opioid monotherapy is preferred, with phenobarbital or clonidine uncommonly needed as adjunctive therapy. Rooming-in and breastfeeding may decease the severity of withdrawal. Limited evidence is available regarding long-term effects of perinatal opioid exposure.

  18. Wernicke-Korsakoff syndrome.

    PubMed Central

    Zubaran, C.; Fernandes, J. G.; Rodnight, R.

    1997-01-01

    Alcohol abuse is one of the most serious problems in public health and the Wernicke-Korsakoff syndrome is one of the gravest consequences of alcoholism. The pathology is often undiagnosed in its less evident presentations, therefore an accurate diagnostic approach is a critical step in treatment planning. Treatment is based on restoration of thiamine, although this is insufficient to prevent the psychological decline of a great number of patients. The cognitive impact of the pathology is derived from the interaction of alcoholic neurotoxicity, thiamine deficiency and personal susceptibility. In this article, the literature concerning Wernicke-Korsakoff syndrome is reviewed. Images p31-a PMID:9039406

  19. Restoration of accommodation: surgical options for correction of presbyopia

    PubMed Central

    Glasser, Adrian

    2010-01-01

    Accommodation is a dioptric change in the power of the eye to see clearly at near. Ciliary muscle contraction causes a release in zonular tension at the lens equator, which permits the elastic capsule to mould the young lens into an accommodated form. Presbyopia, the gradual age-related loss of accommodation, occurs primarily through a gradual age-related stiffening of the lens. While there are many possible options for relieving the symptoms of presbyopia, only relatively recently has consideration been given to surgical restoration of accommodation to the presbyopic eye. To understand how this might be achieved, it is necessary to understand the accommodative anatomy, the mechanism of accommodation and the causes of presbyopia. A variety of different kinds of surgical procedures has been considered for restoring accommodation to the presbyopic eye, including surgical expansion of the sclera, using femtosecond lasers to treat the lens or with so-called accommodative intraocular lenses (IOLs). Evidence suggests that scleral expansion cannot and does not restore accommodation. Laser treatments of the lens are in their early infancy. Development and testing of accommodative IOLs are proliferating. They are designed to produce a myopic refractive change in the eye in response to ciliary muscle contraction either through a movement of an optic or through a change in surface curvature. Three general design principles are being considered. These are single optic IOLs that rely on a forward shift of the optic, dual optic IOLs that rely on an increased separation between the two optics, or IOLs that permit a change in surface curvature to produce an increase in optical power in response to ciliary muscle contraction. Several of these different IOLs are available and being used clinically, while many are still in research and development. PMID:18399800

  20. Evidence that convergence rather than accommodation controls intermittent distance exotropia

    PubMed Central

    Horwood, Anna M; Riddell, Patricia M

    2015-01-01

    Purpose This study considered whether vergence drives accommodation or accommodation drives vergence during the control of distance exotropia for near fixation. High accommodative convergence to accommodation (AC/A) ratios are often used to explain this control, but the role of convergence to drive accommodation (the CA/C relationship) is rarely considered. Atypical CA/C characteristics could equally, or better, explain common clinical findings. Methods 19 distance exotropes, aged 4-11 years, were compared while controlling their deviation with 27 non-exotropic controls aged 5-9 years. Simultaneous vergence and accommodation responses were measured to a range of targets incorporating different combinations of blur, disparity and looming cues at four fixation distances between 2m and 33cm. Stimulus and response AC/A and CA/C ratios were calculated. Results Accommodation responses for near targets (p=0.017) response gains (p=0.026) were greater in the exotropes than the controls. Despite higher clinical stimulus AC/A ratios, the distance exotropes showed lower laboratory response AC/A ratios (p=0.02), but significantly higher CA/C ratios (p=0.02). All the exotropes, whether the angle changed most with lenses (“controlled by accommodation”) or on occlusion (“controlled by fusion”), used binocular disparity not blur as their main cue to target distance. Conclusions Increased vergence demand to control intermittent distance exotropia for near also drives significantly more accommodation. Minus lens therapy is more likely to act by correcting over-accommodation driven by controlling convergence, rather than by inducing blur-driven vergence. The use of convergence as a major drive to accommodation explains many clinical characteristics of distance exotropia, including apparently high near stimulus AC/A ratios. PMID:22280437

  1. How Do People with Intellectual Disabilities View Abuse and Abusers?

    ERIC Educational Resources Information Center

    Northway, Ruth; Melsome, Melissa; Flood, Samantha; Bennett, Davey; Howarth, Joyce; Thomas, Becki

    2013-01-01

    People with intellectual disabilities have a higher risk of being abused than other people, but to date research has not explored their views regarding abuse. This article reports the findings relating to one question within a participatory research study concerning the abuse of people with intellectual disabilities. This question asked what…

  2. Alienation and Domestic Abuse: How Abused Women Cope with Loneliness

    ERIC Educational Resources Information Center

    Arokach, Ami

    2006-01-01

    This study explored the manner in which abused women cope with loneliness. Eighty women, victims of domestic abuse, were compared to 84 women from the general population who have had no history of abusive relationships. A 34-item yes/no loneliness questionnaire was utilized in order to compare the "beneficial" ways of coping with loneliness in the…

  3. Animal abuse and intimate partner violence: researching the link and its significance in Ireland - a veterinary perspective.

    PubMed

    Gallagher, B; Allen, M; Jones, B

    2008-01-01

    Research on domestic violence has established a substantial association between intimate partner abuse and the abuse of children within the home. It is only recently however, that researchers have demonstrated the correlation between non-accidental injury in animals, and abuse of women by their intimate male partners. A growing body of evidence suggests that animal abuse can be an early indicator for other forms of violent behaviour. This research includes the responses of a sample of 23 women using refuge services in the Republic of Ireland. It investigates the connection between domestic violence and animal abuse, and ascertains if there is sufficient support service for animals and people relevant to domestic abuse. In the survey population, 57% of women reported witnessing one or more forms of abuse, or threats of abuse, of their pets. Five of which were reported to have resulted in the death of the pet. Eighty seven per cent of women felt a facility to accommodate pets would have made their decision to leave the family home easier. Four women disclosed that lack of such a service and concern for the welfare of their companion animals caused them to remain in their abusive relationships for longer than they felt appropriate. Nine families placed pets in the care of family or friends, one woman is unaware of the fate of her pet, while the pets of six families remained with the abusive male after his partner entered a refuge. The majority of women felt unable to talk to anyone about their fears for their pets' welfare. Many felt that there is no service which can provide temporary accommodation for womens' pets while they are in refuge. The results obtained support those found elsewhere in larger studies in the USA and UK, and demonstrate an association of animal abuse in households where there is reported domestic violence.

  4. Characteristics of substance abuse treatment programs providing services for HIV/AIDS, hepatitis C virus infection, and sexually transmitted infections: the National Drug Abuse Treatment Clinical Trials Network.

    PubMed

    Brown, Lawrence S; Kritz, Steven Allan; Goldsmith, R Jeffrey; Bini, Edmund J; Rotrosen, John; Baker, Sherryl; Robinson, Jim; McAuliffe, Patrick

    2006-06-01

    Illicit drug users sustain the epidemics of human immunodeficiency virus (HIV)/acquired immunodeficiency syndrome (AIDS), hepatitis C (HCV), and sexually transmitted infections (STIs). Substance abuse treatment programs present a major intervention point in stemming these epidemics. As a part of the "Infections and Substance Abuse" study, established by the National Drug Abuse Treatment Clinical Trials Network, sponsored by National Institute on Drug Abuse, three surveys were developed; for treatment program administrators, for clinicians, and for state and District of Columbia health and substance abuse department administrators, capturing service availability, government mandates, funding, and other key elements related to the three infection groups. Treatment programs varied in corporate structure, source of revenue, patient census, and medical and non-medical staffing; medical services, counseling services, and staff education targeted HIV/AIDS more often than HCV or STIs. The results from this study have the potential to generate hypotheses for further health services research to inform public policy. PMID:16716846

  5. Child Abuse: The Hidden Bruises

    MedlinePlus

    ... AACAP Facts for Families Guide Skip breadcrumb navigation Child Abuse - The Hidden Bruises Quick Links Facts For Families ... 5; Updated November 2014 The statistics on physical child abuse are alarming. It is estimated hundreds of thousands ...

  6. National Center on Elder Abuse

    MedlinePlus

    ... Research Synthesize and disseminate high quality research on elder abuse to encourage the translation of research into practice. ... to further the field for those interested in elder abuse identification and prevention. What’s Happening National Center on ...

  7. Substance abuse and child maltreatment.

    PubMed

    Wells, Kathryn

    2009-04-01

    Pediatricians and other medical providers caring for children need to be aware of the dynamics in the significant relationship between substance abuse and child maltreatment. A caregiver's use and abuse of alcohol, marijuana, heroin, cocaine, methamphetamine, and other drugs place the child at risk in multiple ways. Members of the medical community need to understand these risks because the medical community plays a unique and important role in identifying and caring for these children. Substance abuse includes the abuse of legal drugs as well as the use of illegal drugs. The abuse of legal substances may be just as detrimental to parental functioning as abuse of illicit substances. Many substance abusers are also polysubstance users and the compounded effect of the abuse of multiple substances may be difficult to measure. Often other interrelated social features, such as untreated mental illness, trauma history, and domestic violence, affect these families.

  8. Neurobiology of marijuana abuse.

    PubMed

    Abood, M E; Martin, B R

    1992-05-01

    Marijuana has a long history of abuse yet, as described here by Mary Abood and Billy Martin, there is little evidence that animals will self-administer the primary psychoactive constituent, tetrahydrocannabinol, or that marijuana stimulates brain reward pathways. While marked tolerance develops to marijuana, it has been difficult to demonstrate physical dependence, and until recently the mechanisms by which cannabinoids produced their behavioral effects were poorly defined. The development of new synthetic analogs played a critical role in the characterization and cloning of the cannabinoid receptor. Insight into cannabinoid receptors may lead to a better understanding of marijuana abuse in humans and provide new therapeutic strategies for several disorders.

  9. The economic impact of alcohol abuse and alcoholism.

    PubMed

    Burke, T R

    1988-01-01

    The economic effects of alcohol abuse are as damaging to the nation as the health effects, affecting the family, the community, and persons of all ages. Underaged drinking is interfering with children's development, affecting the nation's ability to respond to economic challenge in the future. The college aged may be the most difficult to educate about alcohol abuse because of drinking patterns established at an early age and susceptibility to advertising inducements. Health care costs for families with an alcoholic member are twice those for families without one, and up to half of all emergency room admissions are alcohol related. Fetal alcohol syndrome is one of the top three known causes of birth defects, and is totally preventable. Alcohol abuse and alcoholism are estimated to have cost the nation $117 billion in 1983, while nonalcoholic drug abuse that year cost $60 billion. Costs of alcohol abuse are expected to be $136 billion a year by 1990, mostly from lost productivity and employment. Between 6 and 7 million workers are alcoholic, with an undetermined loss of productivity, profits, and competitiveness of American business. Alcohol abuse contributes to the high health care costs of the elderly beneficiaries of Federal health financing programs. Heavily affected minorities include blacks, Hispanics, and Native Americans. Society tends to treat the medical and social consequences of alcohol abuse, rather than its causes. Although our experience with the consequences of alcohol abuse is greater than that for any other drug, public concern for its prevention and treatment is less than for other major illnesses or abuse of other drugs. Alcohol abuse is a problem being given high priority within the Department in an effort to create a national agenda on the issue and to try to impart a greater sense of urgency about the problems. Ways are being explored to integrate alcoholism activities into more Departmental programs. Employee assistance programs for alcohol

  10. The economic impact of alcohol abuse and alcoholism.

    PubMed

    Burke, T R

    1988-01-01

    The economic effects of alcohol abuse are as damaging to the nation as the health effects, affecting the family, the community, and persons of all ages. Underaged drinking is interfering with children's development, affecting the nation's ability to respond to economic challenge in the future. The college aged may be the most difficult to educate about alcohol abuse because of drinking patterns established at an early age and susceptibility to advertising inducements. Health care costs for families with an alcoholic member are twice those for families without one, and up to half of all emergency room admissions are alcohol related. Fetal alcohol syndrome is one of the top three known causes of birth defects, and is totally preventable. Alcohol abuse and alcoholism are estimated to have cost the nation $117 billion in 1983, while nonalcoholic drug abuse that year cost $60 billion. Costs of alcohol abuse are expected to be $136 billion a year by 1990, mostly from lost productivity and employment. Between 6 and 7 million workers are alcoholic, with an undetermined loss of productivity, profits, and competitiveness of American business. Alcohol abuse contributes to the high health care costs of the elderly beneficiaries of Federal health financing programs. Heavily affected minorities include blacks, Hispanics, and Native Americans. Society tends to treat the medical and social consequences of alcohol abuse, rather than its causes. Although our experience with the consequences of alcohol abuse is greater than that for any other drug, public concern for its prevention and treatment is less than for other major illnesses or abuse of other drugs. Alcohol abuse is a problem being given high priority within the Department in an effort to create a national agenda on the issue and to try to impart a greater sense of urgency about the problems. Ways are being explored to integrate alcoholism activities into more Departmental programs. Employee assistance programs for alcohol

  11. Drug Abuse in Southeast Asia.

    ERIC Educational Resources Information Center

    Scorzelli, James F.

    This report examines the incidence of drug abuse and the methods of treatment and prevention of drug abuse used in Southeast Asia. Countries studied include Malaysia, Singapore, Thailand, Indonesia, and the Philippines. Because of Malaysia's intensive effort to eliminate its drug abuse problem, emphasis is placed on this country's treatment and…

  12. Child Abuse Prevention Handbook. Revised.

    ERIC Educational Resources Information Center

    California State Office of the Attorney General, Sacramento. Crime Prevention Center.

    Intended to heighten public awareness and provide practical information to professionals, this handbook defines and describes child abuse (including sexual abuse) and its associated signs and injuries. The societal and family environments in which child abuse most typically occurs are described, and the California penal code sections pertaining to…

  13. The Satanic Ritual Abuse Controversy.

    ERIC Educational Resources Information Center

    Putnam, Frank W.

    1991-01-01

    The issues raised by Jonker and Jonker-Bakker and Young et al (EC 601 187-188) illustrate a major controversy dividing the child abuse community, the alleged existence of a conspiracy of satanic, ritual, sexual abuse of children. No evidence is found to support claims that large numbers of babies and children are being sacrificed or abused in…

  14. Child Abuse: Betrayal and Disclosure

    ERIC Educational Resources Information Center

    Foynes, Melissa Ming; Freyd, Jennifer J.; DePrince, Anne P.

    2009-01-01

    Objective: The current study tested several hypotheses about disclosure of childhood sexual, physical, and emotional abuse derived from Betrayal Trauma Theory [Freyd, J. J. (1996). Betrayal trauma: The logic of forgetting childhood abuse. Cambridge, MA: Harvard University Press]. We predicted that the duration of time from abuse to its disclosure…

  15. Physical Abuse Among Depressed Women

    PubMed Central

    Scholle, Sarah Hudson; Rost, Kathryn M; Golding, Jacqueline M

    1998-01-01

    OBJECTIVE To provide estimates of physical abuse and use of health services among depressed women in order to inform efforts to increase detection and treatment of physical abuse. DESIGN Retrospective assessment of abuse and health services use over 1 year in a cohort of depressed women. SETTING Statewide community sample from Arkansas. PARTICIPANTS We recruited 303 depressed women through random-digit-dial screening. MEASUREMENTS AND MAIN RESULTS Exposure to physical abuse based on the Conflict Tactics Scale, multi-informant estimate of health and mental health services. Over half of the depressed women (55.2%) reported experiencing physical abuse as adults, with 14.5% reporting abuse during the study year. Women abused as adults had significantly more severe depressive symptoms, more psychiatric comorbidity, and more physical illnesses than nonabused women. After controlling for sociodemographic and severity-of-illness factors, recently abused, depressed women were much less likely to receive outpatient care for mental health problems as compared to other depressed women (odds ratio [OR] 0.3;p = .013), though they were more likely to receive health care for physical problems (OR 5.7, p = .021). CONCLUSIONS Because nearly all depressed women experiencing abuse sought general medical rather than mental health care during the year of the study, primary care screening for physical abuse appears to be a critical link to professional help for abused, depressed women. Research is needed to inform primary care guidelines about methods for detecting abuse in depressed women. PMID:9754516

  16. Working with the Abused Camper.

    ERIC Educational Resources Information Center

    Johnson, Rebecca Cowan

    1990-01-01

    Describes forms of and reasons behind child abuse. Describes camp staff's role as reporters of suspected abuse. Describes techniques for identifying and dealing with abuse victims. Recommends offering victims respect, support, advocacy, and unconditional love. Describes steps staff might take to maximize camp's effectiveness in helping abuse…

  17. Geriatric Alcoholism and Drug Abuse

    ERIC Educational Resources Information Center

    Schuckit, Marc A.

    1977-01-01

    This paper reviews the literature and presents new data on alcohol and drug problems in older individuals. Drug abusers include users of opiates, inadvertent misusers, and deliberate abusers of nonopiates. Two to 10 percent of the elderly are alcoholic, and these are usually individuals beginning alcohol abuse after age 40. (Author)

  18. Child Abuse and Developmental Disabilities.

    ERIC Educational Resources Information Center

    Grayson, Joann, Ed.; Bartlette, Don

    1992-01-01

    Literature indicating high rates of abuse in this population is reviewed, as is literature indicating high rates of developmental disabilities in child victims of abuse. Problems in data collecting practices are noted. Reasons for these children's greater risk for abuse are identified, including child attributes, stress, parent vulnerabilities,…

  19. Substance abuse and criminal behavior.

    PubMed

    Bradford, J M; Greenberg, D M; Motayne, G G

    1992-09-01

    As forensic psychiatry develops as a clinical subspecialty, clinical skill in understanding, treating, and predicting violent behavior will become more important. This article addresses the importance of understanding the relationship between substance abuse and violent behavior. This article also discusses morbidity and mortality in substance abuse, the demographics of substance abuse and criminality, and the clinical aspects of the forensic psychiatric evaluation.

  20. Cognitive and Emotional Differences between Abusive and Non-Abusive Fathers

    ERIC Educational Resources Information Center

    Francis, Karen J.; Wolfe, David A.

    2008-01-01

    Objective: Abusive fathers perpetrate a substantial portion of child physical abuse. Despite this, little is known about how they differ from non-abusive fathers. This study compared a broad range of cognitive and affective factors between physically abusive and non-abusive fathers. Methods: Abusive (n = 24) and non-abusive (n = 25) fathers…

  1. Microgravity Flight - Accommodating Non-Human Primates

    NASA Technical Reports Server (NTRS)

    Dalton, Bonnie P.; Searby, Nancy; Ostrach, Louis

    1994-01-01

    thermoregulation, muscular, and cardiac responses to weightlessness. In contrast, the five completed Cosmos/Bion flights, lacked the metabolic samples and behavioral task monitoring, but did facilitate studies of the neurovestibular system during several of the flights. The RRF accommodated two adult 8-11 kg rhesus monkeys, while the Russian experiments and hardware were configured for a younger animal in the 44 kg range. Both the American and Russian hardware maintained a controlled environmental system, specifically temperature, humidity, a timed lighting cycle, and had means for providing food and fluids to the animal(s). Crew availability during a Shuttle mission was to be an optimal condition for retrieval and refrigeration of the animal urine samples along with a manual calcein injection which could lead to greater understanding of bone calcium incorporation. A special portable bioisolation glove box was under development to support this aspect of the experiment profile along with the capability of any contingency human intervention. As a result of recent U.S./Russian negotiations, funding for Space Station, and a series of other events, the SLS-3 mission was cancelled and applicable Rhesus Project experiments incorporated into the Russian Bion 11 and 12 missions. A presentation of the RRF and COSMOS/Bion rhesus hardware is presented along with current plans for the hardware.

  2. Microgravity Flight: Accommodating Non-Human Primates

    NASA Technical Reports Server (NTRS)

    Dalton, Bonnie P.; Searby, Nancy; Ostrach, Louis

    1995-01-01

    thermoregulation, muscular, and cardiac responses to weightlessness. In contrast, the five completed Cosmos/Bion flights, lacked the metabolic samples and behavioral task monitoring, but did facilitate studies of the neurovestibular system during several of the flights. The RRF accommodated two adult 8-11 kg rhesus monkeys, while the Russian experiments and hardware were configured for a younger animal in the 44 kg range. Both the American and Russian hardware maintained a controlled environmental system, specifically temperature, humidity, a timed lighting cycle, and had means for providing food and fluids to the animal(s). Crew availability during a Shuttle mission was to be an optimal condition for retrieval and refrigeration of the animal urine samples along with a manual calcein injection which could lead to greater understanding of bone calcium incorporation. A special portable bioisolation glove box was under development to support this aspect of the experiment profile along with the capability of any contingency human intervention. As a result of recent U.S./Russian negotiations, funding for Space Station, and a series of other events, the SLS-3 mission was cancelled and applicable Rhesus Project experiments incorporated into the Russian Bion 11 and 12 missions. A presentation of the RRF and COSMOS/Bion rhesus hardware is presented along with current plans for the hardware.

  3. Abuse Characteristics and Psychiatric Consequences Associated with Online Sexual Abuse.

    PubMed

    Say, Gökçe Nur; Babadağı, Zehra; Karabekiroğlu, Koray; Yüce, Murat; Akbaş, Seher

    2015-06-01

    The current study examined the rate and psychiatric correlates of sexual abuse involving the use of digital technologies by the offender in a wide sample of juvenile victims. Sociodemographic, abuse, and psychiatric characteristics of 662 sexually abused children and adolescents were evaluated. Of these, 93 reported that digital devices were used by the offender in several ways to facilitate the sexual abuse. The offender-victim relationship was initiated through the Internet in 39 victims. Involvement of digital technologies in sexual abuse was significantly associated with penetrative and recurrent form of sexual abuse commited by multiple offenders with coexisting violence. Additionally, victims of sexual abuse with a digital component were 4.21 times more likely to develop any psychopathology, 3.77 times more likely to have depression, and 2.14 times more likely to have post-traumatic stress disorder as a result of sexual abuse. These results indicated that the offender's use of digital technology may aid the initiation and facilitation of the sexual abuse of youths and may relate to more severe outcomes. This study revealed the importance of raising the awareness of professionals and the community about the potential risks associated with digital technologies and sexual abuse. Mental health professionals should consider this additional form of victimization, especially when dealing with sexual abuse victims.

  4. Interpersonal types among alcohol abusers: a comparison with drug abusers.

    PubMed

    Turner, J A; Mayr, S

    1990-07-01

    Interpersonal types among alcohol abusers were examined with Calsyn, Roszell, and Anderson's (1988) nine-type system for classifying FIRO-B profiles. The frequencies of the nine FIRO-B types among a sample of 135 male veteran alcohol abusers were compared with Calsyn et al.'s (1988) previously published data for a sample of male veteran drug abusers, a normative veteran sample, and a general population sample. The alcohol abusers, like Calsyn et al.'s sample of drug abusers, were more likely to be categorized as "loners," "rebels," and "pessimists" than was the general population sample. While exhibiting preferences for interpersonal types that emphasized social withdrawal, avoidance of responsibility, and mistrust of others, both the alcohol abusers and the drug abusers were heterogeneous groups whose members demonstrated a variety of interpersonal types.

  5. Circadian rhythms of visual accommodation responses and physiological correlations.

    NASA Technical Reports Server (NTRS)

    Murphy, M. R.; Randle, R. J.; Williams, B. A.

    1972-01-01

    Use of a recently developed servocontrolled infrared optometer to continuously record the state of monocular focus while subjects viewed a visual target for which the stimulus to focus was systematically varied. Calculated parameters form recorded data - e.g., speeds of accommodation to approaching and receding targets, magnitude of accommodation to step changes in target distance, and amplitude and phase lag of response to sinusoidally varying stimuli were submitted to periodicity analyses. Ear canal temperature (ECT) and heart rate (HR) rhythms were also recorded for physiological correlation with accommodation rhythms. HR demonstrated a 24-hr rhythm, but ECT data did not.

  6. New drugs of abuse.

    PubMed

    Rech, Megan A; Donahey, Elisabeth; Cappiello Dziedzic, Jacqueline M; Oh, Laura; Greenhalgh, Elizabeth

    2015-02-01

    Drug abuse is a common problem and growing concern in the United States, and over the past decade, novel or atypical drugs have emerged and have become increasingly popular. Recognition and treatment of new drugs of abuse pose many challenges for health care providers due to lack of quantitative reporting and routine surveillance, and the difficulty of detection in routine blood and urine analyses. Furthermore, street manufacturers are able to rapidly adapt and develop new synthetic isolates of older drugs as soon as law enforcement agencies render them illegal. In this article, we describe the clinical and adverse effects and purported pharmacology of several new classes of drugs of abuse including synthetic cannabinoids, synthetic cathinones, salvia, desomorphine, and kratom. Because many of these substances can have severe or life-threatening adverse effects, knowledge of general toxicology is key in recognizing acute intoxication and overdose; however, typical toxidromes (e.g., cholinergic, sympathomimetic, opioid, etc.) are not precipitated by many of these agents. Medical management of patients who abuse or overdose on these drugs largely consists of supportive care, although naloxone may be used as an antidote for desomorphine overdose. Symptoms of aggression and psychosis may be treated with sedation (benzodiazepines, propofol) and antipsychotics (haloperidol or atypical agents such as quetiapine or ziprasidone). Other facets of management to consider include treatment for withdrawal or addiction, nutrition support, and potential for transmission of infectious diseases. PMID:25471045

  7. Drug and Substance Abuse

    MedlinePlus

    ... Latest Research Getting More Help Related Topics Anxiety COPD Delirium Depression Pain Management Prevention Related News Older Adults Who Drink Alcohol at Risk for Drug Interactions Monday, November 23, 2015 Join our e-newsletter! Aging & Health A to Z Drug and Substance Abuse ...

  8. Educating against Drug Abuse.

    ERIC Educational Resources Information Center

    United Nations Educational, Scientific, and Cultural Organization, Paris (France).

    This book is a compilation of drug education and drug abuse prevention materials collected by United Nations Educational, Scientific and Cultural Organization (UNESCO) along with example of activities carried out by various countries. It opens with four introductory papers by separate authors: (1) "Prevention of Drug Dependence: A Utopian Dream?"…

  9. Substance Abuse and Counseling.

    ERIC Educational Resources Information Center

    Sales, Amos, Ed.

    This book focuses on the identification of practical knowledge and skills needed for counseling individuals with substance abuse problems. It is a resource for practitioners, students, and faculty in school counseling, rehabilitation counseling, mental health counseling, school psychology, or social work in recognizing, preventing, and treating…

  10. [Child Abuse: 1979 Report].

    ERIC Educational Resources Information Center

    Pennsylvania State Dept. of Public Welfare, Harrisburg.

    As mandated by Pennsylvania's Child Protective Services Law (Act 124), the document presents the Department of Public Welfare's 1979 report on child abuse. Following an introductory section is a brief section on the nature and scope of the problem. Section III outlines the past year's activities of the Department of Public Welfare's Office of…

  11. Prescription Drug Abuse

    MedlinePlus

    ... Fitness Diseases & Conditions Infections Q&A School & Jobs Drugs & Alcohol Staying Safe Recipes En Español Making a Change – Your Personal Plan Hot Topics Meningitis Choosing Your Mood Prescription Drug Abuse Healthy School Lunch Planner How Can I ...

  12. Sexual Abuse of Boys.

    ERIC Educational Resources Information Center

    Ellerstein, Norman S.; Canavan, J. William

    1980-01-01

    A retrospective review of 145 sexually abused children was undertaken to assess the importance of male children as victims and to determine if they pose problems different from those of girl victims. Journal Availability: American Medical Association, 535 N. Dearborn St., Chicago, IL 60610. (Author/PHR)

  13. Treatment for Child Abusers

    ERIC Educational Resources Information Center

    Tracy, James J.; Clark, Elizabeth H.

    1974-01-01

    Staff of a child abuse program in a Philadelphia hospital worked with parents in their own homes to help them develop greater competence as adults and as parents. This article describes the use of social learning theory, with some techniques of behavior therapy, as the basis for treatment. (Author)

  14. Effects of Drug Abuse

    MedlinePlus

    ... Abuse and HIV/AIDS Next Español English Español PDF Version Download Treatment & Recovery Information Treatment and Recovery ... the U.S. Department of Health and Human Services . PDF documents require the free Adobe Reader . Microsoft Word ...

  15. Intrafamilial Child Sexual Abuse.

    ERIC Educational Resources Information Center

    Randolph, Mickey; Nagle, Richard J.

    This paper reviews information regarding the incidence, demographic characteristics, family characteristics, and immediate/ongoing characteristics of incest victims. The characteristics reported include behavioral indicators of abuse, such as acting-out behavior, self-destructive behaviors, and provocative and inappropriate sexual behaviors;…

  16. Drug abuse in Asia.

    PubMed

    Suwanwela, C; Poshyachinda, V

    1986-01-01

    The article focuses on countries and areas of South-East Asia, which are seriously affected by drug abuse and the problems associated with it. Opium has traditionally been used for treating illnesses and alleviating physical and mental stress, as well as for recreational and social purposes. The prohibition of the sale and use of opium in Burma, Hong Kong, Malaysia, Singapore and Thailand forced many habitual opium users to switch to heroin. Over the past two decades there has been an increasing trend towards drug use, often involving experimentation with more than one substance, among youth in and out of school. For example, a survey of students at teachers' colleges in northern Thailand showed that at some time in their lives 30-40 per cent of the male respondents and 3-6 per cent of the female respondents had used cannabis, and that 18-20 per cent of the males and 12-27 per cent of the females had sniffed volatile solvents. The same survey showed that 5-10 per cent of both the males and females had used stimulants and nearly 2 per cent had used heroin. During the 1970s the abuse of heroin and other opiates emerged as a serious problem of epidemic nature, predominantly affecting young people in many countries of South-East Asia. While opiates, including heroin, have been abused by inhaling and by smoking, there has recently been an increasing trend towards injecting heroin of high purity (80-90 per cent pure heroin). Heroin addiction spread first to the populations of capital cities and then to other cities and towns and even to the hill tribes, as studies in Thailand have revealed. Most recent studies have shown that heroin abuse has spread further in Asia, both socially and geographically, involving such countries as India and Sri Lanka, which had no previous experience with the problem. Studies have also shown that the abuse of manufactured psychotropic substances has been increasing and that heroin addicts resort to these substances when heroin is difficult

  17. Drug abuse in Asia.

    PubMed

    Suwanwela, C; Poshyachinda, V

    1986-01-01

    The article focuses on countries and areas of South-East Asia, which are seriously affected by drug abuse and the problems associated with it. Opium has traditionally been used for treating illnesses and alleviating physical and mental stress, as well as for recreational and social purposes. The prohibition of the sale and use of opium in Burma, Hong Kong, Malaysia, Singapore and Thailand forced many habitual opium users to switch to heroin. Over the past two decades there has been an increasing trend towards drug use, often involving experimentation with more than one substance, among youth in and out of school. For example, a survey of students at teachers' colleges in northern Thailand showed that at some time in their lives 30-40 per cent of the male respondents and 3-6 per cent of the female respondents had used cannabis, and that 18-20 per cent of the males and 12-27 per cent of the females had sniffed volatile solvents. The same survey showed that 5-10 per cent of both the males and females had used stimulants and nearly 2 per cent had used heroin. During the 1970s the abuse of heroin and other opiates emerged as a serious problem of epidemic nature, predominantly affecting young people in many countries of South-East Asia. While opiates, including heroin, have been abused by inhaling and by smoking, there has recently been an increasing trend towards injecting heroin of high purity (80-90 per cent pure heroin). Heroin addiction spread first to the populations of capital cities and then to other cities and towns and even to the hill tribes, as studies in Thailand have revealed. Most recent studies have shown that heroin abuse has spread further in Asia, both socially and geographically, involving such countries as India and Sri Lanka, which had no previous experience with the problem. Studies have also shown that the abuse of manufactured psychotropic substances has been increasing and that heroin addicts resort to these substances when heroin is difficult

  18. Drug abuse and addiction.

    PubMed

    Nessa, A; Latif, S A; Siddiqui, N I; Hussain, M A; Hossain, M A

    2008-07-01

    Among the social and medical ills of the twentieth century, substance abuse ranks as on one of the most devastating and costly. The drug problem today is a major global concern including Bangladesh. Almost all addictive drugs over stimulate the reward system of the brain, flooding it with the neurotransmitter dopamine. That produces euphoria and that heightened pleasure can be so compelling that the brain wants that feeling back again and again. However repetitive exposure induces widespread adaptive changes in the brain. As a consequence drug use may become compulsive. An estimated 4.7% of the global population aged 15 to 64 or 184 million people, consume illicit drug annually. Heroin use alone is responsible for the epidemic number of new cases of HIV/AIDS, Hepatitis and drug addicted infant born each year. Department of narcotic control (DNC) in Bangladesh reported in June 2008 that about 5 million drug addicts in the country & addicts spend at least 17 (Seventeen) billion on drugs per year. Among these drug addicts, 91% are young and adolescents population. Heroin is the most widely abused drugs in Bangladesh. For geographical reason like India, Pakistan and Myanmar; Bangladesh is also an important transit root for internationally trafficking of illicit drug. Drug abuse is responsible for decreased job productivity and attendance increased health care costs, and escalations of domestic violence and violent crimes. Drug addiction is a preventable disease. Through scientific advances we now know much more about how exactly drugs work in the brain, and we also know that drug addiction can be successfully treated to help people stop abusing drugs and resume their productive lives. Most countries have legislation designed to criminalize some drugs. To decrease the prevalence of this problem in our setting; increase awareness, promoting additional research on abused and addictive drugs, and exact implementation of existing laws are strongly recommended. We should

  19. Child-abusers face mob justice.

    PubMed

    Sebunya, C

    1996-06-01

    In Uganda, before the acquired immunodeficiency syndrome (AIDS) epidemic, rape or sexual abuse of children was not considered a serious offense by the public, although the maximum criminal offense for rape was death. Because so many young girls are testing positive for human immunodeficiency virus (HIV), and due to the efforts of women's groups, public opinion is changing. According to the United Nations International Children's Fund (UNICEF), girls aged 9-15 years are five times more likely to be infected with HIV than boys of the same age. Adults, who fear their peers may be infected with HIV, turn to children; some AIDS patients believe sleeping with a virgin girl will cure their illness. Uganda is targeting a $15 million project to protect children 5-15 years of age. A study commissioned by the Uganda National Council for Women and Children in 1994 found that in Kabale district 31% of girls and 15% of boys had been abused, many by teachers. In Masaka district, the Council found that 30% of women had been coerced into sex; bosses abuse their maids, and customers abuse alcohol sellers. According to police, rape is the second most common crime in Uganda. Victims are reluctant to come forward to testify; rape victims can be shunned in their communities and may be considered ineligible for marriage. Cases which make it to court rarely get a fair hearing, according to the Council of Women, because the men handling the cases often favor the culprits. FIDA, an association of women lawyers, Action for Development (ACFODE), and the National Association of Women's Organisations in Uganda (NAWOU) are lobbying for tougher laws on rape and closed courts. They are pressuring newspapers to not disclose the names of victims. Although many expect the Ministry of Women to take the lead in this area, it has been unable to do so, because of a lack of funds; it received two-thirds of its budget for 1994-95, an indication, perhaps, of the Ugandan government's intentions. Two figures

  20. Child-abusers face mob justice.

    PubMed

    Sebunya, C

    1996-06-01

    In Uganda, before the acquired immunodeficiency syndrome (AIDS) epidemic, rape or sexual abuse of children was not considered a serious offense by the public, although the maximum criminal offense for rape was death. Because so many young girls are testing positive for human immunodeficiency virus (HIV), and due to the efforts of women's groups, public opinion is changing. According to the United Nations International Children's Fund (UNICEF), girls aged 9-15 years are five times more likely to be infected with HIV than boys of the same age. Adults, who fear their peers may be infected with HIV, turn to children; some AIDS patients believe sleeping with a virgin girl will cure their illness. Uganda is targeting a $15 million project to protect children 5-15 years of age. A study commissioned by the Uganda National Council for Women and Children in 1994 found that in Kabale district 31% of girls and 15% of boys had been abused, many by teachers. In Masaka district, the Council found that 30% of women had been coerced into sex; bosses abuse their maids, and customers abuse alcohol sellers. According to police, rape is the second most common crime in Uganda. Victims are reluctant to come forward to testify; rape victims can be shunned in their communities and may be considered ineligible for marriage. Cases which make it to court rarely get a fair hearing, according to the Council of Women, because the men handling the cases often favor the culprits. FIDA, an association of women lawyers, Action for Development (ACFODE), and the National Association of Women's Organisations in Uganda (NAWOU) are lobbying for tougher laws on rape and closed courts. They are pressuring newspapers to not disclose the names of victims. Although many expect the Ministry of Women to take the lead in this area, it has been unable to do so, because of a lack of funds; it received two-thirds of its budget for 1994-95, an indication, perhaps, of the Ugandan government's intentions. Two figures

  1. Substance abuse, HIV-1 and hepatitis

    PubMed Central

    Parikh, Nirzari; Nonnemacher, Michael R.; Pirrone, Vanessa; Block, Timothy; Mehta, Anand; Wigdahl, Brian

    2013-01-01

    During the course of human immunodeficiency virus type 1 (HIV-1) disease, the virus has been shown to effectively escape the immune response with the subsequent establishment of latent viral reservoirs in specific cell populations within the peripheral blood (PB) and associated lymphoid tissues, bone marrow (BM), brain, and potentially other end organs. HIV-1, along with hepatitis B and C viruses (HBV and HCV), are known to share similar routes of transmission, including intravenous drug use, blood transfusions, sexual intercourse, and perinatal exposure. Substance abuse, including the use of opioids and cocaine, is a significant risk factor for exposure to HIV-1 and the development of acquired immune deficiency syndrome, as well as HBV and HCV exposure, infection, and disease. Thus, coinfection with HIV-1 and HBV or HCV is common and may be impacted by chronic substance abuse during the course of disease. HIV-1 impacts the natural course of HBV and HCV infection by accelerating the progression of HBV/HCV-associated liver disease toward end-stage cirrhosis and quantitative depletion of the CD4+ T-cell compartment. HBV or HCV coinfection with HIV-1 is also associated with increased mortality when compared to either infection alone. This review focuses on the impact of substance abuse and coinfection with HBV and HCV in the PB, BM, and brain on the HIV-1 pathogenic process as it relates to viral pathogenesis, disease progression, and the associated immune response during the course of this complex interplay. The impact of HIV-1 and substance abuse on hepatitis virus-induced disease is also a focal point. PMID:22973853

  2. Utilization Sobriety: brief, individualized substance abuse treatment employing ideomotor questioning.

    PubMed

    Walsh, Bart J

    2003-01-01

    This article presents a substance abuse treatment method that acknowledges and accommodates the personal needs that are being addressed by substance. This method, Utilization Sobriety, bypasses perceived resistances and employs idiosyncratic psychobiological learning to achieve a body-mind gestalt that is complementary to the client's sobriety. It develops a safe framework for addressing any subsequent mental health themes directly or indirectly related to substance misuse. A treatment protocol for the use of Utilization Sobriety as well as relevant clinical material illustrating its application and a discussion of its implications are offered. PMID:12570092

  3. Care of the adult patient with Down syndrome.

    PubMed

    Ross, Whitney Trotter; Olsen, Martin

    2014-11-01

    Individuals with Down syndrome have an increased risk for many conditions, including cardiovascular disease, cancer, infections, and osteoporosis, and endocrine, neurological, orthopedic, auditory, and ophthalmic disorders. They also are at increased risk for abuse and human rights violations and receive fewer screenings and interventions than the population without Down syndrome. In this literature review, the most common health conditions associated with Down syndrome are examined, along with the topics of sexual abuse, menstrual hygiene, contraception, and human rights. Clinical guidelines for this population are summarized in an effort to assist practicing physicians in improving their provision of health care to the adult patient with Down syndrome.

  4. Cannabinoid Hyperemesis Syndrome

    PubMed Central

    Galli, Jonathan A.; Sawaya, Ronald Andari; Friedenberg, Frank K.

    2013-01-01

    Coinciding with the increasing rates of cannabis abuse has been the recognition of a new clinical condition known as Cannabinoid Hyperemesis Syndrome. Cannabinoid Hyperemesis Syndrome is characterized by chronic cannabis use, cyclic episodes of nausea and vomiting, and frequent hot bathing. Cannabinoid Hyperemesis Syndrome occurs by an unknown mechanism. Despite the well-established anti-emetic properties of marijuana, there is increasing evidence of its paradoxical effects on the gastrointestinal tract and CNS. Tetrahydrocannabinol, cannabidiol, and cannabigerol are three cannabinoids found in the cannabis plant with opposing effects on the emesis response. The clinical course of Cannabinoid Hyperemesis Syndrome may be divided into three phases: prodromal, hyperemetic, and recovery phase. The hyperemetic phase usually ceases within 48 hours, and treatment involves supportive therapy with fluid resuscitation and anti-emetic medications. Patients often demonstrate the learned behavior of frequent hot bathing, which produces temporary cessation of nausea, vomiting, and abdominal pain. The broad differential diagnosis of nausea and vomiting often leads to delay in the diagnosis of Cannabinoid Hyperemesis Syndrome. Cyclic Vomiting Syndrome shares several similarities with CHS and the two conditions are often confused. Knowledge of the epidemiology, pathophysiology, and natural course of Cannabinoid Hyperemesis Syndrome is limited and requires further investigation. PMID:22150623

  5. Opto-mechanical artificial eye with accommodative ability.

    PubMed

    Esteve-Taboada, José J; Del Águila-Carrasco, Antonio J; Marín-Franch, Iván; Bernal-Molina, Paula; Montés-Micó, Robert; López-Gil, Norberto

    2015-07-27

    The purpose of this study was to describe the design and characterization of a new opto-mechanical artificial eye (OMAE) with accommodative ability. The OMAE design is based on a second-pass configuration where a small source of light is used at the artificial retina plane. A lens whose focal length can be changed electronically was used to add the accommodation capability. The changes in the OMAE's aberrations with the lens focal length, which effectively changes the accommodative state of the OMAE, were measured with a commercial aberrometer. Changes in power and aberrations with room temperature were also measured. The OMAE's higher-order aberrations (HOAs) were similar to the ones of the human eye, including the rate at which fourth-order spherical aberration decreased with accommodation. The OMAE design proposed here is simple, and it can be implemented in an optical system to mimic the optics of the human eye.

  6. The Role of Accommodations in Poststroke Disability Management

    PubMed Central

    Burke, James F.; Freedman, Vicki A.

    2014-01-01

    Objective. To explore use of assistive devices and personal assistance and unmet need for assistance among older stroke survivors and identify potentially modifiable factors to optimize self-care and mobility activities in this population. Method. Using the 2011 National Health and Aging Trends Study, we compared demographic characteristics, accommodation-enabling factors and need-related factors for self-reported stroke survivors (N = 892) and stroke-free controls (N = 6,709). For individual self-care and mobility activities, we examined type of accommodation (no devices/no help, devices/no help, devices/help, help/no devices) and unmet need by stroke status. For the sample of stroke survivors, we then estimated (a) multinomial logistic regression models predicting type of accommodation and (b) logistic regression models predicting unmet need. Results. Stroke survivors used more assistive devices and received more personal assistance and had greater unmet need than stroke-free controls. In adjusted models, physical and cognitive capacity measures were most important in predicting accommodations and accommodations most important in predicting unmet need. Discussion. Although accommodations are commonly used by older adult stroke survivors, unmet need is also substantial. Future research should focus on finding ways to improve poststroke functional capacity and cognitive capacity and enhance adoption of assistive devices with the aim of reducing unmet need. PMID:25342820

  7. A review of exam accommodations for dental students with disabilities.

    PubMed

    Johnson, Aaron D

    2006-05-01

    The purpose of this investigation was to determine the extent to which testing accommodations are granted for students with disabilities in the dental predoctoral and doctoral settings. The investigator aimed to examine both the types of accommodations granted and estimate the number of students seeking accommodations due to a physical or learning disability. To address the research purpose, surveys were sent to the ADA and to each of the ten independent state and four regional dental licensing boards. During the five-year study period (1998-2003), there were 508 requests for accommodations on the Dental Admission Test (DAT) from 49,211 applicants (1.03 percent), 235 accommodation requests for the National Board Dental Examination, Part I from 54,750 applicants (0.43 percent), and 150 accommodation requests for the National Board Dental Examination, Part II from among 40,412 applicants (0.37 percent). Three of the fourteen U.S. licensing agencies (21.4 percent) kept no records, and eleven (78.6 percent) maintained some records. Unfortunately, a rigorous analysis of the impact that the Americans with Disabilities Act has had on standardized testing in dental education cannot be completed because of a lack of data available from the testing agencies.

  8. [Gardner syndrome--parent alienation syndrome (PAS). Diagnosis or family reality?].

    PubMed

    Namysłowska, Irena; Heitzman, Janusz; Siewierska, Anna

    2009-01-01

    The authors present characteristics of Parental Alienation Syndrome (PAS) proposed by Gardner as well as data, which may help to differentiate that syndrome with real psychological, physical and sexual abuse. The consequences of Gardner Syndrome for legal decisions in the court cases of child custody and the critique of this syndrome in forensic and psychiatric literature are also discussed, and several questions posed. Authors propose to treat Gardner Syndrome not as as a child disorder but as a specific, dynamic family situation, which occurs sometimes, during divorce and fight about child custody.

  9. Skeletal trauma in child abuse.

    PubMed

    Swoboda, Sara L; Feldman, Kenneth W

    2013-11-01

    Fractures and other skeletal injuries are common in childhood. Most are the result of falls, motor vehicle accidents, and other forms of accidental trauma. However, skeletal trauma is present in a significant number of abused children. Age and developmental abilities are key components in raising clinical suspicion for child abuse. Children who are unable to provide their own history because of age or developmental delay require increased attention. Younger children are more likely to have abusive fractures, whereas accidental fractures increase with age and developmental abilities. The consequences of missing abuse are high because children returned to their homes without intervention are likely to face further abuse and have an increased mortality risk. Because of the potentially high cost of undiagnosed child abuse, diagnosis of a skeletal injury is incomplete without diagnosing its etiology. All health providers for children should be able to recognize patterns of skeletal injury secondary to abusive trauma and understand the process for initiating Child Protective Services (CPS) investigations when necessary. Although they can occur accidentally, fractures in nonmobile children should always increase the clinician's concern for abusive trauma. In light of the significant consequences for children when abuse is missed by a primary care provider, abuse should be on the differential diagnosis for all presenting childhood injuries.

  10. Abuse Tolerance Improvements

    SciTech Connect

    Orendorff, Christopher J.; Nagasubramanian, Ganesan; Fenton, Kyle R.; Allcorn, Eric

    2015-10-01

    As lithium-ion battery technologies mature, the size and energy of these systems continues to increase (> 50 kWh for EVs); making safety and reliability of these high energy systems increasingly important. While most material advances for lithium-ion chemistries are directed toward improving cell performance (capacity, energy, cycle life, etc.), there are a variety of materials advancements that can be made to improve lithium-ion battery safety. Issues including energetic thermal runaway, electrolyte decomposition and flammability, anode SEI stability, and cell-level abuse tolerance continue to be critical safety concerns. This report highlights work with our collaborators to develop advanced materials to improve lithium-ion battery safety and abuse tolerance and to perform cell-level characterization of new materials.

  11. Acute Subdural Hematoma in Infants with Abusive Head Trauma: A Literature Review.

    PubMed

    Karibe, Hiroshi; Kameyama, Motonobu; Hayashi, Toshiaki; Narisawa, Ayumi; Tominaga, Teiji

    2016-05-15

    The number of cases with child abuse is increasing in Japan, and abusive head trauma (AHT) is a major cause of death in abused children. Child abuse has been recognized by the late 19th century, and widely accepted as battered child syndrome in the middle of the 20th century. As terms, there had been considerable mechanistic controversies between shaken-baby and -impact syndrome until the beginning of the 21st century. In recent years, AHT has been utilized as a less mechanistic term. Most of the characteristics of AHT in Japan have been similar to those in the United States as follows: infant is the most common victim, acute subdural hematoma (SDH) is the most common intracranial lesion, and retinal hemorrhage is often complicated. On the other hand, several characteristics have been different as follows: mother is the most common perpetrators, impact is a more common mechanism of trauma than shaking, and external trauma is more common reflecting the existence of impact. Since AHT as well as child abuse is a social pathological phenomenon influenced by victims, perpetrators, socioeconomic circumstances, and so on, various aspects of AHT as well as child abuse can be changed with times. Actually, a recent paper suggests such changes in infants with acute SDH due to AHT. In this review article, AHT, abusive infantile acute SDH in particular, are reviewed from the aspect of neurosurgical perspectives, including its mechanisms of trauma, biomechanics, clinical features, management, and prognosis, to update the trend in Japan. PMID:26960448

  12. Acute Subdural Hematoma in Infants with Abusive Head Trauma: A Literature Review

    PubMed Central

    KARIBE, Hiroshi; KAMEYAMA, Motonobu; HAYASHI, Toshiaki; NARISAWA, Ayumi; TOMINAGA, Teiji

    2016-01-01

    The number of cases with child abuse is increasing in Japan, and abusive head trauma (AHT) is a major cause of death in abused children. Child abuse has been recognized by the late 19th century, and widely accepted as battered child syndrome in the middle of the 20th century. As terms, there had been considerable mechanistic controversies between shaken-baby and -impact syndrome until the beginning of the 21st century. In recent years, AHT has been utilized as a less mechanistic term. Most of the characteristics of AHT in Japan have been similar to those in the United States as follows: infant is the most common victim, acute subdural hematoma (SDH) is the most common intracranial lesion, and retinal hemorrhage is often complicated. On the other hand, several characteristics have been different as follows: mother is the most common perpetrators, impact is a more common mechanism of trauma than shaking, and external trauma is more common reflecting the existence of impact. Since AHT as well as child abuse is a social pathological phenomenon influenced by victims, perpetrators, socioeconomic circumstances, and so on, various aspects of AHT as well as child abuse can be changed with times. Actually, a recent paper suggests such changes in infants with acute SDH due to AHT. In this review article, AHT, abusive infantile acute SDH in particular, are reviewed from the aspect of neurosurgical perspectives, including its mechanisms of trauma, biomechanics, clinical features, management, and prognosis, to update the trend in Japan. PMID:26960448

  13. Genetic differentials of child abuse: Is your case rare or real?

    PubMed

    Shur, Natasha; Carey, John C

    2015-12-01

    The clinical geneticist can be called upon to play a role in the medical evaluation of children with clinical findings concerning for child abuse. This Introduction describes a case of suspected child abuse in an 8-month-old baby referred to clinical genetics to exclude osteogenesis imperfecta. The experience from this case raised medical and ethical considerations and prompted consideration of the role of the clinical geneticist in distinguishing rare mimics of child abuse from real cases. From this single case, and a discussion regarding similar cases, arose the idea of this issue in Seminars in Medical Genetics, Genetic Differentials of Child Abuse: Is Your Case Rare or Real? In thinking about child abuse from a clinical genetics perspective, we categorize clinical presentations into fractures, skin lesions, hemorrhage, growth disturbances, and concern for caregiver-fabricated illness (previously known as Munchausen syndrome by proxy). In this Introduction, we also discuss recent questions regarding Ehlers-Danlos syndrome and infantile fractures and concerns about caregiver-fabricated illness in the context of mitochondrial or other rare diseases. The goal is that this issue on child abuse and genetics will serve as a resource to help distinguish the rare causes from the real cases of child abuse, and those critical distinctions and correct diagnoses may be life-saving for some infants and children. PMID:26513547

  14. Contemporary drugs of abuse.

    PubMed

    Giannini, A J; Price, W A; Giannini, M C

    1986-03-01

    The physician needs to know the signs, symptoms and recommended treatments of drug overdoses. Overdose of hallucinogens usually does not require drug therapy. Overdose of amphetamines ("uppers") may be complicated by the presence of PCP, a dissociative substance. It is important for the physician to be familiar with the street terminology for contemporary drugs of abuse and to be aware of how users obtain these drugs.

  15. Substance Abuse and Trauma.

    PubMed

    Simmons, Shannon; Suárez, Liza

    2016-10-01

    There is a strong, bidirectional link between substance abuse and traumatic experiences. Teens with cooccurring substance use disorders (SUDs) and posttraumatic stress disorder (PTSD) have significant functional and psychosocial impairment. Common neurobiological foundations point to the reinforcing cycle of trauma symptoms, substance withdrawal, and substance use. Treatment of teens with these issues should include a systemic and integrated approach to both the SUD and the PTSD. PMID:27613348

  16. [Disturbances of folic acid and homocysteine metabolism in alcohol abuse].

    PubMed

    Cylwik, Bogdan; Chrostek, Lech

    2011-04-01

    Chronic alcohol abuse leads to malnutrition, and thus to the deficiency of many nutrients, including vitamins and trace elements. Most often comes to the deficiency of all vitamins, however because the clinical implications, the most important is folic acid (vitamin B9) deficiency. Biochemical effect of folate deficiency is elevated homocysteine concentration in the blood, named "cholesterol of XXI. century". In the paper, the folate and homocysteine metabolism in alcohol abuse was discussed. Mechanisms of alcohol action on folate homeostasis in the human body have been indicated. Chronic alcohol consumption leads to deficiency of this vitamin due to their dietary inadequacy, intestinal malabsorption, decreased hepatic uptake and increased body excretion, mainly via urine. The decreased concentration of serum folic acid may occur in 80% of alcoholics. The cause of elevated concentrations of homocysteine in the serum of alcohol abusers is also a deficiency of vitamins involved such as vitamin B12 and pyridoxal phosphate. Disturbance of folic acid and homocysteine metabolism in alcohol abusers can lead to serious clinical consequences. Folic acid deficiency leads inter alia to macrocytic and megaloblastic anemia and neurological disorders. Megaloblastic anemia occurs in about half of alcohol abusers with chronic liver diseases. In turn, high level of homocysteine in blood is associated with an inreased risk of cardiovascular diseases. Hyperhomocysteinemia is an independent risk factor that favors the occurrence of acute coronary syndromes in patients with coronary heart disease.

  17. Substance abuse in women.

    PubMed

    Greenfield, Shelly F; Back, Sudie E; Lawson, Katie; Brady, Kathleen T

    2010-06-01

    Gender differences in substance use disorders (SUDs) and treatment outcomes for women with SUDs have been a focus of research in the last 15 years. This article reviews gender differences in the epidemiology of SUDs, highlighting the convergence of male/female prevalence ratios of SUDs in the last 20 years. The telescoping course of SUDs, recent research on the role of neuroactive gonadal steroid hormones in craving and relapse, and sex differences in stress reactivity and relapse to substance abuse are described. The role of co-occurring mood and anxiety, eating, and posttraumatic stress disorders is considered in the epidemiology, natural history, and treatment of women with SUDs. Women's use of alcohol, stimulants, opioids, cannabis, and nicotine are examined in terms of recent epidemiology, biologic and psychosocial effects, and treatment. Although women may be less likely to enter substance abuse treatment than men over the course of the lifetime, once they enter treatment, gender itself is not a predictor of treatment retention, completion, or outcome. Research on gender-specific treatments for women with SUDs and behavioral couples treatment has yielded promising results for substance abuse treatment outcomes in women.

  18. Substance abuse: an overview.

    PubMed

    Comerci, G D; Schwebel, R

    2000-02-01

    Substance abuse continues to be a major adolescent health risk. Despite encouraging trends toward decreased drug use in the late 1980s, an increase in use occurred in the early 1990s and only now is beginning to level off. A brief update on the status of the most commonly abused substances is provided. A discussion of current research is given in support of viewing drug addiction as a medical condition, i.e., a "brain disease." Reasons are suggested to explain why adolescents use and abuse drugs and why trends occur in their use. Two aspects of diagnosis are reviewed: psychiatric and medical comorbidity and drug screening and laboratory assessment of the adolescent. Prevention and early intervention are presented with an emphasis on drug education, behavioral wellness, family communication, doctor-patient discussion and assessment, and referral. Commentary is made on the ethics of care; issues of confidentiality and the right to privacy with regard to drug testing and sharing of information are explored. A review of various policy statements of the American Academy of Pediatrics and other medical organizations is presented.

  19. Drug abuse in athletes

    PubMed Central

    Reardon, Claudia L; Creado, Shane

    2014-01-01

    Drug abuse occurs in all sports and at most levels of competition. Athletic life may lead to drug abuse for a number of reasons, including for performance enhancement, to self-treat otherwise untreated mental illness, and to deal with stressors, such as pressure to perform, injuries, physical pain, and retirement from sport. This review examines the history of doping in athletes, the effects of different classes of substances used for doping, side effects of doping, the role of anti-doping organizations, and treatment of affected athletes. Doping goes back to ancient times, prior to the development of organized sports. Performance-enhancing drugs have continued to evolve, with “advances” in doping strategies driven by improved drug testing detection methods and advances in scientific research that can lead to the discovery and use of substances that may later be banned. Many sports organizations have come to ban the use of performance-enhancing drugs and have very strict consequences for people caught using them. There is variable evidence for the performance-enhancing effects and side effects of the various substances that are used for doping. Drug abuse in athletes should be addressed with preventive measures, education, motivational interviewing, and, when indicated, pharmacologic interventions. PMID:25187752

  20. Accommodation in young adults wearing aspheric multifocal soft contact lenses

    NASA Astrophysics Data System (ADS)

    Lindskoog Pettersson, Anna; Wahlberg Ramsay, Marika; Lundström, Linda; Rosén, Robert; Nilsson, Maria; Unsbo, Peter; Brautaset, Rune

    2011-11-01

    The aim of the present project was to investigate accommodative behavior in young adults and adolescents fitted with an aspheric multifocal (center distance) contact lens with focus on evaluating whether these lenses can be an alternative treatment for subjects in which a reduced level of blur and thereby accommodation in near vision is aimed at. Twenty normal subjects aged between 21 and 35 years participated in the study. Aberrometry was perfomed using a Zywave™ aberrometer, first on the uncorrected eyes of all subjects, and again while the subjects wore a multifocal contact lens with a +1.00 add. A Shin-Nippon N Vision-K 5001 Autoref-Keratometer was used to measure accommodative response with two different refractive corrections: (1) habitual spectacle correction only, and (2) habitual correction and a aspheric multifocal (center distance) contact lens. Four hours of adaptation to the lens was allowed. The lag when wearing only the habitual spectacles was compared with the lag while wearing both the habitual spectacles and the aspheric multifocal contact lens. The mean lag of accommodation for the subject group was 0.85 D (±0.57 SD) and 0.75 D (±0.52 SD) without and with the multifocal lens, respectively. Statistical analyses showed no difference in lag (t = 0.8479, p = 0.407) with and without the lens. In conclusion, young normal subjects do not relax accommodation when fitted with aspheric multifocal center distance lenses when the addition is +1.00. It is therefore unlikely that subjects with accommodative ability, in whom the treatment purpose is to reduce blur and thereby accommodation, can be effectively treated with such lenses.

  1. Accommodative and convergence response to computer screen and printed text

    NASA Astrophysics Data System (ADS)

    Ferreira, Andreia; Lira, Madalena; Franco, Sandra

    2011-05-01

    The aim of this work was to find out if differences exist in accommodative and convergence response for different computer monitors' and a printed text. It was also tried to relate the horizontal heterophoria value and accommodative response with the symptoms associated with computer use. Two independents experiments were carried out in this study. The first experiment was measuring the accommodative response on 89 subjects using the Grand Seiko WAM-5500 (Grand Seiko Co., Ltd., Japan). The accommodative response was measured using three computer monitors: a 17-inch cathode ray tube (CRT), two liquid crystal displays LCDs, one 17-inch (LCD17) and one 15 inches (LCD15) and a printed text. The text displayed was always the same for all the subjects and tests. A second experiment aimed to measure the value of habitual horizontal heterophoria on 80 subjects using the Von Graefe technique. The measurements were obtained using the same target presented on two different computer monitors, one 19-inch cathode ray tube (CRT) and other 19 inches liquid crystal displays (LCD) and printed on paper. A small survey about the incidence and prevalence of symptoms was performed similarly in both experiments. In the first experiment, the accommodation response was higher in the CRT and LCD's than for paper. There were not found significantly different response for both LCD monitors'. The second experiment showed that, the heterophoria values were similar for all the stimuli. On average, participants presented a small exophoria. In both experiments, asthenopia was the symptom that presented higher incidence. There are different accommodative responses when reading on paper or on computer monitors. This difference is more significant for CRT monitors. On the other hand, there was no difference in the values of convergence for the computer monitors' and paper. The symptoms associated with the use of computers are not related with the increase in accommodation and with the horizontal

  2. Child Abuse and Neglect in Indian Families.

    ERIC Educational Resources Information Center

    Sharan, M. B.

    Conditions in India that contribute to child abuse and neglect are discussed. Sections focus on child rearing practices, discipline of children at home and in school, the nation's six million abandoned children, child sexual abuse, causes of abuse, poverty, lack of education, characteristics of abused children and their abusers, situational…

  3. Wernicke's encephalopathy and anabolic steroid drug abuse. Is there any possible relation?

    PubMed

    Christopoulos, P; Katsanoulas, C; Timplalexi, G; Lathyris, D; Vasiliagkou, S; Antoniadou, E

    2012-10-01

    Wernicke's encephalopathy is a reversible, neurologic disorder due to thiamine deficiency which is mainly related to chronic alcohol abuse. We report a case of a young male patient, who was bodybuilder and anabolic drug user, in whom encephalopathy was diagnosed after a short medical course in the ICU after a major upper gastrointestinal bleeding (Mallory-Weiss syndrome) and hypovolemic shock. His clinical condition was typical for Wernicke's encephalopathy and although neuroimaging tests were not indicative, the patient received thiamine supplement therapy, which resulted in rapid clinical improvement. The diagnosis was based only on clinical sings and anabolic drug abuse was considered as a possible predisposing factor for the manifestation of the syndrome.

  4. Drug abuse in Slovak Republic.

    PubMed

    Kresanek, Jaroslav; Plackova, Silvia; Caganova, Blazena; Klobusicka, Zora

    2005-01-01

    The drug abusing structure has dramatically changed since 1989. While in 1989 the sniffing of the fluid drugs represented 98% of the global drug abuse, the most abused drugs were: heroin, marijuana, cocaine, amphetamine and its derivatives. During last 10 years situation with drug abuse has changed. Currently the most abused drugs: cannabinoides, amphetamines. The plant drugs (Datura stramonium, hallucinogenic mushrooms Psilocybe semilanceata, nutmeg--the seed of Myristica fragrans) combined with the alcohol are popular among the young abusers. According to an analysis of the phone consultations in our Toxicological Information Centre (TIC) we found out, that the number of intoxications with the plant drugs has increased five times during the last year (comparing with the year 2000), because of their easy availability, low price and quick spreading of information.

  5. Chylothorax associated with child abuse.

    PubMed

    Ichikawa, Yasuhiro; Sato, Atsuo; Sato, Kodai; Nakamura, Kaori; Kitagawa, Norihiko; Tanoue, Koji; Shiro, Hiroyuki

    2015-12-01

    We report a case of right chylothorax associated with physical abuse in a 10-month-old boy who presented with respiratory decompensation. Chylothorax was improved by thoracic drainage and nutrition management, such as fasting followed by medium-chain triglyceride milk. Chest computed tomography on admission showed bilateral old rib fractures. Accordingly, physical abuse was suspected. Chylothorax of unknown cause in infancy, especially in those with coexisting rib fractures, must be scrutinized for child abuse. PMID:26388541

  6. Accommodating Autistics and Treating Autism: Can We Have Both?

    PubMed

    Lim, Chong-Ming

    2015-10-01

    One of the central claims of the neurodiversity movement is that society should accommodate the needs of autistics, rather than try to treat autism. People have variously tried to reject this accommodation thesis as applicable to all autistics. One instance is Pier Jaarsma and Stellan Welin, who argue that the thesis should apply to some but not all autistics. They do so via separating autistics into high- and low-functioning, on the basis of IQ and social effectiveness or functionings. I reject their grounds for separating autistics. IQ is an irrelevant basis for separating autistics. Charitably rendering it as referring to more general capacities still leaves us mistaken about the roles they play in supporting the accommodation thesis. The appeal to social effectiveness or functionings relies on standards that are inapplicable to autistics, and which risks being deaf to the point of their claims. I then consider if their remaining argument concerning autistic culture may succeed independently of the line they draw. I argue that construing autistics' claims as beginning from culture mistakes their status, and may even detract from their aims. Via my discussion of Jaarsma and Welin, I hope to point to why the more general strategy of separating autistics, in response to the accommodation thesis, does not fully succeed. Finally, I sketch some directions for future discussions, arguing that we should instead shift our attention to consider another set of questions concerning the costs and extent of change required to accommodate all autistics.

  7. Accommodation and pupil responses to random-dot stereograms.

    PubMed

    Suryakumar, Rajaraman; Allison, Robert

    2016-01-01

    We investigated the dynamics of accommodative and pupillary responses to random-dot stereograms presented in crossed and uncrossed disparity in six visually normal young adult subjects (mean age=25.8±3.1 years). Accommodation and pupil measures were monitored monocularly with a custom built photorefraction system while subjects fixated at the center of a random-dot stereogram. On each trial, the stereogram initially depicted a flat plane and then changed to depict a sinusoidal corrugation in depth while fixation remained constant. Increase in disparity specified depth resulted in pupil constriction during both crossed and uncrossed disparity presentations. The change in pupil size between crossed and uncrossed disparity conditions was not significantly different (p>0.05). The change in pupil size was also accompanied by a small concomitant increase in accommodation. In addition, the dynamic properties of pupil responses varied as a function of their initial (starting) diameter. The finding that accommodation and pupil responses increased with disparity regardless of the sign of retinal disparity suggests that these responses were driven by apparent depth rather than shifts in mean simulated distance of the stimulus. Presumably the need for the increased depth of focus when viewing stimuli extended in depth results in pupil constriction which also results in a concomitant change in accommodation. Starting position effects in pupil response confirm the non-linearity in the operating range of the pupil. PMID:25891121

  8. The association of wavefront aberration and accommodative lag in myopes.

    PubMed

    He, Ji C; Gwiazda, Jane; Thorn, Frank; Held, Richard; Vera-Diaz, Fuensanta A

    2005-02-01

    Accommodative lags, induced by a target at 33 cm (distance-induced condition) and by a -3.0 D lens (lens-induced condition), and wavefront aberrations were measured in 27 young myopic eyes. The accommodative lags and Strehl ratios derived from the wavefront aberrations in myopes were compared with those from 57 emmetropes. Accommodation was measured using a Canon R-1 autorefractor, while aberrations were measured using a psychophysical ray-tracing technique. In accord with previous results, larger accommodative lags were found for the myopes than the emmetropes in both the lens-induced and distance-induced conditions. The mean Strehl ratio was smaller in the myopes (0.079) than the emmetropes (0.091); this difference approached significance (p = 0.055). In addition, for myopes the accommodative lag was significantly correlated with the Strehl ratio in the lens-induced condition (r = -0.45, p < 0.02) and approached significance in the distance-induced condition (r = -0.35, p = 0.07). No significant correlations were found for emmetropes. Possible reasons to account for these results are discussed.

  9. A model of job activity description for workplace accommodation assessment.

    PubMed

    Sevilla, Joaquin; Sanford, Jon A

    2013-01-01

    Workplace accommodations to enable employees with disabilities to perform essential job tasks are an important strategy ways for increasing the presence of people with disabilities in the labor market. However, assessments, which are crucial to identifying necessary accommodations, are typically conducted using a variety of methods that lack consistent procedures and comprehensiveness of information. This can lead to the rediscovery of the same solutions over and over, inability to replicate assessments and a failure to effectively meet all of an individual's accommodation needs. To address standardize assessment tools and processes, a taxonomy of demand-producing activity factors is needed to complement the taxonomies of demand-producing person and environment factors already available in the International Classification of Functioning, Disability and Health (ICF). The purpose of this article is to propose a hierarchical model of accommodation assessment based on level of specificity of job activity. While the proposed model is neither a taxonomy nor an assessment process, the seven-level hierarchical model provides a conceptual framework of job activity that is the first step toward such a taxonomy as well as providing a common language that can bridge the many approaches to assessment. The model was designed and refined through testing against various job examples. Different levels of activity are defined to be easily linked to different accommodation strategies. Finally, the levels can be cross-walked to the ICF, which enhances its acceptability, utility and universality.

  10. Incest and Child Sexual Abuse

    PubMed Central

    Collins, James L.; Hamlin, Willie T.; Minor, Marie A.; Knasel, Ann Lowe

    1982-01-01

    Child sexual abuse was examined nationally and in the Washington, DC and Howard University Hospital area. In an attempt to describe this widespread problem, two case histories are presented which reflect some of the typical characteristics of child sexual abuse cases seen at Howard University Hospital. Pertinent literature is reviewed citing the prevalence rates and the personality and environmental factors which may contribute to the sexual abuse of children in this country. Finally, the role of the physician in identifying and treating the physical and emotional effects of child abuse are discussed. PMID:7120485

  11. Institutional Policy and Its Abuses

    ERIC Educational Resources Information Center

    Bogue, E. G.; Riggs, R. O.

    1974-01-01

    Reviews the role of institutional policy, cites frequent abuses of institutional policy, and delineates several principles of policy management (development, communication, execution and evaluation). (Author/PG)

  12. Diagnostic imaging of child abuse

    SciTech Connect

    Kleinman, P.K.

    1987-01-01

    This book provides a description for all the known radiological alterations occurring in child abuse. This allows for precise interpretation of findings by radiologists. It also helps eliminate the confusion among both clinicians and non-medical personnel involved in the diagnosis, management, and legal issues related to child abuse. CONTENTS: Introduction; Skeletal trauma: general considerations; Extremity trauma; Bony thoracic trauma; Spinal trauma; Dating fractures; Visceral trauma; Head trauma; Miscellaneous forms of abuse and neglect; The postmortem examination; Differential diagnosis of child abuse; Legal considerations; Psychosocial considerations; Technical considerations and dosimetry.

  13. Tic-related school problems: impact on functioning, accommodations, and interventions.

    PubMed

    Packer, Leslie E

    2005-11-01

    Children with Tourette's syndrome (TS) are statistically overrepresented in special education classes; however, the extent to which tics contribute to such placement is unclear. In this article, the results of a survey of parents or guardians of 71 children and adolescents with TS are described within the broader context of discussing the impact of tics and educational practices. One half of the respondents reported moderate to significant tic-related academic impact, and 48% reported moderate to significant tic-related peer problems. Peer education and in-school counseling were generally not offered nor provided. In the minority of cases where behavioral interventions for tics were reported, contingent aversive consequences were reported to be ineffective or counterproductive, while positive reinforcement for modifying tics reportedly produced some successful results. The identification of research-validated academic accommodations and increased involvement of school psychologists are suggested as necessary and potentially helpful supports for students with TS and their teachers.

  14. Parent's Guide to Preventing Inhalant Abuse

    MedlinePlus

    ... conditioning coolants. How can you tell if a young person is an inhalant abuser? If someone is ... youths involved with inhalant abuse. How does a young person who abuses inhalants die? There are many ...

  15. Fostering the Battered and Abused Child.

    ERIC Educational Resources Information Center

    McFadden, Emily Jean

    1980-01-01

    This article describes a 20-hour, eight-week course for experienced foster parents. Goals include understanding the causes of child abuse, understanding the consequences of child abuse, and understanding the interaction patterns which provoke child abuse. (Author/DB)

  16. Magnitude of visual accommodation to a head-up display

    NASA Technical Reports Server (NTRS)

    Leitner, E. F.; Haines, R. F.

    1981-01-01

    The virtual image symbology of head-up displays (HUDs) is presented at optical infinity to the pilot. This design feature is intended to help pilots maintain visual focus distance at optical infinity. However, the accommodation response could be nearer than optical infinity, due to an individual's dark focus response. Accommodation responses were measured of two age groups of airline pilots to: (1) static symbology on a HUD; (2) a landing site background at optical infinity; (3) the combination of the HUD symbology and the landing site background; and (4) complete darkness. Results indicate that magnitude of accommodation to HUD symbology, with and without the background, is not significantly different from an infinity focus response for either age group. The dark focus response is significantly closer than optical infinity for the younger pilots, but not the older pilots, a finding consistent with previous research.

  17. Disabilities in the workplace: recruitment, accommodation, and retention.

    PubMed

    Davis, Linda

    2005-07-01

    Who has never had a need for accommodation to perform a job because of age-related changes, gender issues related to family care, religious practices, health status, or disability? Who has never had the benefit of universal accommodations designed to provide access for individuals with disabilities, such as using the handicap button to open a door when one's arms are loaded? All of society has had the benefit of inclusion of individuals with disabilities within the work force. Occupational health nurses are essential to accommodating new employees with disabilities, assisting ill or injured employees in returning to work, and changing attitudes toward disabled workers. Additionally, nurses have the skills and knowledge for leading and managing newly emerging disease management programs for workers with disabilities caused by chronic illness.

  18. Aniso-accommodation as a possible factor in myopia development.

    PubMed

    Charman, W N

    2004-09-01

    It is shown that the asymmetric convergence caused by the changes in fixation required to read a line of text results in unequal accommodation demands to the two eyes. Since experimental evidence suggests that the required aniso-accommodation response cannot be achieved, and that accommodation in both eyes tends to match the response to the lower of the two demands, in general the retinal image in at least one eye must be out-of-focus. The resultant blur increases as the eccentricity of gaze is increased and the reading distance is reduced, and also depends on the posture and position of the head, together with the balance between eye and head movements. By analogy with the results of animal experiments, it is argued that the defocused retinal imagery involved in reading and similar tasks could be a factor in myopia development, particularly in children who adopt unfavourable reading postures.

  19. Auriculotemporal Syndrome (Frey Syndrome).

    PubMed

    Motz, Kevin M; Kim, Young J

    2016-04-01

    Frey syndrome is a common sequela of parotidectomy, and although it is not frequently manifested clinically, it can cause significant morbidity for those affected. Frey syndrome results from synkinetic autonomic reinnervation by transected postganglionic parasympathetic nerve fiber within the parotid gland to the overlying sweat glands of the skin. Many surgical techniques have been proposed to prevent the development of Frey syndrome. For those who develop clinical symptoms of Frey syndrome, objective testing can be performed with a Minor starch-iodine test. Some of the current methods to prevent and treat symptomatic Frey syndrome are reviewed. PMID:26902982

  20. Drugs of abuse and HIV infection/replication: implications for mother-fetus transmission

    PubMed Central

    Wang, Xu; Ho, Wen-Zhe

    2011-01-01

    Human immunodeficiency virus (HIV) infection and progression of acquired immunodeficiency syndrome (AIDS) can be modulated by a number of cofactors, including drugs of abuse. Opioids, cocaine, cannabinoids, methamphetamine (METH), alcohol, and other substances of abuse have been implicated as risk factors for HIV infection, as they all have the potential to compromise host immunity and facilitate viral replication. Although epidemiologic evidence regarding the impact of drugs of abuse on HIV disease progression is mixed, in vitro studies as well as studies using in vivo animal models have indicated that drugs of abuse have the ability to enhance HIV infection/replication. Drugs of abuse may also be a risk factor for perinatal transmission of HIV. Because high levels of viral load in maternal blood are associated with increased risk of HIV vertical transmission, it is likely that drugs of abuse play an important role in promoting mother-fetus transmission. Furthermore, because the neonatal immune system differs qualitatively from the adult system, it is possible that maternal exposure to drugs of abuse would exacerbate neonatal immunity defects, facilitating HIV infection of neonate immune cells and promoting HIV vertical transmission. The availability and use of antiretroviral therapy for women infected with HIV increase, there is an increasing interest in determining the impact of drug abuse on efficacy of AIDS Clinical Trials Group (ACTG) -standardized treatment regimens for woman infected with HIV in the context of HIV vertical transmission. PMID:21056582

  1. Immunity-Based Accommodation of Aircraft Subsystem Failures

    NASA Astrophysics Data System (ADS)

    Togayev, Adil

    This thesis presents the design, development, and flight-simulation testing of an artificial immune system (AIS) based approach for accommodation of different aircraft subsystem failures. Failure accommodation is considered as part of a complex integrated AIS scheme that contains four major components: failure detection, identification, evaluation, and accommodation. The accommodation part consists of providing compensatory commands to the aircraft under specific abnormal conditions based on previous experience. In this research effort, the possibility of building an AIS allowing the extraction of pilot commands is investigated. The proposed approach is based on structuring the self (nominal conditions) and the non-self (abnormal conditions) within the AIS paradigm, as sets of artificial memory cells (mimicking behavior of T-cells, B-cells, and antibodies) consisting of measurement strings, over pre-defined time windows. Each string is a set of features values at each sample time of the flight including pilot inputs, system states, and other variables. The accommodation algorithm relies on identifying the memory cell that is the most similar to the in-coming measurements. Once the best match is found, control commands corresponding to this match will be extracted from the memory and used for control purposes. The proposed methodology is illustrated through simulation of simple maneuvers at nominal flight conditions, different actuators, and sensor failure conditions. Data for development and demonstration have been collected from West Virginia University 6-degrees-of-freedom motion-based flight simulator. The aircraft model used for this research represents a supersonic fighter which includes model following adaptive control laws based on non-linear dynamic inversion and artificial neural network augmentation. The simulation results demonstrate the possibility of extracting pilot compensatory commands from the self/non-self structure and the capability of the AIS

  2. Accommodative response and cortical activity during sustained attention.

    PubMed

    Poltavski, Dmitri V; Biberdorf, David; Petros, Thomas V

    2012-06-15

    Greater accommodative lag and vergence deficits have been linked to attentional deficits similar to those observed in Attention Deficit Hyperactivity Disorder (ADHD). The purpose of the present study was to assess the effect of accommodative-vergence stress on a measure of sustained attention (Conners CPT) used in the diagnosis of ADHD. Twenty-seven normal non-ADHD adults completed the Conners CPT twice: wearing -2.00 D lenses and normally (without the -2.00 D lenses) in a counterbalanced order with at least 24 h between the sessions. Simultaneous recording of participants' dynamic accommodative responses was performed from the right eye using the Grand Seiko WAM-5500 auto-refractor and electroencephalographic activity (EEG) in the left prefrontal region using the Neurosky Mindset headset. The results demonstrated a significantly greater accommodative lag in the -2.00 D stress condition and a significantly poorer performance on the Conners CPT as indexed by slower reaction time, greater standard error of hit reaction time, grater response variability, poorer stimulus detectability and a greater number of perseverations. No differences were observed on measures of EEG in the theta (4-7 Hz), alpha (8-12 Hz), and beta (12-20 Hz) bands. Moreover, when directly juxtaposed with each EEG band in multiple linear regression analyses, greater accommodative lag in the stress condition was significantly associated with a greater probability of clinical classification on the Conners CPT, and was also marginally predictive of the number of omissions recorded in the stress condition. The results demonstrated that sustained attention can be influenced by such factors as accommodative-vergence stress and suggest that bottom-up processes can contribute to and potentially exacerbate attentional problems in individuals with ADHD. The study also showed that cortical dysfunction (while sufficient) may not be a necessary condition for attentional deficits.

  3. Accommodative Lag by Autorefraction and Two Dynamic Retinoscopy Methods

    PubMed Central

    2008-01-01

    Purpose To evaluate two clinical procedures, MEM and Nott retinoscopy, for detecting accommodative lags 1.00 diopter (D) or greater in children as identified by an open-field autorefractor. Methods 168 children 8 to <12 years old with low myopia, normal visual acuity, and no strabismus participated as part of an ancillary study within the screening process for a randomized trial. Accommodative response to a 3.00 D demand was first assessed by MEM and Nott retinoscopy, viewing binocularly with spherocylindrical refractive error corrected, with testing order randomized and each performed by a different masked examiner. The response was then determined viewing monocularly with spherical equivalent refractive error corrected, using an open-field autorefractor, which was the gold standard used for eligibility for the clinical trial. Sensitivity and specificity for accommodative lags of 1.00 D or more were calculated for each retinoscopy method compared to the autorefractor. Results 116 (69%) of the 168 children had accommodative lag of 1.00 D or more by autorefraction. MEM identified 66 children identified by autorefraction for a sensitivity of 57% (95% CI = 47% to 66%) and a specificity of 63% (95% CI = 49% to 76%). Nott retinoscopy identified 35 children for a sensitivity of 30% (95% CI = 22% to 39%) and a specificity of 81% (95% CI = 67% to 90%). Analysis of receiver operating characteristic (ROC) curves constructed for MEM and for Nott retinoscopy failed to reveal alternate cut points that would improve the combination of sensitivity and specificity for identifying accommodative lag ≥ 1.00 D as defined by autorefraction. Conclusions Neither MEM nor Nott retinoscopy provided adequate sensitivity and specificity to identify myopic children with accommodative lag ≥ 1.00 D as determined by autorefraction. A variety of methodological differences between the techniques may contribute to the modest to poor agreement. PMID:19214130

  4. Tourette syndrome

    MedlinePlus

    Gilles de la Tourette syndrome; Tic disorders - Tourette syndrome ... Tourette syndrome is named for Georges Gilles de la Tourette, who first described this disorder in 1885. The disorder is likely passed down through families. The syndrome may be linked to ...

  5. Pupil movements to light and accommodative stimulation - A comparative study.

    NASA Technical Reports Server (NTRS)

    Semmlow, J.; Stark, L.

    1973-01-01

    Isolation and definition of specific response components in pupil reflexes through comparison of the dynamic features of light-induced and accommodation-induced pupil movements. A quantitative analysis of the behavior of the complex nonlinear pupil responses reveals the presence of two independent nonlinear characteristics: a range-dependent gain and a direction dependence or movement asymmetry. These nonlinear properties are attributed to motor processes because they are observable in pupil responses to both light and accommodation stimuli. The possible mechanisms and consequences of these pupil response characteristics are quantitatively defined and discussed.

  6. Technology needs for the development of the accommodative intraocular lens

    NASA Astrophysics Data System (ADS)

    Nishi, Okihiro

    2010-02-01

    Refilling the lens capsule while preserving capsular integrity offers the potential to restore ocular accommodation. There are two persisting problems in capsular bag refilling for possible clinical application: Leakage of the injectable material through the capsular opening and capsular opacification. Numerous attempts for solving these cardinal problems have not been proven to be clinically applicable. Recently, we developed a novel capsular bag refilling procedure using a novel accommodative intraocular lens that serves as an optic as well as a plug for sealing the capsular opening. The procedure and the results of monkey experiments will be presented.

  7. Space Station accommodation engineering for Life Sciences Research Facilities

    NASA Technical Reports Server (NTRS)

    Hilchey, J.; Gustan, E.; Rudiger, C. E.

    1984-01-01

    Exploratory studies conducted by NASA Marshall Space Flight Center and several contractors in connection with defining the design requirements, parameters, and tradeoffs of the Life Sciences Research Facilities for nonhuman test subjects aboard the Space Station are reviewed. The major system discriminators which determine the size of the accommodation system are identified, along with a number of mission options. Moreover, characteristics of several vivarium concepts are summarized, focusing on the cost, size, variable-g capability, and the number of specimens accommodated. Finally, the objectives of the phase B studies of the Space Station Laboratory, which are planned for FY85, are described.

  8. Adapting your teaching to accommodate the net generation of learners.

    PubMed

    Skiba, Diane J; Barton, Amy J

    2006-05-01

    Educators are faced with the challenge of adapting their teaching styles to accommodate a new generation of learners. The Net Generation or Millennials, who are now entering colleges and universities, have learning expectations, styles, and needs different from past students. This article assists educators in teaching the Net Generation by highlighting the characteristics of the Net Generation and providing examples of how to adapt teaching strategies to accommodate the Net Generation, in light of their preferences for digital literacy, experiential learning, interactivity, and immediacy. PMID:17201579

  9. Ongoing incestuous abuse during adulthood.

    PubMed

    Middleton, Warwick

    2013-01-01

    Individual cases of adult incestuous abuse have surfaced repeatedly in the lay and professional literature of the past 1.5 centuries without it occasioning systematic investigation, such as the reporting of a case series of individuals subjected to such extreme abuse. Yet substantial numbers of patients with dissociative identity disorder at the time of presentation report incestuous abuse continuing into the adult years, and for many the abuse is ongoing. Data relating to a series of 10 such incestuously abused women are presented. These patients were sexually abused from a very early age (typically from before age 3), with the manipulation of their sexual response a key component in conditioning an enduring sexualized attachment. Shame and fear were also used to ensure compliance and silence. The women, when able to speak of it, describe the induction by their paternal abuser of orgasm at an early age, typically around the age of 6. The women have high indices of self-harm and suicidality and are prone to placing themselves in dangerous reenactment scenarios. The average duration of incestuous abuse for this group of women was 31 years, and the average estimate of total episodes of sexual abuse was 3,320. Most women do not feel that they own their body and experience being "fused" to their father. Their mother was reported as an active participant in the sexual abuse or as having done nothing to protect their daughter despite seeing obvious evidence of incest. The fathers, despite a propensity to use or threaten violence, were generally outwardly productively employed, financially comfortable, and stably married and half had close church involvement. However, suicide and murder occurred within the 1st- or 2nd-degree relatives of these women at a high frequency. All 10 had been sexually abused by various groupings of individuals connected to their fathers. PMID:23627476

  10. Ongoing incestuous abuse during adulthood.

    PubMed

    Middleton, Warwick

    2013-01-01

    Individual cases of adult incestuous abuse have surfaced repeatedly in the lay and professional literature of the past 1.5 centuries without it occasioning systematic investigation, such as the reporting of a case series of individuals subjected to such extreme abuse. Yet substantial numbers of patients with dissociative identity disorder at the time of presentation report incestuous abuse continuing into the adult years, and for many the abuse is ongoing. Data relating to a series of 10 such incestuously abused women are presented. These patients were sexually abused from a very early age (typically from before age 3), with the manipulation of their sexual response a key component in conditioning an enduring sexualized attachment. Shame and fear were also used to ensure compliance and silence. The women, when able to speak of it, describe the induction by their paternal abuser of orgasm at an early age, typically around the age of 6. The women have high indices of self-harm and suicidality and are prone to placing themselves in dangerous reenactment scenarios. The average duration of incestuous abuse for this group of women was 31 years, and the average estimate of total episodes of sexual abuse was 3,320. Most women do not feel that they own their body and experience being "fused" to their father. Their mother was reported as an active participant in the sexual abuse or as having done nothing to protect their daughter despite seeing obvious evidence of incest. The fathers, despite a propensity to use or threaten violence, were generally outwardly productively employed, financially comfortable, and stably married and half had close church involvement. However, suicide and murder occurred within the 1st- or 2nd-degree relatives of these women at a high frequency. All 10 had been sexually abused by various groupings of individuals connected to their fathers.

  11. Loperamide dependence and abuse.

    PubMed

    MacDonald, Ryan; Heiner, Jason; Villarreal, Joshua; Strote, Jared

    2015-05-02

    Loperamide is a common over-the-counter antidiarrheal considered safe in a broad range of dosages and thought devoid of abuse potential. We describe the first case of a patient with loperamide dependence due to misuse of its opiate-like effects achieved by chronic massive oral ingestions. A 26-year-old man who was taking 800 mg of loperamide per day presented requesting detoxification referral. Loperamide has potential for euphoric effects and information on how to facilitate such effects is easily available. It is important for physicians to be aware of the potential for misuse of and dependence on loperamide, with symptoms mimicking opiate use.

  12. [Abuse of tianeptine. A case report].

    PubMed

    Vandel, P; Regina, W; Bonin, B; Sechter, D; Bizouard, P

    1999-01-01

    The authors report a case of tianeptine abuse in a 30 year-old woman. After a medical prescription of the recommended dosage of 12.5 mg 3 times daily of oral tianeptine for a depressive illness, the patient spontaneously increased the dosage which after two months reached 150 tablets per day. No severe toxic effects were observed. As adverse effects, the patient, in the beginning of this high treatment period suffered from nausea, vomiting, abdominal pain, anorexia with weight loss, constipation. These side effects progressively disappeared. The biological tolerance was excellent, and hepatic parameters were not affected. The patient experienced and seek a psychostimulant effect. After seven months of such a therapy, she was hospitalized to undergo a withdrawal. The discontinuation of the tianeptine treatment occurs in four days. A withdrawal syndrome marked by myalgia, and cold feeling was transient, and alleviated by sedative phenothiazine (cyamemazine) and myorelaxant benzodiazepine (tetrazepam).

  13. Longitudinal outcomes for victims of child abuse.

    PubMed

    Buckingham, E Taylor; Daniolos, Peter

    2013-02-01

    Childhood abuse and neglect (child maltreatment) represent a common and significant public health burden. The consequences of maltreatment can be seen immediately, in the short term and in the long term. Determination of the exact prevalence of childhood maltreatment is difficult, as many cases go unreported; however in reported cases there is an estimated $124 billion annual burden on the US health-care system. The evaluation of potential maltreatment is difficult as many of the initial symptoms are subtle and can be explained with alternative illnesses or injuries. Potential immediate and short-term effects include brain injury, shaken baby syndrome and behavioral regression. The potential long-term sequelae of child maltreatment are explored in detail here and include increased risks of the development of mental health disorders, substance use disorders and chronic physical complaints during development and adulthood. Lastly, the review provides an overview of current treatment approaches for victims of childhood maltreatment. PMID:23307564

  14. Suspicion of elder abuse in South Eastern Spain: the extent and risk factors.

    PubMed

    Pérez-Cárceles, M D; Rubio, L; Pereniguez, J E; Pérez-Flores, D; Osuna, E; Luna, A

    2009-01-01

    Elder abuse is recognized internationally as a growing problem. Recent years have seen an increase in the number of authors recommending that the MDs systematically question old people concerning possible abuse. The aim of our study was to ascertain the extent of suspicion of elder abuse and the different types of abuse. We design a cross-sectional survey including 460 patients > or = 65 years at different health centers (South East Spain). A face-to-face interview and a physical examination was carried out. Extent of suspected abuse was 44.6%. Female sex, > or = 75 years, widowhood, living alone or with children, accommodation in house of relatives and income < or = 300 euros/month were the associated sociodemographic variables. The risk factors associated are recent worsening of health, living with a mentally ill person, excessive consumption of alcohol or illegal drugs, arguing frequently with relatives or the dependence on someone to carry out a daily activity. The signs in the physical examination associated are dehydration/malnutrition, pressure ulcers and poor body and/or mouth hygiene. There is a high extent of suspicion of elder abuse and the keyword in this respect is prevention.

  15. Sibling Maltreatment: The Forgotten Abuse

    ERIC Educational Resources Information Center

    Kiselica, Mark S.; Morrill-Richards, Mandy

    2007-01-01

    Great advances have been made in the study of family violence in the past 30 years. However, sibling abuse and its prevalence in the family have largely been overlooked. In this article, the major issues associated with sibling maltreatment are highlighted, and strategies for helping the victims and perpetrators of sibling abuse and their families…

  16. Child Abuse: The Educator's Responsibilities.

    ERIC Educational Resources Information Center

    California State Office of the Attorney General, Sacramento. School Safety Center.

    Addressing educators and citing the California Penal Code, this booklet discusses the legal responsibilities of persons in child care situations regarding incidents of suspected child abuse. Included are: (1) a definition of child abuse and neglect; (2) reporting procedures including liability of failure to report and immunity of the reporting…

  17. Female Perpetrators of Intimate Abuse

    ERIC Educational Resources Information Center

    Dutton, Donald G.; Nicholls, Tonia L.; Spidel, Alicia

    2005-01-01

    A review is made of female intimate abuse. It is concluded that females are as abusive as males in intimate relationships according to survey and epidemiological studies. This is especially so for younger "cohort" community samples followed longitudinally. Predictors of intimate violence with women appear to be similar to those of men; including…

  18. Anabolic steroid abuse.

    PubMed

    Landry, G L; Primos, W A

    1990-01-01

    Anabolic steroids are capable of increasing strength and muscle bulk in certain individuals when combined with a proper diet and an intense training program. Any steroid that is anabolic is also androgenic. Anabolic steroids are fraught with numerous side effects, a few of which are potentially life threatening, and some of which are permanent. Most of the side effects are mild and reversible. Use of anabolic steroids in sports is as much a moral issue as a medical one. Drug testing has not been a very successful means to eradicate abuse in the sporting arena. Education alone is probably not the answer to stopping anabolic steroid abuse but is an essential first step in combating this problem. Use of anabolic steroids in athletes is a form of cheating, and use will likely continue, especially if the rewards for success in sports remain so high. Physicians should avoid condemning individuals who choose to use anabolic steroids and encourage discussion of use with their health providers.

  19. Domestic partner abuse treatment programs and cultural competence: the results of a national survey.

    PubMed

    Williams, O J; Becker, R L

    1994-01-01

    Partner abuse literature reveals that treatment is less effective with minorities than with their white counterparts. Our survey of partner abuse programs (N = 142) indicates that, for the most part, little or no special effort is being made to understand or accommodate the needs of minority populations. This colorblind approach lacks the effectiveness of a culturally competent approach, which fosters an environment that helps minority groups succeed in treatment. Do partner abuse programs make efforts to be culturally competent? The major characteristics of an organizational transformation towards cultural competence occur when these programs do the following: (a) network with the minority community, (b) locate outside consultants with expertise in working with minority clients, (c) obtain information concerning service delivery and programming for minority clients, and (d) have at least one bilingual counselor. These four characteristics accounted for .58 of the variance in the minority-focused activities. PMID:7647049

  20. View north of inside machine shop 36; shop floor accommodates ...

    Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

    View north of inside machine shop 36; shop floor accommodates lathes capable of machining a cylinder 60 inches in diameter and 75 feet long; other equipment includes horizontal and vertical jig borders, hydraulic tube straighteners and other equipment for precision machining of large ship components. - Naval Base Philadelphia-Philadelphia Naval Shipyard, Structure Shop, League Island, Philadelphia, Philadelphia County, PA

  1. Accommodating the Special Learner in Secondary General Music Classes

    ERIC Educational Resources Information Center

    VanWeelden, Kimberly

    2011-01-01

    It can be challenging to know which accommodations for special learners can be used within the various secondary general music class settings. Fortunately, there have been several recent music education and therapy articles based on special education practices that have addressed techniques for working with students with special needs in music.…

  2. College Students' Preferences for Test Accommodations

    ERIC Educational Resources Information Center

    Lewandowski, Lawrence; Lambert, Tonya L.; Lovett, Benjamin J.; Panahon, Carlos J.; Sytsma, Marcia R.

    2014-01-01

    College students with (n = 137) and without disabilities (n = 475) were surveyed about their perceptions of using various types of test accommodations. Results indicated that extended time was perceived as having a positive effect by the most students (>87% of both groups), followed by separate room testing and extra breaks (>60% of both…

  3. Disability Accommodations in Online Courses: The Graduate Student Experience

    ERIC Educational Resources Information Center

    Terras, Katherine; Leggio, Joseph; Phillips, Amy

    2015-01-01

    Research is beginning to demonstrate that online learning may afford students with disabilities enhanced opportunities for academic success. In this study, the authors interviewed 11 graduate students to determine their experiences with disability accommodations in online courses and their perceptions of the relationship between those…

  4. Understanding and Accommodating Students with Depression in the Classroom

    ERIC Educational Resources Information Center

    Crundwell, R. Marc; Killu, Kim

    2007-01-01

    Depression and mood disorders present a significant challenge in the classroom; resulting symptoms can impact memory, recall, motivation, problem solving, task completion, physical and motor skills, and social interactions. Little information is available on practical instructional accommodations and modifications for use by the classroom teacher.…

  5. The Effect of Intensified Language Exposure on Accommodating Talker Variability

    ERIC Educational Resources Information Center

    Antoniou, Mark; Wong, Patrick C. M.; Wang, Suiping

    2015-01-01

    Purpose: This study systematically examined the role of intensified exposure to a second language on accommodating talker variability. Method: English native listeners (n = 37) were compared with Mandarin listeners who had either lived in the United States for an extended period of time (n = 33) or had lived only in China (n = 44). Listeners…

  6. Accommodation, Cafes and Restaurants. Industry Training Monograph No. 8.

    ERIC Educational Resources Information Center

    Dumbrell, Tom

    Australia's accommodation, cafes, and restaurants industry represents more than half of the nation's total tourism and hospitality employment. It accounts for roughly 4.5% of all jobs in Australia (400,000 workers). Since 1987, the number of jobs in the sector has risen from about 257,000 to about 372,000. Approximately 57% of employees are…

  7. Simplified Language as an Accommodation on Math Tests

    ERIC Educational Resources Information Center

    Johnson, Evelyn; Monroe, Brandon

    2004-01-01

    As accountability requirements for determining adequate yearly progress increase, states are working to make standards-based assessments accessible for all students. Providing accommodations on assessments is one of the main ways to allow not only students with disabilities but also students who are English Language Learners to be included in…

  8. 46 CFR 127.260 - Ventilation for accommodations.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... 46 Shipping 4 2012-10-01 2012-10-01 false Ventilation for accommodations. 127.260 Section 127.260 Shipping COAST GUARD, DEPARTMENT OF HOMELAND SECURITY (CONTINUED) OFFSHORE SUPPLY VESSELS CONSTRUCTION AND... cognizant OCMI is satisfied that a natural system, such as opening windows, portholes, or doors,...

  9. 36 CFR 910.34 - Accommodations for the physically handicapped.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 36 Parks, Forests, and Public Property 3 2010-07-01 2010-07-01 false Accommodations for the physically handicapped. 910.34 Section 910.34 Parks, Forests, and Public Property PENNSYLVANIA AVENUE DEVELOPMENT CORPORATION GENERAL GUIDELINES AND UNIFORM STANDARDS FOR URBAN PLANNING AND DESIGN OF...

  10. 36 CFR 910.34 - Accommodations for the physically handicapped.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... 36 Parks, Forests, and Public Property 3 2013-07-01 2012-07-01 true Accommodations for the physically handicapped. 910.34 Section 910.34 Parks, Forests, and Public Property PENNSYLVANIA AVENUE DEVELOPMENT CORPORATION GENERAL GUIDELINES AND UNIFORM STANDARDS FOR URBAN PLANNING AND DESIGN OF...

  11. 36 CFR 910.34 - Accommodations for the physically handicapped.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... 36 Parks, Forests, and Public Property 3 2012-07-01 2012-07-01 false Accommodations for the physically handicapped. 910.34 Section 910.34 Parks, Forests, and Public Property PENNSYLVANIA AVENUE DEVELOPMENT CORPORATION GENERAL GUIDELINES AND UNIFORM STANDARDS FOR URBAN PLANNING AND DESIGN OF...

  12. Analysis and applications of accommodative lenses for vision corrections

    NASA Astrophysics Data System (ADS)

    Lin, Jui-Teng; Jiang, Minshan; Chang, Chun-Lin; Hong, Yu-Ling; Ren, Qiushi

    2011-01-01

    Analysis and applications of vision correction via accommodating intraocular lens (AIOL) are presented. By Gaussian optics, analytic formulas for the accommodation rate function (M) for two-optics and three-optics systems are derived and compared with the exact numerical results. In a single-optics AIOL, typical value of M is (0.5-1.5) D/mm, for an IOL power of (10-20) diopter. For a given IOL power, higher M is achieved in positive-IOL than negative-IOL. In the dual-optics AIOL, maximum accommodation is predicted when the front positive-optics moves toward the corneal plan and the back negative-optics moves backward. Our analytic formulas predict that greater accommodative rate may be achieved by using a positive-powered front optics, a general feature when either front or back optics is mobile. The M function is used to find the piggy-back IOL power for customized design based on the individual ocular parameters. Many of the new features demonstrated in this study can be easily realized by our analytic formulas, but not by raytracing method.

  13. 29 CFR 1630.9 - Not making reasonable accommodation.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 29 Labor 4 2010-07-01 2010-07-01 false Not making reasonable accommodation. 1630.9 Section 1630.9 Labor Regulations Relating to Labor (Continued) EQUAL EMPLOYMENT OPPORTUNITY COMMISSION REGULATIONS TO IMPLEMENT THE EQUAL EMPLOYMENT PROVISIONS OF THE AMERICANS WITH DISABILITIES ACT § 1630.9 Not...

  14. 29 CFR 1630.9 - Not making reasonable accommodation.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... 29 Labor 4 2014-07-01 2014-07-01 false Not making reasonable accommodation. 1630.9 Section 1630.9 Labor Regulations Relating to Labor (Continued) EQUAL EMPLOYMENT OPPORTUNITY COMMISSION REGULATIONS TO IMPLEMENT THE EQUAL EMPLOYMENT PROVISIONS OF THE AMERICANS WITH DISABILITIES ACT § 1630.9 Not...

  15. 29 CFR 1630.9 - Not making reasonable accommodation.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... 29 Labor 4 2013-07-01 2013-07-01 false Not making reasonable accommodation. 1630.9 Section 1630.9 Labor Regulations Relating to Labor (Continued) EQUAL EMPLOYMENT OPPORTUNITY COMMISSION REGULATIONS TO IMPLEMENT THE EQUAL EMPLOYMENT PROVISIONS OF THE AMERICANS WITH DISABILITIES ACT § 1630.9 Not...

  16. 29 CFR 1630.9 - Not making reasonable accommodation.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... 29 Labor 4 2012-07-01 2012-07-01 false Not making reasonable accommodation. 1630.9 Section 1630.9 Labor Regulations Relating to Labor (Continued) EQUAL EMPLOYMENT OPPORTUNITY COMMISSION REGULATIONS TO IMPLEMENT THE EQUAL EMPLOYMENT PROVISIONS OF THE AMERICANS WITH DISABILITIES ACT § 1630.9 Not...

  17. Nonmetro Residence, Hearing Loss, and Its Accommodation Among Elderly People

    ERIC Educational Resources Information Center

    Johnson, Nan E.

    2004-01-01

    No previous studies compare the prevalence of physiological hearing loss among older adults by nonmetro/metro residence. Also, there is little information on their relative successes in accommodating hearing loss with a hearing aid. This study sought to bridge these gaps by analyzing the 8,222 respondents to Wave 1 (1993?1994) of the national…

  18. Opportunities Made Equal: Accommodating Students with Learning Disabilities.

    ERIC Educational Resources Information Center

    Long, Cynthia D.

    1997-01-01

    Discusses the accommodation of college students with learning disabilities, focusing on the increasing incidence (or overdiagnosis) of attention deficit hyperactivity disorder, applicable federal legislation, and leveling the academic playing field for students with learning disabilities. Argues that professors should provide recommended…

  19. Teaching Disability Employment Discrimination Law: Accommodating Physical and Mental Disabilities

    ERIC Educational Resources Information Center

    Kulow, Marianne DelPo

    2012-01-01

    Disability employment discrimination is often treated summarily in legal environment courses. This is actually a topic with significant practical application in the workplace since managers are often those who are confronted with accommodation requests. It is therefore desirable to include a class with hands-on exercises for students to begin to…

  20. 46 CFR 190.20-20 - Sleeping accommodations.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 46 Shipping 7 2010-10-01 2010-10-01 false Sleeping accommodations. 190.20-20 Section 190.20-20 Shipping COAST GUARD, DEPARTMENT OF HOMELAND SECURITY (CONTINUED) OCEANOGRAPHIC RESEARCH VESSELS CONSTRUCTION AND ARRANGEMENT Accomodations for Officers, Crew, and Scientific Personnel § 190.20-20...

  1. 23 CFR 645.211 - State transportation department accommodation policies.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... ENGINEERING AND TRAFFIC OPERATIONS UTILITIES Accommodation of Utilities § 645.211 State transportation... inspection from the FHWA Washington Headquarters and all FHWA Division Offices as prescribed in 49 CFR part 7... the highway or adversely affect highway or traffic safety. Uniform procedures controlling the...

  2. 36 CFR 910.34 - Accommodations for the physically handicapped.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... 36 Parks, Forests, and Public Property 3 2011-07-01 2011-07-01 false Accommodations for the physically handicapped. 910.34 Section 910.34 Parks, Forests, and Public Property PENNSYLVANIA AVENUE DEVELOPMENT CORPORATION GENERAL GUIDELINES AND UNIFORM STANDARDS FOR URBAN PLANNING AND DESIGN OF...

  3. Assimilation, Accommodation, and the Dynamics of Personality Development.

    ERIC Educational Resources Information Center

    Block, Jack

    1982-01-01

    Specifies some problems in the Piagetian characterizations of assimilation and accommodation and offers an alternative formulation intended to resolve some conceptual anomalies. On the basis of the revision, the orthogenetic law of developmental progression is explicitly derived. Further, Piaget's notion of "equilibrium" is extended into the…

  4. Speech Accommodation without Priming: The Case of Pitch

    ERIC Educational Resources Information Center

    Gijssels, Tom; Casasanto, Laura Staum; Jasmin, Kyle; Hagoort, Peter; Casasanto, Daniel

    2016-01-01

    People often accommodate to each other's speech by aligning their linguistic production with their partner's. According to an influential theory, the Interactive Alignment Model, alignment is the result of priming. When people perceive an utterance, the corresponding linguistic representations are primed and become easier to produce. Here we…

  5. Analysis and applications of accommodative lenses for vision corrections.

    PubMed

    Lin, Jui-Teng; Jiang, Minshan; Chang, Chun-Lin; Hong, Yu-Ling; Ren, Qiushi

    2011-01-01

    Analysis and applications of vision correction via accommodating intraocular lens (AIOL) are presented. By Gaussian optics, analytic formulas for the accommodation rate function (M) for two-optics and three-optics systems are derived and compared with the exact numerical results. In a single-optics AIOL, typical value of M is (0.5-1.5) D∕mm, for an IOL power of (10-20) diopter. For a given IOL power, higher M is achieved in positive-IOL than negative-IOL. In the dual-optics AIOL, maximum accommodation is predicted when the front positive-optics moves toward the corneal plan and the back negative-optics moves backward. Our analytic formulas predict that greater accommodative rate may be achieved by using a positive-powered front optics, a general feature when either front or back optics is mobile. The M function is used to find the piggy-back IOL power for customized design based on the individual ocular parameters. Many of the new features demonstrated in this study can be easily realized by our analytic formulas, but not by raytracing method. PMID:21280927

  6. View of button board which accommodates the 1200 button switches ...

    Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

    View of button board which accommodates the 1200 button switches which manually control the indicating pilot lights on the model board. Not all switches are active, some switches were installed for a planned, but never constructed, system expansion. - Thirtieth Street Station, Load Dispatch Center, Thirtieth & Market Streets, Railroad Station, Amtrak (formerly Pennsylvania Railroad Station), Philadelphia, Philadelphia County, PA

  7. Manifold gasket accommodating differential movement of fuel cell stack

    SciTech Connect

    Kelley, Dana A.; Farooque, Mohammad

    2007-11-13

    A gasket for use in a fuel cell system having at least one externally manifolded fuel cell stack, for sealing the manifold edge and the stack face. In accordance with the present invention, the gasket accommodates differential movement between the stack and manifold by promoting slippage at interfaces between the gasket and the dielectric and between the gasket and the stack face.

  8. 46 CFR 127.270 - Location of accommodations and pilothouse.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... may be below the deepest load waterline. (c) Any deck with accommodations for crew members or offshore workers may be below the deepest load waterline if— (1) The vessel complies with the damage-stability requirements in § 174.205 of this chapter; and (2) The deck head of the space is not below the deepest...

  9. 46 CFR 127.270 - Location of accommodations and pilothouse.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... may be below the deepest load waterline. (c) Any deck with accommodations for crew members or offshore workers may be below the deepest load waterline if— (1) The vessel complies with the damage-stability requirements in § 174.205 of this chapter; and (2) The deck head of the space is not below the deepest...

  10. 46 CFR 127.270 - Location of accommodations and pilothouse.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... may be below the deepest load waterline. (c) Any deck with accommodations for crew members or offshore workers may be below the deepest load waterline if— (1) The vessel complies with the damage-stability requirements in § 174.205 of this chapter; and (2) The deck head of the space is not below the deepest...

  11. 46 CFR 127.270 - Location of accommodations and pilothouse.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... may be below the deepest load waterline. (c) Any deck with accommodations for crew members or offshore workers may be below the deepest load waterline if— (1) The vessel complies with the damage-stability requirements in § 174.205 of this chapter; and (2) The deck head of the space is not below the deepest...

  12. 46 CFR 127.270 - Location of accommodations and pilothouse.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... may be below the deepest load waterline. (c) Any deck with accommodations for crew members or offshore workers may be below the deepest load waterline if— (1) The vessel complies with the damage-stability requirements in § 174.205 of this chapter; and (2) The deck head of the space is not below the deepest...

  13. Accommodations in Homeschool Settings for Children with Special Education Needs

    ERIC Educational Resources Information Center

    Stoudt, Patricia Koelsch

    2012-01-01

    This qualitative study was designed to examine how homeschooling parents in Pennsylvania make the determination to engage with public school districts to accommodate the special education needs (SEN) of their children. This phenomenological study used direct interviews with 30 Pennsylvania families who are homeschooling children with SEN. Data…

  14. Design Criteria for Public School Plants Accommodating the Physically Disabled.

    ERIC Educational Resources Information Center

    Missouri State Dept. of Education, Jefferson City. School Building Services.

    Criteria are presented for implementation in the design and construction of school buildings and facilities so as to obviate hazards to individuals with physical disabilities. Accommodations for the physically handicapped are considered for the following--(1) public walks, (2) parking lots, (3) ramps with gradients and handrails, (4) entrances,…

  15. Attention Deficit Hyperactivity Disorder Accommodations for Psychiatry Residents

    ERIC Educational Resources Information Center

    Elliott, Harold Walker; Arnold, Elizabeth Mayfield; Brenes, Gretchen A.; Silvia, Loretta; Rosenquist, Peter B.

    2007-01-01

    Objective: With the increase in diagnosis and treatment of attention deficit hyperactivity disorder (ADHD) in adults, it is expected that more resident physicians will require accommodations so that their academic performance and clinical competency can be measured adequately. The authors provide an overview of the requirements and issues…

  16. Promoting Independence for Wheelchair Users: The Role of Home Accommodations

    ERIC Educational Resources Information Center

    Allen, Susan; Resnik, Linda; Roy, Jason

    2006-01-01

    Purpose: The objective of this research is to investigate whether home accommodations influence the amount of human help provided to a nationally representative sample of adults who use wheelchairs. Design and Methods: We analyzed data from the Adult Disability Follow-back Survey (DFS), Phase II, of the Disability Supplement to the 1994-1995…

  17. Testing Accommodations. NetNews. Volume 7, Number 1

    ERIC Educational Resources Information Center

    LDA of Minnesota, 2006

    2006-01-01

    LDA (Learning Disabilities Association) of Minnesota receives many calls and emails regarding testing accommodations for large-scale testing programs. Callers include the test-takers themselves, parents, teachers, counselors, advocates, and an occasional attorney. The standardized tests they ask about include the GED, SAT and ACT (for college…

  18. Student Perspectives on Using Accommodations during Statewide Testing.

    ERIC Educational Resources Information Center

    Thurlow, Martha L.; Thompson, Sandra J.; Walz, Lynn; Shin, Hyeonsook

    Ninety-six high school students from school districts across Minnesota who received special education services for learning disabilities or mild cognitive impairments agreed to participate in an interview on their participation and accommodation use on Minnesota's Basic Standards tests, minimum competency tests in Mathematics, Reading, and Writing…

  19. Long Radiology Workdays Reduce Detection and Accommodation Accuracy

    PubMed Central

    Krupinski, Elizabeth A.; Berbaum, Kevin S.; Caldwell, Robert T.; Schartz, Kevin M.; Kim, John

    2010-01-01

    Purpose: To measure diagnostic accuracy of fracture detection, visual accommodation, reading time, and subjective ratings of fatigue and visual strain before and after a day of clinical reading. Methods: Forty attending radiologists and radiology residents viewed 60 de-identified HIPAA compliant bone examinations, half with fractures, once before any clinical reading (Early) and once after a day of clinical reading (Late). Reading time was recorded. Visual accommodation (ability to maintain focus) was measured before and after each reading session. Subjective ratings of symptoms of fatigue and oculomotor strain were collected. The study was approved by local IRBs. Results: Diagnostic accuracy was reduced significantly after a day of clinical reading, with average receiver operating characteristic (ROC) area under the curve (AUC) of 0.885 for Early reading and 0.852 for Late reading (p < 0.05). After a day of image interpretation, visual accommodation was no more variable, though error in visual accommodation was greater (p < 0.01) and subjective ratings of fatigue were higher. Conclusions: After a day of clinical reading, radiologists have reduced ability to focus, increased symptoms of fatigue and oculomotor strain, and reduced ability to detect fractures. Radiologists need to be aware of the effects of fatigue on diagnostic accuracy and take steps to mitigate these effects. PMID:20816631

  20. Accommodating the Spectrum of Individual Abilities. Clearinghouse Publication 81.

    ERIC Educational Resources Information Center

    Commission on Civil Rights, Washington, DC.

    The monograph addresses legal issues involving discrimination against handicapped persons and the key legal requirement of reasonable accommodation. Four chapters in Part I examine background issues, including definitions and statistical overviews of handicaps; historical attitudes toward handicapped persons and an analysis of the extent of…

  1. Translation Accommodations Framework for Testing English Language Learners in Mathematics

    ERIC Educational Resources Information Center

    Solano-Flores, Guillermo

    2012-01-01

    The present framework is developed under contract with the Smarter Balanced Assessment Consortium (SBAC) as a conceptual and methodological tool for guiding the reasonings and actions of contractors in charge of developing and providing test translation accommodations for English language learners. The framework addresses important challenges in…

  2. The Americans with Disabilities Act: Accommodations in Ohio.

    ERIC Educational Resources Information Center

    Carpenter, Scott A.

    1996-01-01

    A survey of 97 Ohio college and university libraries provided data on types of accommodations made in Title II (public), Title III (private), and Title IV (communication services and auxiliary aids) with respect to: access; auxiliary aids and services; restroom facilities; signage; and staff and policy making. Investigated the effects of…

  3. Modern Foreign Languages Accommodation: A Design Guide. Building Bulletin 92.

    ERIC Educational Resources Information Center

    Williamson, Beech, Ed.; Watson, Lucy, Ed.

    This document offers school design guidance for accommodating the needs for teaching modern foreign languages (MFLs) in secondary education. Section 1 outlines the range of spaces in a typical MFL suite and describes how to calculate the number of timetabled spaces required. It includes guidance on planning the suite and what to consider if there…

  4. Linguistic Simplification: A Promising Test Accommodation for LEP Students?

    ERIC Educational Resources Information Center

    Stansfield, Charles W.

    2002-01-01

    Studied the effects of linguistic simplification, a test accommodation designed for students of limited English proficiency (LEP), using data from the Delaware state science assessment program for grades 4 and 6. Findings for 11,306 non-LEP and 109 LEP students show that tests and items can be simplified linguistically without compromising score…

  5. 36 CFR 910.34 - Accommodations for the physically handicapped.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... 36 Parks, Forests, and Public Property 3 2014-07-01 2014-07-01 false Accommodations for the physically handicapped. 910.34 Section 910.34 Parks, Forests, and Public Property PENNSYLVANIA AVENUE DEVELOPMENT CORPORATION GENERAL GUIDELINES AND UNIFORM STANDARDS FOR URBAN PLANNING AND DESIGN OF...

  6. The accommodative ciliary muscle function is preserved in older humans

    PubMed Central

    Tabernero, Juan; Chirre, Emmanuel; Hervella, Lucia; Prieto, Pedro; Artal, Pablo

    2016-01-01

    Presbyopia, the loss of the eye’s accommodation capability, affects all humans aged above 45–50 years old. The two main reasons for this to happen are a hardening of the crystalline lens and a reduction of the ciliary muscle functionality with age. While there seems to be at least some partial accommodating functionality of the ciliary muscle at early presbyopic ages, it is not yet clear whether the muscle is still active at more advanced ages. Previous techniques used to visualize the accommodation mechanism of the ciliary muscle are complicated to apply in the older subjects, as they typically require fixation stability during long measurement times and/or to have an ultrasound probe directly in contact with the eye. Instead, we used our own developed method based on high-speed recording of lens wobbling to study the ciliary muscle activity in a small group of pseudophakic subjects (around 80 years old). There was a significant activity of the muscle, clearly able to contract under binocular stimulation of accommodation. This supports a purely lenticular-based theory of presbyopia and it might stimulate the search for new solutions to presbyopia by making use of the remaining contraction force still presented in the aging eye. PMID:27151778

  7. The Role of Fundamental Frequency in Phonetic Accommodation

    ERIC Educational Resources Information Center

    Babel, Molly; Bulatov, Dasha

    2012-01-01

    Previous research has argued that fundamental frequency is a critical component of phonetic accommodation. We tested this hypothesis in an auditory naming task with two conditions. Participants in an Unfiltered Condition completed an auditory naming task with a single male model talker. A second group of participants was assigned to a Filtered…

  8. Accommodations for Students with Disabilities in High School. Issue Brief.

    ERIC Educational Resources Information Center

    Thurlow, Martha

    This briefing paper discusses academic accommodations for high school students with disabilities. It begins by reviewing provisions under the Individuals with Disabilities Education Act that require Individualized Education Programs to include a statement of the program modifications or supports that will be provided for the child to enable the…

  9. Maximising Occupancy. Accommodation Management Module. Operational Management Programme.

    ERIC Educational Resources Information Center

    Holland, Julia

    This module on maximizing occupancy is intended to cover the basic framework for analysis of occupancy in accommodations and for identification of ways to improve it on both a long-term and day-to-day basis. The material is presented in a self-instructional format in seven sections. At the beginning of each section is a statement of the objectives…

  10. Accommodating Students with Disabilities in Soil Science Activities

    ERIC Educational Resources Information Center

    Langley-Turnbaugh, S. J.; Murphy, Kate; Levin, E.

    2004-01-01

    Soil science education is lacking in terms of accommodations for persons with disabilities. Individuals with disabilities are often excluded from soil science activities in school, and from soil science careers. GLOBE (Global Learning Observations to Benefit the Environment) is a worldwide, hands-on primary and secondary school-based education and…

  11. 14 CFR 152.421 - Public accommodations, services, and benefits.

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... 14 Aeronautics and Space 3 2012-01-01 2012-01-01 false Public accommodations, services, and benefits. 152.421 Section 152.421 Aeronautics and Space FEDERAL AVIATION ADMINISTRATION, DEPARTMENT OF TRANSPORTATION (CONTINUED) AIRPORTS AIRPORT AID PROGRAM Nondiscrimination in Airport Aid Program § 152.421...

  12. 14 CFR 152.421 - Public accommodations, services, and benefits.

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... 14 Aeronautics and Space 3 2014-01-01 2014-01-01 false Public accommodations, services, and benefits. 152.421 Section 152.421 Aeronautics and Space FEDERAL AVIATION ADMINISTRATION, DEPARTMENT OF TRANSPORTATION (CONTINUED) AIRPORTS AIRPORT AID PROGRAM Nondiscrimination in Airport Aid Program § 152.421...

  13. The accommodative ciliary muscle function is preserved in older humans.

    PubMed

    Tabernero, Juan; Chirre, Emmanuel; Hervella, Lucia; Prieto, Pedro; Artal, Pablo

    2016-01-01

    Presbyopia, the loss of the eye's accommodation capability, affects all humans aged above 45-50 years old. The two main reasons for this to happen are a hardening of the crystalline lens and a reduction of the ciliary muscle functionality with age. While there seems to be at least some partial accommodating functionality of the ciliary muscle at early presbyopic ages, it is not yet clear whether the muscle is still active at more advanced ages. Previous techniques used to visualize the accommodation mechanism of the ciliary muscle are complicated to apply in the older subjects, as they typically require fixation stability during long measurement times and/or to have an ultrasound probe directly in contact with the eye. Instead, we used our own developed method based on high-speed recording of lens wobbling to study the ciliary muscle activity in a small group of pseudophakic subjects (around 80 years old). There was a significant activity of the muscle, clearly able to contract under binocular stimulation of accommodation. This supports a purely lenticular-based theory of presbyopia and it might stimulate the search for new solutions to presbyopia by making use of the remaining contraction force still presented in the aging eye. PMID:27151778

  14. Accommodating a Student with a Disability: Suggestions for Faculty.

    ERIC Educational Resources Information Center

    Hill, Jennifer Leigh

    This handbook provides information for University of Victoria faculty that will assist in the process of accommodating students with disabilities in the classroom or the laboratory. The focus of the handbook is on ways that instructors can modify the learning environment to facilitate learning for these groups, and it is divided into sections…

  15. Science Language Accommodation in Elementary School Read-Alouds

    ERIC Educational Resources Information Center

    Glass, Rory; Oliveira, Alandeom W.

    2014-01-01

    This study examines the pedagogical functions of accommodation (i.e. provision of simplified science speech) in science read-aloud sessions facilitated by five elementary teachers. We conceive of read-alouds as communicative events wherein teachers, faced with the task of orally delivering a science text of relatively high linguistic complexity,…

  16. 23 CFR 645.211 - State transportation department accommodation policies.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... inspection from the FHWA Washington Headquarters and all FHWA Division Offices as prescribed in 49 CFR part 7... effects of any loss of productive agricultural land or any impairment of the productivity of any... accommodation plan detailed procedures, criteria, and standards it will use to evaluate and approve...

  17. Coworker Informal Work Accommodations to Family: Scale Development and Validation

    ERIC Educational Resources Information Center

    Mesmer-Magnus, Jessica; Murase, Toshio; DeChurch, Leslie A.; Jimenez, Miliani

    2010-01-01

    Drawing on research regarding the utility of coworker support in mitigating work/family conflict, the authors developed a scale to measure Coworker-enacted Informal Work Accommodations to Family (C-IWAF). C-IWAF differs from coworker support in that it describes actual behaviors coworkers engage in to help one another deal with incompatible work…

  18. Living Accommodation for Young People. Report of An Exploratory Review.

    ERIC Educational Resources Information Center

    Allen, Phyllis G.; Miller, A.

    The Building Research Station has embarked on a series of case-studies on the provision of living accommodations for single young people in the 15 to 24 age group in England who live away from home because of education, training or employment. An exploratory review of the existing literature on the subject was made. Discussed are some of the…

  19. The Contribution of University Accommodation to International Student Security

    ERIC Educational Resources Information Center

    Paltridge, Toby; Mayson, Susan; Schapper, Jan

    2010-01-01

    In this paper we argue that living in university accommodation is a possible means of improving the security of international students. Our argument is supported by a qualitative case study of a single Hall of Residence on Monash University's Clayton campus. Data were collected primarily from interviews with three groups of participants--six…

  20. Treatment or Accommodation for Adults with Challenging Behaviors.

    ERIC Educational Resources Information Center

    Fox, Robert A.

    2003-01-01

    This article discusses the difficulties some individuals with developmental disabilities have in responding to behavioral treatment and suggests an alternative to traditional behavioral treatment programs. It describes the use of the accommodation approach in which an individual's environment is rearranged to prevent or lower the occurrence of…