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Sample records for personal injury claims

  1. 25 CFR 1000.279 - Is FTCA the exclusive remedy for a tort claim, including a claim concerning personal injury or...

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... a claim concerning personal injury or death, resulting from the performance of a self-governance AFA... AFA? Yes, except as explained in § 1000.272(b). No claim may be filed against a self-governance Tribe/Consortium or employee based upon performance of functions under a self-governance AFA. All claims shall...

  2. 25 CFR 1000.279 - Is FTCA the exclusive remedy for a tort claim, including a claim concerning personal injury or...

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... a claim concerning personal injury or death, resulting from the performance of a self-governance AFA... AFA? Yes, except as explained in § 1000.272(b). No claim may be filed against a self-governance Tribe/Consortium or employee based upon performance of functions under a self-governance AFA. All claims shall...

  3. 25 CFR 1000.279 - Is FTCA the exclusive remedy for a tort claim, including a claim concerning personal injury or...

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ... a claim concerning personal injury or death, resulting from the performance of a self-governance AFA... AFA? Yes, except as explained in § 1000.272(b). No claim may be filed against a self-governance Tribe/Consortium or employee based upon performance of functions under a self-governance AFA. All claims shall...

  4. 25 CFR 1000.279 - Is FTCA the exclusive remedy for a tort claim, including a claim concerning personal injury or...

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ... a claim concerning personal injury or death, resulting from the performance of a self-governance AFA... AFA? Yes, except as explained in § 1000.272(b). No claim may be filed against a self-governance Tribe/Consortium or employee based upon performance of functions under a self-governance AFA. All claims shall...

  5. 25 CFR 1000.279 - Is FTCA the exclusive remedy for a tort claim, including a claim concerning personal injury or...

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ... a claim concerning personal injury or death, resulting from the performance of a self-governance AFA... AFA? Yes, except as explained in § 1000.272(b). No claim may be filed against a self-governance Tribe/Consortium or employee based upon performance of functions under a self-governance AFA. All claims shall...

  6. 76 FR 52580 - Procedures To Adjudicate Claims for Personal Injury or Property Damage Arising Out of the...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-08-23

    ... From the Federal Register Online via the Government Publishing Office POSTAL SERVICE 39 CFR Part 912 Procedures To Adjudicate Claims for Personal Injury or Property Damage Arising Out of the Operation of the U.S. Postal Service AGENCY: Postal Service. ACTION: Final rule. SUMMARY: This rule...

  7. 78 FR 47153 - Claims Under the Federal Tort Claims Act for Loss of or Damage to Property or for Personal Injury...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-08-05

    ... Injury or Death AGENCY: Bureau of Consumer Financial Protection. ACTION: Final rule. SUMMARY: The Bureau... for money damages for loss of or injury to property, or for personal injury or death, caused by the... for money damages against the United States for personal injury, death, or property loss or...

  8. 25 CFR 900.190 - Is FTCA the exclusive remedy for a tort claim for personal injury or death resulting from the...

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ... personal injury or death resulting from the performance of a self-determination contract? 900.190 Section..., DEPARTMENT OF HEALTH AND HUMAN SERVICES CONTRACTS UNDER THE INDIAN SELF-DETERMINATION AND EDUCATION... self-determination contract? Yes, except as explained in § 900.183(b). No claim may be filed against...

  9. The Assessment of Emotional Distress in Personal Injury Litigation.

    ERIC Educational Resources Information Center

    Smith, Brent Roderick

    This document asserts that civil litigation of personal injury claims involving emotional distress is commonplace in American society today. It recognizes that expert witness testimony often plays a key role in the rewarding or denial of damages in such claims and that the psychologist's role as an expert witness in such matters entails unique…

  10. 25 CFR 900.190 - Is FTCA the exclusive remedy for a tort claim for personal injury or death resulting from the...

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... 900.190 Indians BUREAU OF INDIAN AFFAIRS, DEPARTMENT OF THE INTERIOR, AND INDIAN HEALTH SERVICE, DEPARTMENT OF HEALTH AND HUMAN SERVICES CONTRACTS UNDER THE INDIAN SELF-DETERMINATION AND EDUCATION... psychologists and social workers. All such claims shall be filed against the United States and are subject...

  11. Injury and Compensation Claims Module Maintenance Manual

    DTIC Science & Technology

    1989-01-01

    adit Nw Claiivas ITSC NE CASt]. Purpose of transaction: This option is used to create new case records, edit existing claim data, update claims and...lvl+1 i lvi s 1A(0)-MD04Aci f i-wlvl:--1:1 s:$d(WAi-.1)) m(i)-C(i-1) 30 Pmnm (=E: 16 M=L KVKM1 aMCS= 4 mr-evEDme~N (#665) 1j4tft GUM ?tO& SU-M0tme

  12. 45 CFR 505.1 - Persons eligible to file claims.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... TITLE I OF THE WAR CLAIMS ACT OF 1948, AS AMENDED PROVISIONS OF GENERAL APPLICATION § 505.1 Persons... sections 5(i) and 6(f) of the War Claims Act of 1948, as amended, are: (a) Civilian American citizens... the Act; and (b) Members of the Armed Forces of the United States held as prisoners of war during...

  13. 45 CFR 505.1 - Persons eligible to file claims.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... TITLE I OF THE WAR CLAIMS ACT OF 1948, AS AMENDED PROVISIONS OF GENERAL APPLICATION § 505.1 Persons... sections 5(i) and 6(f) of the War Claims Act of 1948, as amended, are: (a) Civilian American citizens... the Act; and (b) Members of the Armed Forces of the United States held as prisoners of war during...

  14. 45 CFR 505.1 - Persons eligible to file claims.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... TITLE I OF THE WAR CLAIMS ACT OF 1948, AS AMENDED PROVISIONS OF GENERAL APPLICATION § 505.1 Persons... sections 5(i) and 6(f) of the War Claims Act of 1948, as amended, are: (a) Civilian American citizens... the Act; and (b) Members of the Armed Forces of the United States held as prisoners of war during...

  15. 45 CFR 505.1 - Persons eligible to file claims.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... TITLE I OF THE WAR CLAIMS ACT OF 1948, AS AMENDED PROVISIONS OF GENERAL APPLICATION § 505.1 Persons... sections 5(i) and 6(f) of the War Claims Act of 1948, as amended, are: (a) Civilian American citizens... the Act; and (b) Members of the Armed Forces of the United States held as prisoners of war during...

  16. 45 CFR 505.1 - Persons eligible to file claims.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... TITLE I OF THE WAR CLAIMS ACT OF 1948, AS AMENDED PROVISIONS OF GENERAL APPLICATION § 505.1 Persons... sections 5(i) and 6(f) of the War Claims Act of 1948, as amended, are: (a) Civilian American citizens... the Act; and (b) Members of the Armed Forces of the United States held as prisoners of war during...

  17. Evaluation of a complex, population-based injury claims management intervention for improving injury outcomes: study protocol

    PubMed Central

    Collie, Alex; Gabbe, Belinda; Fitzharris, Michael

    2015-01-01

    Introduction Injuries resulting from road traffic crashes are a substantial cause of disability and death worldwide. Injured persons receiving compensation have poorer recovery and return to work than those with non-compensable injury. Case or claims management is a critical component of injury compensation systems, and there is now evidence that claims management can have powerful positive impacts on recovery, but can also impede recovery or exacerbate mental health concerns in some injured people. This study seeks to evaluate the impact of a population-based injury claims management intervention in the State of Victoria, Australia, on the health of those injured in motor vehicle crashes, their experience of the compensation process, and the financial viability of the compensation system. Methods and analysis Evaluation of this complex intervention involves a series of linked but stand-alone research projects to assess the anticipated process changes, impacts and outcomes of the intervention over a 5-year time frame. Linkage and analysis of routine administrative and health system data is supplemented with a series of primary studies collecting new information. Additionally, a series of ‘action’ research projects will be undertaken to inform the implementation of the intervention. A program logic model designed by the state government Transport Accident Commission in conjunction with the research team provides the evaluation framework. Ethics and dissemination Relatively few studies have comprehensively examined the impact of compensation system processes on the health of injured persons, their satisfaction with systems processes, and impacts on the financial performance of the compensation scheme itself. The wholesale, population-based transformation of an injury claims management model is a rare opportunity to document impacts of system-level policy change on outcomes of injured persons. Findings will contribute to the evidence base of information on the

  18. 14 CFR 1261.302 - Claim.

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ...) Claims Against NASA or Its Employees for Damage to or Loss of Property or Personal Injury or Death-Accruing On or After January 18, 1967 § 1261.302 Claim. Unless the context otherwise requires, claim means... injury or loss of property, or personal injury or death. A claim “arises” at the place where the...

  19. 14 CFR 1261.302 - Claim.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ...) Claims Against NASA or Its Employees for Damage to or Loss of Property or Personal Injury or Death-Accruing On or After January 18, 1967 § 1261.302 Claim. Unless the context otherwise requires, claim means... injury or loss of property, or personal injury or death. A claim “arises” at the place where the...

  20. 14 CFR 1261.302 - Claim.

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ...) Claims Against NASA or Its Employees for Damage to or Loss of Property or Personal Injury or Death-Accruing On or After January 18, 1967 § 1261.302 Claim. Unless the context otherwise requires, claim means... injury or loss of property, or personal injury or death. A claim “arises” at the place where the...

  1. 14 CFR 1261.302 - Claim.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... Against NASA or Its Employees for Damage to or Loss of Property or Personal Injury or Death-Accruing On or After January 18, 1967 § 1261.302 Claim. Unless the context otherwise requires, claim means a claim for... property, or personal injury or death. A claim “arises” at the place where the injury, loss, or...

  2. 14 CFR § 1261.302 - Claim.

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ...) Claims Against NASA or Its Employees for Damage to or Loss of Property or Personal Injury or Death-Accruing On or After January 18, 1967 § 1261.302 Claim. Unless the context otherwise requires, claim means... injury or loss of property, or personal injury or death. A claim “arises” at the place where the...

  3. Trends in Personal Injury Suits.

    ERIC Educational Resources Information Center

    van der Smissen, Betty

    1985-01-01

    Professional competence becomes more important as personal injury suits against recreation enterprises and parks focus increasingly on the professional responsible for facility safety. All professionals should be aware of and educated in risk management. Trends in liability awards and providers' legal responsibilities in various situations are…

  4. 76 FR 73021 - Agency Information Collection (Report of Accidental Injury in Support of Claim for Compensation...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-11-28

    ... Pension/Statement of Witness to Accident): Activity Under OMB Review AGENCY: Veterans Benefits... Injury in Support of Claim for Compensation or Pension/Statement of Witness to Accident, VA Form 21-...

  5. 27 CFR 70.505 - Requirements on persons intending to file claim.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... on Distilled Spirits, Wines, and Beer General § 70.505 Requirements on persons intending to file... claim, as provided in § 70.506, and (b) Comply with any other provisions of law or regulations which...

  6. 27 CFR 70.505 - Requirements on persons intending to file claim.

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ... on Distilled Spirits, Wines, and Beer General § 70.505 Requirements on persons intending to file... claim, as provided in § 70.506, and (b) Comply with any other provisions of law or regulations which...

  7. 27 CFR 70.505 - Requirements on persons intending to file claim.

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ... on Distilled Spirits, Wines, and Beer General § 70.505 Requirements on persons intending to file... claim, as provided in § 70.506, and (b) Comply with any other provisions of law or regulations which...

  8. 27 CFR 70.505 - Requirements on persons intending to file claim.

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ... on Distilled Spirits, Wines, and Beer General § 70.505 Requirements on persons intending to file... claim, as provided in § 70.506, and (b) Comply with any other provisions of law or regulations which...

  9. 27 CFR 70.505 - Requirements on persons intending to file claim.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... on Distilled Spirits, Wines, and Beer General § 70.505 Requirements on persons intending to file... claim, as provided in § 70.506, and (b) Comply with any other provisions of law or regulations which...

  10. 46 CFR 310.9 - Medical attention and injury claims.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... responsible for arranging that a medical officer shall be attached or on call to the school. During the cruise, the School shall assign a medical officer to the Training Ship. (b) Compensation claims of Cadets or... the Training Ship may avail themselves of any medical facilities furnished by the State or...

  11. 46 CFR 310.9 - Medical attention and injury claims.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... responsible for arranging that a medical officer shall be attached or on call to the school. During the cruise, the School shall assign a medical officer to the Training Ship. (b) Compensation claims of Cadets or... the Training Ship may avail themselves of any medical facilities furnished by the State or...

  12. 46 CFR 310.9 - Medical attention and injury claims.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... responsible for arranging that a medical officer shall be attached or on call to the school. During the cruise, the School shall assign a medical officer to the Training Ship. (b) Compensation claims of Cadets or... the Training Ship may avail themselves of any medical facilities furnished by the State or...

  13. 46 CFR 310.9 - Medical attention and injury claims.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... responsible for arranging that a medical officer shall be attached or on call to the school. During the cruise, the School shall assign a medical officer to the Training Ship. (b) Compensation claims of Cadets or... the Training Ship may avail themselves of any medical facilities furnished by the State or...

  14. 46 CFR 310.9 - Medical attention and injury claims.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... responsible for arranging that a medical officer shall be attached or on call to the school. During the cruise, the School shall assign a medical officer to the Training Ship. (b) Compensation claims of Cadets or... the Training Ship may avail themselves of any medical facilities furnished by the State or...

  15. Unreported workers’ compensation claims to the BLS Survey of Occupational Injuries and Illnesses: Establishment factors

    PubMed Central

    Adams, Darrin A.; Bonauto, David K.

    2016-01-01

    Background Studies suggest employers underreport injuries to the Bureau of Labor Statistics Survey of Occupational Injuries and Illnesses (SOII); less is known about reporting differences by establishment characteristics. Methods We linked SOII data to Washington State workers’ compensation claims data, using unemployment insurance data to improve linking accuracy. We used multivariable regression models to estimate incidence ratios (IR) of unreported workers’ compensation claims for establishment characteristics. Results An estimated 70% of workers’ compensation claims were reported in SOII. Claims among state and local government establishments were most likely to be reported. Compared to large manufacturing establishments, unreported claims were most common among small educational services establishments (IR = 2.47, 95%CI: 1.52–4.01) and large construction establishments (IR = 2.05, 95%CI: 1.77–2.37). Conclusions Underreporting of workers’ compensation claims to SOII varies by establishment characteristics, obscuring true differences in work injury incidence. Findings may differ from previous research due to differences in study methods. Am. J. Ind. Med. 59:274–289, 2016. © 2016 The Authors. American Journal of Industrial Medicine Published by Wiley Periodicals, Inc. PMID:26792563

  16. 32 CFR 842.18 - Claims not payable.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... ADMINISTRATIVE CLAIMS Claims Under Article 139, Uniform Code of Military Justice (UCMJ) (10 U.S.C. 939) § 842.18...) Claims for personal injury or death. (c) Claims resulting from acts or omissions of Air Force military... private indebtedness. (f) Claims for reimbursement for bad checks....

  17. 32 CFR 842.18 - Claims not payable.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... ADMINISTRATIVE CLAIMS Claims Under Article 139, Uniform Code of Military Justice (UCMJ) (10 U.S.C. 939) § 842.18...) Claims for personal injury or death. (c) Claims resulting from acts or omissions of Air Force military... private indebtedness. (f) Claims for reimbursement for bad checks....

  18. Consumer understanding, interpretation and perceived levels of personal responsibility in relation to satiety-related claims.

    PubMed

    Bilman, Els M; Kleef, Ellen van; Mela, David J; Hulshof, Toine; van Trijp, Hans C M

    2012-12-01

    The aim of this study was to explore (a) whether and how consumers may (over-) interpret satiety claims, and (b) whether and to what extent consumers recognize that personal efforts are required to realize possible satiety-related or weight loss benefits. Following means-end chain theory, we explored for a number of satiety claims the extent of inference-making to higher-level benefits than actually stated in the claim, using internet-based questions and tasks. Respondents (N=1504) in U.K., France, Italy and Germany participated in the study. The majority of these respondents correctly interpret satiety-related claims; i.e. they largely limit their interpretation to what was actually stated. They do not expect a "magic bullet" effect, but understand that personal efforts are required to translate product attributes into potential weight control benefits. Less-restrained eaters were at lower risk for over-interpreting satiety-related claims, whilst respondents with a stronger belief that their weight is something that they can control accept more personal responsibility, and better understand that personal efforts are required to be effective in weight control. Overall, these results indicate there is likely to be a relatively low level of consumer misinterpretation of satiety-related claims on food products.

  19. An analysis of injury claims from low-seam coal mines

    SciTech Connect

    Gallagher, S.; Moore, S.; Dempsey, P.G.

    2009-07-01

    The restricted workspace present in low-seam coal mines forces workers to adopt awkward working postures (kneeling and stooping), which place high physical demands on the knee and lower back. This article provides an analysis of injury claims for eight mining companies operating low-seam coal mines during calendar years 1996-2008. All cost data were normalized using data on the cost of medical care (MPI) as provided by the U.S. Bureau of Labor Statistics. Results of the analysis indicate that the knee was the body part that led in terms of claim cost ($4.2 million), followed by injuries to the lower back ($2.7 million). While the average cost per injury for these body parts was $13,100 and $14,400, respectively (close to the average cost of an injury overall), the high frequency of these injuries resulted in their pre-eminence in terms of cost. Analysis of data from individual mining companies suggest that knee and lower back injuries were a consistent problem across companies, as these injuries were each among the top five most costly part of body for seven out of eight companies studied. Results of this investigation suggest that efforts to reduce the frequency of knee and low back injuries in low-seam mines have the potential to create substantial cost savings.

  20. Etiology of work-related electrical injuries: a narrative analysis of workers' compensation claims.

    PubMed

    Lombardi, David A; Matz, Simon; Brennan, Melanye J; Smith, Gordon S; Courtney, Theodore K

    2009-10-01

    The purpose of this study was to provide new insight into the etiology of primarily nonfatal, work-related electrical injuries. We developed a multistage, case-selection algorithm to identify electrical-related injuries from workers' compensation claims and a customized coding taxonomy to identify pre-injury circumstances. Workers' compensation claims routinely collected over a 1-year period from a large U.S. insurance provider were used to identify electrical-related injuries using an algorithm that evaluated: coded injury cause information, nature of injury, "accident" description, and injury description narratives. Concurrently, a customized coding taxonomy for these narratives was developed to abstract the activity, source, initiating process, mechanism, vector, and voltage. Among the 586,567 reported claims during 2002, electrical-related injuries accounted for 1283 (0.22%) of nonfatal claims and 15 fatalities (1.2% of electrical). Most (72.3%) were male, average age of 36, working in services (33.4%), manufacturing (24.7%), retail trade (17.3%), and construction (7.2%). Body part(s) injured most often were the hands, fingers, or wrist (34.9%); multiple body parts/systems (25.0%); lower/upper arm; elbow; shoulder, and upper extremities (19.2%). The leading activities were conducting manual tasks (55.1%); working with machinery, appliances, or equipment; working with electrical wire; and operating powered or nonpowered hand tools. Primary injury sources were appliances and office equipment (24.4%); wires, cables/cords (18.0%); machines and other equipment (11.8%); fixtures, bulbs, and switches (10.4%); and lightning (4.3%). No vector was identified in 85% of cases. and the work process was initiated by others in less than 1% of cases. Injury narratives provide valuable information to overcome some of the limitations of precoded data, more specially for identifying additional injury cases and in supplementing traditional epidemiologic data for further

  1. Translating and Transforming Care: People With Brain Injury and Caregivers Filling in a Disability Claim Form.

    PubMed

    Gillespie, Alex; Moore, Helen

    2016-03-01

    This article examines how the Disability Living Allowance claim form, used in the United Kingdom to allocate £13 billion of disability benefits, translates and transforms disability and care. Twenty-two people with acquired brain injury and their main informal caregivers (n = 44) were video-recorded filling in the disability claim form. Participants disagreed on 26% of the questions, revealing two types of problems. Translation problems arose as participants struggled to provide categorical responses to ambiguous questions and were unable to report contextual variability in care needs or divergences of perception. Transformation problems arose as participants resisted the way in which the form positioned them, forcing them to conceptualize their relationship in terms of dependency and burden. The disability claim form co-opts claimants to translate care and disability into bureaucratically predefined categories, and it transforms the care relationship that it purports to document.

  2. 14 CFR § 1261.304 - Place of filing claim.

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... Personal Injury or Death-Accruing On or After January 18, 1967 § 1261.304 Place of filing claim. A claim... activities are believed to have given rise to the claimed injury, loss, or death. If the identity of...

  3. 39 CFR 912.1 - Claims responsibility.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 39 Postal Service 1 2010-07-01 2010-07-01 false Claims responsibility. 912.1 Section 912.1 Postal Service UNITED STATES POSTAL SERVICE PROCEDURES PROCEDURES TO ADJUDICATE CLAIMS FOR PERSONAL INJURY OR PROPERTY DAMAGE ARISING OUT OF THE OPERATION OF THE U.S. POSTAL SERVICE § 912.1 Claims responsibility....

  4. 76 FR 16039 - Agency Information Collection (Statement of Person Claiming To Have Stood in Relation of a Parent...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-03-22

    ... From the Federal Register Online via the Government Publishing Office DEPARTMENT OF VETERANS AFFAIRS Agency Information Collection (Statement of Person Claiming To Have Stood in Relation of a Parent.... 2900-0059.'' SUPPLEMENTARY INFORMATION: Title: Statement of Person Claiming to Have Stood in...

  5. The assessment of performance and self-report validity in persons claiming pain-related disability.

    PubMed

    Greve, Kevin W; Bianchini, Kevin J; Brewer, Steve T

    2013-01-01

    One third of all people will experience spinal pain in their lifetime and half of these will experience chronic pain. Pain often occurs in the context of a legally compensable event with back pain being the most common reason for filing a Workers Compensation claim in the United States. When financial incentives to appear disabled exist, malingered pain-related disability is a potential problem. Malingering may take the form of exaggerated physical, emotional, or cognitive symptoms and/or under-performance on measures of cognitive and physical capacity. Essential to the accurate detection of Malingered Pain-related Disability is the understanding that malingering is an act of will, the goal of which is to increase the appearance of disability beyond that which would naturally arise from the injury in question. This paper will review a number of Symptom Validity Tests (SVTs) that have been developed to detect malingering in patients claiming pain-related disability and will conclude with a review of studies showing the diagnostic benefit of combining SVT findings from a comprehensive malingering assessment. The utilization of a variety of tools sensitive to the multiple manifestations of malingering increases the odds of detecting invalid claims while reducing the risk of rejecting a valid claim.

  6. 22 CFR 304.4 - Administrative claim; evidence and information to be submitted.

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    .... (a) Personal injury. In support of a claim for personal injury, including pain and suffering, the... expenses. (7) If damages for pain and suffering prior to death are claimed, a physician's detailed statement specifying the injuries suffered, duration of pain and suffering, any drugs administered for...

  7. 45 CFR 35.4 - Administrative claims; evidence and information to be submitted.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... pain and suffering prior to death are claimed, a physician's detailed statement specifying the injuries suffered, duration of pain and suffering, any drugs administered for pain and the decedent's physical...) Personal injury. In support of a claim for personal injury, including pain and suffering, the claimant...

  8. 45 CFR 35.4 - Administrative claims; evidence and information to be submitted.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... pain and suffering prior to death are claimed, a physician's detailed statement specifying the injuries suffered, duration of pain and suffering, any drugs administered for pain and the decedent's physical...) Personal injury. In support of a claim for personal injury, including pain and suffering, the claimant...

  9. 22 CFR 304.4 - Administrative claim; evidence and information to be submitted.

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    .... (a) Personal injury. In support of a claim for personal injury, including pain and suffering, the... expenses. (7) If damages for pain and suffering prior to death are claimed, a physician's detailed statement specifying the injuries suffered, duration of pain and suffering, any drugs administered for...

  10. 22 CFR 304.4 - Administrative claim; evidence and information to be submitted.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    .... (a) Personal injury. In support of a claim for personal injury, including pain and suffering, the... expenses. (7) If damages for pain and suffering prior to death are claimed, a physician's detailed statement specifying the injuries suffered, duration of pain and suffering, any drugs administered for...

  11. Personal Trainer Demographics, Current Practice Trends and Common Trainee Injuries.

    PubMed

    Waryasz, Gregory R; Daniels, Alan H; Gil, Joseph A; Suric, Vladimir; Eberson, Craig P

    2016-09-19

    Increasing emphasis on maintaining a healthy lifestyle has led many individuals to seek advice on exercise from personal trainers. There are few studies to date that evaluate personal trainer education, practice trends, and injuries they have seen while training clients. A survey was distributed to personal trainers using Survey Monkey® (Palo Alto, CA, USA) with 605 personal trainers accessing the survey. An exercise related bachelor's degree was held by 64.2% of survey participants and a certification in personal training by 89.0%. The most common personal trainer certifications were from American College of Sports Medicine (59.2%) and National Strength and Conditioning Association (28.9%). Only 2.9% of all personal trainers surveyed had no exercise-related bachelor's degree and no personal trainer certification. The most common injuries seen by personal trainers during sessions were lumbar muscle strain (10.7%), rotator cuff tear/tendonitis (8.9%), shin splints (8.1%), ankle sprain (7.5%), and cervical muscle strain (7.4%). There is variability in the practices between different personal trainers when analyzing differences in collegiate education, personal trainer certifications, and strength and conditioning certifications. The clinical implication of the differences in practices is unknown as to the impact on injuries or exercise prescription effectiveness.

  12. Personal Trainer Demographics, Current Practice Trends and Common Trainee Injuries

    PubMed Central

    Waryasz, Gregory R.; Daniels, Alan H.; Gil, Joseph A.; Suric, Vladimir; Eberson, Craig P.

    2016-01-01

    Increasing emphasis on maintaining a healthy lifestyle has led many individuals to seek advice on exercise from personal trainers. There are few studies to date that evaluate personal trainer education, practice trends, and injuries they have seen while training clients. A survey was distributed to personal trainers using Survey Monkey® (Palo Alto, CA, USA) with 605 personal trainers accessing the survey. An exercise related bachelor’s degree was held by 64.2% of survey participants and a certification in personal training by 89.0%. The most common personal trainer certifications were from American College of Sports Medicine (59.2%) and National Strength and Conditioning Association (28.9%). Only 2.9% of all personal trainers surveyed had no exercise-related bachelor’s degree and no personal trainer certification. The most common injuries seen by personal trainers during sessions were lumbar muscle strain (10.7%), rotator cuff tear/tendonitis (8.9%), shin splints (8.1%), ankle sprain (7.5%), and cervical muscle strain (7.4%). There is variability in the practices between different personal trainers when analyzing differences in collegiate education, personal trainer certifications, and strength and conditioning certifications. The clinical implication of the differences in practices is unknown as to the impact on injuries or exercise prescription effectiveness. PMID:27761219

  13. 39 CFR 912.2 - Applicability of Federal Tort Claims Act.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... PERSONAL INJURY OR PROPERTY DAMAGE ARISING OUT OF THE OPERATION OF THE U.S. POSTAL SERVICE § 912.2..., U.S.C., relating to tort claims shall apply to tort claims arising out of the activities of...

  14. Employer reasons for failing to report eligible workers’ compensation claims in the BLS survey of occupational injuries and illnesses

    PubMed Central

    Wuellner, Sara E.; Bonauto, David K.

    2016-01-01

    Background Little research has been done to identify reasons employers fail to report some injuries and illnesses in the Bureau of Labor Statistics Survey of Occupational Injuries and Illnesses (SOII). Methods We interviewed the 2012 Washington SOII respondents from establishments that had failed to report one or more eligible workers’ compensation claims in the SOII about their reasons for not reporting specific claims. Qualitative content analysis methods were used to identify themes and patterns in the responses. Results Non‐compliance with OSHA recordkeeping or SOII reporting instructions and data entry errors led to unreported claims. Some employers refused to include claims because they did not consider the injury to be work‐related, despite workers’ compensation eligibility. Participant responses brought the SOII eligibility of some claims into question. Conclusion Systematic and non‐systematic errors lead to SOII underreporting. Insufficient recordkeeping systems and limited knowledge of reporting requirements are barriers to accurate workplace injury records. Am. J. Ind. Med. 59:343–356, 2016. © 2016 The Authors. American Journal of Industrial Medicine Published by Wiley Periodicals, Inc. PMID:26970051

  15. Insurance claims data: a possible solution for a national sports injury surveillance system? An evaluation of data information against ASIDD and consensus statements on sports injury surveillance

    PubMed Central

    Åman, Malin; Forssblad, Magnus; Henriksson-Larsén, Karin

    2014-01-01

    Background Before preventive actions can be suggested for sports injuries at the national level, a solid surveillance system is required in order to study their epidemiology, risk factors and mechanisms. There are guidelines for sports injury data collection and classifications in the literature for that purpose. In Sweden, 90% of all athletes (57/70 sports federations) are insured with the same insurance company and data from their database could be a foundation for studies on acute sports injuries at the national level. Objective To evaluate the usefulness of sports injury insurance claims data in sports injury surveillance at the national level. Method A database with 27 947 injuries was exported to an Excel file. Access to the corresponding text files was also obtained. Data were reviewed on available information, missing information and dropouts. Comparison with ASIDD (Australian Sports Injury Data Dictionary) and existing consensus statements in the literature (football (soccer), rugby union, tennis, cricket and thoroughbred horse racing) was performed in a structured manner. Result Comparison with ASIDD showed that 93% of the suggested data items were present in the database to at least some extent. Compliance with the consensus statements was generally high (13/18). Almost all claims (83%) contained text information concerning the injury. Conclusions Relatively high-quality sports injury data can be obtained from a specific insurance company at the national level in Sweden. The database has the potential to be a solid base for research on acute sports injuries in different sports at the national level. PMID:24928588

  16. Time series forecasting of future claims amount of SOCSO's employment injury scheme (EIS)

    NASA Astrophysics Data System (ADS)

    Zulkifli, Faiz; Ismail, Isma Liana; Chek, Mohd Zaki Awang; Jamal, Nur Faezah; Ridzwan, Ahmad Nur Azam Ahmad; Jelas, Imran Md; Noor, Syamsul Ikram Mohd; Ahmad, Abu Bakar

    2012-09-01

    The Employment Injury Scheme (EIS) provides protection to employees who are injured due to accidents whilst working, commuting from home to the work place or during employee takes a break during an authorized recess time or while travelling that is related with his work. The main purpose of this study is to forecast value on claims amount of EIS for the year 2011 until 2015 by using appropriate models. These models were tested on the actual EIS data from year 1972 until year 2010. Three different forecasting models are chosen for comparisons. These are the Naïve with Trend Model, Average Percent Change Model and Double Exponential Smoothing Model. The best model is selected based on the smallest value of error measures using the Mean Squared Error (MSE) and Mean Absolute Percentage Error (MAPE). From the result, the best model that best fit the forecast for the EIS is the Average Percent Change Model. Furthermore, the result also shows the claims amount of EIS for the year 2011 to year 2015 continue to trend upwards from year 2010.

  17. Administrative "health courts" for medical injury claims: the federal constitutional issues.

    PubMed

    Elliott, E Donald; Narayan, Sanjay A; Nasmith, Moneen S

    2008-08-01

    Our article analyzes whether the federal government may constitutionally supplant a traditional system of common-law trials before state judges and juries with new federal institutions designed by statute for compensating victims of medical injuries. Specifically, this article examines the federal constitutional issues raised by various proposals to replace traditional medical malpractice litigation in state courts with a federal system of administrative "health courts." In doing so, we address the following constitutional issues: 1. Is there federal authority to preempt state law (the commerce clause and spending clause issues)? 2. May jurisdiction be created in non-article 3 tribunals, and may claims be decided without trial by jury (the separation of powers and Seventh Amendment issues)? 3. Would pilot programs that require some claims to be pursued in a federal administrative forum while other claimants are left to pursue traditional state tort law remedies be constitutional (the equal protection issue)? The article concludes that a federal compensation system through administrative health courts should be constitutional provided the statute is appropriately drafted and that appropriate factual findings are made concerning the benefits to patients and the public as well as to doctors and their insurers.

  18. 14 CFR 1261.305 - Form of claim.

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ...) Claims Against NASA or Its Employees for Damage to or Loss of Property or Personal Injury or Death-Accruing On or After January 18, 1967 § 1261.305 Form of claim. (a) The official designated in § 1261.308... for Damage, Injury or Death.” (b) NASA installations will furnish copies of Standard Form 95...

  19. 14 CFR 1261.305 - Form of claim.

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ...) Claims Against NASA or Its Employees for Damage to or Loss of Property or Personal Injury or Death-Accruing On or After January 18, 1967 § 1261.305 Form of claim. (a) The official designated in § 1261.308... for Damage, Injury or Death.” (b) NASA installations will furnish copies of Standard Form 95...

  20. 14 CFR 1261.305 - Form of claim.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ...) Claims Against NASA or Its Employees for Damage to or Loss of Property or Personal Injury or Death-Accruing On or After January 18, 1967 § 1261.305 Form of claim. (a) The official designated in § 1261.308... for Damage, Injury or Death.” (b) NASA installations will furnish copies of Standard Form 95...

  1. 14 CFR 1261.305 - Form of claim.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ...) Claims Against NASA or Its Employees for Damage to or Loss of Property or Personal Injury or Death-Accruing On or After January 18, 1967 § 1261.305 Form of claim. (a) The official designated in § 1261.308... for Damage, Injury or Death.” (b) NASA installations will furnish copies of Standard Form 95...

  2. Traumatic Brain Injury and Personality Change

    ERIC Educational Resources Information Center

    Fowler, Marc; McCabe, Paul C.

    2011-01-01

    Traumatic brain injury (TBI) is the leading cause of death and lifelong disability in the United States for individuals below the age of 45. Current estimates from the Center for Disease Control (CDC) indicate that at least 1.4 million Americans sustain a TBI annually. TBI affects 475,000 children under age 14 each year in the United States alone.…

  3. Liability for Personal Injury Caused by Defective Medical Computer Programs

    PubMed Central

    Brannigan, Vincent M.

    1980-01-01

    Defective medical computer programs can cause personal injury. Financial responsibility for the injury under tort law will turn on several factors: whether the program is a product or a service, what types of defect exist in the product, and who produced the program. The factors involved in making these decisions are complex, but knowledge of the relevant issues can assist computer personnel in avoiding liability.

  4. 29 CFR 15.303 - How does a Job Corps student file a claim for loss of or damages to personal property under the WIA?

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... 29 Labor 1 2013-07-01 2013-07-01 false How does a Job Corps student file a claim for loss of or damages to personal property under the WIA? 15.303 Section 15.303 Labor Office of the Secretary of Labor ADMINISTRATIVE CLAIMS UNDER THE FEDERAL TORT CLAIMS ACT AND RELATED CLAIMS STATUTES Claims Arising Out of the Operation of the Job Corps §...

  5. STUDIES IN WORKMEN'S COMPENSATION AND RADIATION INJURY. VOLUME II, THE INCIDENCE, NATURE AND ADJUDICATION OF WORKMEN'S COMPENSATION CLAIMS INVOLVING RADIATION EXPOSURE AND DELAYED INJURY.

    ERIC Educational Resources Information Center

    O'TOOLE, THOMAS J.

    THE PURPOSE OF THE STUDY WAS TO PROVIDE A FACTUAL BACKGROUND AGAINST WHICH JUDGMENTS CAN BE MADE CONCERNING THE MAGNITUDE OF THE PROBLEM OF INJURY APPEARING SOME TIME AFTER THE EXPOSURE TO IONIZING RADIATION AND DETERMINE WHETHER EXISTING LAWS PERMIT A JUST AND EQUITABLE ADJUDICATION OF RADIATION COMPENSATION CLAIMS. THE STUDY WAS BASED UPON THE…

  6. 29 CFR 15.5 - Administrative claim; evidence or information to substantiate.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... injury. In support of a claim for personal injury, including pain and suffering, the claimant is required... of payment for such expenses. (7) If damages for pain and suffering prior to death are claimed, a physician's detailed statement specifying the injuries suffered, duration of pain and suffering, any...

  7. Contraction induced muscle injury: towards personalized training and recovery programs.

    PubMed

    Givli, Sefi

    2015-02-01

    Skeletal muscles can be injured by their own contractions. Such contraction-induced injury, often accompanied by delayed onset of muscle soreness, is a leading cause of the loss of mobility in the rapidly increasing population of elderly people. Unlike other types of muscle injuries which hurt almost exclusively those who are subjected to intensive exercise such as professional athletes and soldiers in training, contraction induced injury is a phenomenon which may be experienced by people of all ages while performing a variety of daily-life activities. Subjects that experience contraction induced injury report on soreness that usually increases in intensity in the first 24 h after the activity, peaks from 24 to 72 h, and then subsides and disappears in a few days. Despite their clinical importance and wide influence, there are almost no studies, clinical, experimental or computational, that quantitatively relate between the extent of contraction induced injury and activity factors, such as number of repetitions, their frequency and magnitude. The lack of such quantitative information is even more emphasized by the fact that contraction induced injury can be used, if moderate and controlled, to improve muscle performance in the long term. Thus, if properly understood and carefully implemented, contraction induced injury can be used for the purpose of personalized training and recovery programs. In this paper, we review experimental, clinical, and theoretical works, attempting towards drawing a more quantitative description of contraction induced injury and related phenomena.

  8. Applying Personal Genetic Data to Injury Risk Assessment in Athletes

    PubMed Central

    Goodlin, Gabrielle T.; Roos, Andrew K.; Roos, Thomas R.; Hawkins, Claire; Beache, Sydney; Baur, Stephen; Kim, Stuart K.

    2015-01-01

    Recent studies have identified genetic markers associated with risk for certain sports-related injuries and performance-related conditions, with the hope that these markers could be used by individual athletes to personalize their training and diet regimens. We found that we could greatly expand the knowledge base of sports genetic information by using published data originally found in health and disease studies. For example, the results from large genome-wide association studies for low bone mineral density in elderly women can be re-purposed for low bone mineral density in young endurance athletes. In total, we found 124 single-nucleotide polymorphisms associated with: anterior cruciate ligament tear, Achilles tendon injury, low bone mineral density and stress fracture, osteoarthritis, vitamin/mineral deficiencies, and sickle cell trait. Of these single nucleotide polymorphisms, 91% have not previously been used in sports genetics. We conducted a pilot program on fourteen triathletes using this expanded knowledge base of genetic variants associated with sports injury. These athletes were genotyped and educated about how their individual genetic make-up affected their personal risk profile during an hour-long personal consultation. Overall, participants were favorable of the program, found it informative, and most acted upon their genetic results. This pilot program shows that recent genetic research provides valuable information to help reduce sports injuries and to optimize nutrition. There are many genetic studies for health and disease that can be mined to provide useful information to athletes about their individual risk for relevant injuries. PMID:25919592

  9. Substance Use by Persons with Recent Spinal Cord Injuries.

    ERIC Educational Resources Information Center

    Heinemann, Allen W.; And Others

    Substance use histories were obtained from 103 persons (16 to 63 years of age) with recent spinal cord injuries (SCI). Lifetime exposure to and current use of substances with abuse potential were substantially greater in this sample compared to a like-age national sample. Exposure to and recent use of substances with abuse potential was…

  10. 49 CFR 238.117 - Protection against personal injury.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 49 Transportation 4 2010-10-01 2010-10-01 false Protection against personal injury. 238.117 Section 238.117 Transportation Other Regulations Relating to Transportation (Continued) FEDERAL RAILROAD... voltage equipment, electrical conductors and switches, and pipes carrying hot fluids or gases on...

  11. 49 CFR 238.117 - Protection against personal injury.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 49 Transportation 4 2011-10-01 2011-10-01 false Protection against personal injury. 238.117 Section 238.117 Transportation Other Regulations Relating to Transportation (Continued) FEDERAL RAILROAD... voltage equipment, electrical conductors and switches, and pipes carrying hot fluids or gases on...

  12. Empowerment of personal injury victims through the internet: design of a randomized controlled trial

    PubMed Central

    2011-01-01

    Background Research has shown that current claims settlement process can have a negative impact on psychological and physical recovery of personal injury (PI) victims. One of the explanations for the negative impact on health is that the claims settlement process is a stressful experience and victims suffer from renewed victimization caused by the claims settlement process. PI victims can experience a lack of information, lack of involvement, lack of 'voice', and poor communication. We present the first study that aims to empower PI victims with respect to the negative impact of the claims settlement process by means of an internet intervention. Methods/design The study is a two armed, randomized controlled trial (RCT), in which 170 PI victims are randomized to either the intervention or control group. The intervention group will get access to a website providing 1) an information module, so participants learn what is happening and what to expect during the claims settlement process, and 2) an e-coach module, so participants learn to cope with problems they experience during the claims settlement process. The control group will get access to a website with hyperlinks to commonly available information only. Participants will be recruited via a PI claims settlement office. Participants are included if they have been involved in a traffic accident which happened less than two years ago, and are at least 18 years old. The main study parameter is the increase of empowerment within the intervention group compared to the control group. Empowerment will be measured by the mastery scale and a self-efficacy scale. The secondary outcomes are perceived justice, burden, well being, work ability, knowledge, amount of damages, and lawyer-client communication. Data are collected at baseline (T0 measurement before randomization), at three months, six months, and twelve months after baseline. Analyses will be conducted according to the intention-to-treat principle. Discussion This

  13. Insurance coverage for employment-related claims

    SciTech Connect

    Scheuermann, J.E.

    1993-12-31

    This article analyzes the principal coverage issues arising under CGL policies for employment-related claims. Section I discusses the bases of the duty to defend and the duty to idemnify in the key CGL policy provisions at issue, including the bodily injury and personal injury coverages. Section II examines the three provisions in CGL policies typically raised as defenses to coverage for employment-related claims and two public policy considerations that may affect claims for coverage. The duty to defend is given closer crutiny in section III. Finally, in section IV the effects of settlement on coverage are discussed. 106 refs.

  14. Tradeoffs of Using Administrative Claims and Medical Records to Identify the Use of Personalized Medicine for Patients with Breast Cancer

    PubMed Central

    Liang, Su-Ying; Phillips, Kathryn A.; Wang, Grace; Keohane, Carol; Armstrong, Joanne; Morris, William M.; Haas, Jennifer S.

    2012-01-01

    Background Administrative claims and medical records are important data sources to examine healthcare utilization and outcomes. Little is known about identifying personalized medicine technologies in these sources. Objectives To describe agreement, sensitivity, and specificity of administrative claims compared to medical records for two pairs of targeted tests and treatments for breast cancer. Research Design Retrospective analysis of medical records linked to administrative claims from a large health plan. We examined whether agreement varied by factors that facilitate tracking in claims (coding and cost) and that enhance medical record completeness (records from multiple providers). Subjects Women (35 – 65 years) with incident breast cancer diagnosed in 2006–2007 (n=775). Measures Use of human epidermal growth factor receptor 2 (HER2) and gene expression profiling (GEP) testing, trastuzumab and adjuvant chemotherapy in claims and medical records. Results Agreement between claims and records was substantial for GEP, trastuzumab, and chemotherapy, and lowest for HER2 tests. GEP, an expensive test with unique billing codes, had higher agreement (91.6% vs. 75.2%), sensitivity (94.9% vs. 76.7%), and specificity (90.1% vs. 29.2%) than HER2, a test without unique billing codes. Trastuzumab, a treatment with unique billing codes, had slightly higher agreement (95.1% vs. 90%) and sensitivity (98.1% vs. 87.9%) than adjuvant chemotherapy. Conclusions Higher agreement and specificity were associated with services that had unique billing codes and high cost. Administrative claims may be sufficient for examining services with unique billing codes. Medical records provide better data for identifying tests lacking specific codes and for research requiring detailed clinical information. PMID:21422962

  15. Sport-related dental injury claims to the New Zealand Accident Rehabilitation & Compensation Insurance Corporation, 1993-1996: analysis of the 10 most common sports, excluding rugby union.

    PubMed

    Love, R M; Carman, N; Carmichael, S; MacFadyen, E

    1998-12-01

    A large number of New Zealanders participate in sport, either formally or informally; sporting injuries are common. In New Zealand, the Accident Rehabilitation & Compensation Insurance Corporation (ACC) is the main organisation that covers sports-related dental claims. Rugby union claims are the most common. The ACC's national data from 1993 to 1996 relating to dental claims for sports injuries (excluding rugby union) were analysed. This study identified 45 other sports in which participants are also at risk for dental injuries. Total claims per sport for each year were determined, and the "top 10" sports for claims per year were identified and compared for any change over the years studied. The top 10 sports for 1993 and 1994 were, in descending order: swimming, rugby league, basketball, cricket, hockey, soccer, netball, squash, softball-baseball, and tennis. Data for 1995 and 1996 revealed a similar trend, except that touch rugby displaced tennis as the tenth-ranked sport. The most common age group for claims was the age group 10-19 years, with a male:female ratio of approximately 2:1. Many sports, in addition to rugby union, place their participants at risk of dental injury. Awareness of prevention of dental injuries should be more widely promoted for all sports.

  16. 14 CFR 1261.308 - NASA officials authorized to act upon claims.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... 14 Aeronautics and Space 5 2011-01-01 2010-01-01 true NASA officials authorized to act upon claims... PROCESSING OF MONETARY CLAIMS (GENERAL) Claims Against NASA or Its Employees for Damage to or Loss of Property or Personal Injury or Death-Accruing On or After January 18, 1967 § 1261.308 NASA...

  17. 40 CFR 1620.5 - Administrative claim; evidence and information to be submitted.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... expenses. (7) If damages for pain and suffering before death are claimed, a physician's detailed statement specifying the injuries suffered, duration of pain and suffering, any drugs administered for pain, and the... support of a claim for personal injury, including pain and suffering, the claimant may be required...

  18. 40 CFR 1620.5 - Administrative claim; evidence and information to be submitted.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... expenses. (7) If damages for pain and suffering before death are claimed, a physician's detailed statement specifying the injuries suffered, duration of pain and suffering, any drugs administered for pain, and the... support of a claim for personal injury, including pain and suffering, the claimant may be required...

  19. 29 CFR 15.5 - Administrative claim; evidence or information to substantiate.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... of a claim for personal injury, including pain and suffering, the claimant is required to submit the... for such expenses. (7) If damages for pain and suffering prior to death are claimed, a physician's detailed statement specifying the injuries suffered, duration of pain and suffering, any drugs...

  20. 40 CFR 1620.5 - Administrative claim; evidence and information to be submitted.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... expenses. (7) If damages for pain and suffering before death are claimed, a physician's detailed statement specifying the injuries suffered, duration of pain and suffering, any drugs administered for pain, and the... support of a claim for personal injury, including pain and suffering, the claimant may be required...

  1. 40 CFR 1620.5 - Administrative claim; evidence and information to be submitted.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... expenses. (7) If damages for pain and suffering before death are claimed, a physician's detailed statement specifying the injuries suffered, duration of pain and suffering, any drugs administered for pain, and the... support of a claim for personal injury, including pain and suffering, the claimant may be required...

  2. 20 CFR 429.104 - What evidence do I need to submit with my claim?

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ... claim for personal injury, including pain and suffering, you may be required to submit the following...) If damages for pain and suffering prior to death are claimed, a physician's detailed statement specifying the injuries suffered, duration of pain and suffering, any drugs administered for pain and...

  3. 39 CFR 912.5 - Administrative claim; when presented.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 39 Postal Service 1 2010-07-01 2010-07-01 false Administrative claim; when presented. 912.5 Section 912.5 Postal Service UNITED STATES POSTAL SERVICE PROCEDURES PROCEDURES TO ADJUDICATE CLAIMS FOR PERSONAL INJURY OR PROPERTY DAMAGE ARISING OUT OF THE OPERATION OF THE U.S. POSTAL SERVICE §...

  4. The Personality Assessment Inventory in individuals with traumatic brain injury.

    PubMed

    Demakis, George J; Hammond, Flora; Knotts, Allison; Cooper, Douglas B; Clement, Pamelia; Kennedy, Jan; Sawyer, Tom

    2007-01-01

    This study examined the Personality Assessment Inventory (PAI) in 95 individuals who had suffered a traumatic brain injury (TBI). Participants were recruited from a rehabilitation hospital (n=60) and a military hospital (n=35); despite differences in demographics and injury characteristics groups did not differ on any of the clinical scales and were thus combined. In the combined group, the highest mean clinical scale elevations were on Somatic Complaints, Depression, and Borderline Features and the most common configural profiles, based on cluster analysis, were Cluster 1 (no prominent elevations), Cluster 6 (social isolation and confused thinking), and Cluster 2 (depression and withdrawal). Factor analysis indicated a robust three-factor solution that accounted for 74.86 percent of the variance and was similar to findings from the psychiatric and non-psychiatric populations in the standardization sample. The above findings are compared with the previous literature on psychopathology in TBI, particularly in regards to the Minnesota Multiphasic Personality Inventory-2 (MMPI-2), as well as previous psychometric research on the PAI.

  5. Predictors of Personality Change Due to Traumatic Brain Injury in Children and Adolescents in the First Six Months after Injury.

    ERIC Educational Resources Information Center

    Max, Jeffrey E.; Levin, Harvey S.; Landis, Julie; Schachar, Russell; Saunders, Ann; Ewing-Cobbs, Linda; Chapman, Sandra B.; Dennis, Maureen

    2005-01-01

    Objective: To assess the phenomenology and predictive factors of personality change due to traumatic brain injury. Method: Children (N = 177), aged 5 to 14 years with traumatic brain injury from consecutive admissions to five trauma centers, were followed prospectively at baseline and 6 months with semistructured psychiatric interviews. Injury…

  6. 75 FR 1301 - Damages Received on Account of Personal Physical Injuries or Physical Sickness; Hearing

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-01-11

    ... Internal Revenue Service 26 CFR Part 1 RIN 1545-BF81 Damages Received on Account of Personal Physical Injuries or Physical Sickness; Hearing AGENCY: Internal Revenue Service (IRS), Treasury. ACTION: Notice of... of personal physical injuries or physical sickness. DATES: The public hearing is being held...

  7. Temporal patterns of moose-vehicle collisions with and without personal injuries.

    PubMed

    Niemi, Milla; Rolandsen, Christer M; Neumann, Wiebke; Kukko, Tuomas; Tiilikainen, Raisa; Pusenius, Jyrki; Solberg, Erling J; Ericsson, Göran

    2017-01-01

    Collisions with wild ungulates are an increasing traffic safety issue in boreal regions. Crashes involving smaller-bodied deer species usually lead to vehicle damage only, whereas collisions with a large animal, such as the moose, increase the risk of personal injuries. It is therefore important to understand both the factors affecting the number of moose-vehicle collisions (MVCs) and the underlying causes that turn an MVC into an accident involving personal injuries or fatalities. As a basis for temporal mitigation measures, we examined the annual and monthly variation of MVCs with and without personal injuries. Using a 22-year-long (1990-2011) time series from Finland, we tested the effect of moose population density and traffic volume on the yearly number of all MVCs and those leading to personal injuries. We also examined the monthly distribution of MVCs with and without personal injuries, and contrasted the Finnish findings with collision data from Sweden (years 2008-2010) and Norway (years 2008-2011). Both moose population abundance indices and traffic volume were positively related to the yearly variation in the number of MVCs in Finland. The proportion of MVCs involving personal injuries decreased during our 22-year study period. The monthly distribution of all MVCs peaked during the autumn or winter depending on country, while MVCs involving personal injury peaked in summer. Our study indicates that efforts to reduce MVCs involving personal injuries need to address driver awareness and attitudes during summer, despite most MVCs occurring in autumn or winter.

  8. Relationship of Personality and Locus of Control With Employment Outcomes among Participants with Spinal Cord Injury

    ERIC Educational Resources Information Center

    Krause, James S.; Broderick, Lynne

    2006-01-01

    We investigated relationships among personality, locus of control, and current post-injury employment status for 1,391 participants with spinal cord injury. Participants with higher internality locus-of-control scores and activity scores (personality) reported more favorable employment outcomes. Higher scores on chance and powerful others (locus…

  9. The Claim of the Personal: Narratives and Reflections in a Time of Exposition

    ERIC Educational Resources Information Center

    Weber, David

    2014-01-01

    In this article, the author describes the benefits of a program where he has taught for many years. It is a program that emphasizes personal narratives drawn from memory--and that also celebrates the personal essay, which usually incorporates narrative content. The article begins by addressing concerns expressed about this form of writing. It then…

  10. The Grin Without the Cat: Claims for Damages From Toxic Exposure Without Present Injury

    DTIC Science & Technology

    1993-07-06

    testimony). See, Eagle-Picher Industries Inc. v. Cox, 481 So.2d 517,526N(Fla. App. 3 Dist. 1985); Devlin v. Johns - Manville Sales Corp., 495 A.2d 495...34); Herber v. Johns - Manville Corp., 785 F.2d 79 (3rd Cir. 1986). 164 Ball v. Joy Technologies, Inc. 958 F.2d 36(4th Cir. 1991)( "A claim for medical...in common a fibrous structure and a potential to be woven. A Physician’s Guide to Asbestos Related Diseases, supra. 223 Herber v. Johns - Manville Corp

  11. Who's Missing the Point? A Commentary on Claims that Autistic Persons Have a Specific Deficit in Figurative Language Comprehension.

    PubMed

    Gernsbacher, Morton Ann; Pripas-Kapit, Sarah R

    2012-01-01

    It's become a caricature of autistic persons that they don't understand figurative language. Despite empirical evidence to the contrary, three of the four contributions to this special issue endorse this stereotype without question. And all four contributions attribute this supposed deficit to even shakier fallacies, such as the controversial claim that autistic people lack empathy or a 'theory of mind.' In this commentary, we begin by reviewing the literature more exhaustively than the other contributions, and we highlight a point that they missed: Autistic persons are likely to have difficulty comprehending figurative language if they also have difficulty comprehending language in general. There doesn't seem to be a specific deficit in figurative language unique to autism. We also tackle the claim that autistic people lack empathy. And we question the existence of a 'theory of mind area,' while demonstrating the pitfalls that ensnarl researchers when they strain to interpret differences between autistic and non-autistic brain activity as solely autistic deficits.

  12. 28 CFR 14.4 - Administrative claims; evidence and information to be submitted.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... the incident causing death, or itemized receipts of payment for such expenses. (7) If damages for pain... suffered, duration of pain and suffering, any drugs administered for pain, and the decedent's physical...) Personal injury. In support of a claim for personal injury, including pain and suffering, the claimant...

  13. Cognitive performance in hypotensive persons with spinal cord injury

    PubMed Central

    Jegede, Adejoke B.; Rosado-Rivera, Dwindally; Bauman, William A.; Cardozo, Christopher P.; Sano, Mary; Moyer, Jeremy M.; Brooks, Monifa; Wecht, Jill Maria

    2010-01-01

    Background Due to sympathetic de-centralization, individuals with spinal cord injury (SCI), especially those with tetraplegia, often present with hypotension, worsened with upright posture. Several investigations in the non-SCI population have noted a relationship between chronic hypotension and deficits in memory, attention and processing speed and delayed reaction times. Objective To determine cognitive function in persons with SCI who were normotensive or hypotensive over a 24-h observation period while maintaining their routine activities. Methods Subjects included 20 individuals with chronic SCI (2–39 years), 13 with tetraplegia (C4–8) and 7 with paraplegia (T2–11). Individuals with hypotension were defined as having a mean 24-h systolic blood pressure (SBP) below 110 mmHg for males and 100 mmHg for females, and having spent ≥50% of the total time below these gender-specific thresholds. The cognitive battery used included assessment of memory (CVLT), attention and processing speed (Digit Span, Stroop word and color and Oral Trails A), language (COWAT) and executive function (Oral Trails B and Stroop color–word). Results Demographic parameters did not differ among the hypotensive and normotensive groups; the proportion of individuals with tetraplegia (82%) was higher in the hypotensive group. Memory was significantly impaired (P<0.05) and there was a trend toward slowed attention and processing speed (P<0.06) in the hypotensive compared to the normotensive group. Interpretation These preliminary data suggest that chronic hypotension in persons with SCI is associated with deficits in memory and possibly attention and processing speed, as previously reported in the non-SCI population. PMID:19842013

  14. Societal Duty and Resource Allocation for Persons with Severe Traumatic Brain Injury.

    ERIC Educational Resources Information Center

    DeJong, Gerben; Batavia, Andrew I.

    1989-01-01

    The article considers eight values and factors that enter into decisions regarding resource allocation for persons with brain injury including the quality of life, moral culpability of the brain-injured person, the social contribution of the person, allocation of family and societal responsibilities, justice, the nature of health care, and…

  15. Functional and symptomatic assessment of medico-legal claims after upper limb injuries.

    PubMed

    Belcher, Hjcr

    2016-10-04

    A consecutive group of 250 patients underwent medico-legal assessment at a mean of 24 (±13) months following upper limb injuries. Each had completed questionnaires to assess function (Quick-DASH) and cold intolerance (CIQ36) before clinical assessment following which their whole limb impairment percentage was calculated. The mean(±SD) whole limb impairment, QDASH and CIQ36 scores were 9(±14)%, 43(±24) and 17(±10), respectively. There was a significant correlation between whole limb impairment and QDASH, although some patients reported surprisingly high disability levels despite minimal or no objective functional impairment. Whilst useful qualitative information can be obtained from questionnaires, the correlation between subjective and objective scores is weak albeit statistically significant. Individual patients can show marked discrepancies between objective and subjective functional scores. The results of questionnaires in individual medico-legal patients should be treated with caution.

  16. An investigation of mediums who claim to give information about deceased persons.

    PubMed

    Kelly, Emily Williams; Arcangel, Dianne

    2011-01-01

    Growing public interest in the phenomenon of mediumship, particularly among bereaved persons, suggests the need for renewed controlled studies of mediums, both to provide potential clients with criteria for judging mediums and to help researchers learn whether they can produce specific and accurate information to which they have had no normal access and, if so, under what conditions. Two research studies were conducted in which mediums provided readings about particular deceased persons to a proxy sitter. The real sitters then blindly rated the reading that was intended for them along with several control readings. In the first study, the results were not significant. In the second, much larger study the results were highly significant (z = -3.89, p < 0.0001, 2-tailed). The authors discuss 2 possible weaknesses of the successful study and indicate some directions for further research.

  17. Rehabilitation of a person with severe traumatic brain injury.

    PubMed

    Burke, D; Alexander, K; Baxter, M; Baker, F; Connell, K; Diggles, S; Feldman, K; Horny, A; Kokinos, M; Moloney, D; Withers, J

    2000-05-01

    A case study report of a long and intensive rehabilitation programme for a young woman after she sustained a severe diffuse axonal injury in a motor vehicle accident is described in detail. The purpose of this paper is to encourage specialist brain injury rehabilitation services to offer extended rehabilitation programmes to patients, even with very severe injuries. Significant functional improvements and enhanced quality of life frequently reward the high cost and hard work involved.

  18. 46 CFR 327.47 - Proof of amount claimed for personal injury.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... earnings. (e) If the claimant is self-employed, written statements, or other evidence showing: (1) The.... (d) If the claimant is employed, a written statement by the claimant's employer certifying...

  19. 46 CFR 327.47 - Proof of amount claimed for personal injury.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... earnings. (e) If the claimant is self-employed, written statements, or other evidence showing: (1) The.... (d) If the claimant is employed, a written statement by the claimant's employer certifying...

  20. 33 CFR 25.117 - Proof of amount claimed for personal injury or death.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... earnings. (e) If the claimant is self-employed, written statements, or other evidence showing: (1) The.... (d) If the claimant is employed, a written statement by the claimant's employer certifying...

  1. 33 CFR 25.117 - Proof of amount claimed for personal injury or death.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... earnings. (e) If the claimant is self-employed, written statements, or other evidence showing: (1) The.... (d) If the claimant is employed, a written statement by the claimant's employer certifying...

  2. 33 CFR 25.117 - Proof of amount claimed for personal injury or death.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... earnings. (e) If the claimant is self-employed, written statements, or other evidence showing: (1) The.... (d) If the claimant is employed, a written statement by the claimant's employer certifying...

  3. 33 CFR 25.117 - Proof of amount claimed for personal injury or death.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... earnings. (e) If the claimant is self-employed, written statements, or other evidence showing: (1) The.... (d) If the claimant is employed, a written statement by the claimant's employer certifying...

  4. 33 CFR 25.117 - Proof of amount claimed for personal injury or death.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... earnings. (e) If the claimant is self-employed, written statements, or other evidence showing: (1) The.... (d) If the claimant is employed, a written statement by the claimant's employer certifying...

  5. Religiosity and Spirituality among Persons with Spinal Cord Injury: Attitudes, Beliefs, and Practices

    ERIC Educational Resources Information Center

    Marini, Irmo; Glover-Graf, Noreen M.

    2011-01-01

    A total of 157 persons with spinal cord injury completed the "Spirituality and Spinal Cord Injury Survey" in relation to their spiritual and/or religious attitudes, beliefs, and practices in terms of adapting to their disability. Factor analysis accounting for 69% of the variance revealed four factors related to Spiritual Help and Improvement…

  6. 77 FR 73051 - Agency Information Collection Activities; Proposed Collection; Comments Requested: Claims of U.S...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-12-07

    ... From the Federal Register Online via the Government Publishing Office DEPARTMENT OF JUSTICE Agency Information Collection Activities; Proposed Collection; Comments Requested: Claims of U.S. Nationals for Compensation for Serious Personal Injuries Against the Government of Iraq and Referred to the Foreign Claims Settlement Commission by...

  7. 78 FR 9428 - Agency Information Collection Activities; Proposed Collection; Comments Requested: Claims of U.S...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-02-08

    ... From the Federal Register Online via the Government Publishing Office ] DEPARTMENT OF JUSTICE Agency Information Collection Activities; Proposed Collection; Comments Requested: Claims of U.S. Nationals for Compensation for Serious Personal Injuries Against the Government of Iraq and Referred to the Foreign Claims Settlement Commission by...

  8. 14 CFR 1261.308 - NASA officials authorized to act upon claims.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... 14 Aeronautics and Space 5 2010-01-01 2010-01-01 false NASA officials authorized to act upon... PROCESSING OF MONETARY CLAIMS (GENERAL) Claims Against NASA or Its Employees for Damage to or Loss of Property or Personal Injury or Death-Accruing On or After January 18, 1967 § 1261.308 NASA...

  9. 14 CFR § 1261.308 - NASA officials authorized to act upon claims.

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... 14 Aeronautics and Space 5 2014-01-01 2014-01-01 false NASA officials authorized to act upon... ADMINISTRATION PROCESSING OF MONETARY CLAIMS (GENERAL) Claims Against NASA or Its Employees for Damage to or Loss of Property or Personal Injury or Death-Accruing On or After January 18, 1967 § 1261.308...

  10. 14 CFR 1261.308 - NASA officials authorized to act upon claims.

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ... 14 Aeronautics and Space 5 2013-01-01 2013-01-01 false NASA officials authorized to act upon... PROCESSING OF MONETARY CLAIMS (GENERAL) Claims Against NASA or Its Employees for Damage to or Loss of Property or Personal Injury or Death-Accruing On or After January 18, 1967 § 1261.308 NASA...

  11. 14 CFR 1261.308 - NASA officials authorized to act upon claims.

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... 14 Aeronautics and Space 5 2012-01-01 2012-01-01 false NASA officials authorized to act upon... PROCESSING OF MONETARY CLAIMS (GENERAL) Claims Against NASA or Its Employees for Damage to or Loss of Property or Personal Injury or Death-Accruing On or After January 18, 1967 § 1261.308 NASA...

  12. 10 CFR 770.9 - What conditions apply to DOE indemnification of claims against a person or entity based on the...

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... pollutant or contaminant attributable to DOE? 770.9 Section 770.9 Energy DEPARTMENT OF ENERGY TRANSFER OF... 10 Energy 4 2010-01-01 2010-01-01 false What conditions apply to DOE indemnification of claims... transfer of real property for economic development contains an indemnification provision, the person...

  13. How to Help a Person with a Serious Burn Injury

    MedlinePlus

    ... Online e-mail discussion group and the author’s personal experience. This story is an excerpt from The ... Wellness Getting Back to Life Parent & Child Resources Personal Stories Families & Friends Peer Support Professionals Prevention Podcasts ...

  14. Linguistic Factors Associated with Self-Inflicted Injury in Borderline Personality Disorder

    ERIC Educational Resources Information Center

    Birdwell, Benjamin Park

    2009-01-01

    The present study builds on previous research, which demonstrated higher levels of depressive and interpersonal conflict language in first-person narrative accounts of nonsuicidal self-injury (NSSI) and suicide attempt (SA) in borderline personality disorder. The present study was designed to examine the semantic similarity of time-sequences…

  15. Compensation for medical injury in New Zealand: does "'no-fault" increase the level of claims making and reduce social and clinical selectivity?

    PubMed

    Davis, Peter; Lay-Yee, Roy; Fitzjohn, Julie; Hider, Phil; Briant, Robin; Schug, Stephan

    2002-10-01

    The issues of patient safety and quality of care have gained policy attention with a growing appreciation of the scale and impact of medical injury in health systems. While the focus is clearly on the prevention of iatrogenic injury, the question of patient compensation is now also considered important, if only because in fault-based tort systems the fear of litigation may itself be a barrier to the disclosure and open discussion of medical error. No-fault systems, by contrast, do not require proof of culpability, and thus may both reduce barriers to compensation and increase disclosure of error. Little evidence, however, is available on the performance of such systems. This article reports on the analysis of two data sources-a sample of hospital admissions and a complete set of compensation claims for medical injury. Both are for the same year and region of New Zealand, a country that has maintained a no-fault system of accident compensation for a quarter of a century. Just over 2 percent of hospital admissions were associated with an adverse event that was potentially compensable under scheme criteria. While the claims process was well targeted, the level of claims making and receipt was low, with the ratio of successful claims to potentially compensable events being approximately 1:30. Comparison of social and clinical characteristics of the two data sets revealed a degree of selectivity. Compared with the hospital events, the typical successful claimant was younger and female and was much more likely to have experienced a surgical adverse event that, while unexpected, was not due to substandard care. It is concluded that, in interpreting these results, account needs to be taken of a number of features unique to the New Zealand system. These include: the limited payoff for a compensation claim (no pain and suffering or lump sum, free hospital care); the relative complexity of the grounds for claim (either rarity and severity or practitioner error); and a history

  16. Differences in Affect, Life Satisfaction, and Depression between Successfully and Unsuccessfully Rehabilitated Persons with Spinal Cord Injuries

    ERIC Educational Resources Information Center

    Chapin, Martha H.; Holbert, Donald

    2009-01-01

    This study assessed whether persons with spinal cord injuries who were successfully rehabilitated differed from those who were not with regard to positive and negative affect, life satisfaction, and depression. An ex post facto research design compared persons with spinal cord injuries who were previously employed with persons with spinal cord…

  17. 44 CFR 11.14 - Administrative claim; evidence and information to be submitted.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... causing death, or itemized receipts of payment for such expenses. (7) If damages for pain and suffering... pain and suffering, any drugs administered for pain, and the decedent's physical condition in the... injury. In support of a claim for personal injury, including pain and suffering, the claimant may...

  18. 34 CFR 35.4 - Administrative claim; evidence and information to be submitted.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... incident causing death, or itemized receipts of payments for such expenses. (7) If damages for pain and..., duration of pain and suffering, any drugs administered for pain and the decedent's physical condition in... injury. In support of a claim for personal injury, including pain and suffering, the claimant may...

  19. 44 CFR 11.14 - Administrative claim; evidence and information to be submitted.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... causing death, or itemized receipts of payment for such expenses. (7) If damages for pain and suffering... pain and suffering, any drugs administered for pain, and the decedent's physical condition in the... injury. In support of a claim for personal injury, including pain and suffering, the claimant may...

  20. 14 CFR 1261.304 - Place of filing claim.

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ... Injury or Death-Accruing On or After January 18, 1967 § 1261.304 Place of filing claim. A claim arising... activities are believed to have given rise to the claimed injury, loss, or death. If the identity of...

  1. 14 CFR 1261.304 - Place of filing claim.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... Injury or Death-Accruing On or After January 18, 1967 § 1261.304 Place of filing claim. A claim arising... activities are believed to have given rise to the claimed injury, loss, or death. If the identity of...

  2. 14 CFR 1261.304 - Place of filing claim.

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... Injury or Death-Accruing On or After January 18, 1967 § 1261.304 Place of filing claim. A claim arising... activities are believed to have given rise to the claimed injury, loss, or death. If the identity of...

  3. On matters of causation in personal injury cases: Considerations in forensic examination

    PubMed Central

    Ferrari, Robert; Klar, Lewis

    2014-01-01

    Rheumatologists are often called to be independent examiners of injured claimants and to address the question: “What is causing the injured person’s symptoms?” This article deals with the legal principles that arise in these cases, including causation, convenient focus, secondary gain, and thin skull rules. We shall first set out two hypothetical scenarios of personal injury cases that set the scene for a discussion of legal principles in personal injury law. With the same two scenarios of personal injury in mind, we shall review the legal principles and the biopsychosocial models of the illnesses concerned and consider the importance of examiners going beyond diagnostic labels towards a more in-depth analysis of illness factors and mechanisms that in turn assist the trier of facts. PMID:27708902

  4. Vocational Rehabilitation of Persons with Spinal Cord Injuries

    ERIC Educational Resources Information Center

    Poor, Charles R.

    1975-01-01

    Reviews historical development of organized vocational rehabilitation programming for the spinal cord injured in the United States. Significant factors that affect vocational rehabilitation outcomes with spinal cord injured persons are listed and discussed. (Author)

  5. The epidemiology of injury among surfers, kite surfers and personal watercraft riders: wind and waves.

    PubMed

    Pikora, Terri J; Braham, Rebecca; Mills, Christina

    2012-01-01

    The objective of this review was to summarize the epidemiological literature for surfboard riding (surfing), kite surfing and personal watercraft (PWC) riding injuries and describe the incidence and nature of these injuries, common risk factors, and strategies for prevention. The databases searched for relevant publications included Medline, ScienceDirect, ProQuest International, PubMed, Academic Search Premier as well as Google Scholar to identify additional, non-indexed studies. Overall, there was a lack of good quality descriptive studies for these three sports and many of the studies reviewed involved the use of administrative datasets or case-series designs. Among the few studies to provide incidence estimates, there were inconsistencies in how injury was defined, the inclusion criteria, and the reporting of incidence rates, making comparisons within and between the sports difficult. While the reported incidence rates were generally low, head and lower extremity injuries were common across all three sports. Only two studies reported evidence for postulated risk factors. Bigger waves and surfing over rock or reef sea floor increased the risk of injury among competitive surfers, while older age and having more experience increased the risk of significant injuries among recreational surfers. No evaluations of preventative measures were identified. This review demonstrates the need for well-designed epidemiological research, especially studies that focus on the accurate measurement and description of incidence, nature, severity and circumstances of injuries. Once this has occurred, interventions targeted at reducing the incidence of injuries among these sports can be designed, implemented and evaluated.

  6. Personality Change due to Traumatic Brain Injury in Children and Adolescents: Neurocognitive Correlates

    PubMed Central

    Wilde, Elisabeth A.; Bigler, Erin D.; Hanten, Gerri; Dennis, Maureen; Schachar, Russell J.; Saunders, Ann E.; Ewing-Cobbs, Linda; Chapman, Sandra B.; Thompson, Wesley K.; Yang, Tony T.; Levin, Harvey S.

    2015-01-01

    Personality Change due to traumatic brain injury (PC) in children is an important psychiatric complication of injury and is a form of severe affective dysregulation. The aim of the study was to examine neurocognitive correlates of PC. The sample included children (n=177) aged 5-14 years with traumatic brain injury from consecutive admissions to 5 trauma centers were followed prospectively at baseline and 6 months with semi-structured psychiatric interviews. Injury severity, socioeconomic status, and neurocognitive function (measures of attention, processing speed, verbal memory, IQ, verbal working memory, executive function, naming/reading, expressive language, motor speed, and motor inhibition) were assessed with standardized instruments. Unremitted PC was present in 26/141 (18%) participants assessed at 6 months post-injury. Attention, processing speed, verbal memory, IQ, and executive function, were significantly associated (p < .05) with PC even after socioeconomic status, injury severity, and pre-injury attention-deficit/hyperactivity disorder were controlled. These findings are a first step in characterizing concomitant cognitive impairments associated with PC. The results have implications beyond brain injury to potentially elucidate the neurocognitive symptom complex associated with mood instability regardless of etiology. PMID:26185905

  7. [Harmonisation of personal injury compensation in the European Union. Application to medical liability case law].

    PubMed

    Hureau, Jacques

    2006-03-01

    Harmonisation of personal injury compensation in the European Union (EU) is crucial. Continuing on from the work begun by the European Federation of Medical Academies, a working party of the XVth Committee of the French National Academy of Medicine has sought to go beyond the restrictive framework of automobile accident compensation in order to address more universal concerns, regardless of the causes and effects of bodily injury. The specific situation of injuries resulting from medical acts was considered, both for its medicolegal complexity and its potential human consequences. After recalling relevant European legislation, the authors consider the different philosophies of medical liability and health care systems in Europe. Methodological convergence is required to achieve harmonisation of personal injury compensation regimes, and especially for the classification of different types of bodily injury, the role of social services, and the establishment of a reference for medical evaluation of injury with built-in compensation levels. The doctrines and concepts of all EU member states (civil law, common law, Nordic medical liability regimes, etc.) are discussed, together with means of facilitating their harmonisation.

  8. Future Concerns of Adult Siblings of Persons with Traumatic Brain Injury

    ERIC Educational Resources Information Center

    Degeneffe, Charles Edmund; Olney, Marjorie F.

    2008-01-01

    This study examined future concerns conveyed by adult siblings who provided regular caregiving support to their brothers and sisters with traumatic brain injury (TBI). The authors surveyed a national sample of 280 adult siblings of persons with TBI. Using a constant comparative approach to text analysis, the authors analyzed responses to the…

  9. Emotional Responses to Self-Injury Imagery among Adults with Borderline Personality Disorder

    ERIC Educational Resources Information Center

    Welch, Stacy Shaw; Linehan, Marsha M.; Sylvers, Patrick; Chittams, Jesse; Rizvi, Shireen L.

    2008-01-01

    Nonsuicidal self-injury (NSSI) and suicide attempts (SAs) are especially prevalent in borderline personality disorder. One proposed mechanism for the maintenance of NSSI and SAs is escape conditioning, whereby immediate reductions in aversive emotional states negatively reinforce the behaviors. Psychophysiological and subjective indicators of…

  10. Alcohol and Drug Use among Young Persons with Traumatic Brain Injury.

    ERIC Educational Resources Information Center

    Kreutzer, Jeffrey S.; And Others

    1996-01-01

    This study compared the preinjury and postinjury patterns of alcohol and illicit drug use of 87 persons (ages 16 to 20) with traumatic brain injury. Although an initial follow-up indicated decline in alcohol use, second follow-up (at 28 months postinjury) suggested that drinking quantity and frequency increased over time. Postinjury illicit drug…

  11. Family Resiliency, Family Needs, and Community Reintegration in Persons with Brain Injury

    ERIC Educational Resources Information Center

    Frain, Julianne; Dillahunt-Aspillaga, Tina; Frain, Michael; Ehkle, Sarah

    2014-01-01

    Purpose: The purpose of the study was to measure predictors of community reintegration and empirically test the resiliency model of family stress, adjustment, and adaptation in persons with traumatic brain injury (TBI). The study also aimed to measure family needs by surveying caregiving family members through the use of the Family Needs…

  12. Correlates of Depression in Adult Siblings of Persons with Traumatic Brain Injury

    ERIC Educational Resources Information Center

    Degeneffe, Charles Edmund; Lynch, Ruth Torkelson

    2006-01-01

    Using Pearlin's stress process model, this study examined correlates of depression in 170 adult siblings of persons with traumatic brain injury (TBI). Approximately 39% of adult sibling participants evinced "Center for Epidemiologic Studies-Depression" (CES-D; Radloff, 1977) scores indicating clinically significant depressive symptoms. Background…

  13. Differences in Coping Styles among Persons with Spinal Cord Injury: A Cluster-Analytic Approach.

    ERIC Educational Resources Information Center

    Frank, Robert G.; And Others

    1987-01-01

    Identified and validated two subgroups in group of 53 persons with spinal cord injury by applying cluster-analytic procedures to subjects' self-reported coping and health locus of control belief scores. Cluster 1 coped less effectively and tended to be psychologically distressed; Cluster 2 subjects emphasized internal health attributions and…

  14. A Supported Relationships Intervention to Increase the Social Integration of Persons with Traumatic Brain Injuries.

    ERIC Educational Resources Information Center

    Johnson, Katherine; Davis, Paula K.

    1998-01-01

    Three persons with traumatic brain injury (TBI) were matched with four community participants for leisure activities. Community participants were trained and were given specific interactions suggestions. Integrated social contacts were measured using a multiple-baseline design across participants. Results suggest that social integration can be…

  15. Beta Adrenergic Blocking Medications for Aggressive or Self-Injurious Mentally Retarded Persons.

    ERIC Educational Resources Information Center

    Ruedrich, Stephen L.; And Others

    1990-01-01

    Literature is reviewed and a case report is presented concerning blockers of the beta-adrenergic function of the sympathetic nervous system, postulated to have efficacy in treatment of aggressive or self-injurious syndromes in persons with mental retardation. Concerns are raised regarding endorsement of beta-blocking medications before they have…

  16. Precision and improving outcomes in acute kidney injury: Personalizing the approach.

    PubMed

    Forni, Lui G; Chawla, Lakhmir; Ronco, Claudio

    2017-02-01

    It is now well over a decade since attempts at harmonization of acute renal failure into a definable entity termed acute kidney injury. This has led to several landmark studies outlining the epidemiology of acute kidney injury, particularly in the critically ill, as well as providing insights into the long-term effects of the syndrome. Despite the introduction of consensus definitions and improvement in recognition, this has not been translated into outcome benefits as yet. The introduction of novel biomarkers associated with renal damage was primarily aimed at aiding early recognition of acute kidney injury. We argue that, in the future, using biomarkers may not only alert to acute kidney injury but may direct therapy in a personalized fashion rather than a one-size-fits-all approach.

  17. Claims and Appeals (Medicare)

    MedlinePlus

    ... gov Medicare forms Advance directives & long-term care Electronic prescribing Electronic Health Records (EHRs) Download claims with Medicare’s Blue ... to Disclose Personal Health Information form Access an electronic form so that someone who helps you with ...

  18. Rehabilitation Utilization following a Work-Related Traumatic Brain Injury: A Sex-Based Examination of Workers’ Compensation Claims in Victoria, Australia

    PubMed Central

    Guerriero, E. Niki; Smith, Peter M.; Stergiou-Kita, Mary; Colantonio, Angela

    2016-01-01

    Objectives To report on and examine differences in the use of four types of rehabilitation services (occupational therapy, physiotherapy, psychology, and speech therapy) by men and women following a work-related traumatic brain injury in Victoria, Australia; and to examine the importance of demographic, need, work-related and geographic factors in explaining these differences. Methods A retrospective cohort design was used to analyze 1786 work-related traumatic brain injury workers’ compensation claims lodged between 2004 and 2012 in Victoria, Australia. ZINB regressions were conducted for each type of rehabilitation service to examine the relationship between sex and rehabilitation use. Covariates included demographic, need-related, work-related, and geographic factors. Results Out of all claims (63% male, 37% female), 13% used occupational therapy, 23% used physiotherapy, 9% used psychology, and 2% used speech therapy at least once during the first year of service utilization. After controlling for demographic, need-related, work-related, and geographic factors, women were more likely to use physiotherapy compared to men. Men and women were equally likely to use occupational therapy and psychology services. The number of visits in the first year for each type of service did not differ between male and female users. Conclusions Our findings support a sex-based approach to studying rehabilitation utilization in work-related populations. Future research is needed to examine other factors associated with rehabilitation utilization and to determine the implications of different rehabilitation utilization patterns on health and return-to-work outcomes. PMID:26982491

  19. The role of parental psychopathology and personality in adolescent non-suicidal self-injury.

    PubMed

    Gromatsky, Molly A; Waszczuk, Monika A; Perlman, Greg; Salis, Katie Lee; Klein, Daniel N; Kotov, Roman

    2017-02-01

    Adolescent non-suicidal self-injury (NSSI), a significant risk factor for suicidal behavior, is strongly associated with adolescent psychopathology and personality traits, particularly those characterized by poor self-regulation. Some parental psychopathology and personality traits have also been identified as risk factors for adolescent NSSI, but specific parental characteristics and mechanisms involved in this association have not been systematically examined. The current study comprehensively investigated the contribution of parental psychopathology and personality to adolescent NSSI using data from the baseline wave of the Adolescent Development of Emotion and Personality Traits (ADEPT) study of 550 adolescent girls (mean age = 14.39 years, SD = 0.63) and their biological parents. We first investigated whether parental lifetime psychiatric diagnoses, and personality and clinical (rumination, self-criticism, emotional reliance) traits were associated with adolescent NSSI. We also tested whether adolescent history of psychiatric illness, personality, and clinical traits mediated the associations between parental characteristics and adolescent NSSI. Parental substance use disorder, adult-ADHD symptoms, self-criticism, and lower agreeableness and conscientiousness were associated with offspring's NSSI. These associations were mediated through adolescent characteristics. In contrast, parental mood and anxiety disorders and neuroticism were unrelated to adolescent NSSI. The results suggest that parental traits and disorders characterized by self-regulatory difficulties and lack of support constitute risk factors for self-injury in adolescent girls, acting via adolescent traits. This demonstrates that parental influences play a significant role in the etiology of adolescent NSSI.

  20. Effects of personal and occupational stress on injuries in a young, physically active population: a survey of military personnel.

    PubMed

    Bedno, Sheryl; Hauret, Keith; Loringer, Kelly; Kao, Tzu-Cheg; Mallon, Timothy; Jones, Bruce

    2014-11-01

    The aim of this study was to document risk factors for any injury and sports- and exercise-related injuries, including personal and occupational stress among active duty service members (SMs) in the Air Force, Army, Marine Corps, and Navy. A total of 10,692 SMs completed the April 2008 Status of Forces Survey of Active Duty Members. The survey asked about demographics, personal stress and occupational stress, injuries from any cause, and participation in sports- and exercise- related activities in the past year. The survey used a complex sampling procedure to create a representative sample of SMs. Logistic regression was used to examine the associations of injury outcomes with potential risk factors. 49% of SMs sought medical care for an injury in the past year and 25% sustained a sports- and exercise-related activities injury. Odds of injury were higher for the Army and Marine Corps than for the Air Force or Navy. This survey showed that higher personal and occupational stress was associated with higher risks of injury. SMs who experienced higher levels of personal or occupational stress reported higher risks of injuries. The effects of stress reduction programs on injury risks should be evaluated in military and other young physically active populations.

  1. Personality Change Due to Traumatic Brain Injury in Children and Adolescents: Neurocognitive Correlates.

    PubMed

    Max, Jeffrey E; Wilde, Elisabeth A; Bigler, Erin D; Hanten, Gerri; Dennis, Maureen; Schachar, Russell J; Saunders, Ann E; Ewing-Cobbs, Linda; Chapman, Sandra B; Thompson, Wesley K; Yang, Tony T; Levin, Harvey S

    2015-01-01

    Personality change due to traumatic brain injury (PC) in children is an important psychiatric complication of injury and is a form of severe affective dysregulation. This study aimed to examine neurocognitive correlates of PC. The sample included 177 children 5-14 years old with traumatic brain injury who were enrolled from consecutive admissions to five trauma centers. Patients were followed up prospectively at baseline and at 6 months, and they were assessed with semistructured psychiatric interviews. Injury severity, socioeconomic status, and neurocognitive function (measures of attention, processing speed, verbal memory, IQ, verbal working memory, executive function, naming/reading, expressive language, motor speed, and motor inhibition) were assessed with standardized instruments. Unremitted PC was present in 26 (18%) of 141 participants assessed at 6 months postinjury. Attention, processing speed, verbal memory, IQ, and executive function were significantly associated with PC even after socioeconomic status, injury severity, and preinjury attention deficit hyperactivity disorder were controlled. These findings are a first step in characterizing concomitant cognitive impairments associated with PC. The results have implications beyond brain injury to potentially elucidate the neurocognitive symptom complex associated with mood instability regardless of etiology.

  2. [Relationships between low-grade chronic depression, pain and personality traits among community-dwelling persons with traumatic spinal cord injury].

    PubMed

    Nagumo, N

    2000-08-01

    To examine the relationships between low-grade chronic depression, pain and personality traits among community-dwelling persons with traumatic spinal cord injury (TSCI), 111 male and 11 female TSCI persons were administered questionnaires including Self-rating Depression Scale (SDS) and measures of pain and other mental health items, and were followed-up two years later. Nineteen persons (15%) meeting the criteria for low-grade chronic depression (both SDS scores > or = 48) were identified, while 30% of the sample population consistently showed normal mood (both SDS scores < or = 41). Both disabling pain and B type (emotionally labile, socially maladjusted, and extraverted personality characteristic) associated with lower IQ (90 and less) were significantly related to high SDS scores. However, age, sex, time-since-injury, levels of injury and marital status had no relationship with depression.

  3. Effect of a health claim and personal characteristics on consumer acceptance of fruit juices with different concentrations of açaí (Euterpe oleracea Mart.).

    PubMed

    Sabbe, Sara; Verbeke, Wim; Deliza, Rosires; Matta, Virginia; Van Damme, Patrick

    2009-08-01

    This study evaluates the effect of a health claim and personal characteristics on the acceptance of two unfamiliar açaí fruit juices that have a low (40% açaí) versus a high (4% açaí) a priori overall liking. Hedonic and sensory measures as well as health- and nutrition-related attribute perceptions and purchase intention were rated before and after health information was presented. Differences in information effects due to interactions with juice type, consumer background attitudes and socio-demographics were investigated. Providing health information yielded a positive, though rather small increase, in overall liking, perceived healthiness and perceived nutritional value of both juices, as well as in their purchase intention. Sensory experiences remained predominant in the acceptance of the fruit juices, although the health claim had a stronger effect on the perceived healthiness and nutritional value of the least-liked juice. Background attitudes and socio-demographic characteristics influenced consumers' acceptance of both unfamiliar fruit juices. Health-oriented consumers were more likely to compromise on taste for an eventual health benefit, though they still preferred the best tasting juice. Consumers with a high food neophobia reported a lower liking for both unfamiliar fruit juices. Older respondents and women were more likely to accept fruit juices that claim a particular health benefit.

  4. Environmental Factors Item Development for Persons With Stroke, Traumatic Brain Injury, and Spinal Cord Injury

    PubMed Central

    Heinemann, Allen W.; Magasi, Susan; Hammel, Joy; Carlozzi, Noelle E.; Garcia, Sofia F.; Hahn, Elizabeth A.; Lai, Jin-Shei; Tulsky, David; Gray, David B.; Hollingsworth, Holly; Jerousek, Sara

    2015-01-01

    Objectives To describe methods used in operationalizing environmental factors; to describe the results of a research project to develop measures of environmental factors that affect participation; and to define an initial item set of facilitators and barriers to participation after stroke, traumatic brain injury, and spinal cord injury. Design Instrument development included an extensive literature review, item classification and selection, item writing, and cognitive testing following the approach of the Patient-Reported Outcomes Measurement Information System. Setting Community. Participants Content area and outcome measurement experts (n=10) contributed to instrument development; individuals (n=200) with the target conditions participated in focus groups and in cognitive testing (n=15). Interventions None. Main Outcome Measures Environmental factor items were categorized in 6 domains: assistive technology; built and natural environment; social environment; services, systems, and policies; access to information and technology; and economic quality of life. Results We binned 2273 items across the 6 domains, winnowed this pool to 291 items for cognitive testing, and recommended 274 items for pilot data collection. Conclusions Five of the 6 domains correspond closely to the International Classification of Functioning, Disability and Health taxonomy of environmental factors; the sixth domain, economic quality of life, reflects an important construct that reflects financial resources that affect participation. Testing with a new and larger sample is underway to evaluate reliability, validity, and sensitivity. PMID:24378804

  5. Television viewing and hostile personality trait increase the risk of injuries.

    PubMed

    Fabio, Anthony; Chen, Chung-Yu; Dearwater, Steven; Jacobs, David R; Erickson, Darin; Matthews, Karen A; Iribarren, Carlos; Sidney, Stephen; Pereira, Mark A

    2017-03-01

    Individuals with high levels of hostility may be more susceptible to the influence of television on violence and risk taking behaviors. This study aimed to examine whether hostile personality trait modifies the association between TV viewing and injuries. It is a prospective study of 4,196 black and white adults aged 23 to 35 in 1990/1. Cross-lagged panel models were analyzed at three 5-year time periods to test whether TV viewing predicted injuries. Covariates were gender, race, and education. Individuals who watched more TV (0 hours, 1-3 hours, 4-6 hours, and ≥7 hours) were more likely to have a hospitalization for an injury in the following 5 years across each of the three follow-up periods [OR = 1.5 (95%CI = 1.2, 1.9), 1.5 (1.1, 1.9), and 1.9 (1.3, 2.6)]. The cross-lagged effects of TV viewing to injury were significant in the high hostility group [OR = 1.4 (95%CI = 1.1, 1.8), 1.3 (1.0, 1.8), and 2.0 (1.3, 2.9)] but not in the low hostility group [OR = 1.3 (95%CI = 0.6, 2.2), 1.1 (0.6, 2.1), and 1.4 (0.7, 2.8)]. Additionally, a statistically significant difference between the two models (P < 0.001) suggested that hostility moderated the relationship between TV watching and injury. These findings suggest that individuals who watch more TV and have a hostile personality trait may be at a greater risk for injury.

  6. PHIT for Duty, a Personal Health Intervention Tool for Psychological Health and Traumatic Brain Injury

    DTIC Science & Technology

    2012-04-01

    trauma and may be having some symptoms of distress , but have not been diagnosed with any psychological disease or disorder. PHIT for Duty, however, may...Emotion Regulation Scale DERS) Gratz and Roemer, 2004 Distress Impact of Event Scale (IES) Horowitz et al., 1979 Monitoring instruments Primary...Duty, a Personal Health Intervention Tool for Psychological Health and Traumatic Brain Injury Mr. Paul Kizakevich Research Triangle Institute

  7. Debates to personal conclusion in peripheral nerve injury and reconstruction: A 30-year experience at Chang Gung Memorial Hospital.

    PubMed

    Chuang, David Chwei-Chin

    2016-01-01

    Significant progress has been achieved in the science and management of peripheral nerve injuries over the past 40 years. Yet there are many questions and few answers. The author, with 30 years of experience in treating them at the Chang Gung Memorial Hospital, addresses debates on various issues with personal conclusions. These include: (1) Degree of peripheral nerve injury, (2) Timing of nerve repair, (3)Technique of nerve repair, (4) Level of brachial plexus injury,(5) Level of radial nerve injury,(6) Traction avulsion amputation of major limb, (7) Proximal Vs distal nerve transfers in brachial plexus injuries and (8) Post paralysis facial synkinesis.

  8. Who’s Missing the Point? A Commentary on Claims that Autistic Persons Have a Specific Deficit in Figurative Language Comprehension

    PubMed Central

    Gernsbacher, Morton Ann; Pripas-Kapit, Sarah R.

    2014-01-01

    It’s become a caricature of autistic persons that they don’t understand figurative language. Despite empirical evidence to the contrary, three of the four contributions to this special issue endorse this stereotype without question. And all four contributions attribute this supposed deficit to even shakier fallacies, such as the controversial claim that autistic people lack empathy or a ‘theory of mind.’ In this commentary, we begin by reviewing the literature more exhaustively than the other contributions, and we highlight a point that they missed: Autistic persons are likely to have difficulty comprehending figurative language if they also have difficulty comprehending language in general. There doesn’t seem to be a specific deficit in figurative language unique to autism. We also tackle the claim that autistic people lack empathy. And we question the existence of a ‘theory of mind area,’ while demonstrating the pitfalls that ensnarl researchers when they strain to interpret differences between autistic and non-autistic brain activity as solely autistic deficits. PMID:25339845

  9. Outcomes of a multicomponent intervention on occupational performance in persons with unilateral acquired brain injury

    PubMed Central

    Hoyas, Elisabet Huertas; Pérez, Eduardo José Pedrero; Águila Maturana, Ana M.; Mota, Gloria Rojo; Piédrola, Rosa Martínez; de Heredia Torres, Marta Pérez

    2016-01-01

    Summary Complications after unilateral acquired brain injury (ABI) can affect various areas of expertise causing (depending on the location of the lesion) impairment in occupational performance. The aim of this study was to analyze and compare the concepts of occupational performance and functional independence, both before and after a multicomponent intervention including occupational therapy, in persons with unilateral brain damage. This was a longitudinal quasi-experimental pretest post-test study in a sample of 58 patients with unilateral brain injury (28 with traumatic brain injury and 30 with ischemic stroke). The patients’ level of independence was measured using the short version of the International Classification of Functioning, Disability and Health. We also measured quality of performance using the Assessment of Motor and Process Skills. The findings of this study showed that patients with injury in the right hemisphere improved more than those with left hemisphere damage (p<0.001). All the patients with ABI, especially those with right-sided injury, derived benefit from the multicomponent intervention, except in the area of motor skills. More research is needed on the specific techniques that might address such skills. PMID:27358224

  10. Outcomes of a multicomponent intervention on occupational performance in persons with unilateral acquired brain injury.

    PubMed

    Huertas Hoyas, E; Pedrero Pérez, E J; Águila Maturana, A M; Rojo Mota, G; Martínez Piédrola, R; Pérez de Heredia Torres, M

    2016-01-01

    Complications after unilateral acquired brain injury (ABI) can affect various areas of expertise causing (depending on the location of the lesion) impairment in occupational performance. The aim of this study was to analyze and compare the concepts of occupational performance and functional independence, both before and after a multicomponent intervention including occupational therapy, in persons with unilateral brain damage. This was a longitudinal quasi-experimental pretest post-test study in a sample of 58 patients with unilateral brain injury (28 with traumatic brain injury and 30 with ischemic stroke). The patients' level of independence was measured using the short version of the International Classification of Functioning, Disability and Health. We also measured quality of performance using the Assessment of Motor and Process Skills. The findings of this study showed that patients with injury in the right hemisphere improved more than those with left hemisphere damage (p<0.001). All the patients with ABI, especially those with right-sided injury, derived benefit from the multicomponent intervention, except in the area of motor skills. More research is needed on the specific techniques that might address such skills.

  11. Non-fatal workplace violence workers' compensation claims (1993-1996).

    PubMed

    Hashemi, L; Webster, B S

    1998-06-01

    More is known about fatal workplace violence than non-fatal workplace violence (NFWV). This study provides descriptive information on the number and cost of NFWV claims filed with a large workers' compensation carrier. NFWV claims from 51 US jurisdictions were selected either by cause codes or by word search from the accident-description narrative. Claims reported in 1993 through 1996 were analyzed to report the frequency, cost, gender, age, industry, and nature of injury. An analysis of a random sample of 600 claims provided information on perpetrator type, cause of events, and injury mechanism. A total of 28,692 NFWV claims were filed during the study period. No cost was incurred for 32.5% of the claims, and 15.5% received payments for lost work. As a percentage of all claims filed by industry, schools had the highest percentage (11.4%) of NFWV claims, and banking had the highest percentage (11.5%) of cost. The majority of claims in the banking random sample group (93%) were due to stress. In the random sample, 90.3% of claims were caused by criminals (51.8%) or by patients, clients, or customers (38.5%). Only 9.7% were caused by an employee (9.2%) or a personal acquaintance of the employee (0.5%). Employers should acknowledge that NFWV incidents occur, recognize that the majority of perpetrators are criminals or clients rather than employees, and develop appropriate prevention and intervention programs.

  12. The Age Related Prevalence of Aggression and Self-Injury in Persons with an Intellectual Disability: A Review

    ERIC Educational Resources Information Center

    Davies, Louise; Oliver, Chris

    2013-01-01

    The aim of this study was to analyse statistically published data regarding the age related prevalence of aggression and self-injury in persons with intellectual disability. Studies including prevalence data for aggression and/or self-injury broken down by age band were identified and relative risk analyses conducted to generate indices of age…

  13. 78 FR 65450 - Proposed Information Collection (Statement of Person Claiming To Have Stood in Relation of a...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-10-31

    ... relation of parents to a deceased Veteran eligibility for death benefits. DATES: Written comments and... claimants seeking service-connected death benefits as persons who stood in the relationship of the...

  14. 76 FR 2755 - Proposed Information Collection (Statement of Person Claiming To Have Stood in Relation of a...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-01-14

    ... relation of parents to a deceased veteran eligibility for death benefits. DATES: Written comments and... claimants seeking service-connected death benefits as persons who stood in the relationship of the...

  15. 14 CFR 1261.304 - Place of filing claim.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... Death-Accruing On or After January 18, 1967 § 1261.304 Place of filing claim. A claim arising in the... believed to have given rise to the claimed injury, loss, or death. If the identity of such installation...

  16. [An analysis of insurance claims of civil responsibility in radiology. The first Italian data].

    PubMed

    Fileni, A; Magnavita, N

    1996-03-01

    The purpose of this study is to provide information to Italian radiologists regarding claims and patient injuries in medical malpractice claims. The assurance claims of Italian radiologists over a two-year period (1994-95) were anonymously analyzed, based on pertinent data provided by the Insurance Company of the Italian Society of Medical Radiology. The incidence risk-rate of claims was 9.1 per thousand person/year. Alleged malpractice accounted for more than 85% of the claims. In nearly one-half of the cases (44.4%), the plaintiff's argument was based on a . The most common misdiagnosis was failure to diagnose fracture or dislocation. The second most common claim category (40.7%) were complications, most commonly occurring during interventional radiology and contrast media injection. The third claim category (14.8%) was patient's accidents occurring during the diagnostic procedure. The most frequent types of injuries experienced by patients were death (6 cases), loss of chance for survival and permanent disability. Claims were more frequent in public health services, and mostly related to emergency examinations and interventional procedures. Misdiagnoses almost exclusively involved public health radiologists. Private health care, on the other hand, had a higher rate of fatal injuries, mostly related to technical complications.

  17. 10 CFR 1014.4 - Administrative claims; evidence and information to be submitted.

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... incident causing death, or itemized receipts of payment for such expenses. (7) If damages for pain and... duration of pain and suffering, any drugs administered for pain, and the decedent's physical condition... support of a claim for personal injury, including pain and suffering, the claimant may be required...

  18. 10 CFR 1014.4 - Administrative claims; evidence and information to be submitted.

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ... incident causing death, or itemized receipts of payment for such expenses. (7) If damages for pain and... duration of pain and suffering, any drugs administered for pain, and the decedent's physical condition... support of a claim for personal injury, including pain and suffering, the claimant may be required...

  19. 10 CFR 1014.4 - Administrative claims; evidence and information to be submitted.

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... incident causing death, or itemized receipts of payment for such expenses. (7) If damages for pain and... duration of pain and suffering, any drugs administered for pain, and the decedent's physical condition... support of a claim for personal injury, including pain and suffering, the claimant may be required...

  20. 10 CFR 1014.4 - Administrative claims; evidence and information to be submitted.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... incident causing death, or itemized receipts of payment for such expenses. (7) If damages for pain and... duration of pain and suffering, any drugs administered for pain, and the decedent's physical condition... support of a claim for personal injury, including pain and suffering, the claimant may be required...

  1. The effect of publication on Internet-based solicitation of personal-injury litigants.

    PubMed

    Juurlink, David N; Park-Wyllie, Laura Y; Kapral, Moira K

    2007-11-20

    Serious adverse drug events can prompt personal-injury lawsuits. However, the extent to which biomedical publication regarding drug-induced harm can influence the legal process has not been well characterized. Using an advanced Google search strategy, we determined the number of Internet "hits" for websites soliciting plaintiffs for medicolegal action before and after publication of a study that highlighted the risk of dysglycemia among patients taking the antibiotic gatifloxacin. We found that early online release and print publication were associated with an immediate and sustained increase in the number of websites soliciting plaintiffs for legal action.

  2. The person with a spinal cord injury: an evolving prototype for life care planning.

    PubMed

    Stiens, Steven A; Fawber, Heidi L; Yuhas, Steven A

    2013-08-01

    The sequela of spinal cord injury (SCI) can provide a prototype for life care planning because the segmental design of the vertebrate body allows assessments to be quantitative, repeatable, and predictive of the injured person's impairments, self-care capabilities, and required assistance. Life care planning for patients with SCI uses a standard method that is comparable between planner, yet individualizes assessment and seeks resources that meet unique patient-centered needs in their communities of choice. Clinical care and rehabilitation needs organized with an SCI problem list promotes collaboration by the interdisciplinary team, caregivers, and family in efficient achievement of patient-centered goals and completion of daily care plans.

  3. The Impact Of Sports Activities On Quality Of Life Of Persons With A Spinal Cord Injury

    PubMed Central

    Eminović, Fadilj; Dopsaj, Milivoj; Pavlović, Dragan; Arsić, Sladjana; Otašević, Jadranka

    2016-01-01

    Abstract Objectives Studying the quality of life of people with a spinal cord injury is of great importance as it allows the monitoring of both functioning and adaptation to disability. The aim of this study was to determine the difference between persons with a spinal cord injury involved in sports activities and those not involved in sports activities in relation to their quality of life and the presence of secondary health conditions (pressure ulcers, urinary infections, muscle spasms, osteoporosis, pain, kidney problems-infections, calculosis and poor circulation). Methods The study included a total of 44 participants with spinal cord injury-paraplegia of both genders; 26 of them were athletes and 18 were not athletes. The athletes were training actively for the last two years, minimally 2-3 times per week. A specially designed questionnaire, medical documentation and the Spinal Cord Injury Quality of Life Questionnaire (SCI QL-23) were used for research purposes. Chi-square test was used to analyze the differences between the groups, while multiple analysis of variance (MANOVA) was used to determine the differences between the sets of variables. Results Among the participants, the athletes perceived higher quality of life than the non-athletes (male gender p<0.001 and female gender p<0.05). Regarding secondary health conditions, the athletes reported the presence of less pain (p=0.034) and a subjective feeling of better circulation (p=0.023). Conclusion The implementation of sports activities significantly improves quality of life in the population of people with spinal cord injury-paraplegia. However, sports activities only partially affect secondary health conditions. PMID:27284378

  4. Profile Analyses of the Personality Assessment Inventory Following Military-Related Traumatic Brain Injury

    PubMed Central

    Kennedy, Jan E.; Cooper, Douglas B.; Reid, Matthew W.; Tate, David F.; Lange, Rael T.

    2015-01-01

    Personality Assessment Inventory (PAI) profiles were examined in 160 U.S. service members (SMs) following mild–severe traumatic brain injury (TBI). Participants who sustained a mild TBI had significantly higher PAI scores than those with moderate–severe TBI on eight of the nine clinical scales examined. A two-step cluster analysis identified four PAI profiles, heuristically labeled “High Distress”, “Moderate Distress”, “Somatic Distress,” and “No Distress”. Postconcussive and posttraumatic stress symptom severity was highest for the High Distress group, followed by the Somatic and Moderate Distress groups, and the No Distress group. Profile groups differed in age, ethnicity, rank, and TBI severity. Findings indicate that meaningful patterns of behavioral and personality characteristics can be detected in active duty military SMs following TBI, which may prove useful in selecting the most efficacious rehabilitation strategies. PMID:25857403

  5. Biomechanical evaluation of wrist-driven flexor hinge orthosis in persons with spinal cord injury.

    PubMed

    Kang, Yeoun-Seung; Park, Yoon-Ghil; Lee, Bum-Suk; Park, Hyung-Soon

    2013-01-01

    The wrist-driven flexor hinge orthosis (WDFHO) is a device used to restore hand function in persons with tetraplegic spinal cord injury by furnishing three-point prehension. We assessed the effectiveness and biomechanical properties of the WDFHO in 24 persons with cervical 6 or 7 tetraplegia who have severely impaired hand function. This study introduces a mechanical operating model to assess the efficiency of the WDFHO. Experimental results showed that pinch force increased significantly (p < 0.001) after using the WDFHO and was found to positively correlate with the strength of wrist extensor muscles (r = 0.41, p < 0.001). However, when the strength of the wrist extensors acting on the WDFHO was greater, the reciprocal wrist and finger motion that generates three-point prehension was less effective (r = 0.79, p < 0.001). Reliable and valid biomechanical evaluation of the WDFHO could improve our understanding of its biomechanics.

  6. Long-term functioning following whiplash injury: the role of social support and personality traits.

    PubMed

    Nijs, Jo; Inghelbrecht, Els; Daenen, Liesbeth; Hachimi-Idrissi, Said; Hens, Luc; Willems, Bert; Roussel, Nathalie; Cras, Patrick; Bernheim, Jan

    2011-07-01

    Transition from acute whiplash injury to either recovery or chronicity and the development of chronic whiplash-associated disorders (WAD) remains a challenging issue for researchers and clinicians. The roles of social support and personality traits in long-term functioning following whiplash have not been studied concomitantly. The present study aimed to examine whether social support and personality traits are related to long-term functioning following whiplash. One hundred forty-three subjects, who had experienced a whiplash injury in a traffic accident 10-26 months before the study took place, participated. The initial diagnoses were a 'sprain of the neck' (ICD-9 code 847.0); only the outcome of grades I-III acute WAD was studied. Long-term functioning was considered within the biopsychosocial model: it was expressed in terms of disability, functional status, quality of life and psychological well-being. Participants filled out a set of questionnaires to measure the long-term functioning parameters (i.e. the Neck Disability Index, Medical Outcome Study Short-Form General Health Survey, Anamnestic Comparative Self-Assessment measure of overall well-being and the Symptom Checklist-90) and potential determinants of long-term functioning (the Dutch Personality Questionnaire and the Social Support List). The results suggest that social support (especially the discrepancies dimension of social support) and personality traits (i.e. inadequacy, self-satisfaction and resentment) are related to long-term functioning following whiplash injury (Spearman rho varied between 0.32 and 0.57; p < 0.01). Within the discrepancy dimension, everyday emotional support, emotional support during problems, appreciative support and informative support were identified as important correlates of long-term functioning. Future prospective studies are required to confirm the role of social support and personality traits in relation to long-term functioning following whiplash. For such

  7. 22 CFR 304.3 - Administrative claim; who may file.

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ... 22 Foreign Relations 2 2012-04-01 2009-04-01 true Administrative claim; who may file. 304.3 Section 304.3 Foreign Relations PEACE CORPS CLAIMS AGAINST GOVERNMENT UNDER FEDERAL TORT CLAIMS ACT Procedures § 304.3 Administrative claim; who may file. (a) A claim for injury to or loss of property may...

  8. 22 CFR 304.3 - Administrative claim; who may file.

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ... 22 Foreign Relations 2 2014-04-01 2014-04-01 false Administrative claim; who may file. 304.3 Section 304.3 Foreign Relations PEACE CORPS CLAIMS AGAINST GOVERNMENT UNDER FEDERAL TORT CLAIMS ACT Procedures § 304.3 Administrative claim; who may file. (a) A claim for injury to or loss of property may...

  9. 22 CFR 304.3 - Administrative claim; who may file.

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ... 22 Foreign Relations 2 2013-04-01 2009-04-01 true Administrative claim; who may file. 304.3 Section 304.3 Foreign Relations PEACE CORPS CLAIMS AGAINST GOVERNMENT UNDER FEDERAL TORT CLAIMS ACT Procedures § 304.3 Administrative claim; who may file. (a) A claim for injury to or loss of property may...

  10. 22 CFR 304.3 - Administrative claim; who may file.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... 22 Foreign Relations 2 2010-04-01 2010-04-01 true Administrative claim; who may file. 304.3 Section 304.3 Foreign Relations PEACE CORPS CLAIMS AGAINST GOVERNMENT UNDER FEDERAL TORT CLAIMS ACT Procedures § 304.3 Administrative claim; who may file. (a) A claim for injury to or loss of property may...

  11. 22 CFR 304.3 - Administrative claim; who may file.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... 22 Foreign Relations 2 2011-04-01 2009-04-01 true Administrative claim; who may file. 304.3 Section 304.3 Foreign Relations PEACE CORPS CLAIMS AGAINST GOVERNMENT UNDER FEDERAL TORT CLAIMS ACT Procedures § 304.3 Administrative claim; who may file. (a) A claim for injury to or loss of property may...

  12. Adaptive logic networks in rehabilitation of persons with incomplete spinal cord injury

    SciTech Connect

    Armstrong, W.W. |

    1995-12-31

    Persons with incomplete spinal cord injury are generally at least partially paralyzed and are often unable to walk. Manually-controlled electrical stimulation has been used to act upon nerves or muscles to cause leg movement so such persons can achieve functional walking. They use crutches or a mobile walker for support, and initiate each stimulus by pressing a button. Artificial intelligence and machine learning techniques are now making it possible to automate the process of stimulus-initiation. Supervised training of an automatic system can be based on samples of correct stimulation given by the patient or by a therapist, accompanied by data from sensors indicating the state of the person`s body and its relation to the ground during walking. A major issue is generalization, i.e. whether the result of training can be used for control at a later time or in somewhat different circumstances. As the possibilities grow for increasing the number and variety of sensors on a patient, and for easily implanting more numerous stimulation channels, the need is increasing for powerful learning systems which can automatically develop effective and safe control algorithms. This paper explains the foundations of adaptive logic networks, and illustrates how they have been used to develop an experimental walking prosthesis used in a laboratory setting. Successful generalization has been observed using parameters from training which took place minutes to days earlier.

  13. Non-suicidal self-injury: the contribution of general personality functioning.

    PubMed

    Mullins-Sweatt, Stephanie N; Lengel, Gregory J; Grant, Demond M

    2013-01-01

    Non-suicidal self-injury (NSSI) is a public health problem of increasing significance. The purpose of the present study was to determine if individuals with and without a history of NSSI would differ significantly on the domains and facets of the Five Factor Model (FFM) as well as the facets from the UPPS-P Impulsive Behaviour Scale. Self-report measures of personality, borderline personality disorder and NSSI were administered to an undergraduate sample (n = 211). Individuals who had engaged in NSSI had significantly elevated levels of FFM facets of neuroticism (i.e. anxiousness, angry hostility, depressiveness, self-consciousness, impulsiveness and vulnerability) and openness (i.e. aesthetics, feelings and values) and significantly lower levels of conscientiousness (i.e. order, achievement, self-discipline and deliberation). Additionally, those with an NSSI history scored higher on UPPS-P negative urgency, lack of premeditation and lack of perseverance. The knowledge gained from this study provides further support for personality's role in NSSI. This information may aid in the identification of risk factors for NSSI and assist in efforts examining interventions for NSSI that are targeted toward personality-relevant strategies.

  14. Disaster anxiety and self-assistance behaviours among persons with cervical cord injury in Japan: a qualitative study

    PubMed Central

    Takahashi, Kyo; Kitamura, Yayoi

    2016-01-01

    Objectives Persons with disabilities, especially those with a severe disability, have a vague anxiety about future disasters; however, the measures of self-assistance for disaster preparedness have not been standardised. The present study aimed to describe disaster-related anxiety and behaviours related to disaster preparedness among persons who have cervical cord injury in Japan. Design Qualitative study. Setting Tokyo Metropolitan area, Japan. Participants 16 persons with cervical cord injury participated. Inclusion criteria were being 20 years old and older, being diagnosed with cervical cord injury, being able to communicate verbally, having an interest in disaster preparedness, and belonging to a self-help group of persons with cervical cord injury in the Tokyo Metropolitan area. Results Participants usually had ‘anxiety about health management’ and it became more serious once they thought about a disaster. We identified three themes in relation to their anxiety: ‘storing needed items,’ ‘staying in a safe place’ and ‘having reliable caregivers.’ We also identified three other themes that were the reasons behind these themes: ‘travel experiences,’ ‘experiences of failure’ and ‘information from peers.’ Conclusions To buffer the anxiety about health management in a disaster, it would be important for persons with cervical cord injury to store needed items, stay in a safe place and have reliable caregivers. Various daily experiences, including experiences of failure, would encourage such behaviours. PMID:27091817

  15. Randomized Controlled Trial of Personalized Motivational Interventions in Substance Using Patients With Facial Injuries

    PubMed Central

    Shetty, Vivek; Murphy, Debra A.; Zigler, Corwin; Yamashita, Dennis-Duke R.; Belin, Thomas R.

    2011-01-01

    Purpose The proximate use of illicit drugs or alcohol (substance use) is the most common precipitator of facial injuries among socioeconomically disadvantaged populations. Reducing these risky behaviors could minimize adverse health sequelae and potential reinjury. The objective of our study was to test whether a culturally competent, personalized motivational intervention incorporated into surgical care could significantly reduce existing substance use behaviors in facial injury patients. Patients and Methods Substance-using subjects (n = 218) presenting with facial injuries to a level 1 trauma center were randomly assigned to either a personalized motivational intervention (PMI) condition or a health-information (HI) control condition. After a brief assessment of the individual’s substance use severity and willingness to change these behaviors, both groups attended 2 counseling sessions with a trained interventionist. The PMI subjects (n = 118) received individualized, motivational interventions, whereas the HI subjects (n = 100) received only general health information. Both groups were reassessed at 6 and 12 months postinjury, and changes in substance-use patterns were measured to assess the effects of intervention. Results The PMI and HI groups were closely matched on their sociodemographic and substance use characteristics. Subjects in the PMI group showed statistically significant declines in drug use at both the 6- and 12-month assessments. The intervention’s effect on lowering illicit drug use was greatest at the 6-month assessment but had weakened by the 1-year follow-up. The efficacy of the PMI was moderated by an individual’s initial drug use severity; individuals with greater drug use dependency at baseline were seen to have larger intervention effects, as did individuals who were most aware of their drug problem and willing to change their substance use behaviors. Unlike illicit drug use, changes in alcohol use did not differ significantly

  16. Analysis of the effect of car size on accident injury probability using automobile insurance data.

    PubMed

    Krishnan, K S; Carnahan, J V

    1985-04-01

    The Highway Loss Data Institute (HLDI) compiles injury and collision claim information from major insurance companies. These data have indicated that a disproportionately large number of injury claims are made for small cars. As a result, it might be concluded that small cars increase injury risk to their occupants. Recent advertisements by a major automobile manufacturer suggest a similar conclusion should be drawn from these data. In this paper it is shown that the apparent higher injury risk attributed to small cars can reflect the behavior of persons driving small cars. The number of injury claim accidents per collision claim accident is examined as an alternative measure of injury risk. Possible problems in interpretation are discussed.

  17. Cross-cultural validity of four quality of life scales in persons with spinal cord injury

    PubMed Central

    2010-01-01

    Background Quality of life (QoL) in persons with spinal cord injury (SCI) has been found to differ across countries. However, comparability of measurement results between countries depends on the cross-cultural validity of the applied instruments. The study examined the metric quality and cross-cultural validity of the Satisfaction with Life Scale (SWLS), the Life Satisfaction Questionnaire (LISAT-9), the Personal Well-Being Index (PWI) and the 5-item World Health Organization Quality of Life Assessment (WHOQoL-5) across six countries in a sample of persons with spinal cord injury (SCI). Methods A cross-sectional multi-centre study was conducted and the data of 243 out-patients with SCI from study centers in Australia, Brazil, Canada, Israel, South Africa, and the United States were analyzed using Rasch-based methods. Results The analyses showed high reliability for all 4 instruments (person reliability index .78-.92). Unidimensionality of measurement was supported for the WHOQoL-5 (Chi2 = 16.43, df = 10, p = .088), partially supported for the PWI (Chi2 = 15.62, df = 16, p = .480), but rejected for the LISAT-9 (Chi2 = 50.60, df = 18, p = .000) and the SWLS (Chi2 = 78.54, df = 10, p = .000) based on overall and item-wise Chi2 tests, principal components analyses and independent t-tests. The response scales showed the expected ordering for the WHOQoL-5 and the PWI, but not for the other two instruments. Using differential item functioning (DIF) analyses potential cross-country bias was found in two items of the SWLS and the WHOQoL-5, three items of the LISAT-9 and four items of the PWI. However, applying Rasch-based statistical methods, especially subtest analyses, it was possible to identify optimal strategies to enhance the metric properties and the cross-country equivalence of the instruments post-hoc. Following the post-hoc procedures the WHOQOL-5 and the PWI worked in a consistent and expected way in all countries. Conclusions QoL assessment using the summary

  18. Web-Based Specialist Support for Spinal Cord Injury Person's Care: Lessons Learned.

    PubMed

    Della Mea, Vincenzo; Marin, Dario; Rosin, Claudio; Zampa, Agostino

    2012-01-01

    Persons with disability from spinal cord injury (SCI) are subject to high risk of pathological events and need a regular followup even after discharge from the rehabilitation hospital. To help in followup, we developed a web portal for providing online specialist as well as GP support to SCI persons. After a feasibility study with 13 subjects, the portal has been introduced in the regional healthcare network in order to make it compliant with current legal regulations on data protection, including smartcard authentication. Although a number of training courses have been made to introduce SCI persons to portal use (up to 50 users), the number of accesses remained very low. Reasons for that have been investigated by means of a questionnaire submitted to the initial feasibility study subjects and included the still easier use of telephone versus our web-based smartcard-authenticated portal, in particular, because online communications are still perceived as an unusual way of interacting with the doctor. To summarize, the overall project has been appreciated by the users, but when it is time to ask for help to, the specialist, it is still much easier to make a phone call.

  19. The relationship between the postprandial lipemic response and lipid composition in persons with spinal cord injury

    PubMed Central

    Emmons, Racine R.; Cirnigliaro, Christopher M.; Kirshblum, Steven C.; Bauman, William A.

    2014-01-01

    Objective To determine the influence of lipid concentration, lipid particle size, and total abdominal fat (TAF) on postprandial lipemic response (PPLr) in persons with spinal cord injury (SCI). Methods Thirty-five persons with SCI (17 paraplegia, 18 tetraplegia) and 18 able-bodied (AB) individuals participated. Following a 10-hour fast, blood was drawn for lipids, apolipoprotein (apo) A1 and B concentrations, and low-density (LSP) and high-density (HSP) lipoprotein particle sizes. A high-fat milkshake was consumed (∼1.3 g fat/kg). Blood was drawn at 2, 4, and 6 hours to determine PPLr, (triglyceride (TG) area under the curve). TAF and visceral (VF) fat were measured by ultrasonography; total body fat (TBF) by dual-energy X-ray absorptiometry. Differences between the groups were determined by independent sample t-tests. Pearson correlation coefficients determined the relationship among PPLr and lipids, and TAF. Results There were no significant differences in fasting TG, low-density lipoprotein (LDL), apoB, TAF, or PPLr values between the groups. In SCI, PPLr significantly correlated with: apoB (r = 0.63, P < 0.01, LSP (r = 0.57, P < 0.01), and TAF (r = 0.36, P < 0.01). After controlling for age and duration of injury, PPLr significantly correlated with apoB (r = 0.66, P = 0.001), TBF (r = 0.45, P = 0.03), VF (r = 0.66, P = 0.02), and TAF (r = 0.56, P = 0.007). Conclusions Although concentrations of LDL cholesterol and apoB were not different between SCI and AB groups, LSP, apoB, and TAF correlated with PPLr in persons with SCI. ApoB was associated with a greater PPLr in those with motor complete SCI, after controlling for age and duration of injury. PMID:24961488

  20. Training Persons with Spinal Cord Injury to Ambulate Using a Powered Exoskeleton.

    PubMed

    Asselin, Pierre K; Avedissian, Manuel; Knezevic, Steven; Kornfeld, Stephen; Spungen, Ann M

    2016-06-16

    Powered exoskeletons have become available for overground ambulation in persons with paralyses due to spinal cord injury (SCI) who have intact upper extremity function and are able to maintain upright balance using forearm crutches. To ambulate in an exoskeleton, the user must acquire the ability to maintain balance while standing, sitting and appropriate weight shifting with each step. This can be a challenging task for those with deficits in sensation and proprioception in their lower extremities. This manuscript describes screening criteria and a training program developed at the James J. Peters VA Medical Center, Bronx, NY to teach users the skills needed to utilize these devices in institutional, home or community environments. Before training can begin, potential users are screened for appropriate range of motion of the hip, knee and ankle joints. Persons with SCI are at an increased risk of sustaining lower extremity fractures, even with minimal strain or trauma, therefore a bone mineral density assessment is performed to reduce the risk of fracture. Also, as part of screening, a physical examination is performed in order to identify additional health-related contraindications. Once the person has successfully passed all screening requirements, they are cleared to begin the training program. The device is properly adjusted to fit the user. A series of static and dynamic balance tasks are taught and performed by the user before learning to walk. The person is taught to ambulate in various environments ranging from indoor level surfaces to outdoors over uneven or changing surfaces. Once skilled enough to be a candidate for home use with the exoskeleton, the user is then required to designate a companion-walker who will train alongside them. Together, the pair must demonstrate the ability to perform various advanced tasks in order to be permitted to use the exoskeleton in their home/community environment.

  1. Training Persons with Spinal Cord Injury to Ambulate Using a Powered Exoskeleton

    PubMed Central

    Asselin, Pierre K.; Avedissian, Manuel; Knezevic, Steven; Kornfeld, Stephen; Spungen, Ann M.

    2016-01-01

    Powered exoskeletons have become available for overground ambulation in persons with paralyses due to spinal cord injury (SCI) who have intact upper extremity function and are able to maintain upright balance using forearm crutches. To ambulate in an exoskeleton, the user must acquire the ability to maintain balance while standing, sitting and appropriate weight shifting with each step. This can be a challenging task for those with deficits in sensation and proprioception in their lower extremities. This manuscript describes screening criteria and a training program developed at the James J. Peters VA Medical Center, Bronx, NY to teach users the skills needed to utilize these devices in institutional, home or community environments. Before training can begin, potential users are screened for appropriate range of motion of the hip, knee and ankle joints. Persons with SCI are at an increased risk of sustaining lower extremity fractures, even with minimal strain or trauma, therefore a bone mineral density assessment is performed to reduce the risk of fracture. Also, as part of screening, a physical examination is performed in order to identify additional health-related contraindications. Once the person has successfully passed all screening requirements, they are cleared to begin the training program. The device is properly adjusted to fit the user. A series of static and dynamic balance tasks are taught and performed by the user before learning to walk. The person is taught to ambulate in various environments ranging from indoor level surfaces to outdoors over uneven or changing surfaces. Once skilled enough to be a candidate for home use with the exoskeleton, the user is then required to designate a companion-walker who will train alongside them. Together, the pair must demonstrate the ability to perform various advanced tasks in order to be permitted to use the exoskeleton in their home/community environment. PMID:27340808

  2. Improving home accessibility for a person with a disability after spinal cord injury.

    PubMed

    Bozzolini, G; Cassibba, S

    2008-12-01

    Houses may become hostile and dangerous. To provide autonomy and safety of action and to optimize residual sensory and motor faculties, living units can be redesigned according to the new needs of the disabled person, without ignoring the harmony of the house. Formerly, designers used to focus on architectural barriers and on the creation of ''special'' products for ''particular'' cases. Currently, they prefer to look for components and objects which answer the needs of a wider range of users. The Authors were involved in the case of a 41-year old patient, who has been paraplegic from 8 years due to a D10 injury. Such a patient expressed a strong need to be autonomous at home. After having considered the patient's requests and expectations of autonomy, the Authors analyzed the patient's house to evaluate carefully her determination and the actual possibility of collaboration. Then, they analyzed the existing technical literature and drawn up a program based on four main types of environmental interventions, also using the legislative support provided by the current laws on this subject: 1) breaking down of architectural barriers; 2) design and plant engineering; 3) accessible furniture; 4) aids for personal autonomy. The result was positive both in terms of structural targets achieved and subject's personal satisfaction and autonomy. The variety of functional limits of the person as well as the complexity of the living units to be renovated, make problem solving not univocal. Although in such an experience the control of expenditure was evaluated and reached, such an aspect cannot be compared to similar studies.

  3. Simulation of traumatic brain injury symptoms on the Personality Assessment Inventory: an analogue study.

    PubMed

    Keiski, Michelle A; Shore, Douglas L; Hamilton, Joanna M; Malec, James F

    2015-04-01

    The purpose of this study was to characterize the operating characteristics of the Personality Assessment Inventory (PAI) validity scales in distinguishing simulators feigning symptoms of traumatic brain injury (TBI) while completing the PAI (n = 84) from a clinical sample of patients with TBI who achieved adequate scores on performance validity tests (n = 112). The simulators were divided into two groups: (a) Specific Simulators feigning cognitive and somatic symptoms only or (b) Global Simulators feigning cognitive, somatic, and psychiatric symptoms. The PAI overreporting scales were indeed sensitive to the simulation of TBI symptoms in this analogue design. However, these scales were less sensitive to the feigning of somatic and cognitive TBI symptoms than the feigning of a broad range of cognitive, somatic, and emotional symptoms often associated with TBI. The relationships of TBI simulation to consistency and underreporting scales are also explored.

  4. Motives for nonsuicidal self-injury among women with borderline personality disorder.

    PubMed

    Kleindienst, Nikolaus; Bohus, Martin; Ludäscher, Petra; Limberger, Matthias F; Kuenkele, Katrin; Ebner-Priemer, Ulrich W; Chapman, Alexander L; Reicherzer, Markus; Stieglitz, Rolf-Dieter; Schmahl, Christian

    2008-03-01

    Patients with borderline personality disorder (BPD) are known to use nonsuicidal self-injury (NSSI) as a dysfunctional strategy to regulate intense emotions. The primary purpose of this study was to clarify the motives for NSSI along with their interrelations. We further investigated the variety of emotions preceding NSSI and possible effects of NSSI on these emotions. To this end, a structured self-rating questionnaire on NSSI was administered to 101 female BPD-patients exhibiting NSSI. Most patients reported multiple motives for NSSI. The motives were more likely to compound than to exclude one another. Negative reinforcement was almost always involved in NSSI, whereas positive reinforcement (e.g., "getting a kick") played an additional role among about half of the patients. NSSI was usually preceded by a large variety of negative feelings that were reported to clearly improve with NSSI. In conclusion, therapists should anticipate a multidimensional functional spectrum when exploring motives of NSSI.

  5. Borderline Personality Symptoms Differentiate Non-Suicidal and Suicidal Self-Injury in Ethnically Diverse Adolescent Outpatients

    ERIC Educational Resources Information Center

    Muehlenkamp, Jennifer J.; Ertelt, Troy W.; Miller, Alec L.; Claes, Laurence

    2011-01-01

    Background: There is little research on how specific borderline personality disorder (BPD) symptoms relate to suicide attempts or suicide and non-suicidal self-injury (NSSI) within adolescent populations, which is important to know given the recent proposal of an NSSI disorder. Even less well known is whether specific BPD symptoms distinguish NSSI…

  6. Promoting Adaptive Behavior in Persons with Acquired Brain Injury, Extensive Motor and Communication Disabilities, and Consciousness Disorders

    ERIC Educational Resources Information Center

    Lancioni, Giulio E.; Singh, Nirbhay N.; O'Reilly, Mark F.; Sigafoos, Jeff; Belardinelli, Marta Olivetti; Buonocunto, Francesca; Sacco, Valentina; Navarro, Jorge; Lanzilotti, Crocifissa; De Tommaso, Marina; Megna, Marisa; Badagliacca, Francesco

    2012-01-01

    These two studies extended the evidence on the use of technology-based intervention packages to promote adaptive behavior in persons with acquired brain injury and multiple disabilities. Study I involved five participants in a minimally conscious state who were provided with intervention packages based on specific arrangements of optic, tilt, or…

  7. Cortical activation during visual illusory walking in persons with spinal cord injury: A pilot study

    PubMed Central

    Eick, John; Richardson, Elizabeth J.

    2014-01-01

    Objective To determine the location of cortical activation during a visual illusion walking paradigm, a recently proposed treatment for spinal cord injury (SCI)-related neuropathic pain, in persons with SCI compared to able-bodied controls. Design Pilot experimental fMRI trial. Setting Outpatient rehabilitation clinic. Participants Three persons with paraplegia and five able bodied participants were included in this study. Interventions Not applicable. Main Outcome Measures Cortical activation as measured by blood oxygenation-level dependent (BOLD) method of fMRI. Results During visually illusory walking, there was significant activation in the somatosensory cortex among those with SCI. In contrast, able-bodied participants showed little to no significant activation in this area, but rather, in the frontal and pre-motor areas. Conclusions Treatment modalities for SCI-related neuropathic pain that are based on sensory input paradigms such as virtual or visual illusory walking may work by targeting somatosensory cortex, an area that has been previously found to functionally reorganize following SCI. PMID:25461820

  8. Social injury: An interpretative phenomenological analysis of the attitudes towards suicide of lay persons in Ghana

    PubMed Central

    Osafo, Joseph; Hjelmeland, Heidi; Akotia, Charity Sylvia; Knizek, Birthe Loa

    2011-01-01

    One way of furthering our understanding of suicidal behaviour is to examine people's attitudes towards it and how they conceive the act. The aim of this study was to understand how lay persons conceive the impact of suicide on others and how that influences their attitudes towards suicide; and discuss the implications for suicide prevention in Ghana. This is a qualitative study, using a semi-structured interview guide to investigate the attitudes and views of 27 lay persons from urban and rural settings in Ghana. Interpretative Phenomenological Analysis was used to analyse the data. Findings showed that the perceived breach of interrelatedness between people due to suicidal behaviour influenced the informants’ view of suicide as representing a social injury. Such view of suicide influenced the negative attitudes the informants expressed towards the act. The negative attitudes towards suicide in Ghana are cast in consequential terms. Thus, suicide is an immoral act because it socially affects others negatively. The sense of community within the African ethos and The Moral Causal Ontology for Suffering are theoretical postulations that are used to offer some explanations of the findings in this study. PMID:22065981

  9. 32 CFR 536.15 - Claims policies.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... 32 National Defense 3 2011-07-01 2009-07-01 true Claims policies. 536.15 Section 536.15 National Defense Department of Defense (Continued) DEPARTMENT OF THE ARMY CLAIMS AND ACCOUNTS CLAIMS AGAINST THE... fair analysis should be paramount. Personal contact with claimants or their representatives...

  10. 24 CFR 17.67 - Claims files.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... 24 Housing and Urban Development 1 2010-04-01 2010-04-01 false Claims files. 17.67 Section 17.67... files. Each claims collection officer is responsible for obtaining current credit data about each person against whom a claim is pending in his office. The file shall be kept reasonably up to date by...

  11. 32 CFR 750.44 - Claims not payable.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... Military Claims Act § 750.44 Claims not payable. (a) Any claim for damage, loss, destruction, injury, or... complained of occurred would permit recovery from a private individual under like circumstances, and then... cognizable under: (1) Military Personnel and Civilian Employees' Claims Act, as amended. 31 U.S.C. 3721....

  12. Emotion differentiation as a protective factor against nonsuicidal self-injury in borderline personality disorder.

    PubMed

    Zaki, Landon F; Coifman, Karin G; Rafaeli, Eshkol; Berenson, Kathy R; Downey, Geraldine

    2013-09-01

    Evidence that nonsuicidal self-injury (NSSI) serves a maladaptive emotion regulation function in borderline personality disorder (BPD) has drawn attention to processes that may increase risk for NSSI by exacerbating negative emotion, such as rumination. However, more adaptive forms of emotion processing, including differentiating broad emotional experiences into nuanced emotion categories, might serve as a protective factor against NSSI. Using an experience-sampling diary, the present study tested whether differentiation of negative emotion was associated with lower frequency of NSSI acts and urges in 38 individuals with BPD who reported histories of NSSI. Participants completed a dispositional measure of rumination and a 21-day experience-sampling diary, which yielded an index of negative emotion differentiation and frequency of NSSI acts and urges. A significant rumination by negative emotion differentiation interaction revealed that rumination predicted higher rates of NSSI acts and urges in participants with difficulty differentiating their negative emotions. The results extend research on emotion differentiation into the clinical literature and provide empirical support for clinical theories that suggest emotion identification and labeling underlie strategies for adaptive self-regulation and decreased NSSI risk in BPD.

  13. Clinical assessment of decision-making capacity in acquired brain injury with personality change

    PubMed Central

    Owen, Gareth S.; Freyenhagen, Fabian; Martin, Wayne; David, Anthony S.

    2017-01-01

    Assessment of decision-making capacity (DMC) can be difficult in acquired brain injury (ABI) particularly with the syndrome of organic personality disorder (OPD) (the “frontal lobe syndrome”). Clinical neuroscience may help but there are challenges translating its constructs to the decision-making abilities considered relevant by law and ethics. An in-depth interview study of DMC in OPD was undertaken. Six patients were purposefully sampled and rich interview data were acquired for scrutiny using interpretative phenomenological analysis. Interview data revealed that awareness of deficit and thinking about psychological states can be present. However, the awareness of deficit may not be “online” and effectively integrated into decision-making. Without this online awareness of deficit the ability to appreciate or use and weigh information in the process of deciding some matters appeared absent. We argue that the decision-making abilities discussed are: (1) necessary for DMC, (2) threatened by ABI , and (3) assessable at interview. Some advice for practically incorporating these abilities within assessments of DMC in patients with OPD is outlined. PMID:26088818

  14. Work-related injuries in drywall installation.

    PubMed

    Lipscomb, H J; Dement, J M; Gaal, J S; Cameron, W; McDougall, V

    2000-10-01

    Administrative data sources were used to describe the work-related injuries of drywall carpenters, to calculate rates of occurrence, and to explore high risk sub-groups. Health insurance eligibility files were used to identify a cohort of active union carpenters affiliated with a union local whose predominant work involved drywall installation in the state of Washington. These files contained the hours worked by each individual for each month between January 1989 and December 1995, providing person-hours at risk as a union carpenter. The Washington Department of Labor and Industries (L&I) provided records of workers' compensation claims filed by these individuals. Over seven years 1773 drywall carpenters filed 2567 workers' compensation claims representing an overall rate of 53.3 per 200,000 hours worked. These claims were filed by 1046 different individuals, or 59.0 percent of the cohort. Claims resulting in paid lost time from work were filed at a rate of 12.5 per 200,000 hours worked (n = 609) by 445 (25.1%) different individuals. The most common mechanisms of injury involved being struck (38.3%), overexertion (28.1%), and falls (13.2%). Struck by injuries most commonly involved cuts to the upper extremity. Overexertion injuries were most commonly described as sprains or strains involving the back. Sheetrock was associated with over 40 percent of these injuries. Falls most commonly involved injuries to the knee followed by the back and multiple injuries. Struck by injuries decreased steadily with increasing age and increasing time in the union. There was a steady increase in the rate of falls with increasing age. Overexertion injuries were responsible for the greatest proportion of costs for medical care, permanent impairment, and paid lost days. The high rates of overexertion injuries among these workers is consistent with known ergonomic stresses on drywall jobs. However, these workers are also at high risk of acute traumatic injuries.

  15. 20 CFR 30.12 - What process is used by a person who wants to obtain copies of or amend EEOICPA claim records?

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ... WORKERS' COMPENSATION PROGRAMS, DEPARTMENT OF LABOR ENERGY EMPLOYEES OCCUPATIONAL ILLNESS COMPENSATION PROGRAM ACT OF 2000 CLAIMS FOR COMPENSATION UNDER THE ENERGY EMPLOYEES OCCUPATIONAL ILLNESS COMPENSATION... be directed to the district office having custody of the official file. (c) Any administrative...

  16. 20 CFR 30.12 - What process is used by a person who wants to obtain copies of or amend EEOICPA claim records?

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ... WORKERS' COMPENSATION PROGRAMS, DEPARTMENT OF LABOR ENERGY EMPLOYEES OCCUPATIONAL ILLNESS COMPENSATION PROGRAM ACT OF 2000 CLAIMS FOR COMPENSATION UNDER THE ENERGY EMPLOYEES OCCUPATIONAL ILLNESS COMPENSATION... be directed to the district office having custody of the official file. (c) Any administrative...

  17. 20 CFR 30.12 - What process is used by a person who wants to obtain copies of or amend EEOICPA claim records?

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... WORKERS' COMPENSATION PROGRAMS, DEPARTMENT OF LABOR ENERGY EMPLOYEES OCCUPATIONAL ILLNESS COMPENSATION PROGRAM ACT OF 2000 CLAIMS FOR COMPENSATION UNDER THE ENERGY EMPLOYEES OCCUPATIONAL ILLNESS COMPENSATION... be directed to the district office having custody of the official file. (c) Any administrative...

  18. Preserved Error-Monitoring in Borderline Personality Disorder Patients with and without Non-Suicidal Self-Injury Behaviors

    PubMed Central

    Vega, Daniel; Vilà-Balló, Adrià; Soto, Àngel; Amengual, Julià; Ribas, Joan; Torrubia, Rafael; Rodríguez-Fornells, Antoni; Marco-Pallarés, Josep

    2015-01-01

    Background The presence of non-suicidal self-injury acts in Borderline Personality Disorder (BPD) is very prevalent. These behaviors are a public health concern and have become a poorly understood phenomenon in the community. It has been proposed that the commission of non-suicidal self-injury might be related to a failure in the brain network regulating executive functions. Previous studies have shown that BPD patients present an impairment in their capacity to monitor actions and conflicts associated with the performance of certain actions, which suppose an important aspect of cognitive control. Method We used Event Related Potentials to examine the behavioral and electrophysiological indexes associated with the error monitoring in two BPD outpatients groups (17 patients each) differentiated according to the presence or absence of non-suicidal self-injury behaviors. We also examined 17 age- and intelligence- matched healthy control participants. Results The three groups did not show significant differences in event-related potentials associated with errors (Error-Related Negativity and Pe) nor in theta power increase following errors. Conclusions This is the first study investigating the behavioral and electrophysiological error monitoring indexes in BPD patients characterized by their history of non-suicidal self-injury behaviors. Our results show that error monitoring is preserved in BPD patients and suggest that non-suicidal self-injury acts are not related to a dysfunction in the cognitive control mechanisms. PMID:26636971

  19. 32 CFR 536.155 - Claims payable involving tortfeasors other than nonappropriated fund employees.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... claims can arise from the activities of: (1) Members of NAFIs or authorized users of NAFI sports... manner prescribed in AR 608-10, except as excluded below. Such claims are generally limited to injuries... all claims (including derivative claims), arising as a result of injury to, or death of, any...

  20. 32 CFR 536.85 - Claims payable under the Federal Tort Claims Act.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... AND ACCOUNTS CLAIMS AGAINST THE UNITED STATES Claims Cognizable Under the Federal Tort Claims Act... the scope of their employment under circumstances in which the United States, if a private person... occurred. The FTCA is a limited waiver of sovereign immunity without which the United States may not...

  1. 32 CFR 536.85 - Claims payable under the Federal Tort Claims Act.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... AND ACCOUNTS CLAIMS AGAINST THE UNITED STATES Claims Cognizable Under the Federal Tort Claims Act... the scope of their employment under circumstances in which the United States, if a private person... occurred. The FTCA is a limited waiver of sovereign immunity without which the United States may not...

  2. Development, Implementation, and Validation of Supported Employment Model(s) for Traumatically Brain Injured Persons. Head Injury Re-entry Project (Project HIRe). Final Report.

    ERIC Educational Resources Information Center

    Thomas, Dale F.; Menz, Fredrick E.

    The final report of the Head Injury Re-entry Project (Project HIRe) describes activities of this 3-year (1987 to 1990) project, which used a "best practices" model approach and a community-based employment strategy with persons having traumatic brain injury (TBI) in nonurban areas. Among 15 project accomplishments are the following: (1)…

  3. 5 CFR 180.105 - Claims not allowed.

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... 5 Administrative Personnel 1 2014-01-01 2014-01-01 false Claims not allowed. 180.105 Section 180.105 Administrative Personnel OFFICE OF PERSONNEL MANAGEMENT CIVIL SERVICE REGULATIONS EMPLOYEES' PERSONAL PROPERTY CLAIMS § 180.105 Claims not allowed. (a) A claim is not allowable if: (1) The damage...

  4. Time and Effort Required by Persons with Spinal Cord Injury to Learn to Use a Powered Exoskeleton for Assisted Walking

    PubMed Central

    Bryce, Thomas N.; Dijkers, Marcel P.

    2015-01-01

    Background: Powered exoskeletons have been demonstrated as being safe for persons with spinal cord injury (SCI), but little is known about how users learn to manage these devices. Objective: To quantify the time and effort required by persons with SCI to learn to use an exoskeleton for assisted walking. Methods: A convenience sample was enrolled to learn to use the first-generation Ekso powered exoskeleton to walk. Participants were given up to 24 weekly sessions of instruction. Data were collected on assistance level, walking distance and speed, heart rate, perceived exertion, and adverse events. Time and effort was quantified by the number of sessions required for participants to stand up, walk for 30 minutes, and sit down, initially with minimal and subsequently with contact guard assistance. Results: Of 22 enrolled participants, 9 screen-failed, and 7 had complete data. All of these 7 were men; 2 had tetraplegia and 5 had motor-complete injuries. Of these, 5 participants could stand, walk, and sit with contact guard or close supervision assistance, and 2 required minimal to moderate assistance. Walk times ranged from 28 to 94 minutes with average speeds ranging from 0.11 to 0.21 m/s. For all participants, heart rate changes and reported perceived exertion were consistent with light to moderate exercise. Conclusion: This study provides preliminary evidence that persons with neurological weakness due to SCI can learn to walk with little or no assistance and light to somewhat hard perceived exertion using a powered exoskeleton. Persons with different severities of injury, including those with motor complete C7 tetraplegia and motor incomplete C4 tetraplegia, may be able to learn to use this device. PMID:26364280

  5. Body composition of active persons with spinal cord injury and with poliomyelitis

    Technology Transfer Automated Retrieval System (TEKTRAN)

    This study sought to evaluate the body composition of subjects with active spinal cord injuries and polio. Two groups of males and females, active, free-living, of similar ages and body mass index (BMI), were distributed according to the source of deficiency: SCI – low spinal cord injury (T5-T12) an...

  6. Differentiating Adolescent Self-Injury from Adolescent Depression: Possible Implications for Borderline Personality Development

    ERIC Educational Resources Information Center

    Crowell, Sheila E.; Beauchaine, Theodore P.; Hsiao, Ray C.; Vasilev, Christina A.; Yaptangco, Mona; Linehan, Marsha M.; McCauley, Elizabeth

    2012-01-01

    Self-inflicted injury (SII) in adolescence marks heightened risk for suicide attempts, completed suicide, and adult psychopathology. Although several studies have revealed elevated rates of depression among adolescents who self injure, no one has compared adolescent self injury with adolescent depression on biological, self-, and informant-report…

  7. Vocationally Orientated Rehabilitation Service Requests: The Case of Employed Persons Experiencing a Spinal Cord Injury.

    ERIC Educational Resources Information Center

    Young, Amanda E.; Murphy, Gregory C.

    2003-01-01

    A survey of 168 employed people who suffered spinal cord injuries found that 50% were employed after injury; 61% thought they could have benefitted from additional services such as discussion of options and follow-up on vocational issues. Dissatisfaction with employment status was related to perceived need for more services. (Contains 20…

  8. A 20-year Longitudinal Perspective on the Vocational Experiences of Persons with Spinal Cord Injury.

    ERIC Educational Resources Information Center

    Crewe, Nancy M.

    2000-01-01

    Uses interviews conducted in 1974 and 1994 to investigate the vocational experiences of individuals with spinal cord injuries. Participants had received a spinal cord injury 22-45 years previously. Results revealed that all but seven of the participants had been in remunerative employment. Work experiences, comprehensive rehabilitation service,…

  9. Risk of Pain Medication Misuse After Spinal Cord Injury: The Role of Substance Use, Personality, and Depression.

    PubMed

    Clark, Jillian M R; Cao, Yue; Krause, James S

    2017-02-01

    Our purpose was to identify risk of pain medication misuse (PMM) among participants with spinal cord injury (SCI) by examining associations with multiple sets of risk factors including demographic and injury characteristics, pain experiences, frequency of pain medication use, substance use, personality, and depressive symptoms. Risk of PMM was defined by a cutoff score ≥30 measured using the Pain Medication Questionnaire (PMQ) and examined in 1,619 adults with traumatic SCI of at least 1 year duration who reported at least 1 painful condition and use of prescription pain medication using a cross-sectional design. Results indicated 17.6% of participants had scores of ≥30 on the PMQ. After controlling for demographic, injury, and pain characteristics, logistic regression analysis showed that being a current smoker, recently using cannabis (behavioral factors), and multiple psychological factors were associated with risk of PMM, as indicated by scores on the PMQ. These included elevated depressive symptomatology and exhibiting impulsive or anxious personality traits. Because risk of PMM is indicated in individuals with SCI, prescribers should assess and monitor multiple risk factors for PMM including substance use behaviors and psychological indicators.

  10. 10 CFR 770.9 - What conditions apply to DOE indemnification of claims against a person or entity based on the...

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ... 10 Energy 4 2013-01-01 2013-01-01 false What conditions apply to DOE indemnification of claims... pollutant or contaminant attributable to DOE? 770.9 Section 770.9 Energy DEPARTMENT OF ENERGY TRANSFER OF REAL PROPERTY AT DEFENSE NUCLEAR FACILITIES FOR ECONOMIC DEVELOPMENT § 770.9 What conditions apply...

  11. 10 CFR 770.9 - What conditions apply to DOE indemnification of claims against a person or entity based on the...

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... 10 Energy 4 2012-01-01 2012-01-01 false What conditions apply to DOE indemnification of claims... pollutant or contaminant attributable to DOE? 770.9 Section 770.9 Energy DEPARTMENT OF ENERGY TRANSFER OF REAL PROPERTY AT DEFENSE NUCLEAR FACILITIES FOR ECONOMIC DEVELOPMENT § 770.9 What conditions apply...

  12. 10 CFR 770.9 - What conditions apply to DOE indemnification of claims against a person or entity based on the...

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... 10 Energy 4 2011-01-01 2011-01-01 false What conditions apply to DOE indemnification of claims... pollutant or contaminant attributable to DOE? 770.9 Section 770.9 Energy DEPARTMENT OF ENERGY TRANSFER OF REAL PROPERTY AT DEFENSE NUCLEAR FACILITIES FOR ECONOMIC DEVELOPMENT § 770.9 What conditions apply...

  13. Employment at Closure Is Associated with Enhanced Quality of Life and Subjective Well-Being for Persons with Spinal Cord Injuries

    ERIC Educational Resources Information Center

    Chapin, Martha H.; Holbert, Donald

    2010-01-01

    This study assessed whether persons with spinal cord injuries who had been successfully rehabilitated into employment following receipt of rehabilitation services had better quality of life and subjective well-being than the unsuccessfully rehabilitated who did not obtain employment following receipt of rehabilitation services. Persons who were…

  14. Cardiovascular and thoracic battle injuries in the Lebanon War. Analysis of 3,000 personal cases.

    PubMed

    Zakharia, A T

    1985-05-01

    This report comprises 3,000 casualties of the Lebanon War whom I operated upon for cardiovascular-thoracic injuries in twelve Lebanese hospitals between January, 1969, and July, 1982. These patients were studied retrospectively through 1978 and prospectively thereafter. The logistics, weapons, wounds, and operative results in this study were unique. The patients' injuries can be categorized as follows: primarily thoracic, 1,251 (42%); peripheral vascular, 1,008 (34%); cardiac, 285 (9%); and thoracic mixed, 456 (15%). The male to female ratio was 3.6:1, the mean age 20 years, and the military to civilian ratio 1.7:1. The mean transport distance was 2 miles in 1,740 patients (58%). In patients with thoracic wounds, the incidence of cardiac involvement (14%) was higher than in World War II and Vietnam. The overall survival rate in casualties with cardiac injuries was 73%--best in pericardial, coronary, and right atrial wounds and dropping to 46% in left ventricular wounds, wherein pump failure was also a factor. A 13% (seven deaths) mortality for patients with injuries to the thoracic great vessels contrasted with the 1.2% (14 deaths) mortality for the rest of the patients with noncardiac thoracic wounds. Open thoracotomy in 818 operations (55%) reflected massive wounds and logistics. Pulmonary resection (310 operations) carried a 1.9% (five deaths) mortality and tube thoracostomy (683 operations) for lesser injuries, 0.7% (four deaths.) Thoracoabdominal injuries were 1.5 times more lethal. Fifty percent (504) of nonthoracic vascular wounds occurred in the femoral-popliteal area as a result of sniper attacks. Subintimal damage averaged 8 cm and mandated saphenous vein grafts in 72%. The mortality for injury to the aorta was 60% (12 deaths), contrasted with 1% (three deaths) for injury to extremity vessels. Hemorrhage and cardiac rupture were the most frequent causes of death. Early, proficient, open surgical control after or concomitant with intensive resuscitation

  15. [Evaluation of the community integration of persons with lateralised post-acute acquired brain injury].

    PubMed

    Huertas-Hoyas, E; Pedrero-Perez, E J; Aguila-Maturana, A M; Gonzalez-Alted, C

    2013-08-16

    INTRODUCTION. Hemispheric specialization is a topic of interest that has motivated an enormous amount of research in recent decades. After a unilateral brain injury, the consequences can affect various areas of specialization, leading, depending on the location of the injury, impairment in quality of life and community integration. PATIENTS AND METHODS. Cross-sectional study with a sample of 58 patients, 28 traumatic brain injury (TBI) and 30 cerebrovascular accidents, both lateralized. The level of integration in the community is measured by the Community Integration Questionnaire. RESULTS. There were three groups analyzed by considering unilateral injury (full sample, stroke sample, and TBI sample). Results showed a significantly high community integration of people with right hemisphere injury. However, to measure the level of community integration between TBI and stroke, the results showed no significant differences. CONCLUSION. According to the results of the study people with brain injury in the right hemisphere have a better community integration than people with lesions in the left hemisphere regardless of the origin of the lesions (vascular or traumatic). We discussed the reasons that may motivate the differences and clinical implications.

  16. 32 CFR 757.15 - Claims not asserted.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... National Defense Department of Defense (Continued) DEPARTMENT OF THE NAVY CLAIMS AFFIRMATIVE CLAIMS... policies that cover the injury. (c) Employers of merchant seamen. Claims are not asserted against the employer of a merchant seaman who receives Federal medical care under 42 U.S.C. 249. (d) Department...

  17. 32 CFR 757.15 - Claims not asserted.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... National Defense Department of Defense (Continued) DEPARTMENT OF THE NAVY CLAIMS AFFIRMATIVE CLAIMS... policies that cover the injury. (c) Employers of merchant seamen. Claims are not asserted against the employer of a merchant seaman who receives Federal medical care under 42 U.S.C. 249. (d) Department...

  18. 32 CFR 757.15 - Claims not asserted.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... National Defense Department of Defense (Continued) DEPARTMENT OF THE NAVY CLAIMS AFFIRMATIVE CLAIMS... policies that cover the injury. (c) Employers of merchant seamen. Claims are not asserted against the employer of a merchant seaman who receives Federal medical care under 42 U.S.C. 249. (d) Department...

  19. 40 CFR 1620.10 - Action on approved claim.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... claim approved under this part is contingent on claimant's execution of a Standard Form 95 (Claim for Damage, Injury or Death); a claims settlement agreement; and a Standard Form 1145 (Voucher for Payment), as well as any other forms as may be required. When a claimant is represented by an attorney,...

  20. 40 CFR 1620.10 - Action on approved claim.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... claim approved under this part is contingent on claimant's execution of a Standard Form 95 (Claim for Damage, Injury or Death); a claims settlement agreement; and a Standard Form 1145 (Voucher for Payment), as well as any other forms as may be required. When a claimant is represented by an attorney,...

  1. 32 CFR 536.26 - Identification of a proper claim.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... Standard Form (SF) 95 (Claim for Damage, Injury, or Death). When the claim is not presented on an SF 95, the claimant will be requested to complete an SF 95 to ease investigation and processing. (d) If a... substantiate the claim are not present, such as those listed on the back of an SF 95 or in the Attorney...

  2. 32 CFR 536.26 - Identification of a proper claim.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... Standard Form (SF) 95 (Claim for Damage, Injury, or Death). When the claim is not presented on an SF 95, the claimant will be requested to complete an SF 95 to ease investigation and processing. (d) If a... substantiate the claim are not present, such as those listed on the back of an SF 95 or in the Attorney...

  3. 32 CFR 536.26 - Identification of a proper claim.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... Standard Form (SF) 95 (Claim for Damage, Injury, or Death). When the claim is not presented on an SF 95, the claimant will be requested to complete an SF 95 to ease investigation and processing. (d) If a... substantiate the claim are not present, such as those listed on the back of an SF 95 or in the Attorney...

  4. 32 CFR 536.26 - Identification of a proper claim.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... Standard Form (SF) 95 (Claim for Damage, Injury, or Death). When the claim is not presented on an SF 95, the claimant will be requested to complete an SF 95 to ease investigation and processing. (d) If a... substantiate the claim are not present, such as those listed on the back of an SF 95 or in the Attorney...

  5. 32 CFR 536.26 - Identification of a proper claim.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... Standard Form (SF) 95 (Claim for Damage, Injury, or Death). When the claim is not presented on an SF 95, the claimant will be requested to complete an SF 95 to ease investigation and processing. (d) If a... substantiate the claim are not present, such as those listed on the back of an SF 95 or in the Attorney...

  6. Access to environmental stimulation via eyelid responses for persons with acquired brain injury and multiple disabilities: a new microswitch arrangement.

    PubMed

    Lancioni, Giulio E; Singh, Nirbhay N; O'Reilly, Mark F; Sigafoos, Jeff; Ricci, Irene; Buonocunto, Francesca; Sacco, Valentina

    2012-04-01

    This study assessed a new microswitch arrangement for eyelid responses using an optic sensor placed above the cheekbone and a small sticker on the person's eyelid. This new arrangement, which was designed to avoid interference of the microswitch with the person's visual functioning, was tested on three adults with acquired brain injury and multiple (consciousness, communication, and motor) disabilities. The study was carried out according to a non-concurrent multiple baseline design across participants. Data showed the new microswitch arrangement was suitable for all three participants, who increased their responding during the intervention phase of the study when their responses allowed them to access preferred stimulation. Practical implications of the findings are discussed.

  7. Health Care Utilization in Persons with Traumatic Spinal Cord Injury: The Importance of Multimorbidity and the Impact on Patient Outcomes

    PubMed Central

    Fallah, Nader; Park, So Eyun; Dumont, Frédéric S.; Leblond, Jean; Cobb, John; Noreau, Luc

    2014-01-01

    Background: Persons with spinal cord injury (SCI) living in the community have high health care utilization (HCU). To date, the interrelationships among multiple secondary health conditions (multimorbidity due to comorbidities and complications) that drive HCU and their impact on patient outcomes are unknown. Objective: To determine the association among multimorbidity, HCU, health status, and quality of life. Methods: Community-dwelling persons with traumatic SCI participated in an online/phone SCI Community Survey. Participants were grouped using the 7-item HCU questionnaire (group 1 did not receive needed care and/or rehospitalized; group 2 received needed care but rehospitalized; group 3 received needed care and not rehospitalized). Personal, injury, and environmental factors; multimorbidity (presence/absence of 30 comorbidities/ complications); health status (Short Form-12); and quality of life measures (Life Satisfaction-11 first question and single-item quality of life measure) were collected. Associations among these variables were assessed using multivariate analysis. Results: The 1,137 survey participants were divided into 3 groups: group 1 (n = 292), group 2 (n = 194), and group 3 (n = 650). Group 1 had the greatest number of secondary health conditions (15.14 ± 3.86) followed by group 2 (13.60 ± 4.00) and group 3 (12.00 ± 4.16) (P < .05). Multimorbidity and HCU were significant risk factors for having a lower SF-12 Mental (P < .001) and Physical Component Score (P < .001). They in turn were associated with participants reporting a lower quality of life (P < .001, for both questions). Conclusions: Multimorbidity and HCU are interrelated and associated with lower health status, which in turn is associated with lower quality of life. Future work will include the development of a screening tool to identify persons with SCI at risk of inappropriate HCU (eg, rehospitalization, not able to access care), which should lead to better patient outcomes and cost

  8. Carbohydrate and lipid disorders and relevant considerations in persons with spinal cord injury.

    PubMed Central

    Wilt, Timothy J; Carlson, Kathleen F; Goldish, Gary D; MacDonald, Roderick; Niewoehner, Catherine; Rutks, Indulis; Shamliyan, Tatyana; Tacklind, James; Taylor, Brent C; Kane, Robert L

    2008-01-01

    OBJECTIVES To assess the prevalence of carbohydrate and lipid disorders in adults with chronic spinal cord injury and evaluate their risk contribution to cardiovascular diseases and the potential impact of exercise and pharmacologic and dietary therapies to alter these disorders and reduce cardiovascular disease risk. DATA SOURCES MEDLINE (PubMed), Cochrane Database and Web sites of the American Spinal Injury Association, American Paraplegia Society, Paralyzed Veterans of America, Consortium of Spinal Cord Medicine, and WorldCat through August 2007. REVIEW METHODS English language observational studies addressing prevalence of carbohydrate and lipid disorders were included if they evaluated at least 100 adults with chronic spinal cord injury or a total of 100 subjects if using a control group. Epidemiologic investigations of more than 50 adults with spinal cord injury that were published in English after 1990 and reported cardiovascular morbidity and mortality were abstracted. Intervention studies from 1996-2007 were included regardless of design or size if they assessed exercise, diet, or pharmacologic therapies and reported carbohydrate, lipid, or cardiovascular outcomes. RESULTS The quality of evidence regarding the prevalence, impact, and outcomes of carbohydrate and lipid disorders in adults with chronic spinal cord injuries is weak. Evidence is limited by relatively few studies, small sample size, lack of appropriate control groups, failure to adjust for known confounding variables, and variation in reported outcomes. However, the existing evidence does not indicate that adults with spinal cord injuries are at markedly greater risk for carbohydrate and lipid disorders or subsequent cardiovascular morbidity and mortality than able-bodied adults. Body mass index is not reliable for assessing body composition, especially percent body fat, in adults with spinal cord injury. There are no high quality studies evaluating the impact of exercise, diet, or

  9. Cognitive recovery and development after traumatic brain injury in childhood: a person-oriented, longitudinal study.

    PubMed

    Jonsson, Catherine Aaro; Catroppa, Cathy; Godfrey, Celia; Smedler, Ann-Charlotte; Anderson, Vicki

    2013-01-15

    Influence of childhood traumatic brain injury (TBI) on cognitive recovery and subsequent development is poorly understood. In this longitudinal study we used cluster analysis to explore acute stage individual profiles of injury age and cognition in 118 children with traumatic brain injury. Repeated measures of cognitive function were conducted at 30 months, indicating recovery, and 10 years post-injury, indicating development. Nine clusters were identified. Recovery was evident in three clusters, two of them with low functioning profiles. Developmental gains occurred for three clusters and an acute profile of higher freedom from distractibility (FFD) and lower processing speed (PS) was related to positive differences. One cluster, average low functioning and especially low verbal comprehension, demonstrated a slower development than peers. This suggests that developmental change after TBI in childhood takes place on a continuum, with both chance of long-term catching up, and risk of poor development. An acute profile of higher FFD and lower PS seemed to reflect injury consequences and were followed by developmental gains. These results challenge previous findings, and warrant further investigation.

  10. Prediction of limb lean tissue mass from bioimpedance spectroscopy in persons with chronic spinal cord injury

    PubMed Central

    Cirnigliaro, Christopher M.; La Fountaine, Michael F.; Emmons, Racine; Kirshblum, Steven C.; Asselin, Pierre; Spungen, Ann M.; Bauman, William A.

    2013-01-01

    Background Bioimpedance spectroscopy (BIS) is a non-invasive, simple, and inexpensive modality that uses 256 frequencies to determine the extracellular volume impedance (ECVRe) and intracellular volume impedance (ICVRi) in the total body and regional compartments. As such, it may have utility as a surrogate measure to assess lean tissue mass (LTM). Objective To compare the relationship between LTM from dual-energy X-ray absorptiometry (DXA) and BIS impedance values in spinal cord injury (SCI) and able-bodied (AB) control subjects using a cross-sectional research design. Methods In 60 subjects (30 AB and 30 SCI), a total body DXA scan was used to obtain total body and leg LTM. BIS was performed to measure the impedance quotient of the ECVRe and ICVRi in the total body and limbs. Results BIS-derived ECVRe yielded a model for LTM in paraplegia, tetraplegia, and control for the right leg (RL) (R2 = 0.75, standard errors of estimation (SEE) = 1.02 kg, P < 0.0001; R2 = 0.65, SEE = 0.91 kg, P = 0.0006; and R2 = 0.54, SEE = 1.31 kg, P < 0.0001, respectively) and left leg (LL) (R2 = 0.76, SEE = 1.06 kg, P < 0.0001; R2 = 0.64, SEE = 0.83 kg, P = 0.0006; and R2 = 0.54, SEE = 1.34 kg, P < 0.0001, respectively). The ICVRi was similarly predictive of LTM in paraplegia, tetraplegia, and AB controls for the RL (R2 = 0.85, SEE = 1.31 kg, P < 0.0001; R2 = 0.52, SEE = 0.95 kg, P = 0.003; and R2 = 0.398, SEE = 1.46 kg, P = 0.0003, respectively) and LL (R2 = 0.62, SEE = 1.32 kg, P = 0.0003; R2 = 0.57, SEE = 0.91 kg, P = 0.002; and R2 = 0.42, SEE = 1.31 kg, P = 0.0001, respectively). Conclusion Findings demonstrate that the BIS-derived impedance quotients for ECVRe and ICVRi may be used as surrogate markers to track changes in leg LTM in persons with SCI. PMID:23941792

  11. [Welding spark injuries of the ear. Observations of personal case material].

    PubMed

    Mertens, J; Bubmann, M; Reker, U

    1991-08-01

    25 cases of tympanic welding spark injuries of the years 1959-1989 are reported. Early results and late sequelae after conservative therapy, immediate and interval operation are described and discussed. Regarding the tendency of tympanic defects to enlarge after thermal injuries despite conservative and early operative therapy, secondary seal by tympanoplasty is recommended. Even then, however, the rate of residual and recurring perforations must be reckoned as being higher than after tympanoplasty in comparable defects of other origin, due to the inferior nutritive supply owing to the extended scar caused by burning. On the other hand, the rate of inner ear traumatisation with 12% directly after welding injury and with 4% remaining impairment of hearing, is low.

  12. A single-person reduction and splinting technique for ankle injuries.

    PubMed

    Skelley, Nathan W; Ricci, William M

    2015-04-01

    Ankle injuries are one of the most common orthopaedic conditions treated in the emergency department. Initial reduction and splinting techniques of these injuries are variable and can place undue stress on the physician and cause patient discomfort. Novice and experienced practitioners have had to repeat splint application because of poor preparation, variable assistant experience, loss of fracture reduction, and improper application. We present a modified Quigley technique for ankle reduction and splinting that simplifies these issues and reduces stress on the patient and physician. The technique was used on 51 patients without any major complications. This technique can be performed entirely by 1 practitioner, by keeping the patient and physician in a comfortable position and is applicable to a wide range of lower extremity trauma injuries.

  13. 29 CFR 15.22 - Allowable claims.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... service with the Department and: (l) The damage or loss was not caused wholly or partly by the negligent... the other provisions of this subpart, any claim for damage to, or loss, of personal property incident... authorized places. Claims may be allowable for damage to, or loss of, property arising from fire,...

  14. 29 CFR 15.41 - Allowable claims.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... Arising Out of the Operation of the Job Corps § 15.41 Allowable claims. (a)(1) A claim for damage to persons or property arising out of an act or omission of a student enrolled in the Job Corps may...

  15. 36 CFR 222.22 - Ownership claims.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... MANAGEMENT Management of Wild Free-Roaming Horses and Burros § 222.22 Ownership claims. (a) Any person claiming ownership under State branding and estray laws of branded or unbranded horses or burros within a wild horse or burro territory or range on the National Forest System where such animals are...

  16. 36 CFR 222.22 - Ownership claims.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... MANAGEMENT Management of Wild Free-Roaming Horses and Burros § 222.22 Ownership claims. (a) Any person claiming ownership under State branding and estray laws of branded or unbranded horses or burros within a wild horse or burro territory or range on the National Forest System where such animals are...

  17. 36 CFR 222.62 - Ownership claims.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... MANAGEMENT Management of Wild Free-Roaming Horses and Burros § 222.62 Ownership claims. (a) Any person claiming ownership under State branding and estray laws of branded or unbranded horses or burros within a wild horse or burro territory or range on the National Forest System where such animals are...

  18. 36 CFR 222.62 - Ownership claims.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... MANAGEMENT Management of Wild Free-Roaming Horses and Burros § 222.62 Ownership claims. (a) Any person claiming ownership under State branding and estray laws of branded or unbranded horses or burros within a wild horse or burro territory or range on the National Forest System where such animals are...

  19. 36 CFR 222.22 - Ownership claims.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... MANAGEMENT Management of Wild Free-Roaming Horses and Burros § 222.22 Ownership claims. (a) Any person claiming ownership under State branding and estray laws of branded or unbranded horses or burros within a wild horse or burro territory or range on the National Forest System where such animals are...

  20. 5 CFR 180.107 - Claims procedure.

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... 5 Administrative Personnel 1 2014-01-01 2014-01-01 false Claims procedure. 180.107 Section 180.107 Administrative Personnel OFFICE OF PERSONNEL MANAGEMENT CIVIL SERVICE REGULATIONS EMPLOYEES' PERSONAL PROPERTY... General Counsel, Office of Personnel Management, 1900 E Street NW., Washington, DC 20415. Claims shall...

  1. 22 CFR 72.24 - Conflicting claims.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... 22 Foreign Relations 1 2011-04-01 2011-04-01 false Conflicting claims. 72.24 Section 72.24 Foreign... ESTATES Personal Estates of Deceased United States Citizens and Nationals § 72.24 Conflicting claims... citizen or non-citizen national. If rival claimants, executors or administrators demand the...

  2. 22 CFR 72.24 - Conflicting claims.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... 22 Foreign Relations 1 2010-04-01 2010-04-01 false Conflicting claims. 72.24 Section 72.24 Foreign... ESTATES Personal Estates of Deceased United States Citizens and Nationals § 72.24 Conflicting claims... citizen or non-citizen national. If rival claimants, executors or administrators demand the...

  3. CIRRPC Science Panel report No. 6: Use of probability of causation by the veterans administration in the adjudication of claims of injury due to exposure to ionizing radiation

    SciTech Connect

    1988-08-01

    The report was prepared in response to a request from the Administrator of Veterans Affairs, Veterans Administration (VA) Coordination (CIRRPC) to provide guidelines to the VA with respect to the questions ``...for what levels of radiation exposure, if any, the radioepidemiological tables can be used credibly in the rule-making we are conducting pursuant to Public Law 98-542`` and ``...whether CIRRPC`s views in this regard vary with the type of cancer involved and whether use of the NIH tables for certain cancers may be more justifiable than for other cancers.`` The report prepared by the Science Subpanel on Radioepidemiological Tables and approved by the CIRRPC Science Panel answers these questions by listing those cancers both considered to be radiogenic in the NIH Report and to be applicable to veterans and by providing, for these cancers, radiation doses that allow the VA to exclude from further consideration those claims having ``no reasonable possibility`` (a VA stated criteria) of merit. The report provides important scientific information which can be used as part of the evidence for evaluating, along with other evidence, claims not eliminated by the screening procedure.

  4. 29 CFR 15.42 - Claim procedures.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ...) Electronics and cellular phones. Claims may be allowed for loss of, or damage to, cellular phones, personal... extraordinary value. Valuable articles, such as watches, jewelry, furs, clothes, electronics or other...

  5. Personalization.

    ERIC Educational Resources Information Center

    Shore, Rebecca Martin

    1996-01-01

    Describes how a typical high school in Huntington Beach, California, curbed disruptive student behavior by personalizing the school experience for "problem" students. Through mostly volunteer efforts, an adopt-a-kid program was initiated that matched kids' learning styles to adults' personality styles and resulted in fewer suspensions…

  6. Behavioral Treatment for Pathological Gambling in Persons with Acquired Brain Injury

    ERIC Educational Resources Information Center

    Guercio, John M.; Johnson, Taylor; Dixon, Mark R.

    2012-01-01

    The present investigation examined a behavior-analytic clinical treatment package designed to reduce the pathological gambling of 3 individuals with acquired brain injury. A prior history of pathological gambling of each patient was assessed via caregiver report, psychological testing, and direct observation of gambling behavior. Using an 8-week…

  7. Prevention Practice Differences Among Persons With Spinal Cord Injuries Who Rarely Versus Frequently Sustain Pressure Ulcers

    ERIC Educational Resources Information Center

    Jones, Michael L.; Marini, Irmo; Slate, John R.

    2005-01-01

    Pressure ulcers are common among people with spinal cord injury (SCI) and not only are costly to treat but also affect the quality of life of those affected by them. Despite a plethora of literature on prevention, there are few wellness studies focusing on the practices of people who do not develop pressure ulcers. This preliminary study sought to…

  8. A Review of Behavioral Treatments for Self-Injurious Behaviors of Persons with Autism Spectrum Disorders

    ERIC Educational Resources Information Center

    Matson, Johnny L.; Lo Vullo, Santino V.

    2008-01-01

    Autism spectrum disorders (ASD) are considered to be among the most serious of the mental health conditions. Concomitant with many cases of ASD is intellectual disability. Further compounding the disability is the fact that both conditions are known risk factors for self-injurious behavior (SIB). To date, the most effective intervention methods,…

  9. Narrative Therapy and Non-Suicidal-Self-Injurious Behavior: Externalizing the Problem and Internalizing Personal Agency

    ERIC Educational Resources Information Center

    Hoffman, Rachel M.; Kress, Victoria E.

    2008-01-01

    The purpose of this article is to present an intervention, the externalization of client problems, which can be used to address non-suicidal-self-injurious behavior. Specific externalization techniques are discussed, including naming the problem, letter writing, and drawing. A case application and implications for practice are presented.

  10. PHIT for Duty, a Personal Health Intervention Tool for Psychological Health and Traumatic Brain Injury

    DTIC Science & Technology

    2016-06-01

    cognitive behavior change (e.g., alcohol use), and self-monitoring activities. The mindfulness content comprises learning materials and meditation...individuals with early symptoms of stress, depression, substance use, and other health problems. PHIT for Duty integrates self-report and physiological...Psychological Health and Traumatic Brain Injury iii Table of Contents Section Page 1. INTRODUCTION

  11. 39 CFR 777.28 - Claims and appeals.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... relocation representative should assist eligible displaced persons in the preparation of claims for moving... relocation representative with the displaced person, to preclude technical difficulties in processing the... of the displaced person's claim, the Postal Service will promptly authorize payment of the...

  12. Preventing construction worker injury incidents through the management of personal stress and organizational stressors.

    PubMed

    Leung, Mei-yung; Chan, Isabelle Yee Shan; Yu, Jingyu

    2012-09-01

    Construction workers (CWs) are positioned at the lowest level of an organization and thus have limited control over their work. For this reason, they are often deprived of their due rewards and training or sometimes are even compelled to focus on production at the expense of their own safety. These organizational stressors not only cause the CWs stress but also impair their safety behaviors. The impairment of safety behaviors is the major cause of CW injury incidents. Hence, to prevent injury incidents and enhance safety behaviors of CWs, the current study aimed to identify the impact of various organizational stressors and stress on CW safety behaviors and injury incidents. To achieve this aim, we surveyed 395 CWs. Using factor analysis, we identified five organizational stressors (unfair reward and treatment, inappropriate safety equipment, provision of training, lack of goal setting, and poor physical environment), two types of stress (emotional and physical), and safety behaviors. The results of correlation and regression analyses revealed the following: (1) injury incidents were minimized by safety behaviors but escalated by a lack of goal setting, (2) safety behaviors were maximized by moderate levels of emotional stress (i.e., an inverted U-shape relationship between these two variables) and increased in line with physical stress and inappropriate safety equipment, (3) emotional stress was positively predicted by the provision of training and inappropriate safety equipment, and (4) physical stress was predicted only by inappropriate safety equipment. Based on these results, we suggest various recommendations to construction stakeholders on how to prevent CW injury incidents.

  13. Change in Neuroplasticity-Related Proteins in Response to Acute Activity-Based Therapy in Persons With Spinal Cord Injury

    PubMed Central

    Astorino, Todd A.; Knoblach, Susan M.; Feather, Jillenne

    2014-01-01

    Background: Activity-based therapy (ABT) focuses on regaining motor and sensory function below the level of the lesion in persons with a spinal cord injury (SCI). This is accomplished through repetitive training of specific motor tasks. Research has shown that ABT may increase neuroplasticity in the rat and human spinal cord. Objective: The primary aim of this study was to examine acute alterations in neuroplasticity-related proteins during ABT in persons with SCI. Methods: Volunteers were current participants in an ABT program and consisted of 12 men and 3 women (age, 31.8 ± 10.9 years) with chronic SCI (injury duration, 63.9 ± 54.4 months). A single 2-hour bout of ABT consisted of standing load bearing, body weight-supported treadmill training, whole body vibration, and functional electrical stimulation. Blood samples were obtained at baseline and immediately after completion of each modality to determine serum levels of brain-derived neurotrophic factor (BDNF), prolactin, and cortisol. Results: One-way analysis of variance (ANOVA) with repeated measures was used to examine differences in proteins over time. Results revealed baseline levels of BDNF (2.37 ± 1.41 ng/mL) that were lower than previous research has demonstrated in persons with SCI. No change in BDNF or cortisol was found, although prolactin was significantly reduced in response to ABT. Conclusion: Despite the length of the bout, acute changes in BDNF were not observed. Whether different intensities or modalities of ABT may promote acute increases in serum BDNF in individuals with SCI remains to be determined and further study is merited. PMID:25477737

  14. Neonatal hypoglycaemia: learning from claims

    PubMed Central

    Hawdon, Jane M; Beer, Jeanette; Sharp, Deborah; Upton, Michele

    2017-01-01

    Objectives Neonatal hypoglycaemia is a potential cause of neonatal morbidity, and on rare but tragic occasions causes long-term neurodevelopmental harm with consequent emotional and practical costs for the family. The organisational cost to the NHS includes the cost of successful litigation claims. The purpose of the review was to identify themes that could alert clinicians to common pitfalls and thus improve patient safety. Design The NHS Litigation Authority (NHS LA) Claims Management System was reviewed to identify and review 30 claims for injury secondary to neonatal hypoglycaemia, which were notified to the NHS LA between 2002 and 2011. Setting NHS LA. Patients Anonymised documentation relating to 30 neonates for whom claims were made relating to neonatal hypoglycaemia. Dates of birth were between 1995 and 2010. Interventions Review of documentation held on the NHS LA database. Main outcome measures Identifiable risk factors for hypoglycaemia, presenting clinical signs, possible deficits in care, financial costs of litigation. Results All claims related to babies of at least 36 weeks’ gestation. The most common risk factor for hypoglycaemia was low birth weight or borderline low birth weight, and the most common reported presenting sign was abnormal feeding behaviour. A number of likely deficits in care were reported, all of which were avoidable. In this 10-year reporting period, there were 25 claims for which damages were paid, with a total financial cost of claims to the NHS of £162 166 677. Conclusions Acknowledging that these are likely to be the most rare but most seriously affected cases, the clinical themes arising from these cases should be used for further development of training and guidance to reduce harm and redivert NHS funds from litigation to direct care. PMID:27553590

  15. Estimating dollar-value outcomes of workman`s compensation claims using radial basis function networks

    SciTech Connect

    Hancock, M.F. Jr.

    1995-12-31

    The National Council on Compensation Insurance (NCCI) maintains a national data base of outcomes of workers` compensation claims. We consider whether a radial basis function network can predict the total dollar value of a claim based upon medical and demographic indicators (MDI`s). This work used data from 12,130 workers` compensation claims collected over a period of four years from the state of New Mexico. Two problems were addressed: (1) How well can the total incurred medical expense for all claims be predicted from available MDI`s? For individual claims? (2) How well can the duration of disability be predicted from available MDI`s? The available features intuitively correlated with total medical cost were selected, including type of injury, part of body injured, person`s age at time of injury, gender, marital status, etc. These features were statistically standardized and sorted by correlation with outcome valuation. Principal component analysis was applied. A radial basis function neural network was applied to the feature sets in both supervised and unsupervised training modes. For sets used in training, individual case valuations could consistently be predicted to within $1000 over 98% of the time. For these sets, it was possible to predict total medical expense for the training sets themselves to within 10%. When applied as blind tests against sets which were NOT part of the training data, the prediction was within 15% on the whole sets. Results on individual cases were very poor in only 30% of the cases were the predictions for the training sets within $1000 of their actual valuations. Single-factor analysis suggested that the presence of an attorney strongly decorrelated the data. A simple stratification was performed to remove cases involving attorneys and contested claims, and the procedures above repeated. Preliminary results based upon the very limited effort applied indicate that NCCI data support population estimates, but not single-point estimates.

  16. Non-suicidal self-injury (Nssi) in adolescent inpatients: assessing personality features and attitude toward death

    PubMed Central

    2012-01-01

    Background Non-suicidal self-injury (NSSI) is a common concern among hospitalized adolescents, and can have significant implications for short and long-term prognosis. Little research has been devoted on how personality features in severely ill adolescents interact with NSSI and "attitude toward life and death" as a dimension of suicidality. Developing more specific assessment methodologies for adolescents who engage in self-harm without suicidal intent is relevant given the recent proposal of a non-suicidal self-injury (NSSI) disorder and may be useful in predicting risk in psychiatrically impaired subjects. Methods Consecutively hospitalized adolescents in a psychiatric unit (N = 52; 71% females; age 12-19 years), reporting at least one recent episode of self-harm according to the Deliberate Self-harm Inventory, were administered the Structured Clinical Interview for DSM Mental Disorders and Personality Disorders (SCID I and II), the Children's Depression Inventory and the Multi-Attitude Suicide Tendency Scale (MAST). Results Mean age onset of NSSI in the sample was 12.3 years. All patients showed "repetitive" NSSI (high frequency of self-harm), covering different modalities. Results revealed that 63.5% of adolescents met criteria for Borderline Personality Disorder (BPD) and that the rest of the sample also met criteria for personality disorders with dysregulated traits. History of suicide attempts was present in 46.1% of cases. Elevated depressive traits were found in 53.8%. Results show a statistically significant negative correlation between the score on the "Attraction to Life" subscale of the MAST and the frequency and diversification of self-harming behaviors. Conclusions Most adolescent inpatients with NSSI met criteria for emotionally dysregulated personality disorders, and showed a reduced "attraction to life" disposition and significant depressive symptoms. This peculiar psychopathological configuration must be addressed in the treatment of adolescent

  17. Pilot study of strap-based custom wheelchair seating system in persons with spinal cord injury.

    PubMed

    Ferguson, John E; Wittig, Becky L; Payette, Mark; Goldish, Gary D; Hansen, Andrew H

    2014-01-01

    Custom wheelchair seats can be used to help prevent pressure ulcers in individuals with spinal cord injury. In this study, a strap-based system was evaluated in three Veterans with spinal cord injury. Interface pressure distributions were measured after transfers, wheeling, and pressure relief maneuvers and after fittings by three different therapists. We found that pressure distribution measures were not generally affected after transfers and wheeling using the strap-based wheelchair and that pressure relief maneuvers were able to be performed. Additionally, all therapists were able to customize the wheelchair seat to clinically acceptable levels in 4 to 40 min for the three subjects. Future studies can test the long-term effects of using the strap-based wheelchair seat and identifying individuals that would most benefit from a rapidly customizable wheelchair seat.

  18. BEHAVIORAL TREATMENT FOR PATHOLOGICAL GAMBLING IN PERSONS WITH ACQUIRED BRAIN INJURY

    PubMed Central

    Guercio, John M; Johnson, Taylor; Dixon, Mark R

    2012-01-01

    The present investigation examined a behavior-analytic clinical treatment package designed to reduce the pathological gambling of 3 individuals with acquired brain injury. A prior history of pathological gambling of each patient was assessed via caregiver report, psychological testing, and direct observation of gambling behavior. Using an 8-week one-on-one client–patient format, a treatment program was developed in which the patient learned about the antecedents, consequences, and motivating operations that controlled the emission of gambling behavior. Data were collected on both self-report of gambling urges and behavior following therapy and during in situ gambling opportunities. The therapy program reduced urges to gamble and actual gambling for all patients. The potential of behavior-analytic therapy for reducing the pathological gambling of patients with and without brain injury is discussed. PMID:23060663

  19. Small bowel perforations due to deliberate ingestion of injurious foreign bodies--a personal experience.

    PubMed

    Malik, Arshad M

    2008-01-01

    Ingestion of foreign bodies is not an uncommon problem in our society. The patients usually ingest different types of foreign bodies either accidentally or deliberately. Rare in children but adults are not uncommonly affected and are either psychiatric patients or ingest foreign bodies accidentally. Life threatening complications may occur at times due to ingestion of sharp and pointed objects. An interesting case of ingestion of multiple injurious foreign bodies presenting with multiple small intestinal perforations is presented with review of literature.

  20. [Effects of pressure on soft tissue stress distribution and muscle oxygenation in sacrum area for persons with spinal cord injury].

    PubMed

    Li, Jianping; Li, Zengyong

    2012-12-01

    Sacrum area is the high-risk area for pressure ulcer to persons with spinal cord injury. A finite element model of the soft tissue in the sacrum area was established to analyze the stress distribution in the soft tissue with the human body lying down. In addition, the muscle oxygenation in the sacrum area was assessed by near-infrared spectroscopy (NIRS) before and after loading pressures. The results showed that the stress was mainly localized in the muscle layer and the stress in the bone-tissue interface was the maximal. When the loading reached 10kPa, the maximal stress in the muscle layer was 15kPa. The muscle oxygenation parameters changed significantly with the applied pressure and returned to normal level after the loading.

  1. Endourethral prosthesis for treatment of detrusor sphincter dyssynergia: impact on quality of life for persons with spinal cord injury.

    PubMed

    Joseph, A C; Juma, S; Niku, S D

    1994-12-01

    Neurogenic bladders with detrusor sphincter dyssynergia (DSD) are common in persons with spinal cord injury and with multiple sclerosis. Treatment options such as sphincterotomy, urethral foley and suprapubic catheters are not without complications or failure; however, they are recommended for patients who are unable to do intermittent catheterization. An endourethral prosthesis for DSD has been developed for experimental use in the United States. We report one year results of the clinical trials with endourethral prostheses implanted in ten patients. Initial subjective and objective results show an 80% success rate. At present, preliminary data show that an endourethral prosthesis, which is simple to insert and has few complications, appears to offer an alternative to conventional treatment. A key to success is to prepare for changes in life style that impact the patient's quality of life. Both patient and staff education are necessary pre-operatively to achieve successful outcomes post-operatively.

  2. Brain activation while thinking about the self from another person's perspective after traumatic brain injury in adolescents.

    PubMed

    Newsome, Mary R; Scheibel, Randall S; Hanten, Gerri; Chu, Z; Steinberg, Joel L; Hunter, Jill V; Lu, Hanzhang; Vasquez, Ana C; Li, Xiaoqi; Lin, Xiaodi; Cook, Lori; Levin, Harvey S

    2010-03-01

    Deficits in self awareness and taking the perspective of others are often observed following traumatic brain injury (TBI). Nine adolescents (ages 12-19 years) who had sustained moderate to severe TBI after an average interval of 2.6 years and nine typically developing (TD) adolescents underwent functional MRI (fMRI) while performing a perspective taking task (D'Argembeau et al., 2007). Participants made trait attributions either from their own perspective or from that of the significant other. The groups did not differ in reaction time or on a consistency criterion. When thinking of the self from a third-person perspective, adolescents with TBI demonstrated greater activation in posterior brain regions implicated in social cognition, the left lingual gyrus (BA 18) and posterior cingulate (BA 31), extending into neighboring regions not generally associated with social cognition, that is, cuneus (BA 31) and parahippocampal gyrus, relative to TD adolescents. We postulate that adolescents with moderate to severe TBI recruited alternative neural pathways during perspective-taking because traumatic axonal injury disrupted their fronto-parietal networks mediating social cognition.

  3. Functions of non-suicidal self-injury in adolescents and young adults with Borderline Personality Disorder symptoms.

    PubMed

    Sadeh, Naomi; Londahl-Shaller, Esme A; Piatigorsky, Auran; Fordwood, Samantha; Stuart, Barbara K; McNiel, Dale E; Klonsky, E David; Ozer, Elizabeth M; Yaeger, Alison M

    2014-05-15

    Rates of deliberate non-suicidal self-injury (NSSI) increase during adolescence and young adulthood, particularly in clinical samples, making these important developmental stages for understanding the functions of NSSI. Borderline Personality Disorder (BPD) symptoms also begin to emerge in adolescence, though little research has examined relationships between BPD symptoms and the functions of NSSI in youth, the primary goal of the present study. Adolescents and young adults recruited from an outpatient psychotherapy clinic (N=36) endorsed a range of NSSI functions on the Inventory of Statements about Self-Injury (Klonsky and Glenn, 2009). Participants engaged in NSSI to serve intrapersonal functions (e.g., regulate affect, punish oneself) more frequently than interpersonal functions (e.g., bond with peers, establish autonomy). As predicted, linear regression analyses indicated that BPD affective dysregulation symptoms were associated with the intrapersonal but not the interpersonal functions of NSSI. In contrast, BPD interpersonal dysfunction symptoms were differentially associated with the interpersonal rather than intrapersonal functions of NSSI. These preliminary data indicate that clusters of BPD symptoms show unique relationships with functions of NSSI in treatment-seeking adolescents and young adults, relationships that can be used to target specific functions of NSSI in treatment planning.

  4. 37 CFR 360.22 - Form and content of claims.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... Web site at http://www.loc.gov/crb/claims for claims filed with the Copyright Royalty Board by mail or by hand delivery in accordance with § 360.24(a)(2)-(4); (ii) On the Board's Web site at http://www... information: (1) The full legal name and address of the person or entity claiming royalty payments. (2)...

  5. 20 CFR 725.308 - Time limits for filing claims.

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ... COAL MINE HEALTH AND SAFETY ACT OF 1969, AS AMENDED CLAIMS FOR BENEFITS UNDER PART C OF TITLE IV OF THE FEDERAL MINE SAFETY AND HEALTH ACT, AS AMENDED Filing of Claims § 725.308 Time limits for filing claims... communicated to the miner or a person responsible for the care of the miner, or within three years after...

  6. 20 CFR 725.308 - Time limits for filing claims.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... MINE HEALTH AND SAFETY ACT OF 1969, AS AMENDED CLAIMS FOR BENEFITS UNDER PART C OF TITLE IV OF THE FEDERAL MINE SAFETY AND HEALTH ACT, AS AMENDED Filing of Claims § 725.308 Time limits for filing claims... communicated to the miner or a person responsible for the care of the miner, or within three years after...

  7. 20 CFR 725.308 - Time limits for filing claims.

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ... COAL MINE HEALTH AND SAFETY ACT OF 1969, AS AMENDED CLAIMS FOR BENEFITS UNDER PART C OF TITLE IV OF THE FEDERAL MINE SAFETY AND HEALTH ACT, AS AMENDED Filing of Claims § 725.308 Time limits for filing claims... communicated to the miner or a person responsible for the care of the miner, or within three years after...

  8. 20 CFR 725.308 - Time limits for filing claims.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... COAL MINE HEALTH AND SAFETY ACT OF 1969, AS AMENDED CLAIMS FOR BENEFITS UNDER PART C OF TITLE IV OF THE FEDERAL MINE SAFETY AND HEALTH ACT, AS AMENDED Filing of Claims § 725.308 Time limits for filing claims... communicated to the miner or a person responsible for the care of the miner, or within three years after...

  9. 20 CFR 725.308 - Time limits for filing claims.

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ... COAL MINE HEALTH AND SAFETY ACT OF 1969, AS AMENDED CLAIMS FOR BENEFITS UNDER PART C OF TITLE IV OF THE FEDERAL MINE SAFETY AND HEALTH ACT, AS AMENDED Filing of Claims § 725.308 Time limits for filing claims... communicated to the miner or a person responsible for the care of the miner, or within three years after...

  10. 45 CFR 504.3 - Official claim forms.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... Forces of the United States Held as Prisoner of War in Vietnam; for Persons Assigned to Duty on board the... WAR CLAIMS ACT OF 1948, AS AMENDED FILING OF CLAIMS AND PROCEDURES THEREFOR § 504.3 Official claim... or Who Went into Hiding to Avoid Capture or Internment in Southeast Asia During the Vietnam...

  11. 45 CFR 504.3 - Official claim forms.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... Forces of the United States Held as Prisoner of War in Vietnam; for Persons Assigned to Duty on board the... WAR CLAIMS ACT OF 1948, AS AMENDED FILING OF CLAIMS AND PROCEDURES THEREFOR § 504.3 Official claim... or Who Went into Hiding to Avoid Capture or Internment in Southeast Asia During the Vietnam...

  12. 45 CFR 504.3 - Official claim forms.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... Forces of the United States Held as Prisoner of War in Vietnam; for Persons Assigned to Duty on board the... WAR CLAIMS ACT OF 1948, AS AMENDED FILING OF CLAIMS AND PROCEDURES THEREFOR § 504.3 Official claim... or Who Went into Hiding to Avoid Capture or Internment in Southeast Asia During the Vietnam...

  13. 45 CFR 504.3 - Official claim forms.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... Forces of the United States Held as Prisoner of War in Vietnam; for Persons Assigned to Duty on board the... WAR CLAIMS ACT OF 1948, AS AMENDED FILING OF CLAIMS AND PROCEDURES THEREFOR § 504.3 Official claim... or Who Went into Hiding to Avoid Capture or Internment in Southeast Asia During the Vietnam...

  14. 45 CFR 504.3 - Official claim forms.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... Forces of the United States Held as Prisoner of War in Vietnam; for Persons Assigned to Duty on board the... WAR CLAIMS ACT OF 1948, AS AMENDED FILING OF CLAIMS AND PROCEDURES THEREFOR § 504.3 Official claim... or Who Went into Hiding to Avoid Capture or Internment in Southeast Asia During the Vietnam...

  15. 44 CFR 295.5 - Overview of the claims process.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... the claim to the Authorized Official. (d) The Authorized Official will review the report and determine... 44 Emergency Management and Assistance 1 2011-10-01 2011-10-01 false Overview of the claims... Overview of the claims process. (a) The CGFAA is intended to provide persons who suffered losses from...

  16. 43 CFR 3830.3 - Who may locate mining claims?

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... 43 Public Lands: Interior 2 2012-10-01 2012-10-01 false Who may locate mining claims? 3830.3... MANAGEMENT, DEPARTMENT OF THE INTERIOR MINERALS MANAGEMENT (3000) LOCATING, RECORDING, AND MAINTAINING MINING CLAIMS OR SITES; GENERAL PROVISIONS Introduction § 3830.3 Who may locate mining claims? Persons...

  17. 43 CFR 3830.3 - Who may locate mining claims?

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... 43 Public Lands: Interior 2 2013-10-01 2013-10-01 false Who may locate mining claims? 3830.3... MANAGEMENT, DEPARTMENT OF THE INTERIOR MINERALS MANAGEMENT (3000) LOCATING, RECORDING, AND MAINTAINING MINING CLAIMS OR SITES; GENERAL PROVISIONS Introduction § 3830.3 Who may locate mining claims? Persons...

  18. 43 CFR 3830.3 - Who may locate mining claims?

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... 43 Public Lands: Interior 2 2014-10-01 2014-10-01 false Who may locate mining claims? 3830.3... MANAGEMENT, DEPARTMENT OF THE INTERIOR MINERALS MANAGEMENT (3000) LOCATING, RECORDING, AND MAINTAINING MINING CLAIMS OR SITES; GENERAL PROVISIONS Introduction § 3830.3 Who may locate mining claims? Persons...

  19. 43 CFR 3830.3 - Who may locate mining claims?

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 43 Public Lands: Interior 2 2011-10-01 2011-10-01 false Who may locate mining claims? 3830.3... MANAGEMENT, DEPARTMENT OF THE INTERIOR MINERALS MANAGEMENT (3000) LOCATING, RECORDING, AND MAINTAINING MINING CLAIMS OR SITES; GENERAL PROVISIONS Introduction § 3830.3 Who may locate mining claims? Persons...

  20. 5 CFR 180.106 - Claims involving carriers and insurers.

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... 5 Administrative Personnel 1 2014-01-01 2014-01-01 false Claims involving carriers and insurers. 180.106 Section 180.106 Administrative Personnel OFFICE OF PERSONNEL MANAGEMENT CIVIL SERVICE REGULATIONS EMPLOYEES' PERSONAL PROPERTY CLAIMS § 180.106 Claims involving carriers and insurers....

  1. 20 CFR 702.222 - Claims; exceptions to time limitations.

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ... 20 Employees' Benefits 4 2014-04-01 2014-04-01 false Claims; exceptions to time limitations. 702.222 Section 702.222 Employees' Benefits OFFICE OF WORKERS' COMPENSATION PROGRAMS, DEPARTMENT OF LABOR... Procedures Claims § 702.222 Claims; exceptions to time limitations. (a) Where a person entitled...

  2. 20 CFR 702.222 - Claims; exceptions to time limitations.

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ... 20 Employees' Benefits 4 2013-04-01 2013-04-01 false Claims; exceptions to time limitations. 702.222 Section 702.222 Employees' Benefits OFFICE OF WORKERS' COMPENSATION PROGRAMS, DEPARTMENT OF LABOR... Procedures Claims § 702.222 Claims; exceptions to time limitations. (a) Where a person entitled...

  3. The Dangers of Failing One or More Performance Validity Tests in Individuals Claiming Mild Traumatic Brain Injury-Related Postconcussive Symptoms

    PubMed Central

    Proto, Daniel A.; Pastorek, Nicholas J.; Miller, Brian I.; Romesser, Jennifer M.; Sim, Anita H.; Linck, John F.

    2014-01-01

    Evaluating performance validity is important in any neuropsychological assessment, and prior research recommends a threshold for invalid performance of two or more performance validity test (PVT) failures. However, extant findings also indicate that failing a single PVT is associated with significant changes in neuropsychological performance. The current study sought to determine if there is an appreciable difference in neuropsychological testing results between individuals failing different numbers of PVTs. In a sample of veterans with reported histories of mild traumatic brain injury (mTBI; N =178), analyses revealed that individuals failing only one PVT performed significantly worse than individuals failing no PVTs on measures of verbal learning and memory, processing speed, and cognitive flexibility. Additionally, individuals failing one versus two PVTs significantly differed only on delayed free recall scores. The current findings suggest that failure of even one PVT should elicit consideration of performance invalidity, particularly in individuals with histories of mTBI. PMID:25252598

  4. A review of workers' compensation claims: the frequency of claim denial and medical treatment delay.

    PubMed

    Kelley, C R; Amparo, J M

    2000-01-01

    A retrospective chart review of 257 patients who presented between January to March 1998, was conducted to identify the frequency of workers' compensation claim denial among patients who reported to Straub Clinic and Hospital. Results showed that 12.8% of claims were either "denied" or temporarily "denied pending investigation". Analysis of all the claims found that only 2% resulted in delayed medical care. Further analysis of the denied claims revealed the vast majority of claims (78.8%) were denied because the medical provider and the patient had incorrect workers' compensation carrier information. Other independent variables studied (size of the employer, category of employer, injury type, status of case, length of case and number of visits) did not predict either denial of the claim or treatment delay. This study suggests that the efficiency of our State's Workers' Compensation system would be greatly improved by developing a system to provide medical care providers with accurate insurance information.

  5. The Minnesota Multiphasic Personality Inventory-2 Restructured Form in National Guard Soldiers Screening Positive for Posttraumatic Stress Disorder and Mild Traumatic Brain Injury

    ERIC Educational Resources Information Center

    Arbisi, Paul A.; Polusny, Melissa A.; Erbes, Christopher R.; Thuras, Paul; Reddy, Madhavi K.

    2011-01-01

    The Minnesota Multiphasic Personality Inventory-2 Restructured Form (MMPI-2 RF) was administered to 251 National Guard soldiers who had recently returned from deployment to Iraq. Soldiers were also administered questionnaires to identify posttraumatic stress disorder (PTSD) and mild traumatic brain injury (mTBI). On the basis of responses to the…

  6. Evaluation of a community reintegration outpatient program service for community-dwelling persons with spinal cord injury.

    PubMed

    Zinman, Alana; Digout, Nicole; Bain, Patricia; Haycock, Sylvia; Hébert, Debbie; Hitzig, Sander L

    2014-01-01

    Objective. To evaluate the effectiveness of a community reintegration outpatient (CROP) service for promoting well-being and community participation following spinal cord injury (SCI). Participants. Community-dwelling adults (N = 14) with traumatic and nontraumatic SCI. Interventions. The CROP service is a 12-week (1 × week; 120 minutes) interprofessional closed therapeutic education service. Main Outcome Measure(s). Moorong Self-Efficacy Scale (MSES); Impact on Participation and Autonomy (IPA); Positive Affect and Negative Affect Scale (PANAS); Coping Inventory of Stressful Situations (CISS); World Health Organization Quality of Life (WHOQOL-BREF); semistructured qualitative interviews. Methods. Twenty-one participants were recruited from two subsequent CROP services, with only 14 persons completing all data assessments. Data were collected at baseline (week 0), at exit (week 12), and at a three-month follow-up. Semistructured interviews were conducted at exit. Results. Self-efficacy (MSES) and positive affect (PANAS) improved from baseline to exit (P < .05), but the changes were not maintained at follow-up. Qualitative analysis identified four major themes related to therapeutic benefits: (1) role of self; (2) knowledge acquisition; (3) skill application; and (4) group processes. Conclusions. Participation in a therapeutic education service has the potential to improve well-being in persons with SCI, but there is a need to identify strategies to maintain long-term gains.

  7. A review of behavioral treatments for self-injurious behaviors of persons with autism spectrum disorders.

    PubMed

    Matson, Johnny L; Lovullo, Santino V

    2008-01-01

    Autism spectrum disorders (ASD) are considered to be among the most serious of the mental health conditions. Concomitant with many cases of ASD is intellectual disability. Further compounding the disability is the fact that both conditions are known risk factors for self-injurious behavior (SIB). To date, the most effective intervention methods, based on the available data, appear to be variants of behavior modification. This article provides an overview of the current status of learning-based interventions for SIB in ASD and provides a review of specific studies. Although most studies describe some combination of reinforcement and punishment procedures, efforts are under way to develop more positively oriented strategies, such as functional assessment, to decrease the use of punishment. However, almost all the treatment studies employ single case designs, thus preventing a comparison of treatment efficacy. These issues are discussed along with other strengths, weaknesses, and future directions for clinical practice and treatment.

  8. Unwanted pregnancy: The outer boundary of "treatment injury" in the New Zealand accident compensation scheme.

    PubMed

    Tobin, Rosemary

    2015-09-01

    The New Zealand accident compensation scheme has undergone many changes over the years and these changes are reflected in the way unwanted pregnancy claims have been dealt with under the regime. The New Zealand Supreme Court has now confirmed that pregnancy as a result of medical misadventure can be classified as a personal injury under the scheme with the result that the woman patient is entitled to the benefits of the scheme and may not pursue a common law claim against the medical practitioner. This article analyses two recent decisions in the context of consideration of the changing fortunes of the unwanted pregnancy claims.

  9. Telephone and In-Person Cognitive Behavioral Therapy for Major Depression after Traumatic Brain Injury: A Randomized Controlled Trial

    PubMed Central

    Bombardier, Charles H.; Vannoy, Steven; Dyer, Joshua; Ludman, Evette; Dikmen, Sureyya; Marshall, Kenneth; Barber, Jason; Temkin, Nancy

    2015-01-01

    Abstract Major depressive disorder (MDD) is prevalent after traumatic brain injury (TBI); however, there is a lack of evidence regarding effective treatment approaches. We conducted a choice-stratified randomized controlled trial in 100 adults with MDD within 10 years of complicated mild to severe TBI to test the effectiveness of brief cognitive behavioral therapy administered over the telephone (CBT-T) (n=40) or in-person (CBT-IP) (n=18), compared with usual care (UC) (n=42). Participants were recruited from clinical and community settings throughout the United States. The main outcomes were change in depression severity on the clinician-rated 17 item Hamilton Depression Rating Scale (HAMD-17) and the patient-reported Symptom Checklist-20 (SCL-20) over 16 weeks. There was no significant difference between the combined CBT and UC groups over 16 weeks on the HAMD-17 (treatment effect=1.2, 95% CI: −1.5–4.0; p=0.37) and a nonsignificant trend favoring CBT on the SCL-20 (treatment effect=0.28, 95% CI: −0.03–0.59; p=0.074). In follow-up comparisons, the CBT-T group had significantly more improvement on the SCL-20 than the UC group (treatment effect=0.36, 95% CI: 0.01–0.70; p=0.043) and completers of eight or more CBT sessions had significantly improved SCL-20 scores compared with the UC group (treatment effect=0.43, 95% CI: 0.10–0.76; p=0.011). CBT participants reported significantly more symptom improvement (p=0.010) and greater satisfaction with depression care (p<0.001), than did the UC group. In-person and telephone-administered CBT are acceptable and feasible in persons with TBI. Although further research is warranted, telephone CBT holds particular promise for enhancing access and adherence to effective depression treatment. PMID:25072405

  10. 5 CFR 180.104 - Allowable claims.

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... 5 Administrative Personnel 1 2014-01-01 2014-01-01 false Allowable claims. 180.104 Section 180.104 Administrative Personnel OFFICE OF PERSONNEL MANAGEMENT CIVIL SERVICE REGULATIONS EMPLOYEES' PERSONAL PROPERTY... are payable: (i) Where personal funds were accepted by responsible Government personnel with...

  11. [Assessment of whiplash and cervical spine injury].

    PubMed

    Marx, P

    2011-12-01

    Formulating an expert opinion on whiplash injuries requires that consideration be given to biomechanical, orthopedic, neurological, psychiatric and medicolegal aspects. The greatest difficulties are encountered in cases of mild whiplash where patients complain of constant pain without any physical correlative. Diverse assessments and principles for approving a claim are reflected in the fact that the prevalence of chronic spine pain after whiplash injuries (late whiplash syndrome) varies between 16% and 71% in different countries, and the proportion of whiplash injuries involved in petitions for compensation differs greatly across Europe (UK 75%, Germany 47%, Finland 8.5% and France 3% of all personal injuries).Important biomechanical, orthopedic, neurological, psychiatric and medicolegal aspects of expert testimony on whiplash associated disorders (WAD) are delineated.

  12. Padova Charter on personal injury and damage under civil-tort law : Medico-legal guidelines on methods of ascertainment and criteria of evaluation.

    PubMed

    Ferrara, Santo Davide; Baccino, Eric; Boscolo-Berto, Rafael; Comandè, Giovanni; Domenici, Ranieri; Hernandez-Cueto, Claudio; Gulmen, Mete Korkut; Mendelson, George; Montisci, Massimo; Norelli, Gian Aristide; Pinchi, Vilma; Ranavaya, Mohammed; Shokry, Dina A; Sterzik, Vera; Vermylen, Yvo; Vieira, Duarte Nuno; Viel, Guido; Zoja, Riccardo

    2016-01-01

    Compensation for personal damage, defined as any pecuniary or non-pecuniary loss causally related to a personal injury under civil-tort law, is strictly based on the local jurisdiction and therefore varies significantly across the world. This manuscript presents the first "International Guidelines on Medico-Legal Methods of Ascertainment and Criteria of Evaluation of Personal Injury and Damage under Civil-Tort Law". This consensus document, which includes a step-by-step illustrated explanation of flow charts articulated in eight sequential steps and a comprehensive description of the ascertainment methodology and the criteria of evaluation, has been developed by an International Working Group composed of juridical and medico-legal experts and adopted as Guidelines by the International Academy of Legal Medicine (IALM).

  13. Borderline personality disorder features, emotion dysregulation and non-suicidal self-injury: Preliminary findings in a sample of community-dwelling Italian adolescents.

    PubMed

    Somma, Antonella; Sharp, Carla; Borroni, Serena; Fossati, Andrea

    2017-02-01

    In order to assess the relationships among borderline personality disorder features, non-suicidal self-injury (NSSI) and emotion dysregulation, 122 community-dwelling Italian adolescents were administered by the Italian translations of the Borderline Personality Features Scale for Children-11, the Deliberate Self-Harm Inventory and the Difficulties in Emotion Regulation Scale (DERS). Regression models showed that both Deliberate Self-Harm Inventory (DSHI) and DERS scores significantly predicted Borderline Personality Features Scale for Children-11 total score; moreover, the DSHI total score significantly predicted the DERS total score. Our findings suggest that borderline personality features in adolescence are moderately, albeit significantly related to NSSI, and that emotion dysregulation does not completely account for the association between borderline personality features and NSSI, although it seems to explain a non-trivial proportion of this relationship. Copyright © 2016 John Wiley & Sons, Ltd.

  14. The Risk of Sleep Disorder Among Persons with Mild Traumatic Brain Injury.

    PubMed

    Mollayeva, Tatyana; Mollayeva, Shirin; Colantonio, Angela

    2016-06-01

    Sleep disorders and mild traumatic brain injury (mTBI) are among the most commonly occurring neurological problems clinicians encounter simultaneously. Each can cause the other, and both share common predisposing factors. An important question that remains to be addressed is whether high-risk groups can be defined. We observed an accumulation of considerable knowledge on sleep dysfunction in mTBI in recently published works. The results highlight sleep disturbances in mTBI as the product of diverse internal and external influences, acting on a genetically determined substrate. This may partially explain the clinical heterogeneity of mTBI, pointing to the importance of establishing an accurate history on the onset and course of a specific sleep disorder in the early stages post-mTBI in the individual patient. Such an approach will aid not only diagnosis and treatment but may also lead to identification of disorders whose symptoms mimic those of TBI and thereby direct the most suitable treatment and management.

  15. [Immobilize the person after injury - problems in the practice of the rescuer].

    PubMed

    Malinowski, Krzysztof

    2016-01-01

    The rescuer often has to deal with patients who have suffered trauma to the bone , including heads, spine, lower and upper limbs. Serious injuries or multiorgan grudges are a frequent result of communicative cases, and a fast but accurate examination is a condition of the success of a rescue operation, putting the preliminary diagnosis and implementing real rescue activities. Delays in a rescue operation or the lack appropriate the equipment is threatening the patient with the permanent disability or even a loss of life. It is important so that Teams of the Medical Rescue, the Aviation emergency ambulance service, individuals of the State Fire Service and Hospital accident wards have an equipment which will be compatible. With equipment which without no dilemmas will be used according to assigning him without anxiety that the use is equaling for loss of possessions or the exchange on worse or dirty. An next amendment to a bill about the National Medical rescue should obligatorily have regulations on the availability and compatibilities of equipment among others used in immobilizing traumatic and the National Health Fund should develop tough equipment principles in contracting services. All remarks and amendments to the provisions concerning the compatibility of equipment used in grudges they will have an intense influence on the quality of granted benefits in saving the health and the human life as well as will improve the comfort of the work of the paramedic.

  16. Group psychotherapy for persons with traumatic brain injury: management of frustration and substance abuse.

    PubMed

    Delmonico, R L; Hanley-Peterson, P; Englander, J

    1998-12-01

    Residual emotional and behavioral difficulties in individuals who have sustained a traumatic brain injury (TBI) have been well documented in the literature. The issues are complex, interdependent, and often include substance abuse, depression, anxiety, chronic suicidal or homicidal ideation, poor impulse control, and significant degrees of frustration and anger. Often, preexisting psychological conditions and poor coping strategies are exacerbated by the trauma. Emotional and behavioral difficulties can interfere with the neurorehabilitation process at all levels. In acute rehabilitation, these issues have traditionally been addressed on an individual basis. However, in postacute settings, an interpersonal group format can be effectively implemented. The majority of individuals with TBI have minimal funding for long-term cognitive and behavioral remediation; often the only avenue available is support groups. This article will describe group psychotherapy models used with individuals with acute or postacute TBI within a comprehensive rehabilitation center. Interdisciplinary treatment of frustration and substance abuse and a continuum of care will be emphasized. Education, social support, skills development, interpersonal process, and cognitive-behavioral approaches will also be discussed. The psychotherapy groups focus on treatment of substance abuse and frustration management through education, social support, and development of interpersonal skills. Practical considerations of running such groups are presented.

  17. Evaluating a Surprising Claim

    NASA Astrophysics Data System (ADS)

    Hayden, Howard C.

    2013-11-01

    A television advertisement and a website present an interesting question: can rail company CSX really move a ton of freight 468 miles on a gallon of fuel, or is the claim preposterous? Let us examine the claim, first by understanding what is meant, looking at their data, and then converting units to examine the claim quantitatively.

  18. Evaluating a Surprising Claim

    ERIC Educational Resources Information Center

    Hayden, Howard C.

    2013-01-01

    A television advertisement and a website present an interesting question: can rail company CSX "really" move a ton of freight 468 miles on a gallon of fuel, or is the claim preposterous? Let us examine the claim, first by understanding what is meant, looking at their data, and then converting units to examine the claim quantitatively.

  19. Anthropometric prediction of skeletal muscle cross-sectional area in persons with spinal cord injury.

    PubMed

    Wade, Rodney C; Gorgey, Ashraf S

    2017-03-02

    Finding an accurate and affordable method to quantify muscle size following spinal cord injury (SCI) could provide benefits clinically and in research settings. The purpose of this study was to validate the use of anthropometric measurements versus magnetic resonance imaging (MRI) to evaluate muscle cross-sectional area (CSA) and develop a field equation to predict muscle CSA specific to the SCI population. Twenty-two men with chronic (>1yr) motor complete SCI participated in the current study. Anthropometric measurements, including mid-thigh circumference and anterior skinfold thickness (SFT), were taken on the right thigh. The anthropometric muscle cross sectional area (Muscle CSAanthro) was predicted using the following equation: [π (r -SFT /2)(2); r = thigh circumference/2π]. MRI analysis yielded whole thigh CSA (Thigh CSAMRI), mid-thigh muscle CSA (Muscle CSAMRI), mid-thigh absolute muscle CSA after subtracting intramuscular fat and bone (Muscle CSA-IMFMRI), subcutaneous adipose tissue (SATT) measured at one site as well as at 4-sites and bone CSA. Anthropometric measurements were correlated to the thigh CSAMRI (r(2)=0.90, SEE=17.6cm(2), P<0.001). Muscle CSAanthro was correlated to muscle CSAMRI (r(2)=0.78, SEE=16.6cm(2), P<0.001) and muscle CSA-IMFMRI (r(2)=0.75, SEE=17.6cm(2) P<0.001). A single SFT was correlated to the polar 4-site SATT (r(2)=0.78, SEE=0.37cm, P<0.001). The average femur CSA and average IMF CSA derived from MRI led to the following field equation: Muscle CSApredicted = π[(Thighcircum/2π) - (SFT/2)](2) - 23.2. Anthropometric measurements of muscle CSA exhibited a good agreement with the gold standard MRI method and led to the development of a field equation for clinical use after accounting for bone and IMF.

  20. Subepidermal moisture surrounding pressure ulcers in persons with a spinal cord injury: A pilot study

    PubMed Central

    Harrow, Jeffrey John; Mayrovitz, Harvey N.

    2014-01-01

    Objective Characterization of a non-invasive method of quantifying subepidermal moisture (SEM) surrounding stages III and IV pressure ulcers (PrUs) in spinal cord injury (SCI). Design Prospective, single-visit, single-rater, observational study, using repeated-measures analysis. Method Setting-inpatient units of one VA SCI Center. Participants Convenience sample of 16 subjects with SCI with stage III or IV PrUs over sacrum or ischium. Interventions Measurement with the MoistureMeter-D, a hand-held device using 300 MHz electromagnetic waves. Outcome measures Dielectric constant, a dimensionless number which increases with the moisture content. Each subject had a PrU site and a control site. Measurements were made at each site, on intact skin, at four points spaced angularly around the site, in triplicate. Results (1) Short-term, single-rater relative error was 2.5%. (2) Order effect: first readings were higher than second readings in 55 of 64 measurement sets. Order effect was significant for control sites (P < 0.0001) but not for PrU sites. (3) Angular effect: SEM varied by angle at the PrU sites (P < 0.01); 12 o'clock position the highest and 6 o'clock the lowest. (4) Ability to differentiate PrUs from intact skin: SEM at PrU sites was greater by 9.0% than control sites (P < 0.05). (5) Site effect: SEM was higher at sacral locations than ischial at control sites by 20% (P < 0.005). Conclusions SEM differentiates PrUs from intact skin. Future study designs must take into account order, angular, and site effects on this measure. This information will inform designers of future studies of SEM in healing of PrUs. PMID:25398030

  1. Non-suicidal Self-injury in Different Eating Disorder Types: Relevance of Personality Traits and Gender.

    PubMed

    Islam, Mohammed A; Steiger, Howard; Jimenez-Murcia, Susana; Israel, Mimi; Granero, Roser; Agüera, Zaida; Castro, Rita; Sánchez, Isabel; Riesco, Nadine; Menchón, José M; Fernández-Aranda, Fernando

    2015-11-01

    The study explored lifetime prevalence of non-suicidal self-injury (NSSI) in female and male individuals with eating disorders (ED) and compared ED symptoms, general psychopathology and personality traits across individuals with and without a history of NSSI. The incremental discriminative capacity of gender on the manifestation of lifetime NSSI was also studied. A total sample of 1649 consecutively admitted ED patients (1515 women and 134 men) participated in the current study [339 ED + NSSI (ED with NSSI) and 1310 ED - NSSI (ED without NSSI)]. Specific self-report measures were included and other clinical and psychopathological indices. The observed lifetime prevalence of NSSI was 20.6% (20.9% in women and 17.2% in men). NSSI was not associated with ED type or gender. However, ED + NSSI patients exhibited more impulsive behaviour, substance-abuse disorders and additional impulse-control disorders, were younger and had more previous treatments. Age was shown to affect the presentation of NSSI. Additionally, ED + NSSI patients exhibited more severe ED and general psychopathological symptoms and had more dysfunctional personality traits when compared with ED - NSSI. ED + NSSI was found to be positively associated with harm avoidance and self-transcendence but negatively with reward dependence, self-directedness and cooperativeness. Thus, the variables with stronger capacity to identify the presence of ED + NSSI were younger age, harm avoidance, self-directedness and self-transcendence. A lack of association between sex and ED subtype with the presence of NSSI was observed.

  2. Comparison of training methods to improve walking in persons with chronic spinal cord injury: a randomized clinical trial

    PubMed Central

    Alexeeva, Natalia; Sames, Carol; Jacobs, Patrick L.; Hobday, Lori; DiStasio, Marcello M.; Mitchell, Sarah A.; Calancie, Blair

    2011-01-01

    Objective To compare two forms of device-specific training – body-weight-supported (BWS) ambulation on a fixed track (TRK) and BWS ambulation on a treadmill (TM) – to comprehensive physical therapy (PT) for improving walking speed in persons with chronic, motor-incomplete spinal cord injury (SCI). Methods Thirty-five adult subjects with a history of chronic SCI (>1 year; AIS ‘C’ or ‘D’) participated in a 13-week (1 hour/day; 3 days per week) training program. Subjects were randomized into one of the three training groups. Subjects in the two BWS groups trained without the benefit of additional input from a physical therapist or gait expert. For each training session, performance values and heart rate were monitored. Pre- and post-training maximal 10-m walking speed, balance, muscle strength, fitness, and quality of life were assessed in each subject. Results All three training groups showed significant improvement in maximal walking speed, muscle strength, and psychological well-being. A significant improvement in balance was seen for PT and TRK groups but not for subjects in the TM group. In all groups, post-training measures of fitness, functional independence, and perceived health and vitality were unchanged. Conclusions Our results demonstrate that persons with chronic, motor-incomplete SCI can improve walking ability and psychological well-being following a concentrated period of ambulation therapy, regardless of training method. Improvement in walking speed was associated with improved balance and muscle strength. In spite of the fact that we withheld any formal input of a physical therapist or gait expert from subjects in the device-specific training groups, these subjects did just as well as subjects receiving comprehensive PT for improving walking speed and strength. It is likely that further modest benefits would accrue to those subjects receiving a combination of device-specific training with input from a physical therapist or gait expert to

  3. Effect of platelet rich plasma gel in a physiologically relevant platelet concentration on wounds in persons with spinal cord injury.

    PubMed

    Rappl, Laurie M

    2011-04-01

    The objective of the study was to investigate the use of a 1·3 times normal platelet concentration platelet-rich plasma (PRP) gel to move chronic wounds towards healing in persons with spinal cord injury (SCI). The study design was a case series of 20 persons with SCI with non healing wounds. The outcome measures were, in wound area, volume, undermining and sinus tracts/tunnels (ST/Ts), calculated average, (i) percent of change from baseline, (ii) change per day from baseline, (iii) number of treatments and (iv) number of weeks. In a mean of 4·0, after treatments over 3·4 weeks, the wounds closed on an average of 47·9% in area and 56·0% in volume. Undermining closed on an average of 31·4% using 3·5 treatments over 2·6 weeks. ST/Ts closed on an average of 26·1% after 2·3 treatments over 1·5 weeks. Clinical relevance by percent of positive responders and their response: in area, 90·0% of the subjects responded positively, the average reduction was 53·8%. In volume, 90·0% responded, with an average reduction of 67·3%. Of four subjects with undermining, 75% closed 47·0% on average. Of the three with ST/Ts, 100% closed 26·1% on average. Average haemoglobin and haematocrit levels were below normal. To conclude, 1·3× PRP gel appears to progress chronic, non healing wounds in SCI patients into the granulation phase of healing quickly. Review of the literature shows these results may not be applied to all PRP preparations.

  4. 20 CFR 702.222 - Claims; exceptions to time limitations.

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ....222 Section 702.222 Employees' Benefits OFFICE OF WORKERS' COMPENSATION PROGRAMS, DEPARTMENT OF LABOR LONGSHOREMEN'S AND HARBOR WORKERS' COMPENSATION ACT AND RELATED STATUTES ADMINISTRATION AND PROCEDURE Claims... damages in respect of an injury or death, or files a claim under a State workers' compensation act...

  5. 20 CFR 702.222 - Claims; exceptions to time limitations.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ....222 Section 702.222 Employees' Benefits OFFICE OF WORKERS' COMPENSATION PROGRAMS, DEPARTMENT OF LABOR LONGSHOREMEN'S AND HARBOR WORKERS' COMPENSATION ACT AND RELATED STATUTES ADMINISTRATION AND PROCEDURE Claims... damages in respect of an injury or death, or files a claim under a State workers' compensation act...

  6. 44 CFR 11.19 - Action on approved claim.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... execution of (1) a “Claim for Damage or Injury,” Standard Form 95, or a claims settlement agreement, and (2) a “Voucher for Payment,” Standard Form 1145, as appropriate. When a claimant is represented by an... of the same subject matter....

  7. 44 CFR 11.19 - Action on approved claim.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... execution of (1) a “Claim for Damage or Injury,” Standard Form 95, or a claims settlement agreement, and (2) a “Voucher for Payment,” Standard Form 1145, as appropriate. When a claimant is represented by an... of the same subject matter....

  8. 38 CFR 14.604 - Filing a claim.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... his or her employment, will be furnished a copy of SF 95, Claim for Damage, Injury, or Death. The... Affairs receives from a claimant, his or her duly authorized agent or legal representative, an executed SF... compromising or settling any claim, an executed SF 95 shall be obtained from the claimant. (c) A...

  9. 38 CFR 14.604 - Filing a claim.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... his or her employment, will be furnished a copy of SF 95, Claim for Damage, Injury, or Death. The... Affairs receives from a claimant, his or her duly authorized agent or legal representative, an executed SF... compromising or settling any claim, an executed SF 95 shall be obtained from the claimant. (c) A...

  10. 38 CFR 14.604 - Filing a claim.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... his or her employment, will be furnished a copy of SF 95, Claim for Damage, Injury, or Death. The... Affairs receives from a claimant, his or her duly authorized agent or legal representative, an executed SF... compromising or settling any claim, an executed SF 95 shall be obtained from the claimant. (c) A...

  11. 38 CFR 14.604 - Filing a claim.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... his or her employment, will be furnished a copy of SF 95, Claim for Damage, Injury, or Death. The... Affairs receives from a claimant, his or her duly authorized agent or legal representative, an executed SF... compromising or settling any claim, an executed SF 95 shall be obtained from the claimant. (c) A...

  12. 38 CFR 14.604 - Filing a claim.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... his or her employment, will be furnished a copy of SF 95, Claim for Damage, Injury, or Death. The... Affairs receives from a claimant, his or her duly authorized agent or legal representative, an executed SF... compromising or settling any claim, an executed SF 95 shall be obtained from the claimant. (c) A...

  13. 14 CFR § 1261.305 - Form of claim.

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... Death-Accruing On or After January 18, 1967 § 1261.305 Form of claim. (a) The official designated in...—“Claim for Damage, Injury or Death.” (b) NASA installations will furnish copies of Standard Form 95...

  14. Immediate video feedback on ramp, wheelie, and curb wheelchair skill training for persons with spinal cord injury.

    PubMed

    Wang, Yong Tai; Limroongreungrat, Weerawat; Chang, Li-Shan; Ke, Xiang; Tsai, Liang-Ching; Chen, Yu-Ping; Lewis, James

    2015-01-01

    We hypothesized that the effects of immediate video feedback (IVF) on training ramp, wheelie, and curb wheelchair skills for persons with spinal cord injury (SCI) would be equivalent to or better than the traditional wheelchair skill training. Participants were manual wheelchair users with recent SCI (thoracic 1-lumbar 1) who were matched (9 pairs) on motor function level, age, and sex and randomly assigned to a control group (conventional training) or an experimental group (IVF training). Participants learned three wheelchair skills and then went through the wheelchair skill competency test, retention test, and transfer test. Paired t-tests were used to examine the differences in training time (minutes), spotter intervention needed (counts), and successful rate in performance between the two groups. A 2 (groups) x 3 (skills) x 3 (tests) repeated-measures analysis of variance and Bonferroni adjustment test were used to examine differences between groups on wheelchair skills and tests. No differences were found between two groups in training times (minutes) on three wheelchair skills (experimental vs control: ramp 14.92 +/- 5.80 vs 11.69 +/- 7.85; wheelie 17.79 +/- 6.03 vs 19.92 +/- 13.42; and curb 38.35 +/-23.01 vs 48.59 +/- 15.21). This study demonstrated that IVF for training manual wheelchair skills may produce similar results as the conventional training and may be an alternative training method for wheelchair skills.

  15. Orbitofrontal overactivation in reward processing in borderline personality disorder: the role of non-suicidal self-injury.

    PubMed

    Vega, Daniel; Ripollés, Pablo; Soto, Àngel; Torrubia, Rafael; Ribas, Joan; Monreal, Jose Antonio; Pascual, Juan Carlos; Salvador, Raymond; Pomarol-Clotet, Edith; Rodríguez-Fornells, Antoni; Marco-Pallarés, Josep

    2017-02-28

    Borderline Personality Disorder (BPD) is a disabling and difficult-to-treat mental disease. One of its core features is a significant difficulty in affect regulation, which is often accompanied by Non-Suicidal Self-Injury (NSSI). It is suggested that this type of behavior elicits positive emotions and mitigates emotional distress, and therefore can ultimately be reinforced and promoted. In spite of the high prevalence of NSSI behaviors (also in non-BPD samples), their role in modulating reward-related processes has not yet been investigated in BPD patients. In the present study, this lack of research was addressed. A large sample of BPD patients (N = 40), divided into two groups depending on the presence of NSSI, and a group of matched healthy controls underwent functional Magnetic Resonance Imaging (fMRI) while performing a gambling task. Patients who committed NSSI acts exhibited enhanced activation of the orbitofrontal cortex following an unexpected reward, when compared with controls and BPD patients with no NSSI behavior. In addition, the NSSI group showed diminished functional connectivity between the left orbitofrontal cortex and the right parahippocampal gyrus. These findings might suggest impaired ability to update reward associations of potential choices when both BPD and NSSI are present. We propose that the presence of NSSI involves alterations in the reward system independently of BPD, and thus can be considered as a possible phenotype for reward-related alterations.

  16. The role of seeing blood in non-suicidal self-injury in female patients with borderline personality disorder.

    PubMed

    Naoum, Janina; Reitz, Sarah; Krause-Utz, Annegret; Kleindienst, Nikolaus; Willis, Franziska; Kuniss, Sarah; Baumgärtner, Ulf; Mancke, Falk; Treede, Rolf-Detlef; Schmahl, Christian

    2016-12-30

    Patients with Borderline Personality Disorder (BPD) often engage in non-suicidal self-injury (NSSI), to reduce arousal levels under stress. However, the importance of seeing blood for the effect of NSSI is yet unknown. The present pilot study examined 20 female BPD patients and 20 healthy controls (HC) to assess the role of seeing blood on arousal, pain, urge for NSSI (ratings) and heart rate (continuously measured). Participants completed two sessions consisting of stress induction (forced mental arithmetics with white noise), followed by a seven second non-invasive pain stimulus with a blade to the volar forearm. At one session, only the painful blade stimulus was applied, at the other, artificial blood was added. For arousal, a significantly stronger decrease was revealed in the BPD than in the HC group, however with no significant effects between blood and non-blood conditions. Concerning urge for NSSI, the BPD showed a significantly greater decrease in blood condition over time than the HC group. Interestingly, heart rate decreased stronger over time in the HC group during the blood condition than in BPD. For tension relief by non-damaging mechanical painful stimulus the addition of visible blood showed neither subjective (arousal, urge for NSSI), nor objective (heart rate) advantages.

  17. Borderline personality disorder in youth: The prospective impact of child abuse on non-suicidal self-injury and suicidality

    PubMed Central

    Kaplan, Cynthia; Tarlow, Naomi; Stewart, Jeremy G.; Aguirre, Blaise; Galen, Gillian; Auerbach, Randy P.

    2016-01-01

    Background Borderline personality disorder (BPD) is characterized by greater engagement in non-suicidal self-injury (NSSI) and suicidality. The aim of the study is to test whether the occurrence of child abuse contributes to these high-risk behaviors in BPD youth. Materials and methods BPD female youth aged 13–21 years with (n = 29) and without (n = 29) a history of child abuse were administered clinical interviews assessing diagnostic history, child abuse, NSSI and suicidality (i.e., ideation, plans, and attempts). NSSI and suicidality were subsequently reevaluated at the 1- and 2-month follow-up assessments. Results Several findings emerged. First, relative to BPD youth without abuse, the abuse group reported greater past NSSI; however, no significant differences emerged in the follow-up period. Second, the occurrence of child abuse was associated with a 5-fold increase in the rate of lifetime suicide attempts relative to the no abuse group and additionally, prospectively predicted suicide ideation (but not attempts). Last, exploratory analyses indicated that the co-occurrence of physical and sexual abuse was associated with greater past NSSI and suicidality as compared to the no abuse and sexual abuse only participants. Conclusion As a whole, child abuse – particularly co-occurring physical and sexual abuse – increases risk for NSSI and suicidality among BPD youth, which may have important treatment implications in this high-risk population. PMID:27649322

  18. Quality of life in persons after traumatic brain injury as self-perceived and as perceived by the caregivers.

    PubMed

    Formisano, Rita; Longo, Eloise; Azicnuda, Eva; Silvestro, Daniela; D'Ippolito, Mariagrazia; Truelle, Jean-Luc; von Steinbüchel, Nicole; von Wild, Klaus; Wilson, Lindsay; Rigon, Jessica; Barba, Carmen; Forcina, Antonio; Giustini, Marco

    2017-02-01

    The primary aim of the study was to adopt QOLIBRI (quality of life after brain injury) questionnaire in a proxy version (Q-Pro), i.e., to use caregivers for comparison and to evaluate whether TBI patients' judgment corresponds to that of their caregivers since the possible self-awareness deficit of the persons with TBI. A preliminary sample of 19 outpatients with TBI and their proxies was first evaluated with the Patient Competency Rating Scale to assess patients' self-awareness; then they were evaluated with the QOLIBRI Patient version (Q-Pt) and a patient-centered version of the Q-Pro. Subsequently, 55 patients and their caregivers were evaluated using the patient-centered and the caregiver-centered Q-Pro versions. Q-Pt for assessing Quality of Life (QoL) after TBI, as patients' subjective perspective and Q-Pro to assess the QoL of patients as perceived by the caregivers. The majority of patients (62.2%) showed better self-perception of QoL than their proxies; however, patients with low self-awareness were less satisfied than patients with adequate self-awareness. Low self-awareness does not impair the ability of patients with TBI to report on satisfaction with QoL as self-perceived.

  19. Profiles of emotional and behavioral sequelae following acquired brain injury: cluster analysis of the Personality Assessment Inventory.

    PubMed

    Velikonja, Diana; Warriner, Erin; Brum, Christine

    2010-07-01

    Due to the multidimensional nature of symptom complaints within the acquired brain injury (ABI) population, emotional and behavioral profiles obtained from using comprehensive validated measures often yield more relevant information than tools that assess for symptoms of a single diagnostic disorder. The current study used the Personality Assessment Inventory (PAI) to detect emotional and behavioral profiles in a sample of 440 adult ABI patients. Using a rigorous three-step cluster analytic approach, seven clusters were identified, indicating that half of the sample (50%) showed clinically significant affective and behavioral symptoms typified by multiple Diagnostic and Statistical Manual of Mental Disorders (DSM) Axis I and/or II features. Two of the subtypes showed severe and diverse affective symptoms but were distinguished from each other by antisocial features and substance use. Two other subtypes, with predominantly internalized presentations, were characterized by mainly depressive and somatic features, and the second by mild anxiety and cognitive disturbance. One group, predominantly externalized presentation, showed high substance use and antisocial features. The other part of the sample (50%) had no significant affective or behavioral complaints but were characterized by two profile types classified as essentially normal, but distinguishable by one having an increased tendency to minimize symptoms. Sex, age, marital status, education/preinjury, and vocation typified various subtypes. The identified profiles taken in the context of important demographic information can provide descriptive insight into the nature of postinjury affective and behavioral symptoms, facilitating more comprehensive conceptualization of the client's needs that can be addressed through more tailored interventions.

  20. Waterbike injuries.

    PubMed Central

    Jeffery, R S; Caiach, S

    1991-01-01

    Jet skiing is a rapidly growing sport. The craft incorporate safety features and the manufacturers issue detailed safety instructions. Racing is conducted with adequate attention to clothing, safety and insurance. However, casual use is widespread and is sometimes irresponsible. Serious injuries to riders are uncommon: dental and knee injuries are described. A case of renal contusion and a head injury were caused by other riders and two potentially fatal injuries illustrate the risk for other water users. The number of injuries associated with the use of personal watercraft is likely to increase and may be influenced by appropriate organization or regulation. Images Figure 2 Figure 3 Figure 4 PMID:1810620

  1. 27 CFR 46.8 - Data to be shown in claim.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... CIGARETTE PAPERS AND TUBES Application of 26 U.S.C. 6423, as Amended, to Refund or Credit of Tax on Tobacco Products, and Cigarette Papers and Tubes Claim Procedure § 46.8 Data to be shown in claim. Claims to which... any manner whatsoever, the burden of the tax to any other person. (e) If the claim is for refund of...

  2. Nonfatal traumatic brain injuries related to sports and recreation activities among persons aged ≤19 years--United States, 2001-2009.

    PubMed

    2011-10-07

    Traumatic brain injuries (TBIs) from participation in sports and recreation activities have received increased public awareness, with many states and the federal government considering or implementing laws directing the response to suspected brain injury. Whereas public health programs promote the many benefits of sports and recreation activities, those benefits are tempered by the risk for injury. During 2001--2005, an estimated 207,830 emergency department (ED) visits for concussions and other TBIs related to sports and recreation activities were reported annually, with 65% of TBIs occurring among children aged 5--18 years. Compared with adults, younger persons are at increased risk for TBIs with increased severity and prolonged recovery. To assess and characterize TBIs from sports and recreation activities among children and adolescents, CDC analyzed data from the National Electronic Injury Surveillance System--All Injury Program (NEISS-AIP) for the period 2001--2009. This report summarizes the results of that analysis, which indicated that an estimated 173,285 persons aged ≤19 years were treated in EDs annually for nonfatal TBIs related to sports and recreation activities. From 2001 to 2009, the number of annual TBI-related ED visits increased significantly, from 153,375 to 248,418, with the highest rates among males aged 10--19 years. By increasing awareness of TBI risks from sports and recreation, employing proper technique and protective equipment, and quickly responding to injuries, the incidence, severity, and long-term negative health effects of TBIs among children and adolescents can be reduced.

  3. Gait Characteristics, Range of Motion, and Spasticity Changes in Response to Massage in a Person with Incomplete Spinal Cord Injury: Case Report

    PubMed Central

    Manella, Christine; Backus, Deborah

    2011-01-01

    Purpose: Our study set out to measure the effect of a specific routine of massage on gait characteristics, range of motion, and spasticity in a person with incomplete spinal cord injury. Methods: This descriptive, pre–post case study, conducted at the outpatient program of a rehabilitation facility, used neuromuscular techniques in massage for a 42-year-old man with incomplete chronic C5 spinal cord injury. The massage was applied to the iliopsoas, triceps surae, and hamstring muscle groups for 3 consecutive days. Main Outcome Measures: Pre- and post-intervention testing included standard goniometric measurement of joint range of motion in the lower extremities, spasticity evaluation using the modified Ashworth scale, and evaluation of gait characteristics using GAITRite Walkway (CIR Systems, Havertown, PA, USA) pressure mapping for ambulation time, cadence, velocity, stride length, base of support, and single- and double-limb support. Results: After the therapeutic intervention, the following gait changes were demonstrated: increase in velocity and cadence of gait, decrease in ambulation time, increase in stride length, and improvements in the percentages of the swing and stance phases of the gait cycle. Conclusions: Specific application of massage therapy influenced gait speed, stride length, and swing and stance phase percentages in one person with incomplete spinal cord injury. Further study is warranted to determine the extent to which massage may affect musculoskeletal and neural impairments that limit gait in people with incomplete spinal cord injury, and the method or routine whose application will yield the most benefit. PMID:21589693

  4. Lightning Injuries

    MedlinePlus

    ... cause internal burns than electrical injuries from generated electricity. However, it can kill a person by instantaneously ... water do not attract lightning but easily transmit electricity once they are hit. Electricity from lightning can ...

  5. Spinal injury

    MedlinePlus

    ... and drive. Do not dive into pools, lakes, rivers, and other bodies of water, particularly if you cannot determine the depth of the ... Central nervous system Spinal cord injury Spinal anatomy Two person roll - ...

  6. Acute Cardiorespiratory and Metabolic Responses During Exoskeleton-Assisted Walking Overground Among Persons with Chronic Spinal Cord Injury

    PubMed Central

    Hartigan, Clare; Kandilakis, Casey; Pharo, Elizabeth; Clesson, Ismari

    2015-01-01

    Background: Lower extremity robotic exoskeleton technology is being developed with the promise of affording people with spinal cord injury (SCI) the opportunity to stand and walk. The mobility benefits of exoskeleton-assisted walking can be realized immediately, however the cardiorespiratory and metabolic benefits of this technology have not been thoroughly investigated. Objective: The purpose of this pilot study was to evaluate the acute cardiorespiratory and metabolic responses associated with exoskeleton-assisted walking overground and to determine the degree to which these responses change at differing walking speeds. Methods: Five subjects (4 male, 1 female) with chronic SCI (AIS A) volunteered for the study. Expired gases were collected during maximal graded exercise testing and two, 6-minute bouts of exoskeleton-assisted walking overground. Outcome measures included peak oxygen consumption (V̇O2peak), average oxygen consumption (V̇O2avg), peak heart rate (HRpeak), walking economy, metabolic equivalent of tasks for SCI (METssci), walk speed, and walk distance. Results: Significant differences were observed between walk-1 and walk-2 for walk speed, total walk distance, V̇O2avg, and METssci. Exoskeleton-assisted walking resulted in %V̇O2peak range of 51.5% to 63.2%. The metabolic cost of exoskeleton-assisted walking ranged from 3.5 to 4.3 METssci. Conclusion: Persons with motor-complete SCI may be limited in their capacity to perform physical exercise to the extent needed to improve health and fitness. Based on preliminary data, cardiorespiratory and metabolic demands of exoskeleton-assisted walking are consistent with activities performed at a moderate intensity. PMID:26364281

  7. Claim and Continuous Improvement

    NASA Astrophysics Data System (ADS)

    Paulová, Iveta; Meravá, Miroslava

    2010-01-01

    The claim will always represent the kind of information that is annoying to recipients. Systematic work with claims has a positive value for the company. Addressing the complaint has a positive effect on continuous improvement. This paper was worked out with the support of VEGA No.1/0229/08 Perspectives of quality management development in coherence with requirements of Slovak republic market.

  8. 21 CFR 101.71 - Health claims: claims not authorized.

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ... claims: claims not authorized. Health claims not authorized for foods in conventional food form or for... 21 Food and Drugs 2 2013-04-01 2013-04-01 false Health claims: claims not authorized. 101.71 Section 101.71 Food and Drugs FOOD AND DRUG ADMINISTRATION, DEPARTMENT OF HEALTH AND HUMAN...

  9. 21 CFR 101.71 - Health claims: claims not authorized.

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ... claims: claims not authorized. Health claims not authorized for foods in conventional food form or for... 21 Food and Drugs 2 2014-04-01 2014-04-01 false Health claims: claims not authorized. 101.71 Section 101.71 Food and Drugs FOOD AND DRUG ADMINISTRATION, DEPARTMENT OF HEALTH AND HUMAN...

  10. 21 CFR 101.71 - Health claims: claims not authorized.

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ... claims: claims not authorized. Health claims not authorized for foods in conventional food form or for... 21 Food and Drugs 2 2012-04-01 2012-04-01 false Health claims: claims not authorized. 101.71 Section 101.71 Food and Drugs FOOD AND DRUG ADMINISTRATION, DEPARTMENT OF HEALTH AND HUMAN...

  11. Formalizing Probabilistic Safety Claims

    NASA Technical Reports Server (NTRS)

    Herencia-Zapana, Heber; Hagen, George E.; Narkawicz, Anthony J.

    2011-01-01

    A safety claim for a system is a statement that the system, which is subject to hazardous conditions, satisfies a given set of properties. Following work by John Rushby and Bev Littlewood, this paper presents a mathematical framework that can be used to state and formally prove probabilistic safety claims. It also enables hazardous conditions, their uncertainties, and their interactions to be integrated into the safety claim. This framework provides a formal description of the probabilistic composition of an arbitrary number of hazardous conditions and their effects on system behavior. An example is given of a probabilistic safety claim for a conflict detection algorithm for aircraft in a 2D airspace. The motivation for developing this mathematical framework is that it can be used in an automated theorem prover to formally verify safety claims.

  12. 32 CFR 536.78 - Settlement authority for claims under the Military Claims Act.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... satisfaction of the claim. (6) Authority to further delegate payment authority is set forth in § 536.3(g)(1) of... compensation of federal employees for job-related injuries (see § 536.44), or untimely filing, TJAG or...

  13. 32 CFR 536.78 - Settlement authority for claims under the Military Claims Act.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... satisfaction of the claim. (6) Authority to further delegate payment authority is set forth in § 536.3(g)(1) of... compensation of federal employees for job-related injuries (see § 536.44), or untimely filing, TJAG or...

  14. 32 CFR 536.78 - Settlement authority for claims under the Military Claims Act.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... satisfaction of the claim. (6) Authority to further delegate payment authority is set forth in § 536.3(g)(1) of... compensation of federal employees for job-related injuries (see § 536.44), or untimely filing, TJAG or...

  15. 32 CFR 536.78 - Settlement authority for claims under the Military Claims Act.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... satisfaction of the claim. (6) Authority to further delegate payment authority is set forth in § 536.3(g)(1) of... compensation of federal employees for job-related injuries (see § 536.44), or untimely filing, TJAG or...

  16. 32 CFR 536.78 - Settlement authority for claims under the Military Claims Act.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... satisfaction of the claim. (6) Authority to further delegate payment authority is set forth in § 536.3(g)(1) of... compensation of federal employees for job-related injuries (see § 536.44), or untimely filing, TJAG or...

  17. 43 CFR 3832.22 - How much land may I include in my mining claim?

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... OR SITES Types of Mining Claims § 3832.22 How much land may I include in my mining claim? (a) Lode... larger than 60 acres. You may not use the names of other persons as dummy locators (fictitious...

  18. Attachment Style, Social Support, and Coping as Psychosocial Correlates of Happiness in Persons with Spinal Cord Injuries

    ERIC Educational Resources Information Center

    Wilson, Lisa; Catalano, Denise; Sung, Connie; Phillips, Brian; Chou, Chih-Chin; Chan, Jacob Yui Chung; Chan, Fong

    2013-01-01

    Objective: To examine the roles of attachment, social support, and coping as psychosocial correlates in predicting happiness in people with spinal cord injuries. Design: Quantitative descriptive research design using multiple regression and correlation techniques. Participants: 274 individuals with spinal cord injuries. Outcome Measures: Happiness…

  19. Measurement Structure of the Trait Hope Scale in Persons with Spinal Cord Injury: A Confirmatory Factor Analysis

    ERIC Educational Resources Information Center

    Smedema, Susan Miller; Pfaller, Joseph; Moser, Erin; Tu, Wei-Mo; Chan, Fong

    2013-01-01

    Objective: To evaluate the measurement structure of the Trait Hope Scale (THS) among individuals with spinal cord injury. Design: Confirmatory factor analysis and reliability and validity analyses were performed. Participants: 242 individuals with spinal cord injury. Results: Results support the two-factor measurement model for the THS with agency…

  20. 29 CFR 15.22 - Allowable claims.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... Department and: (l) The damage or loss was not caused wholly or partly by the negligent or wrongful act or... subpart, any claim for damage to, or loss, of personal property incident to service with the Department... to, or loss of, property arising from fire, flood, hurricane, other natural disaster, theft, or...

  1. Type A personality, hostility, time urgency and unintentional injuries among Chinese undergraduates: a matched case–control study

    PubMed Central

    2013-01-01

    Background Associations between type A behaviour pattern (TABP) and injuries are inconsistent. These inconsistencies may be due to different effects of various components of TABP, namely time urgency/impatience, hostility and competitive drive. It is important to examine the relationship between the global TABP, its two components, and unintentional injuries, among undergraduates in China. Methods On the basis of a previous cross-sectional study, we conducted a matched case–control study. 253 cases and an equal number of age-, gender-, and major-matched controls were included. The questionnaire solicited socio-demographic information, the experience of injuries, the scale of TABP, and other potential confounding factors. Besides the correlation between the global TABP and injuries, the influences of the two components of TABP on injuries were also evaluated. Conditional logistic regression was used to determine the crude odds ratios (ORs) and adjusted ORs of injury events. Results A dose–response relationship was apparent among students who rated themselves higher on the TABP scale (P-value for trend, 0.002), with a crude OR of 2.93 (95% CI: 0.93–9.19) for injuries comparing those with TABP to those with type B behaviour pattern (TBBP). After adjustment for potential confounding factors, TABP remained statistically significant, and the adjusted OR was 5.52 (95% CI: 1.43–21.27); from a comparison of students with TABP to those with TBBP. A dose–response relationship was also apparent between the hostility component and nonfatal injuries, both in crude analysis and after adjusting for other confounders. The relationship between time-hurry and injuries was not statistically significant, based on univariate and multivariate analyses. Conclusions Both the global TABP and the hostility component were associated with a dose response increase in the risk of non-fatal unintentional injuries among Chinese undergraduates. Further studies need to be conducted to

  2. 40 CFR 350.7 - Substantiating claims of trade secrecy.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... COMMUNITY RIGHT-TO-KNOW INFORMATION: AND TRADE SECRET DISCLOSURES TO HEALTH PROFESSIONALS Trade Secrecy... chemical identity claimed as trade secret, and indicate whether these measures will continue in the future. (2) Have you disclosed the information claimed as trade secret to any other person (other than...

  3. 40 CFR 350.7 - Substantiating claims of trade secrecy.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... COMMUNITY RIGHT-TO-KNOW INFORMATION: AND TRADE SECRET DISCLOSURES TO HEALTH PROFESSIONALS Trade Secrecy... chemical identity claimed as trade secret, and indicate whether these measures will continue in the future. (2) Have you disclosed the information claimed as trade secret to any other person (other than...

  4. 40 CFR 350.7 - Substantiating claims of trade secrecy.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... COMMUNITY RIGHT-TO-KNOW INFORMATION: AND TRADE SECRET DISCLOSURES TO HEALTH PROFESSIONALS Trade Secrecy... chemical identity claimed as trade secret, and indicate whether these measures will continue in the future. (2) Have you disclosed the information claimed as trade secret to any other person (other than...

  5. 40 CFR 350.7 - Substantiating claims of trade secrecy.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... COMMUNITY RIGHT-TO-KNOW INFORMATION: AND TRADE SECRET DISCLOSURES TO HEALTH PROFESSIONALS Trade Secrecy... chemical identity claimed as trade secret, and indicate whether these measures will continue in the future. (2) Have you disclosed the information claimed as trade secret to any other person (other than...

  6. 40 CFR 350.7 - Substantiating claims of trade secrecy.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... COMMUNITY RIGHT-TO-KNOW INFORMATION: AND TRADE SECRET DISCLOSURES TO HEALTH PROFESSIONALS Trade Secrecy... chemical identity claimed as trade secret, and indicate whether these measures will continue in the future. (2) Have you disclosed the information claimed as trade secret to any other person (other than...

  7. 44 CFR 401.5 - Defense against claims for damages.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 44 Emergency Management and Assistance 1 2010-10-01 2010-10-01 false Defense against claims for damages. 401.5 Section 401.5 Emergency Management and Assistance DEPARTMENT OF COMMERCE AND DEPARTMENT OF TRANSPORTATION SHIPPING RESTRICTIONS (T-1) § 401.5 Defense against claims for damages. No person shall be...

  8. 44 CFR 401.5 - Defense against claims for damages.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... 44 Emergency Management and Assistance 1 2013-10-01 2013-10-01 false Defense against claims for damages. 401.5 Section 401.5 Emergency Management and Assistance DEPARTMENT OF COMMERCE AND DEPARTMENT OF TRANSPORTATION SHIPPING RESTRICTIONS (T-1) § 401.5 Defense against claims for damages. No person shall be...

  9. 44 CFR 401.5 - Defense against claims for damages.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... 44 Emergency Management and Assistance 1 2012-10-01 2011-10-01 true Defense against claims for damages. 401.5 Section 401.5 Emergency Management and Assistance DEPARTMENT OF COMMERCE AND DEPARTMENT OF TRANSPORTATION SHIPPING RESTRICTIONS (T-1) § 401.5 Defense against claims for damages. No person shall be...

  10. 44 CFR 401.5 - Defense against claims for damages.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... 44 Emergency Management and Assistance 1 2014-10-01 2014-10-01 false Defense against claims for damages. 401.5 Section 401.5 Emergency Management and Assistance DEPARTMENT OF COMMERCE AND DEPARTMENT OF TRANSPORTATION SHIPPING RESTRICTIONS (T-1) § 401.5 Defense against claims for damages. No person shall be...

  11. 44 CFR 401.5 - Defense against claims for damages.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 44 Emergency Management and Assistance 1 2011-10-01 2011-10-01 false Defense against claims for damages. 401.5 Section 401.5 Emergency Management and Assistance DEPARTMENT OF COMMERCE AND DEPARTMENT OF TRANSPORTATION SHIPPING RESTRICTIONS (T-1) § 401.5 Defense against claims for damages. No person shall be...

  12. 38 CFR 14.630 - Authorization for a particular claim.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    .... (a) Any person may be authorized to prepare, present, and prosecute one claim. A power of attorney... services, shall be filed with the agency of original jurisdiction where the claim is presented. The power... operating in the claimant's geographic region; (2) Whether the claimant has unsuccessfully...

  13. 21 CFR 101.70 - Petitions for health claims.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... 21 Food and Drugs 2 2011-04-01 2011-04-01 false Petitions for health claims. 101.70 Section 101.70 Food and Drugs FOOD AND DRUG ADMINISTRATION, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) FOOD... health claims. (a) Any interested person may petition the Food and Drug Administration (FDA) to issue...

  14. 21 CFR 101.70 - Petitions for health claims.

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ... 21 Food and Drugs 2 2013-04-01 2013-04-01 false Petitions for health claims. 101.70 Section 101.70 Food and Drugs FOOD AND DRUG ADMINISTRATION, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) FOOD... health claims. (a) Any interested person may petition the Food and Drug Administration (FDA) to issue...

  15. 21 CFR 101.70 - Petitions for health claims.

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ... 21 Food and Drugs 2 2012-04-01 2012-04-01 false Petitions for health claims. 101.70 Section 101.70 Food and Drugs FOOD AND DRUG ADMINISTRATION, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) FOOD... health claims. (a) Any interested person may petition the Food and Drug Administration (FDA) to issue...

  16. 40 CFR 704.7 - Confidential business information claims.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... 40 Protection of Environment 31 2014-07-01 2014-07-01 false Confidential business information... Provisions for Section 8(a) Information-Gathering Rules § 704.7 Confidential business information claims. (a) Any person submitting a notice under this rule may assert a business confidentiality claim...

  17. 40 CFR 704.7 - Confidential business information claims.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... 40 Protection of Environment 31 2011-07-01 2011-07-01 false Confidential business information... Provisions for Section 8(a) Information-Gathering Rules § 704.7 Confidential business information claims. (a) Any person submitting a notice under this rule may assert a business confidentiality claim...

  18. 40 CFR 704.7 - Confidential business information claims.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 40 Protection of Environment 30 2010-07-01 2010-07-01 false Confidential business information... Provisions for Section 8(a) Information-Gathering Rules § 704.7 Confidential business information claims. (a) Any person submitting a notice under this rule may assert a business confidentiality claim...

  19. Malpractice claims in gastrointestinal endoscopy: analysis of an insurance industry data base.

    PubMed

    Gerstenberger, P D; Plumeri, P A

    1993-01-01

    We investigated 610 endoscopy-associated and 486 gastroenterology-associated malpractice claim files of the Physicians Insurers Association of America data-sharing project. We determined the relative malpractice claim risk for each of the major types of endoscopic procedures by comparing claim frequencies with Medicare performance frequencies. Relative malpractice risks were 1.0 for sigmoidoscopy, 1.2 for esophagogastroduodenoscopy, 1.6 for endoscopic retrograde cholangiopancreatography, and 1.7 for colonoscopy. "Improper performance" was alleged in 54% of claims and "diagnosis error" in 24% of claims. Of 121 claim files alleging a diagnostic error, 74 (61%) pertained to missed malignancies, of which 69% were colorectal. Of 147 claims alleging iatrogenic injury, 140 (95%) involved perforation or similar direct injury to the gastrointestinal tract. Problems with consent were alleged in 44% of 158 endoscopy-related claim files alleging additional associated issues.

  20. Court Disallows Damage Claims

    ERIC Educational Resources Information Center

    Tomson, Bernard; Coplan, Norman

    1976-01-01

    In rejecting claims for damages, the Court finds that contract's "increase or decrease of cost" language is not applicable to added overhead costs and loss of labor efficiency resulting from delays over which the contractor has no control. (Author)

  1. Unfalsifiability of security claims.

    PubMed

    Herley, Cormac

    2016-06-07

    There is an inherent asymmetry in computer security: Things can be declared insecure by observation, but not the reverse. There is no observation that allows us to declare an arbitrary system or technique secure. We show that this implies that claims of necessary conditions for security (and sufficient conditions for insecurity) are unfalsifiable. This in turn implies an asymmetry in self-correction: Whereas the claim that countermeasures are sufficient is always subject to correction, the claim that they are necessary is not. Thus, the response to new information can only be to ratchet upward: Newly observed or speculated attack capabilities can argue a countermeasure in, but no possible observation argues one out. Further, when justifications are unfalsifiable, deciding the relative importance of defensive measures reduces to a subjective comparison of assumptions. Relying on such claims is the source of two problems: once we go wrong we stay wrong and errors accumulate, and we have no systematic way to rank or prioritize measures.

  2. Making Environmental Claims

    EPA Pesticide Factsheets

    The U.S. EPA's Green Power Partnership, in conjunction with the Federal Trade Commission, has put together this list of considerations organizations should consider when making environmental claims in regards to their green power usage.

  3. Back injury prevention: a lift team success story.

    PubMed

    Hefti, Kelly S; Farnham, Richard J; Docken, Lisa; Bentaas, Ruth; Bossman, Sharon; Schaefer, Jill

    2003-06-01

    Work related back injuries among hospital personnel account for high volume, high cost workers' compensation claims. These injuries can be life altering experiences, affecting both the personal and professional lives of injured workers. Lifting must be viewed as a skill involving specialized training and mandated use of mechanical equipment, rather than as a random task performed by numerous health care providers. The use of a lift team specially trained in body mechanics, lifting techniques, and the use of mandated mechanical equipment can significantly affect injury data, financial outcomes, and employee satisfaction. The benefits of a lift team extend beyond the effect on injury and financial outcomes--they can be used for recruitment and retention strategies, and team members serve as mentors to others by demonstrating safe lifting techniques. Ultimately, a lift team helps protect a valuable resource--the health care worker.

  4. Trend of Occupational Injuries/Diseases in Pakistan: Index Value Analysis of Injured Employed Persons from 2001–02 to 2012–13

    PubMed Central

    Abbas, Mohsin

    2015-01-01

    Background The present study aimed to analyze the index value trends of injured employed persons (IEPs) covered in Pakistan Labour Force Surveys from 2001–02 to 2012–13. Methods The index value method based on reference years and reference groups was used to analyze the IEP trends in terms of different criteria such as gender, area, employment status, industry types, occupational groups, types of injury, injured body parts, and treatment received. The Pearson correlation coefficient analysis was also performed to investigate the inter-relationship of different occupational variables. Results The values of IEP increased at the end of the studied year in industry divisions such as agriculture, forestry, hunting, and fishing, followed by in manufacturing and construction industry divisions. People associated with major occupations (such as skilled agricultural and fishery workers) and elementary (unskilled) occupations were found to be at an increasing risk of occupational injuries/diseases with an increasing IEP trend. Types of occupational injuries such as sprain or strain, superficial injury, and dislocation increased during the studied years. Major injured parts of body such as upper limb and lower limb found with increasing trend. Types of treatment received, including hospitalization and no treatment, were found to decrease. Increased IEP can be justified due to inadequate health care facilities, especially in rural areas by increased IEP in terms of gender, areas, received treatment, occupational groups and employment status as results found after Pearson correlation coefficient analysis. Conclusion The increasing trend in the IEP% of the total employed persons due to agrarian activities shows that there is a need to improve health care setups in rural areas of Pakistan. PMID:26929831

  5. 37 CFR 1.75 - Claim(s).

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... 37 Patents, Trademarks, and Copyrights 1 2011-07-01 2011-07-01 false Claim(s). 1.75 Section 1.75... GENERAL RULES OF PRACTICE IN PATENT CASES National Processing Provisions Specification § 1.75 Claim(s). (a.... (35 U.S.C. 6; 15 U.S.C. 1113, 1126)...

  6. 37 CFR 1.75 - Claim(s).

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 37 Patents, Trademarks, and Copyrights 1 2010-07-01 2010-07-01 false Claim(s). 1.75 Section 1.75... GENERAL RULES OF PRACTICE IN PATENT CASES National Processing Provisions Specification § 1.75 Claim(s). (a.... (35 U.S.C. 6; 15 U.S.C. 1113, 1126)...

  7. Longitudinal study of social participation and well-being among persons with spinal cord injury and their partners (pro-WELL)

    PubMed Central

    Fekete, Christine; Brinkhof, Martin W G; Tough, Hannah; Siegrist, Johannes

    2017-01-01

    Purpose Social participation is an important determinant of well-being. Among persons with disabilities, and with spinal cord injury (SCI) in particular, opportunities for social participation are restricted and may impact well-being. The longitudinal pro-WELL study aims to investigate associations of 2 major domains of social participation with well-being: (1) availability and quality of close social relationships and (2) acting in core social roles (eg, paid work). The joint inclusion of persons with SCI and their partners is a major innovative aspect of this study enabling an in-depth analysis of interpersonal dynamics in coping with disability. Participants Pro-WELL is a nested project of the Swiss Spinal Cord Injury Cohort Study (SwiSCI) and involves community-dwelling persons aged 30–65 with SCI and their partners living in Switzerland. Baseline data were collected from mid-2015 to early 2016 by telephone interviews and questionnaires. The first and second follow-up assessments are scheduled with a 6 months interval. Findings to date The baseline sample consists of 133 persons with SCI and their partners. We provide an overview of baseline characteristics and well-being and describe recruitment outcomes and participation rates. A comprehensive non-response analysis demonstrates adequate representation of the source population with negligible selection bias regarding sociodemographic and lesion characteristics. Future plans The prospective data collection and analysis of month 6 and 12 assessments are ongoing and tests of the main research hypotheses will be performed. Findings will be disseminated through peer-reviewed journals and scientific conferences. A workshop and a newsletter on study findings are proposed to feed back findings to participants and other stakeholders. PMID:28122827

  8. Comparison of health outcomes between hospitalised and non-hospitalised persons with minor injuries sustained in a road traffic crash in Australia: a prospective cohort study

    PubMed Central

    Gopinath, Bamini; Jagnoor, Jagnoor; Harris, Ian A; Nicholas, Michael; Maher, Christopher G; Casey, Petrina; Blyth, Fiona; Sindhusake, Doungkamol; Cameron, Ian D

    2015-01-01

    Objectives This prospective cohort study aimed to investigate whether there are differences in health outcomes among persons with mild or moderate injuries who were hospitalised compared with those not hospitalised following a road traffic crash. Setting Sydney Metropolitan, New South Wales, Australia. Participants Persons aged ≥18 years involved in a motor vehicle crash were surveyed at baseline (n=364), and at 12 (n=284) and 24 months (n=252). A telephone-administered questionnaire obtained information on a range of socioeconomic, and preinjury and postinjury psychological and heath characteristics of all participants. Primary outcome measure Participants who reported admission to hospital for 24 h or more (but less than 7 days) after the crash were classified as being hospitalised; those admitted for less than 24 h were classified as non-hospitalised. Results Around 1 in 5 participants (19.0%) were hospitalised for ≥24 h after the crash. After adjusting for age and sex, hospitalised participants compared with those not hospitalised had approximately 2.6 units (p=0.01) lower Short Form-12 Physical Component Summary (SF-12 PCS) scores (poorer physical well-being) and approximately 4.9 units lower European Quality of Life visual analogue scale (EQ-VAS) scores (p=0.05), 12 months later. After further adjusting for education level, whiplash, fracture and injury severity score, participants who were hospitalised had approximately 3.3 units lower SF-12 PCS (p=0.04), 12 months later. The association with EQ-VAS did not persist after multivariable adjustment. No significant differences were observed between the 2 groups in health outcomes at 24-month follow-up. Conclusions These findings indicate that long-term health status is unlikely to be influenced by hospitalisation status after sustaining a mild/moderate injury in a vehicle-related crash. PMID:26408286

  9. A Novel Approach for the Reimbursement of Permanent Partial Dental Disability Following Dental Injury.

    PubMed

    Ayoub, Fouad; Nehme, Edgar; Jad, Sami; Salameh, Ziad

    2015-06-01

    Reimbursement of long-term permanent disability following a dental injury can lead to claims and legal involvement by the injured person. This will delay the treatment the patient's quality of life and the court system. A new formula has been hypothesized to address the problem. This might help the stakeholders including patients, insurance companies. The details of calculating the index and its significance are discussed. Implication studies are mandatory to refine the proposed hypothesis.

  10. Controlling large malpractice claims: the unexpected impact of damage caps.

    PubMed

    Gronfein, W P; Kinney, E D

    1991-01-01

    Indiana's comprehensive malpractice reforms, inaugurated in 1975, include a cap on damages, a mandated medical review before trial, and a state insurance fund to pay claims equal to or greater than $100,000. We have found that the amount of compensation going to claimants with such large malpractice claims in Indiana is, on average, substantially higher than in Michigan and Ohio. Indiana's mean claim severity between 1977 and 1988 was $404,832, while the means for Michigan and Ohio were $290,022 and $303,220, respectively, with the difference between these three means being highly significant. Although data on claim and claimant characteristics reveal considerable interstate variation, the results of regression analyses show that Indiana claim payment amounts are higher than Michigan or Ohio payments, independent of the effect of factors such as sex, age, severity of injury, allegations of negligence, and year of settlement.

  11. Modeling the Patient Journey from Injury to Community Reintegration for Persons with Acute Traumatic Spinal Cord Injury in a Canadian Centre

    PubMed Central

    Santos, Argelio; Gurling, James; Dvorak, Marcel F.; Noonan, Vanessa K.; Fehlings, Michael G.; Burns, Anthony S.; Lewis, Rachel; Soril, Lesley; Fallah, Nader; Street, John T.; Bélanger, Lise; Townson, Andrea; Liang, Liping; Atkins, Derek

    2013-01-01

    Background A patient’s journey through the health care system is influenced by clinical and system processes across the continuum of care. Methods To inform optimized access to care and patient flow for individuals with traumatic spinal cord injury (tSCI), we developed a simulation model that can examine the full impact of therapeutic or systems interventions across the care continuum for patients with traumatic spinal cord injuries. The objective of this paper is to describe the detailed development of this simulation model for a major trauma and a rehabilitation centre in British Columbia (BC), Canada, as part of the Access to Care and Timing (ACT) project and is referred to as the BC ACT Model V1.0. Findings To demonstrate the utility of the simulation model in clinical and administrative decision-making we present three typical scenarios that illustrate how an investigator can track the indirect impact(s) of medical and administrative interventions, both upstream and downstream along the continuum of care. For example, the model was used to estimate the theoretical impact of a practice that reduced the incidence of pressure ulcers by 70%. This led to a decrease in acute and rehabilitation length of stay of 4 and 2 days, respectively and a decrease in bed utilization of 9% and 3% in acute and rehabilitation. Conclusion The scenario analysis using the BC ACT Model V1.0 demonstrates the flexibility and value of the simulation model as a decision-making tool by providing estimates of the effects of different interventions and allowing them to be objectively compared. Future work will involve developing a generalizable national Canadian ACT Model to examine differences in care delivery and identify the ideal attributes of SCI care delivery. PMID:24023623

  12. Development of a Personalized Model for Pressure Ulcer Prevention Acutely Following Spinal Cord Injury: Biomarkers of Muscle Composition and Resilience

    DTIC Science & Technology

    2015-10-01

    Baseline muscle tissue biopsy and blood collections have been completed for two study participants. In progress 2) Specific objectives Circulatory ...months Toward personalized pressure ulcer care planning: development of a bioinformatics system for individualized prioritization of clinical

  13. 32 CFR 270.12 - Payment in full satisfaction of all claims against the United States.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 32 National Defense 2 2010-07-01 2010-07-01 false Payment in full satisfaction of all claims... INCARCERATED BY THE DEMOCRATIC REPUBLIC OF VIETNAM Payment § 270.12 Payment in full satisfaction of all claims... part shall constitute full satisfaction of all claims by or on behalf of that person against the...

  14. 32 CFR 270.12 - Payment in full satisfaction of all claims against the United States.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... 32 National Defense 2 2011-07-01 2011-07-01 false Payment in full satisfaction of all claims... INCARCERATED BY THE DEMOCRATIC REPUBLIC OF VIETNAM Payment § 270.12 Payment in full satisfaction of all claims... part shall constitute full satisfaction of all claims by or on behalf of that person against the...

  15. Unfalsifiability of security claims

    PubMed Central

    Herley, Cormac

    2016-01-01

    There is an inherent asymmetry in computer security: Things can be declared insecure by observation, but not the reverse. There is no observation that allows us to declare an arbitrary system or technique secure. We show that this implies that claims of necessary conditions for security (and sufficient conditions for insecurity) are unfalsifiable. This in turn implies an asymmetry in self-correction: Whereas the claim that countermeasures are sufficient is always subject to correction, the claim that they are necessary is not. Thus, the response to new information can only be to ratchet upward: Newly observed or speculated attack capabilities can argue a countermeasure in, but no possible observation argues one out. Further, when justifications are unfalsifiable, deciding the relative importance of defensive measures reduces to a subjective comparison of assumptions. Relying on such claims is the source of two problems: once we go wrong we stay wrong and errors accumulate, and we have no systematic way to rank or prioritize measures. PMID:27217574

  16. Comparison of in-person and digital photograph assessment of stage III and IV pressure ulcers among veterans with spinal cord injuries.

    PubMed

    Terris, Darcey D; Woo, Christine; Jarczok, Marc N; Ho, Chester H

    2011-01-01

    Digital photographs are often used in treatment monitoring for home care of less advanced pressure ulcers. We investigated assessment agreement when stage III and IV pressure ulcers in individuals with spinal cord injury were evaluated in person and with the use of digital photographs. Two wound-care nurses assessed 31 wounds among 15 participants. One nurse assessed all wounds in person, while the other used digital photographs. Twenty-four wound description categories were applied in the nurses' assessments. Kappa statistics were calculated to investigate agreement beyond chance (p < or = 0.05). For 10 randomly selected "double-rated wounds," both nurses applied both assessment methods. Fewer categories were evaluated for the double-rated wounds, because some categories were chosen infrequently and agreement could not be measured. Interrater agreement with the two methods was observed for 12 of the 24 categories (50.0%). However, of the 12 categories with agreement beyond chance, agreement was only "slight" (kappa = 0-0.20) or "fair" (kappa = 0.21-0.40) for 6 categories. The highest agreement was found for the presence of undermining (kappa = 0.853, p < 0.001). Interrater agreement was similar to intramethod agreement (41.2% of the categories demonstrated agreement beyond chance) for the nurses' in-person assessment of the double-rated wounds. The moderate agreement observed may be attributed to variation in subjective perception of qualitative wound characteristics.

  17. Male eating disorder patients with and without non-suicidal self-injury: a comparison of psychopathological and personality features.

    PubMed

    Claes, Laurence; Jiménez-Murcia, Susana; Agüera, Zaida; Castro, Rita; Sánchez, Isabel; Menchón, Jose Manuel; Fernández-Aranda, Fernando

    2012-07-01

    In the present study, we investigated the prevalence and comorbidity of non-suicidal self-injury (NSSI) in male eating disorder (ED) patients. In total, 130 male ED patients completed a list of 10 impulse-control problems (including NSSI), the Eating Disorder Inventory-2, the Symptom Checklist-90-Revised and the Temperament and Character Inventory. Overall, 21% of the male ED patients (n = 27) engaged in at least one type of NSSI, and we did not find significant differences between the ED subtypes. Self-injurious male ED patients showed significantly more severe ED symptoms and more affective, interpersonal and impulse-control problems than ED patients without NSSI. As previously described in female ED, our data confirm the affect regulation and impulse regulation functions of NSSI in male ED patients.

  18. Cost of compensated injuries and occupational diseases in agriculture in Finland.

    PubMed

    Rautiainen, Risto H; Ohsfeldt, Robert; Sprince, Nancy L; Donham, Kelley J; Burmeister, Leon F; Reynolds, Stephen J; Saarimäki, Pentti; Zwerling, Craig

    2005-01-01

    Although agriculture is one of the most hazardous industries, the costs of agricultural injuries and illnesses are not well known. This study aimed to determine the cost burden from compensated injuries and occupational diseases in Finnish agriculture using workers compensation records. The incidence rates in 1996 were 7.4/100 for injuries and 0.61/100 for occupational diseases. Men had a higher risk of injury (RR = 1.89; 95% CI: 1.81-1.97), but a lower risk of an occupational disease (RR = 0.68; 95% CI: 0.60-0.78), compared to women. The total cost burden was 75 (Euros) per person in 1983, increasing to 215 in 1999. The total insurance cost in 1996 was 23.5 million consisting of medical care (16%), per diem (lost time compensation within one year from the incident) (37%), pension (lost time compensation after one year from the incident) (23%), survivors pension (3%), impairment allowance (7%), rehabilitation (6%), and other costs (9%). The total cost was 0.7% of the national gross farm income and 2.2% of the net farm income. The mean cost of 1996 cases was 1340 for injuries and 6636 for occupational diseases. Injuries represented 92% of the claims and 71% of the total costs. Occupational diseases represented 8% of the claims and 29% of the costs. Twenty percent of the most severe claims represented 79.5% of the total insurance costs. Injuries and occupational diseases result in significant costs in agriculture. Lost time was the largest cost item. Overall, injuries were more costly than occupational diseases. This study indicates that the 20%-80% rule applies to agricultural injury and illness costs, and from the cost standpoint, it is important to focus prevention efforts on the most severe incidents.

  19. 40 CFR 725.80 - General provisions for confidentiality claims.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... SUBSTANCES CONTROL ACT REPORTING REQUIREMENTS AND REVIEW PROCESSES FOR MICROORGANISMS Confidentiality and... person who asserts a claim of confidentiality for portions of the specific microorganism identity must... for a use of a microorganism must provide the information as described in § 725.88. (3) Any person...

  20. 40 CFR 725.80 - General provisions for confidentiality claims.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... SUBSTANCES CONTROL ACT REPORTING REQUIREMENTS AND REVIEW PROCESSES FOR MICROORGANISMS Confidentiality and... person who asserts a claim of confidentiality for portions of the specific microorganism identity must... for a use of a microorganism must provide the information as described in § 725.88. (3) Any person...

  1. 40 CFR 725.80 - General provisions for confidentiality claims.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... SUBSTANCES CONTROL ACT REPORTING REQUIREMENTS AND REVIEW PROCESSES FOR MICROORGANISMS Confidentiality and... person who asserts a claim of confidentiality for portions of the specific microorganism identity must... for a use of a microorganism must provide the information as described in § 725.88. (3) Any person...

  2. 40 CFR 725.80 - General provisions for confidentiality claims.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... SUBSTANCES CONTROL ACT REPORTING REQUIREMENTS AND REVIEW PROCESSES FOR MICROORGANISMS Confidentiality and... person who asserts a claim of confidentiality for portions of the specific microorganism identity must... for a use of a microorganism must provide the information as described in § 725.88. (3) Any person...

  3. 40 CFR 725.80 - General provisions for confidentiality claims.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... SUBSTANCES CONTROL ACT REPORTING REQUIREMENTS AND REVIEW PROCESSES FOR MICROORGANISMS Confidentiality and... person who asserts a claim of confidentiality for portions of the specific microorganism identity must... for a use of a microorganism must provide the information as described in § 725.88. (3) Any person...

  4. 21 CFR 101.71 - Health claims: claims not authorized.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... 21 Food and Drugs 2 2010-04-01 2010-04-01 false Health claims: claims not authorized. 101.71 Section 101.71 Food and Drugs FOOD AND DRUG ADMINISTRATION, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) FOOD FOR HUMAN CONSUMPTION FOOD LABELING Specific Requirements for Health Claims § 101.71...

  5. 21 CFR 101.71 - Health claims: claims not authorized.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... 21 Food and Drugs 2 2011-04-01 2011-04-01 false Health claims: claims not authorized. 101.71 Section 101.71 Food and Drugs FOOD AND DRUG ADMINISTRATION, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) FOOD FOR HUMAN CONSUMPTION FOOD LABELING Specific Requirements for Health Claims § 101.71...

  6. Surveillance of work-related musculoskeletal injuries among union carpenters.

    PubMed

    Lipscomb, H J; Dement, J M; Loomis, D P; Silverstein, B; Kalat, J

    1997-12-01

    Combined data sources, including union administrative records and workers' compensation claims, were used to construct event histories for a dynamic cohort of union carpenters from Washington State during the period 1989-1992. Person-time at risk and the events of interest were stratified by age, sex, time in the union, and predominant type of carpentry work. Poisson regression techniques were used to identify subgroups at greatest risk of filing claims for a variety of musculoskeletal disorders defined by ANSI codes for body part injured and injury nature. Distinguishing different kinds of musculoskeletal disorders, even crudely with ANSI codes, led to different conclusions about the effects of the explanatory variables. Among older workers, the rates of fractures of the foot were higher, while rates of contusions of the hand and foot were lower. Women had higher rates of sprain/strains and nerve conditions of the wrist/forearm. Higher rates of injuries to the axial skeleton were seen among carpenters who did predominantly light commercial and drywall work, while piledrivers had lower rates of these injuries. Drywall workers had higher rates of sprains to the ankle/lower leg. Workers who were members of the union as long as four years had lower risks for the vast majority of musculoskeletal disorders studied. Similar patterns were seen for more serious claims that resulted in paid lost time from work.

  7. Resting cardiac function in adolescent non-suicidal self-injury: The impact of borderline personality disorder symptoms and psychosocial functioning.

    PubMed

    Koenig, Julian; Rinnewitz, Lena; Parzer, Peter; Resch, Franz; Thayer, Julian F; Kaess, Michael

    2017-02-01

    Vagally mediated heart rate variability (vmHRV) is reduced in borderline personality disorder (BPD). Non-suicidal self-injury (NSSI) is associated with comorbid psychopathology, in particular BPD. We aimed to examine differences in cardiac function (vmHRV and heart rate [HR]) comparing adolescents (12-17 years) engaging in NSSI (n=30) and healthy controls (n=30). Further, we aimed to determine clinical concomitants of cardiac function in patients with NSSI. Analyses showed no significant group differences on cardiac function. Controlling for a host of confounding variables resting state HR and vmHRV in adolescents with NSSI were significantly correlated with BPD symptoms and the current level of functioning.

  8. Perceived Participation, Experiences from Persons with Spinal Cord Injury in Their Transition Period from Hospital to Home

    ERIC Educational Resources Information Center

    Van de Velde, Dominique

    2010-01-01

    It is suggested that participation should be achieved at the end of the rehabilitation process. However, there is a lack of consensus on the definition, the conceptualization and the measurement of participation. This study aims to add to the existing body of knowledge of participation by exploring the "person perceived participation" in…

  9. An Overview of Intervention Options for Promoting Adaptive Behavior of Persons with Acquired Brain Injury and Minimally Conscious State

    ERIC Educational Resources Information Center

    Lancioni, Giulio E.; Bosco, Andrea; Belardinelli, Marta Olivetti; Singh, Nirbhay N.; O'Reilly, Mark F.; Sigafoos, Jeff

    2010-01-01

    This paper presents an overview of the studies directed at helping post-coma persons with minimally conscious state improve their adaptive behavior. Twenty-one studies were identified for the 2000-2010 period (i.e., a period in which an intense debate has occurred about diagnostic, rehabilitative, prognostic, and ethical issues concerning people…

  10. [Spanish validation of the Iowa Rating Scale for Personality Change (IRSPC) for the appraisal of changes in personality in patients with acquired brain injury].

    PubMed

    Guallart-Balet, María; Jiménez-Cortés, Marta P; Tuquet-Calvo, Helena; Pelegrín-Valero, Carmelo; Olivera-Pueyo, Javier; Benabarre-Ciria, Sergio; Tirapu-Ustárroz, Javier

    2015-01-01

    Introduccion. La Iowa Rating Scale for Personality Change (IRSPC) presenta una serie de caracteristicas (enfasis en las funciones motivacionales y emocionales, evaluacion de las funciones ejecutivas 'cognitivas' en la vida cotidiana, estimacion de la personalidad premorbida, valoracion de la fiabilidad del informador) que hacen muy interesante su utilizacion tanto en la clinica como en la investigacion. Objetivo. Validar en castellano la IRSPC para la evaluacion de los 'cambios de personalidad' secundarios a las lesiones cerebrales de la corteza prefrontal en general y del area ventromedial en particular. Pacientes y metodos. Tras el proceso de traduccion y adaptacion de la guia de la escala al castellano, se realizo un estudio de validacion con 31 pacientes con daño cerebral traumatico y se obtuvieron unos resultados de fiabilidad muy adecuados. Resultados. Los resultados obtenidos al medir la consistencia interna de la IRSPC y los coeficientes de fiabilidad interobservadores y test-retest apoyan dicha afirmacion. La validez del instrumento es confirmada por la validez concurrente (comparandolo con el inventario neuropsiquiatrico) y la validez de constructo (comparando las puntuaciones de los pacientes antes y despues del traumatismo). Conclusiones. La IRSPC es un instrumento fiable y valido para la exploracion clinica, en el contexto de una evaluacion integral de los sintomas derivados de las enfermedades neurologicas en general, y en particular de aquellas en las que se encuentra involucrada la corteza prefrontal ventromedial.

  11. Evidence of T-cell mediated neuronal injury in stiff-person syndrome with anti-amphiphysin antibodies.

    PubMed

    Poh, Mervyn Q W; Simon, Neil G; Buckland, Michael E; Salisbury, Elizabeth; Watson, Shaun

    2014-02-15

    Paraneoplastic stiff-person syndrome (SPS) has been associated with antibodies against amphiphysin. Current evidence supports a pathogenic role for anti-amphiphysin antibodies. A 74-year-old female was diagnosed with amphiphysin-associated paraneoplastic stiff-person syndrome and associated encephalomyelitis. She had initial response to IVIG, however her symptoms worsened after two months and were resistant to further treatment. Subsequently the patient died and a post-mortem was performed. Neuropathology revealed perivascular and parenchymal lymphocytic infiltrates, with neuronophagia mediated by CD8+ T cells and microglia in brainstem, spinal cord, and mesial temporal lobe structures. These findings suggest a pathogenic role of cytotoxic CD8+ T-cells, with potential implication for therapy of future patients.

  12. Differential response patterns on the Personality Assessment Inventory (PAI) in compensation-seeking and non-compensation-seeking mild traumatic brain injury patients.

    PubMed

    Whiteside, Douglas M; Galbreath, Jennifer; Brown, Michelle; Turnbull, Jane

    2012-01-01

    There is relatively little research on the Personality Assessment Inventory (PAI) with mild traumatic brain injury (MTBI) populations. There is also little research on how compensation-seeking status affects personality assessment results in MTBI patients. The current study examined the PAI scales and subscales in two MTBI groups, one composed of compensation-seeking MTBI patients and the other consisting of non-compensation-seeking MTBI patients. Results indicated significant differences on several scales and subscales between the two MTBI groups, with the compensation-seeking MTBI patients having significantly higher elevations on scales related to somatic preoccupation (Somatic Complaint Scale, SOM), emotional distress (Anxiety Scale, ANX; Anxiety Related Disorders Scale, ARD; Depression Scale, DEP), and the Negative Impression Management, NIM, validity scale. All the SOM subscales and the Anxiety Cognitive (ANX-C) and ANX Affective, ANX-A, subscales were also elevated in the compensation-seeking group. Results indicated that several scales on the PAI were sensitive to group differences in compensation-seeking status in MTBI patients.

  13. Adolescent nonsuicidal self-injury: the effects of personality traits, family relationships and maltreatment on the presence and severity of behaviours.

    PubMed

    Di Pierro, Rossella; Sarno, Irene; Perego, Sara; Gallucci, Marcello; Madeddu, Fabio

    2012-09-01

    Personality traits, family environment and maltreatment episodes are often associated with nonsuicidal self-injury (NSSI); however, research on these associations has shown mixed results. The aim of the present study was to clarify the effects of these factors on the presence and the severity of NSSI among a sample of Italian students who attended secondary schools (N = 267, mean age = 17.03 SD = 0.866). The results showed that personality traits, family environment and maltreatment differently predicted the presence and the severity of NSSI. Self-injurers were more impulsive and aggressive than non-self-injurers and reported poorer relationship quality with their mothers and more sexual and physical abuse episodes than non-self-injurers. Conversely, the frequency of NSSI behaviours was predicted by the presence of less impulsiveness, more anxiety and aggressiveness, poorer relationship quality with both parents and a lower degree of identification with the father. Finally, more frequent self-injurers also reported more sexual abuses and neglect episodes than less frequent self-injurers.

  14. Bone loss at the distal femur and proximal tibia in persons with spinal cord injury: imaging approaches, risk of fracture, and potential treatment options.

    PubMed

    Cirnigliaro, C M; Myslinski, M J; La Fountaine, M F; Kirshblum, S C; Forrest, G F; Bauman, W A

    2017-03-01

    Persons with spinal cord injury (SCI) undergo immediate unloading of the skeleton and, as a result, have severe bone loss below the level of lesion associated with increased risk of long-bone fractures. The pattern of bone loss in individuals with SCI differs from other forms of secondary osteoporosis because the skeleton above the level of lesion remains unaffected, while marked bone loss occurs in the regions of neurological impairment. Striking demineralization of the trabecular epiphyses of the distal femur (supracondylar) and proximal tibia occurs, with the knee region being highly vulnerable to fracture because many accidents occur while sitting in a wheelchair, making the knee region the first point of contact to any applied force. To quantify bone mineral density (BMD) at the knee, dual energy x-ray absorptiometry (DXA) and/or computed tomography (CT) bone densitometry are routinely employed in the clinical and research settings. A detailed review of imaging methods to acquire and quantify BMD at the distal femur and proximal tibia has not been performed to date but, if available, would serve as a reference for clinicians and researchers. This article will discuss the risk of fracture at the knee in persons with SCI, imaging methods to acquire and quantify BMD at the distal femur and proximal tibia, and treatment options available for prophylaxis against or reversal of osteoporosis in individuals with SCI.

  15. 20 CFR 71.7 - Claim filing, processing, adjudication and time limits.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... OF LABOR COMPENSATION FOR INJURY, DISABILITY OR DEATH OF CIVILIAN AMERICAN CITIZENS INCURRED WHILE DETAINED BY OR IN HIDING FROM THE IMPERIAL JAPANESE GOVERNMENT GENERAL PROVISIONS § 71.7 Claim...

  16. Adventure tourism and adventure sports injury: the New Zealand experience.

    PubMed

    Bentley, Tim A; Page, Stephen J; Macky, Keith A

    2007-11-01

    The primary aims of this study were to establish a client injury baseline for the New Zealand adventure tourism and adventure sport sector, and to examine patterns and trends in claims for injury during participation in adventure activities. Content analysis of narrative text data for compensated injuries occurring in a place for recreation and sport over a 12-month period produced over 15,000 cases involving adventure tourism and adventure sport. As found in previous studies in New Zealand, highest claim counts were observed for activities that are often undertaken independently, rather than commercially. Horse riding, tramping, surfing and mountain biking were found to have highest claim counts, while hang gliding/paragliding/parasailing and jet boating injuries had highest claim costs, suggesting greatest injury severity. Highest claim incidence was observed for horse riding, with female claimants over-represented for this activity. Younger male claimants comprised the largest proportion of adventure injuries, and falls were the most common injury mechanism.

  17. The associations between non-suicidal self-injury and borderline personality disorder features among Chinese adolescents.

    PubMed

    You, Jianing; Leung, Freedom; Lai, Ching Man; Fu, Kei

    2012-04-01

    This study examined the relative importance of four major BPD features, that is, affective instability, disturbed interpersonal relationship, unstable sense of self, and behavioral impulsivity, in explaining the presence, initiation, repetition, and discontinuation of non-suicidal self-injury (NSSI) among a 2-year follow-up sample of 4,782 (68.5% girls) Hong Kong Chinese secondary school students. Affective instability, disturbed interpersonal relationship and behavioral impulsivity were significantly associated with the presence of NSSI both concurrently and longitudinally. These three BPD features were also related to the future initiation of NSSI. On the other hand, only behavioral impulsivity made a significant contribution to the repetition of NSSI. Additionally, a lower level of affective instability was also associated with quitting NSSI. We discussed some possible mechanisms underlying the effects of different BPD features on different developmental stages of NSSI.

  18. Exploration of the integration of care for persons with a traumatic brain injury using social network analysis methodology

    PubMed Central

    Lamontagne, Marie-Eve

    2013-01-01

    Introduction Integration is a popular strategy to increase the quality of care within systems of care. However, there is no common language, approach or tool allowing for a valid description, comparison and evaluation of integrated care. Social network analysis could be a viable methodology to provide an objective picture of integrated networks. Goal of the article To illustrate social network analysis use in the context of systems of care for traumatic brain injury. Method We surveyed members of a network using a validated questionnaire to determine the links between them. We determined the density, centrality, multiplexity, and quality of the links reported. Results The network was described as moderately dense (0.6), the most prevalent link was knowledge, and four organisation members of a consortium were central to the network. Social network analysis allowed us to create a graphic representation of the network. Conclusion Social network analysis is a useful methodology to objectively characterise integrated networks. PMID:24250281

  19. A preliminary evaluation of the motivational model of pain self-management in persons with spinal cord injury related pain

    PubMed Central

    Molton, Ivan R.; Jensen, Mark P.; Nielson, Warren; Cardenas, Diana; Ehde, Dawn M.

    2008-01-01

    Chronic pain commonly accompanies long-term disabilities such as spinal cord injury (SCI). Research suggests that patient motivation to engage in adaptive pain coping strategies, such as exercise/stretching and task persistence, is an important factor in determining the impact that this pain will have on quality of life. One recently proposed model (the “Motivational Model of Pain Self-Management”) suggests that motivation to manage pain is influenced by two primary variables: beliefs about the importance of engaging in pain self-management (i.e., “perceived importance”) and beliefs about one's own ability to engage in these behaviors (i.e., “self-efficacy”). The purpose of this study was to provide a preliminary test of this model in a sample of 130 adults with SCI who completed a return by mail survey. Measures included a numerical rating scale of pain intensity and the revised version of the Multidimensional Pain Readiness to Change Questionnaire. Mediation analyses were performed using multiple regression. Results suggested that the effects of perceived importance and self-efficacy on exercise behavior were mediated by readiness to engage in exercise, consistent with the proposed model. However, the model could not be established for the outcome of task persistence. Perspective: This study tests a model describing motivation to engage in pain management behaviors (i.e., “readiness to change”) in adults with spinal cord injury. This model could potentially aid clinicians in their conceptualization of the factors that affect patient motivation to manage pain. PMID:18359668

  20. Shoulder Muscular Demand During Lever-Activated Vs Pushrim Wheelchair Propulsion in Persons With Spinal Cord Injury

    PubMed Central

    Requejo, Philip Santos; Lee, Sharon E; Mulroy, Sara J; Haubert, Lisa Lighthall; Bontrager, Ernest L; Gronley, JoAnne K; Perry, Jacquelin

    2008-01-01

    Background/Objective: The high demand on the upper limbs during manual wheelchair (WC) use contributes to a high prevalence of shoulder pathology in people with spinal cord injury (SCI). Lever-activated (LEVER) WCs have been presented as a less demanding alternative mode of manual WC propulsion. The objective of this study was to evaluate the shoulder muscle electromyographic activity and propulsion characteristics in manual WC users with SCI propelling a standard pushrim (ST) and LEVER WC design. Methods: Twenty men with complete injuries (ASIA A or B) and tetraplegia (C6, n = 5; C7, n = 7) or paraplegia (n = 8) secondary to SCI propelled ST and LEVER WCs at 3 propulsion conditions on a stationary ergometer: self-selected free, self-selected fast, and simulated graded resistance. Average velocity, cycle distance, and cadence; median and peak electromyographic intensity; and duration of electromyography of anterior deltoid, pectoralis major, supraspinatus, and infraspinatus muscles were compared between LEVER and ST WC propulsion. Results: Significant decreases in pectoralis major and supraspinatus activity were recorded during LEVER compared with ST WC propulsion. However, anterior deltoid and infraspinatus intensities tended to increase during LEVER WC propulsion. Participants with tetraplegia had similar or greater anterior deltoid, pectoralis major, and infraspinatus activity for both ST and LEVER WC propulsion compared with the men with paraplegia. Conclusions: Use of the LEVER WC reduced and shifted the shoulder muscular demands in individuals with paraplegia and tetraplegia. Further studies are needed to determine the impact of LEVER WC propulsion on long-term shoulder function. PMID:19086715

  1. 45 CFR 35.4 - Administrative claims; evidence and information to be submitted.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... physician or dentist setting forth the nature and extent of the injury, nature and extent of treatment, any... which is the subject matter of his claim. (2) Itemized bills for medical, dental, and hospital expenses... future treatment, a statement of expected duration of and expenses for such treatment. (4) If a claim...

  2. 12 CFR 793.4 - Administrative claims; evidence and information to be submitted.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... dentist setting forth the nature and extent of the injury, nature and extent of the treatment, any degree... which is the subject of his claim. (2) Itemized bills for medical, dental, and hospital expenses... future treatment, a statement of expected duration of and expenses for such treatment. (4) If a claim...

  3. 45 CFR 35.4 - Administrative claims; evidence and information to be submitted.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... physician or dentist setting forth the nature and extent of the injury, nature and extent of treatment, any... which is the subject matter of his claim. (2) Itemized bills for medical, dental, and hospital expenses... future treatment, a statement of expected duration of and expenses for such treatment. (4) If a claim...

  4. 45 CFR 35.4 - Administrative claims; evidence and information to be submitted.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... physician or dentist setting forth the nature and extent of the injury, nature and extent of treatment, any... which is the subject matter of his claim. (2) Itemized bills for medical, dental, and hospital expenses... future treatment, a statement of expected duration of and expenses for such treatment. (4) If a claim...

  5. 20 CFR 71.7 - Claim filing, processing, adjudication and time limits.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... 20 Employees' Benefits 1 2011-04-01 2011-04-01 false Claim filing, processing, adjudication and time limits. 71.7 Section 71.7 Employees' Benefits OFFICE OF WORKERS' COMPENSATION PROGRAMS, DEPARTMENT..., processing, adjudication and time limits. (a) Claims for injury, disability or death benefits payable...

  6. 32 CFR 536.75 - Claims payable under the Military Claims Act.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 32 National Defense 3 2010-07-01 2010-07-01 true Claims payable under the Military Claims Act. 536... AND ACCOUNTS CLAIMS AGAINST THE UNITED STATES Claims Cognizable Under the Military Claims Act § 536.75 Claims payable under the Military Claims Act. (a) General. Unless otherwise prescribed, a claim...

  7. 32 CFR 536.75 - Claims payable under the Military Claims Act.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... 32 National Defense 3 2012-07-01 2009-07-01 true Claims payable under the Military Claims Act. 536... AND ACCOUNTS CLAIMS AGAINST THE UNITED STATES Claims Cognizable Under the Military Claims Act § 536.75 Claims payable under the Military Claims Act. (a) General. Unless otherwise prescribed, a claim...

  8. 32 CFR 536.75 - Claims payable under the Military Claims Act.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... 32 National Defense 3 2011-07-01 2009-07-01 true Claims payable under the Military Claims Act. 536... AND ACCOUNTS CLAIMS AGAINST THE UNITED STATES Claims Cognizable Under the Military Claims Act § 536.75 Claims payable under the Military Claims Act. (a) General. Unless otherwise prescribed, a claim...

  9. 32 CFR 536.75 - Claims payable under the Military Claims Act.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... 32 National Defense 3 2013-07-01 2013-07-01 false Claims payable under the Military Claims Act... AND ACCOUNTS CLAIMS AGAINST THE UNITED STATES Claims Cognizable Under the Military Claims Act § 536.75 Claims payable under the Military Claims Act. (a) General. Unless otherwise prescribed, a claim...

  10. 32 CFR 536.75 - Claims payable under the Military Claims Act.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... 32 National Defense 3 2014-07-01 2014-07-01 false Claims payable under the Military Claims Act... AND ACCOUNTS CLAIMS AGAINST THE UNITED STATES Claims Cognizable Under the Military Claims Act § 536.75 Claims payable under the Military Claims Act. (a) General. Unless otherwise prescribed, a claim...

  11. 29 CFR 15.42 - Claim procedures.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... Arising Out of the Operation of the Job Corps § 15.42 Claim procedures. (a) Claim. A claim under this..., adjust, determine, compromise and settle claims filed under this subpart that arose within...

  12. Does the forensic physician have a role beyond injury documentation and specimen collection in Australia? A personal view.

    PubMed

    Gall, John A M

    2017-02-01

    Clinical forensic medicine (CFM), as a single discipline, encompasses a number of areas of medico-legal practice including injury interpretation, management of sexual and physical assault cases (both adult and child; alleged victim and offender), mental health issues, traffic medicine, custodial medicine and toxicology. The cases are usually alive but in some jurisdictions the forensic practitioner also engages in death investigation with some undertaking autopsies. During the last 20-30 years, the discipline has fragmented with areas being hived off to other medical specialist disciplines and, importantly, to nurses. Any user of forensic services wants the best value for money particularly when under financial pressure. To this end, governments have sought savings through privitisation of services and/or the utilisation of less qualified personnel to undertake some or all of the tasks. This places CFM at a crossroads. To ensure survival, the discipline needs to reconsider its direction and performance, convince stakeholders of its relevance and importance, and lift its profile within the legal, academic and medical world. It will need to think outside the square, place greater emphasis on the 'clinical' and relinquish those activities that are better undertaken by less expensive and qualified personnel. The establishment of meaningful research and academic centres are essential. The loss of and/or failure to grow CFM will result in the loss of a skills base and the subsequent potential for the miscarriages of justice.

  13. Attitudes Towards Individuals with Spinal Cord Injuries

    ERIC Educational Resources Information Center

    Conway, Cassandra Sligh D.; Gooden, Randy; Nowell, Jennifer; Wilson, Navodda

    2010-01-01

    This paper will shed light on the lives of persons with spinal cord injuries by revealing the literature on spinal cord injuries that focuses on research that can shed light on attitudes towards persons with spinal cord injuries. The background literature related to incidences, the definition of spinal cord injury, and vocational opportunities are…

  14. 28 CFR 43.3 - Settlement and waiver of claims.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... the person who suffered the injury or disease resulting in the care and treatment described in § 43.1... involving: (1) Unusual circumstances; (2) A new point of law which may serve as a precedent; or (3) A...

  15. Transmission of low-intensity vibration through the axial skeleton of persons with spinal cord injury as a potential intervention for preservation of bone quantity and quality

    PubMed Central

    Asselin, Pierre; Spungen, Ann M.; Muir, Jesse W.; Rubin, Clinton T.; Bauman, William A.

    2011-01-01

    Background/objective Persons with spinal cord injury (SCI) develop marked bone loss from paralysis and immobilization. Low-intensity vibration (LIV) has shown to be associated with improvement in bone mineral density in post-menopausal women and children with cerebral palsy. We investigated the transmissibility of LIV through the axial skeleton of persons with SCI as an initial approach to determine whether LIV may be used as a clinical modality to preserve skeletal integrity. Methods Transmission of a plantar-based LIV signal (0.27 ± 0.11 g; 34 Hz) from the feet through the axial skeleton was evaluated as a function of tilt-table angle (15, 30, and 45°) in seven non-ambulatory subjects with SCI and ten able-bodied controls. Three SCI and five control subjects were also tested at 0.44 ± 0.18 g and 34 Hz. Transmission was measured using accelerometers affixed to a bite-bar to determine the percentage of LIV signal transmitted through the body. Results The SCI group transmitted 25, 34, and 43% of the LIV signal, and the control group transmitted 28, 45, and 57% to the cranium at tilt angles of 15, 30, and 45°, respectively. No significant differences were noted between groups at any of the three angles of tilt. Conclusion SCI and control groups demonstrated equivalent transmission of LIV, with greater signal transmission observed at steeper angles of tilt. This work supports the possibility of the utility of LIV as a means to deliver mechanical signals in a form of therapeutic intervention to prevent/reverse skeletal fragility in the SCI population. PMID:21528627

  16. Chronic activity-based therapy does not improve body composition, insulin-like growth factor-I, adiponectin, or myostatin in persons with spinal cord injury

    PubMed Central

    Harness, Eric T.; Witzke, Kara A.

    2015-01-01

    Spinal cord injury (SCI) induces dramatic changes in body composition including reductions in fat-free mass (FFM) and increases in fat mass (FM). Objective To examine changes in body composition in response to chronic activity-based therapy (ABT) in persons with SCI. Design Longitudinal exercise intervention. Methods Seventeen men and women with SCI (mean age = 36.1 ± 11.5 years) completed 6 months of supervised ABT consisting of load bearing, resistance training, locomotor training, and functional electrical stimulation. At baseline and after 3 and 6 months of ABT, body weight, body fat, and FFM were assessed using dual-energy X-ray absorptiometry, and fasting blood samples were obtained to assess changes in insulin-like growth factor-I (IGF-I), adiponectin, and myostatin. Results Across all subjects, there was no change (P > 0.05) in body weight, percent body fat, or FFM of the leg, arm, or trunk, whereas whole-body FFM declined (P = 0.02, 50.4 ± 8.4 to 49.2 ± 7.4 kg). No changes (P = 0.21–0.41) were demonstrated in IGF-I, adiponectin, or myostatin during the study. Conclusions Chronic ABT focusing on the lower extremity does not slow muscle atrophy or alter body fat, body mass, or regional depots of FFM in persons with SCI. Further, it does not induce beneficial changes in adiponectin, myostatin, or IGF-I. Alternative exercise-based therapies are needed in SCI to reverse muscle atrophy and minimize the onset of related health risks. PMID:25130192

  17. Effects of Practice Combined with Somatosensory or Motor Stimulation on Hand Function in Persons with Spinal Cord Injury

    PubMed Central

    2013-01-01

    Background: Individuals with chronic tetraplegia prioritize recovery of hand function as an important factor in improving their quality of life. Interventions that may improve hand function and increase corticomotor excitability are functional electrical stimulation (FES), somatosensory stimulation (SS), and task-oriented training. Objective: We compared functional and corticomotor outcomes in a control condition to changes associated with FES (triggered via electromygraphic signals) and with SS (constant trains), each combined with either unimanual or bimanual training. Methods: Using a randomized, clinical trial design, comparisons were made to a delayed intervention control group. Participants (n = 24) had chronic tetraplegia, with the ability to activate thenar muscles, and were randomly assigned to either the immediate intervention (intervention) or control/ delayed intervention groups. Primary analyses compared intervention (FES or SS) to control/delayed intervention. Secondary analyses compared subgroups of FES versus SS (regardless of uni- or bilateral training) and uni- versus bimanual training (regardless of stimulation type). Outcomes were assessed before and after the control and the intervention period. Results: Compared to control/delayed intervention, the intervention group had greater changes in unimanual function and corticomotor area, regardless of whether practice was combined with FES or with SS. Irrespective of stimulation type, the bimanual subgroups improved to a greater extent than the unimanual subgroups on the bimanual hand function test. Conclusions: Hand training combined with either SS or FES was associated with improved hand use and corticomotor activity in persons with chronic tetraplegia. Both interventions appear to be equally effective. PMID:24244094

  18. 20 CFR 30.100 - In general, how does an employee file an initial claim for benefits?

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... AMENDED Filing Claims; Evidence and Burden of Proof; Special Procedures for Certain Cancer Claims Filing... person may do so on the employee's behalf. (b) The employee may choose, at his or her own option, to file...) of these regulations). The employee may withdraw his or her claim by so requesting in writing to...

  19. Development of intelligent model for personalized guidance on wheelchair tilt and recline usage for people with spinal cord injury: methodology and preliminary report.

    PubMed

    Fu, Jicheng; Jones, Maria; Jan, Yih-Kuen

    2014-01-01

    Wheelchair tilt and recline functions are two of the most desirable features for relieving seating pressure to decrease the risk of pressure ulcers. The effective guidance on wheelchair tilt and recline usage is therefore critical to pressure ulcer prevention. The aim of this study was to demonstrate the feasibility of using machine learning techniques to construct an intelligent model to provide personalized guidance to individuals with spinal cord injury (SCI). The motivation stems from the clinical evidence that the requirements of individuals vary greatly and that no universal guidance on tilt and recline usage could possibly satisfy all individuals with SCI. We explored all aspects involved in constructing the intelligent model and proposed approaches tailored to suit the characteristics of this preliminary study, such as the way of modeling research participants, using machine learning techniques to construct the intelligent model, and evaluating the performance of the intelligent model. We further improved the intelligent model's prediction accuracy by developing a two-phase feature selection algorithm to identify important attributes. Experimental results demonstrated that our approaches held the promise: they could effectively construct the intelligent model, evaluate its performance, and refine the participant model so that the intelligent model's prediction accuracy was significantly improved.

  20. Meaning in life and non-suicidal self-injury: A follow-up study with participants with Borderline Personality Disorder.

    PubMed

    Marco, José H; Garcia-Alandete, Joaquín; Pérez, Sandra; Guillen, Verónica; Jorquera, Mercedes; Espallargas, Pilar; Botella, Cristina

    2015-12-15

    Non-suicidal self-injury (NSSI) is considered one of the defining features of people diagnosed with Borderline Personality Disorder (BPD). Longitudinal studies are needed to identify factors predicting future NSSI in BPD participants. Several studies have shown that low meaning in life is associated with mental health problems, addiction problems, depression, hopelessness, and suicide. The purpose of this paper is to examine whether meaning in life predicts the frequency of NSSI behaviors during the one-year follow-up. The sample was composed up of 80 participants with a BPD diagnosis. We assessed the frequency of NSSI behaviors over a 12-month follow-up period. The results suggest that the participants who had low meaning in life had more frequency of NSSI, depression, and hopelessness at baseline, and more frequency of NSSI during the follow-up, than participants with high meaning in life. The predictor variables: Frequency of NSSI at base line, depression, hopelessness, and meaning in life, significantly predicted the frequency of NSSI during the one-year follow-up. Therefore, meaning in life was the only predictor of NSSI during the follow-up period.

  1. Enactive Approach and Dual-Tasks for the Treatment of Severe Behavioral and Cognitive Impairment in a Person with Acquired Brain Injury: A Case Study

    PubMed Central

    Martínez-Pernía, David; Huepe, David; Huepe-Artigas, Daniela; Correia, Rut; García, Sergio; Beitia, María

    2016-01-01

    One of the most important sequela in persons who suffer from acquired brain injury is a behavioral disorder. To date, the primary approaches for the rehabilitation of this sequela are Applied Behavior Analysis, Cognitive-Behavior Therapy, and Comprehensive-Holistic Rehabilitation Programs. Despite this theoretical plurality, none of these approaches focuses on rehabilitating behavioral disorders considering the relation between affordance and environmental adaptation. To introduce this therapeutic view to neurorehabilitation, we apply the theoretical tenets of the enactive paradigm to the rehabilitation of a woman with severe behavioral and cognitive impairment. Over seventeen sessions, her behavioral and cognitive performance was assessed in relation to two seated affordances (seated on a chair and seated on a ball 65 cm in diameter) and the environmental adaptation while she was working on various cognitive tasks. These two seated affordances allowed to incorporate the theoretical assumptions of the enactive approach and to know how the behavior and the cognition were modified based on these two postural settings and the environmental adaptation. The findings indicate that the subject exhibited better behavioral (physical and verbal) and cognitive (matching success and complex task) performances when the woman worked on the therapeutic ball than when the woman was on the chair. The enactive paradigm applied in neurorehabilitation introduces a level of treatment that precedes behavior and cognition. This theoretical consideration allowed the discovery of a better relation between a seated affordance and the environmental adaptation for the improvement behavioral and cognitive performance in our case study. PMID:27847494

  2. Low self-awareness of individuals with severe traumatic brain injury can lead to reduced ability to take another person's perspective.

    PubMed

    Bivona, Umberto; Riccio, Angela; Ciurli, Paola; Carlesimo, Giovanni Augusto; Delle Donne, Valentina; Pizzonia, Elisa; Caltagirone, Carlo; Formisano, Rita; Costa, Alberto

    2014-01-01

    Aims of this study were (i) to verify whether a deficit or a lack of self-awareness can lead to difficulties in assuming another person's perspective after a severe traumatic brain injury (TBI); (ii) to verify whether perspective-taking deficits emerge more from performance-based tasks than self-reports; and (iii) to evaluate the possible relationships between perspective-taking difficulties and some clinical, neuropsychological, neuropsychiatric, and neuroimaging variables. The Interpersonal Reactivity Index, Empathy Quotient, first-order false-belief, and faux pas written stories were administered to 28 patients with severe TBI and 28 healthy controls. The Awareness Questionnaire was also administered to TBI patients and their caregivers. Patients were split into 2 groups (impaired self-awareness vs adequate self-awareness) on the basis of the discrepancy Awareness Questionnaire score. Both TBI groups obtained lower scores than healthy controls on the Fantasy subscale of the Interpersonal Reactivity Index, the reality question of the false-belief stories, and the memory questions of the faux pas test. Only impaired self-awareness patients tended to obtain lower scores in first-order false-belief detection. Impaired self-awareness patients also performed significantly worse than both healthy controls and adequate self-awareness patients on the faux pas tasks. The analysis suggests a causal relationship between low self-awareness and perspective-taking difficulties in this population of patients.

  3. 32 CFR 536.76 - Claims not payable under the Military Claims Act.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... 32 National Defense 3 2014-07-01 2014-07-01 false Claims not payable under the Military Claims Act... AND ACCOUNTS CLAIMS AGAINST THE UNITED STATES Claims Cognizable Under the Military Claims Act § 536.76 Claims not payable under the Military Claims Act. (a) Those resulting wholly from the claimant's or...

  4. 32 CFR 536.76 - Claims not payable under the Military Claims Act.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... 32 National Defense 3 2012-07-01 2009-07-01 true Claims not payable under the Military Claims Act... AND ACCOUNTS CLAIMS AGAINST THE UNITED STATES Claims Cognizable Under the Military Claims Act § 536.76 Claims not payable under the Military Claims Act. (a) Those resulting wholly from the claimant's or...

  5. 32 CFR 536.138 - Claims not payable under the Foreign Claims Act.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... country allied with such enemy country unless the appropriate settlement authority determines that the... by insurance on the involved U.S. Armed Forces' vehicle or the tortfeasor's privately owned vehicle..., chapter 11. (o) Is brought by or on behalf of a member of a foreign military force for personal injury...

  6. 32 CFR 536.138 - Claims not payable under the Foreign Claims Act.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ...) Arises from private or domestic obligations as distinguished from government transactions; (d) Is based..., chapter 11. (o) Is brought by or on behalf of a member of a foreign military force for personal injury or death arising incident to service, or pursuant to combined military operations. Combined...

  7. 32 CFR 536.138 - Claims not payable under the Foreign Claims Act.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ...) Arises from private or domestic obligations as distinguished from government transactions; (d) Is based..., chapter 11. (o) Is brought by or on behalf of a member of a foreign military force for personal injury or death arising incident to service, or pursuant to combined military operations. Combined...

  8. 14 CFR 15.7 - Administrative claims; evidence and information to be submitted.

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... of payment for such expenses. (7) If damages for pain and suffering prior to death are claimed, a physician's detailed statement specifying the injuries suffered, duration of pain and suffering, any drugs administered for pain, and the decedent's physical condition in the interval between injury and death. (8)...

  9. 12 CFR 793.4 - Administrative claims; evidence and information to be submitted.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... payments for such expenses. (7) If damages for pain and suffering before death are claimed, a physician's detailed statement specifying the injuries suffered, duration of pain and suffering, any drugs administered for pain and the decedent's physical condition in the interval between injury and death. (8) Any...

  10. 14 CFR 15.7 - Administrative claims; evidence and information to be submitted.

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... of payment for such expenses. (7) If damages for pain and suffering prior to death are claimed, a physician's detailed statement specifying the injuries suffered, duration of pain and suffering, any drugs administered for pain, and the decedent's physical condition in the interval between injury and death. (8)...

  11. 12 CFR 793.4 - Administrative claims; evidence and information to be submitted.

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ... payments for such expenses. (7) If damages for pain and suffering before death are claimed, a physician's detailed statement specifying the injuries suffered, duration of pain and suffering, any drugs administered for pain and the decedent's physical condition in the interval between injury and death. (8) Any...

  12. Functional foods: health claim-food product compatibility and the impact of health claim framing on consumer evaluation.

    PubMed

    van Kleef, Ellen; van Trijp, Hans C M; Luning, Pieternel

    2005-06-01

    Two studies are reported, which aim to strengthen the scientific underpinning of strategic decisions regarding functional food development, as to (1) which health benefits to claim, (2) with which product (category), and (3) in which communication format. The first exploratory study is a secondary analysis of 10 different health claims systematically combined with 10 different food carriers to evaluate their combined suitability for functional food positioning. The results show that consumers tend to prefer functional food concepts that primarily communicate disease-related health benefits in carriers with a healthy image or health positioning history. Study 2 examines health claim format and systematically varies the way in which specific health benefits are being communicated to the consumer. Two physiologically oriented claims (heart disease and osteoporosis) and two psychologically oriented food claims (stress and lack of energy) are expressed in enhanced function format versus disease risk reduction format. Also, it includes the individual difference variable of 'regulatory focus' and the health status of the respondent to explore how these factors impact health claim evaluation. The results show that consumer evaluations primarily differ to the extent that health claims are personally relevant in addressing an experienced disease state. Framing is important, but its effect differs by health benefit. No strong effects for consumers' regulatory focus were found. Underlying mechanisms of these effects and their implications for the development of functional foods are discussed.

  13. 43 CFR 2562.1 - Initiation of claim.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... Sites § 2562.1 Initiation of claim. (a) Notice. Any qualified person, association, or corporation... surveyed, and shall contain: (1) The name and address of the claimant, (2) age and citizenship, (3) date of... trade, manufacture, or other productive industry in connection with which the site is maintained...

  14. 14 CFR § 1261.104 - Allowable claims.

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... allowed only if: (1) The damage or loss was not caused wholly or partly by the negligent or wrongful act... of the claimant at the time of the damage or loss, or solely because the claimant was not the legal... this subpart, any claim for damage to, or loss of, personal property incident to service with NASA...

  15. 44 CFR 295.5 - Overview of the claims process.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... Overview of the claims process. (a) The CGFAA is intended to provide persons who suffered losses from the... is available. (b) The first step in the process is to file a Notice of Loss with OCGFC. OCGFC will... elements of the Loss and the compensatory damages that are sought, including that the Cerro Grande...

  16. 44 CFR 295.5 - Overview of the claims process.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... Overview of the claims process. (a) The CGFAA is intended to provide persons who suffered losses from the... is available. (b) The first step in the process is to file a Notice of Loss with OCGFC. OCGFC will... elements of the Loss and the compensatory damages that are sought, including that the Cerro Grande...

  17. 20 CFR 702.221 - Claims for compensation; time limitations.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... 20 Employees' Benefits 3 2010-04-01 2010-04-01 false Claims for compensation; time limitations. 702.221 Section 702.221 Employees' Benefits EMPLOYMENT STANDARDS ADMINISTRATION, DEPARTMENT OF LABOR... cases of death, the SSN of the person seeking survivor benefits shall also be set forth on each...

  18. 22 CFR 213.5 - Fraud claims.

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ... 22 Foreign Relations 1 2013-04-01 2013-04-01 false Fraud claims. 213.5 Section 213.5 Foreign Relations AGENCY FOR INTERNATIONAL DEVELOPMENT CLAIMS COLLECTION General § 213.5 Fraud claims. (a) The CFO will refer claims involving fraud, the presentation of a false claim, or misrepresentation on the...

  19. 22 CFR 213.5 - Fraud claims.

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ... 22 Foreign Relations 1 2014-04-01 2014-04-01 false Fraud claims. 213.5 Section 213.5 Foreign Relations AGENCY FOR INTERNATIONAL DEVELOPMENT CLAIMS COLLECTION General § 213.5 Fraud claims. (a) The CFO will refer claims involving fraud, the presentation of a false claim, or misrepresentation on the...

  20. 22 CFR 213.5 - Fraud claims.

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ... 22 Foreign Relations 1 2012-04-01 2012-04-01 false Fraud claims. 213.5 Section 213.5 Foreign Relations AGENCY FOR INTERNATIONAL DEVELOPMENT CLAIMS COLLECTION General § 213.5 Fraud claims. (a) The CFO will refer claims involving fraud, the presentation of a false claim, or misrepresentation on the...

  1. 22 CFR 304.6 - Claims investigation.

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ... 22 Foreign Relations 2 2014-04-01 2014-04-01 false Claims investigation. 304.6 Section 304.6 Foreign Relations PEACE CORPS CLAIMS AGAINST GOVERNMENT UNDER FEDERAL TORT CLAIMS ACT Procedures § 304.6 Claims investigation. (a) When a claim has been filed with the Peace Corps, the General Counsel will...

  2. 22 CFR 304.6 - Claims investigation.

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ... 22 Foreign Relations 2 2013-04-01 2009-04-01 true Claims investigation. 304.6 Section 304.6 Foreign Relations PEACE CORPS CLAIMS AGAINST GOVERNMENT UNDER FEDERAL TORT CLAIMS ACT Procedures § 304.6 Claims investigation. (a) When a claim has been filed with the Peace Corps, the General Counsel will...

  3. 22 CFR 304.6 - Claims investigation.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... 22 Foreign Relations 2 2011-04-01 2009-04-01 true Claims investigation. 304.6 Section 304.6 Foreign Relations PEACE CORPS CLAIMS AGAINST GOVERNMENT UNDER FEDERAL TORT CLAIMS ACT Procedures § 304.6 Claims investigation. (a) When a claim has been filed with the Peace Corps, the General Counsel will...

  4. 22 CFR 304.6 - Claims investigation.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... 22 Foreign Relations 2 2010-04-01 2010-04-01 true Claims investigation. 304.6 Section 304.6 Foreign Relations PEACE CORPS CLAIMS AGAINST GOVERNMENT UNDER FEDERAL TORT CLAIMS ACT Procedures § 304.6 Claims investigation. (a) When a claim has been filed with the Peace Corps, the General Counsel will...

  5. 22 CFR 304.6 - Claims investigation.

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ... 22 Foreign Relations 2 2012-04-01 2009-04-01 true Claims investigation. 304.6 Section 304.6 Foreign Relations PEACE CORPS CLAIMS AGAINST GOVERNMENT UNDER FEDERAL TORT CLAIMS ACT Procedures § 304.6 Claims investigation. (a) When a claim has been filed with the Peace Corps, the General Counsel will...

  6. 22 CFR 213.5 - Fraud claims.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... 22 Foreign Relations 1 2010-04-01 2010-04-01 false Fraud claims. 213.5 Section 213.5 Foreign Relations AGENCY FOR INTERNATIONAL DEVELOPMENT CLAIMS COLLECTION General § 213.5 Fraud claims. (a) The CFO will refer claims involving fraud, the presentation of a false claim, or misrepresentation on the...

  7. 22 CFR 213.5 - Fraud claims.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... 22 Foreign Relations 1 2011-04-01 2011-04-01 false Fraud claims. 213.5 Section 213.5 Foreign Relations AGENCY FOR INTERNATIONAL DEVELOPMENT CLAIMS COLLECTION General § 213.5 Fraud claims. (a) The CFO will refer claims involving fraud, the presentation of a false claim, or misrepresentation on the...

  8. Lower-Extremity Functional Electrical Stimulation Decreases Platelet Aggregation and Blood Coagulation in Persons With Chronic Spinal Cord Injury: A Pilot Study

    PubMed Central

    Kahn, Nighat N; Feldman, Susan P; Bauman, William A

    2010-01-01

    Background: Individuals with spinal cord injury (SCI) develop premature cardiovascular disease. Regular exercise reduces the incidence and symptoms of cardiovascular disease in able-bodied individuals; these salutary effects of exercise have not been documented in persons with SCI. Objective: To evaluate the effects of functional electrical stimulation leg cycle ergometry (FES-LCE) exercise training on platelet aggregation and blood coagulation in persons with SCI. Participants: Subjects (n  =  14) with stable chronic (>1 year) paraplegia (T1–T10) or tetraplegia (C4–C8). Methods: Blood samples were collected before and after the first and eighth sessions (2 sessions per week for 4 weeks) of FES exercise. Results: Platelet aggregation was inhibited by 20% after the first session and by 40% (P < 0.001) after the eighth session. Thrombin activity was unchanged after the first session (10.7 ± 0.85 s to 10.43 ± 0.56 s) and decreased after the eighth session (12.5 ± 1.98 s to 11.1 ± 1.7 s; P < 0.0003). Antithrombin III activity increased after the first (103.8% ± 8.9% to 110% ± 6.9%; P < 0.0008) and eighth sessions (107.8% ± 12.1% to 120.4% ± 13.1%; P < 0.0001). Cyclic adenosine monophosphate increased after the first (9.9% ± 2.5% to 15.8% ± 3%; P < 0.001) and eighth sessions (17.8% ± 4.2% to 36.5% ± 7.6%; P < 0.0001). After the eighth session, factors V and X increased significantly (88% ± 27% to 103% ± 23%, P < 0.0001; 100% ± 40% to 105% ± 7%, P < 0.01, respectively); factors VII and VIII and fibrinogen did not change significantly. A significant reduction in platelet activation/aggregation was demonstrated in response to FES-LCE. The decrease in thrombin level was caused by the simultaneous increase in antithrombin activity. Conclusion: These findings provide new insight into the potential protective effects of FES-LCE against the risk of cardiovascular disease. PMID:20486534

  9. The PQRS-Montreal: a measure of patients' perceptions of the quality of rehabilitation services for persons with a traumatic brain injury.

    PubMed

    Swaine, Bonnie; Dassa, Clément; Koné, Anna; Dutil, Élisabeth; Demers, Louise; Trempe, Claire

    2017-01-01

    Purpose To determine the factorial validity, internal consistency, criterion-related and concurrent validity of the Perception of Quality of Rehabilitation Services - Montreal (PQRS-Montreal) questionnaire for persons receiving traumatic brain injury (TBI) rehabilitation services. Design Cross-sectional study. Setting Seventeen facilities providing acute care and intensive inpatient and outpatient TBI adult rehabilitation. Participants Five-hundred thirty adults (GCS  =  3-15; mean age  =  41.5 ± 16.9 years) who received rehabilitation were administered the questionnaire during an interview near time of discharge. Subjects responded to the 61 PQRS-Montreal items (five-point scale of agreement) and to the Client Satisfaction Question (CSQ8). Results Exploratory and confirmatory factor analyses identified three potential subscales (one- and two-factor solutions) explaining 26.1-41% of the variance (ecological approach, quality of team, service organization). The subscales' internal structures were interpretable and their internal consistency varied from 0.51 to 0.90 (Cronbach's α). Rehabilitation phase significantly and positively impacted factor scores and all factor scores were significantly and moderately correlated with CSQ8 scores. Conclusions The PQRS-Montreal possesses adequate psychometric properties supporting its use as a valid tool to measure patients' perception of the quality of TBI rehabilitation services. This tool could help guide the development and monitoring of TBI rehabilitation service delivery. Implications for Rehabilitation The importance of measuring and monitoring quality of care is increasingly important in rehabilitation. Using the experiences and perceptions of care of service users is a valid way of assessing the quality of rehabilitation services. The PQRS-Montreal has adequate psychometric properties supporting its use as a valid tool to measure patients' perception of the quality of TBI rehabilitation services

  10. 32 CFR 750.48 - Measure of damages in injury or death cases.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... 32 National Defense 5 2012-07-01 2012-07-01 false Measure of damages in injury or death cases. 750... GENERAL CLAIMS REGULATIONS Military Claims Act § 750.48 Measure of damages in injury or death cases. (a) Where an injury or death arises within the United States or its territories, commonwealth,...

  11. 28 CFR 79.3 - Compensable claim categories under the Act.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... compensable categories designated in the Act: (1) Claims of leukemia. (i) For persons exposed to fallout from... persons exposed to fallout from the atmospheric detonation of nuclear devices due to their participation... related to the Nevada Test Site fallout. For persons who contracted certain specified diseases after...

  12. 28 CFR 79.3 - Compensable claim categories under the Act.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... compensable categories designated in the Act: (1) Claims of leukemia. (i) For persons exposed to fallout from... persons exposed to fallout from the atmospheric detonation of nuclear devices due to their participation... related to the Nevada Test Site fallout. For persons who contracted certain specified diseases after...

  13. 28 CFR 79.3 - Compensable claim categories under the Act.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... compensable categories designated in the Act: (1) Claims of leukemia. (i) For persons exposed to fallout from... persons exposed to fallout from the atmospheric detonation of nuclear devices due to their participation... related to the Nevada Test Site fallout. For persons who contracted certain specified diseases after...

  14. The Injury Profile of an Australian Specialist Policing Unit

    PubMed Central

    Larsen, Brianna; Aisbett, Brad; Silk, Aaron

    2016-01-01

    This study investigated the injuries sustained by an Australian specialist police division. Injury records spanning four-years were analyzed. The role being performed when the injury occurred, injury cause, body part injured, and injury-related costs were quantified. The percentage of personnel injured multiple times was documented. One hundred and thirty eight personnel reported injuries, 58 of these on multiple occasions. This resulted in 229 injuries and 76 claims being raised. Half of the injuries occurred during operational policing tasks, however training activities accounted for >30% of injuries. The most common injury was strain/sprain, and upper body injuries were 2.5-times more common than lower-body or torso injuries. 1107 shifts were lost, and injuries cost the organization $487,159 (Australian Dollars) over the four-year period. The injury costs (both financial and in manpower) may prompt policy makers to review the current training and post-injury rehabilitation protocols. PMID:27023586

  15. 39 CFR 273.3 - Liability for false claims and statements.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... section. This assessment shall be in lieu of damages sustained by the United States because of such claim... section shall also be subject to an assessment of not more than twice the amount of such claim or twice... has made payment, an assessment may be imposed against any such person or jointly and...

  16. 39 CFR 273.3 - Liability for false claims and statements.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... section. This assessment shall be in lieu of damages sustained by the United States because of such claim... section shall also be subject to an assessment of not more than twice the amount of such claim or twice... has made payment, an assessment may be imposed against any such person or jointly and...

  17. 39 CFR 273.3 - Liability for false claims and statements.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... section. This assessment shall be in lieu of damages sustained by the United States because of such claim... section shall also be subject to an assessment of not more than twice the amount of such claim or twice... has made payment, an assessment may be imposed against any such person or jointly and...

  18. 32 CFR 842.133 - Claims by customers, members, participants, or authorized users.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... by customers, members, participants, or authorized users. (a) Customer complaints. Do not automatically adjudicate customer complaint claims until a determination is made that a valid claim exists. Complaints and personal property losses suffered by customers of MWR sales or service operations are...

  19. 76 FR 2755 - Proposed Information Collection (Statement in Support of Claim for Service Connection for Post...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-01-14

    ...-Traumatic Stress Disorder (PTSD) and Statement in Support of Claim for Service Connection for Post-Traumatic Stress Disorder (PTSD) Secondary to Personal Assault) Activity: Comment Request AGENCY: Veterans Benefits... to obtain evidence to substantiate claims for service connection post-traumatic stress disorder...

  20. 26 CFR 20.2016-1 - Recovery of death taxes claimed as credit.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... 26 Internal Revenue 14 2011-04-01 2010-04-01 true Recovery of death taxes claimed as credit. 20... Against Tax § 20.2016-1 Recovery of death taxes claimed as credit. In accordance with the provisions of section 2016, the executor (or any other person) receiving a refund of any State death taxes or...

  1. 26 CFR 20.2016-1 - Recovery of death taxes claimed as credit.

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ... 26 Internal Revenue 14 2014-04-01 2013-04-01 true Recovery of death taxes claimed as credit. 20... Against Tax § 20.2016-1 Recovery of death taxes claimed as credit. In accordance with the provisions of section 2016, the executor (or any other person) receiving a refund of any State death taxes or...

  2. 26 CFR 20.2016-1 - Recovery of death taxes claimed as credit.

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ... 26 Internal Revenue 14 2012-04-01 2012-04-01 false Recovery of death taxes claimed as credit. 20... Against Tax § 20.2016-1 Recovery of death taxes claimed as credit. In accordance with the provisions of section 2016, the executor (or any other person) receiving a refund of any State death taxes or...

  3. 26 CFR 20.2016-1 - Recovery of death taxes claimed as credit.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... 26 Internal Revenue 14 2010-04-01 2010-04-01 false Recovery of death taxes claimed as credit. 20... Against Tax § 20.2016-1 Recovery of death taxes claimed as credit. In accordance with the provisions of section 2016, the executor (or any other person) receiving a refund of any State death taxes or...

  4. Injury rate as an indicator of business success.

    PubMed

    Holizki, Theresa; Nelson, Larry; McDonald, Rose

    2006-01-01

    Health and safety professionals and organizations have often suggested that promoting and improving health and safety in the workplace will improve business success. We conducted a study of all new small businesses that registered with the Workers' Compensation Board of British Columbia (WCB of BC) in the years 1993, 1995, 1996 and 1997, assessing their injury rate in the first 5 complete years of business. The data set represents 53,913 new businesses and 19,332 claims. Businesses were grouped by the number of years between registering for WCB coverage and termination of coverage. Injury rates were determined for each calendar year for each industry sector as injuries per 100 person-years, based on payroll information provided by the businesses. Across all industries, businesses that failed between 1 and 2 yr of start-up had an average injury rate of 9.71 while businesses that survived more than 5 yr had an average injury rate of only 3.89 in their first year of business (p<0.000001). The WCB of BC demonstrated a statistical correlation between health and safety in the workplace and the survival of a small business.

  5. Factors associated with the duration of disability benefits claims among Canadian workers: a retrospective cohort study

    PubMed Central

    Mulla, Sohail M.; Makosso-Kallyth, Sun; St-Hilaire, Nathalie; Munsch, Katrena; Gove, Peter B.; Heels-Ansdell, Diane; Guyatt, Gordon H.; Busse, Jason W.

    2017-01-01

    Background: Disability insurance protects workers from total loss of income in case of a disabling injury or illness by providing wage-replacement benefits. To better inform early identification of claims at risk of prolonged recovery, we explored predictors of the duration of disability benefits claims. Methods: We conducted a retrospective cohort study using claims data provided by SSQ Life Insurance Company Inc., a private Canadian disability insurer. We examined all claims SSQ approved for short- and long-term disability benefits from Jan. 1, 2007, to Mar. 31, 2014, and evaluated the association between 9 variables and duration of short- and long-term disability benefits using Cox proportional hazards regression analyses. Results: For both short- (n = 70 776) and long-term disability (n = 22 205) claims, and across all disorders, older age, female sex, heavy job demands, presence of comorbidity, attending an independent medical evaluation, receipt of rehabilitation therapy and longer time to claim approval were associated with longer claim duration. Higher predisability salary was associated with longer short-term disability claim duration. Quebec residency was associated with longer short-term disability claim duration among workers with psychological disorders, but shorter short-term disability claim duration among those with musculoskeletal complaints and other illnesses. For long-term disability claims, however, residing in Quebec was associated with shorter claim duration, although the size of the association differed across clinical conditions. Interpretation: The factors we found to be associated with the duration of short- and long-term disability claims may be helpful to identify claims at risk of prolonged recovery. Our study has limitations, however, and well-designed prospective studies are needed to confirm our findings and identify other promising predictors.

  6. 28 CFR 79.3 - Compensable claim categories under the Act.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... contracted lung cancer or certain nonmalignant respiratory diseases after being employed in uranium mines... this part. (5) Millers' claims. For persons who contracted lung cancer, certain nonmalignant respiratory diseases, renal cancer, or chronic renal disease (including nephritis and kidney tubal...

  7. 28 CFR 79.3 - Compensable claim categories under the Act.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... contracted lung cancer or certain nonmalignant respiratory diseases after being employed in uranium mines... this part. (5) Millers' claims. For persons who contracted lung cancer, certain nonmalignant respiratory diseases, renal cancer, or chronic renal disease (including nephritis and kidney tubal...

  8. Ontario appellate court denies HIV-positive man's constitutional claim to medical marijuana.

    PubMed

    Elliott, Richard

    2002-03-01

    In January 2002, the Ontario Court of Appeal denied a claim by a Toronto man living with HIV/AIDS that Canada's laws prohibiting marijuana possession and cultivation infringe his constitutional rights to liberty and security of the person.

  9. Consumers’ Health-Related Motive Orientations and Reactions to Claims about Dietary Calcium

    PubMed Central

    Hoefkens, Christine; Verbeke, Wim

    2013-01-01

    Health claims may contribute to better informed and healthier food choices and to improved industrial competitiveness by marketing foods that support healthier lifestyles in line with consumer preferences. With the more stringent European Union regulation of nutrition and health claims, insights into consumers’ health-related goal patterns and their reactions towards such claims are needed to influence the content of lawful claims. This study investigated how consumers’ explicit and implicit health-related motive orientations (HRMOs) together with the type of calcium-claim (nutrition claim, health claim and reduction of disease risk claim) influence perceived credibility and purchasing intention of calcium-enriched fruit juice. Data were collected in April 2006 through a consumer survey with 341 Belgian adults. The findings indicate that stronger implicit HRMOs (i.e., indirect benefits of calcium for personal health) are associated with higher perceived credibility, which is not (yet) translated into a higher purchasing intention. Consumers’ explicit HRMOs, which refer to direct benefits or physiological functions of calcium in the body—as legally permitted in current calcium-claims in the EU—do not associate with reactions to the claims. Independently of consumers’ HRMOs, the claim type significantly affects the perceived credibility and purchasing intention of the product. Implications for nutrition policy makers and food industries are discussed. PMID:23306190

  10. 20 CFR 702.603 - Determining the payrate for compensating occupational disease claims which become manifest after...

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ... occupational disease claims which become manifest after retirement. 702.603 Section 702.603 Employees' Benefits...' COMPENSATION ACT AND RELATED STATUTES ADMINISTRATION AND PROCEDURE Occupational Disease Which Does Not... disease claims which become manifest after retirement. (a) If the time of injury occurs within the...

  11. 20 CFR 702.603 - Determining the payrate for compensating occupational disease claims which become manifest after...

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ... occupational disease claims which become manifest after retirement. 702.603 Section 702.603 Employees' Benefits...' COMPENSATION ACT AND RELATED STATUTES ADMINISTRATION AND PROCEDURE Occupational Disease Which Does Not... disease claims which become manifest after retirement. (a) If the time of injury occurs within the...

  12. 20 CFR 702.603 - Determining the payrate for compensating occupational disease claims which become manifest after...

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ... occupational disease claims which become manifest after retirement. 702.603 Section 702.603 Employees' Benefits...' COMPENSATION ACT AND RELATED STATUTES ADMINISTRATION AND PROCEDURE Occupational Disease Which Does Not... disease claims which become manifest after retirement. (a) If the time of injury occurs within the...

  13. 20 CFR 702.603 - Determining the payrate for compensating occupational disease claims which become manifest after...

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... occupational disease claims which become manifest after retirement. 702.603 Section 702.603 Employees' Benefits...' COMPENSATION ACT AND RELATED STATUTES ADMINISTRATION AND PROCEDURE Occupational Disease Which Does Not... disease claims which become manifest after retirement. (a) If the time of injury occurs within the...

  14. 32 CFR 842.142 - Claims payable.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 32 National Defense 6 2010-07-01 2010-07-01 false Claims payable. 842.142 Section 842.142 National Defense Department of Defense (Continued) DEPARTMENT OF THE AIR FORCE CLAIMS AND LITIGATION ADMINISTRATIVE CLAIMS Civil Air Patrol Claims (5 U.S.C. 8101(1)(B), 8102(a), 8116(c), 8141; 10 U.S.C. 9441, 9442; 36...

  15. 32 CFR 750.9 - Claims: Payments.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... Provisions for Claims § 750.9 Claims: Payments. Claims approved for payment shall be expeditiously forwarded to the disbursing office or the General Accounting Office depending on the claims act involved and... requires submission of the payment voucher to the General Accounting Office. All other field...

  16. Clinician feedback on using episode groupers with Medicare claims data.

    PubMed

    Thomas, Fred; Caplan, Craig; Levy, Jesse M; Cohen, Marty; Leonard, James; Caldis, Todd; Mueller, Curt

    2010-01-01

    CMS is investigating techniques that might help identify costly physician practice patterns. One method presently under evaluation is to compare resource use for certain episodes of care using commercially available episode grouping software. Although this software has been used by the private sector to classify insured individuals' medical claims into episodes of care, it has never been used with fee-for-service Medicare claims except in the studies by the Medicare Payment Advisory Commission (MedPAC) and CMS. This study reviews and reports on clinician feedback on the most obvious and important decisions that must be faced by Medicare to use grouped claims data as the foundation for a physician performance measurement system. The panel reactions show the importance of bringing persons with clinical knowledge into the development process. The clinician feedback confirms that additional research is needed.

  17. 32 CFR 842.14 - Claims and assistant claims officers.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... an attorney, a senior noncommissioned officer (E-7 through E-9), or a Department of the Air Force... Section 842.14 National Defense Department of Defense (Continued) DEPARTMENT OF THE AIR FORCE CLAIMS AND...) The Commander of each Air Force base, station, fixed installation, or separate unit appoints a...

  18. 32 CFR 842.14 - Claims and assistant claims officers.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... an attorney, a senior noncommissioned officer (E-7 through E-9), or a Department of the Air Force... Section 842.14 National Defense Department of Defense (Continued) DEPARTMENT OF THE AIR FORCE CLAIMS AND...) The Commander of each Air Force base, station, fixed installation, or separate unit appoints a...

  19. 32 CFR 842.14 - Claims and assistant claims officers.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... an attorney, a senior noncommissioned officer (E-7 through E-9), or a Department of the Air Force... Section 842.14 National Defense Department of Defense (Continued) DEPARTMENT OF THE AIR FORCE CLAIMS AND...) The Commander of each Air Force base, station, fixed installation, or separate unit appoints a...

  20. 32 CFR 842.14 - Claims and assistant claims officers.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... an attorney, a senior noncommissioned officer (E-7 through E-9), or a Department of the Air Force... Section 842.14 National Defense Department of Defense (Continued) DEPARTMENT OF THE AIR FORCE CLAIMS AND...) The Commander of each Air Force base, station, fixed installation, or separate unit appoints a...

  1. Psychological Aspects of Spinal Cord Injury

    ERIC Educational Resources Information Center

    Cook, Daniel W.

    1976-01-01

    Reviewing literature on the psychological impact of spinal cord injury suggests: (a) depression may not be a precondition for injury adjustment; (b) many persons sustaining cord injury may have experienced psychological disruption prior to injury; and (c) indexes of rehabilitation success need to be developed for the spinal cord injured. (Author)

  2. Exaggerated Claims for Interactive Stories

    NASA Astrophysics Data System (ADS)

    Thue, David; Bulitko, Vadim; Spetch, Marcia; Webb, Michael

    As advertising becomes more crucial to video games' success, developers risk promoting their products beyond the features that they can actually include. For features of interactive storytelling, the effects of making such exaggerations are not well known, as reports from industry have been anecdotal at best. In this paper, we explore the effects of making exaggerated claims for interactive stories, in the context of the theory of advertising. Results from a human user study show that female players find linear and branching stories to be significantly less enjoyable when they are advertised with exaggerated claims.

  3. 32 CFR 536.115 - Claims procedures for claims arising overseas under international agreements.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... (Continued) DEPARTMENT OF THE ARMY CLAIMS AND ACCOUNTS CLAIMS AGAINST THE UNITED STATES Claims Cognizable... held to be the exclusive remedy for claims against the United States, Aaskov v. Aldridge, 695 F. Supp... provisions that call for the receiving State to adjudicate claims against the United States usually refer...

  4. 32 CFR 536.115 - Claims procedures for claims arising overseas under international agreements.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... (Continued) DEPARTMENT OF THE ARMY CLAIMS AND ACCOUNTS CLAIMS AGAINST THE UNITED STATES Claims Cognizable... held to be the exclusive remedy for claims against the United States, Aaskov v. Aldridge, 695 F. Supp... provisions that call for the receiving State to adjudicate claims against the United States usually refer...

  5. 32 CFR 536.115 - Claims procedures for claims arising overseas under international agreements.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... (Continued) DEPARTMENT OF THE ARMY CLAIMS AND ACCOUNTS CLAIMS AGAINST THE UNITED STATES Claims Cognizable... held to be the exclusive remedy for claims against the United States, Aaskov v. Aldridge, 695 F. Supp... provisions that call for the receiving State to adjudicate claims against the United States usually refer...

  6. 32 CFR 536.115 - Claims procedures for claims arising overseas under international agreements.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... (Continued) DEPARTMENT OF THE ARMY CLAIMS AND ACCOUNTS CLAIMS AGAINST THE UNITED STATES Claims Cognizable... held to be the exclusive remedy for claims against the United States, Aaskov v. Aldridge, 695 F. Supp... provisions that call for the receiving State to adjudicate claims against the United States usually refer...

  7. 77 FR 22236 - Administrative Claims Under the Federal Tort Claims Act and Related Statutes

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-04-13

    ...This amendment revises the Department of Labor's (DOL's) regulations governing administrative claims submitted to DOL pursuant to the Federal Tort Claims Act (FTCA), the Military Personnel and Civilian Employees' Claims Act (MPCECA), and for payment of claims arising out of the operation of the Job Corps. The regulations governing such claims were last revised in 1995. MPCECA has since been......

  8. 77 FR 22204 - Administrative Claims Under the Federal Tort Claims Act and Related Statutes

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-04-13

    ...This amendment revises the Department of Labor's (DOL) regulations governing administrative claims submitted to DOL pursuant to the Federal Tort Claims Act (FTCA), the Military Personnel and Civilian Employees' Claims Act (MPCECA), and for payment of claims arising out of the operation of the Job Corps. The regulations governing such claims were last revised in 1995. MPCECA has since been......

  9. 32 CFR 536.115 - Claims procedures for claims arising overseas under international agreements.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 32 National Defense 3 2010-07-01 2010-07-01 true Claims procedures for claims arising overseas... Under International Agreements § 536.115 Claims procedures for claims arising overseas under... services or other Army JA offices responsible for claims that arise in countries bound by SOFA or...

  10. 32 CFR 536.136 - Scope for claims arising under the Foreign Claims Act.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 32 National Defense 3 2010-07-01 2010-07-01 true Scope for claims arising under the Foreign Claims....136 Scope for claims arising under the Foreign Claims Act. (a) Application. This subpart, which is..., or property damage caused by service members or civilian employees, or claims that arise incident...

  11. Meal Counting and Claiming Manual.

    ERIC Educational Resources Information Center

    Food and Nutrition Service (USDA), Washington, DC.

    This manual contains information about the selection and implementation of a meal counting and claiming system for the National School Lunch Program (NSLP) and the School Breakfast Program (BSP). Federal reimbursement is provided for each meal that meets program requirements and is served to an eligible student. Part 1 explains the six elements of…

  12. 32 CFR 842.103 - Filing a claim.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... CLAIMS Claims Under the National Guard Claims Act (32 U.S.C. 715) § 842.103 Filing a claim. This... completed SF 95 or other written and signed demand for money damages in a sum certain. Claims belonging...

  13. 32 CFR 842.103 - Filing a claim.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... CLAIMS Claims Under the National Guard Claims Act (32 U.S.C. 715) § 842.103 Filing a claim. This... completed SF 95 or other written and signed demand for money damages in a sum certain. Claims belonging...

  14. Disabling and fatal occupational claim rates, risks, and costs in the Oregon construction industry 1990-1997.

    PubMed

    Horwitz, Irwin B; McCall, Brian P

    2004-10-01

    This study estimated injury and illness rates, risk factors, and costs associated with construction work in Oregon from 1990-1997 using all accepted workers' compensation claims by Oregon construction employees (N = 20,680). Claim rates and risk estimates were estimated using a baseline calculated from Current Population Survey data of the Oregon workforce. The average annual rate of lost-time claims was 3.5 per 100 workers. More than 50% of claims were by workers under 35 years and with less than 1 year of tenure. The majority of claimants (96.1%) were male. There were 52 total fatalities reported over the period examined, representing an average annual death rate of 8.5 per 100,000 construction workers. Average claim cost was $10,084 and mean indemnity time was 57.3 days. Structural metal workers had the highest average days of indemnity of all workers (72. 1), highest average costs per claim ($16,472), and highest odds ratio of injury of all occupations examined. Sprains were the most frequently reported injury type, constituting 46.4% of all claims. The greatest accident risk occurred during the third hour of work. Training interventions should be extensively utilized for inexperienced workers, and prework exercises could potentially reduce injury frequency and severity.

  15. [COMPLEX OF THE TREATMENT MEASURES IN A SYSTEM OF THE MEDICAL CARE DELIVERY TO WOUNDED PERSONS WITH THE GUN-SHOT AND MINE-EXPLOSIVE INJURIES OF THE FOOT].

    PubMed

    Korohl, S O

    2015-11-01

    Complex of the treatment measures, conducted in 302 wounded persons, suffering the gun-shot and mine-explosive injuries of the foot in 2014 - 2015 yrs, was analyzed. Primary surgical processing of the wound was conducted in all injured persons, secondary surgical processing--in 64.6%, the foot bones osteosynthesis--in 13.9%, primary immobilization, using improvised tire--in 77.8%, secondary immobilization, using the plaster splint--in 48.1%, llizarov's spokes--in 35.2%, Ilizarov's apparatus--in 18.5%, the rods apparatuses of external fixation--in 16.7%. For improvement of functioning of a modern system for the treatment-evacuation provision it is necessary, to reduce the quantity of levels of the medical help provision maximally.

  16. The National Childhood Vaccine Injury Act: A Chance for Families.

    ERIC Educational Resources Information Center

    Gage, Jack; And Others

    1989-01-01

    The article describes the National Childhood Vaccine Injury Act which provides for recovery awards for vaccine-related injuries caused by diphtheria, pertussis, tetanus, polio, measles, mumps, and rubella vaccines. A Vaccine Injury Table lists types of disabilities covered and time periods for first symptoms. The claims process, legal assistance,…

  17. 32 CFR 536.130 - Claims not cognizable as UCMJ claims.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... scope of their employment, including claims resulting from combat activities or noncombat activities, as...) Claims for indirect, remote, or consequential damages. (h) Claims by entities in conflict with the...

  18. 32 CFR 536.130 - Claims not cognizable as UCMJ claims.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... scope of their employment, including claims resulting from combat activities or noncombat activities, as...) Claims for indirect, remote, or consequential damages. (h) Claims by entities in conflict with the...

  19. Back Injuries

    MedlinePlus

    ... extending from your neck to your pelvis. Back injuries can result from sports injuries, work around the house or in the garden, ... back is the most common site of back injuries and back pain. Common back injuries include Sprains ...

  20. Head Injuries

    MedlinePlus

    ... before. Often, the injury is minor because your skull is hard and it protects your brain. But ... injuries can be more severe, such as a skull fracture, concussion, or traumatic brain injury. Head injuries ...