International Classification of Functioning, Disability and Health: The World Health Organization's classification categories of health and health-related domains. The International Classification of Functioning, Disability and Health (ICF) consists of two lists: a list of body functions and structure, and a list of domains of activity and participation. The ICF also includes a list of environmental factors.Disability Evaluation: Determination of the degree of a physical, mental, or emotional handicap. The diagnosis is applied to legal qualification for benefits and income under disability insurance and to eligibility for Social Security and workmen's compensation benefits.Social Security: Government sponsored social insurance programs.Social Welfare: Organized institutions which provide services to ameliorate conditions of need or social pathology in the community.Disabled Persons: Persons with physical or mental disabilities that affect or limit their activities of daily living and that may require special accommodations.Intellectual Disability: Subnormal intellectual functioning which originates during the developmental period. This has multiple potential etiologies, including genetic defects and perinatal insults. Intelligence quotient (IQ) scores are commonly used to determine whether an individual has an intellectual disability. IQ scores between 70 and 79 are in the borderline range. Scores below 67 are in the disabled range. (from Joynt, Clinical Neurology, 1992, Ch55, p28)Insurance, Disability: Insurance designed to compensate persons who lose wages because of illness or injury; insurance providing periodic payments that partially replace lost wages, salary, or other income when the insured is unable to work because of illness, injury, or disease. Individual and group disability insurance are two types of such coverage. (From Facts on File Dictionary of Health Care Management, 1988, p207)Developmental Disabilities: Disorders in which there is a delay in development based on that expected for a given age level or stage of development. These impairments or disabilities originate before age 18, may be expected to continue indefinitely, and constitute a substantial impairment. Biological and nonbiological factors are involved in these disorders. (From American Psychiatric Glossary, 6th ed)Activities of Daily Living: The performance of the basic activities of self care, such as dressing, ambulation, or eating.Pensions: Fixed sums paid regularly to individuals.Learning Disorders: Conditions characterized by a significant discrepancy between an individual's perceived level of intellect and their ability to acquire new language and other cognitive skills. These disorders may result from organic or psychological conditions. Relatively common subtypes include DYSLEXIA, DYSCALCULIA, and DYSGRAPHIA.Mentally Disabled Persons: Persons diagnosed as having significantly lower than average intelligence and considerable problems in adapting to everyday life or lacking independence in regard to activities of daily living.Disabled Children: Children with mental or physical disabilities that interfere with usual activities of daily living and that may require accommodation or intervention.Pain Measurement: Scales, questionnaires, tests, and other methods used to assess pain severity and duration in patients or experimental animals to aid in diagnosis, therapy, and physiological studies.Mobility Limitation: Difficulty in walking from place to place.Questionnaires: Predetermined sets of questions used to collect data - clinical data, social status, occupational group, etc. The term is often applied to a self-completed survey instrument.Severity of Illness Index: Levels within a diagnostic group which are established by various measurement criteria applied to the seriousness of a patient's disorder.Low Back Pain: Acute or chronic pain in the lumbar or sacral regions, which may be associated with musculo-ligamentous SPRAINS AND STRAINS; INTERVERTEBRAL DISK DISPLACEMENT; and other conditions.Multiple Sclerosis: An autoimmune disorder mainly affecting young adults and characterized by destruction of myelin in the central nervous system. Pathologic findings include multiple sharply demarcated areas of demyelination throughout the white matter of the central nervous system. Clinical manifestations include visual loss, extra-ocular movement disorders, paresthesias, loss of sensation, weakness, dysarthria, spasticity, ataxia, and bladder dysfunction. The usual pattern is one of recurrent attacks followed by partial recovery (see MULTIPLE SCLEROSIS, RELAPSING-REMITTING), but acute fulminating and chronic progressive forms (see MULTIPLE SCLEROSIS, CHRONIC PROGRESSIVE) also occur. (Adams et al., Principles of Neurology, 6th ed, p903)Veterans Disability Claims: Disorders claimed as a result of military service.Health Status: The level of health of the individual, group, or population as subjectively assessed by the individual or by more objective measures.Architectural Accessibility: Designs for approaching areas inside or outside facilities.Quality of Life: A generic concept reflecting concern with the modification and enhancement of life attributes, e.g., physical, political, moral and social environment; the overall condition of a human life.Employment: The state of being engaged in an activity or service for wages or salary.Chronic Disease: Diseases which have one or more of the following characteristics: they are permanent, leave residual disability, are caused by nonreversible pathological alteration, require special training of the patient for rehabilitation, or may be expected to require a long period of supervision, observation, or care. (Dictionary of Health Services Management, 2d ed)Self-Help Devices: Devices, not affixed to the body, designed to help persons having musculoskeletal or neuromuscular disabilities to perform activities involving movement.Rehabilitation, Vocational: Training of the mentally or physically disabled in work skills so they may be returned to regular employment utilizing these skills.Geriatric Assessment: Evaluation of the level of physical, physiological, or mental functioning in the older population group.United StatesFollow-Up Studies: Studies in which individuals or populations are followed to assess the outcome of exposures, procedures, or effects of a characteristic, e.g., occurrence of disease.Health Status Indicators: The measurement of the health status for a given population using a variety of indices, including morbidity, mortality, and available health resources.Workers' Compensation: Insurance coverage providing compensation and medical benefits to individuals because of work-connected injuries or disease.Sick Leave: An absence from work permitted because of illness or the number of days per year for which an employer agrees to pay employees who are sick. (Webster's New Collegiate Dictionary, 1981)Treatment Outcome: Evaluation undertaken to assess the results or consequences of management and procedures used in combating disease in order to determine the efficacy, effectiveness, safety, and practicability of these interventions in individual cases or series.Work Capacity Evaluation: Assessment of physiological capacities in relation to job requirements. It is usually done by measuring certain physiological (e.g., circulatory and respiratory) variables during a gradually increasing workload until specific limitations occur with respect to those variables.Pain: An unpleasant sensation induced by noxious stimuli which are detected by NERVE ENDINGS of NOCICEPTIVE NEURONS.Prevalence: The total number of cases of a given disease in a specified population at a designated time. It is differentiated from INCIDENCE, which refers to the number of new cases in the population at a given time.Cost of Illness: The personal cost of acute or chronic disease. The cost to the patient may be an economic, social, or psychological cost or personal loss to self, family, or immediate community. The cost of illness may be reflected in absenteeism, productivity, response to treatment, peace of mind, or QUALITY OF LIFE. It differs from HEALTH CARE COSTS, meaning the societal cost of providing services related to the delivery of health care, rather than personal impact on individuals.Longitudinal Studies: Studies in which variables relating to an individual or group of individuals are assessed over a period of time.

*  World Health Organization Disability Assessment Schedule (WHODAS-II) for Patients With Symptomatic Lumbar Disc Herniation -...

Chwastiak LA, Von Korff M. Disability in depression and back pain: evaluation of the World Health Organization Disability ... Assessment of disability with the World Health Organisation Disability Assessment Schedule II in patients with ankylosing ... World Health Organization Disability Assessment Schedule (WHODAS-II) for Patients With Symptomatic Lumbar Disc Herniation. This ... Measurement characteristics of WHODAS II (World Health Organization Disability Assessment Schedule). Other: WHODAS II To ...
https://clinicaltrials.gov/ct2/show/NCT00480038

*  SpecialKids search results, filtered by Medical, All / many disabilities, Evaluation

Filtered by Category: Medical, Disabilities Served: All / many disabilities, Services Offered: Evaluation. ...
metrokids.com/MetroKids/SpecialKids/SpecialKids/index.php/category/Medical/disability/All+%2F+many+disabilities/services/Evaluation/

*  Search Results for 'Disability Evaluation'

You searched for: Disability Evaluation Remove constraint Disability Evaluation Start Over No entries found ...
https://collections.nlm.nih.gov/?f[drep2.subjectAggregateDisplay][]=Disability Evaluation&sort=score desc

*  Search Results for 'Military Personnel' 'Organization and Administration' 'Disability Evaluation'

Disability Evaluation Remove constraint Disability Evaluation Start Over ...
https://collections.nlm.nih.gov/?f[drep2.subjectAggregateDisplay][]=Military Personnel&f[drep2.subjectAggregateDisplay][]=Organization and Administration&f[drep2.subjectAggregateDisplay][]=Disability Evaluation

*  Disability Claim Consultant - Disability Evaluation Services - CS&R Paralegal Services

CS&R Paralegal Services provice best Consultation and negotiation for initial disability claims, pending claims, Workers' ... SOCIAL SECURITY DISABILITY. LEGAL REPRESENTATION AND ADVOCACY SERVICES. No cost to you to get started Representation that works ... When people need to file for disability, Social Security doesn't make it easy. Every step of the way can be very complicated. ... AGAINST ALL ODDS, we win disability claims!. Our Advocates have received training in a program designed to exceed any ...
https://getitdonewithoutlawyers.com/ssd.php

*  Magdy Martínez-Solimán: Statement delivered at the Evaluation of Disabilities-Inclusive Development at UNDP | UNDP

I am pleased to present the Management Response to the evaluation of the role of UNDP in supporting disability-inclusive ... Magdy Martínez-Solimán: Statement delivered at the Evaluation of Disabilities-Inclusive Development at UNDP *News ... Magdy Martínez-Solimán: Statement delivered at the Evaluation of Disabilities-Inclusive Development at UNDP. Jan 31, 2017 ... Magdy Martínez-Solimán: Statement delivered at the Evaluation of Disabilities-Inclusive Development at UNDP ...
undp.org/content/undp/en/home/presscenter/speeches/2017/01/31/magdy-mart-nez-solim-n-statement-delivered-at-the-evaluation-of-disabilities-inclusive-development-at-undp.html

*  SpecialKids search results, filtered by B, Developmental disability / MR, Evaluation

Filtered by Disabilities Served: Developmental disability / MR, Services Offered: Evaluation, Name: B. ...
metrokids.com/MetroKids/SpecialKids/SpecialKids/index.php/alpha/B/disability/Developmental+disability+%2F+MR/services/Evaluation/

*  SpecialKids search results, filtered by Camps, Learning disability / ADHD, Evaluation

Filtered by Category: Camps, Disabilities Served: Learning disability / ADHD, Services Offered: Evaluation. ...
metrokids.com/MetroKids/SpecialKids/SpecialKids/index.php/category/Camps/disability/Learning+disability+%2F+ADHD/services/Evaluation/

*  SpecialKids search results, filtered by Day Care, Developmental disability / MR, Evaluation

Filtered by Category: Day Care, Disabilities Served: Developmental disability / MR, Services Offered: Evaluation. ...
metrokids.com/MetroKids/SpecialKids/SpecialKids/index.php/category/Day+Care/disability/Developmental+disability+%2F+MR/services/Evaluation/

*  SpecialKids search results, filtered by A, PA-Philadelphia, Evaluation, Developmental disability / MR

Filtered by Disabilities Served: Developmental disability / MR, Location (state-county): PA-Philadelphia, Services Offered: ...
metrokids.com/MetroKids/SpecialKids/SpecialKids/index.php/alpha/A/location/PA-Philadelphia/services/Evaluation/disability/Developmental+disability+%2F+MR/

*  SpecialKids search results, filtered by B, NJ-Camden, Evaluation, Learning disability / ADHD

Filtered by Disabilities Served: Learning disability / ADHD, Location (state-county): NJ-Camden, Services Offered: Evaluation, ...
metrokids.com/MetroKids/SpecialKids/SpecialKids/index.php/alpha/B/location/NJ-Camden/services/Evaluation/disability/Learning+disability+%2F+ADHD/

*  SpecialKids search results, filtered by R, Professional Services, Evaluation, Learning disability / ADHD

Filtered by Category: Professional Services, Disabilities Served: Learning disability / ADHD, Services Offered: Evaluation, ...
metrokids.com/MetroKids/SpecialKids/SpecialKids/index.php/alpha/R/category/Professional+Services/services/Evaluation/disability/Learning+disability+%2F+ADHD/

*  SpecialKids search results, filtered by R, Professional Services, Developmental disability / MR, Evaluation

Filtered by Category: Professional Services, Disabilities Served: Developmental disability / MR, Services Offered: Evaluation, ...
metrokids.com/MetroKids/SpecialKids/SpecialKids/index.php/alpha/R/category/Professional+Services/disability/Developmental+disability+%2F+MR/services/Evaluation/

*  SpecialKids search results, filtered by B, Developmental disability / MR, NJ, Evaluation

Filtered by Disabilities Served: Developmental disability / MR, Location (state-county): NJ, Services Offered: Evaluation, Name ...
metrokids.com/MetroKids/SpecialKids/SpecialKids/index.php/alpha/B/disability/Developmental+disability+%2F+MR/location/NJ/services/Evaluation/

*  SpecialKids search results, filtered by C, Government, Evaluation, All / many disabilities

Filtered by Category: Government, Disabilities Served: All / many disabilities, Services Offered: Evaluation, Name: C. ...
metrokids.com/MetroKids/SpecialKids/SpecialKids/index.php/alpha/C/category/Government/services/Evaluation/disability/All+%2F+many+disabilities/

*  SpecialKids search results, filtered by Professional Services, Developmental disability / MR, PA, Evaluation, S

Filtered by Category: Professional Services, Disabilities Served: Developmental disability / MR, Location (state-county): PA, ...
metrokids.com/MetroKids/SpecialKids/SpecialKids/index.php/category/Professional+Services/disability/Developmental+disability+%2F+MR/location/PA/services/Evaluation/alpha/S/

*  FERS | CSRS & Individual Disability Benefits - Evaluation

The DeHaan Law Firm is focused on long-term (permanent) disability law including Individual Disability Insurance Policies, ... Evaluation. Contact us for more information on how we can assist you! ...
dehaanbusse.com/free-evaluation/

*  Evaluation of Violence Against Women With Physical Disabilities in Michigan, 2000-2001

... (ICPSR 3414) Principal Investigator(s): ... Evaluation of Violence Against Women With Physical Disabilities in Michigan, 2000-2001. ICPSR03414-v1. Ann Arbor, MI: Inter- ... Consistent with the work of other researchers, physical disabilities in this study were defined as those disabilities that ... Consistent with the work of other researchers, physical disabilities in this study were defined as those disabilities that ...
icpsr.umich.edu/icpsrweb/NACJD/studies/3414?classification=NACJD.XIII.

*  Pre-Discharge Home

Integrated Disability Evaluation System. The "Integrated Disability Evaluation System (IDES) Examination" is used to determine ... The Departments of Defense (DoD) and Veterans Affairs (VA) worked together to make disability evaluation seamless, simple, fast ... If the Servicemember is found medically unfit for duty, the IDES gives them a proposed VA disability rating before they leave ... It is to your advantage to submit your disability compensation claim prior to separation, retirement, or release from active ...
https://benefits.va.gov/predischarge/index.asp

*  VDOE :: Resolution 2002-29: Approving Substitute Standards of Learning Evaluation Program for Certain Students with Disabilities

The substitute Standards of Learning evaluation program is for a limited number of students with disabilities who cannot be ... The evaluation plan will be submitted to a state-appointed panel for review and approval. After the evaluation plan is approved ... Approving Substitute Standards of Learning Evaluation Program for Certain Students with Disabilities Who Cannot be Accommodated ... Approving Substitute Standards of Learning Evaluation Program for Certain Students with Disabilities ...
doe.virginia.gov/boe/resolutions/2002/2002-29.shtml

*  Disability Research Brief: Evaluation of a Consumer Directed Program: Illinois - RRTCDD

Evaluation of a Consumer Directed Program: Illinois (2004). Heller, T. & Caldwell, J. This research brief presents the outcomes ... of Illinois innovative consumer-directed Home Based Support Services Program for adults with developmental disabilities and ... Disability Research Brief: Evaluation of a Consumer Directed Program: Illinois January 1, 2004. No Comments ... Disability Research Brief: Evaluation of a Consumer Directed Program: Illinois (2004). Heller, T. & Caldwell, J. ...
rrtcdd.com/2004/01/01/disability-research-brief-evaluation-of-a-consumer-directed-program-illinois/

*  Internet Archive Search: mediatype:texts AND subject:"Personnel Management"

Disability Evaluation 2 Equipment and Supplies More right-solid Collection. 55 American Libraries ...
https://archive.org/search.php?query=mediatype:texts AND collection:medicineintheamericas AND subject:"Personnel Management"

*  Dr. Christopher Stychno, DC - Warren, OH - Chiropractic & Physical Therapy | Healthgrades.com

Disability Evaluation. *Exercise Counseling. *Functional Orthotic. *Low Back Procedure. *Manipulation Adjustment of Back and ...
https://healthgrades.com/provider/christopher-stychno-xksbn

*  Dr. John Wagner, DC - Doylestown, PA - Chiropractic & Acupuncture & Massage Therapy | Healthgrades.com

Disability Evaluation. *Exercise Counseling. *Gait Analysis. *Intersegmental Traction. *Kinesio® Taping. *Laser Office ... Our professionals understand that patients benefit from accurate and experienced diagnosis and evaluation. Our center allows ... Our professionals understand that patients benefit from accurate and experienced diagnosis and evaluation. Our center allows ... giving each patient an hour for their initial evaluation and 30 mins for office visits. If you would be so kind as to call the ...
https://healthgrades.com/provider/john-wagner-xbfnq

*  Dr. Dennis Doherty, DO - Athens, GA - Pain Medicine & Critical Care Medicine & Hospice & Palliative Medicine & Medical...

Disability Evaluation. *Discography. *Drug Infusion Pump. *Epidural Block, Facet Blocks. *Epidural Steroid Injections ...
https://healthgrades.com/physician/dr-dennis-doherty-355dd

Child Health International: Child Health International (CHI) is a Winchester (UK)-based charity, with a proven record of success in improving the healthcare of children in Russia, Eastern Europe and a new project to help children with cystic fibrosis in India.Winchester City Council - Child Health International exhibition, 5 - 21 August 2005.International Disability and Development Consortium: The International Disability and Development Consortium (IDDC) is a global consortium of disability and development related organisations. The aim of IDDC is to promote inclusive development internationally, with a special focus on promoting human rights for all disabled people living in economically poor communities in lower and middle-income countries.Supplemental Security Income: Supplemental Security Income (SSI) is a United States government program that provides stipends to low-income people who are either aged (65 or older), blind, or disabled.(SSA "Supplemental Security Income (SSI)" p.Sunshine Social Welfare Foundation: Sunshine Social Welfare Foundation (Chinese: 陽光社會福利基金會) is a charity established in 1981 in Taiwan to provide comprehensive services for burn survivors and people with facial disfigurement.Multiple disabilitiesHyperphosphatasia with mental retardation syndrome: Hyperphosphatasia with mental retardation syndrome, HPMRS, also known as Mabry syndrome, has been described in patients recruited on four continents world-wide. Mabry syndrome was confirmed to represent an autosomal recessive syndrome characterized by severe mental retardation, considerably elevated serum levels of alkaline phosphatase, hypoplastic terminal phalanges, and distinct facial features that include: hypertelorism, a broad nasal bridge and a rectangular face.Meredith EatonDevelopmental Disability (California): In California, Developmental Disabilitymeans a disability that is attributable to mental retardation], [[cerebral palsy, epilepsy, autism, or disabling conditions found to be closely related to mental retardation or to require treatment similar to that required for individuals with mental retardation.Bristol Activities of Daily Living Scale: The Bristol Activities of Daily Living Scale (BADLS) is a 20-item questionnaire designed to measure the ability of someone with dementia to carry out daily activities such as dressing, preparing food and using transport.Pensioner: A pensioner is a person who collects a pension, most commonly because of a retirement from the workforce. This is a term typically used in the United Kingdom, Ireland and Australia where someone of pensionable age may also be referred to as an 'old age pensioner', or OAP.Learning Disability Coalition: The Learning Disability Coalition is a group of fourteen organisations which campaigns to secure better funding for social care for people with learning disabilities in England.Coalition was formed in May 2007.Pain scale: A pain scale measures a patient's pain intensity or other features. Pain scales are based on self-report, observational (behavioral), or physiological data.Closed-ended question: A closed-ended question is a question format that limits respondents with a list of answer choices from which they must choose to answer the question.Dillman D.Low back painList of multiple sclerosis organizations: List of Multiple Sclerosis Organizations in different countries around the worldCreation of legal relations in English lawSelf-rated health: Self-rated health (also called Self-reported health, Self-assessed health, or perceived health) refers to both a single question such as “in general, would you say that you health is excellent, very good, good, fair, or poor?” and a survey questionnaire in which participants assess different dimensions of their own health.Craig HospitalTime-trade-off: Time-Trade-Off (TTO) is a tool used in health economics to help determine the quality of life of a patient or group. The individual will be presented with a set of directions such as:Non-communicable disease: Non-communicable disease (NCD) is a medical condition or disease that is non-infectious or non-transmissible. NCDs can refer to chronic diseases which last for long periods of time and progress slowly.Assistive technology service provider: Assistive technology service providers help individuals with disabilities acquire and use appropriate Assistive Technology (AT) to help them participate in activities of daily living, employment and education.Florida Division of Vocational Rehabilitation: Florida Division of Vocational Rehabilitation is a federal-state program in the U.S.List of Parliamentary constituencies in Kent: The ceremonial county of Kent,Office of Workers' Compensation Programs: The Office of Workers' Compensation Programs administers four major disability compensation programs which provide wage replacement benefits, medical treatment, vocational rehabilitation and other benefits to certain workers or their dependents who experience work-related injury or occupational disease.http://www.Sick leave: Sick leave (or paid sick days or sick pay) is time off from work that workers can use to stay home to address their health and safety needs without losing pay. Paid sick leave is a statutory requirement in many nations around the world.Cancer pain: Pain in cancer may arise from a tumor compressing or infiltrating nearby body parts; from treatments and diagnostic procedures; or from skin, nerve and other changes caused by a hormone imbalance or immune response. Most chronic (long-lasting) pain is caused by the illness and most acute (short-term) pain is caused by treatment or diagnostic procedures.

(1/4995) Traumatic vasospastic disease in chain-saw operators.

Raynaud's phenomenon is commonly induced in chain-saw operators by vibration; the hand guiding the tool is the more severely affected. The condition tends to persist after use of the chain-saw is stopped but compensation is rarely sought. Among 17 cases of Raynaud's phenomenon in lumberjacks the condition was found to be related to use of the chain-saw in 14, 10 of whom had to give up their work in colder weather because the disease was so disabling. Two criteria essential to establish the condition as vibration-induced Raynaud's phenomenon are the presence of symptoms for at least 2 years and a history of at least 1 year's constant use of the chain-saw. Careful physical examination and simple tests of vascular function will provide objective evidence of permanent damage by which the patients may be classified and compensated.  (+info)

(2/4995) Permanent work incapacity, mortality and survival without work incapacity among occupations and social classes: a cohort study of ageing men in Geneva.

BACKGROUND: The objective of this retrospective cohort study was to investigate the burden of disability and death in men, from middle age to age of retirement, among occupational groups and classes in Geneva. METHODS: Men were included if they resided in the Canton of Geneva, were 45 years of age in 1970-1972, and were not receiving a disability pension at the start of the follow-up. The cohort of 5137 men was followed up for 20 years and linked to national registers of disability pension allowance and of causes of death. RESULTS: There was a steep upward trend in incidence of permanent work incapacity with lower social class for all causes as well as for the seven causes of disability studied. Compared with professional occupations (social class I), the relative risk (RR) of permanent work incapacity was 11.4 for partly skilled and unskilled occupations (class IV+V) (95% confidence interval [CI]: 5.2-28.0). The social class gradient in mortality was in the same direction as that in work incapacity although much less steep (RR class IV+V to class I = 1.6, 95% CI : 1.1-2.2). Survival without work incapacity at the time of the 65th birthday ranged from only 57% in construction workers and labourers to 89% in science and related professionals. Unemployment in Geneva was below 1.5% during almost all the study period. CONCLUSIONS: Medically-ascertained permanent work incapacity and survival without work incapacity have shown considerably greater socioeconomic differentials than the mortality differentials.  (+info)

(3/4995) Why do short term workers have high mortality?

Increased mortality is often reported among workers in short term employment. This may indicate either a health-related selection process or the presence of different lifestyle or social conditions among short term workers. The authors studied these two aspects of short term employment among 16,404 Danish workers in the reinforced plastics industry who were hired between 1978 and 1985 and were followed to the end of 1988. Preemployment hospitalization histories for 1977-1984 were ascertained and were related to length of employment between 1978 and 1988. Workers who had been hospitalized prior to employment showed a 20% higher risk of early termination of employment than those never hospitalized (rate ratio (RR) = 1.20, 95% confidence interval (CI) 1.16-1.29), and the risk increased with number of hospitalizations. For workers with two or more preemployment hospitalizations related to alcohol abuse or violence, the rate ratios for short term employment were 2.30 (95% CI 1.74-3.06) and 1.86 (95% CI 1.35-2.56), respectively. An unhealthy lifestyle may also be a determinant of short term employment. While it is possible in principle to adjust for lifestyle factors if proper data are collected, the health-related selection of workers requires careful consideration when choosing a reference group for comparative studies of cumulative occupational exposure.  (+info)

(4/4995) The psychometric properties of clinical rating scales used in multiple sclerosis.

OullII;l y Many clinical rating scales have been proposed to assess the impact of multiple sclerosis on patients, but only few have been evaluated formally for reliability, validity and responsiveness. We assessed the psychometric properties of five commonly used scales in multiple sclerosis, the Expanded Disability Status Scale (EDSS), the Scripps Neurological Rating Scale (SNRS), the Functional Independence Measure (FIM), the Ambulation Index (AI) and the Cambridge Multiple Sclerosis Basic Score (CAMBS). The score frequency distributions of all five scales were either bimodal (EDSS and AI) or severely skewed (SNRS, FIM and CAMBS). The reliability of each scale depended on the definition of 'agreement'. Inter-and intra-rater reliabilities were high when 'agreement' was considered to exist despite a difference of up to 1.0 EDSS point (two 0.5 steps), 13 SNRS points, 9 FIM points, 1 AI point and 1 point on the various CAMBS domains. The FIM, AI, and the relapse and progression domains of the CAMBS were sensitive to clinical change, but the EDSS and the SNRS were unresponsive. The validity of these scales as impairment (SNRS and EDSS) and disability (EDSS, FIM, AI and the disability domain of the CAMBS) measures was established. All scales correlated closely with other measures of handicap and quality of life. None of these scales satisfied the psychometric requirements of outcome measures completely, but each had some desirable properties. The SNRS and the EDSS were reliable and valid measures of impairment and disability, but they were unresponsive. The FIM was a reliable, valid and responsive measure of disability, but it is cumbersome to administer and has a limited content validity. The AI was a reliable and valid ambulation-related disability scale, but it was weakly responsive. The CAMBS was a reliable (all four domains) and responsive (relapse and progression domains) outcome measure, but had a limited validity (handicap domain). These psychometric properties should be considered when designing further clinical trials in multiple sclerosis.  (+info)

(5/4995) Evaluating patients for return to work.

The family physician is often instrumental in the process of returning a patient to the workplace after injury or illness. Initially, the physician must gain an understanding of the job's demands through detailed discussions with the patient, the patient's work supervisor or the occupational medicine staff at the patient's place of employment. Other helpful sources of information include job demand analysis evaluations and the Dictionary of Occupational Titles. With an adequate knowledge of job requirements and patient limitations, the physician should document specific workplace restrictions, ensuring a safe and progressive reentry to work. Occupational rehabilitation programs such as work hardening may be prescribed, if necessary. If the physician is unsure of the patient's status, a functional capacity evaluation should be considered. The family physician should also be familiar with the Americans with Disabilities Act as it applies to the patient's "fitness" to perform the "essential tasks" of the patient's job.  (+info)

(6/4995) Infratentorial atrophy on magnetic resonance imaging and disability in multiple sclerosis.

Loss of tissue volume in the central nervous system may provide an index of fixed neurological dysfunction in multiple sclerosis. Recent magnetic resonance studies have shown a modest relationship between clinical disability rating scores and transverse sectional area of the cervical spinal cord. To explore further the relationship between atrophy and disability in multiple sclerosis, we estimated the volumes of infratentorial structures from MRIs in a cross-sectional study of 41 patients, 21 with relapsing-remitting multiple sclerosis and 20 with secondary progressive multiple sclerosis. We used the Cavalieri method of modern design stereology with point counting to estimate the volume of brainstem, cerebellum and upper cervical spinal cord from three-dimensional MRIs acquired with an MPRAGE (Magnetization-prepared Rapid Acquisition Gradient Echo) sequence. The volume of the upper (C1-C3) cervical spinal cord was significantly correlated with a composite spinal cord score derived from the appropriate Functional Scale scores of the Expanded Disability Status Scale (r = -0.50, P < 0.01). The cerebellar (r = 0.49, P < 0.01) and brainstem (r = 0.34, P < 0.05) volumes correlated with the Scripp's Neurological Disability Rating Scale scores. The upper cervical cord volumes (r = -0.39, P < 0.01), but not the brainstem or cerebellar volumes, were significantly associated with disease duration. MRI-estimated structural volumes may provide a simple index of axonal and/or myelin loss, the presumed pathological substrates of irreversible impairment and disability in multiple sclerosis.  (+info)

(7/4995) Views of survivors of stroke on benefits of physiotherapy.

OBJECTIVE: To describe the components of physiotherapy valued by survivors of a stroke. DESIGN: Qualitative study using in-depth interviews. SETTING: Two adjacent districts in North East Thames Regional Health Authority. PATIENTS: 82 survivors of stroke taken consecutively from a stroke register when they reached the tenth month after their stroke, 40 of whom agreed to be interviewed. MAIN MEASURES: Content analysis of interviews. RESULTS: Patients who agreed to the interview were significantly less likely to be disabled 12 months after stroke than those who did not. Twenty four patients had received physiotherapy, and these were more disabled than those who had not. Patients appreciated physiotherapy. It was believed to bring about functional improvement; the exercise component was valued because it was perceived to keep them active and busy and exercise programmes to follow at home were also valued for the structure they gave to each day; and therapists were considered a source of advice and information and a source of faith and hope. CONCLUSIONS: Many of the positive aspects of caring which patients described in the context of physiotherapy could be incorporated into the mainstream of rehabilitation care and training. However, health professionals need to be careful not to promote false expectations about recovery. IMPLICATIONS: The outcome of treatment is of critical importance to patients and should become a central dimension of patient satisfaction questionnaires. The impact of physiotherapy is not confined to reducing physical disability but may also affect wellbeing. The choice of outcome measures in rehabilitation research should reflect this situation.  (+info)

(8/4995) SF 36 health survey questionnaire: I. Reliability in two patient based studies.

OBJECTIVE: To assess the reliability of the SF 36 health survey questionnaire in two patient populations. DESIGN: Postal questionnaire followed up, if necessary, by two reminders at two week intervals. Retest questionnaires were administered postally at two weeks in the first study and at one week in the second study. SETTING: Outpatient clinics and four training general practices in Grampian region in the north east of Scotland (study 1); a gastroenterology outpatient clinic in Aberdeen Royal Hospitals Trust (study 2). PATIENTS: 1787 patients presenting with one of four conditions: low back pain, menorrhagia, suspected peptic ulcer, and varicose veins and identified between March and June 1991 (study 1) and 573 patients attending a gastroenterology clinic in April 1993. MAIN MEASURES: Assessment of internal consistency reliability with Cronbach's alpha coefficient and of test-retest reliability with the Pearson correlation coefficient and confidence interval analysis. RESULTS: In study 1, 1317 of 1746 (75.4%) correctly identified patients entered the study and in study 2, 549 of 573 (95.8%). Both methods of assessing reliability produced similar results for most of the SF 36 scales. The most conservative estimates of reliability gave 95% confidence intervals for an individual patient's score difference ranging from -19 to 19 for the scales measuring physical functioning and general health perceptions, to -65.7 to 65.7 for the scale measuring role limitations attributable to emotional problems. In a controlled clinical trial with sample sizes of 65 patients in each group, statistically significant differences of 20 points can be detected on all eight SF 36 scales. CONCLUSIONS: All eight scales of the SF 36 questionnaire show high reliability when used to monitor health in groups of patients, and at least four scales possess adequate reliability for use in managing individual patients. Further studies are required to test the feasibility of implementing the SF 36 and other outcome measures in routine clinical practice within the health service.  (+info)



Developmental


  • The Developmental Disabilities Institute at Wayne State University, in collaboration with the United Cerebral Palsy Association in Michigan, conducted a one-year study to investigate the prevalence and correlates of, and service system capacity related to, domestic abuse among women with physical disabilities in Michigan. (umich.edu)

Physical


  • In the past few years it has become alarmingly clear that women with disabilities are at an extremely high risk for emotional, sexual, and physical assault. (umich.edu)
  • The study aimed to address the following research questions: (1) What is the prevalence of domestic violence among a sample of women with physical disabilities? (umich.edu)
  • 2) What potential factors for domestic violence exist among women with physical disabilities? (umich.edu)
  • and (3) What is the capacity of existing support programs (e.g., safe houses, shelters, and service agencies) to assist women with physical disabilities? (umich.edu)
  • The population for this study was women over the age of 18 who had physical disabilities. (umich.edu)
  • The substitute Standards of Learning evaluation program is for a limited number of students with disabilities who cannot be accommodated on the Standards of Learning tests because of unique physical, sensory, or mental disabilities. (virginia.gov)

Learning


  • The Board of Education approves the proposed substitute Standards of Learning evaluation program and directs the Department of Education to prepare implementation guidelines for distribution to school divisions. (virginia.gov)
  • Under the proposed provisions, the individualized education program (IEP) team or the student's 504 committee may prepare an evaluation plan for the student if there is evidence that he or she can master the content covered by the Standards of Learning, but cannot take the Standards of Learning tests even with the existing accommodations. (virginia.gov)

Services


  • UNDP has mainstreamed support to persons with disabilities in 70 countries assisting governments to include persons with disabilities within wider development initiatives targeting sectors, regions or issues, in particular access to services -as in Belarus. (undp.org)
  • In Rwanda, UNDP supported the Union for the Deaf People, to increase Deaf youth participation in the promotion of the rights of People with Disabilities by increasing awareness, and advocating towards leaders and duty bearers towards improving access of people living with disabilities to gender-responsive health information and services. (undp.org)

result


  • As a result, persons with disabilities have been included in the Zambian definition of key populations in the revised HIV strategic framework. (undp.org)

people


  • When people need to file for disability, Social Security doesn't make it easy. (getitdonewithoutlawyers.com)
  • In Lebanon, the Lebanese Elections Assistance Project is providing technical support to facilitate the participation of persons with disabilities in the elections in consultation with the major local Union of the people with disabilities. (undp.org)
  • The course provides insights on various issues related to integrating and working with people with disabilities, including issues of reasonable accommodation and universal design. (undp.org)

make


  • The Departments of Defense (DoD) and Veterans Affairs (VA) worked together to make disability evaluation seamless, simple, fast and fair. (va.gov)

file


  • Pre-discharge programs provide Servicemembers with the opportunity to file claims for disability compensation up to 180 days prior to separation or retirement from active duty or full-time National Guard or Reserve duty (Titles 10 and 32). (va.gov)

include


  • Other corporate efforts to support disability-inclusive development include our Social and Environmental Standards as of 2015, which aim to help the organization to avoid or mitigate unintended negative consequences of programming, including promoting the Convention on the Rights of Persons with Disabilities in our development efforts. (undp.org)
  • Variables in Parts 1 and 2 include type of disability, type of personal assistance needed, and whether the respondent was ever physically, emotionally, or sexually abused. (umich.edu)

resources


  • UNDP is also developing ICT solutions to facilitate access to vocational training and educational resources for youth and children living with disabilities. (undp.org)

areas


  • UNDP has made targeted efforts in 29 countries in which work has focused directly on improving the condition of persons with disabilities across the three thematic areas of our Strategic Plan. (undp.org)

benefits


  • Everyone knows that Social Security Disability Insurance (SSDI) and Supplemental Security Income (SSI) benefits can be extremely difficult to obtain. (getitdonewithoutlawyers.com)

social


  • To generate an even more powerful representation, our Advocates have completed extensive training to handle SSDI (Social Security Disability Insurance) or SSI (Supplemental Security Income) claims from start to finish. (getitdonewithoutlawyers.com)
  • In Bangladesh, UNDP is providing technical assistance to the National Human Rights Commission in monitoring implementation of the International Convention on the Rights of Persons with Disabilities, and supporting the Government in developing an inclusive National Social Security Strategy. (undp.org)

claims


duty


  • It is to your advantage to submit your disability compensation claim prior to separation, retirement, or release from active duty or demobilization. (va.gov)
  • The "Integrated Disability Evaluation System (IDES) Examination" is used to determine a Servicemember's fitness for duty. (va.gov)
  • If the Servicemember is found medically unfit for duty, the IDES gives them a proposed VA disability rating before they leave the service. (va.gov)

years


  • I am pleased to present the Management Response to the evaluation of the role of UNDP in supporting disability-inclusive development over the last 10 years, from 2006 - 2016. (undp.org)