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https://www.readbyqxmd.com/read/28535546/cost-utility-analysis-of-lumbar-interlaminar-epidural-injections-in-the-treatment-of-lumbar-disc-herniation-central-spinal-stenosis-and-axial-or-discogenic-low-back-pain
#1
Laxmaiah Manchikanti, Vidyasagar Pampati, Ramsin M Benyamin, Joshua A Hirsch
BACKGROUND: Cost utility or cost effective analysis continues to take center stage in the United States for defining and measuring the value of treatments in interventional pain management. Appropriate cost utility analysis has been performed for caudal epidural injections, percutaneous adhesiolysis, and spinal cord stimulation. However, the literature pertaining to lumbar interlaminar epidural injections is lacking, specifically in reference to cost utility analysis derived from randomized controlled trials (RCTs) with a pragmatic approach in a practical setting...
May 2017: Pain Physician
https://www.readbyqxmd.com/read/28524710/integrating-end-user-feedback-in-the-concept-stage-of-development-of-a-novel-sensor-access-system-for-environmental-control
#2
Susan Koch Fager, Tabatha Sorenson, Susanne Butte, Alexander Nelson, Nilanjan Banerjee, Ryan Robucci
PURPOSE: This article illustrates user-centred design of a novel sensor access system for environmental control in the concept stage of development. METHODS: Focus groups of individuals with disabilities and rehabilitation healthcare professionals were provided with video illustration of the technology and asked to provide quantitative and qualitative feedback through a semistructured interview process. Qualitative methods were employed to analyse transcribed comments to develop themes supporting ongoing development of the technology...
May 19, 2017: Disability and Rehabilitation. Assistive Technology
https://www.readbyqxmd.com/read/28497568/neuropsychological-phenotypes-of-76-individuals-with-joubert-syndrome-evaluated-at-a-single-center
#3
Angela C Summers, Joseph Snow, Edythe Wiggs, Alexander G Liu, Camilo Toro, Andrea Poretti, Wadih M Zein, Brian P Brooks, Melissa A Parisi, Sara Inati, Dan Doherty, Meghana Vemulapalli, Jim C Mullikin, Thierry Vilboux, William A Gahl, Meral Gunay-Aygun
Joubert syndrome (JS) is a genetically heterogeneous ciliopathy characterized by hypo-dysplasia of the cerebellar vermis, a distinct hindbrain/midbrain malformation (molar tooth sign), and intellectual disability. We evaluated the neuropsychological profiles of 76 participants with JS in the context of molecular genetics and clinical covariates. Evaluations included neuropsychological testing, structured parental interviews, DNA sequencing, brain magnetic resonance imaging (MRI), electroencephalography (EEG), ophthalmologic examination, and assessment for renal and hepatic disease...
May 12, 2017: American Journal of Medical Genetics. Part A
https://www.readbyqxmd.com/read/28486594/apathy-and-impulsivity-in-frontotemporal-lobar-degeneration-syndromes
#4
Claire J Lansdall, Ian T S Coyle-Gilchrist, P Simon Jones, Patricia Vázquez Rodríguez, Alicia Wilcox, Eileen Wehmann, Katrina M Dick, Trevor W Robbins, James B Rowe
Apathy and impulsivity are common and disabling consequences of frontotemporal lobar degeneration. They cause substantial carer distress, but their aetiology remains elusive. There are critical limitations to previous studies in this area including (i) the assessment of either apathy or impulsivity alone, despite their frequent co-existence; (ii) the assessment of behavioural changes within single diagnostic groups; and (iii) the use of limited sets of tasks or questions that relate to just one aspect of these multifactorial constructs...
May 9, 2017: Brain: a Journal of Neurology
https://www.readbyqxmd.com/read/28456614/healthcare-provider-perceptions-of-accessible-exam-tables-in-primary-care-implementation-and-benefits-to-patients-with-and-without-disabilities
#5
Allysha C Maragh-Bass, Joan M Griffin, Sean Phelan, Lila J Finney Rutten, Megan A Morris
BACKGROUND: Recent healthcare mandates require availability of accessible medical exam equipment, which may reduce barriers to care for patients with disabilities (PWD). However, more research is needed to explore healthcare provider views on implementation and routine use of accessible equipment. OBJECTIVE: This study qualitatively explored healthcare provider perceptions of: (1) daily use of accessible medical examination tables with PWD; and (2) recommendations for addressing challenges to using this equipment...
April 12, 2017: Disability and Health Journal
https://www.readbyqxmd.com/read/28447823/the-promise-of-demand-side-employer-based-strategies-to-increase-employment-rates-for-people-living-with-serious-mental-illnesses
#6
Jonathan Delman, Lynn Kovich, Sara Burke, Kevin Martone
OBJECTIVE: This article describes current and promising demand-side strategies to increase job retention and employment rates of people living with serious mental illnesses. The article raises awareness of the potential impact of demand side strategies and generates considerations to implement and evaluate these strategies. METHOD: Information is drawn from peer reviewed research, policy articles and documents, and the authors' direct experiences. RESULTS: Employees with serious mental illnesses struggle to retain jobs due to workplace stigma, difficulty accessing reasonable accommodations, and noneligibility for health benefits...
April 27, 2017: Psychiatric Rehabilitation Journal
https://www.readbyqxmd.com/read/28421684/navigating-the-rolling-hills-of-justice-mental-disabilities-employment-and-the-evolving-jurisprudence-of-the-americans-with-disabilities-act
#7
Lauren Wylonis, Nina T Wylonis, Robert Sadoff
Mental illness and disability affect millions of individuals yearly in the U.S. The most important legislation protecting the mentally disabled in the workplace in the U.S. over the last half century has been the Americans with Disabilities Act (ADA) and its associated legislation and guidance. Although the employee should first request reasonable accommodation with the employer, evaluation by a mental health professional is one of the initial steps for individuals who report significant psychiatric symptoms that are impairing their functioning at work in the U...
March 2017: Behavioral Sciences & the Law
https://www.readbyqxmd.com/read/28420770/accommodating-deaf-and-hard-of-hearing-employees
#8
Holly Stiles
Hearing loss is the 2nd most prevalent health issue around the world; in the US, about 1 in 5 people, and 3 in 5 combat veterans, have some amount of hearing loss [1]. Managers or supervisors will inevitably have an employee who has some degree of hearing loss. Employers have a legal obligation to make reasonable accommodations that enable employees with disabilities, including hearing loss, to be successful in the workplace.
March 2017: North Carolina Medical Journal
https://www.readbyqxmd.com/read/28418762/challenges-persist-under-americans-with-disabilities-act-amendments-act-how-can-oncology-providers-help
#9
Michael Feuerstein, Amanda K Gehrke, Brian T McMahon, Megan C McMahon
PURPOSE: To determine whether the Amendments to the hallmark Americans with Disabilities Act (ADA; effective January 2009), which provide increased access to the antidiscrimination laws for many with chronic illness, are related to changes in workplace discrimination allegations in individuals with a history of cancer. METHODS: Information collected by the Equal Employment Opportunities Commission was used to compare allegations of discrimination and their merit before (2001 to 2008) and after (2009 to 2011) implementation of the Amendments Act...
April 18, 2017: Journal of Oncology Practice
https://www.readbyqxmd.com/read/28397306/a-review-of-cognitive-impairments-in-children-with-intellectual-disabilities-implications-for-cognitive-behaviour-therapy
#10
Anastasia Hronis, Lynette Roberts, Ian I Kneebone
OBJECTIVE: Nearly half of children with intellectual disability (ID) have comorbid affective disorders. These problems are chronic if left untreated and can significantly impact upon future vocational, educational, and social opportunities. Despite this, there is a paucity of research into effective treatments for this population. Notably, one of the most supported of psychological therapies, cognitive behaviour therapy (CBT), remains largely uninvestigated in children with ID. The current review considers the neuropsychological profile of children and adolescents with mild to moderate ID, with a view to informing how CBT might best be adapted for children and adolescents with ID...
June 2017: British Journal of Clinical Psychology
https://www.readbyqxmd.com/read/28394780/attention-deficit-disorder-and-the-americans-with-disabilities-act-is-anyone-paying-attention
#11
Clifford M Koen, Amanda J Carmichael, Kristin E Koen
As millions of individuals who have been given a diagnosis of attention deficit disorder and attention-deficit/hyperactivity disorder enter the workforce, more individuals with these mental impairments are filing claims with the Equal Employment Opportunity Commission under the Americans with Disabilities Act (ADA) as amended in 2008 by the ADA Amendments Act. The ADA forbids employment discrimination based on an individual's disability and also requires employers to make reasonable accommodations for individuals with disabilities...
April 2017: Health Care Manager
https://www.readbyqxmd.com/read/28375801/evidence-and-evidence-based-practices-are-we-there-yet
#12
Robert L Schalock, Laura E Gomez, Miguel A Verdugo, Claudia Claes
The purpose of this article is to move the field of intellectual and closely related developmental disabilities (IDD) towards a better understanding of evidence and evidence-based practices. To that end, we discuss (a) different perspectives on and levels of evidence, (b) commonly used evidence-gathering strategies, (c) standards to evaluate evidence, (d) the distinction between internal and external validity, and (e) guidelines for establishing evidence-based practices. We also describe how the conceptualization and use of evidence and evidence-based practices are changing to accommodate recent trends in the field...
April 2017: Intellectual and Developmental Disabilities
https://www.readbyqxmd.com/read/28355237/identifying-the-effects-of-education-on-the-ability-to-cope-with-a-disability-among-individuals-with-disabilities
#13
Steen Bengtsson, Nabanita Datta Gupta
The literature on disability has suggested that an educated individual with a disability is more likely to better cope with her/his disability than those without education. However, few published studies explore whether the relationship between education and ability to cope with a disability is anything more than an association. Using data on disability and accommodation from a large Danish survey from 2012-13 and exploiting a major Danish schooling reform as a natural experiment, we identified a potential causal effect of education on both economic (holding a job) as well as social (cultural activities, visiting clubs/associations, etc...
2017: PloS One
https://www.readbyqxmd.com/read/28347337/the-effect-of-intervening-hospitalizations-on-the-benefit-of-structured-physical-activity-in-promoting-independent-mobility-among-community-living-older-persons-secondary-analysis-of-a-randomized-controlled-trial
#14
Thomas M Gill, Daniel P Beavers, Jack M Guralnik, Marco Pahor, Roger A Fielding, Michelle Hauser, Todd M Manini, Anthony P Marsh, Mary M McDermott, Anne B Newman, Heather G Allore, Michael E Miller
BACKGROUND: Among older persons, disability is often precipitated by intervening illnesses and injuries leading to hospitalization. In the Lifestyle Interventions and Independence for Elders (LIFE) Study, a structured moderate-intensity physical activity program, compared with a health education program, was shown to significantly reduce the amount of time spent with major mobility disability (MMD) over the course of 3.5 years. We aimed to determine whether the benefit of the physical activity program in promoting independent mobility was diminished in the setting of intervening hospitalizations...
March 28, 2017: BMC Medicine
https://www.readbyqxmd.com/read/28338367/full-participation-of-students-with-physical-disabilities-in-science-and-engineering-laboratories
#15
Hervens Jeannis, James Joseph, Mary Goldberg, Katherine Seelman, Mark Schmeler, Rory A Cooper
PURPOSE: To conduct a literature review identifying barriers and facilitators students with physical disabilities (SwD-P) may encounter in science and engineering (S&E) laboratories. METHOD: Publications were identified from 1991 to 2015 in ERIC, web of science via web of knowledge, CINAHL, SCOPUS, IEEEXplore, engineering village, business source complete and PubMed databases using search terms and synonyms for accommodations, advanced manufacturing, additive manufacturing, assistive technology (AT), barriers, engineering, facilitators, instructor, laboratory, STEM education, science, students with disabilities and technology...
March 24, 2017: Disability and Rehabilitation. Assistive Technology
https://www.readbyqxmd.com/read/28329106/evaluating-distinctions-in-the-assessment-of-late-life-disability
#16
Thomas M Gill, Christianna S Williams
Background: By including categories for accommodations and reduced frequency, to supplement earlier classifications of difficulty and dependence, a new 5-category functional scale has the potential to distinguish finer gradations in disability but the hierarchical nature and advantages of this scale over alternative scales are uncertain. Methods: Using data from the National Health and Aging Trends Study (N = 7,609), we conducted a series of: cross-sectional analyses that focused on the hierarchical consistency of responses in the 5-category scale; and longitudinal analyses that focused on predictive accuracy for mortality and functional dependence, comparing the 5-category scale with three simpler scales, having only three or four categories...
February 22, 2017: Journals of Gerontology. Series A, Biological Sciences and Medical Sciences
https://www.readbyqxmd.com/read/28296516/eye-disorders-among-adult-people-diagnosed-with-infantile-autism-in-childhood-a-longitudinal-case-control-study
#17
Svend Erik Mouridsen, Bente Rich, Torben Isager
PURPOSE: The objective of this study was to compare the prevalence and types of eye disorders in a clinical sample of 118 adult people diagnosed with infantile autism (IA) during childhood with 336 sex- and age-matched controls from the general population. METHODS: All participants were screened through the nationwide Danish National Hospital Register. The average observation time of both groups was 37.2 years, and mean age was 49.6 years, by the end of the observation period...
March 15, 2017: Ophthalmic Epidemiology
https://www.readbyqxmd.com/read/28275086/the-autism-epidemic-ethical-legal-and-social-issues-in-a-developmental-spectrum-disorder
#18
REVIEW
William D Graf, Geoffrey Miller, Leon G Epstein, Isabelle Rapin
Classic autism has gradually evolved into the concept of a larger "spectrum disorder." The rising prevalence of autism and autism spectrum disorder (autism/ASD) diagnoses can be largely attributed to broader diagnostic criteria, adoption of dimensional assessment strategies, increased awareness, linking of services to diagnosis, and the inclusion of milder neurodevelopmental differences bordering on normality. The spectrum disorder diagnosis raises numerous bioethical issues for individuals and society. Three groups of caregivers have important ethical, legal, and social obligations to individuals with autism/ASD: (1) families and advocates of individuals with autism/ASD; (2) health care and other professionals; and (3) governments...
April 4, 2017: Neurology
https://www.readbyqxmd.com/read/28247558/feasibility-of-electronic-peer-mentoring-for-transition-age-youth-and-young-adults-with-intellectual-and-developmental-disabilities-project-teens-making-environment-and-activity-modifications
#19
Jessica M Kramer, Cathryn T Ryan, Rachel Moore, Ariel Schwartz
BACKGROUND: There is a need for mentoring interventions in which transition-age youth and young adults with intellectual and/or developmental disabilities (I/DD) participate as both mentors and mentees. Project TEAM (Teens making Environment and Activity Modifications) is a problem-solving intervention that includes an electronic peer-mentoring component. METHODS: Forty-two mentees and nine mentors with I/DD participated. The present authors analysed recorded peer-mentoring calls and field notes for mentee engagement, mentor achievement of objectives and supports needed to implement peer mentoring...
March 1, 2017: Journal of Applied Research in Intellectual Disabilities: JARID
https://www.readbyqxmd.com/read/28224415/effectiveness-of-workplace-interventions-in-return-to-work-for-musculoskeletal-pain-related-and-mental-health-conditions-an-update-of-the-evidence-and-messages-for-practitioners
#20
REVIEW
K L Cullen, E Irvin, A Collie, F Clay, U Gensby, P A Jennings, S Hogg-Johnson, V Kristman, M Laberge, D McKenzie, S Newnam, A Palagyi, R Ruseckaite, D M Sheppard, S Shourie, I Steenstra, D Van Eerd, B C Amick
Purpose The objective of this systematic review was to synthesize evidence on the effectiveness of workplace-based return-to-work (RTW) interventions and work disability management (DM) interventions that assist workers with musculoskeletal (MSK) and pain-related conditions and mental health (MH) conditions with RTW. Methods We followed a systematic review process developed by the Institute for Work & Health and an adapted best evidence synthesis that ranked evidence as strong, moderate, limited, or insufficient...
February 21, 2017: Journal of Occupational Rehabilitation
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