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Disability accommodation

Gillian King, Yukari Seko, Lisa A Chiarello, Laura Thompson, Laura Hartman
PURPOSE: Children's resiliency is seen as important in pediatric rehabilitation, but is seldom the focus of research or intervention. This article presents a resiliency framework to inform pediatric rehabilitation research, service design, and practice. METHODS: The development of the framework was guided by a transactional, life course perspective, and a review of self-constructs in the resiliency literature. RESULTS: The framework comprises health-related adversities, self-capacities, self-regulatory processes, and adaptive benefits...
November 14, 2018: Disability and Rehabilitation
Laura B Kezar, Kristi L Kirschner, Daniel M Clinchot, Elisa Laird-Metke, Philip Zazove, Raymond H Curry
The medical profession first addressed the need for technical standards (TS), defining the non-academic requirements deemed essential for participation in an educational program, in guidelines published by the Association of American Medical Colleges in 1979. Despite many changes in the practice of medicine and legal, cultural, and technological advances that afford greater opportunities for people with disabilities, the profession's approach to TS largely has not changed over the ensuing four decades. Although physicians with disabilities bring unique perspectives to medicine and contribute to a diverse physician workforce of culturally-competent practitioners, they remain underrepresented in the profession...
November 5, 2018: Academic Medicine: Journal of the Association of American Medical Colleges
Maria Agaliotis, Martin G Mackey, Stephen Jan, Marlene Fransen
BACKGROUND: People with chronic knee pain may opt to continue to work without seeking specific ergonomic adaptations or disclose the existence or severity of their pain to work colleagues or supervisors due to the pressures of maintaining employment. To gain a deep personal perspective on how people with chronic knee pain cope while working [7, 8, 17, 18], qualitative research methods are a useful way of in encouraging meaningful discussion amongst workers with chronic knee pain of potential work-related strategies to minimize their work-related disability...
October 25, 2018: Work: a Journal of Prevention, Assessment, and Rehabilitation
Nur Amirah Abd Samad, Ismail Said, Asiah Abdul Rahim
Access to our buildings relies to the accessibility of its external environment and the route taken. Developments and planning in urban areas has many several requirements and restrictions. Planning accessibility for Malaysian built environment is achievable by designing in compliance to the requirements enforced by authorities. Accessible design is commonly associated with providing facilities for Persons with Disabilities (PwDs), the issue that is often brought up is the inaccessibility of the external environment and lacking of seamless connectivity between buildings and the outdoor...
2018: Studies in Health Technology and Informatics
Mary W Hildebrand, Jason Brinkley, Sarah Timmons, Felice Mendez
PURPOSE: Farmers are at high risk for losing their occupation because of their susceptibility for developing chronic conditions and incurring injuries. Although, occupational and physical therapists have basic education in return-to-work methods, specialty training is needed to help farmers with disabilities. The North Carolina AgrAbility Partnership, part of the U.S. Department of Agriculture's supported AgrAbility Program, implemented an exploratory survey of North Carolina occupational and physical therapists before developing training curricula for working with farmers...
October 23, 2018: Journal of Agromedicine
L F Rose, E J Wolf, T Brindle, A Cernich, W K Dean, C L Dearth, M Grimm, A Kusiak, R Nitkin, K Potter, B J Randolph, F Wang, D Yamaguchi
Regenerative rehabilitation is the synergistic integration of principles and approaches from the regenerative medicine and rehabilitation fields, with the goal of optimizing form and function as well as patient independence. Regenerative medicine approaches for repairing or replacing damaged tissue or whole organs vary from utilizing cells (e.g., stem cells), to biologics (e.g., growth factors), to approaches using biomaterials and scaffolds, to any combination of these. While regenerative medicine offers tremendous clinical promise, regenerative rehabilitation offers the opportunity to positively influence regenerative medicine by inclusion of principles from rehabilitation sciences...
2018: NPJ Regenerative Medicine
Megan J McAuliffe, Philip J Schluter, Hamish A Jamieson
PURPOSE: Research on the prevalence of communication disability among community living older adults is scant, and often suffers from limitations. Using a national database, this study presents an epidemiological profile of communication disability in older community residents within New Zealand and examines whether ethnic populations are disproportionately represented. METHOD: Since 2012, all New Zealand community care recipients have undergone a standardised needs assessment, which includes questions directed at expressive and receptive language abilities...
October 15, 2018: International Journal of Speech-language Pathology
Alice L Tang, Adam Miller, Samantha Hauff, Charles M Myer, Vinita Takiar, Rebecca J Howell, Jonathan R Mark
OBJECTIVES/HYPOTHESIS: This study evaluates the existence and nature of maternity and paternity leave policies for residents during otolaryngology training. The study sought to survey program directors (PDs) on the impact of parental leave. STUDY DESIGN: Cross-sectional survey. METHODS: An electronic survey was sent to 103 otolaryngology residency PDs. A link to a 10-page, 30-question survey was provided. Descriptive statistics and comments were collected...
October 12, 2018: Laryngoscope
Rosalind Kalb, Meghan Beier, Ralph Hb Benedict, Leigh Charvet, Kathleen Costello, Anthony Feinstein, Jeffrey Gingold, Yael Goverover, June Halper, Colleen Harris, Lori Kostich, Lauren Krupp, Ellen Lathi, Nicholas LaRocca, Ben Thrower, John DeLuca
PURPOSE: To promote understanding of cognitive impairment in multiple sclerosis (MS), recommend optimal screening, monitoring, and treatment strategies, and address barriers to optimal management. METHODS: The National MS Society ("Society") convened experts in cognitive dysfunction (clinicians, researchers, and lay people with MS) to review the published literature, reach consensus on optimal strategies for screening, monitoring, and treating cognitive changes, and propose strategies to address barriers to optimal care...
November 2018: Multiple Sclerosis: Clinical and Laboratory Research
Kristin M Graham, Brian T McMahon, Jeong Han Kim, Paige Simpson, Megan C McMahon
OBJECTIVE: The aim of this study was twofold: (a) to explore patterns of discrimination in relation to broad-basis categories of disability and (b) to investigate patterns of discrimination between allegations derived from charging parties with sensory impairments versus those with nonsensory impairments. Basis categories included physical, behavioral, neurological, and sensory impairments. RESEARCH METHOD: Database mining, descriptive analysis, and Pearson's chi-square analyses were utilized to compare broad-basis categories...
October 8, 2018: Rehabilitation Psychology
Elizabeth A Mapelli
This Comment will focus on Uber and its obligations under the Americans with Disabilities Act (ADA). While it may seem logical that Uber should adhere to the same ADA regulations as taxis, the relevant ADA provision only applies to private entities that are primarily engaged in the business of transporting people. To avoid these regulations, Uber asserts that it is primarily a technology company, rather than primarily a transportation company. However, the more expansive approach, consistent with the ADA's purpose of eliminating discrimination against persons with disabilities, is to classify Uber's services as public accommodations...
2018: American University Law Review
Monique A M Gignac, Vicki Kristman, Peter M Smith, Dorcas E Beaton, Elizabeth M Badley, Selahadin Ibrahim, Cameron A Mustard
The aging of workforces combined with the prevalence of age-related chronic diseases has generated interest in whether large numbers of older workers will need workplace accommodations. This research applied work functioning theory to examine accommodation availability, need and use in workers with arthritis, diabetes, or no chronic disabling diseases; factors associated with accommodation needs; and the relationship of accommodation needs met, unmet or exceeded to job outcomes. Participants were aged 50-67 years, employed, and had arthritis ( n = 631), diabetes ( n = 286), both arthritis/diabetes ( n = 111) or no chronic disabling conditions (healthy controls n = 538)...
September 2018: Work, Aging and Retirement
Emanuele Marzetti, Matteo Cesari, Riccardo Calvani, Jérôme Msihid, Matteo Tosato, Leocadio Rodriguez-Mañas, Fabrizia Lattanzio, Antonio Cherubini, Raphaël Bejuit, Mauro Di Bari, Marcello Maggio, Bruno Vellas, Thierry Dantoine, Alfonso J Cruz-Jentoft, Cornel C Sieber, Ellen Freiberger, Anna Skalska, Tomasz Grodzicki, Alan J Sinclair, Eva Topinkova, Ingrid Rýznarová, Timo Strandberg, Annemie M W J Schols, Jos M G A Schols, Regina Roller-Wirnsberger, Pálmi V Jónsson, Alfons Ramel, Susanna Del Signore, Marco Pahor, Ronenn Roubenoff, Roberto Bernabei, Francesco Landi
BACKGROUND: The ongoing "Sarcopenia and Physical fRailty IN older people: multi-componenT Treatment strategies (SPRINTT)" randomized controlled trial (RCT) is testing the efficacy of a multicomponent intervention in the prevention of mobility disability in older adults with physical frailty & sarcopenia (PF&S). Here, we describe the procedures followed for PF&S case finding and screening of candidate participants for the SPRINTT RCT. We also illustrate the main demographic and clinical characteristics of eligible screenees...
September 24, 2018: Experimental Gerontology
Benedetta Persechino, Luca Fontana, Giuliana Buresti, Grazia Fortuna, Antonio Valenti, Sergio Iavicoli
Several studies evaluated whether a person with multiple sclerosis is employed or not and investigated the main symptoms that hinder the job performance. However, despite occupational physicians are fundamental in managing disabled subjects, there is a serious lack of data regarding their role in improving employability of these workers. In this regard, we assessed occupational physicians' professional activity and training/updating needs in order to identify and develop management tools, operative procedures and training programs helpful to support and implement adequate job-retention strategies...
September 21, 2018: Industrial Health
Lisa M Meeks, Kurt Herzer, Neera R Jain
Nearly one-fifth of the U.S. population has a disability, and many of these Americans experience disparities in the health care they receive. In part, these health care disparities result from a lack of understanding about disability by health care providers. The education of physicians is grounded in a biomedical model that emphasizes pathology, impairment, or dysfunction, rather than a social model of disability that focuses on removing barriers for individuals with disabilities and improving their capabilities...
April 2018: Academic Medicine: Journal of the Association of American Medical Colleges
Navneet Kaur Baidwan, Susan G Gerberich, Hyun Kim, Andrew D Ryan, Timothy R Church, Benjamin Capistrant
BACKGROUND: Age may affect one's susceptibility to the myriad physical hazards that may pose risks for work-related injuries. Aging workers are not only at risk for work-related injuries but, also, at even higher risk for more severe health and work-related consequences. However, limited longitudinal research efforts have focused on such injuries among the aging workforce. This study aimed to investigate the association between physical work-related factors and injuries among United States (U...
September 24, 2018: Injury Epidemiology
Thomas Edwards, Robert W Motl, Emerson Sebastião, Lara A Pilutti
BACKGROUND: Exercise training has been shown to be beneficial for persons with multiple sclerosis (MS). Adapted exercise modalities are needed to accommodate those with severe mobility impairment (Expanded Disability Status Scale [EDSS] scores 5.5-6.5). Functional electrical stimulation (FES) cycling is one such exercise modality; however, few studies have examined the feasibility and potential benefits of FES cycling for people with MS with severe mobility impairment. OBJECTIVE: Determine the feasibility of FES cycling exercise for people with MS with severe mobility impairment, and the efficacy of FES cycling exercise for improving mobility and physiological fitness...
September 8, 2018: Multiple Sclerosis and related Disorders
Alix Gould-Werth, Katherine Morrison, Yonatan Ben-Shalom
Introduction Timely and appropriate accommodations can help employees who experience disabilities stay at work instead of exiting the labor force. Employers can play a critical role in connecting such workers with the accommodations they need. This qualitative study seeks to inform policy makers who want to improve workforce retention outcomes by uncovering factors that affect whether employers provide accommodations to, and ultimately retain, employees with disabilities. Methods We conducted semistructured interviews with a convenience sample of human resources professionals in 14 Arkansas-based employers, yielding detailed information on 50 cases in which an employee developed or disclosed a disability...
September 14, 2018: Journal of Occupational Rehabilitation
Emily M Agree, Douglas A Wolf
The Health and Retirement Study (HRS) has provided extensive and detailed national data on disability since it began in 1992, and has been used extensively in studies of disability trends and trajectories. We summarize conceptual frameworks used to characterize disability and review the HRS measures of functioning, work disability, and employer accommodations. HRS survey questions have experienced changes in wording, skip logic, or other design features over the life of the study, and we comment on the analytic challenges posed by those changes...
October 31, 2017: Forum for Health Economics & Policy
Marloes Heutmekers, Geraline L Leusink
OBJECTIVE: To compare use of the GP cooperative and the level of urgency among people with intellectual disabilities (ID) who live in sheltered accommodation with that of the general population. DESIGN: Cross-sectional study. METHOD: We investigated all healthcare-contact moments in 2014 among 432,582 people living in the servicearea covered by two GP cooperatives in one region of the Netherlands (Boxmeer, Nijmegen). In this region a total of 1,448 people with ID living in sheltered accommodation were identified on the basis of address details...
July 27, 2018: Nederlands Tijdschrift Voor Geneeskunde
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