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https://www.readbyqxmd.com/read/29701601/do-state-physician-health-programs-encourage-referrals-that-violate-the-americans-with-disabilities-act
#1
Nicholas D Lawson, J Wesley Boyd
The websites of many physician health programs provide lists describing signs of impairment or indications to refer physician-employees for evaluation and possible treatment. This study aimed (1) to determine how many of these descriptions likely provide physicians' employers with sufficient evidence to legally request mental health examinations under the general regulations of the Americans with Disabilities Act (ADA); and (2) to find out who they described. The authors applied US Equal Employment Opportunity Commission guidance documents and sought expert legal advice to evaluate the descriptions for their consistency with the ADA...
January 2018: International Journal of Law and Psychiatry
https://www.readbyqxmd.com/read/29628052/promoting-best-practice-for-perinatal-care-of-deaf-women
#2
REVIEW
Lori J Hubbard, Elizabeth D'Andrea, Luke A Carman
To evaluate perinatal nursing care for Deaf women, we conducted a pilot, descriptive study exploring women's prenatal, labor, and postpartum experiences. We used the Quality and Safety Education for Nurses (QSEN) framework to analyze women's responses and to explore implications for practice. Themes and women's stories are presented within the QSEN structure to promote informed and individualized perinatal nursing care for Deaf families. It is essential for nurses to stay abreast of resources and technological advances and to use culturally competent principles of communication...
April 2018: Nursing for Women's Health
https://www.readbyqxmd.com/read/29613877/killing-me-sovereignly-the-quiet-demise-of-the-americans-with-disabilities-act
#3
Michelle Miller, Leslie Neal-Boylan
PURPOSE: The aim of the study was to make rehabilitation nurses aware that the Supreme Court has limited some of the protections afforded by the Americans With Disabilities Act (1990) on the basis of "sovereign immunity." METHODS: The authors use the case review method to analyze Supreme Court cases and alternatives for people with disabilities discriminated against because of the state in which they live. FINDINGS: Sovereign immunity makes it more difficult for a disabled person to bring a lawsuit against a state government (as an employer or provider of a public service) under the Americans With Disabilities Act...
April 3, 2018: Rehabilitation Nursing: the Official Journal of the Association of Rehabilitation Nurses
https://www.readbyqxmd.com/read/29584559/health-services-use-and-costs-for-americans-with-intellectual-and-developmental-disabilities-a-national-analysis
#4
Glenn T Fujiura, Henan Li, Sandy Magaña
Health services and associated costs for adults with intellectual and developmental disabilities (IDD) were nationally profiled and the predictors of high expense users statistically modeled. Using linked data from the National Health Interview Survey and Medical Expenditure Panel Survey for the years 2002 through 2011, the study found a mixed pattern of differences in rates of service use and costs when compared to the general population depending upon personal characteristics, health status, and type of health care service...
April 2018: Intellectual and Developmental Disabilities
https://www.readbyqxmd.com/read/29550965/workplace-experiences-and-turnover-intention-among-adult-survivors-of-childhood-cancer
#5
Deborah B Crom, Kirsten K Ness, Larry R Martinez, Michelle R Hebl, Leslie L Robison, Melissa M Hudson, Tara M Brinkman
PURPOSE: The purpose of this study was to investigate workplace experiences and turnover intention (consideration of leaving or changing a job) and to examine factors associated with turnover intention among survivors. METHODS: Adult survivors of childhood cancer with a history of employment (n = 289) completed measures of workplace experiences (n = 50, 18-29 years; n = 183, 30-44 years; n = 56; > 45 years of age at follow-up). Turnover intention was assessed using three items from the Job Satisfaction Scale...
March 17, 2018: Journal of Cancer Survivorship: Research and Practice
https://www.readbyqxmd.com/read/29522366/effects-of-bilateral-swing-away-grab-bars-on-the-biomechanics-of-stand-to-sit-and-sit-to-stand-toilet-transfers
#6
Su Jin Lee, Ricky Mehta-Desai, Kyunggeune Oh, Jon Sanford, Boris I Prilutsky
PURPOSE: Kinetic characteristics of transfers to and from a toilet performed using bilateral grab bars are not fully quantified to inform grab bar design and configuration. The purpose of this study was to (1) determine effects of bilateral swing-away grab bars on peaks of ankle, knee and hip joint moments during grab bar assisted stand-to-sit and sit-to-stand transfers; and (2) determine effects of three different heights and widths of swing-away grab bars on the same kinetic characteristics...
March 9, 2018: Disability and Rehabilitation. Assistive Technology
https://www.readbyqxmd.com/read/29510972/adapting-the-wii-fit-balance-board-to-enable-active-video-game-play-by-wheelchair-users-user-centered-design-and-usability-evaluation
#7
Mohanraj Thirumalai, William B Kirkland, Samuel R Misko, Sangeetha Padalabalanarayanan, Laurie A Malone
BACKGROUND: Active video game (AVG) playing, also known as "exergaming," is increasingly employed to promote physical activity across all age groups. The Wii Fit Balance Board is a popular gaming controller for AVGs and is used in a variety of settings. However, the commercial off-the-shelf (OTS) design poses several limitations. It is inaccessible to wheelchair users, does not support the use of stabilization assistive devices, and requires the ability to shift the center of balance (COB) in all directions to fully engage in game play...
March 6, 2018: JMIR Rehabilitation and Assistive Technologies
https://www.readbyqxmd.com/read/29496975/protecting-rights-of-children-with-medical-complexity-in-an-era-of-spending-reduction
#8
Jane Perkins, Rishi Agrawal
Children with medical complexity (CMC) often require multiple services across the continuum of care, such as therapies and home nursing. However, sufficient access to needed services is not assured and varies considerably by payer, many of whom who face pressures to control health spending. In this article, we review the rights of CMC in Medicaid, the Children's Health Insurance Program, and various forms of private health insurance to receive services that are necessary to promote optimal health, development, and family functioning...
March 2018: Pediatrics
https://www.readbyqxmd.com/read/29414142/rationale-and-design-of-a-pilot-study-examining-acceptance-and-commitment-therapy-for-persistent-pain-in-an-integrated-primary-care-clinic
#9
Kathryn E Kanzler, Patricia J Robinson, Donald D McGeary, Jim Mintz, Jennifer Sharpe Potter, Mariana Muñante, Eliot J Lopez, Donald M Dougherty, Willie J Hale, Dawn I Velligan
Most of the 100 million Americans with persistent pain are treated in primary care clinics, but evidence-based psychosocial approaches targeting pain-related disability are not usually provided in these settings. This manuscript describes the rationale and methods for a protocol to pilot test the feasibility and effectiveness of Acceptance and Commitment Therapy (ACT), an evidence-based psychological treatment for persistent pain, delivered by a Behavioral Health Consultant in primary care. Eligible patients are identified through electronic health record registries and invited to participate via secure messaging, letters and a follow-up phone call...
March 2018: Contemporary Clinical Trials
https://www.readbyqxmd.com/read/29393694/rights-language-and-disorders-of-consciousness-a-call-for-advocacy
#10
Joseph J Fins, Megan S Wright
Drawing upon sources in neuroethics, civil rights, and disability rights law, we argue for the reintegration of people with severe brain injury back into the nexus of their families and communities consistent with the Americans with Disabilities Act (ADA) and the UN Convention on the Rights of Persons with Disabilities, both of which call for the maximal integration of people with disability into society. To this end, we offer a rights-based argument to address the care of people with severe brain injury. Instead of viewing the provision of rehabilitation as a reimbursement issue, which it surely is, we argue that it can be productively understood as a question of civil rights for a population generally segregated from the medical mainstream and from society itself...
2018: Brain Injury: [BI]
https://www.readbyqxmd.com/read/29391919/fragranced-consumer-products-effects-on-asthmatics
#11
Anne Steinemann
Fragranced consumer products, such as cleaning supplies, air fresheners, and personal care products, can emit a range of air pollutants and trigger adverse health effects. This study investigates the prevalence and types of effects of fragranced products on asthmatics in the American population. Using a nationally representative sample ( n  = 1137), data were collected with an on-line survey of adults in the USA, of which 26.8% responded as being medically diagnosed with asthma or an asthma-like condition...
2018: Air Quality, Atmosphere, & Health
https://www.readbyqxmd.com/read/29208796/comparative-evaluation-of-tensile-strength-in-die-stone-incorporated-with-sodium-and-calcium-hypochlorite-as-disinfectants-an-in-vitro-study
#12
N R Pramodh, C N Vijay Kumar, M R Pradeep, Ravi Naik, C S Mahesh, Manju R Kumari
AIM: The aim of this study was to evaluate the tensile strength of die stone incorporated with sodium and calcium hypochlorite as disinfectants. MATERIALS AND METHODS: Two commercially available type IV die stone (Kalrock: Kalabhai Karson Pvt., Ltd and Pearlstone: Asian Chemicals) and two commercially available disinfectant solutions (sodium hypochlorite and calcium hypochlorite: Beachem Laboratory Chemical Private Limited, Chennai and Leo Chem Private Limited, Bengaluru) were used in this study, and the tensile strength was measured using Lloyd's Universal Testing Machine...
December 1, 2017: Journal of Contemporary Dental Practice
https://www.readbyqxmd.com/read/29176829/tobacco-industry-attempts-to-frame-smoking-as-a-disability-under-the-1990-americans-with-disabilities-act
#13
Yvette van der Eijk, Stanton A Glantz
Using the Truth Tobacco Industry Documents Library and Congressional records, we examined the tobacco industry's involvement with the 1990 Americans with Disabilities Act (ADA). During legislative drafting of the ADA (1989-1990), the Tobacco Institute, the tobacco industry's lobbying and public relations arm at the time, worked with industry lawyers and civil rights groups to include smoking in the ADA's definition of "disability." Focus was on smoking as a perceived rather than actual disability so that tobacco companies could maintain that smoking is not addictive...
2017: PloS One
https://www.readbyqxmd.com/read/29154307/ada-title-i-allegations-and-the-mining-quarrying-and-oil-gas-extraction-industry
#14
Todd A Van Wieren, Laura Rhoades, Brian T McMahon
BACKGROUND: The majority of research about employment discrimination in the U.S. Mining, Quarrying, and Oil/Gas (MQOGE) industries has concentrated on gender and race, while little attention has focused on disability. OBJECTIVE: To explore allegations of Americans with Disabilities Act (ADA) Title I discrimination made to the Equal Employment Opportunity Commission (EEOC) by individuals with disabilities against MQOGE employers. METHODS: Key data available to this study included demographic characteristics of charging parties, size of employers, types of allegations, and case outcomes...
2017: Work: a Journal of Prevention, Assessment, and Rehabilitation
https://www.readbyqxmd.com/read/29035664/understanding-of-how-older-adults-with-low-vision-obtain-process-and-understand-health-information-and-services
#15
Hyung Nam Kim
INTRODUCTION: Twenty-five years after the Americans with Disabilities Act, there has still been a lack of advancement of accessibility in healthcare for people with visual impairments, particularly older adults with low vision. This study aims to advance understanding of how older adults with low vision obtain, process, and use health information and services, and to seek opportunities of information technology to support them. METHODS: A convenience sample of 10 older adults with low vision participated in semi-structured phone interviews, which were audio-recorded and transcribed verbatim for analysis...
October 16, 2017: Informatics for Health & Social Care
https://www.readbyqxmd.com/read/28952364/beyond-ada-accessibility-requirements-meeting-seniors-needs-for-toilet-transfers
#16
Su Jin Lee, Jon Sanford, Margaret Calkins, Sarah Melgen, Sarah Endicott, Anjanette Phillips
PURPOSE: To identify the optimal spatial and dimensional requirements of grab bars that support independent and assisted transfers by older adults and their care providers. BACKGROUND: Although research has demonstrated that toilet grab bars based on the Americans with Disabilities Act (ADA) Accessibility Standards do not meet the needs of older adults, the specific dimensional requirements for alternative configurations are unknown. METHODS: A two-phased study with older adults and care providers in residential facilities was conducted to determine the optimal requirements for grab bars...
January 1, 2017: HERD
https://www.readbyqxmd.com/read/28937443/reducing-disability-durations-and-medical-costs-for-patients-with-a-carpal-tunnel-release-surgery-through-the-use-of-opioid-prescribing-guidelines
#17
Fraser W Gaspar, Roman Kownacki, Catherine S Zaidel, Craig F Conlon, Kurt T Hegmann
OBJECTIVE: The impacts of compliance with opioid prescribing guidelines on disability durations and medical costs for carpal tunnel release (CTR) were examined. METHODS: Using a dataset of insured US employees, opioid prescriptions for 7840 short-term disability cases with a CTR procedure were identified. Opioids prescriptions were compared with the American College of Occupational and Environmental Medicine (ACOEM)'s opioid prescribing guidelines for postoperative, acute pain, which recommends no more than a 5-day supply, a maximum morphine equivalent dose of 50 mg/day, and only short-acting opioids...
December 2017: Journal of Occupational and Environmental Medicine
https://www.readbyqxmd.com/read/28922173/accommodating-individuals-with-traumatic-brain-injury-an-analysis-of-employer-initiated-cases-handled-by-the-job-accommodation-network
#18
D J Hendricks, Elaine Sampson
BACKGROUND: The Job Accommodation Network (JAN) has provided customized accommodation information to employers, individuals with disabilities, and their representatives (e.g., family, rehabilitation counselors, union representatives) since 1983. For each inquiry where such information is sought, detailed records are maintained regarding the type of inquiries made and the information provided. OBJECTIVE: The objective of the current study is to present a descriptive analysis of the employer-initiated cases related to traumatic brain injury (TBI) handled by the accommodation specialists at JAN during the five years from 2012 through 2016...
September 14, 2017: Work: a Journal of Prevention, Assessment, and Rehabilitation
https://www.readbyqxmd.com/read/28876218/deaf-workers-in-restaurant-retail-and-hospitality-sector-employment-harnessing-research-to-promote-advocacy
#19
Hayley Stokar
A quarter-century after the passage of the Americans with Disabilities Act (ADA, 1990 ), workplace accommodation is still a struggle for deaf employees and their managers. Many challenges are the result of communication barriers that can be overcome through much needed-although often absent-advocacy and training. This article highlights the literature on the employment of deaf individuals in the United States service industries of food service, retail, and hospitality conducted from 2000 to 2016. Exploring dimensions of both hiring and active workplace accommodation, suggestions are made for how social work advocates can harness information and strengthen their approaches for educating managers and supporting workers...
July 2017: Journal of Social Work in Disability & Rehabilitation
https://www.readbyqxmd.com/read/28874932/emergency-department-use-across-88-small-areas-after-affordable-care-act-implementation-in-illinois
#20
Joe Feinglass, Andrew J Cooper, Kelsey Rydland, Emilie S Powell, Megan McHugh, Raymond Kang, Scott M Dresden
INTRODUCTION: This study analyzes changes in hospital emergency department (ED) visit rates before and after the 2014 Affordable Care Act (ACA) insurance expansions in Illinois. We compare the association between population insurance status change and ED visit rate change between a 24-month (2012-2013) pre-ACA period and a 24-month post-ACA (2014-2015) period across 88 socioeconomically diverse areas of Illinois. METHODS: We used annual American Community Survey estimates for 2012-2015 to obtain insurance status changes for uninsured, private, Medicaid, and Medicare (disability) populations of 88 Illinois Public Use Micro Areas (PUMAs), areas with a mean of about 90,000 age 18-64 residents...
August 2017: Western Journal of Emergency Medicine
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