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Sample records for profoundly mentally handicapped

  1. The life expectancy of profoundly handicapped people with mental retardation.

    Science.gov (United States)

    Eyman, R K; Grossman, H J; Chaney, R H; Call, T L

    1990-08-30

    The life expectancy of people with mental retardation is shorter than that of the general population. Exact estimates of the length of survival for mentally retarded persons at especially high risk are not available, however. We collected data on mortality and other factors for 99,543 persons with developmental disabilities, including mental retardation, who received services from the California Department of Developmental Services between March 1984 and October 1987. Three subgroups were selected on the basis of the four characteristics identified in previous studies as the best predictors of mortality among mentally retarded people (deficits in cognitive function, limitations on mobility, incontinence, and inability to eat without assistance). In all three subgroups, the subjects had severe deficits in cognitive function and were incontinent; the subjects in subgroup 1 (n = 1550) were immobile and required tube feeding; those in subgroup 2 (n = 4513) were immobile but could eat with assistance; those in subgroup 3 (n = 997) were mobile (but not ambulatory) and could eat with assistance. Life tables were generated for each of the three subgroups. Immobile subjects were found to have a much shorter life expectancy than those who could move about. Those who also required tube feeding (subgroup 1) had a very short life expectancy (i.e., four to five additional years). Those who could eat if fed by others (subgroup 2) had an average life expectancy of approximately eight additional years. In contrast, those who were mobile though not ambulatory (subgroup 3) had a life expectancy of about 23 additional years. Severe mental retardation is associated with a decrease in life expectancy, particularly for those who were immobile.

  2. Comparison of Irrational Believes between Mothers of Severe or Profound Mentally Handicapped Children with Healthy Children Mothers

    Directory of Open Access Journals (Sweden)

    Behrouz Hivadi

    2007-10-01

    Full Text Available Objective: The purpose of present research was the comparison of mothers irrational believes with severe or profound mentally handicapped child and mothers with normal child from 6 to14 years old in Tehran city. Materials & Methods: This study was an analytical, cross – sectional and comparative (case – control research. From mothers with severe or profound mentally handicapped child who had refered to Tehran welfare services centers, 80 mothers were selected by regular randomized sampling from two rehabilitation centers and 80 mothers with normal child were selected for peering with the group of testimonial from schools areas of east, west, south, north and center of Tehran, through multi - stage cluster sampling in for variables of: age of mothers, educational levels, the location of living and the number of children. They answered to questionnaire of irrational believes of jons (IBT. Analysis of data was done by descriptive and infringing statistics methods (Independent T test, U Mann Whitney, Chi-square and fisher. Results: The findings showed that: there are significantly differences in total irrational believes and irrational believes of blame proneness, frustration reactive, anxious over concern, problem avoiding and dependency, perfectionism between two groups of mothers (P<0/05. There was no significant difference in irrational believes between mothers who had mental handicap daughter and mothers who had mental handicap son (P=0/314. There was no significantly difference between two groups of mothers in four believes of demand for approval (P=0/737, high-self expectation (P=0/126, emotional irresponsibility (P=0/727, helplessness for change (p=0/283. Conclusion: Irrational believes and many its sub scales. In mothers of severe or profound mental handicap children were more than mothers with normal child. But believes of demand for approval, high self expectation, emotional irresponsibility, helplessness for change in mothers with

  3. Att Tolka Barns Signaler: Gravt utvecklingsstorda flerhandikappade barns lek och kommunikation (To Interpret Childrens' Signals: Play and Communication in Profoundly Mentally Retarded and Multiply Handicapped Children).

    Science.gov (United States)

    Brodin, Jane

    Written in Swedish with an English-language summary, this report describes a study which examined the interaction between mothers or caregivers and their children with profound mental retardation and multiple disabilities, particularly looking at the function of play in communicative interaction. The six children all had five or six handicaps in…

  4. Calcineurin activity in children with Mental handicap.

    Science.gov (United States)

    Bindu, L Hema; Rani, P Usha; Reddy, P P

    2007-09-01

    Calcineurin, a Ca(2+)-Calmodulin dependent protein phosphatase, is important for Ca(2+) mediated signal transduction. The main objective of this study was to examine the potential role of calcineurin in idiopathic mental handicap. Calcineurin levels were estimated in 20 children in the age group of 5-16 years with idiopathic mental handicap attending the Special. Education Centre for the Mentally Handicapped in Hyderabad. The results of the present study showed decreased activity of serum calcineurin in children with idiopathic mental handicap compared to those of normal subjects in the same age group. The observations thus suggest impaired calcineurin activity in children with mental handicap. Calcineurin that is involved in biosynthesis and release of neurotransmitters at the synaptic terminal brain is affected thereby causing brain damage and leading to mental handicap. Impaired calcineurin activity was already indicated in many human diseases such as Down's syndrome, Alzheimers, Brain ischemia, cardiac hypertrophy etc. It is therefore necessary to check the calcineurin levels in children with mental handicap to understand the role of calcineurin in the causation of Mental handicap.

  5. Creative Dramatics: An Outlet for Mental Handicaps

    Science.gov (United States)

    Blumberg, Marvin L.

    1976-01-01

    The United Cerebral Palsy of Queens Center conducted a creative dramatics workshop for mental handicaps. Main objectives of the workshop were personality development and social improvement toward better job potential in the outside employment situation. (TA)

  6. Development of bladder control in mentally handicapped children

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    Bruschini Homero

    2003-01-01

    Full Text Available PURPOSE:To analyze the role of mental handicap as a possible source of lack of development of bladder control and to find out the chance of continence to advise future patients. MATERIALS AND METHODS: The parents and relatives of 100 consecutive mentally handicapped patients were inquired by a personal interview. Questions included the age when they stopped using diapers, enuretic events, frequency, urgency and leakage episodes, urinary infections. Etiology of their mental problem was unknown in 34, perinatal anoxia in 17, Down syndrome in 15, phenylketonuria in 18 and others minors causes. The grade of mental deficiency were profound in 1, severe in 10, moderate in 39, mild in 33 and normal inferior value in 17. The age varied from 7 to 37 years old, with an average of 14 by the time of the interview, comprising 60 males and 40 females. RESULTS: All profound and severe patients presented leakage episodes regardless of the age. The mild and normal inferior value acquired progressive urinary control with aging, and 33% still remain with urinary symptoms above 16 years old. Urinary infection was similar in males and females, around 29%. The most committed group presented less urinary infections. The etiology of the mental handicap was not correlated to the incidence of urinary leakage. CONCLUSIONS: The lack of bladder control was correlated to the grade of mental handicap. In severe and profound groups, the expectancy of control is disappointing. In the less compromised groups, there is a delay in bladder training, with achievement of control in 2/3 after 16 years of age. Those in the normal inferior value have a chance of postponed urinary control, easily misdiagnosed by normal urological interviews.

  7. Orthodontics for mentally handicapped patients [Orthodontie bij pati�nten met een verstandelijke handicap

    NARCIS (Netherlands)

    Remmelink, H.J.

    2006-01-01

    The mentally handicapped exhibit a 3 times higher incidence of malocclusions and related functional problems than the general population. In contrast there is little available literature relating to the orthodontic treatment of handicapped patients. Based on published articles on orthodontic

  8. Personality disorder in mental handicap.

    Science.gov (United States)

    Reid, A H; Ballinger, B R

    1987-11-01

    100 randomly selected mildly or moderately mentally retarded adults were assessed for personality disorder using the Standardized Assessment of Personality devised by Mann et al. (1981). By the terms of this instrument 56% of patients showed features of abnormal personality, and in 22% this abnormality was marked, suggesting the presence of personality disorder. Personality problems may be a more significant factor in assessing a mentally retarded person's acceptability in a community setting than has hitherto been realized.

  9. Mortality of mentally handicapped patients after mass inter-hospital ...

    African Journals Online (AJOL)

    1990-08-18

    Aug 18, 1990 ... Mortality of mentally handicapped patients after mass inter-hospital relocation. ,. L. M. HERING, G. G. W. GEORGE. Summary. Patients and methods. In September 1987847 mentally handicapped patients were moved from A. J. Stals Care and Rehabilitation Centre to. Lentegeur Hospital. A study of the ...

  10. A standardised assessment of personality disorder in mental handicap.

    Science.gov (United States)

    Ballinger, B R; Reid, A H

    1987-01-01

    Forty patients with mild or moderate mental handicap were assessed by two psychiatrists using the scale devised by Mann et al, 1981 which describes abnormalities of personality. Analysis by weighted Kappa showed excellent agreement for some items (introversion, hysterical explosive, sociopathic, anankastic and affective). This questionnaire may be useful in the evaluation of personality in the mentally handicapped.

  11. Personal Integration Resources of Mentally Handicapped Teenagers into Society

    Science.gov (United States)

    Konovalova, Natalia

    2016-01-01

    The paper deals with the issues concerning the study of mentally handicapped teenagers' integrative potential within modernisation of contemporary Russian education. The research is concentrated on the study of personal and social determinants influencing the readiness of mentally handicapped students to be integrated into the environment.…

  12. Behaviour problems in severely mentally handicapped children.

    Science.gov (United States)

    Quine, L

    1986-11-01

    A population study was undertaken in two health districts of children with severe mental handicap. Prevalence figures for behaviour problems are presented. A stratified random sample of 200 families was drawn from the population. Detailed structured interviews were carried out with the children's parents. The children were divided into two groups, comprising those with behaviour problems and those with no problems. There was a significant association between behaviour disorder and incontinence, lack of self-help skills, poor reading, writing and counting skills, and poor communication skills. Environmental correlates were few. There were no differences between groups in family size, birth order, age of parents, marital discord, social class or income. However, behaviour problems were more common in one-parent families. An association was found between maternal stress and problem behaviour. The possible mechanisms underlying this association are discussed.

  13. You Should be Dancin:! The Role of Performing Arts in the Lives of the Severely and Profoundly Handicapped.

    Science.gov (United States)

    Barringer, Mary Dean

    The manual presents a program planning framework and teaching units for teaching dance and movement to severely and profoundly handicapped individuals. The planning framework contains four components: (1) aesthetic perception/multisensory integration; (2) creative expression; (3) dance heritage/historical and cultural; and (4) aesthetic…

  14. The elderly mentally handicapped in hospital: a clinical study.

    Science.gov (United States)

    Day, K A

    1987-06-01

    In a study of 99 long-stay hospital residents aged 65 years and over, two thirds were functioning in the moderately to mildly handicapped range, two thirds were under the age of 75 years and there was an overall female to male ratio of 2:1. As in the general population, mobility problems, a tendency to falls and fractures, cardiorespiratory disease, deteriorating eyesight, and hearing and urinary incontinence were commonly found; all increased in frequency with age. A fifth exhibited psychiatric disorder: the commonest conditions, as expected, were the psychoses and dementia. It is suggested that retirement provision for the elderly mentally handicapped should be made within the mental handicap services and that the small group with significant geriatric problems would be most appropriately cared for within the generic geriatric services. A plea is made for evaluative studies before large scale implementation of resettlement programmes for the elderly mentally handicapped in hospital.

  15. Mortality of mentally handicapped patients after mass inter-hospital ...

    African Journals Online (AJOL)

    In September 1987847 mentally handicapped patients were moved from A. J. Stals Care and Rehabilitation Centre to Lentegeur Hospital. A study of the death rates of patients for 4 years before the move and 18 months afterwards showed a rise in the death rate in the 6-month interval after the move.

  16. Intestinal parasitic infections among mentally handicapped individuals in Alexandria, Egypt.

    Science.gov (United States)

    Shehata, Amany I; Hassanein, Faika

    2015-01-01

    This cross-sectional study was carried to determine the prevalence of intestinal parasitic infections among mentally handicapped individuals in Alexandria, Egypt, in the period from December 2012 till November 2013. The study was conducted on 200 institutionalized and non-institutionalized mentally handicapped individuals. Fresh stool samples were subjected to different stains including; trichrome for detecting intestinal protozoa, modified acid fast stain for intestinal coccidia and quick hot gram chromotrope stain for Microsporidia. Also they were processed by Kato-Katz and formol ethyl acetate techniques for intestinal helminths. Additionally, blood samples were collected for measuring hemoglobin levels. Out of 200 mentally handicapped individuals, 87 (43.5%) were infected. The infection rates were 44.6% and 42.6% for non-institutionalized and institutionalized people, respectively. Regarding gender, 46.7% and 38.5% were reported for the males and females respectively. The most common parasites detected were: Cryptosporidium sp. (23.5%), microsporidia (15%), Giardia lamblia (8.5%), Dientamoeba fragilis (8%), Cyclospora cyatanensis (7.5%), Blastocystis hominis (6.5%), Entamoeba histolytica (5.5%) and Entamoeba coli (2.5%). Rates for Isospora belli and Enterobius vermicularis were estimated to be 1.5% for each, while lower rate was reported for Iodamoeba butschlii (1.0%). Prevalence of infections among mentally handicapped individuals are indications for several risk factors, including improper sanitary hygiene and illiteracy about personal hygiene. Therefore, frequent investigations, health care and medical intervention are needed.

  17. Employers' Attitudes toward Employing People with Mental Handicap.

    Science.gov (United States)

    Tse, John W. L.

    1993-01-01

    A survey of 66 Hong Kong companies and factories identified factors affecting employers' decisions to hire workers with mental handicaps. The five most important factors were emotional problems and personalities of workers, workers' ability to perform the job, availability of low-level jobs, productivity of workers, and possible special…

  18. [Slight mental handicap and procreation. Knowledge and practice in 15 slightly mentally handicapped women].

    Science.gov (United States)

    Neve-Dumont, N; Busschaert, M; Fryns, J P

    1986-10-01

    15 young Belgian women with histories of institutionalization for mental deficiency were interviewed in their homes to evaluate their knowledge of reproduction and contraception and to assess their contraceptive practices. None of the young women had a diagnosis suggesting genetic causes of their disability. All were or had been married and had children. The average age was 27 years. Most were married, 3 were divorced, and 2 were in consensual unions. 11 of the couples had serious conjugal difficulties including alcoholism, violence, separation, or single parenthood. The same problems occurred among the parents of the young women. The IQs of 2 of the subjects were tested at 45-49, 2 were 50-53, 5 were 54-59, and 6 were 60-64. 12 of the 15 could tell time, but none knew how may hours there were in a halfday. 8 knew the date, but none knew how many days there are in a month. The total number of brothers and sisters of the subjects was 88, of whom 44 were receiving special schooling. The responses to questions designed to assess knowledge of reproduction were vague. The women knew that sexual relations might be followed by birth of a baby 9 months later. 4 of the women used IUDs, 7 used pills, 2 were sterilized, and 2 used no method. The pill users appeared to do so successfully; only 1 mother had 2 unwanted births. The women stated they had chosen their contraceptive methods themselves, but 5 of them could not identify any other method. 8 of the 15 noted the dates of their periods. No precise diagnosis was made in any of the cases, and none of the mothers expressed concern about transmitting a mental handicap to their own children. The 15 women had a total of 6 sons and 16 daughters. 3 of the 12 children of school age had problems requiring medical or social intervention.

  19. Prevention of mental handicaps in children in primary health care.

    Science.gov (United States)

    Shah, P M

    1991-01-01

    Some 5-15% of children aged 3 to 15 years in both developing and developed countries suffer from mental handicaps. There may be as many as 10-30 million severely and about 60-80 million mildly or moderately mentally retarded children in the world. The conditions causing mental handicaps are largely preventable through primary health care measures in developing countries. Birth asphyxia and birth trauma are the leading causes of mental handicaps in developing countries where over 1.2 million newborns die each year from moderate or severe asphyxia and an equal number survive with severe morbidity due to brain damage. The other preventable or manageable conditions are: infections such as tuberculous and pyogenic meningitides and encephalopathies associated with measles and whooping cough; severe malnutrition in infancy; hyperbilirubinaemia in the newborn; iodine deficiency; and iron deficiency anaemia in infancy and early childhood. In addition, recent demographic and socioeconomic changes and an increase in the number of working mothers tend to deprive both infants and young children of stimulation for normal development. To improve this situation, the primary health care approach involving families and communities and instilling the spirit of self-care and self-help is indispensable. Mothers and other family members, traditional birth attendants, community health workers, as well as nurse midwives and physicians should be involved in prevention and intervention activities, for which they should be trained and given knowledge and skills about appropriate technologies such as the risk approach, home-based maternal record, partograph, mobilogram (kick count), home-risk card, icterometer, and mouth-to-mask or bag and mask resuscitation of the newborn. Most of these have been field-tested by WHO and can be used in the home, the health centre or day care centres to detect and prevent the above-mentioned conditions which can cause mental handicap.

  20. Violence, death and associated factors on a mental handicap ward.

    Science.gov (United States)

    Shah, A K

    1992-06-01

    The characteristics of all the patients admitted to a high-dependency mental handicap ward over a 21-month period were examined. The patients that had been responsible for acts of violence on the ward were compared with those who had not. Violent patients were significantly younger and more likely to have an abnormal electroencephalogram. Meningoencephalitis as the aetiology of mental handicap was over-represented in the violent group. The level of violence was alarmingly high with 620 violent incidents over 21 months (30 per month). Four patients accounted for 74% of the violence and two of these four patients suffered sudden, unexpected deaths. The relationship between violence and sudden death is examined, and the implications of pharmacological intervention with anticonvulsants for violent patients with abnormal electroencephalogram results are discussed.

  1. Automatization of Mathematics Skills via Computer-Assisted Instruction among Students with Mild Mental Handicaps.

    Science.gov (United States)

    Podell, David M.; And Others

    1992-01-01

    This evaluation study with 94 elementary students (50 with mild mental handicap) compared computer-assisted instruction (CAI) and paper-and-pencil practices in promoting automatization of basic addition and subtraction skills. Findings suggested CAI was more effective but that the students with mental handicap required more practice than…

  2. Pre-Language Activities for the Profoundly Mentally Retarded.

    Science.gov (United States)

    Poole, Marilyn R.; And Others

    Provided are sample lesson plans for a program to develop pre-language skills in profoundly retarded children and adults. Characteristic of the suggested activities is the stimulation of all sensory channels through structured infant-like play activities in five general areas: oral stimulation, sensory arousal, motor stimulation, vocal play, and…

  3. Measurement tools for mental health problems and mental well-being in people with severe or profound intellectual disabilities: A systematic review.

    Science.gov (United States)

    Flynn, Samantha; Vereenooghe, Leen; Hastings, Richard P; Adams, Dawn; Cooper, Sally-Ann; Gore, Nick; Hatton, Chris; Hood, Kerry; Jahoda, Andrew; Langdon, Peter E; McNamara, Rachel; Oliver, Chris; Roy, Ashok; Totsika, Vasiliki; Waite, Jane

    2017-11-01

    Mental health problems affect people with intellectual disabilities (ID) at rates similar to or in excess of the non-ID population. People with severe ID are likely to have persistent mental health problems. In this systematic review (PROSPERO 2015:CRD42015024469), we identify and evaluate the methodological quality of available measures of mental health problems or well-being in individuals with severe or profound ID. Electronic searches of ten databases identified relevant publications. Two reviewers independently reviewed titles and abstracts of retrieved records (n=41,232) and full-text articles (n=573). Data were extracted and the quality of included papers was appraised. Thirty-two papers reporting on 12 measures were included. Nine measures addressed a broad spectrum of mental health problems, and were largely observational. One physiological measure of well-being was included. The Aberrant Behavior Checklist, Diagnostic Assessment for the Severely Handicapped Scale-II and Mood, Interest and Pleasure Questionnaire are reliable measures in this population. However, the psychometric properties of six other measures were only considered within a single study - indicating a lack of research replication. Few mental health measures are available for people with severe or profound ID, particularly lacking are tools measuring well-being. Assessment methods that do not rely on proxy reports should be explored further. Copyright © 2017 Elsevier Ltd. All rights reserved.

  4. Young mentally handicapped adults in three London boroughs: prevalence and degree of disability.

    Science.gov (United States)

    Mitchell, S J; Woodthorpe, J

    1981-01-01

    A survey of 282 young adults, mentally handicapped on an administrative definition, was undertaken in th London Boroughs of Hounslow, Hammersmith, and Ealing between October 1978 and April 1980. The prevalence of mental handicap in the age group born between 1958 and 1963 was calculated, and variations were shown between the three boroughs and within the borough of Ealing. The findings suggested that the prevalence of severe mental handicap in this area is not markedly different from rates found in other British studies, but the administrative prevalence is inflated because numbers of mildly handicapped school leavers subsequently use the services for the mentally handicapped. Subjects were classified according to behavioural disabilities: young people in residential care were more likely to be severely incontinent, not literate, and without speech, but overall there was no relationship between degree of disability and placement in residential care. PMID:7264535

  5. 75 FR 30373 - Elimination of Form ITA-362P, Information on Articles for Physically or Mentally Handicapped...

    Science.gov (United States)

    2010-06-01

    ... Physically or Mentally Handicapped Persons Imported Duty-Free AGENCY: Import Administration, International..., which importers of articles for the handicapped were required to complete in order to receive duty-free... of articles for the use or benefit of physically or mentally handicapped persons, as well as for the...

  6. The Knowledge of Nurses and Midwives Related to Mentally-Handicapped Children

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    Hatice Yildirim Sari

    2008-04-01

    Full Text Available AIM/BACKGROUND: The purpose of this research is to determine the knowledge of nurses and midwives who are working at primary health care services. METHODS: The information regarding the research has been given to the nurses and midwives working at primary health centers of Manisa, and 70 nurses and midwives have accepted to attend the research. In collecting the data, two questionnaire forms prepared by the researchers have been used and these forms are composed of two parts. In the first part of the questionnaire, there are questions about the sociodemografhic characteristics of midwives and nurses; in the second one the questions are related to the symptoms and causes of mental-handicap and the attempts regarding the mentally-handicapped child and his family. RESULTS: The nurses and midwives have stated that the most important cause of mental handicap is marriages among relatives (92.9%. and that in a situation of not being able to fullfill mental motor skills in relation to age, they suspect mental handicap (90%. They have also stated that they mostly have or can have difficulty in communucating with the mentally-handicapped child (64%. CONCLUSION: As a result, the nurses and midwives have adequate knowledge about the causes and symptoms of mental handicap. On the other hand, their knowledge regarding the services to be planned in care of mentally-handicapped children is limited. At the primary health care services, educational studies can be planned in order to give better health service for mentally-handicapped individuals. [TAF Prev Med Bull 2008; 7(2.000: 127-132

  7. Mental and Behavioral Symptoms of Person's with Asperger's Syndrome: Relationships with Social Isolation and Handicaps

    Science.gov (United States)

    Tani, Masayuki; Kanai, Chieko; Ota, Haruhisa; Yamada, Takashi; Watanabe, Hiromi; Yokoi, Hideki; Takayama, Yuko; Ono, Taisei; Hashimoto, Ryuichiro; Kato, Nobumasa; Iwanami, Akira

    2012-01-01

    People with Asperger's syndrome (AS) experience mental comorbidities, and behavioral symptoms that can deepen social isolation and handicaps. We compared the frequency of mental and behavioral symptoms, motor abnormality, and life history between adults with AS and those with no mental disorders but with disturbance of social functions and…

  8. Self-Handicapping and Its Impact on Mental Health

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    Yeter Sinem Uzar Ozcetin

    2016-06-01

    Full Text Available Self handicapping is characterized by experiencing anxiety at succeeding a mission although the person has the capacity to fulfill the assignment or duty. It describes one's showing tendency to link own failures to problems in own performance instead of own abilities to protect oneself from the possibility of failure. When individuals care about performance much but doubt about success, they display self-handicapping strategies to protect their self. Self-handicappers try to protect their self by internalizing successes and externalizing failures. This strategies help them feel well in both successes and failures. Self-handicapping becomes a trait of personality in time and the individual begins to use it continuously as a negative coping mechanism to protect his/her self and to avoid failures. These actions eliminates the capability of rational thinking and prevents solution of the problems as a result of irrational interpretations. Self-handicapping causes the decrease of life satisfaction and motivation, and causes the increase of maladaptation, negative mood, somatic symptoms and alcohol-drug abuse. As a conclusion, self-handicapping hinders performance and this negative performance influences adaptation and psychological well-being. The most essential approach to prevent occurrence of self-handicapping behaviours is empowerment of the self. [Psikiyatride Guncel Yaklasimlar - Current Approaches in Psychiatry 2016; 8(2: 145-154

  9. Colour Discrimination in Mentally Handicapped Children with Particular Reference to Down's Syndrome.

    Science.gov (United States)

    Stratford, Brian; Mills, Kay

    1984-01-01

    The results of the experiment demonstrated that Down's syndrome children are equal to non-disabled children matched on mental age, in their ability to discriminate between colors. Both Down's syndrome and non-disabled children made errors of the same kind. Other undifferentiated mentally handicapped children are less consistent in their color…

  10. Identification Audiometry in an Institutionalized Severely and Profoundly Mentally Retarded Population.

    Science.gov (United States)

    Moore, Ernest J.; And Others

    An audiometric screening survey was conducted on a severely and profoundly mentally retarded population using noise-makers and pure tone audiometry. Of those tested with noise-makers, 83% gave an identifiable response to sound, 7% did not respond, and 10% were considered difficult-to-test. By contrast, 4% passed, 2% failed, and 94% were…

  11. Incidence of Short-Sleep Patterns in Institutionalized Individuals with Profound Mental Retardation.

    Science.gov (United States)

    Poindexter, Ann R.; Bihm, Elson M.

    1994-01-01

    Sleep patterns of 103 institutionalized individuals with profound mental retardation were explored. Almost 40% were found to have short-sleep patterns. Short-sleep was predicted by blindness; nonshort-sleep was predicted by diagnosis of cerebral palsy and sodium valproate usage. Techniques for minimizing possible negative consequences of…

  12. An Analysis of Snoezelen Equipment to Reinforce Persons with Severe or Profound Mental Retardation

    Science.gov (United States)

    Matson, Johnny L.; Bamburg, Jay W.; Smalls, Yemonja

    2004-01-01

    Systematically developing methods of reinforcement for persons with severe and profound mental retardation has only recently received a good deal of attention. This topic is important since professionals in the field often have difficulty identifying sufficient numbers of positive stimuli. Snoezelen equipment as reinforcement for individuals with…

  13. [The importance of family coherence for mentally handicapped children].

    Science.gov (United States)

    Niederhofer, Helmut

    2006-06-01

    A lack of perseverance, attention and poor modulated behaviour are important criterions of handicapped children (Dilling et al. 1993). Therefore, instructions have to be repeated quite often, sometimes even by different family members. For this reason, good family coherence might reduce symptoms significantly (Döpfner and Lehmkuhl 1995). The handicapped child might cause less disagreement in families with good coherence, which improves family;s features (Saile et al. 1995). Families of 15 handicapped children were included for evaluation and compared with a matched, healthy control group. Parents were asked to complete a form assessing the family;s features ("Familienklima-Testsystem", Schneewind et al. 1985), "Erziehungspraktiken", (Schneewind et al. 1985). Group comparison was made by the Mann-Whitney-U-Test. Our results strongly suggest, that good coherence seems to have positive effects on family;s features, especially by handicapped children. So we think, that on the one hand good coherence might reduce symptomatology and that on the other hand family's features have protective effects on handicapped children.

  14. Voice Handicap Index associated with common mental disorders in elementary school teachers.

    Science.gov (United States)

    da Rocha, Luise Marques; de Mattos Souza, Luciano Dias

    2013-09-01

    To verify the relationship between common mental disorders (CMDs) and the Voice Handicap Index (VHI) in elementary school teachers from municipal schools. The VHI mean scores in the group of teachers with symptoms of mental disorder were significantly higher than those in the group of teachers with no symptoms in the total scores of three subscales: disability (functional domain), handicap (emotional domain), and impairment (organic domain). An observational cross-sectional, quantitative study was conducted in the public schools of urban and rural areas of the city of Pelotas. A total of 575 teachers participated. Vocal handicap was measured using VHI, producing a total score and three subscales, including emotional, functional, and organic domains. The Self-Reporting Questionnaire, 20 items scale was used to measure mental disorder symptoms. A log transformation was used, followed by linear regression, to evaluate the relationship between the independent variables and the outcomes. Teachers with CMD symptoms and who took a sick leave from teaching because of voice problems obtained the lowest scores in VHI (P handicap scores were significantly higher in teachers with CMD symptoms (P handicap and the mental disorders. Copyright © 2013 The Voice Foundation. Published by Mosby, Inc. All rights reserved.

  15. The development of a nursing assessment instrument for the mentally handicapped individual

    Directory of Open Access Journals (Sweden)

    Lily van Rhyn

    1998-03-01

    Full Text Available Because mental handicap is a lifelong condition, mentally handicapped individuals and their families experience unique needs and problems, which require sound assessment by the nurse to enable her to intervene effectively.

    Opsomming
    Vanwee die feit dat geestesgestremdheid 'n lewenslange toestand is, ervaar geestesgestremde persone en hul families unieke behoeftes en probleme wat deeglike beraming deur verpleegkundiges vereis, ten einde effektiewe ingn'ping te verseker. *Please note: This is a reduced version of the abstract. Please refer to PDF for full text.

  16. Nursing-care dependency : Development of an assessment scale for demented and mentally handicapped patients

    NARCIS (Netherlands)

    Dijkstra, Ate; Buist, Girbe; Dassen, T

    1996-01-01

    This article describing the first phase in the development of an assessment scale of nursing-care dependency (NCD) for Dutch demented and mentally handicapped patients focuses on the background to the study and the content validation of the nursing-care dependency scale. The scale aims to

  17. Language Facilitation with the Mentally Handicapped: Preparation of the Multidisciplinary Team.

    Science.gov (United States)

    Wirz, Sheila

    The author recommends the use of a multidisciplinary team approach to language facilitation with mentally handicapped children. The role of the team in developing communication skills in the child is discussed, and a model of communication with three principle components (linguistic aspects, paralinguistic aspects, and interaction management) is…

  18. Dog Guide Training for the Mentally Handicapped: An Interagency Approach

    Science.gov (United States)

    Boe, Eric N.; Zubrycki, Theodore H.

    1976-01-01

    Two blind adult males, both of whom were labeled mentally retarded and institutionalized for 34 years, were able to achieve a level of independence enabling them to integrate into society through orientation and mobility training and guide dog training. (IM)

  19. A quantitative review of self-help research with the severely and profoundly mentally retarded.

    Science.gov (United States)

    Konarski, E A; Diorio, M S

    1985-01-01

    Eighty-seven studies published since 1964 through 1982 on training self-help skills to severely and profoundly mentally retarded persons were analyzed according to 19 parameters reflecting their methodological details. The results showed a steady interest in this research area over time, but 63% of the studies focused on toileting and feeding with fewer studies looking at other self-help skills. Package treatments composed primarily of accelerative techniques were most frequently used to train these skills. Methodologically, it was found that these studies typically involved profoundly mentally retarded people (33% of studies) who were trained by residential staff (69% of studies) in institutional settings (63% of studies). The results also indicated an increase over time in the number of studies rated acceptable on the reliability and design parameters. Finally, very few studies reported assessments of generalization, maintenance, or social validity. It was concluded that, (a) researchers need to broaden their interests in terms of settings, trainers, and behaviors studied to best meet the needs of this population, (b) the experimental quality of this literature is improving, and (c) the social impact of observed behavior changes has yet to be fully explored.

  20. Anxiety of Parents of Mentally Handicapped Children and Affects of Informing on Anxiety Level

    Directory of Open Access Journals (Sweden)

    Arzu Kocak Uyaroglu

    2009-10-01

    Full Text Available AIM: This study was aimed to determine effect of education on anxiety level in the parents with mentally handicapped children. METHOD: The quasi-experimental field study was performed on parents of 91 mentally handicapped children who are between 6-15 ages and live in the center of Karaman. State and Trait Anxiety Scale was applied before and after informing. RESULTS: Average age of mothers was 36.5±7.2, average state anxiety point was 47.2±13.4 and average trait anxiety point was 51.9±10.1; their father’s average age was 40.2±8.6, average state anxiety point was 35.9±6.5 and average trait anxiety point was 41.3±6.2. Anxiety points of mothers are higher. Mothers who are graduated from primary school, younger than 35 age, have a boy or child younger than 12 age, have social assurance, do not take institutional service, have low family income, and whose first or last child is mentally handicapped, whose husband do not help with caring child have significant decrease in anxiety points after informing. In the fathers, only a decrease in the trait anxiety level was significant. CONCLUSION: Education decreases the parents’ anxiety level. Institutional services have to contain all of the mentally handicapped children and should be educated the parents by nurses periodically to decrease their anxiety. [TAF Prev Med Bull 2009; 8(5.000: 405-412

  1. A longitudinal study of active treatment of adaptive skills of individuals with profound mental retardation.

    Science.gov (United States)

    Bat-haee, M A

    2001-10-01

    A longitudinal study indicated that a single group of adults living in a large state institution (O'Berry Center in Goldsboro, North Carolina) benefited from receiving active treatment, although no control group was permitted. After five years, 59 individuals with profound mental retardation improved their skills in six general areas of dressing, grooming, eating, toileting, communication, and social interaction. After five more years of active treatment, 51 persons who had remained in the program maintained their skills in dressing, grooming, eating, and communication. Significant improvement in the use of toilet and a loss in social interaction were observed. Although the participants were 10 years older at the end of this study, their adaptive behaviors, in comparison to the date of entry, either improved or were maintained. Therefore, aging was not associated with decline in skills.

  2. Levels of visual impairment in a day centre for people with a mental handicap.

    Science.gov (United States)

    Haire, A R; Vernon, S A; Rubinstein, M P

    1991-01-01

    A prospective study screening for visual impairment in a day centre for people with a mental handicap showed that 30% required spectacles or registration as blind or partially-sighted and a further 20% had previously unknown pathology. Carers were not reliable in identifying visual problems in their charges, and routine screening should be encouraged. High Street optometrists should be able to measure visual acuity in the individuals in this sample excluding those cared for in special care units for whom screening may be less beneficial. PMID:1941857

  3. Nutritional status of patients in a long-stay hospital for people with mental handicap.

    Science.gov (United States)

    Molteno, C; Smit, I; Mills, J; Huskisson, J

    2000-11-01

    To investigate the general nutritional status of patients in Alexandra Hospital, Cape Town, and to determine whether dietary copper deficiency was causing anaemia in hospital patients. Descriptive and cross-sectional analytical studies. A long-stay hospital for people with mental handicap. Information was obtained from the total hospital population. In addition, groups of 15 patients were selected from each of two specific wards, one with active and the other inactive patients. To determine whether copper deficiency was causing anaemia, a sample of 30 patients, divided into three groups (a hypochromic microcytic, a normochromic anaemic and a non-anaemic group) was studied. Body mass indices (BMI) and daily dietary intakes were compared with Recommended Daily Allowance (RDA) values. Serum copper and serum caeruloplasmin levels were used to detect possible copper deficiency. A considerable number of patients were found to be underweight (32% of males and 26% of females had BMIs 30). Poor nutrition was more common in severely handicapped patients and those with acquired causes of their mental handicap. Subjects with Down syndrome were generally well nourished and occasionally obese. Poor dietary intakes of biotin, pantothenic acid, vitamin D and copper were encountered. The serum copper and caeruloplasmin values were found to be within normal limits. Patients with hypochromic, microcytic anaemia had higher serum copper and caeruloplasmin levels than those with normochromic anaemia and the control group. A number of nutritional problems among the inpatient population were found. Many were undernourished, while a smaller number of patients were overweight. In both the active and inactive wards macronutrient intakes were generally within normal limits. However, some micronutrient nutritional deficiencies were encountered. We were unable to establish that dietary copper deficiency was the cause of anaemia in our patients. Elevated serum copper and caeruloplasmin levels

  4. Health care screening for people with mental handicap living in the community.

    Science.gov (United States)

    Wilson, D N; Haire, A

    1990-01-01

    OBJECTIVE--To determine what contact people with mental handicap had had with their general practitioner in the previous year; what prescribed drugs they were taking and whether these had been reviewed; when hearing and vision had last been screened; and what medical problems were found on examination. DESIGN--Case series. SETTING-Day centre for adults with mental handicap. SUBJECTS--A balanced sample of 75 of the 150 people attending the day centre. 10 Were excluded because consent was not given. RESULTS--The subjects did not consult their general practitioners more frequently than the general population but were more likely to be taking prescribed drugs, and 57% of these prescriptions had not been reviewed by a doctor. Thirty three people failed vision screening, including 13 who wore glasses. Twenty seven of the 62 who were testable had a hearing impairment. CONCLUSIONS--As only eight out of 65 people examined in the study did not have an appreciable problem brought to light, screening seems to be worth while. Whether such screening needs to be done by a medically qualified person needs further research. PMID:2148703

  5. Reliability and factor structure of the Chinese GHQ-30 for parents with preschool mentally handicapped children.

    Science.gov (United States)

    Shek, D T; Tsang, S K

    1995-03-01

    The Chinese version of the General Health Questionnaire (GHQ-30) was administered to 381 parents of preschool mentally handicapped children, along with other instruments that assessed their stress, mental health, coping styles, and care-giving patterns. The GHQ-30 was found to have high internal consistency as a scale and high item-total correlations for most of the items. Factor analysis with a four-factor solution showed that four factors were abstracted from the scale, namely, anxiety, depression, interpersonal dysfunctioning, and inadequate coping. It also was found that the factors extracted could be reproduced reliably in two random subsamples and that the factor structure derived from the present sample corresponds to the previously reported data on the dimensionality of the Chinese GHQ-30.

  6. [A district psychiatric clinic and therapeutic pedagogic facility--development of a management concept for mentally handicapped patients].

    Science.gov (United States)

    Koester, H

    1988-11-01

    There is a general consensus of opinion that adult mentally handicapped persons--if we leave aside the treatment of severe and psychiatrically relevant concomitant diseases or abnormal behaviour--are misfits in a psychiatric hospital. The aim of an independent care of the mentally handicapped can be achieved in different ways based on medical paedagogy. The Home for Medical Paedagogy in Düren, Lower Rhine District, is a case in point. Despite many difficulties and conflicts this hospital attained an outstanding standard of medical care within just ten years. Its location is on the same site as that of the psychiatric hospital.

  7. Use of Structured Teaching for Treatment of Children with Autism and Severe and Profound Mental Retardation.

    Science.gov (United States)

    Panerai, Simonetta; Ferrante, Letizia; Caputo, Valeria; Impellizzeri, Carmela

    1998-01-01

    Multidimentional assessment procedure was used to evaluate effects of the Treatment and Education of Autistic and Communication Handicapped Children (TEACCH) program principles and strategies on 18 children and adolescents with autism after 12 and 18 months of structured intervention. Results showed an increase in working skills and functional…

  8. [Hygienic aspects with regard to nursing of home care patients with AIDS, chronic diseases and mental handicaps].

    Science.gov (United States)

    Sonntag, H G; Flassak, H; Throm, W

    1995-04-01

    A human handicap is defined as a broad, hard and long lasting restriction of the mental development and the social integration. Groups of handicapped persons can be divided into mentally, psychologically, physically, sensory (blind, deaf) handicapped as well as into multiple disabled and chronically sick persons and those in need of care (old). New groups with demands for aid are among others people suffering from AIDS, psychologically sick (old) and people getting old as well as mentally, physically und multiple handicapped persons, people suffering from cancer, severely ill and dying people. For all handicapped people should be demanded the possibility of living almost normal lives. For all persons directly concerned as well as their families such a normal life should include: the right of self-determination and autonomy, the demand for complex styles of living and nearby care/support, the providing of respective infrastructures such as barrier free living and access to public institutions, access to public transport and homes fitting for handicapped persons, the demand for out-patient treatment by a complex range of various possibilities of support and finally, the providing of alternative forms of living in contrast to the traditional way of life of handicapped people like families or homes. Three important living areas can be derived from these ideas, namely: living conditions, education/professional and working field, social life/social environment. These important living areas require preventive measures, mainly advice and information centres, places to go early recognition and early promotion of handicapped people and those in risk of a handicap (especially children) as well as medical, professional and social rehabilitation or integration. Concerning the spectrum of support, aid and care in the homely area up to now already exists a variety of offers by out-patient services (information services, social units, mobile support services

  9. A Comparison of Occupational Stress Correlates as Reported by Teachers of Mentally Retarded and Nonmentally Retarded Handicapped Students.

    Science.gov (United States)

    Fimian, Michael J.

    1983-01-01

    The statewide (Connecticut) survey of 365 teachers of mentally retarded (MR) and nonretarded handicapped (non-MR) students indicated such results as that MR teachers reported stress source levels comparable to or less than levels of non-MR teachers, but reported stress manifestation levels comparable to or greater than those of non-MR teachers.…

  10. [Sexual violence in the reality of life in mentally handicapped young girls and women--results of a research project].

    Science.gov (United States)

    Klein, S; Wawrok, S; Fegert, J M

    1999-09-01

    Subject of the study is the situation of 12- to 25-year-old girls and women from Berlin with a mental handicap who have experienced sexualised violence. 367 residential institutions of the Behindertenhilfe Berlin (aid for the handicapped) as well as 15 selected advice and consultancy facilities with amongst others a range of offers on problems of sexual violence. The return from the residencies was 68.7%. The gained individual data for the first time show the belonging to a sex for the residents. The group that was relevant for the study--altogether 147 girls and young women--was cared for in 31 institutions. The heads of the institutions provided information about more than 116 of these inhabitants. Every third to fourth resident (32 out of 116) was concerned by sexualised violence. This high extend of experience of sexualised violence in mentally handicapped female residents is directly opposed to an utterly insufficient psychosocial care situation. On one side the access to the questioned advice and consultancy centres is considerably limited for this clientele. Furthermore, heads of institutions of the Behindertenhilfe rather fall back on experts with medical-psychiatric knowledge, but not necessarily with knowledge of the handling of problems of sexual violence. Suggestions for the necessary improvement of the care situation of concerned girls and women with a mental handicap are being made.

  11. Mental health problems in adolescents with cochlear implants: Peer problems persist after controlling for additional handicaps

    Directory of Open Access Journals (Sweden)

    Maria eHuber

    2015-07-01

    Full Text Available The aims of the present multi-center study were to investigate the extent of mental health problems in adolescents with a hearing loss and cochlear implants (CIs in comparison to normal hearing (NH peers and to investigate possible relations between the extent of mental health problems of young CI users and hearing variables, such as age at implantation, or functional gain of CI. The survey included 140 adolescents with CI (mean age = 14.7, SD = 1.5 years and 140 NH adolescents (mean age = 14.8, SD = 1.4 years, their parents and teachers. Participants were matched by age, gender and social background. Within the CI group, 35 adolescents were identified as risk cases due to possible and manifest additional handicaps, and 11 adolescents were non-classifiable. Mental health problems were assessed with the Strengths and Difficulties Questionnaire (SDQ in the versions Self, Parent, and Teacher. The CI group showed significantly more Peer Problems than the NH group. When the CI group was split into a risk-group (35 risk cases and 11 non-classifiable persons and a non-risk group (n = 94, increased peer problems were perceived in both CI subgroups by adolescents themselves. However, no further differences between the CI non-risk group and the NH group were observed in any rater. The CI-risk group showed significantly more hyperactivity compared to the NH group and more hyperactivity and conduct problems compared to the CI non-risk group. Cluster analyses confirmed that there were significantly more adolescents with high problems in the CI-risk group compared to the CI non-risk group and the NH group. Adolescents with CI, who were able to understand speech in noise had significantly less difficulties compared to constricted CI users. Parents, teachers, and clinicians should be aware that CI users with additionally special needs may have mental health problems. However, peer problems were also experienced by CI adolescents without additional handicaps

  12. Implicit Mentalizing Persists beyond Early Childhood and Is Profoundly Impaired in Children with Autism Spectrum Condition.

    Science.gov (United States)

    Schuwerk, Tobias; Jarvers, Irina; Vuori, Maria; Sodian, Beate

    2016-01-01

    Implicit mentalizing, a fast, unconscious and rigid way of processing other's mental states has recently received much interest in typical social cognitive development in early childhood and in adults with autism spectrum condition (ASC). This research suggests that already infants implicitly mentalize, and that adults with ASC have a sustained implicit mentalizing deficit. Yet, we have only sparse empirical evidence on implicit mentalizing beyond early childhood, and deviations thereof in children with ASC. Here, we administered an implicit mentalizing eye tracking task to assess the sensitivity to false beliefs to a group of 8-year-old children with and without ASC, matched for chronological age, verbal and non-verbal IQ. As previous research suggested that presenting outcomes of belief-based actions leads to fast learning from experience and false belief-congruent looking behavior in adults with ASC, we were also interested in whether already children with ASC learn from such information. Our results provide support for a persistent implicit mentalizing ability in neurotypical development beyond early childhood. Further, they confirmed an implicit mentalizing deficit in children with ASC, even when they are closely matched to controls for explicit mentalizing skills. In contrast to previous findings with adults, no experience-based modulation of anticipatory looking was observed. It seems that children with ASC have not yet developed compensatory general purpose learning mechanisms. The observed intact explicit, but impaired implicit mentalizing in ASC, and correlation patterns between mentalizing tasks and executive function tasks, are in line with theories on two dissociable mentalizing systems.

  13. Implicit mentalizing persists beyond early childhood and is profoundly impaired in children with autism spectrum conditions

    Directory of Open Access Journals (Sweden)

    Tobias Schuwerk

    2016-10-01

    Full Text Available Implicit mentalizing, a fast, unconscious and rigid way of processing other's mental states has recently received much interest in typical social cognitive development in early childhood and in adults with autism spectrum conditions (ASC. This research suggests that already infants implicitly mentalize, and that adults with ASC have a sustained implicit mentalizing deficit. Yet, we have only sparse empirical evidence on implicit mentalizing beyond early childhood, and deviations thereof in children with ASC. Here, we administered an implicit mentalizing eye tracking task to assess the sensitivity to false beliefs to a group of 8-year-old children with and without ASC, matched for chronological age, verbal and nonverbal IQ. As previous research suggested that presenting outcomes of belief-based actions leads to fast learning from experience and false belief-congruent looking behavior in adults with ASC, we were also interested in whether already children with ASC learn from such information. Our results provide support for a persistent implicit mentalizing ability in neurotypical development beyond early childhood. Further, they confirmed an implicit mentalizing deficit in children with ASC, even when they are closely matched to controls for explicit mentalizing skills. In contrast to previous findings with adults, no experience-based modulation of anticipatory looking was observed. It seems that children with ASC have not yet developed compensatory general purpose learning mechanisms. The observed intact explicit, but impaired implicit mentalizing in ASC, and correlation patterns between mentalizing tasks and executive function tasks, are in line with theories on two dissociable mentalizing systems.

  14. Mosaic variegated aneuploidy associated with a dysmorphic syndrome and mental handicap

    Energy Technology Data Exchange (ETDEWEB)

    Mehta, L.; Babu, A.; Willner, J. [Sount Sinai Sachool of Medicine, New York, NY (United States)] [and others

    1994-09-01

    A 41-year-old woman was evaluated for dysmorphic features and mental handicap. Prior karyotyping had revealed 7% mosaicism for trisomy 18 in skin fibroblasts with normal blood chromosomes. Clinical features consisted of short stature, mild mental retardation, sensorineural deafness and the following dysmorphic features: short, broad neck, low posterior hairline, small palpebral fissures with iris coloboma on the right, epicanthic folds, small mouth, high palate and prominent mandible, short metacarpals and digits, particularly the fifth, with bilateral simian creases. Medical problems included non-insulin dependent diabetes mellitus, hypertension, oligomenorrhea and recent onset of diabetic neuropathy and retinal exudates. Head size and brain MRI were within normal limits. Peripheral blood chromosomes revealed: 46,XX (45 cells), 46,XX,t(7;16)(q21;q21) in 1 cell, 45,X (1 cell), 48,XXXX (1 cell), 47,XX,+mar (1 cell), 48,XX,+mar,+mar (1 cell). Skin fibroblasts revealed the following karyotypes: 46,XX (25 cells), 45,X (14 cells), 47,XX,+2 (10 cells) and 47,X,+2,+7 (1 cell). Previously reported cases of mosaic variegated aneuploidy include microcephaly as a prominent feature. Chromosomes involved in the abnormality are variable. Clinical presentations in such patients are not consistent and do not appear to correlate with specific chromosome defects. This patient represents an interesting example of probable mitotic instability disrupting normal developmental processes.

  15. Genetic analysis of a kindred with X-linked mental handicap and retinitis pigmentosa

    Energy Technology Data Exchange (ETDEWEB)

    Aldred, M.A.; Dry, K.L.; Hardwick, L.J.; Teague, P.W.; Lester, D.H.; Brown, J.; Spowart, G.; Carothers, A.D.; Wright, A.F. [Western General Hospital, Edinburgh, Scotland (United Kingdom); Knight-Jones, E.B. [Univ. of Nottingham (United Kingdom)] [and others

    1994-11-01

    A kindred is described in which X-linked nonspecific mental handicap segregates together with retinitis pigmentosa. Carrier females are mentally normal but may show signs of the X-linked retinitis pigmentosa carrier state and become symptomatic in their later years. Analysis of polymorphic DNA markers at nine loci on the short arm of the X chromosome shows that no crossing-over occurs between the disease and Xp11 markers DXS255, TIMP, DXS426, MAOA, and DXS228. The 90% confidence limits show that the locus is in the Xp21-q21 region. Haplotype analysis is consistent with the causal gene being located proximal to the Xp21 loci DXS538 and 5{prime}-dystrophin on the short arm of the X chromosome. The posterior probability of linkage to the RP2 region of the X chromosome short arm (Xp11.4-p11.23) is .727, suggesting the possibility of a contiguous-gene-deletion syndrome. No cytogenetic abnormality has been identified. 33 refs., 2 figs., 2 tabs.

  16. The view from Walter's window: social environment and the communicative competence of adults with a mental handicap.

    Science.gov (United States)

    van der Gaag, A D

    1989-06-01

    This paper reports on a study of the communicative competence of adults with a mental handicap living in hospital and community settings. One hundred and twenty subjects, half from hospital settings and half from community settings, were assessed on the Communication Assessment profile (CASP). Significant differences were found between the hospital and community groups on pragmatic competence. The communication environment was shown to be an important determinant of pragmatic skills. The implications of this finding are discussed.

  17. Effect of a 0.5% chlorhexidine gel on dental plaque superinfecting microorganisms in mentally handicapped patients

    OpenAIRE

    Cláudio Mendes Pannuti; Roberto Fraga Moreira Lotufo; Silvana Cai; Maria da Conceição Saraiva; Nívea Maria de Freitas; Danilo Falsi

    2003-01-01

    A randomized clinical trial was conducted to investigate the effect of a 0.5% chlorhexidine (CHX) gel on dental plaque superinfecting microorganisms in mentally handicapped patients. Thirty inmates from the institution "Casas André Luiz" were assigned to either test group (CHX gel, n = 15) or control group (placebo gel, n = 15). The gel was administered over a period of 8 weeks. Supragingival plaque samples were collected at baseline, after gel use (8 weeks) and 16 weeks after baseline. The p...

  18. Psychopathology of people with mental handicap and epilepsy. III: Personality disorder.

    Science.gov (United States)

    Deb, S; Hunter, D

    1991-12-01

    A group of 75 mildly to moderately mentally handicapped people with epilepsy, resident in both a hospital and the community, were studied together with an individually matched control group of non-epileptic patients. Their carers were interviewed to gather information for two observer-rated personality questionnaires, the Standardised Assessment of Personality (SAP) and the T-L Personality Behaviour Inventory. The two groups were compared with respect to the prevalence rates of various personalities. An abnormal personality score according to the SAP schedule was reported in 26% (n = 39) of the cohort, of which 28 (18.6% of the cohort) were personality disorders. A diagnosis of SAP abnormal personality was made in 46% of the in-patients and 6.5% of the community-based population. Of the cohort, 15% had an abnormal personality score according to the T-L schedule. No statistically significant difference emerged between the epileptic and the non-epileptic groups in the prevalence of either the SAP or T-L personality.

  19. The Development of Plato Computer-Based Instruction for the Severely and Profoundly Developmentally Disabled.

    Science.gov (United States)

    Siegel, Martin A.; Clapp, Elizabeth Jane

    The 2 year project (July 1, 1978 through June 30, 1980) sought to determine the viability, attractiveness, and effectiveness of computer based instruction with approximately 225 severely and profoundly mentally handicapped and developmentally disabled institutionalized children and adults. Over 100 instructional formats were developed by staff…

  20. A Family Genetic Study of Autism Associated with Profound Mental Retardation.

    Science.gov (United States)

    Starr, Elizabeth; Berument, Sibel Kazak; Pickles, Andrew; Tomlins, Megan; Bailey, Anthony; Papanikolaou, Katerina; Rutter, Michael

    2001-01-01

    A study involving 47 families of individuals (ages 4-34) with autism and severe mental retardation found the familial loading for autism and for the broader phenotype was closely comparable to that in a study of children with higher IQ autism, and different from that for children with Down syndrome. (Contains references.) (Author/CR)

  1. 28 CFR 41.31 - Handicapped person.

    Science.gov (United States)

    2010-07-01

    ... 28 Judicial Administration 1 2010-07-01 2010-07-01 false Handicapped person. 41.31 Section 41.31... THE BASIS OF HANDICAP IN FEDERALLY ASSISTED PROGRAMS Standards for Determining Who Are Handicapped Persons § 41.31 Handicapped person. (a) Handicapped person means any person who has a physical or mental...

  2. Selecting Toys and Gifts for Severely Mentally and Physically Handicapped People.

    Science.gov (United States)

    Georgia Learning Resources System/Child Serve, Scottdale.

    Suggestions are given regarding selection of gifts and toys for severely handicapped persons. General principles (such as safety and durability) are followed by specific suggestions about clothes, food, toys (including musical instruments and balls), books and records, and various types of equipment (such as blenders for food preparation, tape…

  3. Effects of living room, Snoezelen room, and outdoor activities on stereotypic behavior and engagement by adults with profound mental retardation.

    Science.gov (United States)

    Cuvo, A J; May, M E; Post, T M

    2001-01-01

    Two experiments were conducted to test the effect of a room with sensory equipment, or Snoezelen room, on the stereotypic behavior and engagement of adults with profound mental retardation. In Experiment 1, participants were observed in their living room before and after attending the Snoezelen room. Results showed that there tended to be a reduction in stereotypy and increase in engagement when participants went from their living room to the Snoezelen room, and a return of these behaviors to pre-Snoezelen levels in the living room. Positive effects in the Snoezelen room did not carryover to the living room. In Experiment 2, the living and Snoezelen rooms were compared to an outdoor activity condition with the same participants and target behaviors. Results showed that the outdoor condition was superior, the Snoezelen condition intermediate, and the living room least effective in their impact on stereotypic behavior and engagement. Conceptualizations regarding factors that maintain stereotypic behavior and engagement were discussed in the context of the three experimental conditions.

  4. Multi-Sensory Rooms: Comparing Effects of the Snoezelen and the Stimulus Preference Environment on the Behavior of Adults with Profound Mental Retardation

    Science.gov (United States)

    Fava, Leonardo; Strauss, Kristin

    2010-01-01

    The present study examined whether Snoezelen and Stimulus Preference environments have differential effects on disruptive and pro-social behaviors in adults with profound mental retardation and autism. In N = 27 adults these target behaviors were recorded for a total of 20 sessions using both multi-sensory rooms. Three comparison groups were…

  5. The Pattern of Care in Families of Adults with a Mental Handicap: A Comparison between Families of Autistic Adults and Down Syndrome Adults.

    Science.gov (United States)

    Holmes, Nan; Carr, Janet

    1991-01-01

    This study of 39 families with a mentally handicapped adult member found no significant differences in physical care, domestic chores, and supervision for the 20 Down's syndrome and 19 autistic subjects. The brunt of caring fell upon mothers, with fathers helping mainly with supervision. Methods of coping with behavior problems differed between…

  6. Creating Awareness of Sexual Abuse in Children with Special Education Needs: Depending on the Opinions of Teachers of the Mentally Handicapped

    Science.gov (United States)

    Büyükbayraktar, Çagla Girgin; Er, Rukiye Konuk; Kesici, Sahin

    2018-01-01

    The purpose of this research is to determine what students and families should do in order to prevent sexual abuse in students who need special education, depending on the opinions of teachers of mentally handicapped students. The qualitative research technique was used in this research. The study population of the research consisted of the…

  7. Hearing aid use and long-term health outcomes: hearing handicap, mental health, social engagement, cognitive function, physical health and mortality

    Science.gov (United States)

    Dawes, Piers; Cruickshanks, Karen J.; Fischer, Mary E.; Klein, Barbara E.K.; Klein, Ronald; Nondahl, David M.

    2016-01-01

    Objective To clarify the impact of hearing aids on mental health, social engagement, cognitive function, and physical health outcomes in older adults with hearing impairment. Design We assessed hearing handicap (Hearing Handicap Inventory for the Elderly; HHIE-S), cognition (Mini Mental State Exam, Trail Making, Auditory Verbal Learning, Digit-Symbol Substitution, Verbal Fluency, incidence of cognitive impairment), physical health (SF-12 physical component, basic and instrumental activities of daily living, mortality), social engagement (hours per week spent in solitary activities) and mental health (SF-12 mental component) at baseline, 5 years prior to baseline, and 5 and 11 years after baseline. Study sample Community-dwelling older adults with hearing impairment (N=666) from the Epidemiology of Hearing Loss Study cohort. Results There were no significant differences between hearing aid users and non-users in cognitive, social engagement or mental health outcomes at any time point. Aided HHIE-S was significantly better than unaided HHIE-S. At 11 years hearing aid users had significantly better SF-12 physical health scores (46.2 versus 41.2; p=0.03). There was no difference in incidence of cognitive impairment or mortality. Conclusion There was no evidence that hearing aids promote cognitive function, mental health, or social engagement. Hearing aids may reduce hearing handicap and promote better physical health. PMID:26140300

  8. Hearing-aid use and long-term health outcomes: Hearing handicap, mental health, social engagement, cognitive function, physical health, and mortality.

    Science.gov (United States)

    Dawes, Piers; Cruickshanks, Karen J; Fischer, Mary E; Klein, Barbara E K; Klein, Ronald; Nondahl, David M

    2015-01-01

    To clarify the impact of hearing aids on mental health, social engagement, cognitive function, and physical health outcomes in older adults with hearing impairment. We assessed hearing handicap (hearing handicap inventory for the elderly; HHIE-S), cognition (mini mental state exam, trail making, auditory verbal learning, digit-symbol substitution, verbal fluency, incidence of cognitive impairment), physical health (SF-12 physical component, basic and instrumental activities of daily living, mortality), social engagement (hours per week spent in solitary activities), and mental health (SF-12 mental component) at baseline, five years prior to baseline, and five and 11 years after baseline. Community-dwelling older adults with hearing impairment (N = 666) from the epidemiology of hearing loss study cohort. There were no significant differences between hearing-aid users and non-users in cognitive, social engagement, or mental health outcomes at any time point. Aided HHIE-S was significantly better than unaided HHIE-S. At 11 years hearing-aid users had significantly better SF-12 physical health scores (46.2 versus 41.2; p = 0.03). There was no difference in incidence of cognitive impairment or mortality. There was no evidence that hearing aids promote cognitive function, mental health, or social engagement. Hearing aids may reduce hearing handicap and promote better physical health.

  9. Use of a Treatment Package in the Management of a Profoundly Mentally Retarded Girl's Pica and Self-Stimulation.

    Science.gov (United States)

    Paniagua, Freddy A.; And Others

    1986-01-01

    Treatment involving verbal reprimands, physical restraint, response interruption, and positive practice overcorrection resulted in rapid and dramatic decreases in the levels of pica and self-stimulation of a 4-year-old profoundly retarded girl. (CL)

  10. Possibilities of art technigues with elements of art therapy for people with mental handicap

    OpenAIRE

    Impassa Ifoli, Ivana

    2012-01-01

    The goal of my thesis is to introduce professionals concerned with special educational or art with the art techniques with elements of art which are suitable for individuals with mental disabilities. In the theoretical part, I looked at the themes: Children's creative expression, Special art, Art Therapy, Symbols in art therapy, Goals of art therapy, Art Therapy techniques, Mental ratardacion In the practical part I have to invent an individual training - methodology for working with mentally...

  11. Molecular screening for fragile X syndrome in mentally handicapped children in Korea.

    OpenAIRE

    Kwon, S H; Lee, K S; Hyun, M. C.; Song, K. E.; Kim, J K

    2001-01-01

    Fragile X syndrome is one of the most common forms of inherited mental retardation and is caused by the expansion of the CGG trinucleotide repeats in the FMR-1 gene. This study was aimed to facilitate the molecular screening of fragile X syndrome in Korean children with mental retardation of unknown etiology. The subjects were tested by Expand Long Template PCR system in the presence of 7-deaza-dGTP, and then by Southern blot analysis. The PCR method provided rapid and reliable results for th...

  12. The Xq22 inversion breakpoint interrupted a novel Ras-like GTPase gene in a patient with Duchenne muscular dystrophy and profound mental retardation.

    Science.gov (United States)

    Saito-Ohara, Fumiko; Fukuda, Yoji; Ito, Masahiro; Agarwala, Kishan Lal; Hayashi, Masaharu; Matsuo, Masafumi; Imoto, Issei; Yamakawa, Kazuhiro; Nakamura, Yusuke; Inazawa, Johji

    2002-09-01

    A male patient with profound mental retardation, athetosis, nystagmus, and severe congenital hypotonia (Duchenne muscular dystrophy [DMD]) was previously shown to carry a pericentric inversion of the X chromosome, 46,Y,inv(X)(p21.2q22.2). His mother carried this inversion on one X allele. The patient's condition was originally misdiagnosed as cerebral palsy, and only later was it diagnosed as DMD. Because the DMD gene is located at Xp21.2, which is one breakpoint of the inv(X), and because its defects are rarely associated with severe mental retardation, the other clinical features of this patient were deemed likely to be associated with the opposite breakpoint at Xq22. Our precise molecular-cytogenetic characterization of both breakpoints revealed three catastrophic genetic events that had probably influenced neuromuscular and cognitive development: deletion of part of the DMD gene at Xp21.2, duplication of the human proteolipid protein gene (PLP) at Xq22.2, and disruption of a novel gene. The latter sequence, showing a high degree of homology to the Sec4 gene of yeast, encoded a putative small guanine-protein, Ras-like GTPase that we have termed "RLGP." Immunocytochemistry located RLGP at mitochondria. We speculate that disruption of RLGP was responsible for the patient's profound mental retardation.

  13. [Kaufman Assessment Battery for Children. Differential evaluation of (partial) intellectual ability of mentally handicapped adults].

    Science.gov (United States)

    Maluck, A; Melchers, P

    1998-11-01

    The use of the Kaufman-Assessment Battery for Children (K-ABC) was evaluated with a sample of 50 mentally disabled adults in a wide age range, as there exist no special tests for this group of patients. Intercorrelation--and factor analyses, and correlations with the German adaptation of the Wechsler Adult Intelligence Scale (HAWIE-R) proved the use of the K-ABC to be valid. As an assessment battery for children designed for the wide age range from 2-6 to 12-5 years is more adequate to the capability of intellectually impaired adults, the K-ABC delivers results on individual strengths and weaknesses, based on a neuropsychological theory. Thus the individual cognitive abilities can be assessed with more differentiation, and that gives an important base for intervention, partial remediation, and placement.

  14. Relationship between untreated dental caries and dental neglect among mentally handicapped children: A cross-sectional study

    Directory of Open Access Journals (Sweden)

    Amit Kumar

    2015-01-01

    Full Text Available Introduction: Dental caries is the most prevalent disease among mentally handicapped (MH children worldwide. Dental neglect may throw light on complex relationships between individual behavior, environmental factors, and dental caries in children. Objectives: The objective was to assess the prevalence and severity of untreated dental caries and to explore the relationship between untreated dental caries and dental neglect among MH children and healthy children in Bangalore city. Materials and Methods: A cross-sectional comparative study was conducted on 130, 6-17 years MH and 152 healthy school children in Bangalore city. A questionnaire on the children′s sociodemographic background, oral health-related behaviors, and dental neglect scale was completed by the parents. Caries was assessed according to World Health Organization criteria (1997. Odontogenic infections were recorded using the pufa/PUFA index. Statistical tests such as Mann-Whitney U-test, Chi-square test, Spearmans correlation, and step-wise linear regression were performed at significance level P < 0.05. Results: Dental caries was present in 89.2% of MH children as compared with 88.15% of the healthy children. Caries experience significantly correlated with consequences of untreated dental caries in both the groups (P = 0.001. No statistical significant correlation was observed between dental neglect and dental caries experience and its consequences in both the groups. Conclusions: High prevalence of dental caries and dental neglect in both the groups calls for an integrated approach. Oral health promotion and intervention programs should be targeted and concentrated toward these risk groups.

  15. Periodontal status of mentally handicapped school children in Caracas, Venezuela. A cross-sectional study.

    Directory of Open Access Journals (Sweden)

    Mariana Morales-Chávez

    2014-09-01

    Full Text Available Periodontal disease is a chronic multifactor pathology, characterized by the progressive destruction of the dental structures support tissues. Patients with some type of disability have a higher predisposition to develop periodontal disease, due to bad hygiene, product of their motor and psychological deficiencies, and to their systemic alterations that difficult the defense against periodontopathogenic microorganisms. The purpose of this study was to evaluate and compare the periodontal status of a group of children with special needs, and a control group. 47 patients with mental retardation and Down syndrome from three special education centers, and 31 healthy patients of ages ranging from 6 to 15 years, were dentally evaluated, to determine their plaque index, gingival index, and the presence of calculus. After gathering the data and tabulating the results, a 1.08 plaque index was determined, and a gingival index of 1.03, corresponding to a mild gingivitis in the study group. On the other hand, on the group of regular patients, there was a 1.08 PI and a 0.96 GI. Calculus percentage was similar on both groups. However, a large percentage of children with mild gingival inflammation was observed in the group of special patients (53.19%, compared to the control group (29%.

  16. LOGO Helps Remove Children's Handicaps.

    Science.gov (United States)

    Gray, Lovett

    1984-01-01

    Discusses the philosophy behind LOGO and presents several examples of how it has been adapted for use with physically and mentally handicapped and learning disabled children to promote academic and social development through computer programing. (MBR)

  17. Syndromic form of X-linked mental retardation with marked hypotonia in early life, severe mental handicap, and difficult adult behavior maps to Xp22.

    Science.gov (United States)

    Turner, Gillian; Gedeon, Agi; Kerr, Bronwyn; Bennett, Rachael; Mulley, John; Partington, Michael

    2003-03-15

    An X-linked recessive syndromic form of mental retardation is described in a family in which 10 males in four generations were affected. The main manifestations were severe to profound intellectual disability, muscular hypotonia in childhood, delayed walking, and difficult, aggressive behavior. There was a moderate reduction both in occipitofrontal circumference (OFC) and height and a similar facial appearance, triangular in shape with a high forehead, prominent ears, and a small pointed chin. Linkage analysis located the gene at Xp22 with maximum lod scores of 4.8 at theta = 0.0 for markers mapping between the closest recombination points at DXS7104 and DXS418. The physical length of this region is approximately 6 Mb. Mutations in the GRPR gene and M6b genes were excluded by sequence analysis. Nearby genes in which mutations are known to be associated with mental retardation (RPS6KA3, STK9, and VCXA, B and C), were excluded by position. Copyright 2003 Wiley-Liss, Inc.

  18. Formation et insertion professionnelle des personnes handicapées ...

    African Journals Online (AJOL)

    Mots clés : Formation, insertion professionnelle, handicap mental, RBC, IMC, IMESFA. English Abstract The equal right stipulated by the 1990 Benin constitution, has never been a reality, especially, when we observe the living conditions reserved to the handicapped in general, and specifically to the mental handicapped: ...

  19. Comparison of a 0.12% chlorhexidine mouthrinse and an essential oil mouthrinse on oral health in institutionalized, mentally handicapped adults: one-year results.

    Science.gov (United States)

    McKenzie, W T; Forgas, L; Vernino, A R; Parker, D; Limestall, J D

    1992-03-01

    The purpose of this study was to compare the efficacy of a 0.12% chlorhexidine mouthrinse and an essential oil mouthrinse on plaque accumulation and gingivitis in mentally handicapped adults over a one-year period. Twenty-seven institutionalized mentally handicapped adults participated. Gingival index (GI), plaque index (PI), and probing depths (PD) were recorded and an ultrasonic scaling was performed (Baseline 1). GI, PI, and PD were again recorded after 2 weeks (Baseline 2). Patients were then assigned to either the chlorhexidine or essential oil mouthrinse group. The patients rinsed twice daily under supervision with their assigned mouthrinse while maintaining their attempts at daily brushing. GI and PI were recorded at monthly intervals for 12 months, while the PD was recorded only at Baseline 1 and 2 and at 12 months. A paired t-test was used to compare differences between the parameters at Baseline 1 and Baseline 2. A 2-factor repeated measure ANOVA was performed on each parameter after the Baseline 2 evaluation. A statistically significant decrease in the probing depth occurred as a result of ultrasonic scaling; however, no significant changes in the PI or GI occurred. Both mouthrinses produced a significant improvement in the GI after one month. Despite the improvement, the GI was still indicative of disease. Over the 12 months no further significant improvement in the GI occurred. A statistically significant improvement in the PI occurred in the chlorhexidine group at month 1, but returned to Baseline 2 levels over the 12 months. No improvement in the PI occurred in the essential oil group. The probing depths remained the same over the 12 months.(ABSTRACT TRUNCATED AT 250 WORDS)

  20. What is profound?

    DEFF Research Database (Denmark)

    Sobisch, Jan-Ulrich

    2013-01-01

    Discussing the question, which elements on the path are to be considered profound. While a general view is that the most subtle practises are also the most profound, 'Jig-rten-mgon-po maintains that the most fundamental one's are to be considered the most profound.......Discussing the question, which elements on the path are to be considered profound. While a general view is that the most subtle practises are also the most profound, 'Jig-rten-mgon-po maintains that the most fundamental one's are to be considered the most profound....

  1. Care versus treatment at the end of life for profoundly disabled persons.

    Science.gov (United States)

    Spike, Jeffrey P

    2012-01-01

    Individuals who are profoundly mentally handicapped do not have the capacity to make their own decisions and also do not have a past record of decisions, from when they had capacity, to guide us in making decisions for them. They represent a difficult group, ethically, for surrogate decision making. Here I propose some guidelines, distinguishing between these patients and patients in a persistent vegetative state (PVS). As the life span of patients becomes shorter, or their level of consciousness becomes permanently impaired, the presumption for comfort care should become an imperative, and the standard of evidence to justify any invasive intervention should become higher. For members of this population, who have no more ability to refuse treatment than to consent to it, protection of the vulnerable must mean allowing a peaceful death as well as a comfortable life. Reasonable legal safeguards are also proposed to allow improved end-of-life decisions to be made for this population.

  2. Vnímání barev žákem s mentálním postižením Perception of colours by mentally-handicapped pupils

    Directory of Open Access Journals (Sweden)

    Olga Krejčířová

    2006-02-01

    Full Text Available Předložená stať se pokouší o využití obecných poznatků o barvách v oblasti tělesné kultury a aplikuje je na tělesnou výchovu v podmínkách speciálních škol. Vychází z předpokladu, že vzdělávání žáků s mentálním postižením by mělo probíhat za podmínek, které v nich evokují libé pocity. A k těmto podmínkám patří i barevnost. Jsou prezentovány výsledky šetření preference barev probandy s lehkým a středně těžkým mentálním postižením. Výsledky naznačují, že probandi s lehkým mentálním postižením mají tendenci citlivě vnímat barvy, a to i v abstraktní podobě. Preferují modrou, případně zelenou a červenou barvu a hůře přijímají černou a fialovou. Preference oblíbené barvy je u probandů s těžším mentálním postižením více variabilní než u probandů s lehkým mentálním postižením. The following article attempts to utilize general knowledge of colours in the sphere of physical culture and applies it to physical education in special schools. It is based on the precondition that education of mentally-handicapped pupils should proceed under conditions evoking pleasurable feelings in them. And such conditions also include colours. The article presents the results of an examination of colour preference in probands with slight to moderate mental handicaps. The results show that probands with a slight mental handicap tend to be sensitive in relation to colours, even in their abstract form. They prefer blue, respectively green and red, and they have difficulties with perception of black and violet. The favourite colour preference in probands with a more serious mental handicap is more variable than in probands with a slight mental handicap.

  3. Kangaroo Kapers or How to Jump into Library Services for the Handicapped.

    Science.gov (United States)

    Ruark, Ardis; Melby, Carole

    This guide to educational and library resources for handicapped individuals cites agencies, organizations, and bibliographies of children's and adult/professional books in separate sections for the aurally, visually, and mentally handicapped, and in a general section for other handicapping conditions. Guidelines for volunteers include suggested…

  4. Horticulture for Secondary Level Handicapped Adolescents: The Cherokee County Model.

    Science.gov (United States)

    Frith, Greg H.; And Others

    1981-01-01

    The Cherokee County (Alabama) horticulture training program provides 40 mildly mentally retarded adolescents with vocational training in a marketable skills. The broad spectrum of vocational skills makes horticulture ideal for the handicapped. (DB)

  5. Diskrimination og handicap

    DEFF Research Database (Denmark)

    Amilon, Anna; Larsen, Lena Bech; Østergaard, Stine Vernstrøm

    2017-01-01

    Formålet med dette notat er at undersøge, i hvilket omfang og i hvilke situationer, mennesker med handicap oplever, at de bliver diskrimineret. Notatet er baseret på SFI’s spørgeskemaundersøgelse SHILD – Survey of Health, Impairment and Living conditions in Denmark. Formålet med SHILD er at belyse...... forhold for mennesker med handicap sammenholdt med mennesker uden handicap og at følge udviklingen over tid. Sigtet er således at bidrage med viden om sammenhænge mellem handicap og levevilkår og udviklingen i disse sammenhænge....

  6. Integration of SPH Students with Non-Handicapped Peers at Pine Ridge Center.

    Science.gov (United States)

    Pegnatore, Linda A.

    A 9-week practicum was designed to integrate severely/profoundly handicapped (SPH) students with third-grade nonhandicapped peer tutors in Broward County, Florida. Additional Objectives were to promote greater understanding of handicaps by nonhandicapped peer tutors and to increase awareness by SPH teachers of the importance of interactions…

  7. Handicap og samfundsdeltagelse 2006

    DEFF Research Database (Denmark)

    Bengtsson, Steen

    Denne rapport giver en basal viden om praktiske, sociale og psykiske følger af handicap, som kan ligge til grund for en vurdering af, om mennesker med handicap har mulighed for at udfolde sig og deltage i samfundet på lige vilkår med mennesker uden handicap. Rapporten viser, at handicap på alle...... punkter virker begrænsende for deltagelse i samfundslivet. Det gælder kontakten til andre, også nære venner og familie, arbejdsmarkedet og udadrettede aktiviteter. Handicap virker også negativt på oplevelsen af meningsfuldhed, forståelse og lykkefølelse. SFI har i 1962 og 1995 gennemført lignende...... undersøgelser. Men denne er den første, der viser, hvad handicap på ben, arme, hænder, syn, hørelse, adfærd og intellekt, betyder hver for sig. Rapporten belyser også handicappedes boligindretning, deres mulighed for at komme omkring og deres brug af rådgivning og støtteforanstaltninger. Rapporten bygger på 9...

  8. EARLY DETECTION OF HANDICAPS OF PERSONS WITH TRISOMIA OF 21 CHROMOSOME IN THE CYTOGENETIC LABORATORY IN THE CENTER FOR MENTAL HEALTH FOR CHILDREN AND ADOLESCENTS IN SKOPJE

    Directory of Open Access Journals (Sweden)

    B. APOSTOLOSKI

    1997-12-01

    Full Text Available Factors which contribute the appearance of handicaps are numerous and complex. By their nature they are inherited or determined by factors of outer environment, mostly as a result of interaction of both. In the broad sense the genetic factors are located in 46 chromosomes in the human cell, before all in the female and male fertilized cell e.i. the genes located in the chromosomes which determine the function of the central nervous system. The chromosome aberrations e.i. the visible aberrations of the chromosome structure presents the cause for the appearance of handicaps mostly together with some syndrome. That’s the case with Dawn’s syndrome( mongolism where we can find trisomy of 21 chromosome.Relatively, the great number of examinees (176 which we discovered in a period of 10 years from all the places of R. Macedonia confirm the need for further investigations. The newborns with this syndrome are children with prenatal development finished in not adequate way. The presence of different physical appearance on the birth and later on, more or less, speaks about indefinite mixture of pathological factors in the growth of the child and the difference. The symptoms that are discovered in these children indicate that they are retarded in their psychological and physical development from the normal children, and the further growth and development are on a lower level. The psychological, pediatrics and psychiatric researches show that the level of intelligence of our examinees is low, where as the social adjustment is far more better.The examination of our examinees was made up of taking an anamnesis from the parents, mostly from the mother. Every examine was under taken an caryological test. Ten of them showed an translocative type of Down’s syndrome where one of the parents is the carrier of the heterological balanced translocation. The heterological balanced translocations can be discovered only through affected newborn child. Our researches

  9. Facilitating creativity in handicapped and non-handicapped children ...

    African Journals Online (AJOL)

    The prime objective of this paper is to create awareness on the presence of the handicapped in Nigeria and the need to facilitate creative potentials in handicapped and non-handicapped children. Various factors that could facilitate creativity and other factors that could inhibit creativity were discussed. The implications for ...

  10. Visual handicap in children.

    Science.gov (United States)

    Bull, M; Evans, P J; Maclean, H

    1982-05-01

    Vision is the primary mode of learning and if it is absent or impaired, other pathways must be stimulated. The range of appropriate services available to visually handicapped children is explained in relation to the school run by the Royal Victorian Institution for the Blind in Melbourne. A period of residential education may be needed for children with multiple impairment. Those whose handicap is primarily visual can usually live at home and have their education integrated with that of their normal peers. Home-based services and parent support systems for preschool and kindergarten age children are outlined. To be successful, they require sharing confidential medical and education information. The school provides a major input to a discussion group of all professionals dealing with such children. Information from the group includes the causes, and educational implications of visual handicap in Victorian children. The commonest pathologies are macular problems and congenital cataract.

  11. Handicap som risikofaktor?

    DEFF Research Database (Denmark)

    Bøttcher, Louise; Dammeyer, Jesper Herup

    2010-01-01

    Børn med handicap er generelt i større risiko for at udvikle psykopatologi. Men risikoen for fejludvikling er ikke enkelt forbundet med graden af handicappet. F.eks. oplever børn med hørehandicap næsten fire gange så hyppigt psykosociale vanskeligheder sammenlignet med hørende børn, men det er ikke...... psykopatologi etableres. I artiklen vil vi præsentere en almen model til forståelse af mennesker med handicap og deres udviklingsmuligheder – en handicappsykologisk udviklingsmodel ud fra et dialektisk kultur-historisk perspektiv (Vygotsky, (1924-31) 1993). Ved hjælp af empiriske studier vil vi eksemplificere...... forskellige typiske udviklingsmæssige problemer, der ofte opstår blandt børn med forskellige typer af handicap. At studere børn med handicap og deres psykiske udvikling kan være et vigtigt forskningsmæssigt vindue til at forstå udviklingspsykopatologi generelt....

  12. Personer med handicap

    DEFF Research Database (Denmark)

    Amilon, Anna; Larsen, Lena Bech; Østergaard, Stine Vernstrøm

    Danmark har været omfattet af FN’s handicapkonvention siden 2009. I tråd med konventionen har den danske handicappolitik til hensigt at skabe lige muligheder for mennesker med handicap og den øvrige befolkning. Denne undersøgelse belyser, i hvilket omfang dette sigte er opfyldt for mennesker med...... handicap i 2016, sammenholdt med den øvrige voksne befolkning. Undersøgelsen sætter fokus på forhold omkring uddannelse, beskæftigelse, forsørgelse, livskvalitet og sundhed, deltagelse og tilgængelighed samt sagsbehandling og diskrimination. Rapporten giver på den måde et bredt billede af, dels hvordan...... forholdene er for mennesker med handicap i 2016, og dels hvordan forholdene har udviklet sig siden den første undersøgelsesrunde i 2012. Undersøgelsen viser, at der er store forskelle på mennesker med og uden handicap, også når det gælder helt fundamentale områder for velfærdssamfundet så som uddannelse og...

  13. Med handicap i vuggestuen

    DEFF Research Database (Denmark)

    Bendix-Olsen, Kurt

    2017-01-01

    Artiklen udforsker det deltagelsesmæssige råderum, som vuggestuebørn med handicap har i hverdagens inklusionspraksis i ressourcebørnehuse. Ressourcebørnehusenes inklusionsarrangementer er i fokus med henblik på at undersøge, på hvilke måder børn med handicap deltager i hverdagen og får erfaringer...... med og mulighed for at udvikle rådighed. Artiklen fremanalyserer, at inklusionsarrangementer tilvejebringes gennem tre væsensforskellige organiseringer af pædagogisk praksis, der hver på sin måde tilbyder børn med handicap særlige deltagelsesbetingelser: 1) Et kapacitetsfokuseret arrangement 2) Et...... rummende omsorgsarrangement 3) Et repertoireskabende arrangement. De to førstnævnte arrangementer peger på, at handicap er knyttet til binære forståelser af børns behov som almene eller særlige. Hvor de professionelle i det kapacitetsfokuserede arrangement vægtlægger udvikling af barnets kropsfunktioner og...

  14. The Handicap Principle

    Indian Academy of Sciences (India)

    IAS Admin

    The Handicap Principle is an idea proposed by the husband and wife scientist team of Amotz and Avishag Zahavi from. Israel in the 1970's. It is among the most innovative ideas of the 20th century in the field of behavioural biology and attempts to explain several long-standing puzzles that have baffled naturalists since the ...

  15. Personer med handicap

    DEFF Research Database (Denmark)

    Amilon, Anna; Larsen, Lena Bech; Østergaard, Stine Vernstrøm

    Danmark har været omfattet af FN’s handicapkonvention siden 2009. I tråd med konventionen har den danske handicappolitik til hensigt at skabe lige muligheder for mennesker med handicap og den øvrige befolkning. Denne undersøgelse belyser, i hvilket omfang dette sigte er opfyldt for mennesker med ...

  16. Transporting Handicapped Students.

    Science.gov (United States)

    Turner, Dayton Ray

    The book presents guidelines for adaptive transportation measures for handicapped students. Part 1 considers the transportation cycle as a means to evaluate individual student competencies at all logical points during the transportation experience. The transportation cycle is reviewed from deciding to transport the student to gaining access to…

  17. Effect of a 0.5% chlorhexidine gel on dental plaque superinfecting microorganisms in mentally handicapped patients Efeito do gel de clorexidina a 0,5% em microrganismos superinfectantes da placa bacteriana de portadores de necessidades especiais

    Directory of Open Access Journals (Sweden)

    Cláudio Mendes Pannuti

    2003-09-01

    Full Text Available A randomized clinical trial was conducted to investigate the effect of a 0.5% chlorhexidine (CHX gel on dental plaque superinfecting microorganisms in mentally handicapped patients. Thirty inmates from the institution "Casas André Luiz" were assigned to either test group (CHX gel, n = 15 or control group (placebo gel, n = 15. The gel was administered over a period of 8 weeks. Supragingival plaque samples were collected at baseline, after gel use (8 weeks and 16 weeks after baseline. The presence of Gram-negative Enterobacteriaceae, Staphylococcus and yeasts was evaluated. No significant growth of any superinfecting microorganism was observed in the CHX group, when compared to the placebo group. The results indicated that the 0.5% chlorhexidine gel did not produce an undesirable shift in these bacterial populations.Foi conduzido um ensaio clínico aleatório com objetivo de investigar o efeito do gel de clorexidina (CHX a 0,5% sobre microorganismos superinfectantes da placa bacteriana de pacientes especiais. Trinta internos da instituição "Casas André Luiz" foram aleatoriamente divididos em grupo teste (gel de CHX, n = 15 e controle (gel placebo, n = 15. O gel foi utilizado por oito semanas. Amostras de placa supragengival foram coletadas no início do estudo, após o uso do gel (oito semanas e 16 semanas após o início do estudo. Foi avaliada a presença de bacilos entéricos Gram-negativos, Staphylococcus e leveduras. Não houve diferença entre os grupos quanto à presença desses microorganismos em qualquer momento do estudo. Os resultados indicam que o gel de CHX não provocou mudanças significativas na composição desses microorganismos.

  18. Benefits for handicapped children

    CERN Document Server

    2003-01-01

    The introduction of long-term care benefits within the CERN Health Insurance Scheme requires the coordination of the benefits foreseen for handicapped children. Measures were adopted by the Management following the recommendation made by the Standing Concertation Committee on 26 March 2003. A document clarifying these measures is available on the Web at the following address: http://humanresources.web.cern.ch/humanresources/external/soc/Social_affairs/social_affairs.asp Social Affairs Service 74201

  19. [Managing self determination and sexual violence in homes for young adults with mental handicap--report from an ongoing German model project].

    Science.gov (United States)

    Thomas, Helgard; Wawrok, Silke; Klein, Susanne; Jeschke, Karin; Martinsohn-Schittkowski, Wiebke; Sühlfleisch, Ulrike; Wölkerling, Udo; Ziegenhain, Ute; Völger, Margot; Fegert, Jörg M; Lehmkuhl, Ulrike

    2002-10-01

    This report is based upon a model project financially assisted by a grant from the German Federal Ministry for Families, Senior Citizens, Women and Youth, starting in 1999 and ending at the end of 2003. In cooperation with two disability care residential institutions, a conceptual approach and method to the questions of sexual self-determination and sexualized violence is being developed. Through qualitative methods of research e.g. focus groups, professional helpers of all hierarchies of the institution, including management, and the residents themselves, all had the chance to contribute their own opinions and experiences to the research topic. Specifically, to ensure their voice was heard, the people with mental retardation had an important impact on the questionnaire themselves. All aspects of sexuality were discussed--with notable difficulty arising in particular over the subject of sexual violence. It turned out that nonverbal communication and the interaction between the group members in the residents group were most indicative of their concerns. The staff at the nursing and living areas discussed the following topics: distance and closeness in the interaction between staff and residents, standards, reflections of their own professional attitudes, questions of legality as well as the tense topic of individual needs and tasks of the group. How those questioned described their solutions and ways of coping, and the impressions of the researchers forms the starting point for the compiled work. The initial ideas for the topics and the design of the concept are now laid out.

  20. 45 CFR 1151.11 - Handicapped person.

    Science.gov (United States)

    2010-10-01

    ... 45 Public Welfare 3 2010-10-01 2010-10-01 false Handicapped person. 1151.11 Section 1151.11 Public... HUMANITIES NATIONAL ENDOWMENT FOR THE ARTS NONDISCRIMINATION ON THE BASIS OF HANDICAP Standards for Determining Who Are Handicapped Persons § 1151.11 Handicapped person. (a) Handicapped person means any person...

  1. [Books on Death, Divorce, and Handicaps for Primary Grades: An Annotated Bibliography].

    Science.gov (United States)

    Gamm, Cindy, Comp.

    This annotated bibliography includes books that were written to help children cope with death, divorce, and various physical and mental handicaps. The grade levels for which each book is appropriate are also provided. (Author/MP)

  2. 38 CFR 21.58 - Redetermination of employment handicap and serious employment handicap.

    Science.gov (United States)

    2010-07-01

    ... employment handicap and serious employment handicap. 21.58 Section 21.58 Pensions, Bonuses, and Veterans... of employment handicap and serious employment handicap. (a) Prior to induction into a program. A determination as to employment handicap, serious employment handicap, or eligibility for a program of employment...

  3. When Lightning Strikes Twice: Profoundly Gifted, Profoundly Accomplished.

    Science.gov (United States)

    Makel, Matthew C; Kell, Harrison J; Lubinski, David; Putallaz, Martha; Benbow, Camilla P

    2016-07-01

    The educational, occupational, and creative accomplishments of the profoundly gifted participants (IQs ⩾ 160) in the Study of Mathematically Precocious Youth (SMPY) are astounding, but are they representative of equally able 12-year-olds? Duke University's Talent Identification Program (TIP) identified 259 young adolescents who were equally gifted. By age 40, their life accomplishments also were extraordinary: Thirty-seven percent had earned doctorates, 7.5% had achieved academic tenure (4.3% at research-intensive universities), and 9% held patents; many were high-level leaders in major organizations. As was the case for the SMPY sample before them, differential ability strengths predicted their contrasting and eventual developmental trajectories-even though essentially all participants possessed both mathematical and verbal reasoning abilities far superior to those of typical Ph.D. recipients. Individuals, even profoundly gifted ones, primarily do what they are best at. Differences in ability patterns, like differences in interests, guide development along different paths, but ability level, coupled with commitment, determines whether and the extent to which noteworthy accomplishments are reached if opportunity presents itself. © The Author(s) 2016.

  4. Handicap visuel et administration

    OpenAIRE

    Sicard, Mathilde

    2016-01-01

    Introduction du mémoire : Aujourd’hui, on compte en France 1,7 million de déficients visuels. Près de 3 Français sur 100 sont ainsi confrontés à des problèmes de vision. Parmi eux, 207 000 sont malvoyants profonds et aveugles. De plus, ce handicap connait une progression importante en raison de l’accroissement générale de l’espérance de vie de la population française : la déficience visuelle étant une déficience dont la fréquence augmente considérablement avec l’âge.Dans ce contexte, il est i...

  5. 29 CFR 779.409 - Handicapped workers.

    Science.gov (United States)

    2010-07-01

    ... 29 Labor 3 2010-07-01 2010-07-01 false Handicapped workers. 779.409 Section 779.409 Labor... Students, Learners, and Handicapped Workers § 779.409 Handicapped workers. Regulations have been issued... handicapped workers at wages lower than the minimum wage applicable under section 6 of the Act. These...

  6. The Mentally Retarded Child and His Family.

    Science.gov (United States)

    Koch, Richard, Ed.; Dobson, James C., Ed.

    Described as a text for students in college courses of all disciplines relating to the mentally handicapped (education, medicine, psychology, rehabilitation and others), the collection of papers contains two introductory articles on the origins of intelligence and the meaning of mental handicaps. Eight papers devoted to the biological factors in…

  7. Woodworking for Preschool Handicapped Children.

    Science.gov (United States)

    Kulla-Branz, John

    1984-01-01

    Woodworking experiences based on a task analysis approach can be motivating instructional experiences for preschool handicapped children. The article presents sequentially ordered hammering and sawing skills adaptations for specific disability groups. (CL)

  8. The Handicapped Can Dance Too!

    Science.gov (United States)

    Lloyd, Marcia L.

    1978-01-01

    A program of dance therapy activities can offer handicapped individuals positive experiences in such areas as body image, spatial awareness, self-confidence, hand-eye/foot-eye coordination, visual focusing, balance and social relations. (Author/MJB)

  9. Voice handicap and health-related quality of life after treatment for small laryngeal carcinoma.

    Science.gov (United States)

    Killguss, Helen; Gottwald, Frank; Haderlein, Tino; Maier, Andreas; Rosanowski, Frank; Iro, Heinrich; Psychogios, Georgios; Schuster, Maria

    2011-01-01

    Treatment of small carcinoma of the larynx may lead to voice handicap and restricted quality of life. The relationship between the two is revealed. Sixty-five patients aged 62.1 ± 10.0 years rated their voice handicap and quality of life after treatment of T1 (n = 35) or T2 (n = 30) laryngeal carcinoma during regular out-patient examinations. For the self-assessment of the voice, the Voice Handicap Index (VHI) and the disease-independent Short Form-36 Health Survery (SF-36) questionnaires were used. Voice handicap (total score 38.9 ± 26.0) did not differ in the two tested groups, T1 and T2, and the data of SF-36 (physical score 43.0 ± 10.7; mental score 50.2 ± 9.1) showed significant differences for the mental score. Patients rated their voice handicap worse than healthy persons did after treatment of laryngeal carcinoma. VHI and SF-36 data were strongly correlated. Voice handicap is significantly related to the quality of life, especially affecting the mental domain. Thus, the rehabilitation of voice disorders should have a beneficial impact on quality of life. Copyright © 2010 S. Karger AG, Basel.

  10. Handicap og ligebehandling i praksis

    DEFF Research Database (Denmark)

    Bonfils, Inge Storgaard; Bengtsson, Steen; Olsen, Leif

    Handicap er et af de områder, hvor den sociale indsats har været stigende gennem mange år. Flere forskellige professionsgrupper, som socialrådgivere, pædagoger, ergoterapeuter og fysioterapeuter arbejder med området, og derfor er der behov for, at de fagprofessionelle – både igennem deres...... uddannelsesforløb og efterfølgende – opnår viden om emnet handicap og ligebehandling. Med denne antologi sætter vi fokus på ligebehandling. Undersøgelser har vist, at kun få af de offentligt ansatte, der har ansvaret for indsatsen i forhold til handicap, har viden om dansk handicappolitik og dens principper....

  11. Profound Hypoglycemia with Ecstasy Intoxication

    Directory of Open Access Journals (Sweden)

    Perliveh Carrera

    2015-01-01

    Full Text Available Background. 3,4-Methylenedioxymethamphetamine (MDMA or ecstasy is a synthetic drug that is commonly abused for its stimulant and euphoric effects. Adverse MDMA effects include hyperthermia, psychomotor agitation, hemodynamic compromise, renal failure, hyponatremia, and coma. However, endogenous hyperinsulinemia with severe persistent hypoglycemia has not been reported with MDMA use. Case Report. We report the case of a 29-year-old woman who remained severely hypoglycemic requiring continuous intravenous infusion of high-dose dextrose solutions for more than 24 hours after MDMA intoxication. Serum insulin and C-peptide levels confirmed marked endogenous hyperinsulinemia as the cause of the severe hypoglycemia. Why Should an Emergency Physician Be Aware of This? Immediate and frequent monitoring of blood glucose should be instituted in patients presenting with MDMA ingestion particularly if found to be initially hypoglycemic. Early recognition can help prevent the deleterious effects of untreated hypoglycemia that can add to the morbidity from MDMA use. Clinicians need to be aware of this side effect of MDMA so they can carefully monitor and treat it, especially in patients presenting with altered mental status.

  12. Demographic and audiological factors as predictors of hearing handicap

    Directory of Open Access Journals (Sweden)

    Leposavić Ljubica

    2006-01-01

    Full Text Available INTRODUCTION Currently available evidence reveals comparatively few studies of psychological effects of hearing impairments, in spite of the fact that clinicians have for a long time been aware of a connection between the acquired hearing impairment and mental disorders. They are focused on the investigation of dysfunction in general. Thus, three domains of the auditory imbalance may be distinguished: disorder, disability and handicap. 'Handicap', according to the definition of the World Health Organization, is a hindrance in an individual that results from an impairment or disability and represents psychological response of the individual to the impairment. OBJECTIVE Validation of acquired hearing impairment as a risk factor of psychical disorders as well as an analysis of relation of some demographic factors (sex, age, education and audiological factors (degree and duration of the impairment with the frequency of hearing handicap. METHOD MMPI-201 has been applied in 60 subjects affected with otosclerosis, potential candidates for stapedectomy, before and after the surgery. RESULTS Individuals with acquired hearing impairment manifest more frequent disorders of psychical functioning in comparison with general population, while demographic and audiometric parameters did not correlate with acquired hearing handicap. CONCLUSION It may be assumed that the very recognition of demographic and audio-logical factors can not help much in the understanding of the psychological stress associated with hearing impairment.

  13. Handicap questionnaires: what do they assess?

    NARCIS (Netherlands)

    Cardol, M.; Brandsma, J. W.; de Groot, I. J.; van den Bos, G. A.; de Haan, R. J.; de Jong, B. A.

    1999-01-01

    There is an increasing need to get insight into the social and societal impact of chronic conditions on a person's life, i.e. person-perceived handicap. The purpose of this study is to report how current handicap questionnaires assess handicap. A literature search using both Medline and the database

  14. Nutrition of Children with Severely Handicapping Conditions.

    Science.gov (United States)

    Sobsey, Richard J.

    1983-01-01

    Nutritional needs of severely handicapped children are examined as they are affected by specific handicapping conditions, medications commonly used with severely handicapped children, special diets, and behavior influences. The potential for interaction among these factors is discussed, and six guidelines are provided to help ensure improved…

  15. Ouderlijke mediasocialisatie : hulpbron of handicap?

    NARCIS (Netherlands)

    Notten, Natascha; kraaykamp, Gerbert; Ultee, Wout

    2008-01-01

    Summary Media socialization: help or handicap? A study of the long term effects of parental media socialization on children’s educational success In this article we analyzed the long term effects of parental media socialization on educational success. We employed information on 7838 individuals from

  16. Educating Handicapped Children: Whose Responsibility?

    Science.gov (United States)

    Burns, Harriet P.

    1977-01-01

    In 1836, a young Swiss physician, Johann Jacob Guggenbuhl, introduced a residential setting for a handicapped child and attempted to develop a well-designed program and philosophy for the local retarded population. Some of the same problems that he faced are still being discussed. Here the costs of such programs are considered in terms finance,…

  17. Handicap og ligebehandling i praksis

    DEFF Research Database (Denmark)

    Bengtsson, Steen; Bonfils, Inge; Olsen, Leif

    Handicap er et af de områder, hvor den sociale indsats har været stigende gennem mange år. Flere forskellige professionsgrupper, som socialrådgivere, pædagoger, ergoterapeuter og fysioterapeuter arbejder med området, og derfor er der behov for, at de fagprofessionelle – både igennem deres...... uddannelsesforløb og efterfølgende – opnår viden om emnet handicap og ligebehandling. Med denne antologi sætter vi fokus på ligebehandling. Undersøgelser har vist, at kun få af de offentligt ansatte, der har ansvaret for indsatsen i forhold til handicap, har viden om dansk handicappolitik og dens principper. Med en...... artikel om ligebehandling og handicappolitik håber vi at give fagpersoner og andre interesserede indsigt i de grundlæggende principper og dynamikker i dansk handicappolitik. Der er skrevet meget lidt om mennesker med handicap med anden etnisk oprindelse end dansk og de problemer, de møder i det offentlige...

  18. The Intellect and Intellectual Handicaps.

    Science.gov (United States)

    Kylen, Gunnar

    This guide describes, from the perspecitve of J. Piaget's theories, the nature of intellectual handicaps and their significance for cognitive development, personality development, and interaction with the environment. A description of intellectual capacity and intellectual development is followed by an analysis of the role of intellectual capacity…

  19. Psychology and the Handicapped Child.

    Science.gov (United States)

    Sherrick, Carl E., Ed.; And Others

    Reviewed in seven author contributed chapters are findings of experimental psychology relevant to the education of handicapped children in the areas of sensory processes, visual perception, memory, cognition and language development, sustained attention and impulse control, and personality and social development. Noted in an introductory chapter…

  20. Validity of the Sleep Subscale of the Diagnostic Assessment for the Severely Handicapped-II (DASH-II)

    Science.gov (United States)

    Matson, Johnny L.; Malone, Carrie J.

    2006-01-01

    Currently there are no available sleep disorder measures for individuals with severe and profound intellectual disability. We, therefore, attempted to establish the external validity of the "Diagnostic Assessment for the Severely Handicapped-II" (DASH-II) sleep subscale by comparing daily observational sleep data with the responses of…

  1. Handicap, uddannelse og beskæftigelse

    DEFF Research Database (Denmark)

    Høgelund, Jan; Larsen, Malene Rode

    Denne rapport belyser uddannelsesniveauet og uddannelsesaktiviteten og beskæftigelsen blandt personer med handicap. Den giver en detaljeret, landsdækkende beskrivelse af, hvilke uddannelser personer med handicap har og er i gang med, og hvor ofte personer med forskellige uddannelser er beskæftiget....... Der er en væsentlig mindre andel blandt personer med et handicap der har en kompetencegivende uddannelse eller er i gang med en sammenlignet med personer uden handicap. Rapporten viser, at for stort set alle uddannelsesniveauer er beskæftigelsesandelen væsentlig lavere blandt personer med handicap end...... blandt personer uden handicap. Rapportens resultater tyder dermed på, at der er et potentiale for en bedre udnyttelse af de uddannelseskompetencer, som ikke-beskæftigede personer med handicap har, og dermed for en samfundsmæssig gevinst. Sandsynligheden for at være i beskæftigelse vokser med uddannelsens...

  2. Handicap and social status of adults with spina bifida cystica

    Science.gov (United States)

    Evans, Kathleen; Hickman, Veronica; Carter, C. O.

    1974-01-01

    The present physical handicaps and social status of 202 survivors of spina bifida cystica attending The Hospital for Sick Children, Great Ormond Street before 1954 are described. Ninety-three of the patients, mostly with uncomplicated meningocele, had escaped serious disability and were living normal lives. But 109 had a serious disability, including three who are mentally retarded. Some of the difficulties of living with spina bifida are described, and a record of work, marriage, and reproduction in the whole group of survivors is shown. Of the 106 with serious locomotor problems and/or incontinence, 58 work regularly, 17 have long spells off work, and 31 have never worked at all; 24 have married, 16 have 26 children none of whom has spina bifida. Of the 96 without physical handicap, 93 work regularly, 47 are married, and 34 have 75 children one of whom has spina bifida cystica and one anencephaly. PMID:4604518

  3. Creating aesthetically resonant environments for the handicapped, elderly and rehabilitation: Sweden

    DEFF Research Database (Denmark)

    Brooks, Tony; Hasselblad, Stefan

    2005-01-01

    CARE HERE (Creating Aesthetically Resonant Environments for the Handicapped, Elderly and Rehabilitation) was realised as a full European IST (Information Society Technologies) project, involving adults and children with learning disability, PMLD (Profound and Multiple Learning Disability...... for motion detection that empowered digital painting from gesture that supplemented music creation and its use as a therapeutic supplement. Findings point at the potential use of interactive virtual environments for therapy across dysfunction and age where creativity and/or gameplay are targeted. This paper...

  4. 28 CFR 41.32 - Qualified handicapped person.

    Science.gov (United States)

    2010-07-01

    ... 28 Judicial Administration 1 2010-07-01 2010-07-01 false Qualified handicapped person. 41.32..., NONDISCRIMINATION ON THE BASIS OF HANDICAP IN FEDERALLY ASSISTED PROGRAMS Standards for Determining Who Are Handicapped Persons § 41.32 Qualified handicapped person. Qualified handicapped person means: (a) With respect...

  5. A Survey of Cognition in Handicapped Children. Technical Report No. 197.

    Science.gov (United States)

    Suppes, Patrick

    Reviewed was research on the development of the cognitive skills of language, concept formation, and arithmetic in children handicapped by blindness, mental retardation, or deafness. Research on the language skills of the blind included a rejection of sensory compensation, while research on language in the retarded was seen to focus on linguistic…

  6. Factor Analytic Study of the WISC-R for Three Groups of Handicapped Students.

    Science.gov (United States)

    Fuller, Gerald B.; And Others

    1991-01-01

    Factor analysis performed on the Wechsler Intelligence Scale for Children-Revised (WISC-R) for 252 subjects (ages 6-16), who were mentally handicapped, slow learners, or learning disabled, identified 3 factors: verbal-conceptual, perceptual-spatial, and distractibility-short-term memory. Findings suggest that the factor example can be used to…

  7. Home Stimulation of Handicapped Children: Professional Guide. Parent/Child Home Stimulation.

    Science.gov (United States)

    Donahue, Michael J.; And Others

    The professional guide to a parent education course on the mental stimulation of handicapped young children is organized by the topics of the 12 sessions: orientation, responsive program, toys as learning tools, creativity, self concept, discipline, behavior modification I and II, language, sensory motor development I and II, and open session.…

  8. Profound thrombocytopenia after primary exposure to eptifibatide

    Directory of Open Access Journals (Sweden)

    Nicholas B Norgard

    2010-09-01

    Full Text Available Nicholas B Norgard, Brian T BadgleyUniversity at Buffalo, School of Pharmacy and Pharmaceutical Sciences, Buffalo, NY, USAAbstract: Eptifibatide is a glycoprotein IIb/IIIa receptor antagonist used to reduce the incidence of ischemic events in patients with acute coronary syndromes and those undergoing percutaneous coronary intervention. A minority of patients given eptifibatide develop acute, profound thrombocytopenia (<20,000 cells/mm3 within a few hours of receiving the drug. This case report discusses a patient who developed profound thrombocytopenia within hours of receiving eptifibatide for the first time. The Naranjo algorithm classified the likelihood that this patient’s thrombocytopenia was related to eptifibatide as probable. Profound thrombocytopenia is an uncommon but clinically important complication of eptifibatide. This case report emphasizes the importance of monitoring platelet counts routinely at baseline and within 2–6 hours of eptifibatide administration.Keywords: drug-induced thrombocytopenia, glycoprotein IIb/IIIa antagonists, eptifibatide, thrombocytopenia

  9. Profound thrombocytopenia after primary exposure to eptifibatide.

    Science.gov (United States)

    Norgard, Nicholas B; Badgley, Brian T

    2010-01-01

    Eptifibatide is a glycoprotein IIb/IIIa receptor antagonist used to reduce the incidence of ischemic events in patients with acute coronary syndromes and those undergoing percutaneous coronary intervention. A minority of patients given eptifibatide develop acute, profound thrombocytopenia (eptifibatide for the first time. The Naranjo algorithm classified the likelihood that this patient's thrombocytopenia was related to eptifibatide as probable. Profound thrombocytopenia is an uncommon but clinically important complication of eptifibatide. This case report emphasizes the importance of monitoring platelet counts routinely at baseline and within 2-6 hours of eptifibatide administration.

  10. Handicap i beskæftigelsesindsatsen

    DEFF Research Database (Denmark)

    Kjeldsen, Lena; Amby, Finn

    Ledige med handicap er omfattet af de samme krav og tilbudsmuligheder som andre ledige. Først efter længere tids offentlig forsørgelse, kan særlige indsatser komme på tale. Det er overladt til de kommunale jobcentre, hvilken rolle handicap skal spille i beskæftigelsesindsatsen. Praksis på området...

  11. Malocculusion pattern among Handicapped children in Ibadan ...

    African Journals Online (AJOL)

    Objective: There is paucity of information in Nigeria concerning the occlusal characteristics of handicapped children, yet they need functional and aesthetic consideration comparable to that of 'normal' persons. The aim of this study was to investigate the pattern of malocclusion among the handicapped children in Ibadan, ...

  12. Prevalence Of Dental Abnormalities Among Handicapped Children ...

    African Journals Online (AJOL)

    Efforts to improve the quality of life of handicapped people are on the increase world wide, their oral health inclusive. Relevant data is required for adequate planning for this purpose. A survey of 579 handicapped children was carried out in Lagos to assess the various dental abnormalities among them. Over 34% of them ...

  13. Wage Discrimination against Handicapped Men and Women.

    Science.gov (United States)

    Johnson, William G.; Lambrinos, James

    1985-01-01

    The extent of discrimination against handicapped men and women is estimated in this article. Observed wage differentials are corrected for selectivity bias. Results indicate that almost one-third of the wage differential for men and close to one-half for women can be attributed to discrimination. Handicapped women are also subjected to sex…

  14. Personality and Social Development of Handicapped Children.

    Science.gov (United States)

    Baldwin, Clara P.; Baldwin, Alfred L.

    Discussed are the personality and social development of children with physical handicaps, intellectual difficulties, or social and emotional disturbances, and recommended is the actual observation of the interactions of handicapped children with others in naturalistic situations. Stressed is the importance of pathological social interactions to…

  15. Educating the Handicapped in Biomedical Instrumentation

    Science.gov (United States)

    Rosenbrier, Gilbert N.

    1974-01-01

    Handicapped community college students recruited for a one-year pilot career program (Biomedical Equipment Technology) proved that when architectual barriers are removed, educational and career fulfillment become possible. Innovations introduced to assist handicapped students now benifit every college student; new programs for paraplegics and the…

  16. Euthanasia of Severely Handicapped Infants: Ethical Issues.

    Science.gov (United States)

    Cohen, Libby

    Ethical decisions are involved in life and death decisions for severely handicapped infants. Although it has become common practice for physicians not to treat severely handicapped infants, the ethical considerations involved in euthanasia are complex. A review of the literature reveals that concerns center around the quality of life of the…

  17. Handicap i beskæftigelsesindsatsen

    DEFF Research Database (Denmark)

    Kjeldsen, Lena; Amby, Finn

    2016-01-01

    Ledige med handicap er omfattet af de samme krav og tilbudsmuligheder som andre ledige. Først efter længere tids offentlig forsørgelse, kan særlige indsatser komme på tale. Det er overladt til de kommunale jobcentre, hvilken rolle handicap skal spille i beskæftigelsesindsatsen. Praksis på området...

  18. Individual Educational Programs for Handicapped Learners

    Science.gov (United States)

    Hasbargen, Arthur; Hasbargen, Janet L.

    1978-01-01

    Public Law 94-142, the Education for All Handicapped Children Act, will require home economics teachers to participate in preparing individual educational programs for their handicapped students. The article gives requirements of the law and an example of a teacher-made check list for bathroom skills. (MF)

  19. Student Projects Designed to Aid Handicapped People.

    Science.gov (United States)

    President's Committee on Employment of the Handicapped, Washington, DC.

    Intended for college and university students, the booklet contains ideas for school and community projects to help eradicate the attitudinal and architectural barriers that encumber handicapped individuals. One such project, "Handicap Awareness Week", is described in terms of definition, rationale, objective, and general considerations.…

  20. The perceived handicap questionnaire: a self perceived handicap measurement in patients with spinal cord injury.

    Science.gov (United States)

    Kuptniratsaikul, Vilai; Smerasuta, Orawan; Klomjaiyen, Poungtong

    2002-08-01

    Handicap exists when individuals with impairment or disability are unable to fulfill one or more of the roles that are considered normal for their age, gender, and culture. In fact, handicap is one of the most poorly measured of all rehabilitation outcomes. This study was performed to measure the subjective experience of handicap in spinal cord injury (SCI) patients who had permanent disabilities and were often faced with environmental barriers. Eighty-three new traumatic SCI patients with a mean age of 33 years were interviewed during follow-up outpatient clinic visits using the Perceived Handicap Questionnaire (PHQ). This test provides a global measurement of the extent of self-perceived handicap across five dimensions based on the WHO's classification of handicap. When compared with normal persons, SCI subjects perceived themselves as more handicapped in all dimensions especially mobility and physical independence. In contrast, the majority of SCI subjects perceived themselves as less handicapped than others with SCI in physical independence, and equally handicapped in social integration and in economic self-sufficiency. In addition, the Barthel Index Score of self-care activities was negatively correlated with the PHQ score, but the depression score and hospitalization period were positively correlated with the PHQ score. Rehabilitation professionals should pay attention to the measurement of societal functioning or handicap in addition to disability.

  1. Profound thrombocytopenia after primary exposure to eptifibatide

    OpenAIRE

    Norgard, Nicholas; Badgley,Brian

    2010-01-01

    Nicholas B Norgard, Brian T BadgleyUniversity at Buffalo, School of Pharmacy and Pharmaceutical Sciences, Buffalo, NY, USAAbstract: Eptifibatide is a glycoprotein IIb/IIIa receptor antagonist used to reduce the incidence of ischemic events in patients with acute coronary syndromes and those undergoing percutaneous coronary intervention. A minority of patients given eptifibatide develop acute, profound thrombocytopenia (<20,000 cells/mm3) within a few hours of receiving the drug. This c...

  2. 49 CFR Appendix A to Part 609 - Elderly and Handicapped

    Science.gov (United States)

    2010-10-01

    ... 49 Transportation 7 2010-10-01 2010-10-01 false Elderly and Handicapped A Appendix A to Part 609..., DEPARTMENT OF TRANSPORTATION TRANSPORTATION FOR ELDERLY AND HANDICAPPED PERSONS Pt. 609, App. A Appendix A to Part 609—Elderly and Handicapped The definitions of the term elderly and handicapped as applied under...

  3. 45 CFR 1151.12 - Qualified handicapped person.

    Science.gov (United States)

    2010-10-01

    ... 45 Public Welfare 3 2010-10-01 2010-10-01 false Qualified handicapped person. 1151.12 Section 1151... AND THE HUMANITIES NATIONAL ENDOWMENT FOR THE ARTS NONDISCRIMINATION ON THE BASIS OF HANDICAP Standards for Determining Who Are Handicapped Persons § 1151.12 Qualified handicapped person. Qualified...

  4. Handicapped Adolescents and Young Adults in the Justice System.

    Science.gov (United States)

    Keilitz, Ingo; Miller, Susan L.

    1980-01-01

    Questions considered include where in the justice system the handicapped youths are, who they are, how prevalent handicapping conditions are among juvenile offenders, how handicapped youth get in trouble with the law, what is being done to educate handicapped youths in the justice system, and what can be done. (DLS)

  5. ATTITUDES OF HEALTHY CHILDREN PARENTS TOWARDS HANDICAPPED CHILDREN AT THE PRE-SCHOOL AGE

    Directory of Open Access Journals (Sweden)

    Ruzica KERAMICIEVA

    1997-03-01

    Full Text Available Since the 1970-ties, in the USA and Western and Eastern Europe, the model of segregated education has been abandoned, and nowadays the handicapped children attend regular schools all together with other healthy pupils. This , so called Integrative Pedagogy, proceeds from the mental hygiene aspects according to which the restrictive environment in special schools has not been a favorable one for the development of those children.The integrational process of these children in preschool institutions and schools has rather been difficult due to a number of reasons. As one of them, already mentioned and found in literature , has been the negative attitude of non-handicapped children parents towards those handicapped in their development.The problem of this research is to check and test the attitude of healthy children parents towards handicapped children at preschool age. This research shall also tend to analyze the origin of the such attitudes i. e. , whether they have been a result of an insufficient information and ignorance of the obstacles during development, or been produced by imitation of the environment, or due to an empathy, or even because of the fear that “ such a thing better never enter their home”, etc.We sincerely believe that, revealing the above parents’ attitudes and their origin, would certainly bring finding ways of their successful socialization and making the integrational process of handicapped children with their normal mates in preschool institutions easier.

  6. Beskæftigelse og handicap

    DEFF Research Database (Denmark)

    Mølgaard Miiller, Max

    2007-01-01

    SFI udgav i efteråret 2006 rapporten ”Handicap og beskæftigelse” (Miiller m.fl.: 2006), hvis formål var at afdække hvilken udvikling, der har været i handicappedes arbejdsmarkedstilknytning mellem 2002 og 2005. Rapporten viste bl.a., at ca. tre procentpoint flere personer med handicap var kommet i...... arbejde fra 2002 til 2005. Dette notat belyser, hvorvidt den ovennævnte beskæftigelsesudvikling blandt personer med handicap også gælder, når vi iagttager specifikke grupper af handicappede - eksempelvis personer med mobilitetsproblemer eller personer med en psykisk lidelse. Vi har derfor afgrænset...... personer med handicap ud fra fire typer af funktionshæmning (Mobilitetsproblemer, Sanse- og kommunikationsproblemer, Psykiske lidelser, Andre sygdomme) og på den baggrund undersøgt udviklingen i gruppernes tilknytning til arbejdsmarkedet fra 2002 til 2005....

  7. Driver's Licences for the handicapped in Canada.

    Science.gov (United States)

    Csapo, Marg; Clarke, Bryan R.

    1985-01-01

    The article reviews Canada's Guide for Physicians in Determining Fitness to Drive a Vehicle and then considers sections of provincial motor vehicle acts that regulate the issuance of licenses to the handicapped. (CL)

  8. Asystole Following Profound Vagal Stimulation During Hepatectomy

    Directory of Open Access Journals (Sweden)

    Preeta John

    2008-01-01

    Full Text Available Asystole in a non laparoscopic upper abdominal surgery following intense vagal stimulation is a rare event. This case report highlights the need for awareness of such a complication when a thoracic epidural anaesthetic has been given in addition to a general anaesthetic for an upper abdominal procedure. A combined thoracic epidural and general anaesthetic was given. The anterior abdominal wall was retracted forty minutes after administration of the epidural bolus. This maneuver resulted in a profound vagal response with bradycardia and asystole. The patient was resuscitated successfully with a cardiac massage, atropine and adrenaline and the surgery was resumed. Surgery lasted eleven hours and was uneventful.

  9. Handicap principle implies emergence of dimorphic ornaments.

    Science.gov (United States)

    Clifton, Sara M; Braun, Rosemary I; Abrams, Daniel M

    2016-11-30

    Species spanning the animal kingdom have evolved extravagant and costly ornaments to attract mating partners. Zahavi's handicap principle offers an elegant explanation for this: ornaments signal individual quality, and must be costly to ensure honest signalling, making mate selection more efficient. Here, we incorporate the assumptions of the handicap principle into a mathematical model and show that they are sufficient to explain the heretofore puzzling observation of bimodally distributed ornament sizes in a variety of species. © 2016 The Author(s).

  10. Handicap Labelings of 4-Regular Graphs

    Directory of Open Access Journals (Sweden)

    Petr Kovar

    2017-01-01

    Full Text Available Let G be a simple graph, let f : V(G→{1,2,...,|V(G|} be a bijective mapping. The weight of v ∈ V(G is the sum of labels of all vertices adjacent to v. We say that f is a distance magic labeling of G if the weight of every vertex is the same constant k and we say that f is a handicap magic labeling of G if the weight of every vertex v is l + f(v for some constant l. Graphs that allow such labelings are called distance magic or handicap, respectively. Distance magic and handicap labelings of regular graphs are used for scheduling incomplete tournaments. While distance magic labelings correspond to so called equalized tournaments, handicap labelings can be used to schedule incomplete tournaments that are more challenging to stronger teams or players, hence they increase competition and yield attractive schemes in which every games counts. We summarize known results on distance magic and handicap labelings and construct a new infinite class of 4-regular handicap graphs.

  11. Enabling Access to Digital Media for the Profoundly Disabled Project

    Data.gov (United States)

    National Aeronautics and Space Administration — The system proposed in this effort will allow the handicapped individual with hand/arm motor impairment to use the computer and access digital libraries on the...

  12. Psychiatric disorders and MND in non-handicapped preterm children - Prevalence and stability from school age into adolescence

    NARCIS (Netherlands)

    Schoihorst, P. F.; Swaab-Barneveld, H.; van Engeland, H.

    2007-01-01

    In preterm children (N = 66) without major physical and/or mental handicaps the prevalence of psychiatric disorders and minor neurological dysfunction (MND) was assessed at school age (8-10 years). In adolescence (15-17 years) 43 children were reassessed. The study sample was drawn from a cohort of

  13. Pre-Vocational Training for the Handicapped: ESEA Title III Project Evaluation, July 1, 1973-June 30, 1974.

    Science.gov (United States)

    Natchez Municipal Separate School District, MS.

    Evaluated is a Title III 1972-74 public school pre-vocational program for educable mentally handicapped junior high school students. Project goals are explained to include increasing students' self confidence and awareness of their vocational potential, and providing learning experiences in the following areas: reading, math, crafts, language…

  14. Deaf not Daft: The Deaf in Mental Subnormality Hospitals.

    Science.gov (United States)

    Williams, Chris

    1982-01-01

    Case studies of deaf or hearing impaired persons in institutions for the mentally retarded illustrate the ways in which the "invisible handicap" can mask cognitive ability, causing unnecessary institutionalization. (CL)

  15. Vocal effort and voice handicap among teachers.

    Science.gov (United States)

    Sampaio, Márcio Cardoso; dos Reis, Eduardo José Farias Borges; Carvalho, Fernando Martins; Porto, Lauro Antonio; Araújo, Tânia Maria

    2012-11-01

    The relationship between voice handicap and professional vocal effort was investigated among teachers in a cross-sectional study of census nature on 4496 teachers within the public elementary education network in Salvador, Bahia, Brazil. Voice handicap (the outcome of interest) was evaluated using the Voice Handicap Index 10. The main exposure, the lifetime vocal effort index, was obtained as the product of the number of years working as a teacher multiplied by the mean weekly working hours. The prevalence of voice handicap was 28.8% among teachers with high professional vocal effort and 21.3% among those with acceptable vocal effort, thus yielding a crude prevalence ratio (PR) of 1.36 (95% confidence interval [CI]=1.14-1.61). In the final logistic model, the prevalence of voice handicap was statistically associated with the professional vocal effort index (PR=1.47; 95% CI=1.19-1.82), adjusted according to sex, microphone availability in the classroom, excessive noise, pressure from the school management, heartburn, and rhinitis. Copyright © 2012 The Voice Foundation. Published by Mosby, Inc. All rights reserved.

  16. Hearing Screening in a School for the Severely-Profoundly Intellectually-Impaired and Multiply-Handicapped Students.

    Science.gov (United States)

    Yaffe, Linda

    1981-01-01

    Results were considered significant in that 11 percent of the students screened were identified as potentially hearing impaired as compared to 4 percent of the regular Baltimore City School student population who failed hearing screenings. (Author)

  17. Jordanian teachers' perceptions of voice handicap.

    Science.gov (United States)

    Marie, Basem S; Natour, Yaser S; Haj-Tas, Maisa A

    2014-07-01

    This study aimed to investigate if Jordanian school teachers perceive their voice as handicapped using the Voice Handicap Index (VHI)-Arab. The effect of teachers' age, gender, years of teaching, class taught, and education level on VHI was examined. A total of 289 teachers and a control group of 100 participants took part in the study. The teachers' group differed significantly from the control group in the physical, emotional, and functional subscales and the total score of the VHI-Arab. There was no significant difference among teachers in any of the three VHI subscales or total regarding gender, age, years of teaching experience, education level, and classes taught. Jordanian teachers have a strong perception of voice handicap. Thus, preventive and treatment vocal programs are strongly advised.

  18. Handicapped Infants and Euthanasia: A Challenge to Our Advocacy.

    Science.gov (United States)

    Smith, J. David

    1985-01-01

    The issue of pediatric euthanasia for handicapped newborns is examined and contrasting viewpoints emphasizing the quality and the sanctity of life are considered. The author asserts that advocacy for handicapped children involves decisions regarding the euthanasia question. (CL)

  19. The Art therapy's methods use at work with handicapped children

    OpenAIRE

    Němcová, Jindřiška

    2011-01-01

    The thesis deals with using art therapy's methods and technique by multi-handicapped children. The first chapter characterizes multi-handicap, defines various disorders and their influence on the personality of a child. The second chapter introduces the therapy options which can be applied to multi-handicapped children, with a strong accent on artetherapy. In the third chapter there are various artetherapic methods and techniques which can be applied to multi-handicapped children. The fourth ...

  20. From handicap to disability: language use and cultural meaning in the United States.

    Science.gov (United States)

    Devlieger, P J

    1999-07-01

    The historical shift in discourse regarding disabled persons in the US is analysed by its core terms, handicap and disability. First, this shift in discourse is illustrated in the marketplace and in the context of the Americans with Disabilities Act. Then, discourse shifts are theoretically explicated through a semiotic and historical analysis. Last, the discouse shifts are theoretically explicated through a semiotic and historical analysis. Last, the discourses of handicap and disability are tested in their societal context, especially in the case of American youngsters who have directly experienced the shift in their own life course. Changes in terminology reflect a different logic of the understanding of disability as phenomenon. While 'handicap' reflects an era in which accessibility is central for understanding and practice, the concept of 'disability' shifted the attention to the individual's ability. The impact of such large discourse shifts is tangible in the lives of individuals with mental retardation in the experiences that shift from 'access' to 'ability'. Whereas in the handicap era, access is to be created, in the disability era this is replaced by ability. Professionals are reminded that the rehabilitation process takes on different meanings with shifting discourses.

  1. Staffs' documentation of participation for adults with profound intellectual disability or profound intellectual and multiple disabilities.

    Science.gov (United States)

    Talman, Lena; Gustafsson, Christine; Stier, Jonas; Wilder, Jenny

    2017-06-21

    This study investigated what areas of International Classification of Functioning, Disability and Health were documented in implementation plans for adults with profound intellectual disability or profound intellectual and multiple disabilities with focus on participation. A document analysis of 17 implementation plans was performed and International Classification of Functioning, Disability and Health was used as an analytic tool. One hundred and sixty-three different codes were identified, especially in the components Activities and participation and Environmental factors. Participation was most frequently coded in the chapters Community, social and civic life and Self-care. Overall, the results showed that focus in the implementation plans concerned Self-care and Community, social and civic life. The other life areas in Activities and participation were seldom, or not at all, documented. A deeper focus on participation in the implementation plans and all life areas in the component Activities and participation is needed. It is important that the documentation clearly shows what the adult wants, wishes, and likes in everyday life. It is also important to ensure that the job description for staff contains both life areas and individual preferences so that staff have the possibility to work to fulfill social and individual participation for the target group. Implications for rehabilitation There is a need for functioning working models to increase participation significantly for adults with profound intellectual disability or profound intellectual and multiple disabilities. For these adults, participation is achieved through the assistance of others and support and services carried out must be documented in an implementation plan. The International Classification of Functioning, Disability and Health can be used to support staff and ensure that information about the most important factors in an individual's functioning in their environment is not omitted in

  2. Patterns of Injury in Institutionalized Mentally Retarded Residents.

    Science.gov (United States)

    Spreat, Scott; Baker-Potts, Joan C.

    1983-01-01

    Patterns of injury for institutional residents of differing levels of mental retardation were investigated with 140 mildly, moderately, severely, and profoundly retarded individuals. Moderately and profoundly mentally retarded persons were found to be much more at risk for personal injury than were mildly or severely mentally retarded individuals.…

  3. An Age and Body Mass Handicap for the Marathon

    Science.gov (United States)

    Vanderburgh, Paul M.

    2015-01-01

    An age and body mass handicap has been previously developed and validated for the 5-kilometer (5K) run. The purpose of this study was to develop a similar handicap for the marathon but with a different age adjustment based on deviations from age group world best marathon times within each sex. The resulting handicap allowed finish time comparisons…

  4. 38 CFR 21.51 - Determining employment handicap.

    Science.gov (United States)

    2010-07-01

    ... handicap. 21.51 Section 21.51 Pensions, Bonuses, and Veterans' Relief DEPARTMENT OF VETERANS AFFAIRS.... Chapter 31 Initial and Extended Evaluation § 21.51 Determining employment handicap. For the purposes of § 21.50, an employment handicap will be found to exist only if a CP or VRC determines that the...

  5. 34 CFR 75.610 - Access by the handicapped.

    Science.gov (United States)

    2010-07-01

    ... 34 Education 1 2010-07-01 2010-07-01 false Access by the handicapped. 75.610 Section 75.610... by a Grantee? Construction § 75.610 Access by the handicapped. A grantee shall comply with the Federal regulations on access by the handicapped that apply to construction and alteration of facilities...

  6. 36 CFR 910.34 - Accommodations for the physically handicapped.

    Science.gov (United States)

    2010-07-01

    ... physically handicapped. 910.34 Section 910.34 Parks, Forests, and Public Property PENNSYLVANIA AVENUE... § 910.34 Accommodations for the physically handicapped. (a) Every development shall incorporate features which will make the development accessible by the physically handicapped. The standards in the “American...

  7. 38 CFR 21.52 - Determining serious employment handicap.

    Science.gov (United States)

    2010-07-01

    ... employment handicap. 21.52 Section 21.52 Pensions, Bonuses, and Veterans' Relief DEPARTMENT OF VETERANS... 38 U.S.C. Chapter 31 Initial and Extended Evaluation § 21.52 Determining serious employment handicap. (a) Requirements for determining serious employment handicap. For each individual who is found to...

  8. Involving Handicapped Cub Scouts: Cubmaster's Guide. Cub Scout Leader Development.

    Science.gov (United States)

    Boy Scouts of America, New Brunswick, NJ.

    The Cub Scout Leader Development Guide is designed to train adult leaders to conduct discussions and set up activities that foster understanding and involvement of the handicapped in den and pack programs. Stressed are development of the handicapped individual's ability and potential as well as similarities between handicapped and nonhandicapped…

  9. Handicap og beskæftigelse i 2006

    DEFF Research Database (Denmark)

    Høgelund, Jan; Larsen, Brian; Kløft Schademan, Helle

    Denne rapport giver ny viden om beskæftigelsessituationen for personer med handicap. Den viser, at personer med handicap er lige så tilfredse med deres arbejde, som personer uden handicap, og at de oplever at de har de samme jobkrav og de samme muligheder for indflydelse og udvikling, og de har s...

  10. Profound Olfactory Dysfunction in Myasthenia Gravis

    Science.gov (United States)

    Leon-Sarmiento, Fidias E.; Bayona, Edgardo A.; Bayona-Prieto, Jaime; Osman, Allen; Doty, Richard L.

    2012-01-01

    In this study we demonstrate that myasthenia gravis, an autoimmune disease strongly identified with deficient acetylcholine receptor transmission at the post-synaptic neuromuscular junction, is accompanied by a profound loss of olfactory function. Twenty-seven MG patients, 27 matched healthy controls, and 11 patients with polymiositis, a disease with peripheral neuromuscular symptoms analogous to myasthenia gravis with no known central nervous system involvement, were tested. All were administered the University of Pennsylvania Smell Identification Test (UPSIT) and the Picture Identification Test (PIT), a test analogous in content and form to the UPSIT designed to control for non-olfactory cognitive confounds. The UPSIT scores of the myasthenia gravis patients were markedly lower than those of the age- and sex-matched normal controls [respective means (SDs) = 20.15 (6.40) & 35.67 (4.95); p<0.0001], as well as those of the polymiositis patients who scored slightly below the normal range [33.30 (1.42); p<0.0001]. The latter finding, along with direct monitoring of the inhalation of the patients during testing, implies that the MG-related olfactory deficit is unlikely due to difficulties sniffing, per se. All PIT scores were within or near the normal range, although subtle deficits were apparent in both the MG and PM patients, conceivably reflecting influences of mild cognitive impairment. No relationships between performance on the UPSIT and thymectomy, time since diagnosis, type of treatment regimen, or the presence or absence of serum anti-nicotinic or muscarinic antibodies were apparent. Our findings suggest that MG influences olfactory function to the same degree as observed in a number of neurodegenerative diseases in which central nervous system cholinergic dysfunction has been documented. PMID:23082113

  11. Information Prosthetics for the Handicapped. Final Report.

    Science.gov (United States)

    Papert, Seymour A.

    The paper describes the successful use of the LOGO System (an interactive graphics, computer based learning environment) with 12 severely physically handicapped adolescents with cerebral palsy. Five goals were set forth concerning the opportunity to work with microcomputers in interesting ways, the assessment of the students' spatial competence,…

  12. Predictors of Choral Directors' Voice Handicap

    Science.gov (United States)

    Schwartz, Sandra

    2013-01-01

    Vocal demands of teaching are considerable and these challenges are greater for choral directors who depend on the voice as a musical and instructive instrument. The purpose of this study was to (1) examine choral directors' vocal condition using a modified Voice Handicap Index (VHI), and (2) determine the extent to which the major variables…

  13. Evaluating Behavioural Observation Audiometry with Handicapped Children.

    Science.gov (United States)

    Flexer, Carol; Gans, Donald P.

    1982-01-01

    Three observers evaluated the responses to sound with 21 mild to severely handicapped children (7 months to 10 years old) on Behavioural Observation Audiometry, an alternative to conditioning paradigms in audiometric assessment. Results showed that inter-observer agreement was high and that responsitivity was not affected by stimulus presentation…

  14. Nutritional Assessment of Children with Handicapping Conditions.

    Science.gov (United States)

    Brown, Judith E.; And Others

    1979-01-01

    Discusses the methods and results of a nutritional assessment involving 64 noninstitutionalized children (ages 2-19 years) with various types of handicapping conditions. It is explained that, in general, children were smaller in weight and height than average and frequently consumed unbalanced diets. (Author/PHR)

  15. Injuries in Handicapped Alpine Ski Racers.

    Science.gov (United States)

    McCormick, David P.

    1985-01-01

    A study of 68 handicapped skiers showed a rate of two injuries per 1,000-skier days. Disabled skiers, while risking the same injuries as nondisabled skiers, also have problems related to their disabilities. A particular hazard for amputee skiers is the outrigger injury. Recommendations to reduce the injury rate are presented. (MT)

  16. Deaf Blind Children: Evaluating Their Multiple Handicaps.

    Science.gov (United States)

    Curtis, Scott, Ed.; And Others

    Prepared by specialists on the evaluation team at the Syracuse University Center for the Development of Blind Children, the book describes the procedures of the special diagnostic clinic within this unit. The diagnostic clinic was established to provide a unified approach to the evaluation and study of multiply handicapped children. Described in…

  17. Employer Duties to Accommodate Handicapped Employees.

    Science.gov (United States)

    Lehr, Richard I.

    1980-01-01

    Examines proposed legislation that would add handicapped individuals to Title VII of the Civil Rights Act of 1964. Discusses the appropriateness of this proposal, the coverage of the act, the accomodation requirements to be imposed on employers, and the advisability of having the Equal Employment Opportunity Commission administer the legislation.…

  18. Hearing handicap in adults with unilateral deafness and bilateral hearing loss.

    Science.gov (United States)

    Iwasaki, Satoshi; Sano, Hajime; Nishio, Shinya; Takumi, Yutaka; Okamoto, Makito; Usami, Shin-ichi; Ogawa, Kaoru

    2013-06-01

    To assess the perception of hearing handicap in adult patients with unilateral sudden sensorineural hearing loss (SNHL) compared with those with bilateral SNHL or unilateral congenital SNHL. Retrospective chart review. Multicenter department of otolaryngology referrals. Seventy-one subjects in the unilateral severe-profound (>70 dB) sudden SNHL group (Group 1), 17 subjects in the unilateral prelingual or congenital SNHL group (Group 2), and 121 subjects in the bilateral SNHL group (Group 3). Questionnaire. Hearing Handicap Inventory for Adults (HHIA) and visual analogue scale (VAS) measurements of hearing handicap. Average levels of hearing loss were 92 dB in Group 1, 109 dB in Group 2, and 67 dB in Group 3. The relative percentage scores of HHIA and VAS compared with Group 3 were 72.6% and 81.0% in Group 1 and 25.4% and 50.3% in Group 2, respectively. A mild correlation between the HHIA subscale or VAS scores and degree of hearing loss could be found in Group 3. No significant correlation was found between the HHIA subscale or VAS scores and duration of hearing loss in Group 1 or Group 3. Higher scores were obtained in male subjects than in female subjects. Patients in Group 1 who were troubled by tinnitus scored significantly higher in the HHIA. In multiple logistic regression analysis, presence of tinnitus, older age, higher average hearing loss level, and group (bilateral SNHL>unilateral sudden SNHL>unilateral precongenital SNHL) revealed a significant positive association with high score (>42) of HHIA (odds ratio, 3.171, 1.021, 1.031, and 6.690, respectively). The results of HHIA and VAS suggest that not only patients with bilateral SNHL but also those with unilateral sudden SNHL, particularly those who have tinnitus, experience a hearing handicap.

  19. Handicap og beskæftigelse i 2014. Regionale forskelle

    DEFF Research Database (Denmark)

    Larsen, Malene Rode; Høgelund, Jan

    Denne rapport belyser tilknytningen til arbejdsmarkedet blandt personer med handicap i første kvartal 2014. Rapporten belyser blandt andet, om der er regionale forskelle i beskæftigelsen for personer med handicap, samt om beskæftigelsesudviklingen for personer med handicap har været den samme i de...... fire regioner. Desuden undersøges bl.a. kendskabet til beskæftigelsesrettede støtteordninger for personer med handicap samt holdningen blandt beskæftigede personer til at have en kollega med handicap i de fire regioner. Rapporten skal ses i sammenhæng med rapporten ”Handicap og beskæftigelse...... – udviklingen mellem 2002 og 2014”(SFI-rapport 15:06), som belyser beskæftigelsen blandt personer med handicap på landsplan....

  20. [Combined hepatitis A/B vaccination: evaluation of a vaccination schedule in facilities for handicapped people].

    Science.gov (United States)

    Wolters, B; Müller, T; Ross, R S; Kundt, R; Roggendorf, M; Roggendorf, H

    2014-02-01

    People with mental and physical disabilities have a higher risk of infection with hepatitis viruses. Studies conducted so far show contradictory results on the success of vaccination in this population. These people live and work under special conditions and sometimes have immune defects. We investigated the antibody response after combined vaccination against hepatitis A and B in facilities for handicapped people in the city of Essen/Germany. Antibodies were determined in people with disabilities (n=949) and also in social workers taking care of handicapped people (n=115). Protective antibodies against hepatitis A were detected in 98.9% in people with disabilities and social workers. The seroconversion rate against hepatitis B in handicapped people was 90.2% and was comparable to the seroconversion rate in social workers (91.3%). Re-vaccinations were offered to all people with anti-HBs titres below 100 IU/L (28% of handicapped and 23.5% of social workers). In the group of low responders in handicapped people about 50% developed anti-HBs concentration above 100 IU/L. Non-responders showed 30-40% seroconversion rate after re-vaccination. Based on this study we would recommend serological tests about 4-8 weeks after vaccination to confirm seroconversion. By this procedure people who need a booster vaccination will be recognized and non-responders should be offered another HBV vaccination. In about 20% of the non-responders included in this study HBs antigen was detected. © Georg Thieme Verlag KG Stuttgart · New York.

  1. Profound Impacts of AN Arctic Face Lift

    Science.gov (United States)

    Nghiem, Son

    Son Nghiem, son.v.nghiem@jpl.nasa.gov Jet Propulsion Laboratory, California Institute of Technology, Pasadena, California, United States The ice cover on the Arctic Ocean has undergone a face lift that removes much of the older and thicker perennial ice and replaces it with the younger and thinner seasonal ice. Although the sea ice cover is a thin skin compared to the depth of the Arctic Ocean, this face lift exerts profound change in the Arctic environment. Here, we present scatterometer remote sensing of Arctic sea ice change and its implication on chemical processes from the ice surface to the troposphere extending into the internal continental land. In the context of a half century change, the extent of perennial ice declines at rate of 0.5 million km2 per decade in the 1970s-1990s while there is no discernable trend in the 1950s-1960s. Abruptly, the rate of decrease has tripled to 1.5 million km2 per decade in the 2000s. A record was set in the reduction of Arctic perennial ice extent in winter 2008. By 1 March 2008, perennial ice extent was reduced by one million km2 compared to that at the same time in 2007. On 1 May 2009, perennial ice extent was reduced to 2.1 million km2 , which is a virtual tie to 2.2 million km2 of perennial ice extent on 1 May 2008 given the uncertainty of ±0.2 million km2 . Although the extent of perennial ice extent is similar, its distribution is quite different, with a significant perennial ice pack in the Beaufort Sea in 2008, and in contrast a large expanse of perennial ice along the Transpolar Drift Stream in 2009. The continuing drastic reduction of perennial ice significantly decreases the overall surface albedo, resulting in enhanced solar heat absorption in spring and summer, which further decreases the Arctic ice pack through the ice-albedo feedback mechanism and ice melt from the underside due to oceanic thermodynamic interactions. Satellite maps of sea ice class distribution show the closely conformation with patterns of

  2. The factors associated with a self-perceived hearing handicap in elderly people with hearing impairment--results from a community-based study.

    Science.gov (United States)

    Chang, Hsin-Pin; Ho, Chin-Yu; Chou, Pesus

    2009-10-01

    Elderly persons with a physiologic hearing deficit (hearing impairment) are not necessarily socially or emotionally disturbed by the deficit in everyday life (hearing handicap). The self-perception of a hearing handicap in elderly people is a key element in seeking consultation for a hearing impairment or using hearing aids. Thus, it is important to determine the factors associated with the self-perception of a hearing handicap. The aims of the present study were to report the relation between a hearing impairment and the self-perception of a hearing handicap, and the factors associated with a self-perceived hearing handicap among a group of randomly recruited, community-dwelling elderly persons, aged 65 yr and older, in Taipei, Taiwan. A cross-sectional survey of community-dwelling elderly persons aged 65 yr and older (N = 1220) participating in an annual general purpose geriatric health examination in 2005 in Taipei. Pure-tone audiometry and a questionnaire including the Hearing Handicap Inventory for the Elderly-Screening Version (HHIE-S) were administered, after obtaining the subject's consent to participate in the study. Demographic information, lifestyle, self-report health status, and biochemical data were also collected. There was a moderate association (gamma(s) = 0.52) between hearing impairment and self-perceived handicap. Only 21.4% of the study subjects with moderate to profound hearing impairment (M4 >or=41 dB HL, N = 555) perceived themselves as hearing-handicapped (HHIE-S total score >or=10). Besides hearing level, marital status (widowed) and self-perceived general health (bad or neutral) were factors that are significantly associated with a self-perceived hearing handicap among elderly subjects with moderate to profound hearing impairment. For study subjects with moderate to profound hearing impairment (M4 >or=41 dB HL), 5.0% of those with HHIE-S or=10 used or felt that they required hearing aids (chi2 test, p handicap (HHIE-S >or=10) is an

  3. Hearing handicap, rather than measured hearing impairment, predicts poorer quality of life over 10 years in older adults.

    Science.gov (United States)

    Gopinath, Bamini; Schneider, Julie; Hickson, Louise; McMahon, Catherine M; Burlutsky, George; Leeder, Stephen R; Mitchell, Paul

    2012-06-01

    We aimed to determine the prospective association between measured hearing impairment, self-reported hearing handicap and hearing aid use with quality of life. 829 Blue Mountains Hearing Study participants (≥ 55 years) were examined between 1997-1999 and 2007-2009. The shortened version of the hearing handicap inventory was administered. Hearing levels were measured using pure-tone audiometry. Quality of life was assessed using the 36-Item Short-Form Survey (SF-36); higher scores reflect better quality of life. Hearing impairment at baseline compared with no impairment was associated with lower mean SF-36 mental composite score 10 years later (multivariable-adjusted p=0.03). Physical composite score and mean scores for seven of the eight SF-36 domains after 10-year follow-up were significantly lower among participants who self-reported hearing handicap at baseline. Differences in the adjusted means between participants with and without hearing handicap ranged from 2.7 (physical composite score) to 10.4 units ('role limitations due to physical problems' domain). Individuals who developed incident hearing impairment compared to those who did not, had adjusted mean scores 9.5- and 7.7-units lower in the 'role limitation due to physical problems', and 'bodily pain' domains, respectively, at the 10-year follow-up. Hearing aid users versus non-users at baseline showed a 1.82-point (p=0.03) and 3.32-point (p=0.01) increase in SF-36 mental composite score and mental health domain over the 10-year follow-up, respectively. Older adults with self-perceived hearing handicap constitute a potential risk group for overall deterioration in quality of life, while hearing aid use could help improve the well-being of hearing impaired adults. Copyright © 2012 Elsevier Ireland Ltd. All rights reserved.

  4. Influence of complaints and singing style in singers voice handicap.

    Science.gov (United States)

    Moreti, Felipe; Ávila, Maria Emília Barros de; Rocha, Clara; Borrego, Maria Cristina de Menezes; Oliveira, Gisele; Behlau, Mara

    2012-01-01

    The aim of this research was to verify whether the difference of singing styles and the presence of vocal complaints influence the perception of voice handicap of singers. One hundred eighteen singing voice handicap self-assessment protocols were selected: 17 popular singers with vocal complaints, 42 popular singers without complaints, 17 classic singers with complaints, and 42 classic singers without complaints. The groups were similar regarding age, gender and voice types. Both protocols used--Modern Singing Handicap Index (MSHI) and Classical Singing Handicap Index (CSHI)--have specific questions to their respective singing styles, and consist of 30 items equally divided into three subscales: disability (functional domain), handicap (emotional domain) and impairment (organic domain), answered according to the frequency of occurrence. Each subscale has a maximum of 40 points, and the total score is 120 points. The higher the score, the higher the singing voice handicap perceived. For statistical analysis, we used the ANOVA test, with 5% of significance. Classical and popular singers referred higher impairment, followed by disability and handicap. However, the degree of this perception varied according to the singing style and the presence of vocal complaints. The classical singers with vocal complaints showed higher voice handicap than popular singers with vocal complaints, while the classic singers without complaints reported lower handicap than popular singers without complaints. This evidences that classical singers have higher perception of their own voice, and that vocal disturbances in this group may cause greater voice handicap when compared to popular singers.

  5. Personer med fysiske handicap og psykiske lidelser

    DEFF Research Database (Denmark)

    Larsen, Malene Rode; Larsen, Mona

    2018-01-01

    Det er velkendt, at personer med fysiske handicap i større omfang er i beskæftigelse end personer med psykiske lidelser. Formålet med dette notat er at forøge den eksisterende viden om, hvorfor der er forskel på de to gruppers beskæftigelsesomfang. Vi undersøger, om forskelle mellem de to grupper......, hvad angår en række målbare personkarakteristika og deres sammenhæng med gruppernes beskæftigelsessandsynlighed, spiller en rolle i denne forbindelse. De undersøgte personkarakteristika er: a) personforhold som fx alder, etnisk oprindelse, uddannelse og sværhedsgrad af handicap, b) personlighedstræk...

  6. Teaching behaviorally handicapped preschool children to share.

    OpenAIRE

    Bryant, L E; Budd, K S

    1984-01-01

    We examined the effectiveness of Barton and Ascione 's (1979) package for training sharing in a classroom setting with six behaviorally handicapped preschool children, four of whom were also developmentally delayed. Individual responses in sharing and not sharing were examined. Training consisted of initial instructions, modeling, and behavioral rehearsal, followed by teacher prompts and praise regarding sharing directly in a classroom free play period. Introduction of training in a multiple-...

  7. Factors related to tinnitus and hyperacusis handicap in older people.

    Science.gov (United States)

    Aazh, Hashir; Lammaing, Karen; Moore, Brian C J

    2017-09-01

    The aim was to assess factors related to tinnitus and hyperacusis handicap in older people. Retrospective cross-sectional. Data were gathered for 184 patients with an average age of 69 years. Tinnitus handicap as measured via the Tinnitus Handicap Inventory (THI) was significantly predicted by tinnitus annoyance as measured via the visual analogue scale (VAS) (regression coefficient, b = 2.9, p handicap as measured via the Hyperacusis Questionnaire (HQ) was significantly predicted by the score on the depression subscale of the Hospital Anxiety and Depression Scale (HADS) (b = 0.8, p handicap, it is important to explore factors associated with annoyance that may be useful in designing appropriate rehabilitative interventions aimed at reducing tinnitus handicap in older people. Future studies should explore whether hyperacusis and insomnia in older people with tinnitus need to be managed in conjunction with treatment for depression.

  8. OPINIONS OF HEALTHY ADOLESCENTS CONCERNING THEIR HANDICAP CLASSMATES

    Directory of Open Access Journals (Sweden)

    Dragica MACIC

    1999-11-01

    Full Text Available In this work is presented a part of the research project about the attitudes of non-chandicapped adolescents toward physical handicapped and chronically ill persons. The research sample was made of 689 pupils (4th class from secondary medical schools and secondary nonmedical schools in Belgrade. The informing for this handicap category, cognitive, affective and connative components of the attitudes of adolescents toward physically handicapped and chronically ill persons, have been examined by mixed questionnaire.The results of this work show adolescents inadequate informing for physical handicap. There are also, a negative direction concerning cognitive components of the attitude, and mostly positive direction concerning affective component (except they meet physical handicapped when dominate negative feelings. Component is reflecting the positive directions of attitude towards physical handicapped persons in a short-time relations, and negative direction is case of intensive and long-time relationships, like tenancy and marriage.

  9. Mental Retardation (MR) Etiology in Children Referred to Care Services

    OpenAIRE

    Mahdi Foroutan

    2014-01-01

    Introduction: It is estimated that 2800000 to 4800000 individuals in Iran suffer from some kind of mental or physical handicap. According to Iranian social welfare university, about 24000 mental retard children would be added to this population. The aim of this study was to evaluate demographic factors which were associated with mental retardation in Khorasan Razavi population. Materials and Methods:In this cross sectional study, the records of all mentally retarded children who had been r...

  10. The Relationship Between Academic Identity and Self-Handicapping

    OpenAIRE

    Carlisle, Brandon Lamare

    2015-01-01

    The purpose of the present dissertation was to examine whether, and how, behavioral academic self-handicapping and claimed academic self-handicapping differentially relate to the academic identity statuses (i.e., achieved, diffused, moratorium, and foreclosed). Self-handicapping has been defined as creating or claiming obstacles to performance in order to enhance the ability to externalize failure and internalize success. Academic identity status involves a student’s decision to attend colleg...

  11. Mixité sociale : les handicapés dans la société britannique 

    Directory of Open Access Journals (Sweden)

    Marie-Hélène Adveille

    2007-11-01

    . Previously seen as mere objects of charity, disabled people acquired the right to be considered as individuals benefitting from the same rights as ordinary people, thanks to the action of numerous associations. However, despite changes in the perception of the disabled by able-bodied people, people with handicaps are still confronted with a wide range of problems in their daily lives. There has been progress in aid for the physically handicapped such as access to public buildings and public transport. The difficulties visually-impaired and deaf people experience have been taken into account with the introduction for example of warning sounds and the acceptance of dogs for the blind. However access to fundemental rights for the mentally handicapped (intellectually or psychologically impaired remains undeveloped. This study will concentrate on the integration and inclusion policies for people with mental handicaps. Firstly, the legislation enacted with a view to increasing their insertion in British society will be examined. Secondly, the way in which children are integrated into the school sytem is surveyed. Finally, the arguments surrounding the importance of successful integratio for the adult and society at large will be raised.

  12. Academic self-handicapping and their correlates in adolescence

    Directory of Open Access Journals (Sweden)

    Cocoradă, E.

    2011-01-01

    Full Text Available The self-handicapping has been examined as a self-protectivestrategy, used by adults and young, males and females, in different situations assessed as threatening for the positive self-esteem. The purpose of this study is to explore the relations between self-handicapping and some variables relevant in the academic field as learning motivation, academic results, selfesteem. Age and gender are the criteria of our analysis. The results suggestthe males and later adolescents (males and females self-handicap more that the females and the young adolescents. Self-esteem and some components of learning motivation are the variables that influence self-handicapping at significant levels.

  13. [Handicap and quality of life assessment in amyotrophic lateral sclerosis].

    Science.gov (United States)

    Danel-Brunaud, V

    2006-06-01

    Measures of handicap progression alone are insufficient for assessing what a patient experiences. Handicap results from the interaction between a person's disabilities and the social, familial and environmental factors which determine his or her living conditions. Other factors condition quality of life: of these, psychological and existential factors and an individual's ability to adapt play a fundamental role. Measuring handicap and quality of life must provide medical care providers with comprehensive knowledge of the way in which an individual experiences the disease, his or her handicap and the side effects and constraints of treatments within his or her own life context.

  14. The Effects of Physical Activity on Self Concept, Risk-Taking Behaviors, and Motor Functioning in Mildly Handicapped Individuals: A Literature Review.

    Science.gov (United States)

    Roswal, Glenn; Frith, Greg H.

    Literature is reviewed regarding the impact of physical activity on development in mildly handicapped (educable mentally retarded and learning disabled) students. Studies showing improvement in self concept after participation in a motor development program are cited. Risk taking in the mildly retarded is examined, and the implications of a change…

  15. Characteristics of Limited English Proficient Hispanic Students Served in Programs for the Speech and Language Handicapped: Implications for Policy, Practice and Research. Part III.

    Science.gov (United States)

    Ortiz, Alba A.; And Others

    This document is Part III of a research study examining special education service delivery for limited English proficient (LEP) Hispanic students who have been placed in programs for the learning-disabled, speech handicapped, and mentally retarded. The objectives of Part III of this study were: (1) identify the characteristics of Hispanic students…

  16. How do profoundly deaf children learn to read?

    OpenAIRE

    伊藤, 泰子

    2013-01-01

    We know that children who were born profoundly deaf have much difficulty to learn to speak English or Japanese. But is it possible that profoundly deaf children learn to read written English or Japanese? Some researchers mention that early exposure to fingerspelling actually helps deaf children become better readers. Then I tried to find the reason why fingerspelling helps deaf children develop their reading ability and examined how to develop deaf children’s reading ability with fingerspelli...

  17. Handicap som risikofaktor? Et udviklingspsykopatologisk perspektiv på børn med handicap

    DEFF Research Database (Denmark)

    Dammeyer, Jesper Herup; Bøttcher, Louise

    2010-01-01

    Børn med handicap er generelt i større risiko for at udvikle psykopatologi. Men risikoen for fejludvikling er ikke enkelt forbundet med graden af handicappet. F.eks. oplever børn med hørehandicap næsten fire gange så hyppigt psykosociale vanskeligheder sammenlignet med hørende børn, men det er ikke...... psykopatologi etableres. I artiklen vil vi præsentere en almen model til forståelse af mennesker med handicap og deres udviklingsmuligheder – en handicappsykologisk udviklingsmodel ud fra et dialektisk kultur-historisk perspektiv (Vygotsky, (1924-31) 1993). Ved hjælp af empiriske studier vil vi eksemplificere...... forskellige typiske udviklingsmæssige problemer, der ofte opstår blandt børn med forskellige typer af handicap. At studere børn med handicap og deres psykiske udvikling kan være et vigtigt forskningsmæssigt vindue til at forstå udviklingspsykopatologi generelt....

  18. The Placement of the Mentally Retarded Child

    African Journals Online (AJOL)

    A mentally handicapped child brings tremendous problems to his family. He may be rejected entirely, or he may be given an undue amount of attention to the detriment of the whole family. An attempt is made to point out an intermediate course which will give happiness to the child and yet not disrupt the family. S. Afr. Med. l., ...

  19. Blind Children in Mental Retardation Facilities.

    Science.gov (United States)

    Rogow, Sally M.

    The paper reviews problems and challenges in serving blind children in mental retardation facilities. Incidence figures for institutionalized blind multiply handicapped children are cited, and problems of assessing such residents are seen to include uneven development and lack of standardized evaluation measures. The impact of ward management and…

  20. Noise-induced hearing impairment and handicap

    Science.gov (United States)

    1984-01-01

    A permanent, noise-induced hearing loss has doubly harmful effect on speech communications. First, the elevation in the threshold of hearing means that many speech sounds are too weak to be heard, and second, very intense speech sounds may appear to be distorted. The whole question of the impact of noise-induced hearing loss upon the impairments and handicaps experienced by people with such hearing losses was somewhat controversial partly because of the economic aspects of related practical noise control and workmen's compensation.

  1. Emirati Teachers' Perceptions of Voice Handicap.

    Science.gov (United States)

    Natour, Yaser S; Sartawi, Abdealaziz M; Al Muhairy, Ousha; Efthymiou, Effie; Marie, Basem S

    2016-05-01

    The purpose of the study was to explore Emirati teachers' perceptions of voice handicap and to analyze their acoustic characteristics to determine whether acoustic measures of teachers' voice would verify their perceptions of voice handicap. Sixty-six Emirati school teachers (33 men and 33 women), with different years of teaching experience and age, and 100 control participants (50 men and 50 women) underwent vocal assessment that included the Voice Handicap Index (VHI-Arab) and acoustic measures (F0, jitter%, shimmer%, signal to noise ratio [SNR]). Significant differences between the teachers' group scores and the control group scores on the following subscales of VHI-Arab: physical (P = 0.006), emotional (P = 0.004), and total score of the test (P = 0.002). No significant differences were found among teachers in the three VHI subscales, and the total score regarding gender (functional P = 0.307; physical P = 0.341; emotional P = 0.126; and total P = 0.184), age (functional P = 0.972; physical P = 0.525; emotional P = 0.772; and total P = 0.848), and years of teaching experience (functional P = 0.319; physical P = 0.619; emotional P = 0.926; and total P = 0.638). The significant differences between the teacher's group and the control group in three acoustic measures: F0 (P = 0.000), shimmer% (P = 0.000), and SNR (P = 0.000) were further investigated. Significant differences were found among female and male teachers in F0 (P = 0.00) and SNR (P = 0.007). As for teachers' age, significant differences were found in SNR (P = 0.028). Teachers' years of experience did not show significant differences in any of the acoustic measures. Teachers have a higher perception of voice handicap. However, they were able to produce better voice quality than control participants were, as expressed in better SNRs. This might have been caused either by manipulation of vocal properties or abusive overloading the vocal system to produce a

  2. HANDBOOK OF MENTAL DEFICIENCY, PSYCHOLOGICAL THEORY AND RESEARCH. MCGRAW-HILL SERIES IN PSYCHOLOGY.

    Science.gov (United States)

    ELLIS, NORMAN R.

    THE CONTRIBUTIONS OF 21 AUTHORS IN THIS VOLUME ARE DEVOTED TO ASSESSING THE STATUS OF RESEARCH AND THEORY IN MENTAL DEFICIENCY, FOCUSING ATTENTION ON THE BEHAVIOR OF THE MENTALLY HANDICAPPED. PART ONE IS CONCERNED WITH RESEARCH FINDINGS AND THEORIES TO EXPLAIN MENTAL DEFICIENCY. COMPREHENSIVE PSYCHOLOGICAL THEORIES REPRESENTED INCLUDE FIELD…

  3. New X-linked mental retardation syndrome with the gene mapped tentatively in Xp22.3

    Energy Technology Data Exchange (ETDEWEB)

    Wittwer, B. [Institut fuer Humangenetik der Universitaet, Muenster (Germany); Kircheisen, R. [Institut fuer Humangenetik der Universitaet, Heidelberg (Germany); Leutelt, J.; Gal, A. [Institut fuer Humangenetik der Medizinischen Universitaet, Luebeck (Germany); Orth, U.; Gal, A. [Institut fuer Humangenetik, Universitaets-Krankenhaus Eppendorf, Hamburg (Germany)

    1996-07-12

    X-linked mental retardation (XLMR) is genetically heterogeneous and clinically variable. We describe a new XLMR syndrome of severe mental retardation and multiple congenital anomalies. Two sisters have (with 3 different partners) 3 severely handicapped sons. In 2 cases, oligohydramnios and intrauterine growth retardation were noted. Common anomalies included a square-shaped face, high and broad forehead, frontal bossing, downward slant of palpebral fissures, hypertelorism, epicanthic folds, long philtrum, thin upper lip, and apparently low-set ears. One boy has bilateral microphthalmos and sclerocornea, and his cousin has atrophy of the optic nerve. All 3 patients are blind and have profound statomotor and mental retardation, seizures, and a grossly abnormal electroencephalographic pattern. Additional findings are short stature, delayed bone matuation, hydronephrosis, vesicorenal reflux, cryptorchidism, clinodactyly of the 5th fingers, and transverse palmar creases. The karyotype is normal (46,XY). Segregation analysis showed perfect coinheritance between the clinical phenotype and alleles at several loci in Xp22.3, whereas recombinants were identified with marker loci from Xp22.2-qter. Analysis of multiple informative meioses suggests that the disease locus maps in Xp22.3 distal to DXS16. 9 refs., 5 figs., 2 tabs.

  4. Singing voice handicap mapped by different self-assessment instruments.

    Science.gov (United States)

    Paoliello, Karla; Oliveira, Gisele; Behlau, Mara

    2013-01-01

    To map voice handicap of popular singers with a general voice and two singing voice self-assessment questionnaires. Fifty singers, 25 male and 25 female, 23 with vocal complaint and 27 without vocal complaint answered randomly the questionnaires. For the comparison of data, the following statistical tests were performed: Mann-Whitney, Friedman, Wilcoxon, Spearman and Correlation. Data showed that the VHI yielded a smaller handicap when compared to the other two questionnaires (VHI x S-VHI - p=0.001; VHI x MSVH - p=0.004). The S-VHI and MSVH produced similar results (p=0.723). Singers with vocal complaint had a VHI total score of 17.5. The other two instruments showed more deviated scores (S-VHI - 24.9; MSVH - 25.2). There was no relationship between gender and singing style with the handicap perceived. A weak negative correlation between the perceived handicap and the time of singing experience was found (-37.7 to -13.10%), that is, the smaller the time of singing experience, the greater the handicap is. The questionnaires developed for the assessment of singing voice, S-VHI and MSVH, showed to be more specific and correspondent to each other for the evaluation of vocal handicap in singers. Findings showed that the more the time of singer's singing experience, the smaller the handicap is. Gender and singing styles did not influence the perception of the handicap.

  5. Ethical Issues in Withholding Care from Severely Handicapped Infants.

    Science.gov (United States)

    Cohen, Libby

    1981-01-01

    Ethical issues are examined that involve withholding medical treatment from severely handicapped infants. Although current laws do not sanction euthanasia, severely handicapped infants are often assisted in dying. Discussion includes society's apparent acceptance of this practice and several solutions to the problems. (Author)

  6. Academic Self-Handicapping and Achievement: A Meta-Analysis

    Science.gov (United States)

    Schwinger, Malte; Wirthwein, Linda; Lemmer, Gunnar; Steinmayr, Ricarda

    2014-01-01

    Self-handicapping represents a frequently used strategy for regulating the threat to self-esteem elicited by the fear of failing in academic achievement settings. Several studies have documented negative associations between self-handicapping and different educational outcomes, inter alia academic achievement. However, studies on the relation…

  7. Handicapped Children in Schools: Administrators and the Courts. Revised.

    Science.gov (United States)

    O'Reilly, Robert C.; Sayler, Mary R.

    School principals perform a crucial role in discharging a school system's legal obligations toward the handicapped. Since principals are unable to supply money damages, they are rarely primary targets of lawsuits involving handicapped children, but their role in representing Individualized Education Programs (IEPs) to parents is critical. Thus,…

  8. Orientation and Mobility for Multiply Handicapped Blind Children.

    Science.gov (United States)

    Wood, Thomas A.

    A research project was conducted to investigate sensory, concept, and locomotion skills in severely multiply handicapped children. The project involved the development of evaluation and teaching materials to be utilized by classroom teachers and paraprofessionals with multi-handicapped children with severe visual deficits. The programed…

  9. "Euthanasia" of Persons with Severe Handicaps: Refuting the Rationalizations.

    Science.gov (United States)

    Lusthaus, Evelyn

    1985-01-01

    The article examines two common rationalizations for euthanasia of persons with severe handicaps and presents arguments to refute them. The article calls for parents, professionals, and friends of persons with severe handicaps to be vocal in refuting euthanasia and its rationales. (Author/CL)

  10. Handicapism: The case of the hearing impaired in inclusive ...

    African Journals Online (AJOL)

    The paper is a careful review of related literature and detail examination of other researchers' work in the area of handicapism, and the researcher also made some proposals in relation to planning and policy in matters that concern handicapped or disabled students relative to inclusive education now made available to ...

  11. Handicapping Raters for Fairer Clinical Grading: A Practical Application.

    Science.gov (United States)

    Cason, Gerald J.; And Others

    To minimize the effects of systematic differences in raters' standards of clinical competence, a handicapping system was applied to the ratings made by fourteen preceptors of 128 junior year medical students in a 6-week psychiatry clerkship at the University of Arkansas for Medical Sciences. The handicap of a preceptor was the difference between…

  12. A Selected Bibliography for and about Parents of the Handicapped.

    Science.gov (United States)

    Cohen, Shirley

    The bibliography contains approximately 90 citations of publications for and about parents of handicapped children. Citations are listed alphabetically by author within the following categories: "On Being the Parent of a Handicapped Child--Writings by Parents", "Information, Teaching Suggestions, and Training Guides for…

  13. Involving Handicapped Cub Scouts: Instructor's Guide. Cub Scout Leader Development.

    Science.gov (United States)

    Boy Scouts of America, New Brunswick, NJ.

    The Instructor's Guide is intended for use in training adult leaders to foster understanding and involvement of the handicapped in Cub Scout activities. Suggestions are offered for organizing two leadership training sessions which include defining types of handicaps leaders may encounter, conducting buzz group discussions on similarities between…

  14. Sexuality and the Developmentally Handicapped: Health Education Strategies.

    Science.gov (United States)

    Martin, Mary-Lou; Fochuk, Cheryl

    1987-01-01

    The Health Education and Learning for The Handicapped (HEALTH) program provides sex education to developmentally handicapped persons through group discussion, role-playing, films, and other visual aids. The one-hour group sessions, given over 12-14 weeks with 6-12 participants, discuss body parts, acceptable social behavior, assertiveness, birth…

  15. Frequency of Divorce Among Parents of Handicapped Children.

    Science.gov (United States)

    Shufeit, Lawrence J.; Wurster, Stanley R.

    Seventy-six parents of handicapped children were surveyed to compare the frequency of divorce in the sample population to that of the U.S. population. A research review revealed that the first-born child causes extensive to severe crises in the parents' marital relationship; that the presence of a child with a handicapping condition causes a…

  16. Handicap, beskæftigelse og uddannelse i 2016

    DEFF Research Database (Denmark)

    Larsen, Malene Rode; Larsen, Mona

    for det første om og, i givet fald, hvordan personer med handicap adskiller sig fra personer uden handicap, når det gælder beskæftigelse, modtagelse af overførselsindkomst, uddannelse, læse- og skrivevanskeligheder, arbejdsudbud og jobsøgning samt tidspunkt for tilbagetrækning fra arbejdsmarkedet. For det...... ikkebeskæftigedes beskæftigelsespotentiale for personer med handicap. Endelig belyser rapporten beskæftigedes holdninger til at arbejde med personer med handicap.......Denne rapport afdækker, hvor stor en del af den danske befolkning i alderen 16 til 64 år, der har et handicap eller et længerevarende helbredsproblem. I forlængelse heraf undersøger rapporten en lang række forhold relateret til denne gruppes tilknytning til arbejdsmarkedet. Rapporten belyser...

  17. Human dignity and the profoundly disabled: a theological perspective.

    Science.gov (United States)

    Matthews, Pia

    2011-01-01

    One challenge to the concept of human dignity is that it is a rootless notion invoked simply to mask inequalities that inevitably exist between human beings. This privileging of humans is speciesist and its weak point is the profoundly disabled human being. This article argues that far from being a weak point, the profoundly disabled person is a source of strength and witness to the intrinsic dignity that all human beings have by virtue of being human. The disabled represent the reality of human existence that is both strong and fragile. Although human dignity can be understood philosophically its depth is rooted in Christian theological insights. The profoundly disabled occupy a privileged position and share in a theology of mission since they testify to the interdependence of every human being and human dependence on God to a myopic world that only values strength, autonomy and independence.

  18. Perceived control and voice handicap in patients with voice disorders.

    Science.gov (United States)

    Frazier, Patricia; Merians, Addie; Misono, Stephanie

    2017-11-01

    The purpose of the study was to replicate and extend previous research on the relation between perceived present control and voice handicap and to further examine the psychometric properties of a present control scale adapted for patients with voice disorders (Misono, Meredith, Peterson, & Frazier, 2016). Sample 1 consisted of 1,129 patients recruited from a voice disorder clinic who completed measures of perceived present control, distress, and voice handicap in the clinic. Sample 2 consisted of 62 patients from the same clinic who completed measures of present control, distress, voice handicap, and general control beliefs online at baseline and measures of present control and voice handicap again 3 weeks later (n = 59). With regard to the psychometric properties of the voice-adapted present control scale, alpha coefficients were above .80 and the 3-week test-reliability coefficient was .69. There was mixed support for the hypothesized 1-factor structure of the scale. In Sample 1, present control was more strongly associated with lower voice handicap than was distress and accounted for significant variance in voice handicap controlling for distress. In Sample 2, present control at baseline predicted later voice handicap, controlling for general control beliefs and distress. Present control appears to be a promising target for adjunctive interventions for patients with voice disorders. An evidence-based online present control intervention (Hintz, Frazier, & Meredith, 2015) is being adapted for this patient population. (PsycINFO Database Record (c) 2017 APA, all rights reserved).

  19. Litteraturstudie af handicap og beskæftigelse

    DEFF Research Database (Denmark)

    Larsen, Malene Rode; Høgelund, Jan

    Handicap har store konsekvenser. For den enkelte kan handicap begrænse livskvaliteten. For samfundet indebærer handicap et reduceret udbud af arbejdskraft og øgede offentlige udgifter. Der er således stor potentiel samfundsmæssig gevinst forbundet med en øget beskæftigelse for personer med handicap....... Denne rapport giver en oversigt over områder, hvor der er eller mangler systematisk forskningsbaseret viden om handicap og beskæftigelse. Desuden gennemgår rapporten resultaterne af en del af den internationale og skandinaviske forskning om beskæftigelsesindsatsers effekt for personer med handicap....... Forskerne finder hele 58 systematiske forskningsoversigter om handicap og beskæftigelse. Men den nærmere analyse af en del af litteraturen viser, at der ikke er mange undersøgelser, der reelt kan sige noget om effekten af indsatserne. Rapporten giver et grundlag for systematisk at arbejde med vidensbasering...

  20. Handicap og beskæftigelse i 2012. Regionale forskelle

    DEFF Research Database (Denmark)

    Møller Kjeldsen, Marie; Høgelund, Jan

    Denne rapport undersøger beskæftigelsen for personer med handicap i landets fire beskæftigelsesregioner, Hovedstaden og Sjælland, Syddanmark, Midtjylland og Nordjylland. Rapporten belyser regionale forskelle på en række områder inden for beskæftigelse, herunder beskæftigelsesomfanget og beskæftig......Denne rapport undersøger beskæftigelsen for personer med handicap i landets fire beskæftigelsesregioner, Hovedstaden og Sjælland, Syddanmark, Midtjylland og Nordjylland. Rapporten belyser regionale forskelle på en række områder inden for beskæftigelse, herunder beskæftigelsesomfanget og...... beskæftigelsens udvikling samt beskæftigelse på særlige vilkår og kendskab til beskæftigelsesrettede støtteordninger for personer med handicap. Den har desuden et særligt fokus på beskæftigedes holdninger til personer med handicap generelt og til synshandicap, mobilitetshandicap og en psykisk lidelse specifikt....... Undersøgelsen viser bl.a., at der ikke er signifikante forskelle mellem regionerne i beskæftigelsesandelen hverken for personer med eller uden handicap. I én region er beskæftigelsen for personer med handicap dog faldet fra 2010 til 2012, mens beskæftigelsen for personer uden handicap er steget i en anden...

  1. The validity and reliability of tinnitus handicap inventory Thai version.

    Science.gov (United States)

    Limviriyakul, Siriporn; Supavanich, Walop

    2012-11-01

    Demonstrate the reliability and validity of the Tinnitus Handicap Inventory Thai Version (THI-T), a self-report measure of tinnitus. A cross-sectional psychometric validation study was used to determine internal consistency reliability and validity of the Tinnitus Handicap Inventory Thai Version at the Otoneurology clinic at Tertiary care center The cross-cultural adaptation of the Tinnitus Handicapped Inventory English version (Newman et al, 1996) was translated into Thai version following the steps indicated by Guillemin et al. The reliability was constructed by using Cronbach's coefficient alpha. The validity was analyzed by the correlation between Tinnitus Handicap Inventory Thai version and the 36-items short form health survey and visual analog scale using Spearman and Pearson test. The result showed good internal consistency reliabilities of total, functional, emotional, and catastrophic scale (a = 0.902, 0.804, 0.831 and 0.661, respectively) of Tinnitus Handicap Inventory Thai Version. Spearman correlation showed the significant correlation of Tinnitus Handicap Inventory to 36-items short form health survey and visual analog scale. Tinnitus Handicap Inventory Thai Version will be a vigorous tool in evaluating tinnitus patients as well as monitoring the progress of their symptoms.

  2. Prevalence of Impairments, Disabilities, Handicaps: A Study From Kayseri Province

    Directory of Open Access Journals (Sweden)

    Melis Nacar

    2012-02-01

    Full Text Available Impairment and disability and handicap are most important problems all the world. This survey was conducted in centre of Kayseri province to obtain the prevalence of impairment, disability and handicap. The survey also aimed to identify the causes of impairments and to analyse the nature and extent of the handicaps resulting from these impairments. WHO’s impairment, disability and handicap classification was used and it was applied to those living in dwellings located in districts selected according to the population 3443 person residing selected using a multistage cluster sampling method were screened. It was found that 10.5% of the population had impairment and 5.0% of the population had a disability and 4.2% of them had a handicapped. The prevalence of impairment, disability and handicap was higher in women (12.7–6.3–5.6% than men (8.3–3.6–3.4%. Result of this study estimated, the educational and social levels were low among all the disables Educational problems and rehabilitation requirements were the major problems. A high proportion of person with impairment and handicap were not given any rehabilitation services. So that, the results of our study shows us that we have to give more importance to disables educational and occupational problems in our country. [TAF Prev Med Bull 2012; 11(1.000: 71-80

  3. Kuwaiti Teachers' Perceptions of Voice Handicap.

    Science.gov (United States)

    Albustan, Sana A; Marie, Basem S; Natour, Yaser S; Darawsheh, Wesam B

    2017-05-30

    The study aimed to investigate the effects of age, gender, level of education, experience, and class level taught on the perception of voice handicap by Kuwaiti teachers using the Arabic version of the Voice Handicap Index (VHI-Arab). The mean VHI scores of Kuwaiti teachers were compared with those of Jordanian and Emirati teachers. The study had a cross-sectional survey design. A total of 460 individuals (100 controls and 360 teachers) participated in this study and completed the paper copy of the VHI-Arab. We recruited 360 teachers, 180 males and 180 females (age range: 20-50 years), from 60 schools in 6 Kuwaiti districts. Teachers' VHI scores were compared with 100 nonteaching voice users (50 males and 50 females, with an age range of 18-42 years). Female teachers scored significantly higher than male teachers in all subscales (ie, physical: P = 0.02; emotional: P = 0.007; total: P = 0.017), except for the functional subscale (P = 0.147). Elementary school teachers scored significantly higher than teachers of other levels (middle and high school) in all VHI subscales (physical: P = 0.047; emotional: P = 0.01; total: P = 0.039), except for the functional subscale (P = 0.47). The mean score of Jordanian teachers was higher than that of Kuwaiti and Emirati teachers in all VHI subscales. Teachers with a more favorable teaching environment scored better on the VHI. Gender differences were found in all the Arabic nationalities studied. Female teachers of the elementary level, in particular, should be the focus of attention of efforts to prevent voice damage. Copyright © 2017 The Voice Foundation. Published by Elsevier Inc. All rights reserved.

  4. Multisensory Speech Perception by Profoundly Hearing-Impaired Children.

    Science.gov (United States)

    Lynch, Michael P.; And Others

    1989-01-01

    Eight profoundly hearing-impaired children, aged 5-11, received tactual word recognition training with tactual speech perception aids. Following training, subjects were tested on trained words and new words. Performance was significantly better on both sets of words when words were presented with a combined condition of tactual aid and aided…

  5. Standing Ovations and Profound Learning: Cultural Diversity in Theatre.

    Science.gov (United States)

    Ellis, Roger

    2000-01-01

    Describes the profound learning that took place at the International Children's Theatre Festival in Toyama City, Japan in July 2000. Argues that participation by the Japanese-American Drama Ensemble, a youth group from the public schools in Lexington, Massachusetts, and more than 400 children from all over the planet, showcased the cultural…

  6. Teaching Profoundly Retarded Adults to Ascend Stairs Safely.

    Science.gov (United States)

    Cipani, Ennio; And Others

    1982-01-01

    The study was designed to modify the stair climbing behavior of two profoundly retarded residents through backward shaping with graduated guidance, edible rewards, a correction procedure, and a 30 second timeout. Both residents showed an increase in the number of correct steps used while ascending the stairs.

  7. Profound Haemaological Changes In Rats Fed On Different Diet ...

    African Journals Online (AJOL)

    At the end of six weeks feeding period, blood samples were obtained and total leukocyte count was done. The results of total court show that animals fed in protein supplemented diet had a profound increase in their leukocyte court when compered with the control. The study shows that specific dietary elements can induce ...

  8. La plateforme technique "Le Bâtim'Handicap"

    OpenAIRE

    Jamin, Frédéric; Campagne, Claude

    2014-01-01

    National audience; Cet article présente la plateforme technique dédiée à la problématique du handicap (physique, sensoriel et cognitif) dans le cadre bâti. Implanté à l'IUT de Nîmes, cet outil nous permet de proposer des mises en situation de handicap concrètes dans le cadre de la formation d'étudiants et de professionnels de la construction ou de sensibilisation du grand public. Nous abordons également l'intérêt de l'installation domotique, outil incontournable pour pallier les handicaps et ...

  9. Handicap 5 years after stroke in the North East Melbourne Stroke Incidence Study.

    Science.gov (United States)

    Gall, Seana L; Dewey, Helen M; Sturm, Jonathan W; Macdonell, Richard A L; Thrift, Amanda G

    2009-01-01

    Handicap is rarely comprehensively examined after stroke. We examined handicap among 5-year stroke survivors from an 'ideal' stroke incidence study. Survivors were assessed with the London Handicap Scale [LHS, score range: 0 (greatest handicap) to 100 (least handicap)]. Multivariable regression was used to examine demographic, risk and stroke-related factors associated with handicap. 351 of 441 (80%) survivors were assessed. Those assessed were more often Australian born than those not assessed (p handicap was present for physical independence and occupation/leisure items. Handicap was associated with older age, manual occupations, smoking, initial stroke severity, recurrent stroke and mood disorders. Reducing recurrent stroke, through better risk factor management, is likely to reduce handicap. The association between handicap and mood disorders, which are potentially modifiable, warrants further investigation. Copyright (c) 2008 S. Karger AG, Basel.

  10. An application of Freud's castration concept on the perception of physical handicap

    Directory of Open Access Journals (Sweden)

    Tatjana Sedlar

    2002-09-01

    Full Text Available To the prevailing paradigm of our understanding of a physical handicap new paradigms have been recently added, which, as well, rarely discuss the physical handicap sex specifically. The article deals with a relationship between physically handicapped women and their surroundings through psychoanalytical perspective with the main focus on one of the basic psychoanalytical concepts–castration complex. Due to the anatomical difference between female and male sexual organs and due to the sex related solution of castration complex, following types of view on a physically handicapped body are presented: a female view on her own handicapped body, a female view on a female handicapped body, a male view on a female handicapped body, and a view on a handicapped body as a sexual object. The conclusion of the author is that the conflict between the physically handicapped and their surrounding, because of castration complex and inability to eliminate a handicap, is eternal.

  11. Intramurals for Handicapped Students at Kent State University.

    Science.gov (United States)

    Vannoy, Winona

    1981-01-01

    As an outgrowth of a student project, a recreational swimming program for handicapped students at Kent State University proved to be such a success that intramural basketball competitions were organized for students confined to wheelchairs. (JN)

  12. Hidden Abilities Discovered Among Multiply Handicapped Blind Children

    Science.gov (United States)

    Klineman, Janet

    1975-01-01

    The effectiveness of an objective, systematic assessment and individualized programing approach for discovering new channels of learning is illustrated with case study evaluations of multiply handicapped visually impaired children with complex learning and behavioral problems. (SB)

  13. Self-handicapping and managers' duty of care

    National Research Council Canada - National Science Library

    Hoffman, David A

    2007-01-01

      This essay focuses on the relationship between managers' duty of care and self-handicapping, or constructing obstacles to performance with the goal of influencing subsequent explanations about outcomes...

  14. Does Unilateral Hearing Loss Lead To Learning Handicap?

    Directory of Open Access Journals (Sweden)

    Gita Movalleli

    2000-05-01

    Full Text Available Hearing loss, even when limited to 1 ear, has been indicated as a handicap to communication and learning. Although this does not seem true based on my clinical impressions, there are no objective data available to evaluate, or even infer, what type of hearing loss can become a true handicap to overall academic achievement. Presented herein are findings that imply, although do not prove, the potential academic handicap of unilateral hearing loss. This study prospectively analyzed the audiologic and otologic screening tests in a university over a 9-year period. The University of Tokyo is one of the leading universities in Japan; the students examined undoubtedly had academic ability well above average, for the entrance examination is one of the most difficult to pass in Japan. The potential handicap to academic achievement caused by hearing impairment was evaluated by comparing the prevalence of hearing impairment among the study population.

  15. Concerns about Instructional Materials for Severely Handicapped Students.

    Science.gov (United States)

    Schoonhoven, Arlene

    1982-01-01

    The status of instructional materials developed for severely handicapped students is discussed. The author suggests that in light of decreased funding, teachers should reconsider all options for material development. (CL)

  16. [Sports for handicapped persons between the text and its implementation].

    Science.gov (United States)

    Negra Mahjoub, Samia; Djait, Salwa; Mahjoub, Rached; Turki, Ilhem

    2003-05-01

    The sports activities must occupy a paramount place in the schooling of the handicapped pupils. Indeed in addition to the development of the physical capacities, the sports activity has a positive impact on the development of the capacities of the communication and thus the integration of the pupil handicapped in his educational, family and social circle and on progress of psychomotor acquisitions. The national plan of education and the law N94-10 of August 3, 1994 relating to the sports activity in educational and university circle took part in the development and the promotion of the sports activities in the educational structures. This measurement, applied in the centers of specialized education, did not deny concerned the handicapped pupils provided education for in the colleges and normal colleges. What are the causes? Does there exist a remedy? How to introduce the sport for handicapped into the normal establishments?

  17. Handicaps for the large scale commercial application of micropropagation.

    NARCIS (Netherlands)

    Pierik, R.L.M.

    1988-01-01

    In the last 10 years micropropagation has shown a spectacular development. However, at present the widespread use of micropropagation is handicapped by the following facts: Frequently mutations occur, particularly when applying the adventitious bud technique and callus systems. Basic knowledge

  18. Connecting impairment, disability, and handicap in immune mediated polyneuropathies

    NARCIS (Netherlands)

    I.S.J. Merkies (Ingemar); P.I.M. Schmitz (Paul); F.G.A. van der Meché (Frans); J.P. Samijn (Johnny); P.A. van Doorn (Pieter)

    2003-01-01

    textabstractBACKGROUND: In the World Health Organisation (WHO) International Classification of Impairments, Disabilities, and Handicaps (ICIDH), it is suggested that various levels of outcome are associated with one another. However, the ICIDH has been criticised on the grounds

  19. Handicap og beskæftigelse. Regionale forskelle

    DEFF Research Database (Denmark)

    Larsen, Brian; Mølgaard Miiller, Max; Høgelund, Jan

    Denne rapport belyser beskæftigelsessituationen for personer med handicap i et regionalt perspektiv. Formålet er at bidrage med viden om den udfordring, landets fire beskæftigelsesregioner står over for i forbindelse med indsatsen over for personer med handicap. På baggrund af en...... interviewundersøgelse af ca. 9.000 personer viser rapporten, at personer med handicap tilsyneladende er bedst integreret på arbejdsmarkedet i Nordjylland. Blandt andet udgør personer med handicap en lidt større del af de beskæftigede i Nordjylland end i resten af landet, og lønmodtagere i Nordjylland er oftere positivt...... indstillet til at få en kollega med handicap, end lønmodtagere i de tre andre regioner. Desuden er kendskabet til beskæftigelsesfremmende støtteordninger større blandt personer med handicap i Nordjylland og Syddanmark end på Sjælland og i Midtjylland....

  20. Classical singing handicap index (CSHI) in erudite singers.

    Science.gov (United States)

    Avila, Maria Emília Barros de; Oliveira, Gisele; Behlau, Mara

    2010-01-01

    self-assessment of the impact of vocal deviation in the quality of life of erudite singers. to verify whether the presence of vocal complaints in erudite singers produces quality of life handicap in the use of singing voice and whether this handicap is related to gender, age, vocal classification or time of singing. fifty-nine professional erudite choir singers answered the questionnaire including general questions such as identification, vocal classification, gender, time of study and dedication to classical singing. The choir singers were categorized into two groups, according to the presence of vocal complaints. They all answered the protocol Classical Singing Handicap Index (CSHI), which analyzes the impact of abnormal voice on singing voice in three subscales: Disability, Handicap and Impairment. subscales Impairment (6.39) and Disability (5.39) presented higher scores than subscale Handicap (3.34) for all singers. Moreover, there was statistically significant correlation between presence of vocal complaint and higher score of CSHI (p > 0.001 to all subscales). In the group with complaints, women had higher score in subscale Disability than men. In the group without complaints, older subjects and those who had sung longer presented lower CSHI scores. singers with vocal complaints and/or symptoms had higher handicap index in singing, expressed in subscales Impairment and Disability, without relationship with vocal classification.

  1. Experience of handicap and anxiety in phobic postural vertigo.

    Science.gov (United States)

    Holmberg, Johan; Karlberg, Mikael; Harlacher, Uwe; Magnusson, Mans

    2005-03-01

    We found a difference in gender distribution in a population of phobic postural vertigo patients compared with dizzy patients seen in general neuro-otological practice. It appears as if women with phobic postural vertigo suffer more and are more handicapped by dizziness than both men with phobic postural vertigo and a population with dizziness. These differences may reflect other causes of phobic postural vertigo besides anxiety, such as gender-related coping behaviour and postural strategy. Anxiety influences the degree of suffering and handicap in dizzy patients. Experiences of anxiety and handicap were investigated among a population with phobic postural vertigo. Using the Dizziness Handicap Inventory, the Vertigo Symptom Scale and the Vertigo Handicap Questionnaire, 34 consecutive patients with phobic postural vertigo were compared with a population of 95 consecutive patients seen at a balance disorder clinic. Patients with phobic postural vertigo scored higher than the control subjects with respect to all parameters with the exception of the physical subscale of the Dizziness Handicap Inventory. Because there were significantly more women in the control group we performed a gender-specific analysis of the results. The higher test scores among patients with phobic postural vertigo can be explained by the higher scores among women in this group, while the test results for men were more similar to those of the control group.

  2. Visual impairment in severe and profound sensorineural deafness.

    OpenAIRE

    Armitage, I M; Burke, J. P.; Buffin, J T

    1995-01-01

    The frequency of reversible and irreversible visual impairment was determined in children with severe and profound sensorineural deafness, as subnormal vision can adversely affect their educational and social development. Eighty three of 87 such children attending an audiology service were examined to assess the incidence and severity of visual impairment. Each child underwent a detailed ophthalmic assessment. The criteria for visual impairment were visual acuity < 6/9 Snellen or equivalent a...

  3. Observations on Working Psychoanalytically with a Profoundly Amnesic Patient.

    Science.gov (United States)

    Moore, Paul A; Salas, Christian E; Dockree, Suvi; Turnbull, Oliver H

    2017-01-01

    Individuals with profound amnesia are markedly impaired in explicitly recalling new episodic events, but appear to preserve the capacity to use information from other sources. Amongst these preserved capacities is the ability to form new memories of an emotional nature - a skill at the heart of developing and sustaining interpersonal relationships. The psychoanalytic study of individuals with profound amnesia might contribute to the understanding the importance of each memory system, including effects on key analytic processes such as transference and countertransference. However, psychoanalytic work in the presence of profound amnesia might also require important technical modifications. In the first report of its kind, we describe observations from a long term psychoanalytic process (72 sessions) with an individual (JL) who has profound amnesia after an anoxic episode. The nature of therapy was shaped by JL's impairment in connecting elements that belong to distant (and even relatively close) moments in the therapeutic process. However, we were also able to document areas of preservation, in what appears to be a functioning therapeutic alliance. As regards transference, the relationship between JL and his analyst can be viewed as the evolution of a narcissistic transference, and case material is provided that maps this into three phases: (i) rejecting; (ii) starting to take in; and (iii) full use of the analytic space - where each phase exhibits differing degrees of permeability between JL and the analyst. This investigation appears to have important theoretical implications for psychoanalytic practice, and for psychotherapy in general - and not only with regard to brain injured populations. We especially note that it raises questions concerning the mechanism of therapeutic action in psychoanalysis and psychotherapy, and the apparent unimportance of episodic memory for many elements of therapeutic change.

  4. Profound hyperlipidaemia due to concomitant diabetes and hypothyroidism

    OpenAIRE

    Samaan, M Constantine; Murphy, Nuala; Costigan, Colm

    2010-01-01

    A previously well 5-year-old girl presented with new onset type 1 diabetes mellitus and diabetic ketoacidosis, and was found to be profoundly hyperlipidaemic. Further investigations showed that she had associated hypothyroidism. She responded to insulin and L-thyroxine treatments and her lipid profile returned to normal 2 months after diagnosis. Despite starting anticoagulant therapy early, she developed deep vein thrombosis of the lower limb. Her family screen did not demonstrate familial hy...

  5. Observations on Working Psychoanalytically with a Profoundly Amnesic Patient

    Science.gov (United States)

    Moore, Paul A.; Salas, Christian E.; Dockree, Suvi; Turnbull, Oliver H.

    2017-01-01

    Individuals with profound amnesia are markedly impaired in explicitly recalling new episodic events, but appear to preserve the capacity to use information from other sources. Amongst these preserved capacities is the ability to form new memories of an emotional nature – a skill at the heart of developing and sustaining interpersonal relationships. The psychoanalytic study of individuals with profound amnesia might contribute to the understanding the importance of each memory system, including effects on key analytic processes such as transference and countertransference. However, psychoanalytic work in the presence of profound amnesia might also require important technical modifications. In the first report of its kind, we describe observations from a long term psychoanalytic process (72 sessions) with an individual (JL) who has profound amnesia after an anoxic episode. The nature of therapy was shaped by JL’s impairment in connecting elements that belong to distant (and even relatively close) moments in the therapeutic process. However, we were also able to document areas of preservation, in what appears to be a functioning therapeutic alliance. As regards transference, the relationship between JL and his analyst can be viewed as the evolution of a narcissistic transference, and case material is provided that maps this into three phases: (i) rejecting; (ii) starting to take in; and (iii) full use of the analytic space – where each phase exhibits differing degrees of permeability between JL and the analyst. This investigation appears to have important theoretical implications for psychoanalytic practice, and for psychotherapy in general – and not only with regard to brain injured populations. We especially note that it raises questions concerning the mechanism of therapeutic action in psychoanalysis and psychotherapy, and the apparent unimportance of episodic memory for many elements of therapeutic change. PMID:28890703

  6. Observations on Working Psychoanalytically with a Profoundly Amnesic Patient

    Directory of Open Access Journals (Sweden)

    Paul A. Moore

    2017-08-01

    Full Text Available Individuals with profound amnesia are markedly impaired in explicitly recalling new episodic events, but appear to preserve the capacity to use information from other sources. Amongst these preserved capacities is the ability to form new memories of an emotional nature – a skill at the heart of developing and sustaining interpersonal relationships. The psychoanalytic study of individuals with profound amnesia might contribute to the understanding the importance of each memory system, including effects on key analytic processes such as transference and countertransference. However, psychoanalytic work in the presence of profound amnesia might also require important technical modifications. In the first report of its kind, we describe observations from a long term psychoanalytic process (72 sessions with an individual (JL who has profound amnesia after an anoxic episode. The nature of therapy was shaped by JL’s impairment in connecting elements that belong to distant (and even relatively close moments in the therapeutic process. However, we were also able to document areas of preservation, in what appears to be a functioning therapeutic alliance. As regards transference, the relationship between JL and his analyst can be viewed as the evolution of a narcissistic transference, and case material is provided that maps this into three phases: (i rejecting; (ii starting to take in; and (iii full use of the analytic space – where each phase exhibits differing degrees of permeability between JL and the analyst. This investigation appears to have important theoretical implications for psychoanalytic practice, and for psychotherapy in general – and not only with regard to brain injured populations. We especially note that it raises questions concerning the mechanism of therapeutic action in psychoanalysis and psychotherapy, and the apparent unimportance of episodic memory for many elements of therapeutic change.

  7. Foveal Processing Under Concurrent Peripheral Load in Profoundly Deaf Adults

    Science.gov (United States)

    2016-01-01

    Development of the visual system typically proceeds in concert with the development of audition. One result is that the visual system of profoundly deaf individuals differs from that of those with typical auditory systems. While past research has suggested deaf people have enhanced attention in the visual periphery, it is still unclear whether or not this enhancement entails deficits in central vision. Profoundly deaf and typically hearing adults were administered a variant of the useful field of view task that independently assessed performance on concurrent central and peripheral tasks. Identification of a foveated target was impaired by a concurrent selective peripheral attention task, more so in profoundly deaf adults than in the typically hearing. Previous findings of enhanced performance on the peripheral task were not replicated. These data are discussed in terms of flexible allocation of spatial attention targeted towards perceived task demands, and support a modified “division of labor” hypothesis whereby attentional resources co-opted to process peripheral space result in reduced resources in the central visual field. PMID:26657078

  8. Comparison of Dizziness, Depression, Anxiety and Mental Health of Postlingually Deaf Adults Between Cochlear Implant Recipients and Cochlear Implant Candidates

    Directory of Open Access Journals (Sweden)

    Reza Hossein-Abadi

    2008-07-01

    Full Text Available Objective: Hearing loss can affect on physical, mental and social health of deaf adults and lead to depression, anxiety, isolation, suspicion and stress of them. Cochlear implantation has positive effects on behavioral and emotional status of postlingually hearing impaired adults. This study is aimed to compare dizziness, depression, anxiety and mental health in adult cochlear implant recipients and candidates. Materials & Methods: This case- control and comparative study was conducted on 49 patients, 24 cochlear implant recipients (as case group and 25 severe-profound hearing impaired adults (as control groups whom were selected by simple and convenient sampling. Beck Depression Inventory, Dizziness Handicap Inventory, Beck Anxiety Inventory and General Health Questionnaire were completed to determine and compare cochlear implant effects. Data were analyzed by MANOVA. Results: Mean depression and anxiety scores in cochlear implant candidates were more than cochlear implant recipients. This difference was significant in depression (P=0.001. There was no significant difference between two groups in general health (P=0.415. The results of this study also showed that dizziness is more in cochlear implanted group (P=0.004. Conclusion: It seems that cochlear implant use leads to decrease of depression and anxiety. It leads to increase of dizziness.

  9. Intubation of Profoundly Agitated Patients Treated with Prehospital Ketamine.

    Science.gov (United States)

    Olives, Travis D; Nystrom, Paul C; Cole, Jon B; Dodd, Kenneth W; Ho, Jeffrey D

    2016-12-01

    Profound agitation in the prehospital setting confers substantial risk to patients and providers. Optimal chemical sedation in this setting remains unclear. The goal of this study was to describe intubation rates among profoundly agitated patients treated with prehospital ketamine and to characterize clinically significant outcomes of a prehospital ketamine protocol. This was a retrospective cohort study of all patients who received prehospital ketamine, per a predefined protocol, for control of profound agitation and who subsequently were transported to an urban Level 1 trauma center from May 1, 2010 through August 31, 2013. Identified records were reviewed for basic ambulance run information, subject characteristics, ketamine dosing, and rate of intubation. Emergency Medical Services (EMS) ambulance run data were matched to hospital-based electronic medical records. Clinically significant outcomes are characterized, including unadjusted and adjusted rates of intubation. Overall, ketamine was administered 227 times in the prehospital setting with 135 cases meeting study criteria of use of ketamine for treatment of agitation. Endotracheal intubation was undertaken for 63% (85/135) of patients, including attempted prehospital intubation in four cases. Male gender and late night arrival were associated with intubation in univariate analyses (χ2=12.02; P=.001 and χ2=5.34; P=.021, respectively). Neither ketamine dose, co-administration of additional sedating medications, nor evidence of ethanol (ETOH) or sympathomimetic ingestion was associated with intubation. The association between intubation and both male gender and late night emergency department (ED) arrival persisted in multivariate analysis. Neither higher dose (>5mg/kg) ketamine nor co-administration of midazolam or haloperidol was associated with intubation in logistic regression modeling of the 120 subjects with weights recorded. Two deaths were observed. Post-hoc analysis of intubation rates suggested a

  10. Interaural comparison of spiral ganglion cell counts in profound deafness.

    Science.gov (United States)

    Seyyedi, Mohammad; Eddington, Donald K; Nadol, Joseph B

    2011-12-01

    This study is designed to measure the degree to which spiral ganglion cell (SGC) survival in the left and right ears is similar in profoundly hearing-impaired human patients with symmetric (right/left) etiology and sensitivity. This is of interest because a small difference between ears would imply that one ear could be used as a control ear in temporal bone studies evaluating the impact on SGC survival of a medical intervention in the other ear. Forty-two temporal bones from 21 individuals with bilaterally symmetric profound hearing impairment were studied. Both ears in each individual were impaired by the same etiology. Rosenthal's canal was reconstructed in two dimensions and segmental and total SGCs were counted. Correlation analysis and t-tests were used to compare segmental and total counts of left and right ears. Statistical power calculations illustrate how the results can be used to estimate the effect size (right/left difference in SGC count) that can be reliably identified as a function of sample size. Left counts (segmental and total) were significantly correlated with those in the right ears (p total count were respectively 0.64, 0.91, 0.93, 0.91 and 0.98. The hypothesis that mean segmental and total counts of right and left are the same could not be rejected by paired t-test. The variance in the between-ear difference across the temporal bones studied indicates that useful effect sizes can be reliably identified using subject numbers that are practical for temporal bone studies. For instance, there is 95% likelihood that an interaural difference in SGC count of approximately 1000 cells associated with a treatment/manipulation of one ear will be reliably detected in a bilaterally-symmetric profound hearing loss population of temporal bones from approximately 10 subjects. Copyright © 2011 Elsevier B.V. All rights reserved.

  11. Profound Muscle Weakness and Pain after One Dose of Actonel

    Directory of Open Access Journals (Sweden)

    Irina Badayan

    2009-01-01

    Full Text Available The World Health Organization (WHO defines osteopenia as a bone density between 1 and 2.5 standard deviation (SD below the bone density of a normal young adult Iqbal 2000. Osteoporosis is defined as 2.5 SD or more below that reference point Iqbal 2000. Bisphosphonates are a group of medications used to treat osteoporosis, Padget's disease of bone, and osteopenia. We report a woman who developed profound muscle weakness and pain after one dose of Risedronate (Actonel.

  12. Adequacy of the Simplified Version of the Tinnitus Handicap Inventory (THI-S) to Measure Tinnitus Handicap and Relevant Distress.

    Science.gov (United States)

    Lee, Jae Hee; Ra, Jin-Ju; Kim, Young Ho

    2014-04-01

    The Tinnitus Handicap Inventory (THI) often requires patients to devote their time to complete the questionnaire than they expect. Given that it limits the effectiveness of THI in a busy clinical practice that desires a quick and easy assessment of tinnitus handicap, this study evaluated clinical usefulness of a Simplified version of Tinnitus Handicap Inventory (THI-S) in measuring the severity of tinnitus handicap as well as predicting the psychological distress associated with tinnitus. A total of 129 outpatients suffering from tinnitus (61 with normal hearing and 68 with hearing loss) participated in this study. The responses of THI-S (10 items) and THI (25 items) were evaluated to quantify the subjective handicap of tinnitus. The self-perceived level of stress, anxiety, and depression of all participants was measured with a series of self-report questionnaires such as Korean version of Brief Encounter Psychosocial Instrument (BEPSI), State Trait Anxiety Inventory (STAI), and Beck Depression Inventory (BDI), respectively. All the questionnaire responses were analyzed using non-parametric analyses to examine the convergence, comparability, internal consistency reliability and validity of THI-S. The severity of tinnitus handicap and the relevant psychological distress greatly varied across individuals. The THI-S responses were comparable to original THI responses, regardless of hearing status of patients. The internal consistency of THI-S responses was found to be good for total score (Cronbach's α=0.83-0.91), with moderately high consistency for the emotional, functional, and catastrophic subscales. Significant (phandicap as well as predict psychological distress. Three factors were extracted through factor analysis, which explained 73% of the total variance. Despite reducing the length of 25 items of THI to 10 items, the THI-S can be used as s a simple but reliable and valid tool for evaluating severity of tinnitus handicap as well as detecting its negative

  13. Handicap og beskæftigelse i 2010. Regionale forskelle

    DEFF Research Database (Denmark)

    Brink Thomsen, Lars; Høgelund, Jan

    Med oprettelsen af beskæftigelsesregionerne i 2006 blev det væsentligt at undersøge beskæftigelsessituationen for personer med handicap i de enkelte regioner. Denne rapport belyser regionale forskelle i beskæftigelsesniveau og -udvikling samt beskæftigelse på særlige vilkår og kendskab til...... beskæftigelsesrettede støtteordninger for personer med handicap. Den har desuden et særligt fokus på beskæftigelsessituationen på landsplan for personer med psykiske lidelser og personer med handicap og læsevanskeligheder. Undersøgelsen viser, at der er flest personer med et selvvurderet handicap eller længerevarende...... helbredsproblem i Region Syddanmark. Beskæftigelsesandelen er stort set ens i alle regioner, og den er steget mest i Midt- og Nordjylland. For personer med psykiske lidelser er beskæftigelsen forbedret på landsplan. Endelig er personer med både handicap og læse/skrive-vanskeligheder i væsentligt mindre grad i...

  14. Handicap og beskæftigelse i 2008 - regionale forskelle

    DEFF Research Database (Denmark)

    Larsen, Brian; Høgelund, Jan

    2009-01-01

    Dette arbejdspapir handler om personer med handicap og deres tilknytning til arbejdsmarkedet i 1. kvartal 2008. Arbejdspapiret belyser bl.a., om der er forskel mellem de fire beskæftigelsesregioner mht. beskæftigelsessituationen for personer med handicap, beskæftigedes holdninger til at arbejde...... sammen med handicappede, og handicappedes viden om beskæf-tigelsesrettede støtteordninger. Arbejdspapiret opbygning og fremstilling ligger i forlængelse af rapporten ”Handicap og beskæftigelse. Regionale forskelle” (Larsen m.fl., 2007). Arbejdspapirets resultater kan imidlertid ikke direkte sammenlignes...... med resultaterne i Larsen m.fl. (2007), bl.a. fordi personer med handicap ikke er afgrænset på samme måde i de to publikationer. Arbejdspapiret er en del af en større undersøgelse, som bl.a. og-så belyser udviklingen i beskæftigelsen for personer med handicap mellem 2002 og 2008 (Larsen og Høgelund...

  15. Hepatitis B virus prevalence in two institutions for the mentally ...

    African Journals Online (AJOL)

    A comparative study of the prevalence of hepatitis B virus infection in two institutions for the mentally handicapped was carried out between April and November 1989 and April and August 1991. The institutions were situated within 10 km of each other in north-eastern Johannesburg. One institution had a significantly higher ...

  16. The Placement of the Mentally Retarded Child | Wagner | South ...

    African Journals Online (AJOL)

    A mentally handicapped child brings tremendous problems to his family. He may be rejected entirely, or he may be given an undue amount of attention to the detriment of the whole family. An attempt is made to point out an intermediate course which will give happiness to the child and yet not disrupt the family. S. Afr. Med.

  17. Curriculum Guide for Teachers of Educable Mentally Retarded -- Primary.

    Science.gov (United States)

    Palm Beach County Board of Public Instruction, West Palm Beach, FL.

    Designed for use with primary level educable mentally handicapped children, the guide lists general objectives, gives a unit and a daily lesson plan on wise buying from the grocery or stationery store, and explains how to make experience charts. Over three-fourths of the guide consists of behavioral objectives with general objectives and terminal…

  18. Falls in community-dwelling older persons followinig hip fracture: impact on self-efficacy, balance and handicap.

    Science.gov (United States)

    Whitehead, Craig; Miller, Michelle; Crotty, Maria

    2003-12-01

    To compare the four-month outcomes of fallers and nonfallers as well as those with slow gait speed in patients with hip fracture successfully discharged back to the community. Prospective study with four-month follow-up data. Community sample of survivors of hip fracture who have completed their rehabilitation programme. A consecutive sample of 73 community-dwelling, cognitively intact older adults admitted to hospital following a fall-related hip fracture and available to complete a follow-up assessment at four months. At baseline, data collection consisted of the Modified Barthel Index (MBI), Mini Mental State Examination (MMSE), sociodemographics and medical history. At four months follow-up, data collection consisted of the MBI, London Handicap Scale (LHS), Berg Balance Scale (BBS), a 10-metre timed walk test, Falls Efficacy Scale (FES) and the Activities Balance Confidence (ABC) scale. Participants were also asked to recall if they had fallen in the four months since their fracture. Seventy-three participants had complete data for evaluation. There was minimal disability with a mean MBI of 91.2 but there was some residual handicap with a mean LHS of 0.67. Those who had fallen had lower self-efficacy (FES) and greater handicap (LHS). Those with slower gait speed were more handicapped (LHS), had lower self-efficacy (FES and ABC) and lower balance scores (BBS). Measuring ADL disability alone loses valuable information in community-dwelling survivors of hip fracture. Falls after hip fracture should be a target for treatment and our data give some weight to the idea of a fall fracture cycle. Gait speed, which may reflect lower limb strength, is also a target for therapeutic interventions. These measures should be included in clinical practice.

  19. Inter-relationship of intelligence-quotient and self-concept with dental caries amongst socially handicapped orphan children

    Directory of Open Access Journals (Sweden)

    PKS Virk

    2012-01-01

    Full Text Available Context : India has been the focus of many health surveys among normal, physically, and mentally handicapped children. However, the data, concerning oral health conditions of socially handicapped children living in orphanages, are scanty. Aims: To study the effect of parental inadequacy, environmental deprivation, and emotional disturbances on dental caries through intelligence quotient (IQ and self-concept in orphan children and also to co-relate dental caries with different levels of IQ and self-concept. Settings and Design: The study was carried out amongst socially handicapped children living in orphanages. Patients and Methods: 100 children in the age group of 10-14 years from orphanages were selected. Malin′s Intelligence Scale for Indian Children (MISIC was used to assess the intelligence quotient; self-concept questionnaire to assess self-concept of the child and recording of dental caries status of children was done as per WHO Index (1997. StatisticaL Analysis Used : To assess the relationship of dental caries with IQ, student′s unpaired t-test was used and; to find the relationship between self-concept and dental caries, Karl-Pearson′s coefficient of co-relation was applied. Results: the children in orphanages had a lower IQ and high caries experience but had an above average self-concept. There was also no co-relation between dental caries and self-concept. Conclusions: Orphan children, being socially handicapped, are at an increased risk for dental caries due to a lower IQ level, parental deprivation, and institutionalization. Moreover, lack of co-relation between dental caries and self-concept could be explained by the fact that dental caries is a lifelong process whereas different dimensions of self-concept are in a state of constant flux.

  20. Inter-relationship of intelligence-quotient and self-concept with dental caries amongst socially handicapped orphan children.

    Science.gov (United States)

    Virk, Pks; Jain, R L; Pathak, A; Sharma, U; Rajput, J S

    2012-01-01

    India has been the focus of many health surveys among normal, physically, and mentally handicapped children. However, the data, concerning oral health conditions of socially handicapped children living in orphanages, are scanty. To study the effect of parental inadequacy, environmental deprivation, and emotional disturbances on dental caries through intelligence quotient (IQ) and self-concept in orphan children and also to co-relate dental caries with different levels of IQ and self-concept. The study was carried out amongst socially handicapped children living in orphanages. 100 children in the age group of 10-14 years from orphanages were selected. Malin's Intelligence Scale for Indian Children (MISIC) was used to assess the intelligence quotient; self-concept questionnaire to assess self-concept of the child and recording of dental caries status of children was done as per WHO Index (1997). To assess the relationship of dental caries with IQ, student's unpaired t-test was used and; to find the relationship between self-concept and dental caries, Karl-Pearson's coefficient of co-relation was applied. the children in orphanages had a lower IQ and high caries experience but had an above average self-concept. There was also no co-relation between dental caries and self-concept. Orphan children, being socially handicapped, are at an increased risk for dental caries due to a lower IQ level, parental deprivation, and institutionalization. Moreover, lack of co-relation between dental caries and self-concept could be explained by the fact that dental caries is a lifelong process whereas different dimensions of self-concept are in a state of constant flux.

  1. Eptifibatide-induced acute profound thrombocytopenia: a case report.

    Science.gov (United States)

    Graidis, Christos; Golias, Christos; Dimitriadis, Dimokritos; Dimitriadis, Georgios; Bitsis, Theodosis; Dimitrelos, Ilias; Tsiakou, Afroditi; Charalabopoulos, Konstantinos

    2014-02-25

    The interactions among cells or among cells and components of the extracellular matrix, is a crucial pathophysiological process involving some molecules collectively known as adhesion molecules (CAMs). Glycoprotein IIb / IIIa receptors are only restricted to blood platelets and they bind fibrinogen and adhesion proteins such as fibronectin, vitronectin, von Willebrand factor to form cross bridges between adjacent platelets. IIb/IIIa receptor antagonists are an object of intense research activity for target therapy worldwide during the last decades. Three GPIIb/IIIa inhibitors, abciximab, tirofiban, and eptifibatide, have been approved for clinical use. Profound thrombocytopenia is an uncommon but clinically important complication of glycoprotein IIb/IIIa inhibitors. This case report discusses a forty-four-year-old male patient with acute coronary syndrome who underwent percutaneous coronary intervention and developed profound thrombocytopenia within 4 hours of first administration of eptifibatide. This report adds another case of eptifibatide-induced thrombocytopenia to the medical literature and endorses the importance of platelet count monitoring after initiating therapy with this agent.

  2. Reality Therapy with Institutionalized Emotionally Disturbed Mentally Retarded Adolescents.

    Science.gov (United States)

    Dolly, John P.; Page, D. Patricia

    1981-01-01

    The study evaluated a reality therapy program used with 20 institutionalized mentally retarded (mild to profound) and emotionally disturbed adolescents residing in an institution. Results indicated that 17 of the Ss increased adaptive behaviors and all decreased maladaptive behaviors. (DB)

  3. Validation of a Korean Version of the Tinnitus Handicap Questionnaire

    Science.gov (United States)

    Yoo, Ik Won; Hwang, Sun Jin; Hwang, Soon Young

    2015-01-01

    Objectives The goal of the present study was to evaluate the reliability and validity of the Korean version of the tinnitus handicap questionnaire (THQ-K). Methods A total of 60 patients were included in this study. Patients responded to the THQ-K, the tinnitus handicap inventory (THI), Beck's depression index (BDI), and the visual analogue scale (VAS) for loudness and pitch, loudness match, and minimum masking level (MML) test were performed. Results Internal consistency of the THQ-K was examined using Cronbach coefficient alpha. Cronbach alpha was 0.96. The THQ-K showed a significant correlation with THI, BDI, VAS for distress, and VAS for loudness, but no significant correlation with psychoacoustic measurement of tinnitus, such as loudness match, pitch match, and MML. Conclusion The THQ-K is a reliable and valid test for evaluating the degree of handicap due to tinnitus for both research and clinical use. PMID:26330911

  4. Validation of a Korean Version of the Tinnitus Handicap Questionnaire.

    Science.gov (United States)

    Jun, Hyung Jin; Yoo, Ik Won; Hwang, Sun Jin; Hwang, Soon Young

    2015-09-01

    The goal of the present study was to evaluate the reliability and validity of the Korean version of the tinnitus handicap questionnaire (THQ-K). A total of 60 patients were included in this study. Patients responded to the THQ-K, the tinnitus handicap inventory (THI), Beck's depression index (BDI), and the visual analogue scale (VAS) for loudness and pitch, loudness match, and minimum masking level (MML) test were performed. Internal consistency of the THQ-K was examined using Cronbach coefficient alpha. Cronbach alpha was 0.96. The THQ-K showed a significant correlation with THI, BDI, VAS for distress, and VAS for loudness, but no significant correlation with psychoacoustic measurement of tinnitus, such as loudness match, pitch match, and MML. The THQ-K is a reliable and valid test for evaluating the degree of handicap due to tinnitus for both research and clinical use.

  5. Evaluation of Hearing Handicap in Adults with Auditory Neuropathy Spectrum Disorder.

    Science.gov (United States)

    Prabhu, Prashanth

    2017-08-01

    The present study attempted to evaluate hearing handicap in adults with auditory neuropathy spectrum disorder (ANSD). The study also attempted to determine if gender, pure tone average, speech identification scores (SIS), and reported duration of hearing loss could predict the hearing handicap in adults with ANSD. Hearing Handicap Inventory for Adults and Hearing Handicap Questionnaire were administered to 50 adults with ANSD. Using both the scales, there was a significant hearing handicap in both the social and emotional domains in adults with ANSD. SIS was a good predictor of hearing handicap compared to other variables. The poor SIS can affect communication skills leading to higher degree of social handicap. The ignorance regarding the exact cause for their hearing problems and lack of appropriate management strategies could lead to emotional problems in individuals with ANSD. However, further studies are essential for determining hearing handicap with the use of hearing aids and cochlear implants.

  6. Minimizing Teacher Stress. Structuring Positive Interactions for Handicapped and Nonhandicapped Children in Physical Education.

    Science.gov (United States)

    Colvin, Nola R.; And Others

    1982-01-01

    Components of an integrated physical education program, which consists of handicapped and nonhandicapped students, include: (1) activities that promote interaction among all students; (2) strategies that place handicapped and nonhandicapped students together; and (3) reinforcement of cooperative behavior. (CJ)

  7. Sygemeldte og førtidspensionister med handicap

    DEFF Research Database (Denmark)

    Tørslev, Mette Kirstine; Weibel, Kristina; Høgelund, Jan

    2010-01-01

    Dette arbejdspapir belyser udvalgte jobcentermedarbejderes erfaringer med og perspektiver på beskæftigelsesindsatsen for sygedagpengemodtagere og førtidspensionister med handicap. Undersøgelsen er gennemført i tre jobcentre, hvor der er foretaget interview med sagsbehandlere, virksomhedskonsulenter...... sygedagpengemodtagere og førtidspensionister med handicap igangsat af Vidensnetværket, som er forankret i Danske Handicaporganisationer. Arbejdspapiret er udarbejdet af forskningsassistent, cand.mag. (antropologi) Mette Kristine Tørslev, forskningsassistent, cand.scient.soc. Kristina Weibel og seniorforsker, cand...

  8. The handicap principle and the argument of subversion from within

    DEFF Research Database (Denmark)

    Baron, Christian

    2013-01-01

    This paper examines the very disparate positions that various actors have taken towards the argument of subversion from within (a classical argument against the evolution of altruism by group selection) in a set of related debates on group selection, altruism and the handicap principle. Using...... connected to important epistemological differences related in part (but not solely) to their disciplinary background. Apart from conflicting evolutionary views concerning the theoretical feasibility of the handicap effect, these antagonists both differed in the confidence they ascribed to mathematical...

  9. Voice-controlled Internet Browsing for Motor-handicapped Users

    DEFF Research Database (Denmark)

    Brøndsted, Tom; Aaskoven, Erik

    2006-01-01

    The public-funded project "Indtal" ("Speak-it") has succeeded in developing a Danish voice-controlled utility for internet browsing targeting motor-handicapped users having difficulties using a standard keyboard and/or a standard mouse. The system has been designed and implemented in collaboration...... with an advisory board of motor-handicapped (potential) end-users and underlies a number of a priori defined design criteria: learnability and memorability rather than naturalness, minimal need for maintenance after release, support for "all" web standards (not just HTML conforming to certain "recommendations...

  10. Persistent Thalamic Sound Processing Despite Profound Cochlear Denervation

    Directory of Open Access Journals (Sweden)

    Anna R. Chambers

    2016-08-01

    Full Text Available Neurons at higher stages of sensory processing can partially compensate for a sudden drop in input from the periphery through a homeostatic plasticity process that increases the gain on weak afferent inputs. Even after a profound unilateral auditory neuropathy where > 95% of synapses between auditory nerve fibers and inner hair cells have been eliminated with ouabain, central gain can restore the cortical processing and perceptual detection of basic sounds delivered to the denervated ear. In this model of profound auditory neuropathy, cortical processing and perception recover despite the absence of an auditory brainstem response (ABR or brainstem acoustic reflexes, and only a partial recovery of sound processing at the level of the inferior colliculus (IC, an auditory midbrain nucleus. In this study, we induced a profound cochlear neuropathy with ouabain and asked whether central gain enabled a compensatory plasticity in the auditory thalamus comparable to the full recovery of function previously observed in the auditory cortex (ACtx, the partial recovery observed in the IC, or something different entirely. Unilateral ouabain treatment in adult mice effectively eliminated the ABR, yet robust sound-evoked activity persisted in a minority of units recorded from the contralateral medial geniculate body (MGB of awake mice. Sound-driven MGB units could decode moderate and high-intensity sounds with accuracies comparable to sham-treated control mice, but low-intensity classification was near chance. Pure tone receptive fields and synchronization to broadband pulse trains also persisted, albeit with significantly reduced quality and precision, respectively. MGB decoding of temporally modulated pulse trains and speech tokens were both greatly impaired in ouabain-treated mice. Taken together, the absence of an ABR belied a persistent auditory processing at the level of the MGB that was likely enabled through increased central gain. Compensatory

  11. 41 CFR 50-201.1102 - Tolerance for apprentices, student-learners, and handicapped workers.

    Science.gov (United States)

    2010-07-01

    ..., student-learners, and handicapped workers. 50-201.1102 Section 50-201.1102 Public Contracts and Property... REGULATIONS § 50-201.1102 Tolerance for apprentices, student-learners, and handicapped workers. (a... standards and procedures as are prescribed for the employment of apprentices, student-learners, handicapped...

  12. 24 CFR 235.331 - Increased maximum mortgage amount for physically handicapped persons.

    Science.gov (United States)

    2010-04-01

    ... for physically handicapped persons. 235.331 Section 235.331 Housing and Urban Development Regulations... maximum mortgage amount for physically handicapped persons. If the mortgage relates to a dwelling unit to be occupied by a handicapped person as defined in § 235.5(c)(2), the otherwise applicable dollar...

  13. 41 CFR 50-202.3 - Learners, student learners, apprentices, and handicapped workers.

    Science.gov (United States)

    2010-07-01

    ... 41 Public Contracts and Property Management 1 2010-07-01 2010-07-01 true Learners, student learners, apprentices, and handicapped workers. 50-202.3 Section 50-202.3 Public Contracts and Property... handicapped workers. Learners, student learners, apprentices, and handicapped workers may be employed at less...

  14. 48 CFR 552.238-70 - Identification of Electronic Office Equipment Providing Accessibility for the Handicapped.

    Science.gov (United States)

    2010-10-01

    ... Electronic Office Equipment Providing Accessibility for the Handicapped. 552.238-70 Section 552.238-70... Equipment Providing Accessibility for the Handicapped. As prescribed in 538.273(a)(1), insert the following clause: Identification of Electronic Office Equipment Providing Accessibility for the Handicapped (SEP...

  15. 36 CFR 701.6 - Loans of library materials for blind and other physically handicapped persons.

    Science.gov (United States)

    2010-07-01

    ... for blind and other physically handicapped persons. 701.6 Section 701.6 Parks, Forests, and Public... physically handicapped persons. (a) Program. In connection with the Library's program of service under the... Physically Handicapped provides books in raised characters (braille), on sound reproduction recordings, or in...

  16. 38 CFR 17.152 - Devices to assist in overcoming the handicap of deafness.

    Science.gov (United States)

    2010-07-01

    ... 38 Pensions, Bonuses, and Veterans' Relief 1 2010-07-01 2010-07-01 false Devices to assist in overcoming the handicap of deafness. 17.152 Section 17.152 Pensions, Bonuses, and Veterans' Relief DEPARTMENT... in overcoming the handicap of deafness. Devices for assisting in overcoming the handicap of deafness...

  17. 13 CFR 113.3-3 - Structural accommodations for handicapped clients.

    Science.gov (United States)

    2010-01-01

    ... handicapped clients. 113.3-3 Section 113.3-3 Business Credit and Assistance SMALL BUSINESS ADMINISTRATION... ADMINISTRATOR General Provisions § 113.3-3 Structural accommodations for handicapped clients. (a) Existing... by handicapped clients. Where structural changes are necessary to make the recipient's goods or...

  18. 45 CFR Appendix C to Part 84 - Guidelines Relating to Health Care for Handicapped Infants

    Science.gov (United States)

    2010-10-01

    ... 45 Public Welfare 1 2010-10-01 2010-10-01 false Guidelines Relating to Health Care for Handicapped... ADMINISTRATION NONDISCRIMINATION ON THE BASIS OF HANDICAP IN PROGRAMS OR ACTIVITIES RECEIVING FEDERAL FINANCIAL ASSISTANCE Pt. 84, App. C Appendix C to Part 84—Guidelines Relating to Health Care for Handicapped Infants (a...

  19. 24 CFR 100.202 - General prohibitions against discrimination because of handicap.

    Science.gov (United States)

    2010-04-01

    ... discrimination because of handicap. 100.202 Section 100.202 Housing and Urban Development Regulations Relating to... Against Discrimination Because of Handicap § 100.202 General prohibitions against discrimination because of handicap. (a) It shall be unlawful to discriminate in the sale or rental, or to otherwise make...

  20. 29 CFR 516.30 - Learners, apprentices, messengers, students, or handicapped workers employed under special...

    Science.gov (United States)

    2010-07-01

    ... 29 Labor 3 2010-07-01 2010-07-01 false Learners, apprentices, messengers, students, or handicapped... handicapped workers employed under special certificates as provided in section 14 of the Act. (a) With respect... education, or handicapped workers employed at special minimum hourly rates under Special Certificates...

  1. The development of a new tool for the evaluation of handicap in elderly: the Geriatric Handicap Scale (GHS).

    Science.gov (United States)

    Verrusio, Walter; Renzi, Alessia; Spallacci, Giulia; Pecci, Maria Tecla; Pappadà, Maria Antonella; Cacciafesta, Mauro

    2018-02-10

    To date, the comprehensive geriatric assessment (CGA) does not include an evaluation tool for handicap. To develop a new instrument for assessing handicap in the elderly: the Geriatric Handicap Scale (GHS). 656 community-dwelling elderly were enrolled in this study. We identified the thematic areas investigated by the CGA which showed a significant correlation with the handicap condition (handicap yes/not) to be included in our scale (Phase 1). Afterwards, we evaluated the possible correlations between: (1) the score obtained in each area of GHS and those obtained in CGA tests investigating similar dimensions, (2) GHS total score and the Multidimensional Prognostic Index (MPI) total score (Phase 2). In Phase 1, data analysis showed several significant correlations between the handicap condition and the scores obtained to the CGA tests exploring cognition, mood, functional impairment, comorbidity, social and environmental variables. Thus, we developed a tool considering five variables: (1) cognition and mood; (2) functional impairment; (3) hearing/visual impairment; (4) any additional comorbidity factors; (5) environmental/social risk factors. In Phase 2, data analysis showed significant correlations between the score obtained in each area of GHS and those obtained in the CGA tests investigating similar dimensions. A positive correlation between GHS total score and MPI total score (r = 68; p = 0.001) was also reported. Cut-off score for the GHS was established. Psychometric properties of GHS were also investigated and adequate estimates of internal reliability were demonstrated. Our tool could prove useful to correctly categorize the disadvantageous condition related to patient's disability.

  2. Children with profound intellectual and multiple disabilities : the effects of functional movement activities

    NARCIS (Netherlands)

    van der Putten, A; Vlaskamp, C; Reynders, K; Nakken, H

    Objective: To determine the effect of functional movement activities within the MOVE ( Mobility Opportunities Via Education) curriculum on the independence of children with profound intellectual and multiple disabilities. Subjects: Forty-four children with profound intellectual and multiple

  3. Claudius, the handicapped Caesar (41-54 A.D.

    Directory of Open Access Journals (Sweden)

    Francois P. Retief

    2010-01-01

    Full Text Available Claudius, fourth Caesar of the Roman Empire, proved himself an able administrator, but physically and emotionally handicapped from birth. His parents, members of the imperial family, considered him mentally deficient and he was isolated from the general public and put in the care of an uneducated tutor who firmly disciplined the youngster. The historians report that he had a weak constitution caused by frequent illness, and when he appeared in public he was muffled in a protective cloak. To avoid possible embarrassment the ceremony of the toga virilis, at approximately 14 years of age, was a secretive affair held at midnight and devoid of the traditional procession. His grandfather, Augustus Caesar, had some sympathy for the young lad, but did not consider him capable of managing any position of public office appropriate for his age and position. This would also be the approach of the succeeding emperor, Tiberius. Claudius spent the fi rst four decades of his life in relative idleness, isolated from his family and upper class Romans, consorting with the lower classes, playing dice and revelling in excessive eating and drinking. He did, however, also involve himself seriously in a study of the sciences, literature, Greek and history – his role model in the latter being Livy. During his life time he published quite extensively, including dramas, an autobiography, a work in defence of Cicero, histories of Rome, Carthage and Etruria, and a book on dice. His first public office (besides an augurship under Augustus was at the age of 47 years when the new emperor, Gaius (Caligula made him a consul for two months. The Knights and a section of Senate now warmed towards Claudius, but Gaius and the majority of aristocratic Romans still despised him as dull-witted. After the assassination of Gaius, the Praetorian Guard in an extraordinary step, proclaimed a protesting Claudius (50 years old as emperor, and convinced an astounded Senate to endorse

  4. JUSTIFICATION OF THE EXISTENCE OF PREPARATORY GROUPS IN SPECIAL SCOOLS FOR CHILDREN LIGHTLY HANDICAPPED

    Directory of Open Access Journals (Sweden)

    Aneta ANDONAKIS

    1997-03-01

    Full Text Available Researches about child’s intellectual development in the psychology has started in the 19th century and the first step has been made by Tiedemann in “ Observation of the development of the mental abilities of the children”. His work caused a great interest in the circles of doctors and psychologists. Their interpretation of intelligence was different, but the most acceptable is the performance of complicated activities for getting knowledge and skills and getting over the obstacles in the development of the person”.The social ability do not correspond with the intelligence. The two aspects are tested and a complete picture of their functioning can be seen. The developmental principle is determined from general to the separate as functionally connected.In the period when a child does not accept the higher level of intelligence and thinking , in relation to which are effectuated by sense-motor activities, than we say that a child is mentally handicapped. The widest approach of the educational system should be treated as a functional, institutional and organizational, that takes part in the realization of the social aims and tasks.Not getting into viewing of the curriculum's and programs for preparatory groups in the preeducational period, we may say that the justification for the existence of these group in the regular schools, is maturation of the perceptive motor coordination and learning. With the maturing the function of the "ego" is increasing.As a child adapts better he can learn better, and the maturity comes sooner. In this way these groups are justified.Mentally handicapped child has not the opportunity to attend an organized prepared education which provides:-forming of the speech, self-control, which can be achieved in the process of learning through a direct contact with other children;· regulation of the lateralization through re-education of the psycho-motor abilities, and in general neuro-motor experienced maturation

  5. Reliability and Validity of the Chinese (Mandarin) Tinnitus Handicap Inventory

    Science.gov (United States)

    Meng, Zhaoli; Zheng, Yun; Wang, Kai; Kong, Xiudan; Tao, Yong; Xu, Ke; Liu, Guanjian

    2012-01-01

    Objectives The Tinnitus Handicap Inventory (THI) is a commonly used self-reporting tinnitus questionnaire. We undertook this study to determine the reliability and validity of the Chinese-Mandarin version of the Tinnitus Handicap Inventory (THI-CM) for measuring tinnitus-related handicaps. Methods We tested the test-retest reliability, internal reliability, and construct validity of the THI-CM. Two-hundred patients seeking treatment for primary or secondary tinnitus in Southwest China were asked to complete THI-CM prior to clinical evaluation. Patients were evaluated by a clinician using standard methods, and 40 patients were asked to complete THI-CM a second time 14±3 days after the initial interview. Results The test-retest reliability of THI-CM was high (Pearson correlation, 0.98), as was the internal reliability (Cronbach's α, 0.93). Factor analysis indicated that THI-CM has a unifactorial structure. Conclusion The THI-CM version is reliable. The total score in THI-CM can be used to measure tinnitus-related handicaps in Mandarin-speaking populations. PMID:22468196

  6. Can a conditioning programme improve Handicap Index in ...

    African Journals Online (AJOL)

    The implementation of off-links conditioning programmes for amateur golfers to enhance performance is often neglected. This study was conducted to determine the effects of a conditioning programme on body composition, flexibility, muscular strength, muscular endurance, cardiorespiratory fitness and handicap index as ...

  7. Signal modulation as a mechanism for handicap disposal

    Science.gov (United States)

    Gavassa, Sat; Silva, Ana C.; Gonzalez, Emmanuel; Stoddard, Philip K.

    2012-01-01

    Signal honesty may be compromised when heightened competition provides incentive for signal exaggeration. Some degree of honesty might be maintained by intrinsic handicap costs on signalling or through imposition of extrinsic costs, such as social punishment of low quality cheaters. Thus, theory predicts a delicate balance between signal enhancement and signal reliability that varies with degree of social competition, handicap cost, and social cost. We investigated whether male sexual signals of the electric fish Brachyhypopomus gauderio would become less reliable predictors of body length when competition provides incentives for males to boost electric signal amplitude. As expected, social competition under natural field conditions and in controlled lab experiments drove males to enhance their signals. However, signal enhancement improved the reliability of the information conveyed by the signal, as revealed in the tightening of the relationship between signal amplitude and body length. Signal augmentation in male B. gauderio was independent of body length, and thus appeared not to be curtailed through punishment of low quality (small) individuals. Rather, all individuals boosted their signals under high competition, but those whose signals were farthest from the predicted value under low competition boosted signal amplitude the most. By elimination, intrinsic handicap cost of signal production, rather than extrinsic social cost, appears to be the basis for the unexpected reinforcement of electric signal honesty under social competition. Signal modulation may provide its greatest advantage to the signaller as a mechanism for handicap disposal under low competition rather than as a mechanism for exaggeration of quality under high competition. PMID:22665940

  8. The London handicap scale: validation of a Yoruba (Nigerian ...

    African Journals Online (AJOL)

    Objective To evaluate the validity of a Yoruba translated version of the London Handicap Scale (LHS). The LHS is a valid and reliable measure of participation that has been validated in different cultures, but not among Yoruba speaking people of West Africa. Methods A validation study which involved 20 post-stroke ...

  9. Synchronic Distance Education from the Perspective of a Handicapped Person

    Science.gov (United States)

    Karal, Hasan; Cebi, Ayca; Turgut, Yigit Emrah

    2011-01-01

    Nowadays knowledge and communication technologies are developing rapidly and changing people's lives. With the help of the developing technologies, people can access knowledge independent of time and place and distance education technologies offer handicapped students a range of opportunities in order that they may access a better level of…

  10. [The handicapped children in Rome: current studies and perspectives].

    Science.gov (United States)

    Gourevitch, Danielle

    2006-01-01

    Reading literary, medical and juridical texts, the author tries to understand what was the meaning of the handicap or monstrum in Roman times. She insists on the evolution of the concept and scrutinizes the case of emperor Claudius. For a real understanding of the problems, a cross-examination of texts, images and bones is necessary, she concludes.

  11. Education for the Handicapped: What Is the Appropriate Federal Role?

    Science.gov (United States)

    IFG Policy Notes, 1981

    1981-01-01

    This series of short articles discusses two separate educational policy issues: the federal role in education for the handicapped and tuition tax credits. Concerning the first issue, the document discusses the background of P.L. 94-142 and its first 5 years, concluding that, although accomplishments are impressive, there are still difficulties in…

  12. Orthopaedically Handicapped Students in Public and Private High Schools.

    Science.gov (United States)

    Gregory, James F.; And Others

    1987-01-01

    Orthopedically handicapped (OH, N=353) twelfth graders were compared to a control group. Blacks were under-represented in the OH cohort, and OH students had a higher incidence of other impairments. Academically the OH teenagers performed competitively with classmates, though they experienced difficulties in self-esteem, locus of contrtol, and…

  13. Videophone to improve communication between intellectual handicapped and their relatives

    NARCIS (Netherlands)

    Deverson, Melinda M.C.E.; Spil, Antonius A.M.; van Gemert-Pijnen, Julia E.W.C.

    2012-01-01

    The aim of this study is to evaluate the use of a videophone by people with an intellectual handicap and their relatives at a healthcare organisation in the Netherlands. A triangulation of methods is used. The first method was a questionnaire (pre-study) were 195 clients and 439 client

  14. Developmental Trampoline Activities for Individuals with Multiple Handicapping Conditions.

    Science.gov (United States)

    Thomas, Bill

    1979-01-01

    The use of trampoline activities with multiple handicapped students is discussed. Management considerations in safety are noted, and developmental trampoline skills are listed beginning with bouncing for stimulation. Progression to limited independence and finally independent jumping is described. The position statement of the American Alliance…

  15. The Focus of Attention Is on the Handicapped College Student

    Science.gov (United States)

    Zaitsev, D. V.

    2010-01-01

    As a social institution, higher education constitutes one of the most important factors that enable an individual's mobility. In the past few years, both specialists and the broader public have been addressing the problem of how people with health limitations and handicaps can acquire an education. In part this is because society and the state…

  16. Sequenced Instructional Programs in Physical Education for the Handicapped.

    Science.gov (United States)

    Carr, Dorothy B.; And Others

    The curriculum guidelines for a comprehensive physical education program consist of developmentally sequenced skills and instructional activities appropriate for handicapped children from early preschool age (18 months) through high school. Suggested activities and materials are arranged in color-coded sections on motor and movement skills,…

  17. Some Personality Characteristics of Self-Handicapping Behavior.

    Science.gov (United States)

    Levey, Cathy A.

    Based on a modification of Berglas and Jones' (1978) design, conditions of contingent and noncontingent success and failure were manipulated to determine when and why individuals choose to adopt self-handicapping strategies. Male undergraduates (N=76) were informed that they were participating in a study investigating the effects of music on…

  18. Degraded Imagery/Art Technique for the Handicapped.

    Science.gov (United States)

    Agard, Richard

    Developed for handicapped artists, Degraded Imagery is a technique whereby images can be extracted and refined from a photograph or a collage of photographs. The advantage of this process is that it requires a lower degree of fine motor skills to produce a quality image from a photograph than it does to create a quality image on a blank piece of…

  19. Increasing Preservice Curriculum Accountability to Rural Handicapped Populations.

    Science.gov (United States)

    Helge, Doris

    Addressing acute problems in delivery of services to rural handicapped students, the document emphasizes the need for relevant preservice training for special education teachers who will work in rural areas. A list of specific elements for inclusion in a rural-focused curriculum philosophy includes: training students possessing appropriate skills…

  20. Places and Spaces: Facility Planning for Handicapped Children and Adults.

    Science.gov (United States)

    Aiello, Barbara, Ed.

    Intended for special educators and architectural designers, the book provides specifications and lists of resource materials on facility design for handicapped children and adults. In an overview, R. Vosbeck discusses the need for cooperation between architects and educators and relates his experiences in planning facilities for exceptional…

  1. Creating Visual Materials for Multi-Handicapped Deaf Learners.

    Science.gov (United States)

    Hack, Carole; Brosmith, Susan

    1980-01-01

    The article describes two groups of visual materials developed for multiply handicapped deaf teenagers. The daily living skills project includes vocabulary lists, visuals, games and a model related to household cleaning, personal grooming, or consumer skills. The occupational information project includes visuals of tools, materials, and clothing…

  2. Quantitative MRI in hypomyelinating disorders: Correlation with motor handicap.

    Science.gov (United States)

    Steenweg, Marjan E; Wolf, Nicole I; van Wieringen, Wessel N; Barkhof, Frederik; van der Knaap, Marjo S; Pouwels, Petra J W

    2016-08-23

    To assess the correlation of tissue parameters estimated by quantitative magnetic resonance (MR) techniques and motor handicap in patients with hypomyelination. Twenty-eight patients with different causes of hypomyelination (12 males, 16 females; mean age 10 years) and 61 controls (33 males, 28 females; mean age 8 years) were prospectively investigated. We quantified T2 relaxation time, magnetization transfer ratio, fractional anisotropy, mean, axial, and radial diffusivities, and brain metabolites. We performed measurements in the splenium, parietal deep white matter, and corticospinal tracts in the centrum semiovale. We further analyzed diffusion measures using tract-based spatial statistics. We estimated severity of motor handicap by the gross motor function classification system. We evaluated correlation of handicap with MR measures by linear regression analyses. Fractional anisotropy, magnetization transfer ratio, choline, and N-acetylaspartate/creatine ratio were lower and diffusivities, T2 values, and inositol were higher in patients than in controls. Tract-based spatial statistics showed that these changes were widespread for fractional anisotropy (96% of the white matter skeleton), radial (93%) and mean (84%) diffusivity, and less so for axial diffusivity (20%). Correlation with handicap yielded radial diffusivity and N-acetylaspartate/creatine ratio as strongest independent explanatory variables. Gross motor function classification system grades are in part explained by MR measures. They indicate that mainly lack of myelin and, to a lesser degree, loss of axonal integrity codetermine the degree of motor handicap in patients with hypomyelinating disorders. These MR measures can be used to evaluate strategies that are aimed at promotion of myelination. © 2016 American Academy of Neurology.

  3. Determinants of handicap after stroke: the North East Melbourne Stroke Incidence Study (NEMESIS).

    Science.gov (United States)

    Sturm, Jonathan W; Donnan, Geoffrey A; Dewey, Helen M; Macdonell, Richard A L; Gilligan, Amanda K; Thrift, Amanda G

    2004-03-01

    Handicap, although more relevant to the patient than impairment or disability, has received little attention in people with stroke. The aim of this study was to identify, in an unselected population, factors determining handicap at 2 years after stroke. All first-ever cases of stroke in a population of 306 631 over a 1-year period were assessed. Stroke severity, comorbidity, and demographic information was recorded. Among survivors, 2-year poststroke handicap was assessed with the London Handicap Scale. Disability, physical impairment, depression, anxiety, living arrangements, and recurrent stroke at 2 years were documented. If necessary, proxy assessments were obtained, except for mood. Linear regression analyses were performed to identify factors independently associated with handicap. First, all assessments (proxy and nonproxy) were examined; then, the nonproxy assessments were used to examine the effects of mood. Of 266 patients with incident stroke who were alive at 2 years, 226 (85%) were assessed. Significant determinants of handicap on univariable analysis were age, female sex, socioeconomic status, alcohol intake, stroke subtype, initial stroke severity; 2-year physical impairment, disability, depression and anxiety scores; institutionalization; and recurrent stroke. On multivariable analysis, the independent determinants of handicap were age and 2-year physical impairment and disability. In analysis restricted to nonproxy data, depression and anxiety were also independently associated with handicap. Age, concurrent disability, and physical impairment were more important determinants of handicap than other demographic factors or initial stroke severity. Because depression and anxiety were independently associated with handicap, their treatment may potentially reduce handicap in stroke patients.

  4. Simultaneous Labyrinthectomy and Cochlear Implantation for Patients with Single-Sided Ménière’s Disease and Profound Sensorineural Hearing Loss

    Directory of Open Access Journals (Sweden)

    G. Doobe

    2015-01-01

    Full Text Available Objective. To investigate the treatment outcome of a simultaneous labyrinthectomy and cochlear implantation in patients with single-sided Ménière’s disease and profound sensorineural hearing loss. Study Design. Prospective study. Method. Five patients with single-sided Ménière’s disease with active vertigo and functional deafness were included. In all cases, simultaneous cochlear implantation combined with labyrinthectomy surgery was performed. The outcome has been evaluated by the Dizziness Handicap Inventory (DHI and speech recognition. Results. The combined labyrinthectomy and cochlear implantation led in all patients to a highly significant reduction of dizziness up to a restitutio ad integrum. After activation of the cochlear implant and rehabilitation, a mean monosyllabic speech understanding of 69% at 65 dB was observed. Conclusion. For patients with single-sided Ménière’s disease and profound sensorineural hearing loss the simultaneous labyrinthectomy and cochlear implantation are efficient method for the treatment of vertigo as well as the rehabilitation of the auditory system.

  5. Self-Assessed Hearing Handicap in Older Adults with Poorer-than-Predicted Speech Recognition in Noise

    Science.gov (United States)

    Eckert, Mark A.; Matthews, Lois J.; Dubno, Judy R.

    2017-01-01

    Purpose: Even older adults with relatively mild hearing loss report hearing handicap, suggesting that hearing handicap is not completely explained by reduced speech audibility. Method: We examined the extent to which self-assessed ratings of hearing handicap using the Hearing Handicap Inventory for the Elderly (HHIE; Ventry & Weinstein, 1982)…

  6. Schritt fur Schritt: Die Durschsetzung der Rechte geistig behinderter Menschen; Pas a Pas: La mise en application des droits des personnes handicapees mentales; Paso a Paso: Puesta en practica de los derechos de los deficientes mentales (Step by Step: Implementation of the Rights of Mentally Retarded Persons).

    Science.gov (United States)

    International League of Societies for the Mentally Handicapped, Brussels (Belgium).

    The booklet presents the proceedings (in English, French, Spanish, and German) of Session 62 of the Seventh World Congress of the International League of Societies for the Mentally Handicapped, detailing some analytical guidelines for national societies on the implementation of the rights of mentally retarded persons. Rights discussed include…

  7. Profound sedation with propofol modifies atrial fibrillation dynamics.

    Science.gov (United States)

    Cervigón, Raquel; Moreno, Javier; Pérez-Villacastín, Julián; Castells, Francisco

    2013-09-01

    During atrial fibrillation (AF), multiple wandering propagation wavelets at high rates drift around both atria under controversial hierarchical models. Antiarrhythmic drugs modify the cardiac ionic currents supporting the fibrillation process within the atria, and can alter AF propagation dynamics and even terminate the arrhythmia. However, some other drugs, theoretically nonantiarrhythmic, may slightly block particular cardiac ionic currents through uncertain mechanisms in such a subtle way at regular heart rates that may have been pharmacologically overlooked. These potential effects might be better exposed at much higher activation rates as in AF, where atrial cells depolarize over 400 times per second. In this review, we aimed to compile and discuss results from several studies evaluating the net effect of profound sedation with propofol on atrial cells and atrioventricular (AV) conduction. Propofol is a very commonly used anesthetic agent, and its possible effect on AF dynamics has systematically not been taken into account in the myriad of clinical studies dealing with AF intracardiac recordings. The possible effect of sedation with propofol on AF was evaluated through the analysis of AF propagation patterns before and after its infusion in a series of patients submitted to pulmonary vein ablation. Effect on AV conduction will be discussed as well. ©2013, The Authors. Journal compilation ©2013 Wiley Periodicals, Inc.

  8. Multisensory speech perception of young children with profound hearing loss.

    Science.gov (United States)

    Kishon-Rabin, L; Haras, N; Bergman, M

    1997-10-01

    The contribution of a two-channel vibrotactile aid (Trill VTA 2/3, AVR Communications LTD) to the audiovisual perception of speech was evaluated in four young children with profound hearing loss using words and speech pattern contrasts. An intensive, hierarchical, and systematic training program was provided. The results show that the addition of the tactile (T) modality to the auditory and visual (A+V) modalities enhanced speech perception performance significantly on all tests. Specifically, at the end of the training sessions, the tactile supplementation increased word recognition scores in a 44-word, closed-set task by 12 percentage points; detection of consonant in final position by 50 percentage points; detection of sibilant in final position by 30 percentage points; and detection of voicing in final position by 25 percentage points. Significant learning over time was evident for all test materials, in all modalities. As expected, fastest learning (i.e., smallest time constants) was found for the AVT condition. The results of this study provide further evidence that sensory information provided by the tactile modality can enhance speech perception in young children.

  9. EFFECT OF JUMPS IN PROFOUNDNESS ON THE FOOTBALLER REFLECTION

    Directory of Open Access Journals (Sweden)

    Nebojša Đošić

    2011-09-01

    Full Text Available The treatment endured one month. For this time 8 trainings and totally 322 jums in profoundness were done with differant altitudes from 42 cm to 105 cm. The complete time of work with time-out between sequences was about 120 minutes. The time-out between the sequences was from 2 ' til 6'. The pause between the training was from 2 to 5 days. The puls after 30 '' from the finishing of the jums in th sequence was from 100 to 140 pulsation in the minute measured by palpation. On the finaly measurement is constated that the two leg jump from place in height was better for 7 cm , and the one leg jump with three footsteps spring was better for 2 cm. This such result indicate on the assumption that the progress must bi greater if the program would be longer , for example two, three months and if this program should be done by footbalers which are active and in the best player years i.e. between 18 -30 year. The author was by this time 40 years old.

  10. Cancer Prevention Knowledge of People with Profound Hearing Loss

    Science.gov (United States)

    Meador, Helen E.; Reed, Barbara D.; Sen, Ananda; Gorenflo, Daniel W.

    2009-01-01

    BACKGROUND Deaf persons, a documented minority population, have low reading levels and difficulty communicating with physicians. The effect of these on their knowledge of cancer prevention recommendations is unknown. METHODS A cross-sectional study of 222 d/Deaf persons in Michigan, age 18 and older, chose one of four ways (voice, video of a certified American Sign Language interpreter, captions, or printed English) to complete a self-administered computer video questionnaire about demographics, hearing loss, language history, health-care utilization, and health-care information sources, as well as family and social variables. Twelve questions tested their knowledge of cancer prevention recommendations. The outcome measures were the percentage of correct answers to the questions and the association of multiple variables with these responses. RESULTS Participants averaged 22.9% correct answers with no gender difference. Univariate analysis revealed that smoking history, types of medical problems, last physician visit, and women having previous cancer preventive tests did not affect scores. Improved scores occurred with computer use (p = 0.05), higher education (p English in multiple situations (p English use (p = 0.01) and believing that smoking was bad (p = 0.05) were associated with improved scores. CONCLUSION Persons with profound hearing loss have poor knowledge of recommended cancer prevention interventions. English use in multiple settings was strongly associated with increased knowledge. PMID:19132325

  11. Predictors of six month change in the voice handicap index in a treatment seeking population

    Science.gov (United States)

    Moore, Jaime; Greenberg, Caprice

    2016-01-01

    Objective To evaluate predictors of longitudinal change in patient-perceived voice impact as determined by the Voice Handicap Index (VHI). Study Design Prospective, survey study. Methods Patients consented to the UW Voice and Swallow Clinics Outcomes Database with voice, breathing and/or cough concerns with a baseline clinic visit from November 2012 to January 2014 were eligible for the study. VHI was sent to patients six months post-clinic visit to determine change in voice handicap from baseline. General health was screened using the SF-12v2 survey, using physical component (PCS) and mental component summary (MCS) scores. Predictor variables included – treatment (medical and/or behavioral), dysphonia sub-diagnosis, GRBAS rating, age, sex, socioeconomic factors, smoking history, and comorbidity score. Results Two-hundred thirty-seven patients met study criteria and were followed longitudinally. Eighty-two patients returned six month surveys. VHI was significantly correlated with MCS scores. Patients with a higher grade in baseline GRBAS score were more likely to receive voice intervention (p = .04). Six-month improvement in VHI score was associated with both higher initial VHI score and higher education level in both univariate (p < .01, p = .04) and multivariate analyses (p < .01, p = .02). Voice treatment (medical and/or behavioral) was not a significant factor for improvement in VHI. Conclusions Our results suggest it is important to consider baseline self-perceived voice impact measures and education level in setting expectations for voice treatment. Future studies examining the relationship between treatment patterns and voice-related patient outcomes are warranted. PMID:26952321

  12. Cochlear implantation in autistic children with profound sensorineural hearing loss.

    Science.gov (United States)

    Lachowska, Magdalena; Pastuszka, Agnieszka; Łukaszewicz-Moszyńska, Zuzanna; Mikołajewska, Lidia; Niemczyk, Kazimierz

    2016-11-19

    Cochlear implants have become the method of choice for the treatment of severe-to-profound hearing loss in both children and adults. Its benefits are well documented in the pediatric and adult population. Also deaf children with additional needs, including autism, have been covered by this treatment. The aim of this study was to assess the benefits from cochlear implantation in deafened children with autism as the only additional disability. This study analyzes data of six children. The follow-up time was at least 43 months. The following data were analyzed: medical history, reaction to music and sound, Ling's six sounds test, onomatopoeic word test, reaction to spoken child's name, response to requests, questionnaire given to parents, sound processor fitting sessions and data. After cochlear implantation each child presented other communication skills. In some children, the symptoms of speech understanding were observed. No increased hyperactivity associated with daily use cochlear implant was observed. The study showed that in autistic children the perception is very important for a child's sense of security and makes contact with parents easier. Our study showed that oral communication is not likely to be a realistic goal in children with cochlear implants and autism. The implantation results showed benefits that varied among those children. The traditional methods of evaluating the results of cochlear implantation in children with autism are usually insufficient to fully assess the functional benefits. These benefits should be assessed in a more comprehensive manner taking into account the limitations of communication resulting from the essence of autism. It is important that we share knowledge about these complex children with cochlear implants. Copyright © 2016 Associação Brasileira de Otorrinolaringologia e Cirurgia Cérvico-Facial. Published by Elsevier Editora Ltda. All rights reserved.

  13. Metabolic Surgery Profoundly Influences Gut Microbial-Host Metabolic Crosstalk

    Science.gov (United States)

    Li, Jia V.; Ashrafian, Hutan; Bueter, Marco; Kinross, James; Sands, Caroline; le Roux, Carel W; Bloom, Stephen R.; Darzi, Ara; Athanasiou, Thanos; Marchesi, Julian R.; Nicholson, Jeremy K.; Holmes, Elaine

    2013-01-01

    Background and Aims Bariatric surgery is increasingly performed worldwide to treat morbid obesity and is also known as metabolic surgery to reflect its beneficial metabolic effects especially with respect to improvement in type 2 diabetes. Understanding surgical weight loss mechanisms and metabolic modulation is required to enhance patient benefits and operative outcomes. Methods We apply a parallel and statistically integrated metagenomic and metabonomic approach to characterize Roux-en-Y gastric bypass (RYGB) effects in a rat model. Results We show substantial shifts of the main gut phyla towards higher levels of Proteobacteria (52-fold) specifically Enterobacter hormaechei. We also find low levels of Firmicutes (4.5-fold) and Bacteroidetes (2-fold) in comparison to sham-operated rats. Faecal extraction studies reveal a decrease in faecal bile acids and a shift from protein degradation to putrefaction through decreased faecal tyrosine with concomitant increases in faecal putrescine and diamnoethane. We find decreased urinary amines and cresols and demonstrate indices of modulated energy metabolism post-RYGB including decreased urinary succinate, 2-oxoglutarate, citrate and fumarate. These changes could also indicate renal tubular acidosis, which associates with increased flux of mitochondrial tricarboxylic acid cycle intermediates. A surgically-induced effect on the gut-brain-liver metabolic axis is inferred by increased neurotropic compounds; faecal γ-aminobutyric acid (GABA) and glutamate. Conclusion This profound co-dependence of mammalian and microbial metabolism, which is systematically altered following RYGB surgery, suggests that RYGB exerts local and global metabolic activities. The effect of RYGB surgery on the host metabolic-microbial crosstalk augments our understanding of the metabolic phenotype of bariatric procedures and can facilitate enhanced treatments for obesity-related diseases. PMID:21572120

  14. Effects of Snoezelen Room, Activities of Daily Living Skills Training, and Vocational Skills Training on Aggression and Self-Injury by Adults with Mental Retardation and Mental Illness

    Science.gov (United States)

    Singh, Nirbhay N.; Lancioni, Giulio E.; Winton, Alan S. W.; Molina, Enrique J.; Sage, Monica; Brown, Stephen; Groeneweg, Jop

    2004-01-01

    Multi-sensory stimulation provided in a Snoezelen room is being used increasingly for individuals with mental retardation and mental illness to facilitate relaxation, provide enjoyment, and inhibit behavioral challenges. We observed aggressive and self-injurious behavior in three groups of 15 individuals with severe or profound mental retardation…

  15. Evaluation of attitudes of university students for handicapped individuals

    Directory of Open Access Journals (Sweden)

    Özkan Zekiye

    2017-01-01

    Full Text Available Education has an important role in humans’ behaviours. Undergraduate education has headed among factors that influence maturation period before vocational lifes of individuals. The purpose of this study is to determine whether attitudes of university students for handicapped individuals differ according to some variables. This study which was carried out in screening model was done with 1167 people including 646 females 521 males who maintain their education at faculties taking initial teacher training in 2016 spring term at Yuzuncu Yil University. As data collection tool, Attitude Scale for Being Educated of Handicapped Individuals and Personal Information Form, which was developed by Kosterilioglu [12], was used. As statistical method, Duncan’s multiple range test was used in determining different groups following one-wat analysis of variance. Among these variables, pearson coefficients of correlation were calculated separately in groups in determining relation. In determining relationship between groups and categorical variables , chi square test was used. In calculations, value of p was taken as 0,05 and SPSS statistic program was used for calculations. While point average of attitudes of male students , who maintain their educations at Yuzuncu Yil University, for handicapped people was ascertained as 54.27±23.54, point average of attitudes of female students was determined as 55.86±26.34. A significant difference between male and female students according to gender variable was not seen in attitudes for being educated of handicapped individuals (P>0,05. It was observed that attitudes for being educated of handicapped individuals in starting and end of undergraduate term were higher than intermediate classes (P<0,01. Although a significant difference in kind of high schools from which students graduated was not seen, attitudes of graduates from science and sport high schools were found higher than graduates from other high schools

  16. Handicap og funktionshæmning i halvfemserne

    DEFF Research Database (Denmark)

    Bengtsson, Steen

    Hvad betyder et handicap i dag? Eller, for at formulere det med et mere videnskabeligt ord der også kan bruges om en lettere grad, hvad betyder en funktionshæmning? Svaret er tvetydigt. På den ene side er mange trods en høj grad af funktionshæmning i arbejde eller på anden vis aktive på alle mulige...

  17. The Formation of Verbal Behaviors for Multiple Handicapped Children

    OpenAIRE

    進, 一鷹; シン, カズタカ; Shin, Kazutaka

    1996-01-01

    This paper is designed to carry out research into the formation of verbal behaviors for multiple handicapped children. Umezu (1980) classified sign system from the angle of genesis and construction principle of signs. The sign system activity plays the central role in the self regulation activity of behaviors. Sign system consists of aboriginal sign system and constructive sign system. Constructive sign system consists of symbolic sign system and non-symbolic sign system. Symbolic sign system...

  18. [For a sociology of intervention in mental health.].

    Science.gov (United States)

    Rhéaume, J; Sévigny, R

    1988-01-01

    Mental health workers develop a solid understanding of social phenomenon, which gives them direction and on which they are able to base their interventions. This is what the authors call the "implicit sociology" ("sociologie implicite") of workers. The article describes the principal elements of this special knowledge through information gathered from workers in clinical environments, private practice and "alternative" organizations. The authors focus on the idea workers make of health/mental handicaps, of their clientele, of their involvement, of the organizational and societal context of their work, of their "role" in society. Finally, the authors show how a sociological approach can help improve one's understanding of how to deal with mental health.

  19. The handicap process favors exaggerated, rather than reduced, sexual ornaments.

    Science.gov (United States)

    Tazzyman, Samuel J; Iwasa, Yoh; Pomiankowski, Andrew

    2014-09-01

    Why are traits that function as secondary sexual ornaments generally exaggerated in size compared to the naturally selected optimum, and not reduced? Because they deviate from the naturally selected optimum, traits that are reduced in size will handicap their bearer, and could thus provide an honest signal of quality to a potential mate. Thus if secondary sexual ornaments evolve via the handicap process, current theory suggests that reduced ornamentation should be as frequent as exaggerated ornamentation, but this is not the case. To try to explain this discrepancy, we analyze a simple model of the handicap process. Our analysis shows that asymmetries in costs of preference or ornament with regard to exaggeration and reduction cannot fully explain the imbalance. Rather, the bias toward exaggeration can be best explained if either the signaling efficacy or the condition dependence of a trait increases with size. Under these circumstances, evolution always leads to more extreme exaggeration than reduction: although the two should occur just as frequently, exaggerated secondary sexual ornaments are likely to be further removed from the naturally selected optimum than reduced ornaments. © 2014 The Authors. Evolution published by Wiley Periodicals, Inc. on behalf of The Society for the Study of Evolution.

  20. Recreational Drug Use and Fluctuating Asymmetry: Testing the Handicap Principle

    Directory of Open Access Journals (Sweden)

    Barbara Borkowska

    2014-10-01

    Full Text Available Zahavi's handicap principle suggests that only organisms with good genetic quality can afford to engage in costly behaviors. Recreational drug use can be harmful to one's health and therefore might be viewed as a costly signal of one's genetic quality. One of the measurements of genetic quality is bodily symmetry assessed by fluctuating asymmetry. If unhealthy drug use is a behavioral example of Zahavi's handicap principle, then men who use different stimulants or recreational drugs should be more symmetrical than men who do not use them at all or use them only in low quantity. The aim of this study was to examine the relationships between drug use and fluctuating asymmetry. The subjects were 190 young women and 202 young men. Six bilaterally symmetrical traits were measured: length of II–V digits, wrist breadth, and ear height. Questionnaires included questions about smoking, alcohol drinking, drug use, and designer drug use. There was no relationship between bodily symmetry and smoking frequency, alcohol drinking frequency, drug or designer drug use, total substance use, age of smoking initiation, or reason of this initiation. The results indicate that drug use does not reflect genetic quality and does not necessarily relate to the handicap hypothesis.

  1. Diabetic polyneuropathy may increase the handicap related to vestibular disease.

    Science.gov (United States)

    Aranda, Catalina; Meza, Anabel; Rodríguez, Raymundo; Mantilla, María Teresa; Jáuregui-Renaud, Kathrine

    2009-04-01

    We undertook this study to assess the influence of diabetic peripheral neuropathy on self-reported disability and postural control during quiet stance of patients with peripheral vestibular disease, before and after a standardized program of vestibular rehabilitation (Cawthorne & Cooksey exercises). Twenty patients with peripheral vestibular disease participated in the study (mean age 56+/-7.8 years), 10 with and 10 without peripheral neuropathy (age matched). The Dizziness Handicap Inventory and static posturography (eyes open/closed and firm/soft surface) were evaluated prior to rehabilitation and at week 7 of follow-up. Compared to patients without neuropathy, patients with neuropathy had more time elapsed since the diabetes was diagnosed, higher glycemia and HbAc level and higher composite scores on the Dizziness Handicap Inventory, but similar results on static posturography. After rehabilitation, although scores on the Dizziness Handicap Inventory decreased in the two groups, the difference between them persisted. In patients with neuropathy, static posturography showed improvement of postural control only with the eyes closed and soft surface, whereas in patients without neuropathy the postural control improved during all sensory conditions (eyes open/closed and firm/soft surface). In diabetic patients with peripheral vestibular disease, peripheral neuropathy contributes to self-reported disability and may interfere with complete balance recovery.

  2. [Speech perception test in Italian language for profoundly deaf children].

    Science.gov (United States)

    Genovese, E; Orzan, E; Turrini, M; Babighian, G; Arslan, E

    1995-10-01

    Speech perception tests are an important part of procedures for diagnosing pre-verbal hearing loss. Merely establishing a child's hearing threshold with and without a hearing aid is not sufficient to ensure an adequate evaluation with a view to selecting cases suitable for cochlear implants because it fails to indicate the real benefit obtained from using a conventional hearing aid reliably. Speech perception tests have proved useful not only for patient selection, but also for subsequent evaluation of the efficacy of new hearing aids, such as tactile devices and cochlear implants. In clinical practice, the tests most commonly adopted with small children are: The Auditory Comprehension Test (ACT), Discrimination after Training (DAT), Monosyllable, Trochee, Spondee tests (MTS), Glendonald Auditory Screening Priocedure (GASP), Early Speech Perception Test (ESP), Rather than considering specific results achieved in individual cases, reference is generally made to the four speech perception classes proposed by Moog and Geers of the CID of St. Louis. The purpose of this classification, made on the results obtained with suitably differentiated tests according to the child's age and language ability, is to detect differences in perception of a spoken message in ideal listening conditions. To date, no italian language speech perception test has been designed to establish the assessment of speech perception level in children with profound hearing impairment. We attempted, therefore, to adapt the existing English tests to the Italian language taking into consideration the differences between the two languages. Our attention focused on the ESP test since it can be applied to even very small children (2 years old). The ESP is proposed in a standard version for hearing-impaired children over the age of 6 years and in a simplified version for younger children. The rationale we used for selecting Italian words reflect the rationale established for the original version, but the

  3. Nanotechnological Inventions and Nanomaterials Produce A Profound Effect

    Directory of Open Access Journals (Sweden)

    VLASOV Vladimir Alexeevich

    2015-02-01

    Full Text Available The inventions in the area of nanotechnologies and nanomaterials produce a profound effect in construction, housing and communal services and adjacent economic fields as they allow us: to increase mechanical strength, coefficient of elasticity, alkali resistance and temperature of products vitrification; to obtain nanostructured coatings with the property of shape memory on the steel; to raise the dynamics of coal burning and its full burnout in the boilers of thermoelectric power station; to produce metal nanopowders with increased stored energy 10–15% etc. For example, the invention «Epoxy composition for high strength, alkali resistant structures» refers to epoxy composition used as a binder for production of high strength, thermal- and alkali-resistant glass-fiber material which can be applied in the manufacture process of construction reinforcement to strengthen concrete structures. The invention «The method to produce nanostructured reaction foil» can be used to join different materials including metal alloys, ceramics, amorphous materials and elements of microelectronic devices that are sensible to the heating. This process provides decreased labour-output ratio and energy consumption as well as the condition to manufacture foil with specified stored energy and high mechanical properties. The invention «The method of intensification of burning lowreactionary coal in the boilers of thermoelectric power station» refers to the thermal energy and can be implemented at the thermal plants. The increased dynamics of inflaming and burning leads to full burnout of powdered-coal low-reactionary fuel and decreased mechanical underfiring. The specialists may be also interested in the following inventions: fine dispersed organic suspension of carbon metal-containing nanostructures and the method to produce it; the dispersion of carbon nanotubes; the composition for reinforcement of building structures; the reinforced plate element made of

  4. Development and validation of a scale for mouth handicap in systemic sclerosis: the Mouth Handicap in Systemic Sclerosis scale

    Science.gov (United States)

    Mouthon, L; Rannou, F; Bérezné, A; Pagnoux, C; Arène, J‐P; Foïs, E; Cabane, J; Guillevin, L; Revel, M; Fermanian, J; Poiraudeau, S

    2007-01-01

    Objective To develop and assess the reliability and construct validity of a scale assessing disability involving the mouth in systemic sclerosis (SSc). Methods We generated a 34‐item provisional scale from mailed responses of patients (n = 74), expert consensus (n = 10) and literature analysis. A total of 71 other SSc patients were recruited. The test–retest reliability was assessed using the intraclass coefficient correlation and divergent validity using the Spearman correlation coefficient. Factor analysis followed by varimax rotation was performed to assess the factorial structure of the scale. Results The item reduction process retained 12 items with 5 levels of answers (total score range 0–48). The mean total score of the scale was 20.3 (SD 9.7). The test–retest reliability was 0.96. Divergent validity was confirmed for global disability (Health Assessment Questionnaire (HAQ), r = 0.33), hand function (Cochin Hand Function Scale, r = 0.37), inter‐incisor distance (r = −0.34), handicap (McMaster‐Toronto Arthritis questionnaire (MACTAR), r = 0.24), depression (Hospital Anxiety and Depression (HAD); HADd, r = 0.26) and anxiety (HADa, r = 0.17). Factor analysis extracted 3 factors with eigenvalues of 4.26, 1.76 and 1.47, explaining 63% of the variance. These 3 factors could be clinically characterised. The first factor (5 items) represents handicap induced by the reduction in mouth opening, the second (5 items) handicap induced by sicca syndrome and the third (2 items) aesthetic concerns. Conclusion We propose a new scale, the Mouth Handicap in Systemic Sclerosis (MHISS) scale, which has excellent reliability and good construct validity, and assesses specifically disability involving the mouth in patients with SSc. PMID:17502364

  5. Handicap og beskæftigelse: Udviklingen mellem 2002 og 2014

    DEFF Research Database (Denmark)

    Høgelund, Jan; Larsen, Malene Rode

    Denne rapport er den femte i rækken af rapporter, som belyser beskæftigelsesudviklingen siden 2002 for personer med og uden et handicap eller længerevarende helbredsproblem. Den undersøger også udviklingen i kendskabet til de beskæftigelsesrettede støtteordninger for personer med handicap samt...... holdningen til personer med handicap blandt de beskæftigede personer i befolkningen. Herudover belyser rapporten jobsøgningsaktivitet, læse- og/eller skrivevanskeligheder og forventet tilbagetrækningsalder blandt personer med og uden handicap samt virksomhedernes indsats for personer med handicap. Rapporten...... tager to nye temaer op: fastholdelse af beskæftigelse og arbejdsudbuddet blandt personer med handicap. Datagrundlaget er spørgeskemaundersøgelser blandt personer i befolkningen mellem 16 og 64 år, som blev interviewet i forbindelse med Danmarks Statistiks Arbejdskraftundersøgelser i 2002, 2005, 2008...

  6. Correlation between vocal tract symptoms and modern singing handicap index in church gospel singers.

    Science.gov (United States)

    Pinheiro, Joel; Silverio, Kelly Cristina Alves; Siqueira, Larissa Thaís Donalonso; Ramos, Janine Santos; Brasolotto, Alcione Ghedini; Zambon, Fabiana; Behlau, Mara

    2017-08-24

    To verify the correlation between vocal tract discomfort symptoms and perceived voice handicaps in gospel singers, analyzing possible differences according to gender. 100 gospel singers volunteered, 50 male and 50 female. All participants answered two questionnaires: Vocal Tract Discomfort (VTD) scale and the Modern Singing Handicap Index (MSHI) that investigates the vocal handicap perceived by singers, linking the results of both instruments (phandicaps and also more frequent and higher intensity vocal tract discomfort. Furthermore, the more frequent and intense the vocal tract symptoms, the higher the vocal handicap for singing. Female gospel singers present higher frequency and intensity of vocal tract discomfort symptoms, as well as higher voice handicap for singing than male gospel singers. The higher the frequency and intensity of the laryngeal symptoms, the higher the vocal handicap will be.

  7. Handicap, beskæftigelse og uddannelse i 2016 - Regionale forskelle

    DEFF Research Database (Denmark)

    Larsen, Malene Rode; Larsen, Mona

    Formålet med denne rapport er at belyse, om der er regionale forskelle, når det gælder beskæftigelsessituationen for personer med handicap. Rapporten skal ses i sammenhæng med rapporten ”Handicap, beskæftigelse og uddannelse i 2016” (SFI-rapport 17:15), som belyser beskæftigelsessituationen...... for personer med handicap på landsplan....

  8. Differences in wrist mechanics during the golf swing based on golf handicap.

    Science.gov (United States)

    Fedorcik, Gregory G; Queen, Robin M; Abbey, Alicia N; Moorman, Claude T; Ruch, David S

    2012-05-01

    Variation in swing mechanics between golfers of different skill levels has been previously reported. To investigate if differences in three-dimensional wrist kinematics and the angle of golf club descent between low and high handicap golfers. A descriptive laboratory study was performed with twenty-eight male golfers divided into two groups, low handicap golfers (handicap = 0-5, n = 15) and high handicap golfers (handicap ≥ 10, n = 13). Bilateral peak three-dimensional wrist mechanics, bilateral wrist mechanics at ball contact (BC), peak angle of descent from the end of the backswing to ball contact, and the angle of descent when the forearm was parallel to the ground (DEC-PAR) were determined using an 8 camera motion capture system. Independent t-tests were completed for each study variable (α = 0.05). Pearson correlation coefficients were determined between golf handicap and each of the study variables. The peak lead arm radial deviation (5.7 degrees, p = 0.008), lead arm radial deviation at ball contact (7.1 degrees, p = 0.001), and DEC-PAR (15.8 degrees, p = 0.002) were significantly greater in the high handicap group. In comparison with golfers with a low handicap, golfers with a high handicap have increased radial deviation during the golf swing and at ball contact. Copyright © 2011 Sports Medicine Australia. Published by Elsevier Ltd. All rights reserved.

  9. Healhy Ageing in People with Profound Intellectual and Multiple Disabilities : Promoting Physical Activity

    NARCIS (Netherlands)

    van Alphen, Helena; Bossink, Leontien; Schalen, Gertruud Henrike; van der Putten, Annette

    2016-01-01

    Physical activity is beneficial, also for people who are characterized by profound intellectual and severe motor disabilities. However, these people are totally dependent on others to participate in physical activities. To date, promoting physical activity in people with these profound disabilities

  10. Teaching Individuals with Profound Multiple Disabilities to Access Preferred Stimuli with Multiple Microswitches

    Science.gov (United States)

    Tam, Gee May; Phillips, Katrina J.; Mudford, Oliver C.

    2011-01-01

    We replicated and extended previous research on microswitch facilitated choice making by individuals with profound multiple disabilities. Following an assessment of stimulus preferences, we taught 6 adults with profound multiple disabilities to emit 2 different responses to activate highly preferred stimuli. All participants learnt to activate…

  11. Joint Attention Behaviours in People with Profound Intellectual and Multiple Disabilities: The Influence of the Context

    Science.gov (United States)

    Neerinckx, Heleen; Maes, Bea

    2016-01-01

    Background: In spite of the profound cognitive and physical problems, people with profound intellectual and multiple disabilities (PIMD) are able to develop joint attention behaviours (JAB) and benefit from positive interactions. Aims: To investigate which context factors influence the JAB of people with PIMD. Method: Based on video recordings of…

  12. Determining the Motor Skills Development of Mentally Retarded Children through the Contribution of Visual Arts

    Science.gov (United States)

    Erim, Gonca; Caferoglu, Müge

    2017-01-01

    Visual arts education is a process that helps the reflection of inner worlds, socialization via group works and healthier motor skills development of normally developing or handicapped children like the mentally retarded. This study aims to determine the influence of visual art studies on the motor skills development of primary school first grade…

  13. Educational Policy and Research with Reference to Educable Mentally Retarded Pupils in Israel.

    Science.gov (United States)

    Milgram, Norman A.

    Through review of the research the paper contends that the policy in Israel with respect to special education for educable mentally handicapped students has been based on the prevailing cultural "zeitgeist" rather than on research and evaluation of current and past programs; that the modest amount of research that has been done in Israel…

  14. [Validation and reliability of Turkish Singing Voice Handicap index].

    Science.gov (United States)

    Denizoğlu, İsmail İlter; Şahin, Mustafa; Kazancıoğlu, Alper; Dağdelen, Zibelhan; Akdeniz, Serap; Oğuz, Haldun; Kılıç, Mehmet Akif; Yücedağ, Aslı; Öğüt, Mehmet Fatih

    2016-01-01

    This study aims to constitute a valid and reliable Turkish version of the original Singing Voice Handicap Index. An authorized committee assessed the reliability and validity of the content, scope, and language of the original Singing Voice Handicap Index which underwent a back translation process. The Turkish version of the questionnaire was answered twice with a 7 to 10-day interval by two singing voice groups with or without singing voice problems. The reliability and validity analyses were performed based on these answers. Of a total of 123 individuals (64 females, 59 males; mean age 26.2±7.3 years), 81 were without a voice pathology and 42 were with a voice pathology. The total Cronbach's alpha coefficient was 0.917. The item-total correlations ranged between 0.51 and 0.89. The weighted kappa values of test-retest correlation values of the items were 0.82-0.91. The Cronbach's alpha values of two part of the questionnaire based on the split-half method were 0.89 and 0.84. The mean total scale scores were 21.8±18.5 and 53.6±28.9 in normal and pathology groups, respectively and there was a statistically significant difference in scores between these two groups (p=0.000). The Turkish version of the Singing Voice Handicap Index is a valid and reliable scale which can be used in the evaluation of voice problems of Turkish-speaking singing voice users.

  15. State Anxiety Subjective Imbalance and Handicap in Vestibular Schwannoma.

    Science.gov (United States)

    Saman, Yougan; Mclellan, Lucie; Mckenna, Laurence; Dutia, Mayank B; Obholzer, Rupert; Libby, Gerald; Gleeson, Michael; Bamiou, Doris-Eva

    2016-01-01

    Evidence is emerging for a significant clinical and neuroanatomical relationship between balance and anxiety. Research has suggested a potentially priming effect with anxiety symptoms predicting a worsening of balance function in patients with underlying balance dysfunction. We propose to show that a vestibular stimulus is responsible for an increase in state anxiety, and there is a relationship between increased state anxiety and worsening balance function. (1) To quantify state anxiety following a vestibular stimulus in patients with a chronic vestibular deficit. (2) To determine if state anxiety during a vestibular stimulus would correlate with the severity of chronic balance symptoms and handicap. Two separate cohorts of vestibular schwannoma (VS) patients underwent vestibular tests (electronystagmography, cervical and ocular vestibular evoked myogenic potentials, and caloric responses) and questionnaire assessments [vertigo handicap questionnaire (VHQ), vertigo symptom scale (VSS), and state-trait anxiety inventory (STAIY)]. Fifteen post-resection VS patients, with complete unilateral vestibular deafferentation, were assessed at a minimum of 6 months after surgery in Experiment 1 (Aim 1). Forty-five patients with VS in situ formed the cohort for Experiment 2 (Aim 2). Experiment 1: VS subjects (N = 15) with a complete post-resection unilateral vestibular deafferentation completed a state anxiety questionnaire before caloric assessment and again afterward with the point of maximal vertigo as the reference (Aim 1). Experiment 2: state anxiety measured at the point of maximal vertigo following a caloric assessment was compared between two groups of patients with VS in situ presenting with balance symptoms (Group 1, N = 26) and without balance symptoms (Group 2, N = 11) (Aim 2). The presence of balance symptoms was defined as having a positive score on the VSS-VER. In Experiment 1, a significant difference (p handicap (p < 0.001). Anxiety

  16. Vocal handicap index in popular and erudite professional singers.

    Science.gov (United States)

    Loiola-Barreiro, Camila Miranda; Silva, Marta Assumpção de Andrada E

    To compare the voice handicap index of popular and erudite professional singers according to gender, age, professional experience time, and presence or absence of self-reported vocal complaints. One hundred thirty-two professional singers, 74 popular and 58 erudite, who responded to a questionnaire with regards to identification, age, gender, professional experience time in singing, musical genres (for popular singers), vocal classification (for erudite singers), presence of self-reported vocal complaints, and the specific protocols for popular (Modern Singing Handicap Index - MSHI) and erudite (Classical Singing Handicap Index - CSHI) singing. Higher proportion of women and higher incidence of vocal complaints were observed in the popular singers compared with the erudite singers. Most of the popular singers belonged to the genre of Brazilian Popular Music. Regarding the classification of erudite singers, there was greater participation of sopranos and tenors. No statistical differences were observed with respect to age and professional experience time between the groups. Comparison of the MSHI and CSHI scores showed no statistically significant difference between these scores and genre or age in both groups of singers. Professional experience time was related to the total score and the subscales disability and impairment in the MSHI, only for popular singers with vocal complaints. There was no correlation between these variables and the CSHI for erudite singers. The impact of vocal difficulty/problem interferes differently in these two musical genres when related to vocal complaint and professional experience time. The MSHI and CSHI protocols proved to be important tools not only for the identification of problems, but also for the understanding of how these individuals relate their voices with this occupational activity.

  17. Prise en charge scolaire des enfants handicapes porteurs de ...

    African Journals Online (AJOL)

    Pendant longtemps, les enfants porteurs de handicap ont été sacrifiés au nom de nos traditions et de nos croyances. Lorsqu'ils ne sont pas privés du droit à la vie, c'est plutôt des possibilités d'intégration en milieu ordinaire qui ne leur sont pas offertes. Mais de plus en plus, ces possibilités s'offrent à eux, via leur inscription ...

  18. Predictors of Six-month Change in the Voice Handicap Index in a Treatment-seeking Population.

    Science.gov (United States)

    Moore, Jaime; Greenberg, Caprice; Thibeault, Susan L

    2017-01-01

    To evaluate predictors of longitudinal change in patient-perceived voice impact as determined by the Voice Handicap Index (VHI). Prospective, survey study. Patients consented to the University of Wisconsin Voice and Swallow Clinics Outcomes Database with voice, concerns with a baseline clinic visit from November 2012 to January 2014 were eligible for the study. The VHI was sent to patients 6 months post clinic visit to determine change in voice handicap from baseline. General health was screened using the 12-item Short Form Health Survey, using physical component summary and mental component summary scores. Predictor variables included treatment (medical and/or behavioral); dysphonia sub-diagnosis; grade, roughness, breathiness, asthenia, and strain rating; age; sex; socioeconomic factors; smoking history; and comorbidity score. Two hundred thirty-seven patients met study criteria and were followed longitudinally. Eighty-two patients returned 6-month surveys. The VHI was significantly correlated with mental component summary scores. Patients with a higher grade in baseline grade, roughness, breathiness, asthenia, and strain score were more likely to receive voice intervention (P = 0.04). Six-month improvement in VHI score was associated with both higher initial VHI score and higher educational level in both univariate (P < 0.01, P = 0.04) and multivariate analyses (P < 0.01, P = 0.02). Voice treatment (medical and/or behavioral) was not a significant factor for improvement in VHI score. Our results suggest that it is important to consider baseline self-perceived voice impact measures and educational level in setting expectations for voice treatment. Future studies examining the relationship between treatment patterns and voice-related patient outcomes are warranted. Copyright © 2017 The Voice Foundation. Published by Elsevier Inc. All rights reserved.

  19. A Model for Evaluating Programs in Vocational Education for the Handicapped. Final Report.

    Science.gov (United States)

    Bekker, Gerald; Christiansen, James E.

    An evaluation model was developed to measure the effectiveness of pilot programs in vocational education for handicapped persons in selected State schools and State hospitals in Texas. The model was field-tested by conducting evaluations of 16 pilot programs in vocational education for the handicapped located in seven State schools/hospitals. Data…

  20. Causes of blindness in blind unit of the school for the handicapped ...

    African Journals Online (AJOL)

    To describe the causes of blindness in pupils and staff in the blind unit of the School for the Handicapped in Kwara State. 2. To identify problems in the blind school and initiate intervention. All the blind or visually challenged people in the blind unit of the school for the handicapped were interviewed and examined using a ...

  1. The double whammy of a work handicap (differential) effects of health on working conditions and outcomes.

    Science.gov (United States)

    Steenbeek, Romy; Giesen, Femke B M; Ybema, Jan Fekke

    2009-08-01

    To determine the effect of health on working conditions and outcomes. Data were collected in the longitudinal Study on Health at Work (n = 1597 employees), using multiple regression analyses and focusing on three groups of employees: 1) healthy, 2) chronic health complaints without a work handicap, and 3) chronic health complaints with a work handicap. 1) Employees with a work handicap experienced less favorable working conditions and outcomes than other employees. 2) Employees with a work handicap experienced less favorable working conditions and outcomes over time. 3) Employees with chronic health complaints were more vulnerable to the influence of working conditions on outcomes, whereas employees with a work handicap, unexpectedly, benefited from high work pressure and low autonomy. 1) Employees with a work handicap differ considerably from employees with chronic health complaints. 2) Employees with a work handicap drift into less favorable working conditions and outcomes. 3) Healthy employees, employees with chronic health complaints, and employees with a work handicap, all are vulnerable to different working conditions.

  2. Electromyographic Analysis of the Lower Limb Muscles in Low- and High-Handicap Golfers

    Science.gov (United States)

    Marta, Sérgio; Silva, Luís; Vaz, João R.; Castro, Maria António; Reinaldo, Gustavo; Pezarat-Correia, Pedro

    2016-01-01

    Purpose: The aim of this study was to compare the electromyographic patterns of the lower limb muscles during a golf swing performed by low- and high-handicap golfers. Method: Ten golfers (5 low- and 5 high-handicap) performed 8 swings using a 7-iron. Surface electromyography (EMG) was recorded for the following lower limb muscles on both sides:…

  3. The Barthel index as predictor of handicap in stroke survivors: a ...

    African Journals Online (AJOL)

    Aim: Handicap post stroke is likely to be more relevant to patients and family than impairment or disability. The purpose of this study was to assess the Barthel index as a predictor of handicap. Method: One hundred and twelve participants with a diagnosis of stroke were prospectively enrolled. Fifteen clinical variables, the ...

  4. A Comparative Study of Handicap-Free Life Expectancy of China in 1987 and 2006

    Science.gov (United States)

    Lai, Dejian

    2009-01-01

    After the first large scale national sampling survey on handicapped persons in 1987, China conducted its second national sampling survey in 2006. Using the data from these two surveys and the national life tables, we computed and compared the expected years of life free of handicapped condition by the Sullivan method. The expected years of life…

  5. Model Program for Handicapped Out of School Youth--1977-81.

    Science.gov (United States)

    Saint Paul Public Schools, Minn.

    The report describes the Out-of-School Youth Program, a vocationally oriented program serving 250 handicapped student dropouts in St. Paul, Minnesota, and presents a model program for handicapped out of school youth based on that existing program. The model program consists of components that focus on the following areas: basic skills,…

  6. Noise exposure in gold miners: utilising audiogram configuration to determine hearing handicap

    CSIR Research Space (South Africa)

    Vermaas, RL

    2007-09-01

    Full Text Available /American Academy of Otolaryngology Formula for Determination of Hearing Handicap. Audiology.1983; 22:313. 29. Newman, C. W., Weinstein, B. E., Jacobson, G. P. & Hug, G. A. The Hearing Handicap Inventory for Adults: Psychometric Adequacy and Audiometric...

  7. Teachers' Attitudes toward Their Integrated Learning Handicapped Students: Relationship to Teacher Perceptions of Students' Behavior.

    Science.gov (United States)

    Siegel, Janna

    Teachers' perceptions of student behaviors were examined to explain teachers' attitudes toward their students with and without learning handicaps. The study involved 44 intermediate-grade teachers who had students with learning handicaps and nonhandicapped students in their classrooms. Teachers' attitudes were measured with a four-question survey,…

  8. Development and validation of the Dutch version of the London Handicap Scale

    NARCIS (Netherlands)

    Groothuis-Oudshoorn, C.G.M.; Chorus, A.M.J.; Verrips, G.H.W.; Detmar, S.B.

    2015-01-01

    BACKGROUND: The London Handicap Scale (LHS) was found to be a valid and reliable scale for measuring participation restrictions in adults. OBJECTIVE: This paper describes the development and assesses the construct-related validity of a Dutch version of the London Handicap Scale (DLHS). METHODS: The

  9. KI-Aikido for Handicapped Students at Leeward Community College: Theory and Practice.

    Science.gov (United States)

    MacGugan, Kirk

    In an effort to provide physical education instruction for handicapped students, Leeward Community College implemented, on a pilot basis, a non-credit course in KI-Aikido, an oriental martial art which combines theory and exercise toward the goal of controlling the body through the power of the mind. The course, offered to both handicapped and…

  10. A Survey of National Record Keeping Systems for Visually Handicapped Children

    Science.gov (United States)

    Jones, Robert; Spungin, Susan Jay

    1977-01-01

    The American Foundation for the Blind survey on reporting systems for school-age visually handicapped children and youth concludes that there is no uniform retrieval system for educational, medical, or demographic information on blind and visually handicapped students. (Author/SBH)

  11. Teaching Social Skills to Persons with Severe Handicaps in Community Settings: A Review.

    Science.gov (United States)

    Storey, Keith

    1987-01-01

    A review of research on teaching social skills to severely handicapped persons discusses training procedures, domain, generalization, maintenance, cost efficiency, reliability, social interaction partners, social validation, research design, and simulation. Evaluation of nine studies affirms that severely handicapped persons can learn to interact…

  12. The natural environment and human development: implications for handicapped children in urban settings

    Science.gov (United States)

    Dennis A. Vinton; Donald E. Hawkins

    1977-01-01

    This review of literature is intended to promote awareness of the needs of the 15 percent of the nation's children and youth who are afflicted with some form of handicap. It is imperative that those who design children's programs that utilize natural environments understand the special problems of handicapped children.

  13. Self-Esteem, Achievement Goals, and Self-Handicapping in College Physical Education.

    Science.gov (United States)

    Chen, Zuosong; Sun, Kaihong; Wang, Kun

    2017-01-01

    This study aims to investigate the relationships among self-esteem, achievement goals, and self-handicapping and the potential mediating role of achievement goals in the relationship between self-esteem and self-handicapping in college physical education. The participants were 320 Chinese college students. Three validated scales were employed to assess participants' self-esteem, achievement goals, and self-handicapping in college physical education. Results showed that self-esteem had a negative effect on self-handicapping. Self-esteem had a positive effect on mastery goals, but had a negative effect on performance-avoidance goals. Mastery goals had a negative effect and performance-avoidance goals had a positive effect on self-handicapping. Moreover, mastery goals and performance-avoidance goals partially mediated the relationship between self-esteem and self-handicapping, and self-esteem had both direct and indirect effects on self-handicapping in college physical education. The findings indicate that improving individual's self-esteem and promoting mastery goals while reducing performance-avoidance goals may be relevant strategies to reduce self-handicapping in college physical education.

  14. Swimming for the Handicapped Child and Adult: Occasional Papers No. 10.

    Science.gov (United States)

    Neishloss, Lou

    Outlined are physiological and psychological values of swimming for the handicapped, basic principles and teaching procedures for instructing physically handicapped persons, and specific suggestions for teaching swimming to persons with the following conditions; amputations, polio, paraplegia, cerebral palsy, spina bifida, Legg-Perthes Disease,…

  15. Trait self-esteem and claimed self-handicapping motives in sports situations.

    Science.gov (United States)

    Finez, Lucie; Berjot, Sophie; Rosnet, Elisabeth; Cleveland, Christena; Tice, Dianne M

    2012-12-01

    We examined the relationship between physical self-esteem and claimed self-handicapping among athletes by taking motives into consideration. In Study 1, 99 athletes were asked to report their tendency to engage in claimed self-handicapping for self-protective and self-enhancement motives (trait measures). Low self-esteem athletes reported a higher tendency to engage in claimed self-handicapping for these two motives compared with high self-esteem athletes. Neither low nor high self-esteem athletes reported a preference for one motive over the other. In Study 2, 107 athletes participated in a test that was ostensibly designed to assess high physical abilities - and thus to encourage self-handicapping for self-enhancement motives (success-meaningful condition) - or to assess low physical abilities, and thus to encourage self-handicapping for self-protective motives (failure-meaningful condition). Before starting the test, athletes were given the opportunity to claim handicaps that could impair their performance. Low self-esteem athletes claimed more handicaps than high self-esteem athletes in both conditions. Findings suggest that low physical self-esteem athletes engage more in claimed handicapping regardless of motives, relative to high physical self-esteem athletes.

  16. The Origin of the Term Handicap in Games and Sports – History of a Concept

    Directory of Open Access Journals (Sweden)

    Hansen Jørn

    2015-03-01

    Full Text Available Words and concepts may change in time, and this has certainly been the case with the term handicap. From the establishment of modern sports in the middle of the 19th century and up until the middle of the 20th century, handicap had an entirely different meaning within sports. Thus, handicap was understood as a disadvantage imposed on talented contestants to make the competition more equal in sports. Later the term handicap became much closer related to the concepts invalid and crippled than to concept originally employed within sports, With the gradual introduction of the welfare state measures to the political agenda the politicians in Denmark also started to take an interest in invalids and cripples and in 1925 the National Association of the Crippled and Maimed was founded. By the end of the 20 century the term crippled was seen by many as outdated and in 1988 the name was changed to the Danish Association for the Disabled (Dansk Handicap Forbund and already in 1971 this organization helped to found The Danish Disabled Sports Association (Dansk Handicap Idræts-Forbund. The article tells the story of how the concept of handicap, which originally was an aim to provide equal opportunities, today has become a synonym for disability, while in the Paralympics and competitive disability sports, the original sports term handicap has been replaced by classification.

  17. The development and validation of a handicap questionnaire for children with a chronic illness

    NARCIS (Netherlands)

    Detmar, S.B.; Hosli, E.J.; Chorus, A.M.J.; Beekum, T. van; Vogels, T.; Mourad-Baars, P.E.C.; Engelberts, A.C.; Groothuis - Oudshoorn, C.G.M.; Verrips, G.H.W.

    2005-01-01

    Introduction: This paper describes the development and initial psychometric evaluation of the Handicap Scale for Children (HSC). This questionnaire is based on the London Handicap Scale (LHS), a valid and reliable utility instrument for measuring social participation in adults. Methods: A

  18. The Challenge of Educating the Pre-School Blind Child with Multiple Handicaps.

    Science.gov (United States)

    New York State Education Dept., Albany. Div. for Handicapped Children.

    Proceedings from a Special Studies Institute on the Challenge of Educating the Preschool Blind Child with Multiple Handicaps (New York, April 27-29, 1970) are compiled. Papers and panel discussion topics include the challenge of educating the multiply handicapped child with sensory defects; the physician's contribution in diagnosis, treatment and…

  19. A confirmatory factor analytic validation of the Tinnitus Handicap Inventory.

    Science.gov (United States)

    Kleinstäuber, Maria; Frank, Ina; Weise, Cornelia

    2015-03-01

    Because the postulated three-factor structure of the internationally widely used Tinnitus Handicap Inventory (THI) has not been confirmed yet by a confirmatory factor analytic approach this was the central aim of the current study. From a clinical setting, N=373 patients with chronic tinnitus completed the THI and further questionnaires assessing tinnitus-related and psychological variables. In order to analyze the psychometric properties of the THI, confirmatory factor analysis (CFA) and correlational analyses were conducted. CFA provided a statistically significant support for a better fit of the data to the hypothesized three-factor structure (RMSEA=.049, WRMR=1.062, CFI=.965, TLI=.961) than to a general factor model (RMSEA=.062, WRMR=1.258, CFI=.942, TLI=.937). The calculation of Cronbach's alpha as indicator of internal consistency revealed satisfactory values (.80-.91) with the exception of the catastrophic subscale (.65). High positive correlations of the THI and its subscales with other measures of tinnitus distress, anxiety, and depression, high negative correlations with tinnitus acceptance, moderate positive correlations with anxiety sensitivity, sleeping difficulties, tinnitus loudness, and small correlations with the Big Five personality dimensions confirmed construct validity. Results show that the THI is a highly reliable and valid measure of tinnitus-related handicap. In contrast to results of previous exploratory analyses the current findings speak for a three-factor in contrast to a unifactorial structure. Future research is needed to replicate this result in different tinnitus populations. Copyright © 2015 Elsevier Inc. All rights reserved.

  20. Changes in the Tinnitus Handicap Questionnaire After Cochlear Implantation

    Science.gov (United States)

    Pan, Tao; Tyler, Richard S.; Ji, Haihong; Coelho, Claudia; Gehringer, Anne K.; Gogel, Stephanie A.

    2010-01-01

    Purpose To determine (a) changes in the Tinnitus Handicap Questionnaire (THQ) for patients using cochlear implants, (b) differences between patients who receive total or partial relief, and (c) identifiable characteristics of those who report tinnitus after implantation. Method Pre- and postoperatively, 244 adults were administered the THQ when they reported tinnitus. Results Of the 153 patients who had tinnitus preoperatively, 94 (61%) patients reported total suppression and 59 (39%) reported a partial reduction. In 91 patients who did not have tinnitus before implantation, 11 (12%) reported tinnitus postimplantation. The THQ score decreased from 41% preimplant to 30% postimplant. The largest reductions involved social handicap and hearing. Patients with a more severe hearing loss might be more likely to experience an exacerbation of their tinnitus. We were not able to clearly identify differences between patients who received total or partial relief and the characteristics of patients who reported tinnitus after implantation. Those who acquired tinnitus had the shortest duration hearing loss (5.6 years) and were the oldest (63 years). The average THQ score of patients getting tinnitus was 29%. Conclusions Most tinnitus patients benefit from receiving a cochlear implant. PMID:19949236

  1. Mental Illness

    Science.gov (United States)

    ... leading cause of disability. Untreated mental illness can cause severe emotional, behavioral and physical health problems. Complications sometimes linked to mental illness include: Unhappiness and decreased enjoyment of life ...

  2. Mental Health

    Science.gov (United States)

    Mental health includes our emotional, psychological, and social well-being. It affects how we think, feel and act as ... stress, relate to others, and make choices. Mental health is important at every stage of life, from ...

  3. Mental Disorders

    Science.gov (United States)

    Mental disorders include a wide range of problems, including Anxiety disorders, including panic disorder, obsessive-compulsive disorder, ... disorders, including schizophrenia There are many causes of mental disorders. Your genes and family history may play ...

  4. Misperceiving Bullshit as Profound Is Associated with Favorable Views of Cruz, Rubio, Trump and Conservatism.

    Science.gov (United States)

    Pfattheicher, Stefan; Schindler, Simon

    2016-01-01

    The present research investigates the associations between holding favorable views of potential Democratic or Republican candidates for the US presidency 2016 and seeing profoundness in bullshit statements. In this contribution, bullshit is used as a technical term which is defined as communicative expression that lacks content, logic, or truth from the perspective of natural science. We used the Bullshit Receptivity scale (BSR) to measure seeing profoundness in bullshit statements. The BSR scale contains statements that have a correct syntactic structure and seem to be sound and meaningful on first reading but are actually vacuous. Participants (N = 196; obtained via Amazon Mechanical Turk) rated the profoundness of bullshit statements (using the BSR) and provided favorability ratings of three Democratic (Hillary Clinton, Martin O'Malley, and Bernie Sanders) and three Republican candidates for US president (Ted Cruz, Marco Rubio, and Donald Trump). Participants also completed a measure of political liberalism/conservatism. Results revealed that favorable views of all three Republican candidates were positively related to judging bullshit statements as profound. The smallest correlation was found for Donald Trump. Although we observe a positive association between bullshit and support for the three Democrat candidates, this relationship is both substantively small and statistically insignificant. The general measure of political liberalism/conservatism was also related to judging bullshit statements as profound in that individuals who were more politically conservative had a higher tendency to see profoundness in bullshit statements. Of note, these results were not due to a general tendency among conservatives to see profoundness in everything: Favorable views of Republican candidates and conservatism were not significantly related to profoundness ratings of mundane statements. In contrast, this was the case for Hillary Clinton and Martin O'Malley. Overall, small

  5. Misperceiving Bullshit as Profound Is Associated with Favorable Views of Cruz, Rubio, Trump and Conservatism.

    Directory of Open Access Journals (Sweden)

    Stefan Pfattheicher

    Full Text Available The present research investigates the associations between holding favorable views of potential Democratic or Republican candidates for the US presidency 2016 and seeing profoundness in bullshit statements. In this contribution, bullshit is used as a technical term which is defined as communicative expression that lacks content, logic, or truth from the perspective of natural science. We used the Bullshit Receptivity scale (BSR to measure seeing profoundness in bullshit statements. The BSR scale contains statements that have a correct syntactic structure and seem to be sound and meaningful on first reading but are actually vacuous. Participants (N = 196; obtained via Amazon Mechanical Turk rated the profoundness of bullshit statements (using the BSR and provided favorability ratings of three Democratic (Hillary Clinton, Martin O'Malley, and Bernie Sanders and three Republican candidates for US president (Ted Cruz, Marco Rubio, and Donald Trump. Participants also completed a measure of political liberalism/conservatism. Results revealed that favorable views of all three Republican candidates were positively related to judging bullshit statements as profound. The smallest correlation was found for Donald Trump. Although we observe a positive association between bullshit and support for the three Democrat candidates, this relationship is both substantively small and statistically insignificant. The general measure of political liberalism/conservatism was also related to judging bullshit statements as profound in that individuals who were more politically conservative had a higher tendency to see profoundness in bullshit statements. Of note, these results were not due to a general tendency among conservatives to see profoundness in everything: Favorable views of Republican candidates and conservatism were not significantly related to profoundness ratings of mundane statements. In contrast, this was the case for Hillary Clinton and Martin O

  6. Mental Retardation and Parenting Stress

    Directory of Open Access Journals (Sweden)

    Eleni Siamaga

    2011-01-01

    Full Text Available Backround: The presence, upbringing and looking after of a mentally retarded child in the family, can become a threat to the mental health of its parents and is the main predisposing factor of stress for the parents.Aim: The purpose of this systematic review is (a to document the contemporary research bibliography related to the stress of parents with mentally retarded children, (b to aggregate the factors and secondary parameters based on the contemporary research related to the influence of the (child’s mental retardation on the parents and (c to show an intercultural aspect regarding the presence of stress to parents with mentally retarded children.Methods: Systematic review of research articles published in scientific journals included in the international academic databases HEAL-LING, SAGE, ELSEVIER, WILSON, SCIENCEDIRECT, MEDLINE, PUBMED, PsycINFO, Cochrane, EMBASE, SCIRUS and CINAHL having as search criteria and key words the terms («parental stress and mental retardation» [MeSH], «parenting stress and persons with special needs» [MeSH], «mental retardation and family problems» [MeSH], «stress and parents» [MeSH], «parenting and stress» [MeSH], «mental delay and parents» [MeSH], «developmental disabilities and family stress» [MeSH], «intellectual handicap and parenting» [MeSH], «maternal stress and child with disabilities» [MeSH].Discussion: The review has proven that all forms of mental retardation have an important -from a statistic point of viewimpacton the parents’ mental health. Anxiety, stress and depression are common symptoms mentioned by the parents.Additionally, there are individual variables such as the husband-wife relationship, the parents’ approach to their child’s disability, the parental strategies used in order to cope with the daily life of the child’s disability and the behavioural problems of their child, all of which contribute to the increase of the level of parental stress

  7. Hearing Handicap and Speech Recognition Correlate With Self-Reported Listening Effort and Fatigue.

    Science.gov (United States)

    Alhanbali, Sara; Dawes, Piers; Lloyd, Simon; Munro, Kevin J

    2017-10-31

    To investigate the correlations between hearing handicap, speech recognition, listening effort, and fatigue. Eighty-four adults with hearing loss (65 to 85 years) completed three self-report questionnaires: the Fatigue Assessment Scale, the Effort Assessment Scale, and the Hearing Handicap Inventory for Elderly. Audiometric assessment included pure-tone audiometry and speech recognition in noise. There was a significant positive correlation between handicap and fatigue (r = 0.39, p handicap and effort (r = 0.73, p handicap and speech recognition both correlate with self-reported listening effort and fatigue, which is consistent with a model of listening effort and fatigue where perceived difficulty is related to sustained effort and fatigue for unrewarding tasks over which the listener has low control. A clinical implication is that encouraging clients to recognize and focus on the pleasure and positive experiences of listening may result in greater satisfaction and benefit from hearing aid use.

  8. [Injury risk of competitive, handicapped cross-country skiers in training nd competition].

    Science.gov (United States)

    Schmid, A; Hüring, H; Huber, G; Gösele, A; Hecker-Kube, H; Gruhn, O; Stinus, H; Birnesser, H; Keul, J

    1998-03-01

    Injuries caused by cross country skiing have been poorly investigated in handicapped athletes. The dynamic sliding shape of motion makes this sport to a suitable discipline for people with a deficit of locomotion. Visual handicapped people with a guide are able to improve their motoric skills, co-ordination, orientation and body self-consciousness in the track. Since handicapped athletes are performing in international competitions the training intensity to fulfill the requirements, but also the risk of overstrain induced injuries got increased, like in other high-performance sports. Our study examined injuries and overuse syndromes of the German National Team Ski Nordic during the Paralympics in Tignes/ Albertville (1992). Lillehammer (1994) and the training period in preparation for the Paralympics in Nagano (March 1998). The incidence and kind of injuries in the competitive handicapped cross country skier was comparable with non-handicapped athletes, but the injury pattern was different.

  9. Implicit theory of athletic ability and self-handicapping in college students.

    Science.gov (United States)

    Chen, Lung Hung; Chen, Mei-Yen; Lin, Meng-Shyan; Kee, Ying Hwa; Kuo, Chin Fang; Shui, Shang-Hsueh

    2008-10-01

    Self-handicapping is a maladaptive behavior which undermines students' achievements, but the antecedents of self-handicapping are not well studied in physical education. The aim was to examine the relations of implicit theory of abilities and self-handicapping in physical education. 264 college students, whose mean age was 20.3 yr. (SD = 1.7), completed the Conceptions of the Nature of Athletic Ability Questionnaire-2 and Self-handicapping Scale for Sport. Analysis indicated entity beliefs positively predicted reduced effort and making excuses. Also, incremental beliefs negatively predicted reduced effort. Results are discussed in terms of implicit theory of ability and self-handicapping. Directions for research and implications are stated.

  10. Relations between female students' personality traits and reported handicaps to rhythmic gymnastics performance.

    Science.gov (United States)

    Ferrand, Claude; Champely, Stephane; Brunel, Philippe C

    2005-04-01

    The present study evaluated the relative contributions of Self-esteem, Trait anxiety, and Public Self-consciousness to self-handicapping on a sex-typed task, within a specific academic sport context. Prior to the competitive examination used to recruit French Physical Education Teachers, female sport students (N = 74) were asked to list and rate on a 7-point scale handicaps which could be disruptive to their Rhythmic Gymnastics performance. Self-esteem did not account for significant variance in any category of handicaps. Trait Anxiety was negatively related to handicaps related to Rhythmic Gymnastics and to Social and Work Commitments. Public Self-consciousness was significantly related to endorsement of Friends and Family Commitments handicaps. These results were discussed in relation to the literature.

  11. 13 CFR 113.3-1 - Consideration of race, color, religion, sex, marital status, handicap, or national origin.

    Science.gov (United States)

    2010-01-01

    ..., religion, sex, marital status, handicap, or national origin. 113.3-1 Section 113.3-1 Business Credit and... of race, color, religion, sex, marital status, handicap, or national origin. (a) This regulation does not prohibit the consideration of race, color, religion, sex, marital status, handicap, or national...

  12. 38 CFR 21.44 - Extension of the basic period of eligibility for a veteran with a serious employment handicap.

    Science.gov (United States)

    2010-07-01

    ... period of eligibility for a veteran with a serious employment handicap. 21.44 Section 21.44 Pensions... Extension of the basic period of eligibility for a veteran with a serious employment handicap. (a... extend the basic period of eligibility of a veteran with a serious employment handicap when the veteran's...

  13. 41 CFR 101-26.701 - Purchase of products and services from the blind and other severely handicapped persons.

    Science.gov (United States)

    2010-07-01

    ... services from the blind and other severely handicapped persons. 101-26.701 Section 101-26.701 Public... severely handicapped persons. (a) Purchases by executive agencies of products produced by workshops of the blind or other severely handicapped persons which are carried in GSA supply distribution facilities must...

  14. 76 FR 39283 - Enforcement of Nondiscrimination on the Basis of Handicap in Programs or Activities Conducted by...

    Science.gov (United States)

    2011-07-06

    ... HEALTH REVIEW COMMISSION 29 CFR Part 2205 Enforcement of Nondiscrimination on the Basis of Handicap in...-references in several provisions are outdated. The fourth definition of ``qualified handicapped person... Rehabilitation Act, Public Law 102-569, 106 Stat. 4344, which replaced the term ``handicap'' with the term...

  15. 76 FR 30064 - Enforcement of Nondiscrimination on the Basis of Handicap in Programs or Activities Conducted by...

    Science.gov (United States)

    2011-05-24

    ... HEALTH REVIEW COMMISSION 29 CFR Part 2205 Enforcement of Nondiscrimination on the Basis of Handicap in... are outdated. The fourth definition of ``qualified handicapped person,'' found at Sec. 2205.103, cross... Rehabilitation Act, Public Law 102-569, 106 Stat. 4344, which replaced the term ``handicap'' with the term...

  16. Vibroacoustic sound therapy: case studies with children with profound and multiple learning difficulties and the elderly in long-term residential care.

    Science.gov (United States)

    Ellis, Phil

    2004-01-01

    This paper describes the development of Vibroacoustic Sound Therapy, an approach which is being developed for use in special schools for children with profound and multiple learning difficulties, and in long-term care homes for the elderly and the elderly mentally infirm. Using non-invasive techniques and music/sound technology, children and the elderly are being empowered and enabled to (re)discover self expression and communication skills. Two case studies drawn from the world of the young disabled, and from the elderly, illustrate the potential for improving quality of life and well-being in these institutional settings.

  17. Mapa Mental

    OpenAIRE

    do Couto, Hildo Honório

    2017-01-01

    O objetivo principal deste artigo é mostrar que no interior do ecossistema mental da língua, e do nosso ecossistema cognitivo geral, existe uma parte que se pode chamar de mapa mental, intimamente associado ao mapa cognitivo. Após caracterizar o conceito de mapa mental e de associá-lo a conceitos assemelhados, comento o mapa mental que eu tinha de Brasília, por ter vivido lá por mais de 30 anos. Como me mudei para Goiânia, comecei a perder partes do mapa mental de Brasília. Por outro lado, es...

  18. The development of a nursing assessment instrument for the mentally handicapped individual

    Directory of Open Access Journals (Sweden)

    Willem J Fourie

    1998-11-01

    Vanwee die feit dat geestesgestremdheid 'n lewenslange toestand is, ervaar geestesgestremde persone en hul families unieke behoeftes en probleme wat deeglike beraming deur verpleegkundiges vereis, ten einde effektiewe ingn'ping te verseker. *Please note: This is a reduced version of the abstract. Please refer to PDF for full text.

  19. Periodontal status of mentally handicapped school children in Caracas, Venezuela. A cross-sectional study.

    OpenAIRE

    Mariana Morales-Chávez; Alejandro Rada-Berroteran; Leina Arcila-Ramos

    2014-01-01

    ABSTRACT Periodontal disease is a chronic multifactor pathology, characterized by the progressive destruction of the dental structures support tissues. Patients with some type of disability have a higher predisposition to develop periodontal disease, due to bad hygiene, product of their motor and psychological deficiencies, and to their systemic alterations that difficult the defense against periodontopathogenic microorganisms. The purpose of this study was to evaluate and compare the period...

  20. Factors influencing attentiveness of people with profound intellectual and multiple disabilities in multisensory storytelling

    NARCIS (Netherlands)

    Ten Brug, Annet; Van der Putten, Annette A.J.; Penne, Anneleen; Maes, Bea; Vlaskamp, Carla

    Multisensory storytelling (MSST) is a storytelling method developed for people with profound intellectual and multiple disabilities (PIMD). The developers of MSST have established specific guidelines aimed at increasing the listener's attention. Whether, and to what extent, these guidelines indeed

  1. Acute profound thrombocytopenia with second exposure to eptifibatide associated with a strong antibody reaction

    Science.gov (United States)

    ATTAYA, SHARIFF; KANTHI, YOGENDRA; ASTER, RICHARD; MCCRAE, KEITH

    2015-01-01

    We present a case of eptifibatide-induced acute profound thrombocytopenia in a 64-year-old male receiving eptifibatide for the second time during percutaneous coronary intervention. Although rare, short and self-limited episodes of acute and profound thrombocytopenia have been associated with eptifibatide exposure. The thrombocytopenia is thought to be immune mediated, and assays are available to test for eptifibatide-induced platelet antibodies. PMID:19172524

  2. Acute profound thrombocytopenia with second exposure to eptifibatide associated with a strong antibody reaction

    OpenAIRE

    ATTAYA, SHARIFF; KANTHI, YOGENDRA; ASTER, RICHARD; MCCRAE, KEITH

    2009-01-01

    We present a case of eptifibatide-induced acute profound thrombocytopenia in a 64-year-old male receiving eptifibatide for the second time during percutaneous coronary intervention. Although rare, short and self-limited episodes of acute and profound thrombocytopenia have been associated with eptifibatide exposure. The thrombocytopenia is thought to be immune mediated, and assays are available to test for eptifibatide-induced platelet antibodies.

  3. Allan-Herndon-Dudley syndrome with unusual profound sensorineural hearing loss.

    Science.gov (United States)

    Gagliardi, Lucia; Nataren, Nathalie; Feng, Jinghua; Schreiber, Andreas W; Hahn, Christopher N; Conwell, Louise S; Coman, David; Scott, Hamish S

    2015-08-01

    The Allan-Herndon-Dudley syndrome is caused by mutations in the thyroid hormone transporter, Monocarboxylate transporter 8 (MCT8). It is characterized by profound intellectual disability and abnormal thyroid function. We report on a patient with Allan-Herndon-Dudley syndrome (AHDS) with profound sensorineural hearing loss which is not usually a feature of AHDS and which may have been due to a coexisting nonsense mutation in Microphthalmia-associated transcription factor (MITF). © 2015 Wiley Periodicals, Inc.

  4. STATE ANXIETY, SUBJECTIVE IMBALANCE AND HANDICAP IN VESTIBULAR SCHWANNOMA

    Directory of Open Access Journals (Sweden)

    Yougan Saman

    2016-07-01

    Full Text Available ABSTRACTEvidence is emerging of a significant clinical and neuro-anatomical relationship between balance and anxiety. Research has suggested a potentially priming effect with anxiety symptoms predicting a worsening of balance function in patients with underlying balance dysfunction. We propose to show that a vestibular stimulus is responsible for an increase in state anxiety and there is a relationship between increased state anxiety and worsening balance function. Aims1.To quantify state anxiety following a vestibular stimulus in patients with a chronic vestibular deficit.2.To determine if state anxiety during a vestibular stimulus would correlate with the severity of chronic balance symptoms and handicap. MethodsTwo separate cohorts Vestibular Schwannoma (VS patients underwent vestibular tests (electronystagmography, cervical and ocular vestibular evoked myogenic potentials and caloric responses and questionnaire assessment (Vertigo handicap Questionnaire, Vertigo Symptom Scale, State Trait Anxiety InventoryFifteen post resection Vestibular schwannoma patients, with complete unilateral vestibular deafferentation, were assessed at a minimum of 6 months after surgery in Experiment 1 (Aim 1. Forty-five patients with VS in-situ and with preserved vestibular function formed the cohort for Experiment 2 (Aim 2. Experiment 1: VS subjects (N=15 with a complete post-resection unilateral vestibular deafferentation completed a State anxiety questionnaire before caloric assessment and again afterwards with the point of maximal vertigo as the reference (Aim 1. Experiment 2: State anxiety measured at the point of maximal vertigo following a caloric assessment was compared between two groups of presenting with balance symptoms (Group 1 N=26 and without balance symptoms (Group 2 N=11 (Aim 2. The presence of balance symptoms was defined as having a positive score on the VSS-VER.ResultsIn experiment 1, a significant difference (p<0.01 was found when comparing

  5. Køn, handicap og beskæftigelse i 2010

    DEFF Research Database (Denmark)

    Brink Thomsen, Lars; Høgelund, Jan

    Der findes kun få danske undersøgelser, som belyser kønsforskelle i beskæftigelsessituationen for personer med handicap. Denne rapport belyser dette emne ud fra en spørgeskemaundersøgelse med ca. 19.000 personer. Rapporten viser bl.a., at flere kvinder end mænd mellem 16 og 64 år har et handicap....... Herudover viser undersøgelsen, at mænd med handicap oftere er i beskæftigelse end kvinder med handicap. De kvinder med handicap, som er i beskæftigelse, er i langt højere grad end mænd ansat på særlige vilkår. En del af forklaringen på disse forskelle er, at der er forskelle på typen og størrelsen af de...... handicap, som kvinder og mænd har. Selvom man tager højde for dette og for andre forhold, er der dog stadig en forskel i beskæftigelsen, der ikke kan forklares ud fra rapportens data. Rapporten er blevet til i forbindelse med Danske Handicaporganisationers projekt om køn, handicap og beskæftigelse. Den er...

  6. Køn, handicap og beskæftigelse i 2010

    DEFF Research Database (Denmark)

    Brink Thomsen, Lars; Høgelund, Jan

    2015-01-01

    Denne undersøgelse belyser beskæftigelsessituationen for personer med handicap fra et kønsperspektiv. Bl.a. undersøger vi, hvor stor en andel af hvert køn, som har et handicap og hvilke handicaptyper, der drejer sig om. Desuden om der er forskel på beskæftigelsesandelen blandt mænd og kvinder med...... og uden handicap, om der er kønsforskelle i omfanget af ansættelser på særlige vilkår og hjælpemidler i arbejdet. Herudover behandler vi kønsforskelle, som relaterer sig til emner som kendskab til beskæftigelsesrettede ordninger for personer med handicap, arbejdsgivernes indsats......, tilbagetrækningsalder og jobsøgning. Formålet er at belyse i hvor høj grad, vi kan forklare kønsforskelle blandt personer med handicap på arbejdsmarkedet med at kønnene har forskellige lidelser i form af fx fysiske handicap, psykiske handicap eller sygdomme, og især, om der findes kønsforskelle, selv når vi tager højde...

  7. The impact of tinnitus characteristics and associated variables on tinnitus-related handicap.

    Science.gov (United States)

    Degeest, S; Corthals, P; Dhooge, I; Keppler, H

    2016-01-01

    This study aimed to determine the characteristics of tinnitus and tinnitus-related variables and explore their possible relationship with tinnitus-related handicap. Eighty-one patients with chronic tinnitus were included. The study protocol measured hearing status, tinnitus pitch, loudness, maskability and loudness discomfort levels. All patients filled in the Tinnitus Sample Case History Questionnaire, the Hyperacusis Questionnaire and the Tinnitus Handicap Inventory. The relationship of each variable with the Tinnitus Handicap Inventory score was evaluated by univariate and multivariate analyses. Five univariables were associated with the Tinnitus Handicap Inventory score: loudness discomfort level, subjective tinnitus loudness, tinnitus awareness, noise intolerance and Hyperacusis Questionnaire score. Multiple regression analysis showed that the Hyperacusis Questionnaire score and tinnitus awareness were independently associated with the Tinnitus Handicap Inventory score. Hyperacusis and tinnitus awareness were independently associated with the Tinnitus Handicap Inventory score. Questionnaires on tinnitus and hyperacusis are especially suited to providing additional insight into tinnitus-related handicap and are therefore useful for evaluating tinnitus patients.

  8. Handicap og beskæftigelse: Udviklingen mellem 2002 og 2012

    DEFF Research Database (Denmark)

    Møller Kjeldsen, Marie; Sophie Houlberg Petersen, Helle; Høgelund, Jan

    Denne rapport belyser beskæftigelsesudviklingen for personer med handicap og sammenligner udviklingen med personer uden handicap i perioden 2002 og frem til 2012. Beskæftigelsen er faldet mellem 2002 og 2012 for både personer med og uden handicap. Mellem 2010 og 2012 har beskæftigelsen ikke ændret...... sig væsentligt – hverken for personer med eller uden handicap. For personer med et større handicap er beskæftigelsen derimod faldet med 4,2 procentpoint mellem de to år. Rapporten viser også, at personer med læse- eller skrivevanskeligheder ikke så ofte er i beskæftigelse som personer uden læse- eller...... skrivevanskeligheder. Det gælder både for personer med og uden handicap. Rapporten belyser desuden psykisk trivsel, jobsøgningsaktiviteten, modtagelse af overførselsindkomster og holdningen til personer med handicap. Der er også fokus på, i hvilket omfang udvalgte mål i VK-regeringens (2001...

  9. Handicap og beskæftigelse: Udviklingen mellem 2002 og 2010

    DEFF Research Database (Denmark)

    Brink Thomsen, Lars; Høgelund, Jan

    Denne rapport belyser spørgsmålet om tilknytningen til arbejdsmarkedet blandt personer med handicap. Den er baseret på interview med et bredt udsnit af den danske befolkning. Rapporten skaber overblik over udviklingen i beskæftigelsessituationen for personer med handicap fra 2002 til 2010, og den...... sætter særligt fokus på bl.a. kendskabet til beskæftigelsesrettede ordninger for personer med handicap og holdningen til denne befolkningsgruppe på arbejdsmarkedet. Undersøgelsen viser, at markant færre end tidligere oplyser, at de har et handicap, og at beskæftigelsen for personer med handicap siden...... 2008 er faldet i samme tempo som for personer uden handicap. Blandt de øvrige konklusioner er, at flere personer med handicap end tidligere er ansat på særlige vilkår, at der er øget kendskab til ordningen om personlig assistance, og at der i dag er flere, der er positive over for personer med psykiske...

  10. The role of the different aspects of academic motivation and competitiveness in explaining self-handicapping

    Directory of Open Access Journals (Sweden)

    Damjan Šimek

    2010-05-01

    Full Text Available In the present research on self-handicapping, the goal was to examine the role of different types of academic motivation according to the level of self-determination. Since the existing research on self-handicapping has examined only the role of interpersonal competition, we also aimed to explore the role of different kinds of competition, i.e., the role of the reasons that motivate people to participate in competition, and the role of the reasons for the avoidance of competition. 748 high school students participated in the study. Regarding the role of academic motivation in self-handicapping the prevailing role of amotivation stood out. Intrinsic motivation predicted self-handicapping negatively, but extrinsic motivation proved to be a positive predictor. The factor structure of the Academic Motivation Scale only enabled differentiation of the reasons for education on the level of three basic types. With regard to the role of the different dimensions of competitiveness in self-handicapping, results show that those denoted by fear of failure and self-worth protection proved to be more characteristic of self-handicapping than those defined by a high valuation of the importance of quality of task accomplishment. Among others, our research suggests that by diverting students away from hypercompetitive values, functionality of self-handicapping can be decreased.

  11. [From social representation to the identity of physically handicapped people].

    Science.gov (United States)

    Ravaud, J F; Ville, I

    1986-01-01

    Starting from two relatively independent trends of research in psychosociology, that of perception by others and that of social identity, the authors try to demonstrate the relationship between the social representation in France of physically disabled people and social identity as expressed by the members of this group. They ask physically disabled and non-handicapped subjects to evaluate themselves by means of a questionnaire consisting of pairs of antonyme adjectives; and they compare their results to those of former research which demonstrated special social representation of physically disabled persons. The results indicate that, even if in a general way the disabled do not perceive themselves as being different from the non-disabled, they manifest, nevertheless, on certain items a clear tendency to see themselves as they are perceived by others. The discussion poses the problem of the origin of this social representation of disabled people and of its possible impact on the social identity of members of that group.

  12. Reliability and validity of the Lithuanian Tinnitus Handicap Inventory.

    Science.gov (United States)

    Ulozienė, Ingrida; Balnytė, Renata; Alzbutienė, Giedrė; Arechvo, Irina; Vaitkus, Antanas; Šileikaitė, Milda; Šaferis, Viktoras; Ulozas, Virgilijus

    2016-01-01

    The aim of this study was to determine the reliability and validity of the Lithuanian version of the Tinnitus Handicap Inventory (THI), a self-report measure of perceived tinnitus handicap. A cross-sectional psychometric validation study was performed in the University Hospital. A total of 248 subjects reporting chronic tinnitus as their primary complaint or secondary to hearing loss were encluded in the study and filled in the Lithuanian version of THI. For assessment of construct validity a subgroup of 55 participants completed the Lithuanian version of the Hospital Anxiety and Depression Scale as a measure of self-perceived levels of anxiety and depression. Test-retest and internal consistency reliability as well as construct validity were calculated. The Lithuanian version of the THI and its subscales showed a robust internal consistency reliability (Cronbach's alpha=0.93) comparable to the original version. Statistically significant correlations were observed between the Lithuanian translation of the THI and the measures of self-perceived levels of anxiety and depression using HADS. Confirmatory factor analysis demonstrated that the three subscales of the THI Lithuanian version corresponded to three different factors, which strongly correlated between themselves. The results suggest that the Lithuanian version of THI maintains its original validity and may serve as reliable and valid measure of general tinnitus related distress that can be used in a clinical setting to quantify the impact of tinnitus on daily living. Copyright © 2016 The Lithuanian University of Health Sciences. Production and hosting by Elsevier Urban & Partner Sp. z o.o. All rights reserved.

  13. Adaptation and validation of the Malayalam pediatric voice handicap index.

    Science.gov (United States)

    Devadas, Usha; Dhanya, M; Gunjawate, Dhanshree

    2015-09-01

    The aim of the present study was to adapt and validate the English version of pediatric voice handicap index (pVHI) into Malayalam language. The English version of pediatric voice handicap index was translated into Malayalam language using parallel back translation. The translated version was content validated by three qualified speech language pathologists. The content familiarity was carried out by 10 parents of children with voice problems. This was distributed to 136 parents (57 parents of children with dysphonia, 79 parents of children with no voice problems). The internal consistency and test--retest reliability was determined using Cronbach's alpha and intraclass correlation coefficient. Independent sample t-test was used to assess the difference in means. Kappa coefficient was used to determine the correlation between overall severity of the problem and total pVHI. Discriminant analysis was used to identify thresholds for differentiating between normal and dysphonic participants. The results obtained revealed that the Malayalam version of pVHI has an excellent internal consistency; total (α=0.974), functional (α=0.922), physical (α=0.953), and emotional (α=0.923). There was an excellent test-retest reliability; total (r=0.937), functional (r=0.954), physical (r=0.95), and emotional (r=0.929). The prediction probability of the dysphonics is 98.2% using the discriminant score function. The translated and validated pVHI tool can be effectively used in the assessment of children with voice problems. It can provide a better insight into the parents' perception of their child's voice problems. Copyright © 2015 Elsevier Ireland Ltd. All rights reserved.

  14. An Evolutionary Comparison of the Handicap Principle and Hybrid Equilibrium Theories of Signaling

    Science.gov (United States)

    Kane, Patrick; Zollman, Kevin J. S.

    2015-01-01

    The handicap principle has come under significant challenge both from empirical studies and from theoretical work. As a result, a number of alternative explanations for honest signaling have been proposed. This paper compares the evolutionary plausibility of one such alternative, the “hybrid equilibrium,” to the handicap principle. We utilize computer simulations to compare these two theories as they are instantiated in Maynard Smith’s Sir Philip Sidney game. We conclude that, when both types of communication are possible, evolution is unlikely to lead to handicap signaling and is far more likely to result in the partially honest signaling predicted by hybrid equilibrium theory. PMID:26348617

  15. Handicap og beskæftigelse: Udviklingen mellem 2005 og 2006

    DEFF Research Database (Denmark)

    Høgelund, Jan; Larsen, Brian

    Denne rapport præsenterer de seneste udviklingstræk i beskæftigelsen for personer med et handicap eller længerevarende sygdom og følger op på tidligere analyser af udviklingen siden 2002. Rapporten viser, at andelen af personer med et handicap eller længerevarende sygdom, som arbejder mere end 15...... timer om ugen, er vokset fra 50,6 pct. til 54,8 pct. i perioden 2005-2006. Andelen af personer uden handicap, som arbejder mere end 15 timer om ugen, har derimod ikke ændret sig i samme periode....

  16. Handicap og beskæftigelse: Udviklingen mellem 2002 og 2005

    DEFF Research Database (Denmark)

    Høgelund, Jan; Mølgaard Miiller, Max; Pico Geerdsen, Peter

    Personer med handicap har en markant svagere tilknytning til arbejdsmarkedet end personer uden handicap. Den lave beskæftigelsesgrad blandt handicappede har flere negative konsekvenser både på det personlige og det samfundsmæssige plan. Denne rapport belyser udviklingen i beskæftigelsen af personer...... med handicap, herunder beskæftigelsen i job på særlige vilkår. Den beskriver forhold, som formodes at have betydning for handicappedes beskæftigelse, herunder handicappedes viden om og brug af støtteordninger samt holdninger blandt beskæftigede til at have handicappede som arbejdskollegaer. Rapporten...

  17. An Evolutionary Comparison of the Handicap Principle and Hybrid Equilibrium Theories of Signaling.

    Science.gov (United States)

    Kane, Patrick; Zollman, Kevin J S

    2015-01-01

    The handicap principle has come under significant challenge both from empirical studies and from theoretical work. As a result, a number of alternative explanations for honest signaling have been proposed. This paper compares the evolutionary plausibility of one such alternative, the "hybrid equilibrium," to the handicap principle. We utilize computer simulations to compare these two theories as they are instantiated in Maynard Smith's Sir Philip Sidney game. We conclude that, when both types of communication are possible, evolution is unlikely to lead to handicap signaling and is far more likely to result in the partially honest signaling predicted by hybrid equilibrium theory.

  18. Learn About Mental Health

    Science.gov (United States)

    ... this? Submit What's this? Submit Button Learn About Mental Health Recommend on Facebook Tweet Share Compartir Mental Health Basics Types of Mental Illness Fast Facts Mental Health Basics What is mental illness? Mental illnesses are ...

  19. Mental models

    OpenAIRE

    Marco Antonio Moreira

    1996-01-01

    The mental models subject is presented particularly in the light of Johnson-Laird’s theory. Views from different authors are also presented but the emphasis lies in Johson-Laird’s approach, proposing mental models as a third path in the images x propositions debate. In this perspective, the nature, content, and typology of mental models are discussed, as well as the issue of conciousness and computability. In addition, the methodology of research studies are provided. Essentially, the aim of ...

  20. DMPD: Gram-negative endotoxin: an extraordinary lipid with profound effects oneukaryotic signal transduction. [Dynamic Macrophage Pathway CSML Database

    Lifescience Database Archive (English)

    Full Text Available 1916089 Gram-negative endotoxin: an extraordinary lipid with profound effects oneuk...ep;5(12):2652-60. (.png) (.svg) (.html) (.csml) Show Gram-negative endotoxin: an extraordinary lipid with profound effect...tive endotoxin: an extraordinary lipid with profound effects oneukaryotic signal transduction. Authors Raetz

  1. Job Description and Handicapping Condition. An Analysis of Employer Expectations for Training and Success of Handicapped Job Applicants.

    Science.gov (United States)

    Schloss, Patrick J.; Schloss, Cynthia N.

    1984-01-01

    A study involving 72 managers of restaurants and fast food services indicated that they anticipated significantly more intrusive training for mentally retarded applicants to the position of dishwasher/waiter and significantly more intrusive training for mentally retarded applicants compared to deaf and normal applicants. (CL)

  2. Mental models

    Directory of Open Access Journals (Sweden)

    Marco Antonio Moreira

    1996-12-01

    Full Text Available The mental models subject is presented particularly in the light of Johnson-Laird’s theory. Views from different authors are also presented but the emphasis lies in Johson-Laird’s approach, proposing mental models as a third path in the images x propositions debate. In this perspective, the nature, content, and typology of mental models are discussed, as well as the issue of conciousness and computability. In addition, the methodology of research studies are provided. Essentially, the aim of the paper is to provide an introduction to the mental models topic, having science education research in mind.

  3. A Prognostic Model for Development of Profound Shock among Children Presenting with Dengue Shock Syndrome.

    Directory of Open Access Journals (Sweden)

    Phung Khanh Lam

    Full Text Available To identify risk factors and develop a prediction model for the development of profound and recurrent shock amongst children presenting with dengue shock syndrome (DSS.We analyzed data from a prospective cohort of children with DSS recruited at the Paediatric Intensive Care Unit of the Hospital for Tropical Disease in Ho Chi Minh City, Vietnam. The primary endpoint was "profound DSS", defined as ≥2 recurrent shock episodes (for subjects presenting in compensated shock, or ≥1 recurrent shock episodes (for subjects presenting initially with decompensated/hypotensive shock, and/or requirement for inotropic support. Recurrent shock was evaluated as a secondary endpoint. Risk factors were pre-defined clinical and laboratory variables collected at the time of presentation with shock. Prognostic model development was based on logistic regression and compared to several alternative approaches.The analysis population included 1207 children of whom 222 (18% progressed to "profound DSS" and 433 (36% had recurrent shock. Independent risk factors for both endpoints included younger age, earlier presentation, higher pulse rate, higher temperature, higher haematocrit and, for females, worse hemodynamic status at presentation. The final prognostic model for "profound DSS" showed acceptable discrimination (AUC=0.69 for internal validation and calibration and is presented as a simple score-chart.Several risk factors for development of profound or recurrent shock among children presenting with DSS were identified. The score-chart derived from the prognostic models should improve triage and management of children presenting with DSS in dengue-endemic areas.

  4. The Psychometric Properties of the Voice Handicap Index in People With Parkinson's Disease.

    Science.gov (United States)

    Guimaraes, I; Cardoso, R; Pinto, S; Ferreira, J J

    2017-03-01

    Psychosocial impact of dysphonia in people with Parkinson disease (PD) has been described with the Voice Handicap Index (VHI); however, its psychometric properties when applied in this population are not described. The objective of this study was to examine the psychometric properties of the VHI in people with PD. A cross-sectional study of 151 subjects without cognitive impairment (90 people with PD and 61 controls) was carried out. The VHI was applied along with clinician-based (Mini Mental State Examination, Hoehn and Yahr staging, and Movement Disorder Society-Unified Parkinson's Disease Rating Scale) and patient-based (self-rated voice severity) outcome measures. The psychometric properties of the VHI analyzed were the feasibility, reliability, and construct validity. The average age of the PD population studied was 67 years; 51% had a primary level of education and 81% were retired. On average, they had disease onset duration of 11 years, a mild disease stage, mild to moderate global motor disability and impairment, and a normal to mild self-rated voice severity. The psychometric attributes of the VHI demonstrated that the questionnaire is feasible (missing data less than 1%), reliable (Cronbach α > 0.9), and valid (71.5% of the total variance is explained by five factors, correlates with voice severity, PD disability, and impairment, and differentiates subjects with PD from subjects without PD). The VHI is a reliable and valid tool that can be recommended for the population under study although further work is required to investigate its utility in advanced stages of disease. Copyright © 2017 The Voice Foundation. Published by Elsevier Inc. All rights reserved.

  5. Consequences of self-handicapping: effects on coping, academic performance, and adjustment.

    Science.gov (United States)

    Zuckerman, M; Kieffer, S C; Knee, C R

    1998-06-01

    Self-handicappers erect impediments to performance to protect their self-esteem. The impediments may interfere with the ability to do well and, as such, may result in poor adjustment. Using a longitudinal design, the present studies examined prospective effects of self-handicapping on coping, academic performance, and several adjustment-related variables (e.g., self-esteem). It was found that, compared to low self-handicappers, high self-handicappers reported higher usage of coping strategies implying withdrawal and negative focus. High self-handicappers performed less well academically, an effect that was mediated in part by poor study habits. Finally, high self-handicapping resulted in poorer adjustment over time, and poorer adjustment resulted in higher self-handicapping over time. These relations are consistent with the idea of a vicious cycle in which self-handicapping and poor adjustment reinforce one another.

  6. GENDER DIFFERENCES IN SELF-HANDICAPPING: REGARDLESS OF ACADEMIC OR SOCIAL COMPETENCE IMPLICATIONS

    National Research Council Canada - National Science Library

    Dietrich, Dorothee

    1995-01-01

    Research fairly consistently shows that men self-handicap more than women. This study investigated whether this gender difference depends on the particular domain of the task in which the women and men engage...

  7. Validity of hearing impairment calculation methods for prediction of self-reported hearing handicap

    National Research Council Canada - National Science Library

    Andrew B John; Brian M Kreisman; Stephen Pallett

    2012-01-01

    .... The present study evaluated the ability of various arithmetic hearing impairment calculations to predict a self-reported hearing handicap in a sample of presenting with sensorineural hearing loss. 204 adults (127 male, 77 female...

  8. DETERMINANTS OF SELF-HANDICAPPING STRATEGIES IN SPORT AND THEIR EFFECTS ON ATHLETIC PERFORMANCE

    National Research Council Canada - National Science Library

    Coudevylle, Guillaume R; Ginis, Kathleen A. Martin; Famose, Jean-Pierre

    2008-01-01

    The purpose of this study was to examine self-efficacy and self-esteem as predictors of claimed and behavioral self-handicapping, and to compare the relationship between behavioral and claimed self...

  9. Revision of the ICIDH: mental health aspects. WHO/MNH Disability Working Group.

    Science.gov (United States)

    Ustün, T B; Cooper, J E; van Duuren-Kristen, S; Kennedy, C; Hendershot, G; Sartorius, N

    1995-01-01

    This article reviews the key issues arising in the revision of the International Classification of Impairments, Disabilities, and Handicaps (ICIDH) from a mental health perspective, and describes the work of the Disability Working Group of the WHO's Division of Mental Health. The ICIDH, which describes the consequences of disorders at three levels as impairments, disabilities, and handicaps, is generally applicable and useful for mental health purposes. While some impairments are mainly a consequence of 'mental' disorders (e.g. cognitive impairment), there should be no differences between mental and physical disorders in the classification scheme, to avoid a dichotomy between mind and body. There is also a need to improve the ways in which interference with the performance of social roles is described, since this is often the most obvious consequence of mental disorders. This article presents the potentials of the ICIDH in the field of mental health, and gives recommendations for the development of the revision process of the ICIDH. To stimulate the process of producing a 'common language' in the ICIDH related to mental health issues, former and potential users of the ICIDH are invited to give comments and suggestions.

  10. Doing Mental?

    Science.gov (United States)

    Hobbs, Sandy; And Others

    1980-01-01

    "Mental work" recorded in primary mathematics classes as part of the Classroom Interaction Process is not a simple, single activity of drill or quiz but a set of overlapping activities with different functions. A more analytical approach to mental work is advocated to enhance its usefulness as a classroom activity. (Author/SJL)

  11. INFORMATION AND COMMUNICATIONS TECHNOLOGIES – THE WAY OF SOCIALIZATION OF PEOPLE WITH PROFOUND VISUAL IMPAIRMENTS

    Directory of Open Access Journals (Sweden)

    Serhii I. Netosov

    2015-03-01

    Full Text Available The article analyzes the software and hardware, that give people with profound visual impairments the opportunity to work on the computer. Attention is drawn to the Braille printers, relief-dot displays, voice synthesizers, scanners that can read, adaptation and correction programs and so on. It is emphasized that ICT for the blind is a factor of their inclusion in the life as the subjects of action. For solving this problem people with profound visual impairments need systemic help of the state and civil society in getting programs and equipment, because they are high-tech, and therefore expensive. It is important to spread the information about the activity of the centers of tiflo-computerization, to organize the laboratories of correction and socialization of people with profound visual impairments, to provide the training of the specialists.

  12. Music communication, projection and analogy of handicapped children in music therapy

    OpenAIRE

    Lipský, Matěj

    2015-01-01

    /Abstract Music Communication, Projection and Analogy of Handicapped Children in Music Therapy Presented work takes an interest in music contents produced by handicapped children attending music therapy sessions. The contents of music were gained from the children by the method of improvisation, particularly by "concert technique". In the theoretical part we present philosophical background for the music therapy in a field of special education and research. This background thought we have fou...

  13. Motivation and future temporal orientation: a test of the self-handicapping hypothesis.

    Science.gov (United States)

    Lennings, C J

    1999-06-01

    Self-handicapping motivation refers to the likelihood a person will project personal ambition into the future, make a pessimistic judgement, and then mobilise effort in the present to avoid an anticipated negative outcome. It should, therefore, be a correlate of future time perspective. This study showed for a sample of 120 first-year students that, whilst future time perspective did strongly predict scores on a measure of self-handicapping motivation, neither variable was a useful predictor of outcome.

  14. Self-handicapping in school physical education: The influence of the motivational climate.

    Science.gov (United States)

    Standage, Martyn; Treasure, Darren C; Hooper, Katherine; Kuczka, Kendy

    2007-03-01

    Self-handicapping is an attribution-related process whereby individuals create performance impediments/excuses to protect self-worth in socially evaluative environments. Thus, the prevailing motivational climate would appear to be an important factor when attempting to understand the situational self-handicapping process within school physical education. Drawing from achievement goal theory, the study examined the effect of experimentally induced conditions (viz. task vs. ego) on situational self-handicapping. Seventy British secondary school students (36 females and 34 males; M age = 11.98; SD=0.31). Participants were randomly assigned to partake in a running endurance task in either an ego-involving (20 male students and 16 female students) or a task-involving (14 male students and 20 female students) condition. Prior to completing the experimental task, participants were given the opportunity to claim situational self-handicaps. Data for goal orientations, subjective climate perceptions, perceived ability and perceived task importance were also obtained. After determining the effectiveness of the experimental manipulation, results revealed participants in the ego-involving condition to report significantly more situational self-handicapping claims. Further, and after controlling for individual difference variables, the results of moderated hierarchical regression analysis revealed subjective perceptions of an ego-involving climate to be the main positive predictor of situational self-handicapping. Although a weaker contributor to the percentage of variance explained, task orientation emerged as a negative predictor of situational self-handicapping. The findings suggest that PE teachers would be prudent to minimize ego-involving situations should they wish to reduce situational self-handicapping.

  15. The attitude of the Tsonga community towards the cerebral palsied and the orthopaedically handicapped child

    OpenAIRE

    2014-01-01

    M.Ed. Chapter One constitutes the heart of this study which entails the statement of the problem, prevailing attitudes and beliefs in the Tsonga community, attitudes and feelings of parents whose children are handicapped. This chapter also gives the aim, delimitation, method and plan of the study. Chapter Two elucidates what cerebral palsy and orthopaedic handicap are. It is a thought provoking and interesting chapter since it gives definitions, occurrence and causes of cerebral palsy and ...

  16. Psychological Handicap or the Difficulty of the Social Integration of the Highly Visually-impaired

    OpenAIRE

    Berenreiter, David

    2007-01-01

    The purpose of this thesis was to describe an area of the social integration of visual impaired and blind people in the intact society. It investigates some of areas of life of people with visual disability, acceptance of them in intact society and creation of the positions to people with visual handicap. The first part brings the characterization of the personality of people with visual handicap, their adult age, parenhood and and problems of their employment. The second part deals with anat...

  17. Hearing handicap predicts the development of depressive symptoms after 3 years in older community-dwelling Japanese.

    Science.gov (United States)

    Saito, Hideyuki; Nishiwaki, Yuji; Michikawa, Takehiro; Kikuchi, Yuriko; Mizutari, Kunio; Takebayashi, Toru; Ogawa, Kaoru

    2010-01-01

    To examine the association between hearing handicap and depressive symptoms in older community-dwelling Japanese. Community-based cohort study. Kurabuchi Town, Gunma Prefecture, Japan. Five hundred eighty residents (261 men, 319 women) aged 65 and older without depressive symptoms. In a baseline examination performed in 2005/06, participants answered the 10-item screening version of the Hearing Handicap Inventory for Elderly (HHIE-S). They were divided into two groups according to their scores: a group with no hearing handicap (HHIE-S scores of handicap group (HHIE-S scores of > or =10). The Geriatric Depression Scale was used to identify depressive symptoms in face-to-face home visit interviews conducted in 2008, and the association between hearing handicap and depressive symptoms was assessed using logistic regression. The incidence of depressive symptoms was 19.6% in the group with a hearing handicap and 8.0% in the group without a hearing handicap. When compared with the subjects without hearing handicap, subjects with a hearing handicap had a multiadjusted odds ratio of depressive symptoms of 2.45 (95% confidence interval=1.26-4.77). The association remained significant even when hearing impairment measured with pure-tone audiometry was added to the multiadjusted model. A hearing handicap can predict future depressive symptoms in older community-dwelling people.

  18. Exploratory factor analysis of the Dizziness Handicap Inventory (German version)

    Science.gov (United States)

    2010-01-01

    Background The Dizziness Handicap Inventory (DHI) is a validated, self-report questionnaire which is widely used as an outcome measure. Previous studies supported the multidimensionality of the DHI, but not the original subscale structure. The objectives of this survey were to explore the dimensions of the Dizziness Handicap Inventory - German version, and to investigate the associations of the retained factors with items assessing functional disability and the Hospital Anxiety and Depression Scale (HADS). Secondly we aimed to explore the retained factors according to the International Classification of Functioning, Disability and Health (ICF). Methods Patients were recruited from a tertiary centre for vertigo, dizziness or balance disorders. They filled in two questionnaires: (1) The DHI assesses precipitating physical factors associated with dizziness/unsteadiness and functional/emotional consequences of symptoms. (2) The HADS assesses non-somatic symptoms of anxiety and depression. In addition, patients answered the third question of the University of California Los Angeles-Dizziness Questionnaire which covers the impact of dizziness and unsteadiness on everyday activities. Principal component analysis (PCA) was performed to explore the dimensions of the DHI. Associations were estimated by Spearman correlation coefficients. Results One hundred ninety-four patients with dizziness or unsteadiness associated with a vestibular disorder, mean age (standard deviation) of 50.6 (13.6) years, participated. Based on eigenvalues greater one respectively the scree plot we analysed diverse factor solutions. The 3-factor solution seems to be reliable, clinically relevant and can partly be explained with the ICF. It explains 49.2% of the variance. Factor 1 comprises the effect of dizziness and unsteadiness on emotion and participation, factor 2 informs about specific activities or effort provoking dizziness and unsteadiness, and factor 3 focuses on self-perceived walking

  19. Minimal Important Difference in Voice Handicap Index-10.

    Science.gov (United States)

    Misono, Stephanie; Yueh, Bevan; Stockness, Ali N; House, Meaghan E; Marmor, Schelomo

    2017-09-28

    The minimal important difference (MID) on patient-reported outcome measures can indicate how much of a change on that scale is meaningful. To use an anchor-based approach to estimate MID in the Voice Handicap Index-10 (VHI-10) total score. In this cohort study, a volunteer sample of adult patients visiting the voice clinic at the University of Minnesota from April 7, 2013, through July 3, 2016, completed the VHI-10 (range, 0-40, with higher scores indicating greater voice-related handicap) at baseline and 2 weeks later in conjunction with a global rating of change. An anchor-based approach was used to identify an MID. The association between the global change score and change in VHI-10 score was analyzed using Pearson rank correlation. A distribution-based method was used to corroborate the findings. Global rating of change on the VHI-10. Of the 273 participants, 183 (67.0%) were women and 90 (33.0%) were men (mean [SD] age, 54.3 [15.6] years); 259 (94.9%) were white. Participants had a variety of voice disorders, most commonly muscle tension dysphonia, irritable larynx, benign vocal fold lesions, and motion abnormalities. Among patients reporting no change on the global change score, the mean (SD) change in VHI-10 score was 1 (5). Among those reporting a small change, the mean (SD) change in VHI-10 was also 1 (5). Among those reporting a moderate change in voice symptoms, the mean (SD) change in VHI-10 score was 6 (8). Among those with a large change, the mean (SD) change in VHI-10 score was 9 (13). The correlation between the global change score and the change in VHI-10 score was 0.32 (95% CI, 0.12-0.49). Distribution-based analyses identified effect sizes comparable to those of the anchor-based categories. These findings suggest that a difference of 6 on the VHI-10 may represent an MID. This difference was associated with a moderate change on the global rating scale, and the small-change and no-change categories were indistinguishable. Given the lack of

  20. Exploratory factor analysis of the Dizziness Handicap Inventory (German version

    Directory of Open Access Journals (Sweden)

    de Bruin Eling D

    2010-03-01

    Full Text Available Abstract Background The Dizziness Handicap Inventory (DHI is a validated, self-report questionnaire which is widely used as an outcome measure. Previous studies supported the multidimensionality of the DHI, but not the original subscale structure. The objectives of this survey were to explore the dimensions of the Dizziness Handicap Inventory - German version, and to investigate the associations of the retained factors with items assessing functional disability and the Hospital Anxiety and Depression Scale (HADS. Secondly we aimed to explore the retained factors according to the International Classification of Functioning, Disability and Health (ICF. Methods Patients were recruited from a tertiary centre for vertigo, dizziness or balance disorders. They filled in two questionnaires: (1 The DHI assesses precipitating physical factors associated with dizziness/unsteadiness and functional/emotional consequences of symptoms. (2 The HADS assesses non-somatic symptoms of anxiety and depression. In addition, patients answered the third question of the University of California Los Angeles-Dizziness Questionnaire which covers the impact of dizziness and unsteadiness on everyday activities. Principal component analysis (PCA was performed to explore the dimensions of the DHI. Associations were estimated by Spearman correlation coefficients. Results One hundred ninety-four patients with dizziness or unsteadiness associated with a vestibular disorder, mean age (standard deviation of 50.6 (13.6 years, participated. Based on eigenvalues greater one respectively the scree plot we analysed diverse factor solutions. The 3-factor solution seems to be reliable, clinically relevant and can partly be explained with the ICF. It explains 49.2% of the variance. Factor 1 comprises the effect of dizziness and unsteadiness on emotion and participation, factor 2 informs about specific activities or effort provoking dizziness and unsteadiness, and factor 3 focuses on self

  1. Comparison of Voice Handicap Index Scores Between Female Students of Speech Therapy and Other Health Professions.

    Science.gov (United States)

    Tafiadis, Dionysios; Chronopoulos, Spyridon K; Siafaka, Vassiliki; Drosos, Konstantinos; Kosma, Evangelia I; Toki, Eugenia I; Ziavra, Nausica

    2017-09-01

    Students' groups (eg, teachers, speech language pathologists) are presumably at risk of developing a voice disorder due to misuse of their voice, which will affect their way of living. Multidisciplinary voice assessment of student populations is currently spread widely along with the use of self-reported questionnaires. This study compared the Voice Handicap Index domains and item scores between female students of speech and language therapy and of other health professions in Greece. We also examined the probability of speech language therapy students developing any vocal symptom. Two hundred female non-dysphonic students (aged 18-31) were recruited. Participants answered the Voice Evaluation Form and the Greek adaptation of the Voice Handicap Index. Significant differences were observed between the two groups (students of speech therapy and other health professions) through Voice Handicap Index (total score, functional and physical domains), excluding the emotional domain. Furthermore, significant differences for specific Voice Handicap Index items, between subgroups, were observed. In conclusion, speech language therapy students had higher Voice Handicap Index scores, which probably could be an indicator for avoiding profession-related dysphonia at a later stage. Also, Voice Handicap Index could be at a first glance an assessment tool for the recognition of potential voice disorder development in students. In turn, the results could be used for indirect therapy approaches, such as providing methods for maintaining vocal health in different student populations. Copyright © 2017 The Voice Foundation. Published by Elsevier Inc. All rights reserved.

  2. Handicap og beskæftigelse: Udviklingen mellem 2002 og 2008

    DEFF Research Database (Denmark)

    Larsen, Brian; Høgelund, Jan

    I 2004 lancerede regeringen en beskæftigelsesstrategi for personer med handicap. Målet med strategien var ved hjælp af forskellige oplysende og holdningsbearbejdende tiltag at få flere personer med handicap ind på arbejdsmarkedet. Denne rapport kortlægger beskæftigelsesudviklingen for personer med...... et handicap eller længerevarende helbredsproblem og undersøger, om kendskabet til forskellige beskæftigelsesrettede ordninger er blevet større, og om holdningen til at arbejde sammen med personer med handicap har ændret sig. Undersøgelsen viser blandt andet, at flere personer med handicap er kommet i...... beskæftigelse siden strategien trådte i kraft. Kendskabet til ordningen om fortrinsadgang til en jobsamtale er blevet større blandt personer med handicap, mens kendskabet til muligheden for fleksjob og for at få en personlig assistent er den samme. Undersøgelsen er finansieret af Arbejdsmarkedsstyrelsen. Den...

  3. Audiovestibular Handicap and Quality of Life in Patients With Vestibular Schwannoma and "Excellent" Hearing.

    Science.gov (United States)

    Tveiten, Oystein Vesterli; Carlson, Matthew L; Link, Michael J; Lund-Johansen, Morten

    2017-03-01

    Studies examining patient-reported outcomes in subjects with vestibular schwannoma (VS) and "excellent" hearing are lacking. To assess patient-reported audiovestibular handicap and overall quality of life (QoL) in VS patients with class A hearing in both ears. Among 539 VS patients treated during 1998 to 2008, we identified 296 patients with either bilateral class A (AA) hearing or 1 good ear and 1 deaf ear (AD) according to the American Academy of Otolaryngology-Head and Neck Surgery classification. Patients responded to validated hearing, tinnitus, and dizziness handicap inventories and 2 QoL questionnaires, and the 2 groups were compared. A reference group of 103 adults filled out the same questionnaires. Forty-nine patients (16.6%) had class AA and 247 patients (83.4%) had class AD hearing. AA patients scored poorer than control subjects without tumor on all handicap questionnaires ( P handicap. Patients with VS and bilateral class A hearing report significantly poorer hearing handicap than control subjects without tumor but better hearing than those with unilateral deafness. When patients with bilateral class A hearing are counseled, it should be noted that one-third of patients experience self-perceived hearing handicap.

  4. Family influences on the cognitive development of profoundly deaf children: exploring the effects of socioeconomic status and siblings.

    Science.gov (United States)

    Macaulay, Catrin E; Ford, Ruth M

    2013-10-01

    We evaluated the cognitive development of 48 profoundly deaf children from hearing families (born 1994-2002, mean age M = 8.0 years at time of test, none of whom had received early auditory-verbal therapy) as a function of family socioeconomic status and number of siblings. Overall, the deaf children matched a younger group of 47 hearing controls (M = 4.6 years) on verbal ability, theory of mind, and cognitive inhibition. Partial correlations (controlling for age) revealed positive relations in the hearing group between maternal education and inhibition, between number of younger siblings and references to emotions, and between number of close-in-age siblings and references to desires and false beliefs. In the deaf group, there were positive relations between household income and memory span, between maternal education and references to false beliefs, and between number of younger siblings and nonverbal ability. In contrast, deaf children with a greater number of older siblings aged ≤12 years showed inferior memory span, inhibition, belief understanding, picture-sequencing accuracy, and mental-state language, suggesting that they failed to compete successfully with older siblings for their parents' attention and material resources. We consider the implications of the findings for understanding birth-order effects on deaf and language-impaired children.

  5. Antiepileptic Drug Status in Adult Outpatients with Mental Retardation.

    Science.gov (United States)

    Singh, Baldev K.; Towle, Patricia O.

    1993-01-01

    Review of the charts of 100 patients with mental retardation and epilepsy revealed that 60 patients were taking 1 antiepileptic drug and 40 were taking 2 or 3 drugs. Most subjects had generalized tonic-clonic seizures, but individuals with profound retardation had relatively more mixed seizures. (Author/JDD)

  6. Looking at hospitalized persons throughout the prism of the handicap.

    Science.gov (United States)

    Giral, M; Boussat, B; Lombard, F; Stempfle, S; François, P; Pérennou, D

    2018-01-01

    To describe the disability status of non-selected hospitalized persons. We conducted a cross-sectional survey to assess activity limitations of every person older than 18 years hospitalized in a regional university hospital covering all medical fields. Evaluators rated, on a scale from 0 to 4, 22 selected items of the International Classification of Functioning (ICF), covering the 6 following domains: learning and applying knowledge, general tasks and demands, communication, mobility, self-care, and interpersonal interactions and relationships. Univariate and multivariate analyses were performed to analyze the prevalence, severity and profile of the handicap in terms of sociodemographic characteristics and care pathways. Among 1572 eligible persons, 1267 (81%) were surveyed (mean age 62.7±20.4years; 655 males [51.7%]). Overall, 82% showed at least one activity limitation. For 52%, disability was severe or total for at least one ICF item. Prevalence of disabilities was higher for mobility (75%) and self-care domains (63%). Disability was strongly related to age: age older than 80years versus 18 to 44years (OR=12.8 95% CI 6.4-27.9]; PHandicap was common in hospitalized persons, involving all 6 tested ICF activity domains, particularly mobility and self-care. This study alerts care givers, hospital administrators, and in general, people influencing health policies about the need to plan actions to reduce activity limitations of hospitalized persons, whatever the cause of the hospitalization. Copyright © 2017 Elsevier Masson SAS. All rights reserved.

  7. Validation of the Lithuanian Version of the Speech Handicap Index.

    Science.gov (United States)

    Pribuisiene, Ruta; Liutkevicius, Vykintas; Pribuisis, Kipras; Uloza, Virgilijus

    2017-05-29

    The objective is to study the cultural adaptation and validation of the Speech Handicap Index (SHI) questionnaire to the Lithuanian language. Cultural adaptation and validation of the translated Lithuanian version of the SHI (SHI-LT) was performed as described by the Scientific Advisory Committee of the Medical Outcomes Trust. The SHI-LT was completed by 46 patients after total laryngectomy and by 60 healthy subjects of the control group. Validity and reliability of the SHI-LT were evaluated. The SHI-LT showed a statistically significant high internal consistency and test-retest reliability (Cronbach's α = 0.96-0.98). Good validity of SHI-LT was reflected by statistically significant (P  0.05). Receiver operating characteristic test indicated that SHI-LT scores exceeding 17.0 points (cutoff value) distinguish patients from healthy controls, with a sensitivity of 97.8% and specificity of 95.0%. SHI-LT is considered to be a valid and reliable speech assessment tool for Lithuanian-speaking patients after laryngectomy. Copyright © 2017 The Voice Foundation. Published by Elsevier Inc. All rights reserved.

  8. Adaptation of the Arabic Version of the Tinnitus Handicap Inventory.

    Science.gov (United States)

    Barake, Rana; Rizk, Samer Abou; Ziade, Georges; Zaytoun, George; Bassim, Marc

    2016-03-01

    To translate the Tinnitus Handicap Inventory (THI) into literary Arabic to come up with a unified Arabic version and to determine its validity and reliability in assessing the quality of life of Arabic-speaking patients with tinnitus. Clinical measurement study. Tertiary care center. The original English THI was translated into literary Arabic by a forward- and back-translation process according to the published guidelines for cross-cultural adaptation of health-related quality-of-life measures and applied to 100 patients with chronic tinnitus. Internal consistency reliability was then assessed by calculating Cronbach's alpha coefficient. Pearson correlation coefficients were also calculated for the different scales and the different baseline characteristics. Results showed high internal consistency and reliability coefficients (total THI: 0.93, functional subscale: 0.86, emotional subscale: 0.86, catastrophic subscale: 0.66) comparable to those of the original English THI. The Arabic version of the THI is a valid and reliable tool for the assessment of the impact of tinnitus on the quality of life of Arabic-speaking patients with the complaint of chronic tinnitus. © American Academy of Otolaryngology—Head and Neck Surgery Foundation 2015.

  9. Objective voice parameters and self-perceived handicap in dysphonia.

    Science.gov (United States)

    Hummel, Christina; Scharf, Manuela; Schuetzenberger, Anne; Graessel, Elmar; Rosanowski, Frank

    2010-01-01

    This study focuses on the relation between objective voice quality and the self-perception of a voice handicap. The study group consisted of 86 German-speaking patients (51 women, 35 men) suffering from benign dysphonia. The test persons completed the German version of the Voice-Related Quality of Life (V-RQOL) Questionnaire without prior information about their diagnosis and underwent voice analysis with the Dysphonia Severity Index (DSI) being the parameter of this study. No correlation between V-RQOL and DSI could be found (p>0.05). On the V-RQOL, women scored worse than men, but not at a significant level. Patients with dysphonia of organic origin scored significantly worse than patients with functional dysphonia (p=0.026). On the DSI, men's values were significantly lower than women's (p=0.001). Organic dysphonia caused significantly lower DSI values than functional dysphonia (p=0.011). Objective voice quality and the individual perception of voice quality by the patient are independent parameters. Both need to be assessed in clinical practice. Copyright © 2010 S. Karger AG, Basel.

  10. Hungarian adaptation of the Tinnitus Handicap Inventory: reliability and validity.

    Science.gov (United States)

    Bencsik, Beata; Tamás, László; Trimmel, Krisztina; Stauder, Adrienne

    2015-09-01

    The objective of this study was to determine the reliability and validity of the Hungarian version of the original Tinnitus Handicap Inventory (THI). In the study design the original THI (THI-US) was translated into Hungarian by three independent investigators. The final Hungarian version (THI-HUN) was constructed on the basis of these Hungarian interpretations and then administered to 72 patients suffering from chronic tinnitus. Construct validity was assessed using short version of Beck's Depression Inventory (BDI), Perceived Stress Scale (PSS4 version), Visual Analogue Scale (VAS) (loudness, annoyance and pitch of tinnitus), pure tone audiometry and tinnitometry. The 72 participants were 43 women and 29 men. Their mean age was 49.86 years with a mean tinnitus duration of 4.16 years. In the results THI-HUN and its subscales showed good internal consistency reliabilities (α = 0.95-0.74), with significant correlation between THI-HUN total score and subscales and the BDI, PSS4 and VAS annoyance. There was a high or moderate correlation between THI-HUN total score and VAS loudness, tinnitus duration, hearing loss and subjective perception of tinnitus loudness. The VAS pitch of tinnitus, the subjective perception of tinnitus pitch, age, gender and level of education did not show any correlation with THI-HUN total score. The test-retest reliability was high (r = 0.97). We conclude that a valid and reliable THI-HUN questionnaire was constructed.

  11. Wireless hydrotherapy smart suit for monitoring handicapped people

    Science.gov (United States)

    Correia, Jose H.; Mendes, Paulo M.

    2005-02-01

    This paper presents a smart suit, water impermeable, containing sensors and electronics for monitoring handicapped people at hydrotherapy sessions in swimming-pools. For integration into textiles, electronic components should be designed in a functional, robust and inexpensive way. Therefore, small-size electronics microsystems are a promising approach. The smart suit allows the monitoring of individual biometric data, such as heart rate, temperature and movement of the body. Two solutions for transmitting the data wirelessly are presented: through a low-voltage (3.0 V), low-power, CMOS RF IC (1.6 mm x 1.5 mm size dimensions) operating at 433 MHz, with ASK modulation and a patch antenna built on lossy substrates compatible with integrated circuits fabrication. Two different substrates were used for antenna implementation: high-resistivity silicon (HRS) and Corning Pyrex #7740 glass. The antenna prototypes were built to operate close to the 5 GHz ISM band. They operate at a center frequency of 5.705 GHz (HRS) and 5.995 GHz (Pyrex). The studied parameters were: substrate thickness, substrate losses, oxide thickness, metal conductivity and thickness. The antenna on HRS uses an area of 8 mm2, providing a 90 MHz bandwidth and ~0.3 dBi of gain. On a glass substrate, the antenna uses 12 mm2, provides 100 MHz bandwidth and ~3 dBi of gain.

  12. Profound Endothelial Damage Predicts Impending Organ Failure and Death in Sepsis

    DEFF Research Database (Denmark)

    Johansen, Maria E; Johansson, Pär I.; Ostrowski, Sisse R

    2015-01-01

    Endothelial damage contributes to organ failure and mortality in sepsis, but the extent of the contribution remains poorly quantified. Here, we examine the association between biomarkers of superficial and profound endothelial damage (syndecan-1 and soluble thrombomodulin [sTM], respectively), or...

  13. Visual impairments in people with severe and profound multiple disabilities: An inventory of visual functioning

    NARCIS (Netherlands)

    van den Broek, E.G.C.; Janssen, C.G.C.; van Ramshorst, T.; Deen, L.

    2006-01-01

    Background: The prevalence of visual impairments in people with severe and profound multiple disabilities (SPMD) is the subject of considerable debate and is difficult to assess. Methods: In a typical Dutch care organization, all clients with SPMD (n = 76) participated in the study and specific

  14. The Relationship between Communication Problems and Psychological Difficulties in Persons with Profound Acquired Hearing Loss.

    Science.gov (United States)

    Knutson, John F.; Lansing, Charissa R.

    1990-01-01

    Twenty-seven adults with postlingually acquired profound deafness were administered the Communication Profile for the Hearing Impaired and several tests of psychological functioning and adjustment. Inadequate communication strategies and poor accommodations to deafness were associated with depression, social introversion, loneliness, and social…

  15. The Role of Sound in Residential Facilities for People With Profound Intellectual and Multiple Disabilities

    NARCIS (Netherlands)

    van den Bosch, Kirsten A.; Andringa, Tjeerd C.; Baskent, Deniz; Vlaskamp, Carla

    2016-01-01

    Attention to the auditory environment of people with profound intellectual and multiple disabilities (PIMD) is limited, both in research and practice. As there is a dynamic interplay between the quality of the auditory environment and well-being, a study was undertaken to test the validity of the

  16. Staff interactive style during multisensory storytelling with persons with profound intellectual and multiple disabilities

    NARCIS (Netherlands)

    Penne, A.; ten Brug, A.; Munde, V.; van der Putten, A.; Vlaskamp, C.; Maes, B.

    Background Multisensory storytelling (MSST) is an individualised activity for people with profound intellectual and multiple disabilities (PIMD) in which a story is being told with an emphasis on sensory experiences and social interaction. MSST is a promising approach, but needs more empirical

  17. Staff Interactive Style during Multisensory Storytelling with Persons with Profound Intellectual and Multiple Disabilities

    Science.gov (United States)

    Penne, A.; ten Brug, A.; Munde, V.; van der Putten, A.; Vlaskamp, C.; Maes, B.

    2012-01-01

    Background: Multisensory storytelling (MSST) is an individualised activity for people with profound intellectual and multiple disabilities (PIMD) in which a story is being told with an emphasis on sensory experiences and social interaction. MSST is a promising approach, but needs more empirical research evidence. In general, there is a lack of…

  18. The Curriculum for Children with Severe and Profound Learning Difficulties at Stephen Hawking School

    Science.gov (United States)

    Rayner, Matthew

    2011-01-01

    The increasing number of children with profound and multiple learning difficulties means that many schools for children with severe learning difficulties are having to review the curriculum that they offer. In addition, these schools are continuing to question whether a subject-based approach, in line with the National Curriculum, is the most…

  19. The Influence of Phonological Mechanisms in Written Spelling of Profoundly Deaf Children

    Science.gov (United States)

    Colombo, Lucia; Arfe, Barbara; Bronte, Tiziana

    2012-01-01

    In the present study, the effect of phonological and working memory mechanisms involved in spelling Italian single words was explored in two groups of children matched for grade level: a group of normally hearing children and a group of pre-verbally deaf children, with severe-to-profound hearing loss. Three-syllable and four-syllable familiar…

  20. The role of attention in the affective life of people with severe or profound intellectual disabilities

    NARCIS (Netherlands)

    Vos, Pieter; De Cock, Paul; Munde, Vera; Neerinckx, Heleen; Petry, Katja; Van den Noortgate, Wim; Maes, Bea

    Although it is shown that attention plays an important role both in the onset and in the regulation of emotions in people without disabilities there is no information about how attention is related to emotions in people with severe or profound intellectual disability (ID). Therefore, in our study,

  1. The impact of medical conditions on the support of children with profound intellectual and multiple disabilities

    NARCIS (Netherlands)

    Zijlstra, HP; Vlaskamp, C

    Background The aim of this study was to analyse the impact of medical conditions of children with profound intellectual and multiple disabilities on the professional support they receive in centres for special education. Method The medical files, the daily records and daily communication records

  2. Assessing the Efficacy of an Academic Hearing Peer Tutor for a Profoundly Deaf Student.

    Science.gov (United States)

    Burley, Suzanne; And Others

    1994-01-01

    Evaluation of using a hearing peer tutor to provide daily 20-minute math instruction for a profoundly deaf sixth-grade girl indicated that the peer tutoring intervention was highly successful, with the tutee meeting accuracy criteria for each of 4 curriculum objectives after only a brief period of intervention. (Author/DB)

  3. Profoundly Gifted Girls and Autism Spectrum Disorder: A Psychometric Case Study Comparison

    Science.gov (United States)

    Assouline, Susan G.; Nicpon, Megan Foley; Doobay, Alissa

    2009-01-01

    A case study of the psychometric characteristics of two profoundly gifted girls, one with autism spectrum disorder (ASD) and the other without ASD, is used to describe the nuances and subtleties most relevant in understanding the relationship between extreme giftedness and social difficulties. Through the presentation of the results from…

  4. What parents find important in the support of a child with profound intellectual and multiple disabilities

    NARCIS (Netherlands)

    Jansen, S. L. G.; van der Putten, A. A. J.; Vlaskamp, C.

    Background The importance of a partnership between parents and professionals in the support of children with disabilities is widely acknowledged and is one of the key elements of family-centred care'. To what extent family-centred principles are also applied to the support of persons with profound

  5. Motor interventions in children with severe or profound intellectual disabilities: motor, cognitive and social effects

    NARCIS (Netherlands)

    Houwen, Suzanne; van der Putten, Annette; Vlaskamp, Carla

    2014-01-01

    Background: It is generally agreed that motor activity promotes motor, cognitive, and social development, but the specific benefits in children with severe or profound intellectual disabilities (S-PID) are as yet unknown. The aim of this study was to systematically review the evidence related to

  6. Multisensory Narrative Tracking by a Profoundly Deaf Subject Using an Electrocutaneous Vocoder and a Vibrotactile Aid.

    Science.gov (United States)

    Lynch, Michael P.; And Others

    1989-01-01

    The study assessed the ability to track connected discourse by a congenitally profoundly deaf adult using an electrocutaneous vocoder and/or a vibrotactile aid in conjunction with or without lipreading and aided hearing. Overall, improvement in tracking performance occurred within and across phases of the study. (Author/DB)

  7. Investigating the Relationship between Observed Mood and Emotions in People with Severe and Profound Intellectual Disabilities

    Science.gov (United States)

    Vos, P.; De Cock, P.; Petry, K.; Van Den Noortgate, W.; Maes, B.

    2013-01-01

    Background: The measurement of subjective well-being in people with severe and profound intellectual disabilities (ID) is a difficult challenge. As they cannot self-report about their life satisfaction, because of severe communicative and cognitive limitations, behavioural observations of their emotions and moods are important in the measurement…

  8. Eptifibatide induced profound thrombocytopenia in a patient with pelvic malignancy: A case report

    OpenAIRE

    Squires, Kathryn C.; Guntupalli, Saketh R.; Thaker, Premal H.

    2012-01-01

    ► Eptifibatide is associated with profound thrombocytopenia and thrombosis secondary to a HITT-like mechanism associated with drug-dependant antibodies. ► Caution with eptifibatide use is needed in those pre-disposed to hypercoaguability, particularly those with an underlying malignancy.

  9. Peer Interactions among children with profound intellectual and multiple disabilities during group activities

    NARCIS (Netherlands)

    Nijs, Sara; Penne, Anneleen; Vlaskamp, Carla; Maes, Bea

    Background Children with profound intellectual and multiple disabilities (PIMD) meet other children with PIMD in day care centres or schools. This study explores the peer-directed behaviours of children with PIMD, the peer interaction-influencing behaviour of the direct support workers and the

  10. Profound hypotension after an intradermal injection of indigo carmine for sentinel node mapping.

    Science.gov (United States)

    Jo, Youn Yi; Lee, Mi Geum; Yun, Soon Young; Lee, Kyung Cheon

    2013-03-01

    Intradermal injections of indigo carmine for sentinel node mapping are considered safe and no report of an adverse reaction has been published. The authors described two cases of profound hypotension in women that underwent breast-conserving surgery after an intradermal injection of indigo carmine into the periareolar area for sentinel node mapping.

  11. Profound Hypotension after an Intradermal Injection of Indigo Carmine for Sentinel Node Mapping

    OpenAIRE

    Jo, Youn Yi; Lee, Mi Geum; Yun, Soon Young; Lee, Kyung Cheon

    2013-01-01

    Intradermal injections of indigo carmine for sentinel node mapping are considered safe and no report of an adverse reaction has been published. The authors described two cases of profound hypotension in women that underwent breast-conserving surgery after an intradermal injection of indigo carmine into the periareolar area for sentinel node mapping.

  12. Extent, Duration, and Content of Day Services' Activities for Persons with Profound Intellectual and Multiple Disabilities

    Science.gov (United States)

    Vlaskamp, Carla; Hiemstra, Saskia J.; Wiersma, Linda A.; Zijlstra, Bonne J. H.

    2007-01-01

    In the Netherlands, the Dutch government instituted policies that enable persons with profound intellectual and multiple disabilities (PIMD) to attend day services. Over the past 15 years, surveys have indicated a progressive increase in the number of hours that such adults spend at day activities centers. However, information about how these…

  13. Individual Focus in an Activity Centre: An Observational Study among Persons with Profound and Multiple Disabilities

    Science.gov (United States)

    Hiemstra, S. J.; Vlaskamp, C.; Wiersma, L. A.

    2007-01-01

    Increasing numbers of adults with profound intellectual and multiple disabilities (PIMD) are being offered more--and more frequent--day services at activity centres. Little is known about the way direct support persons (DSP) in activity centres divide their time over the various tasks they have to perform and to what extent they are focused on…

  14. Interaction between Persons with Profound Intellectual and Multiple Disabilities and Their Partners: A Literature Review

    Science.gov (United States)

    Hostyn, Ine; Maes, Bea

    2009-01-01

    Background: High quality interactions are of crucial importance for quality of life of persons with profound intellectual and multiple disabilities (PIMD). This literature review describes and synthesises studies addressing the interaction between persons with PIMD and their partners. Method: A computerised literature search using defined…

  15. A functionally focused curriculum for children with profound multiple disabilities : A goal analysis

    NARCIS (Netherlands)

    van der Putten, A; Reynders, K; Vlaskamp, C; Nakken, H

    Background This study analysed goals formulated in a functionally focused curriculum called Mobility Opportunities Via Education(TM) (MOVE). Method The subjects were 49 children with profound multiple disabilities (PMD) who attended a centre for special education where the MOVE curriculum was

  16. Heart rate and physical activity patterns in persons with profound intellectual and multiple disabilities

    NARCIS (Netherlands)

    Waninge, A.; Putten, A.A.J. van der; Stewart, R.E.; Steenbergen, B.; Wijck, R. van; Schans, C.P. van der

    2013-01-01

    Because physical fitness and health are related to physical activity, it is important to gain an insight into the physical activity levels of persons with profound intellectual and multiple disabilities (PIMD). The purpose of this study was to examine heart rate patterns to measure the activity

  17. Heart rate and physical activity patterns in persons with profound intellectual and multiple disabilities.

    NARCIS (Netherlands)

    Waninge, A.; Putten, A.A. van der; Stewart, R.E.; Steenbergen, B.; Wijck, R. van; Schans, C.P. van der

    2013-01-01

    Because physical fitness and health are related to physical activity, it is important to gain an insight into the physical activity levels of persons with profound intellectual and multiple disabilities (PIMD). The purpose of this study was to examine heart rate patterns to measure the activity

  18. The Effects of Governing Board Configuration on Profound Organizational Change in Hospitals

    Science.gov (United States)

    Alexander, Jeffrey A.; Ye, Yining; Lee, Shoou-Yih D.; Weiner, Bryan J.

    2006-01-01

    This study extends the literature on governing boards and organizational change by examining how governing board configurations have influenced profound organizational change in U.S. hospitals, and the conditions under which such change occurs. Hospitals governed by boards that more closely resembled a corporate governance model were more likely…

  19. HEART RATE AND PHYSICAL ACTIVITY PATTERNS IN PERSONS WITH PROFOUND INTELLECTUAL AND MULTIPLE DISABILITIES

    NARCIS (Netherlands)

    Waninge, Aly; van der Putten, Annette A. J.; Stewart, Roy E.; Steenbergen, Bert; van Wijck, Ruud; van der Schans, Cees P.

    2013-01-01

    Because physical fitness and health are related to physical activity, it is important to gain an insight into the physical activity levels of persons with profound intellectual and multiple disabilities (PIMD). The purpose of this study was to examine heart rate patterns to measure the activity

  20. Connections that Count: Brain-Computer Interface Enables the Profoundly Paralyzed to Communicate

    Science.gov (United States)

    ... a team of researchers in developing a brain-computer interface (BCI) system to help the profoundly paralyzed communicate. Dr. Wolpaw has received support from two NIH Institutes—NIBIB and the National Institute of Child Health and Human Development—and the James S. McDonnell Foundation. "For the ...

  1. Making Sense of Bereavement in People with Profound Intellectual and Multiple Disabilities: Carer Perspectives

    Science.gov (United States)

    Young, Hannah; Hogg, James; Garrard, Brenda

    2017-01-01

    Background: People with intellectual disabilities are thought to have a reduced capacity for understanding death. Drawing on cognitive theory, researchers have suggested that those with profound intellectual and multiple disabilities mainly perceive loss as a mismatch between past and present experiences. However, very little research has…

  2. Assessment of Computer-Based Preferences of Students with Profound Multiple Disabilities

    Science.gov (United States)

    Mechling, Linda C.; Bishop, Vanessa A.

    2011-01-01

    This article reports on two studies investigating the use of computer-based stimuli that may then be used to develop activities and programming for students with profound multiple disabilities (PMD). Both studies used an alternating treatments design and systematic assessment strategy to present stimuli sequentially and to measure student…

  3. Peer Interactions among Children with Profound Intellectual and Multiple Disabilities during Group Activities

    Science.gov (United States)

    Nijs, Sara; Penne, Anneleen; Vlaskamp, Carla; Maes, Bea

    2016-01-01

    Background: Children with profound intellectual and multiple disabilities (PIMD) meet other children with PIMD in day care centres or schools. This study explores the peer-directed behaviours of children with PIMD, the peer interaction-influencing behaviour of the direct support workers and the children's positioning. Method: Group activities for…

  4. The Structure of Informal Social Networks of Persons with Profound Intellectual and Multiple Disabilities

    Science.gov (United States)

    Kamstra, A.; van der Putten, A. A. J.; Vlaskamp, C.

    2015-01-01

    Background: Persons with less severe disabilities are able to express their needs and show initiatives in social contacts, persons with profound intellectual and multiple disabilities (PIMD), however, depend on others for this. This study analysed the structure of informal networks of persons with PIMD. Materials and Methods: Data concerning the…

  5. Social Peer Interactions in Persons with Profound Intellectual and Multiple Disabilities: A Literature Review

    Science.gov (United States)

    Nijs, Sara; Maes, Bea

    2014-01-01

    Social interactions may positively influence developmental and quality of life outcomes. Research in persons with profound intellectual and multiple disabilities (PIMD) mostly investigated interactions with caregivers. This literature review focuses on peer interactions of persons with PIMD. A computerized literature search of three databases was…

  6. What Is Mental Health?

    Science.gov (United States)

    ... Myths and Facts Recovery Is Possible What Is Mental Health? Mental health includes our emotional, psychological, and social ... mental health problems and where to find help . Mental Health and Wellness Positive mental health allows people to: ...

  7. The Canadian Human Rights Act. Physical Handicap and Employment = Loi canadienne sur les droits de la personne. Le handicap physique et l'emploi.

    Science.gov (United States)

    Canadian Human Rights Commission, Ottawa (Ontario).

    This booklet presents administrative criteria for implementation of the Canadian Human Rights Act to be used by the Canadian Human Rights Commission to evaluate employment decisions affecting physically handicapped individuals. They are of value to employers who need to know how the Commission will analyze employer arguments that they have not…

  8. Self-esteem, self-conscious emotions, resilience, trait anxiety and their relation to self-handicapping tendencies

    OpenAIRE

    Török, Lilla; Szabó, Zsolt Péter; Boda-Ujlaky, Judit

    2014-01-01

    Jones and Berglas (1978) define self-handicapping as any action or choice of performance setting that enhances the opportunity to externalize (or excuse) failure and to internalize (reasonably accept credit for) success (p. 406). The present study examined the role of potential precursors in the self-handicapping process. A total of 626 undergraduates from various Hungarian universities completed measures of dispositional self-handicapping, self-esteem, self-conscious emotions, trait anxiety,...

  9. Correlating voice handicap index and quantitative videostroboscopy following injection laryngoplasty for unilateral vocal paralysis.

    Science.gov (United States)

    Lau, David Pang Cheng; Zhang, Edward Zhiyong; Wong, Seng Mun; Lee, Gwyneth; Chan, Yiong Huak

    2010-08-01

    1) Determine the correlation between voice handicap index and quantitative videostroboscopy for patients undergoing injection laryngoplasty for unilateral vocal paralysis; 2) assess which videostroboscopy measurements correlate best with voice handicap index in patients demonstrating progressive improvement beyond six months following injection laryngoplasty. Case series with chart review. Patients undergoing outpatient injection laryngoplasty with hyaluronic acid between 2005 and 2007. Twenty-eight patients were assessed preoperatively and postoperatively using voice handicap index and videostroboscopy. Various videostroboscopy measurements were quantified: glottic open area (ratio of open to total glottic area during closed phase of phonation), glottic closed phase (frame ratio of closed phase to total glottic cycle), supraglottic compression (percent encroachment of supraglottis onto best-fit ellipse around glottis), wave amplitude (difference in glottic open area between open and closed phases), and wave duration (number of frames per glottic cycle). Correlation coefficients were calculated using Spearman's r. One hundred seventeen separate recordings were analyzed. Correlation coefficients between voice handicap index (normalized to preoperative values) and glottic closed phase showed moderate-strong correlation (r = -0.733, P handicap index improvement beyond six months showed highest correlation with supraglottic compression (r = 0.504, P handicap index correlates best with glottic closed phase, suggesting duration of vocal fold closure during the glottic cycle best represents patients' subjective outcome post-procedure. Progressive improvement in voice handicap index beyond six months may relate to gradual reduction in compensatory supraglottic compression, with moderate correlation. Copyright (c) 2010 American Academy of Otolaryngology-Head and Neck Surgery Foundation. Published by Mosby, Inc. All rights reserved.

  10. [Cross-cultural adaptation and validation of the Dizziness Handicap Inventory: Argentine version].

    Science.gov (United States)

    Caldara, Betina; Asenzo, Adriana I; Brusotti Paglia, Gabriela; Ferreri, Eliana; Gomez, Ramiro S; Laiz, Mariela M; Luques, María L; Mangoni, Ana P; Marazzi, Carla; Matesa, María A; Peker, Guillermo; Pratto, Romina A; Quiroga, Cecilia E; Rapela, Laura; Ruiz, Vanesa R; Sanchez, Noelia; Taglioretti, Célide L; Tana, Andrés M; Zandstra, Ingrid V

    2012-01-01

    The Dizziness Handicap Inventory is a useful tool for quantifying self-perceived handicap in patients with vertigo, dizziness or unsteadiness and its impact on daily living activities. The Dizziness Handicap Inventory identifies functional, physical and emotional disorders related to balance disturbance. Our objective was to cross-culturally adapt the Peninsular Spanish version of the Dizziness Handicap Inventory for use in Argentina and validate the adapted Argentinian version. We included both healthy subjects and patients with vertigo, dizziness or unsteadiness, aged 18 to 85 years, native Spanish-speaking Argentinians. We introduced linguistic and cultural modifications to the Peninsular Spanish version to obtain the Argentinian one. This version was given twice to 108 patients, 24 to 72 h apart. Internal consistency, test-retest reliability and construct validity were assessed using a visual analogue scale, the Romberg test, the tandem Romberg test and the tandem gait test. We found high internal consistency (α=0.87) and very high test-retest reliability for the total Dizziness Handicap Inventory score (intraclass correlation coefficient: 0.98) and its subscales. The total Dizziness Handicap Inventory and the functional subscale were found to correlate significantly with the Romberg and tandem Romberg tests. The emotional subscale showed a significant correlation with the Romberg test and the eyes-open tandem Romberg test (PHandicap Inventory proved to be a reliable and valid tool to quantify self-perceived handicap resulting from vertigo, dizziness or unsteadiness. Copyright © 2011 Elsevier España, S.L. All rights reserved.

  11. Vocal Hygiene Habits and Vocal Handicap Among Conservatory Students of Classical Singing.

    Science.gov (United States)

    Achey, Meredith A; He, Mike Z; Akst, Lee M

    2016-03-01

    This study sought to assess classical singing students' compliance with vocal hygiene practices identified in the literature and to explore the relationship between self-reported vocal hygiene practice and self-reported singing voice handicap in this population. The primary hypothesis was that increased attention to commonly recommended vocal hygiene practices would correlate with reduced singing voice handicap. This is a cross-sectional, survey-based study. An anonymous survey assessing demographics, attention to 11 common vocal hygiene recommendations in both performance and nonperformance periods, and the Singing Voice Handicap Index 10 (SVHI-10) was distributed to classical singing teachers to be administered to their students at two major schools of music. Of the 215 surveys distributed, 108 were returned (50.2%), of which 4 were incomplete and discarded from analysis. Conservatory students of classical singing reported a moderate degree of vocal handicap (mean SVHI-10, 12; range, 0-29). Singers reported considering all 11 vocal hygiene factors more frequently when preparing for performances than when not preparing for performances. Of these, significant correlations with increased handicap were identified for consideration of stress reduction in nonperformance (P = 0.01) and performance periods (P = 0.02) and with decreased handicap for consideration of singing voice use in performance periods alone (P = 0.02). Conservatory students of classical singing report more assiduous attention to vocal hygiene practices when preparing for performances and report moderate degrees of vocal handicap overall. These students may have elevated risk for dysphonia and voice disorders which is not effectively addressed through common vocal hygiene recommendations alone. Copyright © 2016 The Voice Foundation. Published by Elsevier Inc. All rights reserved.

  12. Avaliação do handicap auditivo do adulto com deficiência auditiva unilateral Assessment of the auditory handicap in adults with unilateral hearing loss

    Directory of Open Access Journals (Sweden)

    Patrícia Graciano Vicci de Araújo

    2010-06-01

    Full Text Available A deficiência auditiva (DA unilateral é caracterizada pela diminuição da audição em apenas uma orelha podendo acarretar dificuldade acadêmica, alterações de linguagem e dificuldade sócio-emocionais. OBJETIVO: Avaliar a autopercepção do handicap auditivo de sujeitos adultos, portadores de DA sensório-neural unilateral, não usuários de Aparelho de Amplificação Sonora Individual. MATERIAL E MÉTODO: Estudo Prospectivo com 52 sujeitos adultos, com média de 34.5 anos e de ambos os gêneros (26 do gênero feminino, 26 do masculino com deficiência auditiva: tipo neurossensorial unilateral, de graus variados; responderam a um questionário para a avaliação do handicap sendo utilizado o "Hearing Handicap Inventory for Adults" (HHIA. RESULTADOS: Foram pontuadas as subescalas dos aspectos emocionais e sociais/situacionais sendo encontrados 73,1% de presença do handicap entre os graus leve, moderado e significativo e em maior porcentagem (88,5% no gênero feminino. CONCLUSÕES: A aplicação do questionário mostrou-se um procedimento eficiente, pois a DA unilateral pode, não raramente, comprometer aspectos sociais e emocionais do sujeito adulto e o mesmo grau de DA podem reagir de forma diferente, indicando que a grande variabilidade na autopercepção do handicap auditivo está associada a aspectos não audiológicos.Hearing impairment (HI is characterized by unilateral hearing loss in one ear and can result in learning difficulties, language impairment and socio-emotional difficulties. To assess the perception of hearing handicap in adult subjects, patients with unilateral sensorineural HI, non-users of individual hearing aids. MATERIALS AND METHODS: Prospective study with 52 adult subjects with a mean of 34.5 years of age, from both genders (26 females, 26 males with hearing loss: sensorineural unilateral, in varying degrees, responded to a questionnaire for assessing hearing handicap, and for that we used the Hearing Handicap

  13. Media portrayal of mental illness and its treatments: what effect does it have on people with mental illness?

    Science.gov (United States)

    Stuart, Heather

    2006-01-01

    This article reviews dominant media portrayals of mental illness, the mentally ill and mental health interventions, and examines what social, emotional and treatment-related effects these may have. Studies consistently show that both entertainment and news media provide overwhelmingly dramatic and distorted images of mental illness that emphasise dangerousness, criminality and unpredictability. They also model negative reactions to the mentally ill, including fear, rejection, derision and ridicule. The consequences of negative media images for people who have a mental illness are profound. They impair self-esteem, help-seeking behaviours, medication adherence and overall recovery. Mental health advocates blame the media for promoting stigma and discrimination toward people with a mental illness. However, the media may also be an important ally in challenging public prejudices, initiating public debate, and projecting positive, human interest stories about people who live with mental illness. Media lobbying and press liaison should take on a central role for mental health professionals, not only as a way of speaking out for patients who may not be able to speak out for themselves, but as a means of improving public education and awareness. Also, given the consistency of research findings in this field, it may now be time to shift attention away from further cataloguing of media representations of mental illness to the more challenging prospect of how to use the media to improve the life chances and recovery possibilities for the one in four people living with mental disorders.

  14. Reliability and validity of the Chinese pediatric voice handicap index.

    Science.gov (United States)

    Liu, Kena; Liu, Shaofeng; Zhou, Zhou; Ren, Qinyi; Zhong, Jie; Luo, Renzhong; Qin, Huabiao; Zhang, Siyi; Ge, Pingjiang

    2018-02-01

    To evaluate the reliability and validity of the Chinese version of pediatric voice handicap index (pVHI). The original English version-pVHI was translated into Chinese. Parents of 52 children with voice dysphonia and 43 children with no history or symptoms of voice problems were asked to fill the Chinese pVHI questionnaires twice with an interval of 2 weeks. GRB (Grade, Roughness, Breathiness) scale was used for perceptual assessment by two otolaryngologists and one speech pathologist for each child's voice. The internal consistency was assessed using Cronbach's alpha coefficient. Pearson's correlation coefficient was used to evaluate the test-retest reliability. The Kendall's coefficient of concordance W was used to assess the consistency of GRB scores of 3 voice specialists. The nonparametric Mann-Whitney test was used to assess the differences between the dysphonia group and controls. The correlation between pVHI and GRB scores were assessed using Pearson's correlation coefficient. The internal consistency of total score and three subscales scores of Chinese pVHI were 0.788-0.944. The test-retest reliability was 0.631-0.887(P < .001). The pVHI scores of control group significantly were lower than the pathological group (P = .000). The GRB scores of 3 voice specialists have an excellent consistency (W = 0.694-0.807, P = .000). The pVHI scores positively correlated with GRB assessment (P < .01). The Chinese version of pVHI had a good reliability and validity. It can be applicable and useful supplementary tool for evaluating parents' perception of their children's dysphonia. Copyright © 2017. Published by Elsevier B.V.

  15. A pessoa com deficiência e a crise das identidades na contemporaneidade The handicapped person and identity crisis in the present day

    Directory of Open Access Journals (Sweden)

    Rita de Cássia Barbosa Paiva Magalhães

    2010-04-01

    Full Text Available Este ensaio tem como objetivo discutir a crise das identidades e suas repercussões no que diz respeito às identidades socialmente estigmatizadas, sobretudo as das pessoas com deficiência. Essa crise acontece em meio às profundas modificações sociais e econômicas no contexto da pós-modernidade. A identidade, entendida como constructo histórico-cultural, é mediada por relações de poder, e não se refere a uma "entidade" imutável e arduamente construída, mas a algo fluido e metamórfico. Ao examinar as relações entre diferença e identidade, sustentamos que tais conceitos estão imbricados no contexto dessa crise. A discussão sobre identidade e diferença remete-nos à obra de Erving Goffman e ao conceito de estigma na perspectiva da compreensão da manipulação da identidade dos sujeitos que discrepam das expectativas sociais. A identidade da pessoa com deficiência tende a sofrer, em virtude do estigma, processos de controle social nos quais são negadas importantes oportunidades de metamorfose. Discutir identidade pode ser, portanto, um fio condutor para a compreensão da inserção social e escolar da pessoa com deficiência.The objective of this essay is to discuss identity crisis and its repercussions as far as concerns socially stigmatized identities, above all those of handicapped people. This crisis is taking place in the midst of profound social and economic changes in the context of post-modernity. Identity, understood as being an historical and cultural construct, is influenced by relationships of power and is not an immutable and arduously constructed "entity" but something fluid and metamorphic. By examining the relationships between difference and identity, we maintain that such concepts overlap within the context of this crisis. The discussion about identity and difference refers us to the work of Erving Goffman and the concept of stigma in the perspective of the understanding of the manipulation of the identity of

  16. Oral Communication Development in Severe to Profound Hearing Impaired Children After Receiving Aural Habilitation

    Directory of Open Access Journals (Sweden)

    Soleimani Farin

    2009-10-01

    Full Text Available Communication, cognition, language, and speech are interrelated and develop together. It should come as no surprise to us that the key to intervention with deaf children is to establish, as early as possible, a functional communication system for the child and the parents. Early intervention programs need to be multidisciplinary, technologically sound and most important, it should take cognizance of the specific context (community, country in which the child and family function. The main aim of this study was to obtain oral communication development regarding current status of the intervention (aural habilitation and speech therapyfor children with severe to profound hearing impairment in Iran. A prospective longitudinal study was undertaken on a consecutive group of children with severe to profound deafness. Nine severe to profound hearing-impaired children out of the primer 42 cases, who were detected below two years old, had been selected in the previous study to receive aural habilitation. The average of their speech intelligibility scores was near 70% at age 6, which was accounted as poor oral communication and only two of them were able to communicate by spoken language. An integrated intervention services continued again for one year and their oral communication skill was assessed by their speech intelligibility. The intelligibility test of children was recorded on audio-tape, when they read 10 questions such as where is your home. This can be answered only in one word. Each tape was presented to10 normal hearing listeners, and their task was to write down, the answers in Persian orthography. At the beginning (at age 6 the average speech intelligibility score of these children was 72% and only two of them had score of 90% and 100%. At age 7, all of the severe groups were over 90%, and only two profound ones achieved the score of 48% and 62%. All of severe groups develop oral communication, but profound ones had a semi-intelligible speech

  17. Assessment of auditory and psychosocial handicap associated with unilateral hearing loss among Indian patients.

    Science.gov (United States)

    Augustine, Ann Mary; Chrysolyte, Shipra B; Thenmozhi, K; Rupa, V

    2013-04-01

    In order to assess psychosocial and auditory handicap in Indian patients with unilateral sensorineural hearing loss (USNHL), a prospective study was conducted on 50 adults with USNHL in the ENT Outpatient clinic of a tertiary care centre. The hearing handicap inventory for adults (HHIA) as well as speech in noise and sound localization tests were administered to patients with USNHL. An equal number of age-matched, normal controls also underwent the speech and sound localization tests. The results showed that HHIA scores ranged from 0 to 60 (mean 20.7). Most patients (84.8 %) had either mild to moderate or no handicap. Emotional subscale scores were higher than social subscale scores (p = 0.01). When the effect of sociodemographic factors on HHIA scores was analysed, educated individuals were found to have higher social subscale scores (p = 0.04). Age, sex, side and duration of hearing loss, occupation and income did not affect HHIA scores. Speech in noise and sound localization were significantly poorer in cases compared to controls (p handicap. When present, the handicap is more emotional than social. USNHL significantly affects sound localization and speech in noise. Yet, affected patients seldom seek a rehabilitative device.

  18. Psychological distress longitudinally mediates the effect of vertigo symptoms on vertigo-related handicap.

    Science.gov (United States)

    Probst, Thomas; Dinkel, Andreas; Schmid-Mühlbauer, Gabriele; Radziej, Katharina; Limburg, Karina; Pieh, Christoph; Lahmann, Claas

    2017-02-01

    Vertigo symptoms can lead to more or less vertigo-related handicap. This longitudinal study investigated whether depression, anxiety, and/or somatization mediate the relationship between vertigo symptoms and vertigo-related handicap. N=111 patients with vertigo/dizziness provided complete data on the following measures: Vertigo symptoms at baseline, depression at 6-month follow-up, anxiety at 6-month follow-up, somatization at 6-month follow-up, and vertigo handicap at 12-month follow-up. Mediation analyses with bootstrapping were performed to investigate the mediating role of anxiety, depression, and somatization in the relationship between vertigo symptoms and vertigo-related handicap. When the mediating role of anxiety, depression, and somatization was evaluated separately from each other in single mediation models, the effect vertigo symptoms at baseline exerted on vertigo-related handicap at 12-month follow-up was significantly mediated by depression at 6-month follow-up (phandicap at 12-month follow-up (phandicap. Copyright © 2016 Elsevier Inc. All rights reserved.

  19. Evaluation of Dizziness Handicap in Adolescents and Adults with Auditory Neuropathy Spectrum Disorder.

    Science.gov (United States)

    Prabhu, Prashanth; Jamuar, Pratyasha

    2018-01-01

    Introduction  Vestibular symptoms and damage to the vestibular branch of the eighth cranial nerve is reported in individuals with auditory neuropathy spectrum disorder (ANSD). However, the real life handicap caused by these vestibular problems in individuals with ANSD is not studied. Objective  The present study attempted to evaluate the dizziness-related handicap in adolescents and adults with ANSD. Method  The dizziness handicap inventory (DHI) was administered to 40 adolescents and adults diagnosed with ANSD. The study also attempted to determine if there is any gender effect on DHI scores and its correlation to the reported onset of hearing loss. Results  The results of the study showed that adolescents and adults with ANSD had a moderate degree of dizziness-related handicap. The dizziness affected their quality of life, causing emotional problems. There was no gender effect, and the level of the handicap was greater in the cases in which the onset of the hearing loss was reported soon after the diagnosis of ANSD. There could be a vestibular compensation that could have resulted in a reduction in symptoms in individuals in whom the onset of the hearing loss was reported later on. Conclusion  Thus, a detailed assessment of vestibular problems and their impact on quality of life is essential in adolescents and adults with ANSD. Appropriate management strategies should be considered to resolve their vestibular problems and improve their quality of life.

  20. Voice Data on Female Smokers: Coherence between the Voice Handicap Index and Acoustic Voice Parameters

    Directory of Open Access Journals (Sweden)

    Dionysios Tafiadis

    2017-04-01

    Full Text Available Voice disorders are common in the general population, affecting daily communication for nearly one-third. Prevalence of voice disorders has been studied extensively in certain professions, such as teachers, as well as students. The impact on voice characteristics of different risk factors has been studied and also correlated to cigarette smoking. This study was designed to examine the relationship between Voice Handicap Index and acoustic parameters of voice university student smokers in Greece. One hundred and ten female non-dysphonic students (aged 18 to 34 that smoked were recruited. Participants answered the Voice Handicap Index and their voice was recorded. Acoustic analysis of voice characteristics was performed with Dr. Speech software system. Results indicated that some measures were predictive of overall, functional and emotional Voice Handicap Index scores. Other voice parameters had no cohesive or predictable pattern on Voice Handicap Index scores. Significant relationships between Voice Handicap Index individual statements and smokers’ voice characteristics were also observed. Lack of correlation and subsequent clinical implications are discussed, as well as the direction for future research.

  1. The subjective handicap of epilepsy. A new approach to measuring treatment outcome.

    Science.gov (United States)

    O'Donoghue, M F; Duncan, J S; Sander, J W

    1998-02-01

    It is now widely acknowledged that the impact of epilepsy on the individual extends beyond the occurrence of seizures, and that there is a need for outcome measures sensitive to these consequences. Until now these instruments have largely been developed within a 'quality of life' framework. The technical and conceptual difficulties that arise with measuring quality of life have led us to develop a more focused measurement model, the 'Subjective Handicap of Epilepsy' (SHE) scale, based on the World Health Organization's concept of handicap. The scale contains 32 items in six subscales: 'Work and activities' (eight items), 'Social and personal' (four items), 'Self-perception' (five items), 'Physical' (four items), 'Life-satisfaction' (four items) and a 'Change' scale (seven items); and it takes on average handicapping effects of increasing seizure frequency, employment status, the impact of epilepsy on career choice and the subject's own opinion as to the major determinant of their quality of life. The scales were also sensitive, retrospectively, to the benefits of successful epilepsy surgery in a cohort of 105 patients. Scales focusing specifically on handicap were more sensitive to group differences in seizure frequency in the clinic population, and to outcome after epilepsy surgery, than the 'Life-satisfaction' scale and the Epilepsy Surgery Inventory 55 (ESI-55) scales. This supports the contention that measuring 'subjective handicap' may be a more sensitive, and more useful, approach to assessing the impact of interventions on the long-term consequences of epilepsy than current methods.

  2. Mental Byomdannelse

    DEFF Research Database (Denmark)

    Olsen, Tina Vestermann; Boye, Anne Mette; Borchmann, Inger Haarup

    Formålet med publikationen er at præsentere metoden "Mental byomdannelse". Metoden viser, hvordan man via midlertidig brug af grunde kan undersøge et steds potentialer, tage et område i brug tidligt i en byomdannelsesproces og derved bidrage til at opbygge en ny identitet for området. Mental...... byomdannelse går ud på at skabe bevidsthed om et byudviklingsområde overfor byens borgere, kommende beboere og fremtidige brugere af området allerede mens den fysiske omdannelse er i gang. I publikationen præsenteres en værktøjskasse, som giver redskaber og ideer til, hvordan man kan sætte en mental...... byomdannelsesproces i gang i byens rum. Publikationen udgør en afrapportering fra et støttet forsøgsprojekt hvor metoden ”Mental byomdannelse” er udviklet ved at afprøve ideerne om mental byomdannelse i to cases i Ålborg Kommune, hhv. i Østre Havn og Nibe by. Formålet med at anvende metoden i de to cases har været...

  3. [Children with learning disabilities and handicaps in inclusive schools or in special schools? The view of parents and professionals].

    Science.gov (United States)

    Bode, H; Hirner, V

    2013-03-01

    To investigate the view of parents and professionals on sending children with special educational needs to inclusive schools. 54 preschool children in the year before school entry and 155 school children attending a Social Pediatric Center. They displayed motor-, mental-, speech- or sensory handicaps, learning or behavioral disabilities. Questionnaires for parents of preschool- and of school children and questionnaires for the professional caring for the child were evaluated and compared. Parental expectations, experiences concerning school and the severity of disability were determined. 135 pupils attended special schools and 20 integrative schools. The parents were generally very content with both types of schools despite the fact that 33% of parents had not have a free choice of the school. They had a positive attitude to inclusive education. Preference for inclusive schooling decreased with increasing severity of the child's disability. The severity of disability was rated similar by parents and by professionals. Parents of preschool children tended more often and parents of school children less often than professionals towards sending the individual child to an inclusive school. Some parents of children with special educational needs would like to send their child to a special school, others prefer inclusive schools. It is paramount to improve the professional advice and guidance to parents since parental options to choose the school for their child are increasing in Germany. © Georg Thieme Verlag KG Stuttgart · New York.

  4. Affect attunement in communicative interactions between adults with profound intellectual and multiple disabilities and support workers

    OpenAIRE

    Forster, Sheridan Lee

    2017-01-01

    The quality of life of people with profound intellectual and multiple disabilities (PIMD) is affected by many factors, including health status, involvement in activities, and social networks; but most critical is the quality of interaction experienced by the person on a daily basis. For many people with PIMD, most of whom reside in residential services where they receive 24-hour support, the primary people for interaction are paid disability support workers (DSWs). Quality interaction is ...

  5. Epidemiology of fractures in people with severe and profound developmental disabilities

    Science.gov (United States)

    Glick, N.R.; Fischer, M.H.; Heisey, D.M.; Leverson, G.E.; Mann, D.C.

    2005-01-01

    Fractures are more prevalent among people with severe and profound developmental disabilities than in the general population. In order to characterize the tendency of these people to fracture, and to identify features that may guide the development of preventive strategies, we analyzed fracture epidemiology in people with severe and profound developmental disabilities who lived in a stable environment. Data from a 23-year longitudinal cohort registry of 1434 people with severe and profound developmental disabilities were analyzed to determine the effects of age, gender, mobility, bone fractured, month of fracture, and fracture history upon fracture rates. Eighty-five percent of all fractures involved the extremities. The overall fracture rate increased as mobility increased. In contrast, femoral shaft fracture risk was substantially higher in the least mobile [relative risk (RR), 10.36; 95% confidence interval (CI), 3.29-32.66] compared with the most mobile group. Although the overall fracture rate was not associated with age, the femoral shaft fractures decreased but hand/foot fractures increased with age. Overall fracture risk declined in August and September (RR, 0.70; 95% CI, 0.55-0.89), being especially prominent for tibial/fibular fractures (RR, 0.31; 95% CI, 0.13-0.70). Gender was not a factor in fracture risk. Two primary fracture mechanisms are apparent: one, largely associated with lack of weight-bearing in people with the least mobility, is exemplified by femoral fractures during non-traumatic events as simple as diapering or transfers; the other, probably due to movement- or fall-related trauma, is exemplified by hand/foot fractures in people who ambulate. The fracture experience of people with severe and profound developmental disabilities is unique and, because it differs qualitatively from postmenopausal osteoporosis, may require population-specific methods for assessing risk, for improving bone integrity, and for reduction of falls and accidents

  6. Not all SCN1A epileptic encephalopathies are Dravet syndrome: Early profound Thr226Met phenotype.

    Science.gov (United States)

    Sadleir, Lynette G; Mountier, Emily I; Gill, Deepak; Davis, Suzanne; Joshi, Charuta; DeVile, Catherine; Kurian, Manju A; Mandelstam, Simone; Wirrell, Elaine; Nickels, Katherine C; Murali, Hema R; Carvill, Gemma; Myers, Candace T; Mefford, Heather C; Scheffer, Ingrid E

    2017-09-05

    To define a distinct SCN1A developmental and epileptic encephalopathy with early onset, profound impairment, and movement disorder. A case series of 9 children were identified with a profound developmental and epileptic encephalopathy and SCN1A mutation. We identified 9 children 3 to 12 years of age; 7 were male. Seizure onset was at 6 to 12 weeks with hemiclonic seizures, bilateral tonic-clonic seizures, or spasms. All children had profound developmental impairment and were nonverbal and nonambulatory, and 7 of 9 required a gastrostomy. A hyperkinetic movement disorder occurred in all and was characterized by dystonia and choreoathetosis with prominent oral dyskinesia and onset from 2 to 20 months of age. Eight had a recurrent missense SCN1A mutation, p.Thr226Met. The remaining child had the missense mutation p.Pro1345Ser. The mutation arose de novo in 8 of 9; for the remaining case, the mother was negative and the father was unavailable. Here, we present a phenotype-genotype correlation for SCN1A. We describe a distinct SCN1A phenotype, early infantile SCN1A encephalopathy, which is readily distinguishable from the well-recognized entities of Dravet syndrome and genetic epilepsy with febrile seizures plus. This disorder has an earlier age at onset, profound developmental impairment, and a distinctive hyperkinetic movement disorder, setting it apart from Dravet syndrome. Remarkably, 8 of 9 children had the recurrent missense mutation p.Thr226Met. Copyright © 2017 The Author(s). Published by Wolters Kluwer Health, Inc. on behalf of the American Academy of Neurology.

  7. Profound Effects of Population Density on Fitness-Related Traits in an Invasive Freshwater Snail

    OpenAIRE

    Nicholas Zachar; Maurine Neiman

    2013-01-01

    Population density can profoundly influence fitness-related traits and population dynamics, and density dependence plays a key role in many prominent ecological and evolutionary hypotheses. Here, we evaluated how individual-level changes in population density affect growth rate and embryo production early in reproductive maturity in two different asexual lineages of Potamopyrgus antipodarum, a New Zealand freshwater snail that is an important model system for ecotoxicology and the evolution o...

  8. The effects of an environmental "enrichment" program on the behavior of institutionalized profoundly retarded children.

    OpenAIRE

    Horner, R D

    1980-01-01

    This study determined the effects of procedures designed to "enrich" the physical and social environment of an institutional ward on the "adaptive" and "maladaptive" child, adult, self, and object-directed behaviors of five profoundly retarded ambulatory females. Behavior observed in two treatment conditions, an environment "enriched" with toys and objects and an "enriched" environment coupled with differential reinforcement of adaptive behavior, was compared to behavior occurring in correspo...

  9. Speech timing and working memory in profoundly deaf children after cochlear implantation

    OpenAIRE

    Burkholder, Rose A.; Pisoni, David B.

    2003-01-01

    Thirty-seven profoundly deaf children between 8- and 9-years-old with cochlear implants and a comparison group of normal-hearing children were studied to measure speaking rates, digit spans, and speech timing during digit span recall. The deaf children displayed longer sentence durations and pauses during recall and shorter digit spans compared to the normal-hearing children. Articulation rates, measured from sentence durations, were strongly correlated with immediate memory span in both norm...

  10. Reversal of profound vecuronium-induced neuromuscular block under sevoflurane anesthesia: sugammadex versus neostigmine.

    Directory of Open Access Journals (Sweden)

    Lemmens Hendrikus JM

    2010-09-01

    Full Text Available Abstract Background Acetylcholinesterase inhibitors cannot rapidly reverse profound neuromuscular block. Sugammadex, a selective relaxant binding agent, reverses the effects of rocuronium and vecuronium by encapsulation. This study assessed the efficacy of sugammadex compared with neostigmine in reversal of profound vecuronium-induced neuromuscular block under sevoflurane anesthesia. Methods Patients aged ≥18 years, American Society of Anesthesiologists class 1-4, scheduled to undergo surgery under general anesthesia were enrolled in this phase III, multicenter, randomized, safety-assessor blinded study. Sevoflurane anesthetized patients received vecuronium 0.1 mg/kg for intubation, with maintenance doses of 0.015 mg/kg as required. Patients were randomized to receive sugammadex 4 mg/kg or neostigmine 70 μg/kg with glycopyrrolate 14 μg/kg at 1-2 post-tetanic counts. The primary efficacy variable was time from start of study drug administration to recovery of the train-of-four ratio to 0.9. Safety assessments included physical examination, laboratory data, vital signs, and adverse events. Results Eighty three patients were included in the intent-to-treat population (sugammadex, n = 47; neostigmine, n = 36. Geometric mean time to recovery of the train-of-four ratio to 0.9 was 15-fold faster with sugammadex (4.5 minutes compared with neostigmine (66.2 minutes; p Conclusions Recovery from profound vecuronium-induced block is significantly faster with sugammadex, compared with neostigmine. Neostigmine did not rapidly reverse profound neuromuscular block (Trial registration number: NCT00473694.

  11. An epidemiological and genetic study of congenital profound deafness in Tunisia (governorate of Nabeul).

    OpenAIRE

    Ben Arab, S; Bonaïti-Pellié, C.; Belkahia, A

    1990-01-01

    An epidemiological and genetic study of profound deafness has been undertaken in the governorate of Nabeul in Tunisia. This paper deals with sensorineural deafness with no associated abnormalities. The prevalence was estimated to be 0.0007 and four clusters could be identified, two of which represent 51% and 34% respectively of the total number of cases. Segregation analysis performed in 29 pedigrees containing 415 subjects with 129 affected cases provided evidence for simple recessive inheri...

  12. A Vibrotactile Interface to Motivate Movement for Children with Severe to Profound Disabilities

    DEFF Research Database (Denmark)

    Manresa-Yee, Cristina; Morrison, Ann; Larsen, Jeppe Veirum

    2014-01-01

    V-Sense is a vibrotactile interface that encourages children with severe or profound cognitive, sensory and physical impairments to move. The interface makes use of touch, in particular vibrations, as a supportive function to motivate users' actions. Specifically, we propose a vibrotactile...... interface on the arm and around the shoulder using the saltation perceptual illusion to induce movement of the corresponding joint. In this paper we describe the design principles of the interface and the proposed experimental design to evaluate it....

  13. Localization training results in individuals with unilateral severe to profound hearing loss.

    Science.gov (United States)

    Firszt, Jill B; Reeder, Ruth M; Dwyer, Noël Y; Burton, Harold; Holden, Laura K

    2015-01-01

    Adults with unilateral hearing loss often demonstrate decreased sound localization ability and report that situations requiring spatial hearing are especially challenging. Few studies have evaluated localization abilities combined with training in this population. The present pilot study examined whether localization of two sound types would improve after training, and explored the relation between localization ability or training benefit and demographic factors. Eleven participants with unilateral severe to profound hearing loss attended five training sessions; localization cues gradually decreased across sessions. Localization ability was assessed pre- and post-training. Assessment stimuli were monosyllabic words and spectral and temporal random spectrogram sounds. Root mean square errors for each participant and stimulus type were used in group and correlation analyses; individual data were examined with ordinary least squares regression. Mean pre-to post-training test results were significantly different for all stimulus types. Among the participants, eight significantly improved following training on at least one localization measure, whereas three did not. Participants with the poorest localization ability improved the most and likewise, those with the best pre-training ability showed the least training benefit. Correlation results suggested that test age, age at onset of severe to profound hearing loss and better ear high frequency audibility may contribute to localization ability. Results support the need for continued investigation of localization training efficacy and consideration of localization training within rehabilitation protocols for individuals with unilateral severe to profound hearing loss. Copyright © 2014 Elsevier B.V. All rights reserved.

  14. Static and Dynamic Balance in Congenital Severe to Profound Hearing-Impaired Children

    Directory of Open Access Journals (Sweden)

    Farideh HajiHeydari

    2011-09-01

    Full Text Available Background and Aim: Research conducted since the early 1900s has consistently identified differences between deaf and hearing children on performance of a wide variety of motor tasks, most notably balance. Our study was performed to test static and dynamic balance skills in congenital severe to profound hearing impaired children in comparison with normal age-matched children.Methods: This cross-sectional study was conducted on 30 severe to profound hearing impaired and 40 normal children with age 6 to 10 years old. Bruininks-Oseretsky test of motor proficiency 2, balance subset with 9 parts was used for evaluation of balance skills.Results: Hearing-impaired children showed 16.7 to 100% fail results in 7 parts of the balance subset. In normal children fail result was revealed just in 3 parts of the balance subset from 2.5 to 57.5%, and differences between two groups were significant (p<0.0001. There was a significant difference between two groups in two static balance skills of standing on one leg on a line and standing on one leg on a balance beam with eyes closed (p<0.0001.conclusion: It seems that development of static balance skills are longer than dynamic ones. Because severe to profound hearing-impaired children showed more weakness than normal children in both static and dynamic balance abilities, functional tests of balance proficiency can help to identify balance disorders in these children.

  15. Frequency compression hearing aid for severe-to-profound hearing impairments.

    Science.gov (United States)

    Sakamoto, S; Goto, K; Tateno, M; Kaga, K

    2000-10-01

    Objective of this study is to know how a frequency compression hearing aid with new concepts is beneficial for severe-to-profound hearing impairments. (2) Clinical trials of this hearing aid were conducted for 11 severe-to-profound hearing impaired listeners. These 11 wore the frequency compression hearing aid in their daily life and reported subjectively on its performance. Speech recognition tests with five listeners and audio-visual short sentence recognition tests with three listeners were also conducted. This hearing aid can separately adjust the fundamental frequency from the spectral envelope of input speech and can adjust frequency response by use of a post-processing digital filter. (3) Five listeners out of these 11 came to prefer this hearing aid in their daily life and are still wearing it. The results of the speech recognition tests show that the speech recognition scores were not improved for all listeners and the results of the audio-visual short sentence recognition tests do that the audio-visual recognition scores were improved for two listeners. (4) There were some severe-to-profound hearing impaired listeners who preferred the frequency compression hearing aid finally. It is also suggested that the benefits of this hearing aid may be evaluated correctly using not only speech but also visual materials.

  16. Indsatsen over for børn med handicap og træningsbehov

    DEFF Research Database (Denmark)

    Wüst, Miriam; Thorsager, Linda; Bengtsson, Steen

    Formålet med denne rapport er at kortlægge den offentlige trænings- og behandlingsindsats over for børn med handicap i førskolealderen, herunder at undersøge forældrenes tilfredshed med indsatsen. Undersøgelsen bygger på en spørgeskemaundersøgelse foretaget i 2007 blandt forældre, fagpersoner i...... daginstitutioner og kommunale sagsbehandlere til i alt 317 børn med handicap. Børnene er alle født i 2001/2002 og har modtaget eller modtager en offentlig hjælpeindsats i forbindelse med deres handicap. Rapporten inddrager endvidere fokusgruppeinterview fra 2008 med bl.a. pædagoger, terapeuter/behandlere, ledelse...

  17. Voice Handicap Index in Persian Speakers with Various Severities of Hearing Loss.

    Science.gov (United States)

    Aghadoost, Ozra; Moradi, Negin; Dabirmoghaddam, Payman; Aghadoost, Alireza; Naderifar, Ehsan; Dehbokri, Siavash Mohammadi

    2016-01-01

    The purpose of this study was to assess and compare the total score and subscale scores of the Voice Handicap Index (VHI) in speakers with and without hearing loss. A further aim was to determine if a correlation exists between severities of hearing loss with total scores and VHI subscale scores. In this cross-sectional, descriptive analytical study, 100 participants, divided in 2 groups of participants with and without hearing loss, were studied. Background information was gathered by interview, and VHI questionnaires were filled in by all participants. For all variables, including mean total score and VHI subscale scores, there was a considerable difference in speakers with and without hearing loss (p handicap related to voice in speakers with hearing loss. In addition, increased severity of hearing loss leads to more severe voice handicap. This finding emphasizes the need for a multilateral assessment and treatment of voice disorders in speakers with hearing loss. © 2017 S. Karger AG, Basel.

  18. Intelligence structure and personality in various types of physical handicap in childhood and adolescence.

    Science.gov (United States)

    Steinhausen, H C; Wefers, D

    1976-08-01

    Intelligence structure and personality were assessed in a sample of 104 physically disabled children of normal intelligence (IQ is greater than or equal to 85). Findings were compared to those of healthy controls matched by age, sex, rank order and number of siblings and socioeconomic status. Physically handicapped children had lower scores in all subtests of a multi-factorial intelligence test. Furthermore five different subgroups of physically disabled children could be discriminated along one factor marked by different variables of visual perception. Personality of the total group of handicapped children was different when compared to normal controls. This specific personality pattern may be labeled: lack of emotional integration into social environment without conflict. Various subgroups of physically handicapped children differed only little as far as personality is concerned.

  19. Effet de la visibilité du handicap et de l’expérience d’intégration sur la représentation sociale du handicap chez de jeunes collégiens

    OpenAIRE

    Kahina, Harma; Anne, Gombert; J-Yves, Roussey; ARCISZEWSKI, Thomas

    2012-01-01

    Cette recherche a pour objectif de repérer l’impact de l’intégration en milieu scolaire ordinaire de collégiens en situation de handicap sur la représentation sociale du handicap des autres élèves de la classe. L’effet de l’expérience d’intégration (le fait d’appartenir à une classe qui intègre ou non un élève handicapé) ainsi que celui de la visibilité du handicap (handicap visible comme l’Infirmité Motrice Cérébrale versus non visible, comme les Troubles Sévères des Apprentissages) ont été ...

  20. Reliability and validity of the Dutch pediatric Voice Handicap Index.

    Science.gov (United States)

    Veder, Laura; Pullens, Bas; Timmerman, Marieke; Hoeve, Hans; Joosten, Koen; Hakkesteegt, Marieke

    2017-05-01

    The pediatric voice handicap index (pVHI) has been developed to provide a better insight into the parents' perception of their child's voice related quality of life. The purpose of the present study was to validate the Dutch pVHI by evaluating its internal consistency and reliability. Furthermore, we determined the optimal cut-off point for a normal pVHI score. All items of the English pVHI were translated into Dutch. Parents of children in our dysphonic and control group were asked to fill out the questionnaire. For the test re-test analysis we used a different study group who filled out the pVHI twice as part of a large follow up study. Internal consistency was analyzed through Cronbach's α coefficient. The test-retest reliability was assessed by determining Pearson's correlation coefficient. Mann-Whitney test was used to compare the scores of the questionnaire of the control group with the dysphonic group. By calculating receiver operating characteristic (ROC) curves, sensitivity and specificity we were able to set a cut-off point. We obtained data from 122 asymptomatic children and from 79 dysphonic children. The scores of the questionnaire significantly differed between both groups. The internal consistency showed an overall Cronbach α coefficient of 0.96 and an excellent test-retest reliability of the total pVHI questionnaire with a Pearson's correlation coefficient of 0.90. A cut-off point for the total pVHI questionnaire was set at 7 points with a specificity of 85% and sensitivity of 100%. A cut-off point for the VAS score was set at 13 with a specificity of 93% and sensitivity of 97%. The Dutch pVHI is a valid and reliable tool for the assessment of children with voice problems. By setting a cut-off point for the score of the total pVHI questionnaire of 7 points and the VAS score of 13, the pVHI might be used as a screening tool to assess dysphonic complaints and the pVHI might be a useful and complementary tool to identify children with dysphonia