4,577 research outputs found

    Employee Medical Exams and Disability-Related Inquiries under the ADA: Guidance for Employers Regarding Current Employees

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    This brochure is one of a series on human resources practices and workplace accommodations for persons with disabilities edited by Susanne M. Bruyère, Ph.D., CRC, Director, Employment and Disability Institute, Cornell University ILR School. This brochure was written by Shelia Duston in July, 2001. It was updated in 2011 by Beth Reiter, an independent legal consultant, Ithaca, N.Y., with assistance from Sara Furguson, a Cornell University Employment and Disability Institute student research assistant

    Employee Medical Exams and Disability-Related Inquiries under the ADA: Guidance for Employers Regarding Current Employees

    Get PDF
    This brochure is one of a series on human resources practices and workplace accommodations for persons with disabilities edited by Susanne M. Bruyère, Ph.D., CRC, Director, Employment and Disability Institute, Cornell University ILR School. This brochure was written by Susanne Bruyère in July, 2001. It was further updated in 2011 by Beth Reiter, an independent legal consultant, Ithaca, N.Y., with assistance from Sara Furguson, a Cornell University Employment and Disability Institute student research assistant. These updates, and the development of new brochures, were funded by Cornell, the National ADA Center Network, and other supporters

    Applying optimization models in the scheduling of medical exams

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    The management of waiting lists in hospitals is a topic with relevance given its direct implication in the quality of healthcare services provided to the patients in the good management of human, material and financial resources. Ministry of Health in Portugal stipulates a guaranteed maximum response time for the execution of Complementary Means of Diagnosis and Therapeutics (CMDT), surgeries and outpatient appointments. This paper addresses an investigation conducted at the Centro Hospitalar e Universitário do Porto (CHUP) with the goal of optimizing decisions in the management of waiting lists for CMDT. This objective will be achieved through the development of hill climbing and simulated annealing models. With this study, it was possible to optimize the way these exams can be scheduled, reducing waiting lists, associated costs and waste, improving the quality of service provided to patients.FCT -Fundação para a Ciência e a Tecnologia(UIDB/00319/2020

    Medical Scribe Experience

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    A medical scribe is a trained medical information manager who specializes in charting physician-patient encounters in real-time during medical exams. Come to learn more about my experience at Scribe America

    Which sexual abuse victims receive a forensic medical examination? : The impact of Children\u27s Advocacy Centers

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    Abstract Objective This study examines the impact of Children\u27s Advocacy Centers (CAC) and other factors, such as the child\u27s age, alleged penetration, and injury on the use of forensic medical examinations as part of the response to reported child sexual abuse. Methods This analysis is part of a quasi-experimental study, the Multi-Site Evaluation of Children\u27s Advocacy Centers, which evaluated four CACs relative to within-state non-CAC comparison communities. Case abstractors collected data on forensic medical exams in 1,220 child sexual abuse cases through review of case records. Results Suspected sexual abuse victims at CACs were two times more likely to have forensic medical examinations than those seen at comparison communities, controlling for other variables. Girls, children with reported penetration, victims who were physically injured while being abused, White victims, and younger children were more likely to have exams, controlling for other variables. Non-penetration cases at CACs were four times more likely to receive exams as compared to those in comparison communities. About half of exams were conducted the same day as the reported abuse in both CAC and comparison communities. The majority of caregivers were very satisfied with the medical professional. Receipt of a medical exam was not associated with offenders being charged. Conclusions Results of this study suggest that CACs are an effective tool for furthering access to forensic medical examinations for child sexual abuse victims

    Evaluating Children’s Advocacy Centers’ Response to Child Sexual Abuse

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    Children’s Advocacy Centers (CACs) play an increasingly significant role in the response to child sexual abuse and other child maltreatment in the United States. First developed in the 1980s, CACs were designed to reduce the stress on child abuse victims and families created by traditional child abuse investigation and prosecution procedures and to improve the effectiveness of the response. According to several experts (Fontana, 1984; Pence and Wilson, 1992; Whitcomb, 1992), child victims were subjected to multiple, redundant interviews about their abuse by different agencies, and were questioned by professionals who had no knowledge of children’s developmental limitations or experience working with children. Child interviews would take place in settings like police stations that would further stress already frightened children. Moreover, the response was hampered because the multiple agencies involved did not coordinate their investigations, and children’s need for services could be neglected

    The Influence of Anxiety Levels Facing Medical Exams to Urinary Incontinence in YARSI University Medical Students Class of 2019 and 2020, and A Review Through Islamic Perspectives

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    Background: Urinary incontinence is the involuntary excretion of urine at any given condition. Medical exams experienced by medical students could induce anxiety, which could lead to urinary incontinence. Through an Islamic viewpoint, individuals suffering from urinary incontinence are constantly unclean and require certain ways to practice worship. This study aims to determine the relationship between anxiety levels and age; anxiety levels and gender; the correlation between anxiety levels and urinary incontinence; identifying anxiety levels; and the severity of urinary incontinence symptoms within YARSI University Medical Students Class of 2019 and 2020, as well as how to pray and ablute for individuals with urinary incontinence.Method: This study is qualitative research done as an analytical observational study with cross-sectional study design. The research instrument used the Urogenital Distress Inventory questionnaire (UDI-6) and the Hamilton Anxiety Rating Scale (HARS). The research was conducted on YARSI University Medical Students Class of 2019 and 2020 with a sample size of 209 participants. Data analysis utilized Kruskal Wallis, Kolmogorov-Smirnov, and Spearman Correlation statistical tests.Results: The level of anxiety experienced by most students is a mild level of anxiety. The highest severity of urinary incontinence symptoms was experienced by students with moderate to severe anxiety levels. No significant relationship was found between age and gender with anxiety levels. There is a positive correlation with moderate strength between the level of anxiety and urinary incontinence.Conclusion: No relationship was found between anxiety levels facing medical exams with age nor gender and a positive correlation with moderate strength was found between anxiety levels medical exams and urinary incontinence within YARSI University Medical Students Class of 2019 and 2020

    The Americans with Disabilities Act of 1990 and Injured Workers

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    This brochure is one of a series on human resources practices and workplace accommodations for persons with disabilities edited by Susanne M. Bruyère, Ph.D., CRC, Director, Employment and Disability Institute, Cornell University ILR School. This brochure was originally written in 1997 by Professor Bruce Growick, the Ohio State University, and reviewed and updated September, 2001 by Sheila D. Duston, an attorney- mediator practicing in the Washington, DC metropolitan area. It was reviewed and updated in 2011 by Elizabeth Reiter, an independent legal consultant in Ithaca, N.Y., with assistance from Sara Furguson, a Cornell University Employment and Disability Institute ILR student research assistant

    Tracking Report 2011 Gildan Activewear, Nicaragua 290056565J

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    This document is part of a digital collection provided by the Martin P. Catherwood Library, ILR School, Cornell University, pertaining to the effects of globalization on the workplace worldwide. Special emphasis is placed on labor rights, working conditions, labor market changes, and union organizing.FLA_2011_Gildan_TR_Nicaragua_290056565J.pdf: 41 downloads, before Oct. 1, 2020

    Commercial Driver Medical Exams: Relationships Between Body Mass Index and Comorbid Conditions

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    There are an estimated 5.7 million Commercial Motor Vehicle (CMV) drivers in the United States in 2012. Health and Safety of CMV drivers are of high consequence group because of: occupational risks from the size and speed of their vehicles, frequently poor health status, poor health care utilization, and the large impact of truck crashes on public health and safety. CMV drivers pass a commercial driver medical examination (CDME) to maintain licensure. CDME examiners document multiple potentially disqualifying health conditions. CMV drivers reportedly have poor health status, which may be attributed to lifestyle and occupational factors (e.g., improper diet, inadequate physical activity, poor sleep hygiene, shift work), yet few data are reported analyzing relative importance and relationships of these factors. Methods- CDMEs conducted between 2005 and 2012 among 88,246 commercial drivers were analyzed. Associations between measured Body Mass Index (BMI) categories and CDME findings, as well as driver certification were examined. Results- 53.3% of drivers were obese (BMI\u3e30.0 kg/m2 ) with half of those being morbidly obese (BMI\u3e35.0 kg/m2 ). After adjustment for age and gender, obese drivers were statistically significantly less likely to be certified for the full 2 year period and significantly more likely to report many factors including heart disease, hypertension, diabetes mellitus, nervous disorders, sleep disorders, and chronic low back pain (all p\u3c0.0001). ConclusionsBMI is related to many factors, some of which have been associated with increased crash risk. BMI screening may be a useful tool. Interventions for BMI reduction may have an impact on comorbidities
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