Exceeding Physical Limitations: Apparent Display Qualities

2018 ◽  
pp. 477-509
Author(s):  
Piotr Didyk
Keyword(s):  
Physical Limitations

Thoughts on Grammar Intervention in AAC

2008 ◽  
Vol 17 (2) ◽  
pp. 43-49 ◽  
Author(s):  
Marc Fey
Keyword(s):  
Language Impairment ◽  
Specific Language Impairment ◽  
Augmentative And Alternative Communication ◽  
Communication Systems ◽  
Target Language ◽  
Alternative Communication ◽  
Physical Limitations ◽  
Communication Needs ◽  
Communication Interventions ◽  
Planning Intervention

Abstract In this article, I propose that, for several reasons, grammar should be an early focus of communication interventions for young children using augmentative and alternative communication (AAC) systems. The basic goals for such programs should be to facilitate the child's comprehension of the language of the community, or the target language, thus leading the way to literacy, and to foster the child's use of symbol combinations that mirror the grammatical patterns of speaking children acquiring the target language, even if they cannot be fully grammatically complete. I introduce five principles that underlie most successful approaches to grammar interventions with children with specific language impairment. My initial attempts to apply these principles to interventions with children with complex communication needs indicate that they may be of considerable value to clinicians planning intervention programs. On the other hand, the challenges posed by the intellectual and physical limitations of many AAC users and their communication systems make it necessary to modify at least Principle 5 if the basic goals of intervention are to be met.

New AAC Access Strategy for Gesture Tracking: A Technical Note

2012 ◽  
Vol 21 (1) ◽  
pp. 11-16 ◽  
Author(s):  
Susan Fager ◽  
Tom Jakobs ◽  
David Beukelman ◽  
Tricia Ternus ◽  
Haylee Schley
Keyword(s):  
Augmentative And Alternative Communication ◽  
Technical Note ◽  
Head Tracking ◽  
Alternative Communication ◽  
Access Methods ◽  
Cord Injury ◽  
Physical Limitations ◽  
Gesture Tracking ◽  
Communication Needs ◽  
Tracking Device

Abstract This article summarizes the design and evaluation of a new augmentative and alternative communication (AAC) interface strategy for people with complex communication needs and severe physical limitations. This strategy combines typing, gesture recognition, and word prediction to input text into AAC software using touchscreen or head movement tracking access methods. Eight individuals with movement limitations due to spinal cord injury, amyotrophic lateral sclerosis, polio, and Guillain Barre syndrome participated in the evaluation of the prototype technology using a head-tracking device. Fourteen typical individuals participated in the evaluation of the prototype using a touchscreen.

Responding to Clinicians' Challenges in Working With Geriatric Patients

2011 ◽  
Vol 16 (1) ◽  
pp. 22-29
Author(s):  
Lisa Y. Milliken ◽  
Dawn Ralph ◽  
Sally Jones-McNamara
Keyword(s):  
Health Care ◽  
Geriatric Patients ◽  
Clinical Scenario ◽  
Medical Diagnoses ◽  
Communication Deficits ◽  
Resident Care ◽  
Physical Limitations

Clinicians work with older residents who have not only multiple physical limitations, but cognitive loss, communication deficits, dysphagia, and multiple medical diagnoses. They must work within procedural, regulatory, and reimbursement systems that challenge them to provide optimal resident care. In this article, the authors will discuss some specific challenges brought forth by clinicians in response to a clinical scenario and will provide information and feedback from several health-care consultants.

Jerusalem’s Alternative Collective Memory Agents

2020 ◽  
Vol 35 (1) ◽  
pp. 1-16
Author(s):  
Menachem Klein
Keyword(s):  
Twentieth Century ◽  
Collective Memory ◽  
Memory Studies ◽  
The Internet ◽  
Early Twentieth Century ◽  
Physical Limitations ◽  
East And West ◽  
Use Of The Internet

Jerusalem played an important role in the establishment of collective memory studies by Maurice Halbwachs in the early twentieth century. Recent studies in this field draw attention to the contribution of a variety of agents to building, maintaining, and challenging collective memory realms. Following suit, this article deals with the methods that agents of an alternative collective memory for Jerusalem use to challenge the Israeli hegemonic narrative. Before reviewing their activities in East and West Jerusalem and their resources and impact, I summarize the hegemonic narrative as presented in four memory realms. Special attention is given to both sides’ use of the Internet as a means of overcoming the physical limitations of memory realms.

Selected Major Issues in Instructional/Communication Technology

1993 ◽  
Vol 10 (3) ◽  
pp. 312-325
Author(s):  
Dilnawaz A. Siddiqui
Keyword(s):  
Instructional Technology ◽  
Fiber Optics ◽  
Communication Technology ◽  
Instructional Communication ◽  
Human Beings ◽  
Media Communication ◽  
Satellite Television ◽  
Powerful Learning ◽  
Global Power ◽  
Physical Limitations

Instructional/Communication Technology has come to mean, in a narrowsense, media hardware or a set of tools enabling human beings toovercome their physical limitations. Etymologically, it means one or moretechniques, both concrete and abstract, that help human beings solveproblems. By extension, instructional technology (IT) means all tools atour disposal for facilitating learning. Tickton (1971) defines the purporeof IT as making "education more productive and more individual, to giveinstruction a more scientific base, and to make instruction more powerful,learning more immediate, and access more equal." While the technologyitself might be neutral as a medium and as a means of instructional communication,it is the natw of its use, in terms of timely and appropriatemessages, that is the key to understanding its consequences. It is this finalfactor upon which society needs to focus.The tecent combination of computer, video, fiber optics, satellite television,and other state-of-the-art technologies has enabled a small groupto control the lives of billions. Instructional technology has also Meritedits own share of this instantaneous global power. As a result traditionalboundaries between IT and mass media communication have blurred somuch that IT sounds like a misnomer.It has now become a platitude to say that the nation that controlledthe sealanes in the nineteenth century, or that controlled the airways inthe twentieth century, controlled the whole world. In the twenty-first century,it appears that whoever controls the airwaves will control the worldand whatever is beyond it. Thus the most explosive confluence of ...

scholarly journals P151 Self-assessment of scleroderma skin thickness: development and evaluation of the PASTUL questionnaire

Rheumatology ◽  
2021 ◽  
Vol 60 (Supplement_1) ◽  
Author(s):  
Julia Spierings ◽  
Voon H Ong ◽  
Christopher P Denton
Keyword(s):  
Correlation Coefficient ◽  
Upper Limb ◽  
Content Validity ◽  
Health Assessment ◽  
Skin Thickness ◽  
Self Assessment ◽  
Skin Score ◽  
Modified Rodnan Skin Score ◽  
Physical Limitations ◽  
Test Retest Reliability

Abstract Background/Aims  Evaluation of skin is central to both clinical practice and trials in systemic sclerosis (SSc). This is generally done with the modified Rodnan Skin Score (mRSS). Remote consultations are now widely implemented in response to the COVID-19 pandemic, which has inevitably limited evaluation of skin. To monitor skin during this pandemic and to further explore ways to assess skin, we developed the PASTUL (Patient self-Assessment of Skin Thickness in Upper Limb) questionnaire. The aim of this study was to evaluate feasibility and validity of the PASTUL in SSc. Methods  The PASTUL questionnaire specifies a simple grading of skin as normal, mild, moderate, or severely thickened at eight sites of upper limb corresponding to mRSS. Assessed grades were converted to an integer scale [0, 1, 2, 3]. Detailed instructions for patients were provided. Scleroderma Skin PRO (SSPRO) and Scleroderma Health Assessment Disability Index (SHAQ-DI) were also completed. The mRSS was done in a selection of patients. Construct validity was evaluated by examining the correlation between PASTUL, mRSS, SSPRO and SHAQ-DI using Pearson’s correlation coefficient. Content validity was evaluated by scoring relevance, clarity and practical difficulty. Test-retest reliability was estimated using intraclass correlation coefficient (ICC). Results  In total, 107 patients were invited of which 83 (77.6%) completed the questionnaires. The mRSS was undertaken in 61 patients. The PASTUL was completed by patients (83.1%) or by a partner/friend (16.9%). Mean PASTUL score was 11 (SD 6), mean HAQ-DI 1.47 (SD 0.76) and mean SSPRO 49.8 (SD 26.6). PASTUL and SSPRO physical limitations correlated strongly (0.62, p < 0.001). Correlations between PASTUL and total SSPRO and mRSS upper limbs were moderate to weak (0.59, 0.50 and 0.32 respectively). Correlation between PASTUL and mRSS was stronger in lcSSc compared to dcSSc patients (0.61 vs 0.29) and when assessed by a partner/friend compared to patients themselves (0.98 vs 0.45). The PASTUL demonstrated excellent test-retest reliability (ICC of 0.92) and good content validity. P151 Table 1:Correlation of PASTUL score with other outcome measuresOutcome measurePearson's correlation coefficientP-valuemRSS0.48<0.001mRSS upper limbs0.50<0.001SHAQ-DI0.320.004VAS pain0.180.107VAS GI0.130.239VAS breathing0.130.236VAS RP0.090.406VAS DU0.090.466VAS limitations0.250.026SSPRO0.59<0.001SSPRO subdomain PE0.56<0.001SSPRO subdomain PL0.62<0.001SSPRO subdomain EE0.49<0.001SSPRO subdomain SE0.370.001DU, digital ulcers; EE, emotional effects; GI, gastrointestinal; HAQ-DI, Health Assessment Questionnaire Disability Index; mRSS, modified Rodnan skin score; PE, physical effects; PL, physical limitations; RP, Raynaud's phenomenon; SE, social effects Conclusion  Moderate and significant correlations of PASTUL scores with total SSPRO, physical limitation scores and mRSS support the usefulness of PASTUL as an outcome measure and indicates it’s potential for use in virtual clinical settings Disclosure  J. Spierings: None. V.H. Ong: None. C.P. Denton: None.

scholarly journals Optimism despite profound uncertainty: school and social relationships in adolescents with single ventricle heart disease

2020 ◽  
pp. 1-8
Author(s):  
Jennifer K. Peterson ◽  
Ellen F. Olshansky ◽  
Yuqing Guo ◽  
Lorraine S. Evangelista ◽  
Nancy A. Pike
Keyword(s):  
Heart Disease ◽  
Social Relationships ◽  
Single Ventricle ◽  
Structured Interviews ◽  
Psychosocial Sequelae ◽  
Health Related ◽  
The Face ◽  
Phenomenological Methodology ◽  
Physical Limitations ◽  
Uncertain Future

Abstract Background: Survivors of single ventricle heart disease must cope with the physical, neurodevelopmental, and psychosocial sequelae of their cardiac disease, which may also affect academic achievement and social relationships. The purpose of this study was to qualitatively examine the experiences of school and social relationships in adolescents with single ventricle heart disease. Methods: A descriptive phenomenological methodology was employed, utilising semi-structured interviews. Demographic and clinical characteristics were obtained via chart review. Results: Fourteen adolescents (aged 14 to 19 years) with single ventricle heart disease participated. Interviews ranged from 25 to 80 minutes in duration. Four themes emerged from the interviews, including “Don’t assume”: Pervasive ableism; “The elephant in the room”: Uncertain future; “Everyone finds something to pick on”: Bullying at school; “They know what I have been through”: Social support. The overall essence generated from the data was “optimism despite profound uncertainty.” Conclusions: Adolescents with single ventricle heart disease identified physical limitations and school challenges in the face of an uncertain health-related future. Despite physical and psychosocial limitations, most remained optimistic for the future and found activities that were congruent with their abilities. These experiences reflect “optimism despite profound uncertainty.”

Perceptions of the Neighborhood Built Environment for Walking Behavior in Older Adults Living in Close Proximity

2020 ◽  
pp. 073346482097925
Author(s):  
Florian Herbolsheimer ◽  
Atiya Mahmood ◽  
Nadine Ungar ◽  
Yvonne L. Michael ◽  
Frank Oswald ◽  
...  
Keyword(s):  
Older Adults ◽  
Built Environment ◽  
Past Research ◽  
Subjective Assessment ◽  
Neighborhood Environment ◽  
Walking Behavior ◽  
Close Proximity ◽  
Physical Limitations ◽  
Pedestrian Infrastructure ◽  
Neighborhood Built Environment

Past research documents a discordance between perceived and objectively assessed neighborhood environmental features on walking behavior. Therefore, we examined differences in the perception of the same neighborhood built environment. Participants were grouped if they lived 400 m or closer to each other. The perception of the pedestrian infrastructure, neighborhood aesthetics, safety from crime, and safety from traffic was derived from a telephone survey from two North American metropolitan areas; 173 individuals were clustered into 42 groups. Older adults who walked for transport in their neighborhood experienced the same neighborhood as more walkable (β = .19; p = .011) with better pedestrian infrastructure (β = .16; p = .037). Older adults with physical limitations experienced the same neighborhood as less safe from crime (β = −.17; p = .030) and traffic (β = −.20; p = .009). The study supports the notion that individual behavior and physical restrictions alter the environment’s perception and explains part of the discordance between objective and subjective assessment of the neighborhood environment.

Understanding Exercise Challenges and Barriers for Older Adults with Mobility Disabilities

2020 ◽  
Vol 64 (1) ◽  
pp. 1297-1301
Author(s):  
Qiong Nie ◽  
Lyndsie M. Koon ◽  
Madina Khamzina ◽  
Wendy A. Rogers
Keyword(s):  
Older Adults ◽  
Health Status ◽  
Older People ◽  
Health Outcomes ◽  
Quantitative Evaluation ◽  
Exercise Barriers ◽  
Depth Interview ◽  
Physical Limitations ◽  
Barriers And Challenges ◽  
Depth Interviews

Interventions to address exercise challenges in older people have been the focus of recent research, given the importance of exercise for health outcomes. However, exercise challenges for older adults with mobility disabilities have received little attention. We investigated participation of exercise among older adults with mobility disabilities to understand exercise barriers and challenges experienced by this population. We conducted a needs assessment using two archival datasets: a quantitative survey with 1,137 respondents and a qualitative in-depth interview with 23 participants. The quantitative evaluation revealed low participation of walking and less engagement of vigorous activities, and significant correlates of health status and lack of energy with vigorous activities. The in-depth interviews showed exercise challenges were attributed to difficulties with physical limitations, accessibility, and environmental limitations. Individuals with mobility disabilities may face unique challenges and barriers, affordable and effective supports to promote exercise engagement for them should be adapted to such needs.

scholarly journals Cardiopulmonary Exercise Testing to Assess Persistent Symptoms at 6 Months in People With COVID-19 Who Survived Hospitalization – A Pilot Study

2021 ◽  
Author(s):  
David Debeaumont ◽  
Fairuz Boujibar ◽  
Eglantine Ferrand-Devouge ◽  
Elise Artaud-Macari ◽  
Fabienne Tamion ◽  
...  
Keyword(s):  
Pilot Study ◽  
Physical Fitness ◽  
Exercise Testing ◽  
Cardiopulmonary Exercise Testing ◽  
Respiratory Muscle Training ◽  
Persistent Symptoms ◽  
Cardiopulmonary Exercise ◽  
Rehabilitation Intervention ◽  
Physical Limitations ◽  
Dyspnea Score

Abstract Objective The aim of this pilot study was to assess physical fitness and its relationship with functional dyspnea in survivors of Covid-19, 6 months after their discharge from the hospital. Methods Data collected routinely from people referred for cardiopulmonary exercise testing (CPET) following hospitalization for Covid-19 were retrospectively analyzed. Persistent dyspnea was assessed using the modified Medical Research Council dyspnea (mMRC) scale. Results Twenty-three people with persistent symptoms were referred for CPET. Mean mMRC dyspnea score was 1 (SD = 1) and was significantly associated with VO2peak (%) (rho = −0.49). At 6 months, those hospitalized in the general ward had a slightly reduced VO2peak (87% [SD = 20]), whereas those who had been in the intensive care unit (ICU) had a moderately reduced VO2peak (77% [SD = 15]). Of note, the results of the CPET revealed that, in all patients, respiratory equivalents were high, power-to-weight ratios were low, and those who had been in the ICU had a relatively low ventilatory efficiency (mean VE/VCO2 slope = 34 [SD = 5]). Analysis of each individual showed that none had a breathing reserve <15% or 11 L/min, all had a normal exercise electrocardiogram, and 4 had a heart rate above 90%. Conclusion At 6 months, persistent dyspnea was associated with reduced physical fitness. This study offers initial insights into the mid-term physical fitness of people who required hospitalization for Covid-19. It also provides novel pathophysiological clues about the underlaying mechanism of the physical limitations associated with persistent dyspnea. Those with persistent dyspnea should be offered a tailored rehabilitation intervention, which should probably include muscle reconditioning, breathing retraining, and perhaps respiratory muscle training. Impact This study is the first to show that a persistent breathing disorder (in addition to muscle deconditioning) can explain persistent symptoms 6 months after hospitalization for Covid-19 infection and suggests that a specific rehabilitation intervention is warranted.

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