Beach users’ aesthetic and economic evaluation of a “minor change” to the hard engineering coastal defences at Wiseman’s Bridge, Pembrokeshire, Wales

Abstract The AMA Guides to the Evaluation of Permanent Impairment, Fourth Edition, uses the Injury Model to rate impairment in people who have experienced back injuries. Injured individuals who have not required surgery can be rated using differentiators. Challenges arise when assessing patients whose injuries have been treated surgically before the patient is rated for impairment. This article discusses five of the most common situations: 1) What is the impairment rating for an individual who has had an injury resulting in sciatica and who has been treated surgically, either with chemonucleolysis or with discectomy? 2) What is the impairment rating for an individual who has a back strain and is operated on without reasonable indications? 3) What is the impairment rating of an individual with sciatica and a foot drop (major anterior tibialis weakness) from L5 root damage? 4) What is the rating for an individual who is injured, has true radiculopathy, undergoes a discectomy, and is rated as Category III but later has another injury and, ultimately, a second disc operation? 5) What is the impairment rating for an older individual who was asymptomatic until a minor strain-type injury but subsequently has neurogenic claudication with severe surgical spinal stenosis on MRI/myelography? [Continued in the September/October 1997 The Guides Newsletter]

Download Full-text

Pelvic Impairments

Guides Newsletter ◽

10.1001/amaguidesnewsletters.2018.julaug02 ◽

2018 ◽

Vol 23 (4) ◽

pp. 9-10

Author(s):

James Talmage ◽

Jay Blaisdell

Keyword(s):

Pelvic Ring ◽

Reproductive Organs ◽

High Impact ◽

Pelvic Fractures ◽

Motor Dysfunction ◽

Impact Event ◽

Concomitant Injuries ◽

Rating Process ◽

Pass Through ◽

A Minor

Abstract Pelvic fractures are relatively uncommon, and in workers’ compensation most pelvic fractures are the result of an acute, high-impact event such as a fall from a roof or an automobile collision. A person with osteoporosis may sustain a pelvic fracture from a lower-impact injury such as a minor fall. Further, major parts of the bladder, bowel, reproductive organs, nerves, and blood vessels pass through the pelvic ring, and traumatic pelvic fractures that result from a high-impact event often coincide with damaged organs, significant bleeding, and sensory and motor dysfunction. Following are the steps in the rating process: 1) assign the diagnosis and impairment class for the pelvis; 2) assign the functional history, physical examination, and clinical studies grade modifiers; and 3) apply the net adjustment formula. Because pelvic fractures are so uncommon, raters may be less familiar with the rating process for these types of injuries. The diagnosis-based methodology for rating pelvic fractures is consistent with the process used to rate other musculoskeletal impairments. Evaluators must base the rating on reliable data when the patient is at maximum medical impairment and must assess possible impairment from concomitant injuries.

Download Full-text

135: Economic Evaluation of Finasteride in Benign Prostatic Hyperplasia Treatment

The Journal of Urology ◽

10.1016/s0022-5347(18)37397-x ◽

2004 ◽

Vol 171 (4S) ◽

pp. 35-36

Author(s):

J. Curtis Nickel ◽

Heather McDonald ◽

Marg Hux ◽

Marc Brisson ◽

Lisa Bernard

Keyword(s):

Economic Evaluation ◽

Benign Prostatic Hyperplasia ◽

Prostatic Hyperplasia

Download Full-text

Economic Evaluation of Oral Treatments for Neuropathic Pain

Yearbook of Anesthesiology and Pain Management ◽

10.1016/s1073-5437(08)70207-9 ◽

2007 ◽

Vol 2007 ◽

pp. 234-235

Author(s):

S.E. Abram

Keyword(s):

Neuropathic Pain ◽

Economic Evaluation

Download Full-text

The Effect of Path Length and Display Size on Memory for Spatial Information

Experimental Psychology (formerly Zeitschrift für Experimentelle Psychologie) ◽

10.1027/1618-3169/a000137 ◽

2012 ◽

Vol 59 (3) ◽

pp. 147-152 ◽

Cited By ~ 11

Author(s):

Katherine Guérard ◽

Sébastien Tremblay

Keyword(s):

Path Length ◽

Potential Role ◽

Spatial Information ◽

Recall Performance ◽

Minor Role ◽

Length Effect ◽

Serial Memory ◽

Fixed Reference ◽

A Minor

In serial memory for spatial information, some studies showed that recall performance suffers when the distance between successive locations increases relatively to the size of the display in which they are presented (the path length effect; e.g., Parmentier et al., 2005) but not when distance is increased by enlarging the size of the display (e.g., Smyth & Scholey, 1994). In the present study, we examined the effect of varying the absolute and relative distance between to-be-remembered items on memory for spatial information. We manipulated path length using small (15″) and large (64″) screens within the same design. In two experiments, we showed that distance was disruptive mainly when it is varied relatively to a fixed reference frame, though increasing the size of the display also had a small deleterious effect on recall. The insertion of a retention interval did not influence these effects, suggesting that rehearsal plays a minor role in mediating the effects of distance on serial spatial memory. We discuss the potential role of perceptual organization in light of the pattern of results.

Download Full-text