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results of General Disability
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Guides Newsletter (2021) 26 (4): 3–7.
Published: 01 July 2021
... general disability issues and their impact on individual well-being, social participation, and frequently associated poverty. It defines the difference between impairment assessment and disability assessment, explores three common disability models, and raises issues about psychiatric disability and its...
Guides Newsletter (2006) 11 (6): 1–3, 8-11.
Published: 01 November 2006
... Society 5 failed to list any general medical issues as a risk factor for chronic disabling low-back pain. Instead, the review highlighted psychosocial factors such as somatization tendencies, depressive tendencies, low activity levels, job dissatisfaction, history of childhood abuse, history...
Guides Newsletter (2020) 25 (3): 12–19.
Published: 01 May 2020
... of the “most recent edition” of the AMA Guides when determining partial disability entitlement under the Pennsylvania Workers’ Compensation Act. An attempted solution was passed by the Pennsylvania General Assembly and was signed into law Act 111 on October 24, 2018. Although it affirms that the AMA Guides...
Guides Newsletter (2018) 23 (4): 3–8.
Published: 01 July 2018
..., or disease.” Another useful concept is “needless disability” or days away from work that are not medically necessary; workless populations experience a two- to threefold increased risk of poor general health, including higher rates of cardiovascular disease, lung cancer, and respiratory infections, among...
Guides Newsletter (2015) 20 (3): 6–10.
Published: 01 May 2015
... of the Act commonly is referred to as SSI, which is funded through general funds from the US Treasury. Both SDI and SSI disability adjudication use the same five-step sequential evaluation process to determine if a claimant fulfills SSA's disability definition. The foundation for determining disability under...
Guides Newsletter (2017) 22 (6): 3–11.
Published: 01 November 2017
... mortality in persons with intellectual disability (non-Down and Down syndrome) compared with the general population. All-cause and disease-specific mortality were approximately 3 times higher than in the general population. The most profound differences were noted in persons in their third decade; all-cause...
Guides Newsletter (2018) 23 (6): 3–8.
Published: 01 November 2018
... of evidence regarding real-world collision data and shows that, for low-speed impacts, any injuries are minor and self-limiting. Further, disability due to LBP was predicted by an abnormal baseline psychological test profile or a previously disputed compensation claim. The motions, forces, and accelerations...
Guides Newsletter (2015) 20 (2): 3–11.
Published: 01 March 2015
..., and grief—creating a web of disability. In this context, resilience can be reframed as the ability of a person to change, quiet, or moderate self-talk in order to minimize their long-term reaction to stressors. To foster resilience, individual interventions can be undertaken as general life training...
Guides Newsletter (2005) 10 (1): 8–9.
Published: 01 January 2005
.... The referral should identify the information needed for the assessment, define the standards for the evaluation, and provide detailed questions to be answered. Failure to provide this information often will result in a poor outcome. The article includes a sample generic referral letter to an impairment...
Christopher Brigham, MD, Lorne K. Direnfeld, MD, Steven Feinberg, MD, MPH, Les Kertay, PHD, James B. Talmage, MD
Guides Newsletter (2017) 22 (5): 3–18.
Published: 01 September 2017
... in several arenas, including automobile casualty, workers’ compensation, personal injury, medical malpractice, and long-term disability and differ from traditional clinical evaluations. The evaluating physician must be independent and has no (or only a limited) physician–patient relationship...
Guides Newsletter (2011) 16 (5): 5.
Published: 01 September 2011
...Christopher R. Brigham, MD The state of Illinois has undergone major workers’ compensation reform with the passage of House Bill 1698, and from September 1, 2011, one of the factors used to determine a permanent partial disability (PPD) rating is an impairment evaluation according to the AMA Guides...
Guides Newsletter (2005) 10 (6): 1–9.
Published: 01 November 2005
... to work and other types of disability. General comments about prognosis may be appropriate. Usually the requesting agency will ask specific questions. The verbatim questions and direct answers should be included. In some reports, references to published literature...
Guides Newsletter (2005) 10 (5): 1–3, 12.
Published: 01 September 2005
... impairment due to shoulder weakness or motion loss. Rotator cuff tendinopathy generally is multifactorial, and tears usually result from a combination of intrinsic factors (loads transmitted, local blood supply, and age) and extrinsic factors (impingement, primarily). Surgery to eliminate impingement...
Guides Newsletter (2011) 16 (2): 1–7.
Published: 01 March 2011
... to be permanent, but evidence indicates that prescription narcotics cause significant problems in addition to worsening pain: endocrine disruption, sleep abnormalities, immune system compromise, cognitive impairment, substance abuse, and generalized ill health and disability, among others. Evaluators may worry...
Guides Newsletter (1998) 3 (5): 7.
Published: 01 September 1998
... a scaled ranking of the impaired function(s) that approximates the impact on the individual's ability to perform specific tasks. The method, although imperfect, generates a percentage impairment score for rating the disability. This method breaks down when applied to disorders with far-reaching effects...
Guides Newsletter (1997) 2 (3): 1–4.
Published: 01 May 1997
...Mohammed I. Ranavaya, MS, MD, SAADEP The diagnostic criteria for asthma usually are straightforward and generally follow the Guidelines of the American Thoracic Society (ATS). The assessment of impairment and disability from asthma is complex because of the variable nature of the disease...
Guides Newsletter (2008) 13 (3): 14–18.
Published: 01 May 2008
... to be of secondary importance. Physicians differ sharply concerning the contributions of neurophysiological vs behavioral/psychological factors when pain is present without general medical findings (eg, fibromyalgia). Chronic pain syndrome diagnosed by the “Eight Ds in Chronic Pain” is superficially attractive...
Guides Newsletter (1998) 3 (6): 6–7.
Published: 01 December 1998
..., there are no scientific data on which to base a judgment regarding impairment or disability, and tinnitus alone generally is not considered compensable. The AMA Guides to the Evaluation of Permanent Impairment allows some adjustment for unilateral, but not bilateral, tinnitus that may impair speech discrimination...
Guides Newsletter (2007) 12 (4): 4–7.
Published: 01 July 2007
... a generalized tonic-clonic seizure. This patient's impairment must include the following components: single seizure, orbital fracture, infraorbital neuropathy, anosmia, headache, and memory complaints. The article shows how the ratable impairments are combined using the Combining Impairment Ratings section...
Guides Newsletter (2007) 12 (3): 1–3, 8-15.
Published: 01 May 2007
... symptoms). Treatment generally should be simple and consists primarily of reassurance and home exercise. Disability, both occupational and avocational, should be avoided or minimized. As with other impairment evaluations, the clinical assessment (history, physical examination, and review of diagnostic...