bluuebunny/crossref_metadata_2025 huggingface dataset:
Dynamic model with factors of polycystic ovarian syndrome in infertile women
Authors: Ghiasi Hafezi Somayeh , Ahmadi Zand Mohammadreza , Molaei Mohammadreza , Eftekhar Maryam
Published: June 2019

Background: Previous studies present various methods for prediction disease based on statistics or neural networks.These models use statistics and results from past procedures to provide prediction through probability analysis.
Objective: In this article, the authors present a dynamic model aiming at predicting the treatment result of infertile women with the factor of polycystic ovary syndrome. Materials and Methods: For this purpose, the authors have divided the study population into five groups: women prone to infertility, PCOS women, infertile women undergoing the treatment with Clomiphene Citrate and Gonadotropin, infertile women under IVF treatment, and improved infertile women. Therefore, the authors modeled the disease in infertile women mathematically and indicated that the free equilibrium point was asymptotically stable. Also the possibility of other equilibrium point of the system has been studied.
Results: The authors showed that this equilibrium point was marginally stable. Using Stoke’s Theorem, the authors proved that the recurrence of the disease cycle with the factor of polycystic ovary syndrome was not intermittent in infertile women. They solved this model numerically using Rung-Kutta method and sketched the figures of the resulted solutions.
Conclusion: It shows that with increasing age, the ovarian reserve is decreased and the treatment Clomiphene Citrate and Gonadotropin are not responsive, so IVF treatment is recommended in this group of patients considering the graphs of the model.
The therapeutic potential of amifostine on cyclophosphamide-induced testicular dysfunction in rats: An experimental study
Authors: Kaya Coskun , Barbaros Baseskioglu Ali , Yigitaslan Semra , Yasemin Ozatik Fikriye , Ozatik Orhan , Uslu Sema
Published: June 2019

Background: Cyclophosphamide (CP) is a well-known alkylating anticancer agent used in the treatment of various malignant and non-malignant tumors. CP may also cause a variety of adverse effects, including reproductive toxicity. Amifostine is known as a cytoprotective drug having antioxidant properties.
Objective: To evaluate the possible beneficial effects of amifostine on testicular toxicity induced by CP in rats.
Materials and Methods: A total of 35 Sprague-Dawley rats were used in this experimental study. The CP group animals received a single dose of 200 mg/kg CP on Day 8 by intraperitoneal injection and were left untreated for the following seven days. The two remaining groups of animals were treated with 200 mg/kg/day amifostine (AMF 200) and 400 mg/kg/day amifostine (AMF 400) for seven days prior to and following a single intraperitoneal injection of CP. Morphometrical analysis and histological examination of testicular tissue were performed. Serum testosterone, luteinizing hormone, and follicle-stimulating hormone levels were measured in serum using commercial ELISA kits. The epidydimal sperm count was determined.
Results: The tubular epithelial height in the testis was significantly higher in the AMF400 group compared to other groups (p < 0.001). Animals in the AMF400 group showed minimal debris in the tubules, no Sertoli cell damage, and the Johnsen scores were slightly higher in the AMF400 group. The epididymal sperm count was significantly lower in the CP-administered animals compared to the control animals and was significantly higher in the AMF200 and AMF400 groups compared to the CP group (p = 0.006, and p = 0.019 respectively).
Conclusion: Amifostine, at a dose of 400 mg/kg, may have a protective effect on testicular damage induced by CP in rats.
La questione ecologica nella società-mondo. Sviluppo e sostenibilità: una semantica attuale?
Authors: Finco Matteo
Published: June 2019

O objetivo geral das seguintes reflexões teóricas é investigar a atual semântica social da expressão “desenvolvimento sustentável”: o que significa na contemporaneidade? Como os temas do desenvolvimento e da sustentabilidade foram entendidos na modernidade? Porque os dois termos hoje são utilizados conjuntamente? A reflexão é baseada em uma pesquisa bibliográfica cujo referêncial é a teoria sistêmica de Niklas Luhmann. O objetivo do trabalho é entender qual seria a contribuição que essa teoria pode fornecer a discussão sobre o tema do desenvolvimento sustentável. Como resultados, percebe-se que hoje há quase uma identificação entre desenvolvimento e sustentabilidade: por um lado a sustentabilidade deve ser continuamente redefinida em relação ao futuro – é um conceito que deve ser continuamente problematizado; por outro não parece possivél desistir de uma idea de amelhoramento, de progresso. No mesmo tempo, adquire-se uma maior consciência da importância descritiva que a sociologia – como ciência – desempenha na sociedade, além de uma função crítica. A sociologia deve fornecer descrições mais satisfatórias, ainda que complexas, não limitadas à semântica herdada da tradição, mas capazes de problematizar a realidade de maneira nova.
Clinical and diagnostic algorithm for otorhinolaryngologist’s work with voice professionals
Authors:   Saint Petersburg Research Institute of Ear, Throat, Nose and Speech, Ministry of Healthcare of Russia, Saint Petersburg, 190013, Russia, Stepanova Yu. E. , Koren’ E. E. ,   Saint Petersburg Research Institute of Ear, Throat, Nose and Speech, Ministry of Healthcare of Russia, Saint Petersburg, 190013, Russia, Gotovyakhina T. V. ,   Saint Petersburg Research Institute of Ear, Throat, Nose and Speech, Ministry of Healthcare of Russia, Saint Petersburg, 190013, Russia
Published: June 2019

Diagnosis and treatment of larynx diseases in voice professionals are an important task of otorhinolaryngology. 244 voice professionals have visited Phoniatric Department of Saint Petersburg Research Institute of Ear, Throat, Nose and Speech. The condition of larynx was assessed by videoendolaryngoscopic and videoendolaryngostroboscopy methods. Larynx pathology was found in 212 patients, 32 persons were healthy. The main causes of dysphonias were the continuous vocal stress, work in sick condition, the diseases of endocrine, gastroduodenal, respiratory, neural system. 77 patients with voice disorders were diagnosed with functional dysphonia, 61 patients – with acute or chronic laryngitis. The cause of hoarseness in 46 persons were the vocal fold nodules, and in 28 patients – the vocal fold polyps. The article describes the clinical manifestations of pathological changes of the larynx. Based on the studied voice disorder etiological factors and clinical picture of the larynx, the authors developed a clinical and diagnostic algorithm of otorhinolaryngologist’s work with voice professionals.
The analysis of polypous rhinosinusitis treatment regimens in the Russian Federation
Authors:   Central State Medical Academy of of Administrative Directorate of the President of the Russian Federation,  Moscow, 121359, Russia, Savlevich E. L. , Egorov V. I. ,   Vladimirsky Moscow Regional Research ClinicalaI Institute,  Moscow, 129110, Russia, Shachnev K. N. ,   Vladimirsky Moscow Regional Research ClinicalaI Institute,  Moscow, 129110, Russia, Tatarenko N. G. ,   Polyclinic N 4 of of Administrative Directorate of the President of the Russian Federation,  Moscow, 121151, Russia
Published: June 2019

Chronic polypous rhinosinusitis does not subject to complete medicinal control; it is difficult to predict the prospects of the pathology development in each individual patient. Therefore, the search of new regimens of treatment of these patients is still in progress. An international consensus published in 2016, considers, inter alia, various groups of drugs for conservative treatment of polypous rhinosinusitis from the viewpoint of evidence-based medicine. We conducted a retrospective analysis of outpatient records and personal data of 1059 patients with polypous rhinosinusitis who underwent outpatient and inpatient treatment at the period from February 2016 to March 2018 in Moscow, Moscow Region and 26 regions of Russia. According to the results, in outpatient treatment, the basic therapy with intranasal glucocorticosteroids was performed in 92.4%, irrigation therapy – in 82.2% of cases, antihistamines were recommended in 79.4%. In case of hospitalization for surgical treatment, 16.6% of patients in Russian regions and 24% in Moscow Region had received no preliminary therapy for 6 months before hospitalization. In general, analyzing the management and treatment regimens of the patients with polypous rhinosinusitis, we found almost no deviations from the present-day domestic and foreign clinical guidelines. However, we observed prescription of some intranasal glucocorticosteroids, the leaflets of which contain no indications for polypous rhinosinusitis treatment.
Our method of micro-endoscopic examination of the auditory tube
Authors:   Prof. V. F. Voino-Yasenetsky Krasnoyarsk State Medical University,  the Ministry of Healthcare of the Russia, Krasnoyarsk, 660022, Russia, Vakhrushev S. G. ,   Clinic of New Technologies,  Krasnoyarsk, 660055, Russia, Kuzovkov V. E. ,   Prof. V. F. Voino-Yasenetsky Krasnoyarsk State Medical University,  the Ministry of Healthcare of the Russia, Krasnoyarsk, 660022, Russia,   Clinic of New Technologies,  Krasnoyarsk, 660055, Russia,   Saint Petersburg Research Institute of Ear, Throat, Nose and Speech,  the Ministry of Healthcare of the Russia, Saint Petersburg, 190013, Russia
Published: June 2019

help of fine optical systems. The authors suggested various techniques of micro-endoscopic examination of the auditory tube (Chays A., Magnan J.; Kimura et al.; Edelstein et al.; Klug C. et al.; Christopher J. Linstrom, etc.) However, it should be noted that all the previously presented techniques had a number of technical drawbacks, such as: low resolution of optical instruments; imperfection of the method of optical fibers feed the into the auditory tube; contamination of the distal endoscope part with mucous discharge; the absence of easy but reliable methods of controlling the optical fiber position in the middle ear. The article presents our method of micro-endoscopic examination of the auditory tube. Working at this task, we used a flexible unguided micro-endoscope Omex, model OME 400. The device has the following specifications: diameter: 0.78 mm, minimal bending radius: 25 mm, resolution: 15,000 pixels. The insertion of the instrument into the auditory tube was performed by means of a special device for examination and management of the auditory tube diseases and a special elastic catheter. The article provides various options of the auditory tube examination both from the pharyngeal orifice and from the tympanic orifice side during tympanoplasty. The group of authors conducted endoscopic examination of the auditory tube in 90 children aged 3 to 12 years during cold-plasma adenotomy and shunting of the tympanic cavities under general anesthesia. Besides, the examination of the auditory tube in adult patients during tympanoplasty was performed. The total number of examinations was 20 people, males and females, aged 29-61 years. We revealed a number of pathomorphological changes of the auditory tube mucous membrane in chronic secretory otitis media, chronic purulent otitis media. We observed edema, folding of the mucous membrane of the auditory tube in the membranous cartilaginous part; polypus-changed mucous membrane in the area of the auditory tube tympanic orifice; fibrin strands in the area of auditory ossicles and the absence of changes in the auditory tube in the middle ear pathology.
Nasal septal Swell Body reduction a diode laser
Authors:   Pavlov First Saint Petersburg State Medical University,  Saint Petersburg, 197022, Russia, Karpishchenko S. A. , Aleksandrov A. N. ,   Pavlov First Saint Petersburg State Medical University,  Saint Petersburg, 197022, Russia, Bolozneva E. V. ,   Pavlov First Saint Petersburg State Medical University,  Saint Petersburg, 197022, Russia, Fatalieva A. F. ,   Pavlov First Saint Petersburg State Medical University,  Saint Petersburg, 197022, Russia
Published: June 2019

The nasal swell body (NSB) is a structure in the form of mucosa thickening from the nasal cavity bottom up to the middle nasal concha. The septal swell body was first described by Wustrow in the 17th century, he indicated it as an “intumescentia septi nasi anterior”; later, in 1900, P. Schiefferdecker studied the vasculature of the first third of the nasal septum and called it “septal turbinate”. The objective of our study is to assess the nasal breathing condition before and after nasal septal swell body laser reduction in the patients with vasomotor rhinitis. The study was performed in the Clinic of Otorhinolaryngology of Pavlov First Saint Petersburg State Medical University. We examined 32 patients aged 21–44 years (13 males and 19 females). All the patients were performed a set of examinations: endoscopic examination of the nasal cavity and nasopharynx, anterior active rhinomanometry, computer-aided tomography of paranasal sinuses. The subjective evaluation of the nasal obstruction was based on Nasal Obstruction Symptom Evaluation (NOSE) scale. The patients were divided into 2 groups. The 1st group patients (n-17) underwent surface contact laser vasotomy of inferior nasal concha and reduction of NSB area by means of 970nm injection laser. The second group (n-17) consisted of patients with the same pathology after laser vasotomy without the nasal swell body area, they formed a control group. The comparative analysis between the 1st and the 2nd group of patients didn’t reveal any significant difference in the measurement of VFR and NR in the postoperative period. Besides, the 2nd group patients in 47% (8) of cases mentioned the nasal airflow deficiency according to NOSE scale. The necessity of NSB area reduction is extremely important for achievement of favorable results of the nasal obstruction surgical treatment.
The method of endo-extralaringeal laterofixation of vocal cords in the treatment of chronic paralytic laryngeal stenosis
Authors:   Saint Petersburg Research Institute of Ear, Throat, Nose and Speech, the Ministry of Healthcare  of the Russia, Saint Petersburg, 190013, Russia, Krivopalov A. A. , Shamkina P. A. ,   Saint Petersburg Research Institute of Ear, Throat, Nose and Speech, the Ministry of Healthcare  of the Russia, Saint Petersburg, 190013, Russia, Braiko I. I. ,   Departamental Clinical Hospital at the Barnaul Station of the OAO «RZhD»,  Barnaul, 656038, Russia
Published: June 2019

The treatment of patients with chronic paralytic laryngeal stenoses has been one of the most relevant problems of the present-day otorhinolaryngology. The main cause of paralytic stenosis is the surgery of thyroid gland, neck and chest organs. Etiological factor of the disease is the damage of the recurrent laryngeal nerve and the outer branch of the upper laryngeal nerve. The other possible causes of bilateral paralytic stenosis are: malignant neoplasms, endotracheal intubation, neurological diseases. The diagnostics is based on anamnestic data of previous surgical intervention or concomitant somatical pathology, laryngeal endoscopy, laryngeal videostroboscopy. The treatment of paralytic stenosis at the period of 6 months onwards from the onset of the disease is the laryngeal surgery. According to the literature data, despite the various methods of surgical treatment, the recurrence of the disease in the form of laryngeal restenosis ranges from 6 to 78%. The article describes a new method of surgical treatment of chronic laryngeal stenoses, combining endoscopic laryngeal surgery with bilateral endo-extralaryngeal laterofixation of vocal folds using suture techniques. The article presents the results of 46 patients with this pathology, treated by the following method.
Audiological predictors of postoperative cognitive dysfunction
Authors:   Pavlov First Saint Petersburg State Medical University, the Ministry of Healthcare of the Russia,  Saint Petersburg, 197022, Russia, Polushin A. Yu. , Kozhemyakina M. V. ,   Pavlov First Saint Petersburg State Medical University, the Ministry of Healthcare of the Russia,  Saint Petersburg, 197022, Russia, Polushin Yu. S. ,   Pavlov First Saint Petersburg State Medical University, the Ministry of Healthcare of the Russia,  Saint Petersburg, 197022, Russia, Garbaruk E. S. ,   Pavlov First Saint Petersburg State Medical University, the Ministry of Healthcare of the Russia,  Saint Petersburg, 197022, Russia, Boboshko M. Yu. ,   Pavlov First Saint Petersburg State Medical University, the Ministry of Healthcare of the Russia,  Saint Petersburg, 197022, Russia,   Mechnikov Northwest State Medical University, the Ministry of Healthcare of the Russia, Saint Petersburg, 191015, Russia
Published: June 2019

The objective of the work is to assess the efficacy of the methods of audiological evaluation of the functional state of the central departments of the auditory system in diagnostics of postoperative cognitive dysfunction (POCD). The authors examined 15 patients with generalized atherosclerosis after reconstructive surgery on the lower extremity vessels (the main group) and 10 patients of general surgical profile without the signs of generalized atherosclerosis (the control group). Audiological examination included tonal threshold audiometry, Russian matrix sentence test in noise and dichotic digit test. For POCD diagnostics the authors used the Montreal Cognitive Assessment (MoCA). The studies were performed before and after surgery. A postoperative decrease by 1 or more MoCA points compared to the initial value was considered as a POCD sign. Initially low cognitive background is established to be one of the main risk factors for the POCD development. The article presents the possibility to diagnose the cognitive disorders by means of audiological tests. The presence of signs of central auditory processing disorders can be regarded as a POCD predictor.
Methods of perioperative treatment of odontogenic maxillary sinusitis: practical application
Authors:   Kirov Military Medical Academy, the Ministry of Defense of Russia, Saint Petersburg, 194044, Russia, Dvoryanchikov V. V. , Grebnev G. A. ,   Kirov Military Medical Academy, the Ministry of Defense of Russia, Saint Petersburg, 194044, Russia, Shafigullin A. V. ,   Kirov Military Medical Academy, the Ministry of Defense of Russia, Saint Petersburg, 194044, Russia
Published: June 2019

The problem of treatment of odontogenic maxillary sinusitis lies at the interface of two specialties – otorhinolaryngology and dentistry. Dental manipulations in the area of large molars of the upper jaw, performed in violation of the guidelines of treatment of tooth hard tissue pathology, may result in the development of odontogenic maxillary sinusitis. A damage of the lower wall and mucous membrane of the maxillary sinus is not always properly assessed by dentists. In such cases, it is necessary to involve an otorhinolaryngologist to determine the further treatment approach. To improve the quality of care of patients with odontogenic maxillary sinusitis, the development of an integrated approach in the treatment of odontogenic maxillary sinusitis by both dentist and otorhinolaryngologist is a relevant and promising direction. The article suggests a new method of odontogenic maxillary sinusitis treatment based on interdisciplinary approach, used in the Clinic of Otolaryngology of the Military Medical Academy. The authors present clinical cases of odontogenic maxillary sinusitis, in which this technique was applied. Different variants of the course of odontogenic maxillary sinusitis called for simultaneous participation of an otorhinolaryngologist and maxillofacial surgeon. Joint examination, high-quality X-ray diagnosis, precise determination of the cause, regular interaction at different stages of treatment, determination of indications and contraindications to surgery provide a new look at the clinical outcome of odontogenic maxillary sinusitis.
Educational and Training Needs of Rehabilitation Counselors: Implications for Training
Authors: McFarlane F. R. , Sullivan M.
Published: June 2019

This study assesses the educational and training needs of state agency vocational rehabilitation counselors in Region IX. The Field Research Survey (FRS) was administered to a sample of 360 case-carrying counselors. Ninety-one and six-tenths percent (91.6 %) or 330 of the rehabilitation counselors adequately completed the FRS. The main findings of the study were: (1) 32.1.% of the rehabilitation counselors had completed some graduate training in rehabilitation; (2) 26.3 % were involved in form1tl continuing education; (3) 74.4% of the rehabilitation counselor's last work experience was in areas other than counseling; (4) training received over the past two years focused on administrative/agency structure and placement activities; and (5) perceived training needs focused on refinement in individual counseling techniques and placement.
Essential Rehabilitation Counselor Diagnostic, Counseling, and Placement Competencies
Authors: Porter Thomas L. , Rubin Stanford E. , Sink Jack M.
Published: June 2019

This paper addresses the following question: What constitutes relevant educational preparation for the diagnostic, counseling, and placement role demands of the rehabilitation counselor's job? Rehabilitation counselor diagnostic, counseling and placement competencies identified at a National Seminar on Competency Based Rehabilitation Education are presented. The implications of the contents of the lists of Competencies for rehabilitation counselor education curriculums are discussed. Suggestions for other uses of the competencies are included.
Job Satisfaction and Social Interactions of Mildly Retarded Males in Uni -and Multi-disability Workshops
Authors: Rosenberg Howard
Published: June 2019

Thirty mildly retarded males from uni-disability workshops and thirty mildly retarded males from multi-disability workshops were administrated a job satisfaction questionaire and a social interaction scale. Results indicated differential patterns of job satisfaction and dissatisfaction as well as different social interaction patterns between groups. The more “normalizing” effect of the multi-disability workshop where retarded trainees have the opportunity to model socially acceptable work values. and behaviors from physically handicapped trainees and staff was revealed.
The Assessment of Vocational Motivation of Physically Disabled Clients
Authors: Bolton Brian
Published: June 2019

The assessment of vocational motivation is a concern that is central to the primary goal of the vocational rehabilitation process. An analysis of the Work Values Inventory (WVI) profiles of 445 physically disabled clients revealed that: (a) they are motivated by intrinsic as well as extrinsic values; (b) their work values are independent of age, education, and intelligence; and (c) their profiles of work values provide relatively unique information for counseling purposes. Three approaches to the interpretation of the WVI that may be used by the rehabilitation counselor are outlined: the normative strategy, the individualized strategy, and the predictive strategy. It was concluded that the WVI is a potentially useful instrument for assessing the vocational motivation of physically disabled clients.
The Relationship of Rehabilitation Client Vocational Appraisal to Training Outcome and Employment
Authors: Cook Daniel W. , Brookings Jeff B.
Published: June 2019

This study examined the relationship between work evaluatio recommendations and client outcome in a sample of vocational rehabilitation clients enrolled at a comprehensive rehabilitation center. Analysis of selected demographic, psychological, and vocational information indicated no relationship between type of recommendations made and completion of a center training program; completion of a center program, however, was positively related to statu. “26” (successful) rehabilitation closure. For clients employed posttraining, there was only a 23% match between vocational training received and kind of job accepted at closure. The findings replicate an earlier study and suggest that predicting tenure in training is different from predicting posttraining employment. Implications for practitioners are discussed.
Kidney Transplation: Its Enhancement by a Rehabilitation Centered Counseling Group
Authors: Callender Clive O. , Silverman Ardis , Rice Beryl , Green Geneva
Published: June 2019

Kidney transplantation alone at the Howard University Transplant Center had been unsuccessful in restoring the quality of life to renal failure patients. Consequently, a group evolved consisting of 4-12 patients and 3 co-leaders, physician (transplant surgeon), nurse (dialysis nurse), rehabilitation counselor, and a group work consultant. This group met for one hour weekly and discussed anxiety, impotence, informed consent, death and many other topics. The group assisted patients in obtaining vocational rehabilitation, coping with end stage renal disease and hemodialysis, and improving patient to patient and patient to health care provider interaction. A particularly high risk group “heroin addicts renal disease sufferers”, were noteworthy in that 7 of 13 of them were fully rehabilitated 1-2 years after transplantation.
Geriatric Rehabilitation: Group Counseling vs. Recreational Programming for Older Workshop Clients
Authors: Moss Eric
Published: June 2019

The purpose of this study was to make a comparison between group counseling and social activities as methods for affecting the life adjustment of older workshop clients. Sixty-nine older clients from two similar rehabilitation workshops in New York City were randomly assigned to counseling groups, social activities groups, and a control group. Those clients exposed to group counseling showed a significant increase in social engagement over a six month trial period, as did clients exposed to regular social activities. There were no significant changes in the experimental groups in life satisfaction, alienation, or work productivity. Results of the study are discussed in relation to rehabilitation counseling with older workshop clients.
Normalizing Clients' Attitudes and Knowledge About the World of Work
Authors: Tesolowski Dennis G. , Jarecke Walter H. , Halpin Gerald
Published: June 2019

Twenty-two physically handicapped sheltered workshop employees were matched on the severity of their disabilities and randomly assigned to either an experimental or a control group. Those in the experimental group participated in a 1-hour-per-day, 15-day job readiness training program in addition to continuing with their regular sheltered workshop jobs. The control group simply continued with their regular jobs. In a completely randomized block design with pretest as a covariate, the experimental group showed significantly greater positive work attitudes and knowledge about obtaining and maintaining jobs as measured by the Employment Readiness Scale and the Vocational Knowledge Test, respectively, than did the control group.
The Effects of Past Psychiatric Disability on Employer Evaluation of a Job Applicant
Authors: Berven Norman L. , Driscoll John H.
Published: June 2019

The effects of a history of depressive disorder on employer perceptions of a job applicant and willingness to hire were investigated. Fifty-two graduate students enrolled in personnel administration courses were randomly assigned to either an experimental or control group. Both groups were presented with a job application and videotaped employment interview involving the simulated applicant. The application and interview were identical for the two groups except that the experimental group applicant indicated a previous hospitalization for depression. Results suggested that the applicant was perceived as more “sick” and more “sad” when portrayed as having the past psychiatric disability; in addition, subjects were less inclined to hire her. Implications are discussed for rehabilitation counseling practice and research. The methodology used is suggested as a model for studying other problems in job placement research.
Services to Family Members by State Vocational Rehabilitation Agencies
Authors: Kneipp Sally , Bender Florence
Published: June 2019

Rehabilitation literature indicates that family involvement is a critical variable in the rehabilitation of persons with disabilities. Moreover, rehabilitation legislation authorizes the provision of services to family members of rehabilitation clients. Observations and reports of current practice in vocational rehabilitation agencies, however, suggest that there is minimal family involvement in the rehabilitation process.

In order to assess the state of the art in services to family members by state vocational rehabilitation agencies, a personal inquiry was mailed to each of the 56 state agency directors of the general agencies, and each of the 28 directors of the agencies serving blind or visually impaired persons. Responses were received from 26, or46%, ofthe general agencies and from eight, or 29%, of the agencies serving blind or visually impaired persons, yielding an overall response rate of 40%. The responses to the mailed inquiry are described, conclusions are drawn, and recommendations are made.
Vocational Guidance & Counseling: The Core of the Rehabilitation Process
Authors: Garvin Richard E.
Published: June 2019

The importance of substantial vocational guidance and counseling services is discussed in light of the challenges and demands of the 80's to provide a higher quality of services to a more severely disabled clientele on less and less dollars with more and more accountability. The need for and the benefits of an effective client vocational assessment is examined along with a discussion of the client vocational assessment process.
Methods for Promoting Attitude Change Toward and Among Physically Disabled Persons
Authors: Westwood Marvin J. , Vargo James W. , Vargo Frances
Published: June 2019

This paper reviews the literature on attitudes toward the disabled as manifested by both the disabled and the nondisabled, and describes the three most commonly used methods of effecting attitude change. The literature review provides a basis for a proposed implication for counseling disabled persons. The counseling process is examined in terms of the perception of self as the key variable, how this variable is influenced by the attitudes disabled individuals hold of themselves, and the interaction of this with the attitudes that others hold towards them.
Rehabilitation Placement Services: Unlicensed Employment Agencies or Something Else?
Authors: Matkin Ralph
Published: June 2019

Research into the roles and functions of rehabilitation, counselors has revealed job placement services to be among the most important duties reported. Yet, counselors have indicated they have insufficient time to perform placement services because of increased case load size. Thus, clients who are approaching job readiness generally have been referred to private not-for-profit rehabilitation facilities for placement services. More recently, private for-profit rehabilitation practitioners have discovered that placement efforts are enhanced by having smaller case loads which allows for attention to be focused toward job placement in a timely manner. However, both private not-for-profit rehabilitation facilities and for-profit practitioners generally charge a fee for client placement services. The dilemma confronting rehabilitation professionals and facilities who collect fees for placement is that they may be in violation of state statutes requiring such activities to be licensed as employment agencies, agents, or both. State statutes regulating employment agency functions are examined relative to fee-generating placement activities performed by rehabilitation personnel.
Physiological Arousal of Beginning Counselors In Relation To Disabled And Non-Disabled Clients
Authors: Kolk Charles Vander
Published: June 2019

Physiological stress reactions to verbally-presented situations involving work with disabled clients or non-disabled clients with various presenting problems were examined in 42 counselors in training. Counselors in training were found to experience significant stress above baseline measures, toward all client groups with no significant differences in stress responses to disabled and non-disabled clients. Within groups, significantly more stress was measured only in response to cerebral palsied versus epilepic clients. Results suggest that beginning counselors experience a high stress level in relation to working with any type of client, and that the level of physiological reaction to clients will vary across individual counselors.
A Follow-up Study of Rehabilitation Counseling Graduates
Authors: Sullivan Michael
Published: June 2019

This study focused on graduates from graduate level rehabilitation counseling training programs located in Region IX (Arizona, California, Hawaii, & Nevada). The study invoived administering a manpower questionnaire to a 61% random sample of graduates from 1977 through 1980 from 10 Rehabilitation Counseling training programs. Questionnaire items addressed graduates' satisfaction concerning their training program, graduate employability, present employment status, and satisfaction level with their present rehabilitation occupational position. Results indicated that the masters degree in rehabilitation counseling is formidable with 92% of the graduates employed and 82% of the graduates presently employed in the field of rehabilitation. The major employers of graduates were private rehabilitation agencies and non-profit rehabilitation facilities. Graduates were employed at an average of 1.3 months after graduation, and were either immediately employed as supervisors/administraton, or moved into these job categories very soon after employment. The importance of implementing and conducting cyclic rehabilitation manpower studies is discussed in terms of providing effective manpower information for planning and accountability.
Employee Assistance Programs: An Emerging Vista for Rehabilitation Counseling
Authors: Dickman Fred , Emener William G.
Published: June 2019

The continuous growth and developemnt of Employee Assistance Programs (EAP) in American industry, the basic elements of EAP's, and the effectiveness of EAP's, are presented. Following a discussion of the rehabilitation process, and the knowledges, skills, expertise, and roles and functions of rehabilitation counselors, implications and recommendations offered within the proposition that professionally trained rehabilitation counselors are optimally prepared to provide and coordinate EAP services. Implications for education and training, structural considerations, and professionalism are also included.
Preparing Rehabilitation Counselors
Authors: Matkin Ralph E.
Published: June 2019

Rehabilitation counselor education programs have been charged with the responsibility of providing curricula that are adequate to professional training needs of rehabilitation counselors. The present curriculum areas advocated by the Council of Rehabilitation Education provide sufficient knowledge and skills for those counselors offering direct human service care. Yet, as rehabilitation counselors, especially those with master's degrees, advance up the career ladder, they encounter management responsibilities that their training did not prepare them to perform. As a result, rehabilitation counselors are often confronted with administrative responsibilities beyond their level of expertise which may cause high anxiety and stress and be a contributing factor to professional burnout. A modification of rehabilitation. counselor education program curricula is recommended which incorporates coursework in Principles and Practices of Rehabilitation Administration and Supervision.
Work Support Team
Authors: Dolinger Steven
Published: June 2019

The quality circle is a small group of workers who meet to discuss ways to increase productivity and quality control in their work place. This concept has been successfully utilized in Japan and in some American companies. This article demonstrates how this concept can be adapted for use in a sheltered workshop.
Understanding Motives of Youth in Transition to Work: A Taxonomy for Rehabilitation Counselors and Educato
Authors: McCarthy Henry
Published: June 2019

This concept paper was developed under Project PREP: Programmatic Research on Employment Preparation of the Handicapped. It was supported by Research Grant -I5-P-59039/2-04 which was jointly funded by the National Institute of Handicapped Research and the Bureau of Education of the Handicapped, Department of Education.
A Research Strategy to Enhance the Employability of Handicapped Persons
Authors: Bolton Brian , Roessler Richard , Greenwood Reed , Hinman Suki , Little Neal
Published: June 2019

This article describes the research strategy developed by the Arkansas Rehabilitation Research and Training Center to address the core area of Interventions to Facilitate the Employment of Severely Handicapped Persons. Two research programs are encompassed, “Employability Skills” and “Environmental Support.” The skills program includes the development and demonstration of assessment and intervention techniques designed to enhance the employability of rehabilitation clients. The environmental support program focuses on the development and demonstration of employability interventions for use with two key groups—employers, and peers. Products for each research program include modular training programs, intervention resources and manuals, and research monographs. The article concludes with a summary of results and benefits for handicapped persons.
A Comparison of Employer Attitudes Toward The Worker Problems of Eight Types of Disabled Workers
Authors: Fuqua Dale R. , Rathbun Michael , Gade Eldon M.
Published: June 2019

Employer attitudes toward the work traits of eight types of disabled workers were variable. There were significant differences on attitudes toward the specific groups of disabled on eleven of the twelve work traits. The blind and mentally retarded would encounter the greatest employer discrimination while more favorable attitudes were shown toward hiring epileptics and amputees. Across all types of disabilities, the greatest concerns were lower work productivity, higher accident and workman compensation rates. The differential ratings have implications for placement strategies.
Client Interview Subrole Behavior in Rehabilitation Counselor-Client Interaction
Authors: Richardson Bill K.
Published: June 2019

This pilot study demonstrates the feasibility of including client interview behaviors in investigations of counselor-client interactions. Interviews of 20 clients, randomly selected equally, from high and low facilitative interviews of 217 clients participating in an 11 state project, were analyzed using a content analysis method to identify interview subroles used. The latter findings, in addition to content analysis results available on client problem discussion units and counselor subroles, were analyzed as to group differences. The results, in part, showed the clients in the high facilitative group use more frequently subroles emphasizing rapport building, support seeking, and intrapersonal exploration. Clients in the low facilitative group emphasized the listening subrole more frequently, as their counselors' subroles dominated the interaction. Clients in the high facilitative group expressed more frequently problems classified as social and physical in nature. Counselors in the high group used a grater frequency of subroles emphasizing listening, clarification and reflection, being supportive, and confrontation. Implications are noted for further research and adaptation of this methodology to instruction.
The Effects of a Self-Instructional Self-Management Training Package on the Generalization and Maintenance of Selected Interview Skills: A Pilot Study
Authors: Farley Roy C.
Published: June 2019

Many skill training programs are directed toward producing initial behavior change, and little systematic attention is paid to the generalization and maintenance of those skills. This study uses a multiple baseline design across individuals to evaluate the effects of a self-instructional manual designed to teach self-monitoring, self-evaluation, and self-reinforcement on the generalization and maintenance of interview skills. The findings indicate that these self-management procedures enabled rehabilitation counselors to generalize and maintain behavior learned in a workshop setting.
Placement Practices in Vocational Rehabilitation
Authors: Vandergoot David
Published: June 2019

This review describes how placement practices have evolved historically and conceptually. Some see it as the goal of rehabilitation. Others describe it as a part of the process. This has limited our understanding of how to accomplish placement. In recent years we have made gains toward better understanding by developing and researching a variety of practices. This promising development suggests that conceptual integration of what placement is and how it should be accomplished may become more likely.
Alcohol and Drug Abuse Awareness: Implications for Intake Interviewing
Authors: Dahlhauser Helen Frye , Dickman Fred , Emener William G. , Lewis Bonnie Yegidis
Published: June 2019

The following highlights the importance and utilization of intake counselors in community-based counseling programs, documents reported relationships between alcohol and drug abuse and typically expressed problems for which clients come to community-based counseling centers, and supports the relevance and importance of intake counselors having high level alcohol and drug abuse awareness. Following a report of a clinical, field-based observation, conclusions and implications are offered as well as suggested recommendations for counselor education and research and demonstration projects.
A Rehabilitation Workshop for Severely Brain-Damaged Veterans in Israel
Authors: Katz Shlomo
Published: June 2019

This paper describes the philosophy and activities of a vocational rehabilitation workshop for severely brain-damaged veterans which was set up to expose multiple-disabled and handicapped persons to a series of graduated psychosocial and vocational tasks. The assumption that in an environment requiring autonomous responses, basic human needs most clearly emerge and therefore can be satisfied, underlay this systematic use of graduated tasks. The workshop's principle aim was the moderate goal of creating a sheltered environment that is sufficiently challenging to provide opportunities for satisfying a number of the severely brain-damaged person's basic human needs, and hence improving the quality of life of these veterans and their families.
A Comprehensive Evaluation Of the Minnesota Vocational Rehabilitation Ombudsman Project
Authors: Crystal Ralph M.
Published: June 2019

The University of Michigan Rehabilitation Research Institute was awarded a contract in April 1981 to conduct an external evaluation of the Minnesota general rehabilitation agency's client assistance project. Although the evaluation did not focus on financial aspects of the project, management processes and administrative procedures were examined. Resolution of the identified problem situations were identified by ombudsmen and respondents. Overall, it appears that the client assistance project had achieved its objectives. All constituents of the project seem willing to work cooperatively and to adapt to changing financial and programmatic conditions. The client assistance project was seen as beneficial for all individuals involved in the Minnesota rehabilitation program.
Traumatic Spinal Cord Injury and its Impact Upon Sexuality
Authors: Robbins Kathleen H.
Published: June 2019

Recently, the impact of spinal cord injury upon the sexual functioning of men and women has received increased attention. It is now generally recognized that sexuality is an important component in aiding the cord injured person to re-establish feelings of self-worth and a positive self-concept. This paper discusses the physiological impact that traumatic spinal cord injury has upon sexuality. The counselor's role in assisting the individual to achieve a healthy and fulfilling sexual life is also explored.
An Adlerian Perspective
Authors: Rule Warren R.
Published: June 2019

The Adlerian lifestyle counseling approach provides insight into a person's dimly conscious patterns of expectations and goals that are used in daily living. This somewhat eclectic perspective, which incorporates many major premises of contemporary counseling, can be helpful to understand the client as a person as well as the individualized meaning of the disability to the individual. The evolution, assumptions and characteristics, applications, research, and resources are discussed. Particular emphasis is given to the four phases of relationship, lifestyle investigation, lifestyle interpretation, and reorientation.
The Differences & Similarities Between Public & Private Sector Vocational Rehabilitation
Authors: Weed Roger O. , Field Timothy F.
Published: June 2019

This paper examines the differences and similarities between the profession of vocational rehabilitation in public and private sectors. A literature review is the basis for the comparisons. The results show different historical beginnings as well as a number of differences in the way the profession is practiced. Overall, however, it appears the similarities outnumber the differences. It is noted that private sector rehabilitation is rapidly rising and public sector rehabilitation is not. As a result certain ethical challenges to the private sector counselor and educational challenges to the universities have become evident.
Disability Management Research: Current Status, Needs and Implications For Study
Authors: Galvin Donald E. , Tate Denise G. , Schwartz Gail E.
Published: June 2019

Disability management is a new field of knowledge in rehabilitation. Consequently research efforts in this area are also quite recent. This article reviews current disability management research, focusing on research in progress funded by the National Institute of Handicapped Research and a few corporate foundations. The authors discuss several implications of the current research and recommended areas for future study. Strategies for dissemination and utilization are presented as well as a discussion of the relevance of the research to selected policy concerns.
Disability Management: Origins, Concepts and Principles for Practice
Authors: Tate Denise G. , Habeck Rochelle V. , Galvin Donald E.
Published: June 2019

Disability management is an emerging concept in the field of rehabilitation practice. Several factors have led to the growth of disability management programs at the workplace, including the increasing costs of health care and disability payments for employers. Many large employers have begun to view disability management both as a way to manage costs and to assume more direct involvement in providing human services to their disabled/injured workers. This article reviews the many factors that have contributed to the development of worksite programs, the evolution of the disability management concept, the aims and objectives of such programs and basic components for implementation. In addition, the authors present a discussion of the obstacles and barriers that impede these aims as well as of the implications for rehabilitation counseling practice.