Exploring the Costs of Providing Assistive Technology as a Reasonable Accommodation

2017 ◽  
Vol 48 (2) ◽  
pp. 26-31
Author(s):  
Elisabeth B. Simpson ◽  
Beth Loy ◽  
Helen P. Hartnett
Keyword(s):  
Assistive Technology ◽  
Average Cost ◽  
Job Placement ◽  
Rehabilitation Counselors ◽  
Reasonable Accommodation ◽  
Individuals With Disabilities ◽  
Rehabilitation Professionals ◽  
Job Accommodation ◽  
Significant Difference ◽  
The Cost

The provision of assistive technology (AT) as an accommodation is often associated with a cost. Employer concerns about the cost of providing AT can be a barrier for individuals with disabilities (IWD) who are seeking employment. Rehabilitation counselors & students should be prepared to address employer concerns regarding the cost of an accommodation in order to facilitate successful job placement and/or retention of IWD. This study evaluated the average cost of providing AT in the workplace compared to the average cost of providing other types of accommodations, as reported to the Job Accommodation Network (JAN) by employers. Results of this study show that there is no significant difference in the cost of providing AT in comparison to the cost of providing other types of accommodations (N=72). Rehabilitation professionals can use this information when exploring strategies for negotiating for the use of assistive technology by consumers as an accommodation.

Analysis of causes and impact of variation order on educational building projects

2016 ◽  
Vol 14 (2) ◽  
pp. 139-164 ◽  
Author(s):  
Luqman Oyekunle Oyewobi ◽  
Richard Jimoh ◽  
Bashir Olanrewaju Ganiyu ◽  
Abdullateef Adewale Shittu
Keyword(s):  
Average Cost ◽  
Project Performance ◽  
Project Delivery ◽  
Construction Process ◽  
Building Projects ◽  
Content Type ◽  
Time Performance ◽  
Significant Difference ◽  
The Cost ◽  
The Impact

Purpose Construction process is complex and traditionally fragmented; thus, it is almost impossible to have a project completed without changes to the original plan or the construction process. The purpose of this study is to identify and examine the causes of variation orders, ascertain their effects and establish the cost and time performance implication as a result of variation orders. Design/methodology/approach This study obtained information from 90 construction stakeholders on 30 completed educational building projects to ascertain the causes and effects of variation orders on project delivery using questionnaire survey. In addition to this, a pro forma document was designed to obtain the project characteristics, cost and time data from these 30 completed educational building projects. Factor analysis was used to categorise the causes of variation orders, while severity index was used to examine their effects on project delivery. The hypothesised statement was tested using paired t-statistics to examine whether a statistically significant difference existed between variation orders, cost and time performance of the projects. Findings The study identified 13 main factors as causes of variation orders and the results revealed that the most frequent effects of variations were increase in construction costs, time, client dissatisfaction, increase construction project rework and demolition and project abandonment. The results also showed that variation orders had significant effects on both cost and scheduled performance of the educational building projects with average cost and time escalation of 33.95 and 29.45 per cent of the original project cost and time, respectively, for the entire projects studied, while average cost implication of variation orders is 23.79 per cent. Practical implications The findings in this study will be of assistance to government agencies and management of public works in higher institutions of learning in managing variations in construction projects. The study will also add to the current literature on the impact of variation orders on educational building projects in developing countries. Finally, it will create the much-needed awareness on the severity and implication of change or variation orders on project delivery. Originality/value The study identified and examined the causes of variation orders, ascertained their effects and established the cost and time effects of the causes of variation order on project performance. This will assist project initiators, contractors, consultants and other stakeholders to fully appreciate and understand the significant effects of variation orders on project performance.

scholarly journals Analyzing the cost of medical student virtual conference registration by specialty during the COVID-19 pandemic

2021 ◽  
Vol 0 (0) ◽  
Author(s):  
Daniel Veyg ◽  
Robert Gurevich
Keyword(s):  
Medical Student ◽  
Medical Students ◽  
Average Cost ◽  
Financial Burden ◽  
Medical Specialties ◽  
Parent Organization ◽  
Student Member ◽  
Significant Difference ◽  
The Cost ◽  
Conference Registration

Abstract Context Medical student involvement in research is an important metric used by residency programs across most specialties to better assess the candidates’ commitment to advancing medicine as well as their specialty of interest. One strategy is presentation of research work at national conferences in the specialty of interest; another is simply attending these events for networking purposes with program directors. However, attending these conferences carries cost. Objectives To investigate the cost incurred by medical students to attend the premier annual scientific meeting of each major medical specialty in 2020, during the novel coronavirus 2019 (COVID-19) pandemic, and to evaluate whether “research intensive” specialties carried greater conference registration costs. Methods Potential medical specialties to which students can apply upon graduation were identified in the National Residency Match Program (NRMP). “Research intensive” specialties were defined as those with a mean number of abstracts, presentations, or publications ≥10 per matched applicant in the 2020 NRMP. The premier conference for each specialty was determined by membership in the American Medical Association House of Delegates in the NRMP. The cost to be a member of each conference’s parent organization and attend the annual meeting were determined by internet search. Subgroup analysis was conducted to compare cost between research intensive and non research intensive specialties. Results The registration cost of 19 virtual conferences held in 2020 were analyzed in this study. The average cost to attend as a medical student member of the hosting organization for all conferences was $49.82 (range, $0–$331; SD±$92.18), while the average cost to attend as a nonmember across all conferences was $188.16 (range, $0–$595; SD±$176.35; p<0.001). Seven of 19 (36.8%) meetings had free registration for medical students who are members of the hosting organization. The premier meetings affiliated with the seven research intensive specialties had a significantly higher mean cost for medical students who were members of the parent organization than the meetings of the other specialties ($125.60 vs. $49.20; p=0.031). There was no significant difference in mean registration cost between research intensive and non research intensive specialty conference registration for nonmember medical students (p=0.85). Vascular surgery, radiation oncology, and emergency medicine were the three specialties with the most expensive medical student member registration fees overall ($331, $200, and $195, respectively). Conclusions Medical student attendance and presentation at national scientific meetings was found to be significantly more costly for research intensive specialties, although all meetings were held in an online format due to the COVID-19 pandemic. Overall, this reflects an increased financial burden to an already indebted medical student population and compounds the stresses brought on by the pandemic. More national medical societies might consider free meeting registration to reflect support for medical students and encourage their continued participation in research to advance their specialty of interest.

Training-the-Trainer on Assistive Technology for Cognition (ATC): Current Practices

2013 ◽  
Vol 23 (2) ◽  
pp. 90-94 ◽  
Author(s):  
Laurie Ehlhardt Powell ◽  
Tracey Wallace ◽  
Michelle ranae Wild
Keyword(s):  
Brain Injury ◽  
Assistive Technology ◽  
Acquired Brain Injury ◽  
Online Training ◽  
Evidence Based ◽  
Train The Trainer ◽  
Rehabilitation Professionals ◽  
Remote Locations ◽  
Training Package ◽  
And Training

Research shows that if clinicians are to deliver effective, evidence-based assistive technology for cognition (ATC) services to clients with acquired brain injury (ABI), they first need opportunities to gain knowledge and experience with ATC assessment and training practices (O'Neil-Pirozzi, Kendrick, Goldstein, & Glenn, 2004). This article describes three examples of train the trainer materials and programs to address this need: (a) a toolkit for trainers to learn more about assessing and training ATC; (b) a comprehensive, trans-disciplinary program for training staff to provide ATC services in a metropolitan area; and (c) an overview of an on-site/online training package for rehabilitation professionals working with individuals with ABI in remote locations.

Exploration-Stage Implementation Variation

2014 ◽  
Vol 222 (1) ◽  
pp. 37-48 ◽  
Author(s):  
Stephanie Romney ◽  
Nathaniel Israel ◽  
Danijela Zlatevski
Keyword(s):  
Parent Training ◽  
Average Cost ◽  
Cost Savings ◽  
Training Group ◽  
Group Differences ◽  
Triple P ◽  
Community Based ◽  
Parent Training Program ◽  
A Site ◽  
The Cost

The present study examines the effect of agency-level implementation variation on the cost-effectiveness of an evidence-based parent training program (Positive Parenting Program: “Triple P”). Staff from six community-based agencies participated in a five-day training to prepare them to deliver a 12-week Triple P parent training group to caregivers. Prior to the training, administrators and staff from four of the agencies completed a site readiness process intended to prepare them for the implementation demands of successfully delivering the group, while the other two agencies did not complete the process. Following the delivery of each agency’s first Triple P group, the graduation rate and average cost per class graduate were calculated. The average cost-per-graduate was over seven times higher for the two agencies that had not completed the readiness process than for the four completing agencies ($7,811 vs. $1,052). The contrast in costs was due to high participant attrition in the Triple P groups delivered by the two agencies that did not complete the readiness process. The odds of Triple P participants graduating were 12.2 times greater for those in groups run by sites that had completed the readiness process. This differential attrition was not accounted for by between-group differences in participant characteristics at pretest. While the natural design of this study limits the ability to empirically test all alternative explanations, these findings indicate a striking cost savings for sites completing the readiness process and support the thoughtful application of readiness procedures in the early stages of an implementation initiative.

Economic Aspects of Mustard Cultivation in Lakhimpur Kheri District of Uttar Pradesh

2020 ◽  
pp. 520-523
Keyword(s):  
Average Cost ◽  
Uttar Pradesh ◽  
Net Income ◽  
Economic Aspects ◽  
Positive Relation ◽  
Input Output ◽  
Output Ratio ◽  
Gross Income ◽  
Average Size ◽  
The Cost

The results revealed that on an overall average size of landholding was estimated to be 0.97 ha. The total cultivated area at all categories of sample farms were found to be irrigated. Overall average, cost of cultivation was estimated `27819.43 per ha. The cost of cultivation showed positive relation with size of holding. The cost of cultivation was highest on medium farms (`32549.25) followed by small (`31528.40 and marginal (`29171.74), respectively. Overall average, cost of production was estimated `2446.44 per hectare. On an average input-output ratio on the basis Costs A1/A2, B1, B2, C1, and C2 were recorded 1:2.86, 1:2.77, 1:1.91, 1:1.89 and 1:1.46, respectively. On the basis of Cost C2 input-output ratio was highest on marginal farms (1:1.47) followed by small (1:1.44) and medium (1:1.43), respectively. Overall average, net income and gross income were found `9859.33 and 40028.69 per ha, respectively.

Cost-effectiveness Analysis of Submandibular Gland Preservation With Sialendoscopy for the Management of Sialolithiasis

2021 ◽  
pp. 019459982110268
Author(s):  
Joseph R. Acevedo ◽  
Ashley C. Hsu ◽  
Jeffrey C. Yu ◽  
Dale H. Rice ◽  
Daniel I. Kwon ◽  
...  
Keyword(s):  
Cost Effectiveness ◽  
Submandibular Gland ◽  
Average Cost ◽  
Cost Effective ◽  
Cost Effectiveness Analysis ◽  
Effectiveness Analysis ◽  
Life Years ◽  
Probability Of Success ◽  
Markov Decision Model ◽  
The Cost

Objective To compare the cost-effectiveness of sialendoscopy with gland excision for the management of submandibular gland sialolithiasis. Study Design Cost-effectiveness analysis. Setting Outpatient surgery centers. Methods A Markov decision model compared the cost-effectiveness of sialendoscopy versus gland excision for managing submandibular gland sialolithiasis. Surgical outcome probabilities were found in the primary literature. The quality of life of patients was represented by health utilities, and costs were estimated from a third-party payer’s perspective. The effectiveness of each intervention was measured in quality-adjusted life-years (QALYs). The incremental costs and effectiveness of each intervention were compared, and a willingness-to-pay ratio of $150,000 per QALY was considered cost-effective. One-way, multivariate, and probabilistic sensitivity analyses were performed to challenge model conclusions. Results Over 10 years, sialendoscopy yielded 9.00 QALYs at an average cost of $8306, while gland excision produced 8.94 QALYs at an average cost of $6103. The ICER for sialendoscopy was $36,717 per QALY gained, making sialendoscopy cost-effective by our best estimates. The model was sensitive to the probability of success and the cost of sialendoscopy. Sialendoscopy must meet a probability-of-success threshold of 0.61 (61%) and cost ≤$11,996 to remain cost-effective. A Monte Carlo simulation revealed sialendoscopy to be cost-effective 60% of the time. Conclusion Sialendoscopy appears to be a cost-effective management strategy for sialolithiasis of the submandibular gland when certain thresholds are maintained. Further studies elucidating the clinical factors that determine successful sialendoscopy may be aided by these thresholds as well as future comparisons of novel technology.

scholarly journals Cost of Management of Diabetes Mellitus: A Pan India Study

2021 ◽  
pp. 097275312199849
Author(s):  
Raghuram Nagarathna ◽  
M Madhava ◽  
Suchitra S Patil ◽  
Amit Singh ◽  
K. Perumal ◽  
...  
Keyword(s):  
Diabetes Mellitus ◽  
Urban Areas ◽  
Noncommunicable Disease ◽  
Cost Of Treatment ◽  
Rural And Urban Areas ◽  
Cost Of Disease ◽  
Rural And Urban ◽  
Significant Difference ◽  
The Cost ◽  
Prevalence Of Diabetes Mellitus

Background: Diabetes mellitus is a major noncommunicable disease. While mortality rates are increasing, the costs of managing the disease are also increasing. The all-India average monthly expenditure per person (pppm) is reported to be ₹ 1,098.25, which translates to an annual expenditure of ₹13,179 per person. Purpose: While a number of studies have gone into the aspect of the cost of disease management, we do not find any study which has pan-India reach. We also do not find studies that focus on differences (if any) between rural and urban areas, age or on the basis of gender. We planned to report the cost of illness (COI) in diabetes individuals as compared to others from the data of a pan-India trial. Methods: Government of India commissioned the Indian Yoga Association to study the prevalence of diabetes mellitus in India in 2017. As part of the questionnaire, the cost of treatment was also captured. Data collected from 25 states and union territories were analyzed using the analysis of covriance (ANCOVA) test on SPSS version 21. Results: There was a significant difference ( P < .05) between the average expenses per person per month (pppm) of individuals with self-reported known diabetes (₹1,357.65 pppm) and others (unknown and/or nondiabetes individuals–₹ 999.91 pppm). Similarly, there was a significant difference between rural (₹2,893 pppm) and urban (₹4,162 pppm) participants and between those below (₹1,996 pppm) and above 40 years (₹5,059 pppm) of age. Conclusion: This preliminary report has shown that the COI because of diabetes is significantly higher than others pointing to an urgent need to promote disease-preventive measures.

scholarly journals A Threat of Farmers’ Suicide and the Opportunity in Organic Farming for Sustainable Agricultural Development in India

2019 ◽  
Vol 11 (8) ◽  
pp. 2400 ◽  
Author(s):  
Karthikeyan Mariappan ◽  
Deyi Zhou
Keyword(s):  
Organic Farming ◽  
Tamil Nadu ◽  
Agricultural Development ◽  
Small Scale ◽  
Conventional Farming ◽  
Wide Range ◽  
Significant Difference ◽  
Small Scale Farmers ◽  
The Cost ◽  
Input Cost

Agriculture is the main sources of income for humans. Likewise, agriculture is the backbone of the Indian economy. In India, Tamil Nadu regional state has a wide range of possibilities to produce all varieties of organic products due to its diverse agro-climatic condition. This research aimed to identify the economics and efficiency of organic farming, and the possibilities to reduce farmers’ suicides in the Tamil Nadu region through the organic agriculture concept. The emphasis was on farmers, producers, researchers, and marketers entering the sustainable economy through organic farming by reducing input cost and high profit in cultivation. A survey was conducted to gather data. One way analysis of variance (ANOVA) has been used to test the hypothesis regards the cost and profit of rice production. The results showed that there was a significant difference in profitability between organic and conventional farming methods. It is very transparent that organic farming is the leading concept of sustainable agricultural development with better organic manures that can improve soil fertility, better yield, less input cost and better return than conventional farming. The study suggests that by reducing the cost of cultivation and get a marginal return through organic farming method to poor and small scale farmers will reduce socio-economic problems such as farmers’ suicides in the future of Indian agriculture.

scholarly journals Use of hormonal subdoses applied in Bai Hui acupuncture in estrus synchronization protocols for goats

2019 ◽  
Vol 40 (4) ◽  
pp. 1501 ◽  
Author(s):  
Diego Oliveira de Souza ◽  
Monna Lopes de Araújo ◽  
Carmo Emanuel Almeida Biscarde ◽  
Claudinéia da Silva Mendes ◽  
Mariana Alves de Andrade Silva ◽  
...  
Keyword(s):  
Estrus Synchronization ◽  
Reproductive Parameters ◽  
Follicular Growth ◽  
Plasma Progesterone ◽  
Significant Difference ◽  
Estrus Detection ◽  
Detection Coverage ◽  
Equine Chorionic Gonadotropin ◽  
The Cost ◽  
Synchronization Protocol

The objective of this study was to evaluate the efficacy of delivering reduced doses of hormones via the Bai Hui acupoint in estrus synchronization in goats. A total of 40 goats received intravaginal sponges with medroxyprogesterone acetate for 7 days. The goats were then randomly distributed into 5 treatment: T1 - application of 132.5 ?g of cloprostenol and 300 IU of equine chorionic gonadotropin (eCG), both by intramuscular injection (IM); T2 - application of 39.75 ?g cloprostenol at the Bai Hui acupoint, and 300 IU of eCG by IM; T3 - application of 132.5 ?g of cloprostenol by IM, and 90 IU of eCG at the Bai Hui acupoint; T4 - application of 39.75?g of cloprostenol and 90 UI of eCG, both in Bai Hui and T5 acupuncture: application of 39.75?g of cloprostenol and 90 UI of eCG, both applied in false acupoint. The goats were subjected to an estrus synchronization protocol and monitored for estrus detection, coverage and evaluation of reproductive parameters to detect entry into estrus. The data were subjected to normality tests, followed by appropriate statistical analyses of each variable. There was no significant difference (P > 0.05) in the percentage of animals in estrus (95.00 ± 11.18%), interval between sponge removal and beginning of estrus (49.72 ± 8.93 h), interval between sponge removal and end of estrus (76.84 ± 11.98 h), duration of estrus (27.08 ± 8.68 h), size of the largest follicle (6.82 ± 0.44 mm), interval between sponge removal and ovulation (78.28 ± 10.82 h), time from ovarian onset to estrus (28.52 ± 5.44 h), follicular growth rate (0.86 ± 0.29 mm/day), number of ovulations (1.32 ± 0.23), plasma progesterone concentration at 7 days after ovulation (10.28 ± 1.65 ng.mL-1), and gestation rate at 30 days after the beginning of estrus (75 ± 12.5%). However, the cost of the synchronization protocol per animal was 43.42% lower in treatments 4 and 5 (30% of the doses) than in treatment 1 (100% of the dose). Ovulation and estrus were efficiently synchronized with the use of 39.75 ?g of sodium cloprostenol and 90 UI of eCG, applied at the Bai Hui acupoint or at a false acupoint.

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