Irma G Fiedler

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OBJECTIVES To clarify sexuality issues after spinal cord injury (SCI) and to identify the appropriate timing of sexual health interventions. DESIGN Longitudinal analysis of the survey responses of persons with SCI at 4 intervals between initial inpatient rehabilitation and 18 months postdischarge. SETTING Spinal Cord Injury Model Systems inpatient(More)
OBJECTIVE To determine and describe trends in economic variables related to the care of individuals with spinal cord injury (SCI) and significant changes in these trends coincident with major developments in medical care cost control. DATA SOURCES Data from the National Spinal Cord Injury Statistical Center (NSCISC) database were used to review the(More)
Recent changes in health care mandate innovative approaches to teaching. Rehabilitation as part of the continuum of disability motivated the "continuity of care model." This model permits the presentation of rehabilitation in its global sense: from onset of injury through re-integration into the community. This report describes a curriculum for physical(More)
OBJECTIVE This prospective study was designed to evaluate a disability awareness training program for medical students. METHODS First- and second-year medical school students participated in an interactive disability awareness program consisting of 6 sessions spaced across 1 year. The Modified Issues in Disability Scale (MIDS), administered at program(More)
Rehabilitative care has gained importance because the population is aging, and improved acute and chronic medical care saves and prolongs lives but leaves some patients with temporary or permanent physical impairments. However, despite its importance, the teaching and learning of rehabilitative care in medical school lag behind medical education relating to(More)
The incorporation of PM&R into the medical student curriculum thus provides benefits at multiple levels: to patients, to medical students, and to practitioners already in the field. The knowledge about PM&R gained by the medical student is spread to disciplines outside of PM&R through the learning of principles and specific factual data that can be(More)
Designed for acute care classification, the 9th version of the International Classification of Disease, Clinical Modification (ICD-9-CM) is also used to describe the principal diagnosis in medical rehabilitation. ICD-9-CM (ICD-9) coding practices for all stroke cases found in two nationally representative databases were examined (sample sizes over 17,000(More)