Annual Performance Report IDEA Part C FFY 2008-2009

This is the annual performance report for the Individuals with Disabilities Education Act, Part C, which was submitted on February 2, 2010 to the United States Department of Education, Office of Special Education Programs. The report provides data on the State's Early ACCESS system and the 10 Regional Grantees' performance in 14 national indicators.

State Performance Plan IDEA Part C FFY 2008-2009

In accordance with the Individuals with Disabilities Education Improvement Act of 2004, Iowa must have in place a Part C State Performance Plan that evaluates Iowa's efforts to implement the requirements and purposes of Part C and describes how Iowa will improve such implementation. This plan is in effect for six years and Iowa will report annually to the U.S. Department of Education on the performance of the State under this plan.

Sign of the Times, April 2010

Newsletter produced by Deaf Services Commission of Iowa

L'accessibilitat dels webs de les universitats catalanes

L'estudi vol detectar quin és el grau d'accessibilitat dels webs de les universitats catalanes. Els indicadors utilitzats són els presents en el nivell de prioritat 1 de les Pautes d'accessibilitat al contingut del web, versió 1.0 -WCAG- del World-Wide WebConsortium, acompanyats per altres de complementaris. Com a principal resultat s¿obté que només una de les 43 pàgines analitzades compleix els llindars d'accessibilitat.

Sign of the Times, May 2010

Newsletter produced by Deaf Services Commission of Iowa

Accessibilitat al web: panoràmica general

Es presenta el concepte d'accessibilitat al web com a sistema per a facilitar el treball a la xarxa per part de les persones discapacitades i millorar la usabilitat dels continguts. A partir de la Iniciativa per a l'Accessibilitat al Web (WAI) del World-Wide Web Consortium (W3C), aquest ha elaborat unes directrius que actualment estan en procés d'adopció pels diferents governs i empreses. Finalment es presenten diverses eines informàtiques i entitats de contacte que donen suport a aquestes actuacions.

Transapical aortic valve replacement in extreme-risk patients: outcome, risk factors and mid-term results.

OBJECTIVES: Transcatheter aortic valve replacement (TAVR) provides good results in selected high-risk patients. However, it is unclear whether this procedure carries advantages in extreme-risk profile patients with logistic EuroSCORE above 35%. METHODS: From January 2009 to July 2011, of a total number of 92 transcatheter aortic valve procedures performed, 40 'extreme-risk' patients underwent transapical TAVR (TA-TAVR) (EuroSCORE above 35%). Variables were analysed as risk factors for hospital and mid-term mortality, and a 2-year follow-up (FU) was obtained. RESULTS: The mean age was: 81 ± 10 years. Twelve patients (30%) had chronic pulmonary disease, 32 (80%) severe peripheral vascular disease, 14 (35%) previous cardiac surgery, 19 (48%) chronic renal failure (2 in dialysis), 7 (17%) previous stroke (1 with disabilities), 3 (7%) a porcelain aorta and 12 (30%) were urgent cases. Mean left ventricle ejection fraction (LVEF) was 49 ± 13%, and mean logistic EuroSCORE was 48 ± 11%. Forty stent-valves were successfully implanted with six Grade-1 and one Grade-2 paravalvular leakages (success rate: 100%). Hospital mortality was 20% (8 patients). Causes of death following the valve academic research consortium (VARC) definitions were: life-threatening haemorrhage (1), myocardial infarction (1), sudden death (1), multiorgan failure (2), stroke (1) and severe respiratory dysfunction (2). Major complications (VARC definitions) were: myocardial infarction for left coronary ostium occlusion (1), life-threatening bleeding (2), stroke (2) and acute kidney injury with dialysis (2). Predictors for hospital mortality were: conversion to sternotomy, life-threatening haemorrhage, postoperative dialysis and long intensive care unit (ICU) stay. Variables associated with hospital mortality were: conversion to sternotomy (P = 0.03), life-threatening bleeding (P = 0.02), acute kidney injury with dialysis (P = 0.03) and prolonged ICU stay (P = 0.02). Mean FU time was 24 months: actuarial survival estimates for all-cause mortality at 6 months, 1 year, 18 months and 2 years were 68, 57, 54 and 54%, respectively. Patients still alive at FU were in good clinical condition, New York Heart Association (NYHA) class 1-2 and were never rehospitalized for cardiac decompensation. CONCLUSIONS: TA-TAVR in extreme-risk patients carries a moderate risk of hospital mortality. Severe comorbidities and presence of residual paravalvular leakages affect the mid-term survival, whereas surviving patients have an acceptable quality of life without rehospitalizations for cardiac decompensation.

Sign of the Times, June 2010

Newsletter produced by Deaf Services Commission of Iowa

Evolución y tendencias en la interacción persona-ordenador

La autora resume en este artículo los diversos hitos en la historia de la interacción persona-ordenador, desde sus inicios a la etapa actual, en base a tres factores: la creatividad humana, la evolución de a tecnología y el uso de los ordenadores. En la etapa actual (a partir de 1989) el artículo analiza la influencia del entorno www y de la computación ubicua, nuevo paradigma computacional de gran impacto en la interacción persona¿ordenador. Finalmente presenta algunas tendencias que empiezan a configurar la interfaz post¿WIMP

Cómo realizar tests de usabilidad con personas ciegas

Se presentan una serie de recomendaciones prácticas para realizar tests de usabilidad con personas ciegas. Tanto la planificación, como la ejecución y el análisis posterior son comentados en detalle para aconsejar un conjunto de buenas prácticas. El artículo finaliza con algunas reflexiones críticas sobre la pretendida discapacidad de los usuarios ciegos.

Daisy: un libro digital abierto, multimodal y accesible

Se presenta el formato de libro multimedia Daisy que permite integrar texto, sonido, imágenes y vídeo de forma sincronizada y con una navegación avanzada por el texto y el audio que lo hace altamente usable para lecturas en digital. También se presenta su componente principal DTBook xml, disposición estructurada del texto que permite generar formatos alternativos. El artículo detalla las diferencias de Daisy respecto a otros audiolibros, los dispositivos de lectura existentes y su adopción en el mercado y en la enseñanza. Si se abaratan los costes de los aparatos lectores y se soluciona la gestión de derechos digitales, tiene muchas posibilidades de convertirse en estrella para editar libros digitales.

A vaccine against nicotine for smoking cessation: a randomized controlled trial.

BACKGROUND: Tobacco dependence is the leading cause of preventable death and disabilities worldwide and nicotine is the main substance responsible for the addiction to tobacco. A vaccine against nicotine was tested in a 6-month randomized, double blind phase II smoking cessation study in 341 smokers with a subsequent 6-month follow-up period. METHODOLOGY/PRINCIPAL FINDINGS: 229 subjects were randomized to receive five intramuscular injections of the nicotine vaccine and 112 to receive placebo at monthly intervals. All subjects received individual behavioral smoking cessation counseling. The vaccine was safe, generally well tolerated and highly immunogenic, inducing a 100% antibody responder rate after the first injection. Point prevalence of abstinence at month 2 showed a statistically significant difference between subjects treated with Nicotine-Qbeta (47.2%) and placebo (35.1%) (P = 0.036), but continuous abstinence between months 2 and 6 was not significantly different. However, in subgroup analysis of the per-protocol population, the third of subjects with highest antibody levels showed higher continuous abstinence from month 2 until month 6 (56.6%) than placebo treated participants (31.3%) (OR 2.9; P = 0.004) while medium and low antibody levels did not increase abstinence rates. After 12 month, the difference in continuous abstinence rate between subjects on placebo and those with high antibody response was maintained (difference 20.2%, P = 0.012). CONCLUSIONS: Whereas Nicotine-Qbeta did not significantly increase continuous abstinence rates in the intention-to-treat population, subgroup analyses of the per-protocol population suggest that such a vaccination against nicotine can significantly increase continuous abstinence rates in smokers when sufficiently high antibody levels are achieved. Immunotherapy might open a new avenue to the treatment of nicotine addiction. TRIAL REGISTRATION: Swiss Medical Registry 2003DR2327; ClinicalTrials.gov NCT00369616.

Taula de punts de verificació de les directrius per a l'accessibilitat al contingut de pàgines web, versió 1.0

El World-Wide Web Consortium (W3C), organisme encarregat de la normalització del web, va començar a preocupar-se fa uns anys dels problemes d'accessibilitat que poden presentar les pàgines web a les persones amb discapacitats. Com a resultat d'aquesta preocupació, va posar en marxa la Iniciativa sobre Accessibilitat al Web (WAI), amb el fi d'estudiar el tema i elaborar directrius d'actuació i altres materials d'ajuda. El document més important sorgit de la Iniciativa són les Directrius per a l'accessibilitat al contingut de pàgines web, versió 1.0, que ja va ser traduït al català en aquesta mateixa revista.2 Com a complement, el W3C ha publicat altres documents que volen facilitar-ne la implementació; en destaca el document que a continuació publiquem traduït, la Taula de punts de verificació de les Directrius per a l'accessibilitat al contingut de pàgines web, versió 1.0. La Taula de punts de verificació està pensada per actuar com un annex a les Directrius; sota la forma de llista de control (checklist) presenta un llistat classificat per nivells de prioritat de les pautes que s'haurien de seguir per crear pàgines web accessibles per tothom. La Taula vol ser, per tant, una eina ràpida per a la detecció manual dels problemes que puguin aparèixer, i que es descriuen amb més detalls a les Directrius.

Nivel de accesibilidad de las sedes web de las universidades españolas

El estudio presenta un análisis del nivel de accesibilidad de las webs de las universidades españolas según los indicadores de prioridad 1 de las Pautas de accesibilidad al contenido de la web, versión 1.0WCAG dentro de la Iniciativa WAI del World-Wide Web Consortium, y otros indicadores complementarios. Los resultados obtenidos nos indican que ninguna web universitaria española cumple en su totalidad este primer nivel y que queda pendiente una gran tarea de adaptación. [eng] This report presents an analysis of the accessibility level of websites in the Spanish universities considering level"A" of Web Contents Accessibility Guidelines 1.0 WCAG issued by the Web Accessibility Initiative working group in the Worlwide Web Consortium, and some additional criteria. The conclusions show that no Spanish university web reaches completely this first level and that there is still a hard work to do redesigning websites.

Sign of the Times, July 2010

Newsletter produced by Deaf Services Commission of Iowa