Sentences with phrase «with substantial impairment»

Not exact matches

Examples of these risks, uncertainties and other factors include, but are not limited to the impact of: adverse general economic and related factors, such as fluctuating or increasing levels of unemployment, underemployment and the volatility of fuel prices, declines in the securities and real estate markets, and perceptions of these conditions that decrease the level of disposable income of consumers or consumer confidence; adverse events impacting the security of travel, such as terrorist acts, armed conflict and threats thereof, acts of piracy, and other international events; the risks and increased costs associated with operating internationally; our expansion into and investments in new markets; breaches in data security or other disturbances to our information technology and other networks; the spread of epidemics and viral outbreaks; adverse incidents involving cruise ships; changes in fuel prices and / or other cruise operating costs; any impairment of our tradenames or goodwill; our hedging strategies; our inability to obtain adequate insurance coverage; our substantial indebtedness, including the ability to raise additional capital to fund our operations, and to generate the necessary amount of cash to service our existing debt; restrictions in the agreements governing our indebtedness that limit our flexibility in operating our business; the significant portion of our assets pledged as collateral under our existing debt agreements and the ability of our creditors to accelerate the repayment of our indebtedness; volatility and disruptions in the global credit and financial markets, which may adversely affect our ability to borrow and could increase our counterparty credit risks, including those under our credit facilities, derivatives, contingent obligations, insurance contracts and new ship progress payment guarantees; fluctuations in foreign currency exchange rates; overcapacity in key markets or globally; our inability to recruit or retain qualified personnel or the loss of key personnel; future changes relating to how external distribution channels sell and market our cruises; our reliance on third parties to provide hotel management services to certain ships and certain other services; delays in our shipbuilding program and ship repairs, maintenance and refurbishments; future increases in the price of, or major changes or reduction in, commercial airline services; seasonal variations in passenger fare rates and occupancy levels at different times of the year; our ability to keep pace with developments in technology; amendments to our collective bargaining agreements for crew members and other employee relation issues; the continued availability of attractive port destinations; pending or threatened litigation, investigations and enforcement actions; changes involving the tax and environmental regulatory regimes in which we operate; and other factors set forth under «Risk Factors» in our most recently filed Annual Report on Form 10 - K and subsequent filings by the Company with the Securities and Exchange Commission.

They may be aware of the greater risk for mood disorders such as depression and anxiety associated with sleep loss; the substantial impairment in cognitive abilities such as sustained attention, short - term memory, information processing, and school performance; or the increased risk for motor vehicle accidents that accompanies lack of sleep.

The Disability Discrimination Act 1995 described a disabled person as someone with «a physical or mental impairment which has a substantial and long - term adverse effect on his ability to carry out normal day - to - day activities», which has or can be expected to last for more than 12 months.

The other substantial finding in the study is the participants with diabetes (17.4 percent) were three times more likely than those without the disease to have significant visual impairment.

Writing in a linked Comment, Dr Daniel J Clauw, Chronic Pain and Fatigue Research Centre, the University of Michigan, USA, says: «The finding that graded exercise therapy is effective even when exercise is not being witnessed and directly guided by a physiotherapist is a substantial advance, since many patients with chronic fatigue syndrome and other functional impairment have difficulty getting to physiotherapy or do not have access to appropriately trained physiotherapists... In summary, findings from this pragmatic randomised controlled trial add to the evidence that straightforward, non-pharmacological therapies can be helpful in the management of symptoms such as fatigue in individuals with chronic fatigue syndrome.

Judge Young held that the city was contractually obligated to pay the employees their salaries, and that the furlough was a «substantial impairment» of the workers» contracts with the city.

Even though there was a settlement in this case, the agreed upon changes do not affect the content of the LSAT nor do they affect the procedures that individuals with visual impairments have to follow in a substantial way.

All of the definitions of catastrophic injuries under this section identify specific impairments that can result in substantial care needs, with the exception of s. 3 (2)(e),

In Georgia, punitive damages are limited to $ 250,000 with certain exceptions, such as in products liability or substantial alcohol or drug impairment cases.

Additional benefit riders should your health status change: With the Accelerated Death Benefit for Chronic Illness Rider, up to 50 % of the policy's death benefit ($ 500,000 maximum) can be accessed in advance if a licensed health care practitioner certifies during the prior 12 - month period that the insured is unable to perform at least two of six activities of daily living for a period of at least 90 days due to a loss of functional capacity, or has a severe cognitive impairment, requiring substantial supervision to ensure the health and safety of him or herself.

With the Chronic Illness Rider, up to 50 % of the policy's death benefit ($ 500,000 maximum) can be accessed in advance if a licensed health care practitioner certifies during the prior 12 - month period that you are unable to perform at least two of six activities of daily living for a period of at least 90 days due to a loss of functional capacity, or have a severe cognitive impairment, requiring substantial supervision to ensure your health and safety.3, 4,5,6

To qualify for a chronic illness, you would need to be certified by a licensed health practitioner in the last 12 months with a qualifying illness or physical condition that would prevent you from performing at least two «Activities of Daily Living», without substantial assistance or requires substantial supervision from another person to protect the Insured Person from threats to health and safety due to cognitive impairment.

As a result, they tend to spend more time onlooking (watching other children without joining) and hovering on the edge of social groups.8, 11 There is some evidence to suggest that young depressive children also experience social impairment.12 For example, children who display greater depressive symptoms are more likely to be rejected by peers.10 Moreover, deficits in social skills (e.g., social participation, leadership) and peer victimization predict depressive symptoms in childhood.13, 14 There is also substantial longitudinal evidence linking social withdrawal in childhood with the later development of more significant internalizing problems.15, 16,17 For example, Katz and colleagues18 followed over 700 children from early childhood to young adulthood and described a pathway linking social withdrawal at age 5 years — to social difficulties with peers at age 15 years — to diagnoses of depression at age 20 years.

Hypochondriasis thus appears to be a disorder with a substantial burden of long - term morbidity, functional impairment, and personal distress.

Someone with a severe mental illness (SMI) experiences substantial impairment on a daily basis and faces challenges in otherwise routine activities.

For example, adult anxiety disorders are common, often comorbid with depression, and associated with substantial functional impairment.17 A pediatric focus in research and practice on the mother's mental health, and, in particular, on maternal depressive symptoms, may limit our understanding of how the mental health of both parents affects children and may narrow our approaches to intervention.