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Appearance, Behavior and Attitude Exam

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121. Genetics of Breast and Ovarian Cancer (PDQ®): Health Professional Version

genetic education and counseling. about an inherited risk of breast and gynecologic cancer is complex; gender, age, and the degree of relatedness are some elements that affect disclosure of this information. Research is ongoing to better understand and address psychosocial and behavioral issues in high-risk families. Introduction General Information [ Note: Many of the medical and scientific terms used in this summary are found in the . When a linked term is clicked, the definition will appear (...) in the primary cancer prevention setting to suggest that it reduces the risk of breast cancer among healthy female carriers of BRCA2 pathogenic variants. The use of has been associated with a protective effect on the risk of developing ovarian cancer, including in carriers of BRCA1 and BRCA2 pathogenic variants, with no association of increased risk of breast cancer when using formulations developed after 1975. Psychosocial and Behavioral Issues influence decisions about genetic testing for inherited cancer

2016 PDQ - NCI's Comprehensive Cancer Database

122. Early assessment and diagnosis of lung cancer

ultrasound (EBUS) is important for diagnosis and tumour staging. These services require expertise and are generally available in specialist centres and part of specialist lung cancer teams, often referred to as multidisciplinary teams (MDTs). Many guidelines and recommendations endorse referral to the MDTs. Access to lung cancer MDTs, where there is access to equipment, expertise and improved outcomes due to operator volume, appears to be the most promising model to facilitate early assessment (...) cancers. 46 Culturally and linguistically diverse groups The ‘healthy immigrant effect’ often results in lower incidence of cancer in migrant groups. Yet in lung cancer there appears to be a reverse trend. From 2003 to 2007, the highest age- standardised incidence rates of lung cancer in men were for those born in North-Western Europe (69 per 100,000) and the United Kingdom and Ireland (67 per 100,000). These rates were significantly higher than that for Australian-born men (58 per 100,000). Men born

2012 Sax Institute Evidence Check

123. Genetics of Prostate Cancer (PDQ®): Health Professional Version

the behavioral correlates of prostate cancer screening at average and increased prostate cancer risk based on family history; in general, results appear contradictory regarding whether men with a family history are more likely to be screened than those not at risk and whether the screening is appropriate for their risk status. Research is ongoing to better understand and address psychosocial and behavioral issues in high-risk families. Introduction [ Note: Many of the medical and scientific terms used (...) screening tests such as the digital rectal exam and serum prostate-specific antigen (PSA) levels in men genetically predisposed to developing prostate cancer. Initial reports of targeted PSA has yielded a higher proportion of aggressive disease. On the basis of the available data, most professional societies and organizations recommend that high-risk men engage in shared decision-making with their health care providers and develop individualized plans for prostate cancer screening based on their risk

2016 PDQ - NCI's Comprehensive Cancer Database

124. The views of young people in the UK about obesity, body size, shape and weight

are distinguished only when study authors’ accounts make this possible. The views of young people in the UK about obesity, body size, shape and weight 1 Executive summary Background There are high levels of concern about body size in young people in the UK: young people can experience physical and psychosocial problems when young as a result of having a large body size, and young people’s attitudes to and beliefs about their bodies, which can include high levels of body dissatisfaction, have also raised concern (...) in the UK aged 12 to 18 using qualitative methods. Views were defined as attitudes, opinions, beliefs, feelings, understandings or experiences. Reports also needed to describe basic aspects of a study’s methods. Executive summary 2 Data extraction of the included studies was carried out using a framework, specifically designed for this review, to record information from each study (e.g. details of the study population and methods of sampling, recruitment, consent, data collection and analysis

2013 EPPI Centre

125. Genetics of Endocrine and Neuroendocrine Neoplasias (PDQ®): Health Professional Version

replacement therapy. Introduction [ Note: Many of the medical and scientific terms used in this summary are found in the . When a linked term is clicked, the definition will appear in a separate window. ] [ Note: Many of the genes described in this summary are found in the Online Mendelian Inheritance in Man (OMIM) database. When OMIM appears after a gene name or the name of a condition, click on OMIM for a link to more information. ] [ Note: A concerted effort is being made within the genetics community (...) and improved overall survival,[ - ] they also have higher rates of postoperative complications and long-term morbidity.[ ] Therefore, the risks and benefits should be carefully considered, and surgical decisions should be made on a case-by-case basis. With regard to open or laparoscopic approaches, pancreatic laparoscopic surgery appears to be safe and associated with a shorter length of stay and fewer complications in selected patients.[ ] Individuals with MEN1 who are diagnosed with NETs often have

2016 PDQ - NCI's Comprehensive Cancer Database

126. Cancer Genetics Risk Assessment and Counseling (PDQ®): Health Professional Version

the provision of health insurance and employment discrimination on the basis of genetics information; however, it does not apply to members of the military or to long-term care insurance. Introduction [ Note: Many of the medical and scientific terms used in this summary are found in the . When a linked term is clicked, the definition will appear in a separate window. ] [ Note: A concerted effort is being made within the genetics community to shift terminology used to describe genetic variation. The shift (...) testing, and behavioral intentions for risk management strategies were not statistically significant between groups.[ ] Video-assisted genetic counseling Studies have also examined the use of online genetic counseling using remote videoconferencing (telegenetics) as an alternative to in-person genetic counseling and demonstrated increases in patient knowledge, high levels of satisfaction, and minimal negative psychosocial outcomes.[ - ] References Hampel H, Bennett RL, Buchanan A, et al.: A practice

2016 PDQ - NCI's Comprehensive Cancer Database

127. Models of community care for the elderly involving collaboration between specialized geriatric services and primary care practitioners

of the model tends to be on the SGS itself, and collaboration with PCP is an adjunct, and accordingly, its processes, barriers/facilitators, etc. are under-evaluated and reported. Some models however did appear to meet this collaborative goal, and hopefully will be considered useful. - An exception to this are a few excellent models, two of which (PRISMA, SIPA) involved extensive PCP collaboration and were Canadian-based. Page 1 of 51 1. Summary table of relevant services/models Author (Year) Location (...) COGNITIVE POPULATION Crotty et al.(2004) RefID624 Australia (Adelaide) Eloniemi-Sulkava et Finland (Helsinki al.(2009)RefID98 and Uusimaa) Elderly patients with medication problems and difficult behaviors (pain-and dementia-related) in high-level residential aged care facilities. Elderly couples with dementia. particular attention to the management of chronic illnesses. Several follow-up visits are arranged, also with a focus on chronic-disease management. Social workers also provide case management

2011 OHRI Knowledge to Action

128. Interventions to Improve Minority Health Care and Racial and Ethnic Disparities

of community health workers provided limited gains. Culturally tailored education approaches to lifestyle change interventions appear promising. Several small trials suggest intensive nurse-led multicomponent care management interventions may reduce hospitalization in minority patients with heart failure. HIV/AIDS Interventions We identified four good quality comparative and single-race systematic reviews (meta-analyses) that examined the effectiveness of behavioral interventions for HIV and sexually (...) A study suggests a telemedicine/care coordination intervention may reduce disparities in black Veterans with diabetes; this finding warrants further research. 3 Interventions to Improve Minority Health Care and Reduce Racial and Ethnic Disparities Evidence-based Synthesis Program Arthritis and Pain Management Interventions Our search identified one fair quality systematic review examining the ef fects of behavioral interventions for arthritis in minority and white populations. We also identified one

2011 Veterans Affairs Evidence-based Synthesis Program Reports

129. Rural vs. Urban Ambulatory Health Care Review

distance, patient attitudes, and race disparities. FUTURE RESEARCH There are many gaps in the existing research. Several important clinical conditions have not been addressed, and few studies have enrolled veterans. A key issue for future research is the 3 Rural vs. Urban Ambulatory Health Care: A Systematic Review Evidence-based Synthesis Program choice of definitions for rural and urban areas. Researchers should provide a rationale for why a particular definition was chosen and consider using more (...) urban veterans. 4,5 Although more recent assessments have shown that rural veterans appear to have comparable or even better mental health quality of life than urban veterans, the lower physical health quality of life in rural veterans has persisted over time. 6,7 While differences in health care use between rural and urban veterans have been documented, 8 it is unclear to what extent such differences in service use contribute to the observed differences in health outcomes. Some of the rural-urban

2011 Veterans Affairs Evidence-based Synthesis Program Reports

130. Patient Modesty: Volume 82

factually educated by the physician to make the final decision of whether he or she accepts examination. In summary, it does appear that the AAD is concerned, by their document, in attending to all patients' physical modesty concerns. And this is what we teach. ..Maurice. At , Anonymous said... That's great Dr. Bernstein. My point is simply that the modesty aspect would be much less important, and might not require any attention at all for men, if the exam didn't involve checking for penile skin cancer (...) Patient Modesty: Volume 82 Bioethics Discussion Blog: Patient Modesty: Volume 82 What have you been reading, hearing or TV viewing that has provoked some feelings of comfort or concern about what is happening in the world of medicine, medical care, treatment or science? Ethics is all about doing the right thing. Are you aware of any issues in medicine or biologic science which are being done right, could be improved or in fact represent totally unethical behavior? Write about them here.. and I

2017 Bioethics Discussion Blog

131. Patient Modesty: Volume 78

Patient Modesty: Volume 78 Bioethics Discussion Blog: Patient Modesty: Volume 78 What have you been reading, hearing or TV viewing that has provoked some feelings of comfort or concern about what is happening in the world of medicine, medical care, treatment or science? Ethics is all about doing the right thing. Are you aware of any issues in medicine or biologic science which are being done right, could be improved or in fact represent totally unethical behavior? Write about them here.. and I (...) school or nursing text book teaching about caring for or performing exams of the genitalia and they almost invariably start the discussion with a statement like this: “examination of the patient’s genitals can be UNCOMFORTABLE and EMBARRASSING for both you and the patient.” My question is if just about every textbook that trains clinical providers in the US to perform these exams acknowledge intimate care can be “embarrassing” and “uncomfortable” why don’t the clinical professionals take reasonable

2017 Bioethics Discussion Blog

132. Patient Modesty: Volume 81

Patient Modesty: Volume 81 Bioethics Discussion Blog: Patient Modesty: Volume 81 What have you been reading, hearing or TV viewing that has provoked some feelings of comfort or concern about what is happening in the world of medicine, medical care, treatment or science? Ethics is all about doing the right thing. Are you aware of any issues in medicine or biologic science which are being done right, could be improved or in fact represent totally unethical behavior? Write about them here.. and I (...) is enough give us a choice. They’ve been brow beaten for so long by the system, they’re brainwashed on the idea they will be completely exposed and humiliated and that’s the way it is. The other group of guys are the ones that haven’t had to use the system yet. They naively believe the healthcare system is going to protect their privacy and respect their dignity. Then they go in for an exam or test & come out of the encounter shell shocked when they see what we were saying is how it is. The other road

2017 Bioethics Discussion Blog

133. Patient Modesty: Volume 80

, monitor this student behavior. But I virtually always find they follow this requirement. Thus I am convinced they start their medical history and physical exam relationship with a patient with attention to this important communication matter. If the limitation of the medical system later make the physician behave without the attention to this communication with the patient, it will be up to the patient to "speak up" which it appears from the postings many here are doing just that. ..Maurice. At , said (...) Patient Modesty: Volume 80 Bioethics Discussion Blog: Patient Modesty: Volume 80 What have you been reading, hearing or TV viewing that has provoked some feelings of comfort or concern about what is happening in the world of medicine, medical care, treatment or science? Ethics is all about doing the right thing. Are you aware of any issues in medicine or biologic science which are being done right, could be improved or in fact represent totally unethical behavior? Write about them here.. and I

2017 Bioethics Discussion Blog

134. Patient Modesty: Volume 79

Patient Modesty: Volume 79 Bioethics Discussion Blog: Patient Modesty: Volume 79 What have you been reading, hearing or TV viewing that has provoked some feelings of comfort or concern about what is happening in the world of medicine, medical care, treatment or science? Ethics is all about doing the right thing. Are you aware of any issues in medicine or biologic science which are being done right, could be improved or in fact represent totally unethical behavior? Write about them here.. and I (...) RESPONDERS TO LOOK UP THE DATE AND TIME OF THE POSTING TO DEFINE WHICH ANONYMOUS SAID WHAT. Thanks. ..Maurice FEEDBACK,FEEDBACK,FEEDBACK! WRITE YOUR FEEDBACK ABOUT THIS BLOG, WHAT IS GOOD, POOR AND CONSTRUCTIVE SUGGESTIONS FOR IMPROVEMENT TO THIS Saturday, April 22, 2017 Patient Modesty: Volume 79 Yes, the current discourse continues to follow the issue of "speaking up" to the medical system regarding patient modesty and patient dignity. The image above speaking up by way of the bullhorn appears

2017 Bioethics Discussion Blog

135. Performance Under Pressure

, and GI upset that can accompany stressful scenarios like oral exams or job interviews. At higher stress levels, tunnel vision can occur, potentially leading to decreased situational awareness and missed information. (Whitelock and Asken 2012; Grossman and Christensen 2004) Auditory exclusion or “tunnel hearing” can impair communication. (Whitelock and Asken 2012; Grossman and Christensen 2004) Perceptions of time can either speed up or slow down. (Whitelock and Asken 2012) Peripheral vasoconstriction (...) this means. You are running a resuscitation and everything just clicks. Your thinking is perfectly clear, time appears to slow down, everything is working, and the job just seems fun. For any activity, there is a balance between your skill, resources and the demands being placed on you. If the demands outstrip resources, we see anxiety and poor performance. When skill or confidence significantly outstrip demands, we see boredom that could also degrade performance. Somewhere in between, there is a zone

2017 First10EM

136. Why news media speculation over Trump’s mental health needs to stop

health problems, as Dr. Frances says, are “nice, polite, well meaning, decent people.” Granted, many of us might be hard-pressed to say the same of Trump, given his crass words and behavior over the last few months, much less his history of cheating others, extreme self-interest, and racist and sexist comments. Why this further stigmatizes people with mental illness As humans, when we see unusual or upsetting behavior, we want to understand it and explain it. When it’s something offensive to us (...) understand the desire to get inside the mind of a Presidential candidate,” Oquendo writes. “I can also understand how a patient might feel if they saw their doctor offering an uninformed medical opinion on someone they have never examined.” It’s all politics in the end Trump is a highly functioning man who appears to have reached the epitome of success in our material and capitalistic society. He has shown himself to be extraordinarily talented at exploiting and manipulating people. That doesn’t mean

2016 HealthNewsReview

137. Specialty Guidelines for Forensic Psychology

Specialty Guidelines for Forensic Psychology Specialty Guidelines for Forensic Psychology American Psychological Association In the past 50 years forensic psychological practice has expanded dramatically. The American Psychological As- sociation (APA) has a division devoted to matters of law and psychology (APA Division 41, the American Psy- chology–Law Society), a number of scienti?c journals de- voted to interactions between psychology and the law exist (e.g., Law and Human Behavior (...) ; Psychology, Public Pol- icy, and Law; Behavioral Sciences & the Law), and a number of key texts have been published and undergone multiple revisions (e.g., Grisso, 1986, 2003; Melton, Pe- trila, Poythress, & Slobogin, 1987, 1997, 2007; Rogers, 1988, 1997, 2008). In addition, training in forensic psy- chology is available in predoctoral, internship, and post- doctoral settings, and APA recognized forensic psychology as a specialty in 2001, with subsequent recerti?cation in 2008. Because the practice

2013 American Psychological Association

138. Guidelines for Psychological Evaluations in Child Protection Matters

are informed by APA’s “Ethical Principles of Psychologists and Code of Conduct” (“APA Ethics Code”; APA, 2002a, 2010). The term guidelines refers to statements that suggest or recommend speci?c professional behavior, endeavors, or conduct for psychol- ogists. Guidelines differ from standards in that standards are mandatory and may be accompanied by an enforcement mechanism. Guidelines are aspirational in intent. They are in- tended to facilitate the continued systematic development of the profession (...) describe ?ndings (e.g., cognitive disability, substance dependence, likelihood that a particu- 25 January 2013 ? American Psychologistlar form of maltreatment has occurred, attitudes justifying intimate partner violence) and the potential implications for parenting and/or child safety or well-being. But where the psychologist lacks a suf?cient foundation on which to base case-speci?c opinions or recommendations, the psycholo- gist acknowledges the limitations of the foundation and refrains from

2013 American Psychological Association

139. Cultural Competency

and Adolescent Psychia- try (AACAP) Diversity and Culture Committee andinformedbytheliteraturereviewarticlesand the Cultural Competence Standards in Managed Mental Health Care for Four Underserved/Under- represented Racial/Ethnic Populations. 2 DEFINITIONS Culture:Integratedpatternofhumanbehaviors including thoughts, communication, actions, customs, beliefs, values, and institutions of a racial, ethnic, religious, or social nature. Cultural competence: Set of congruent behav- iors, attitudes, and policies (...) . Immigrant: Someone who intends to reside permanently in a new land. HISTORICAL OVERVIEW The recent demographic changes in the United States are highly signi?cant for child mental health services. First, the acceptability and use of mental health services are governed strongly by cultural attitudes, beliefs, and practices. Second, the current science base of psychiatric diagnosis and treatment is derived from research primarily involving European-origin populations, so its validity for these emerging

2013 American Academy of Child and Adolescent Psychiatry

140. NASPGHAN Guidelines for Training in Pediatric Gastroenterology

by ESPGHAN and NASPGHAN. Unauthorized reproduction of this article is prohibited. The competency of medical knowledge (CanMEDS Medical Expert and Scholar) requires that fellows demonstrate knowledge of relevant biomedical, clinical, epidemiological, and socio- behavioral sciences and their application to patient care. Areas that are particularly applicable to understanding the clinical mani- festations and treatment of GI disease include developmental biology, pharmacology, host/microbial interactions (...) or behaviors. Fellows should demonstrate interpersonal skills such as the ability to be present in the moment; awareness of the importance of the relationships among phys- ician, patient, and family members; respect for others and treating others as one would like to be treated; and the capacity to adjust interpersonal skills based on the needs of different patients and families (14). Fellows must be able to create and sustain thera- peutic and ethically sound relationships with patients, use effec- tive

2013 North American Society for Pediatric Gastroenterology, Hepatology, and Nutrition

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