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FOUR Score Coma Exam

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121. APA Guidelines on Multicultural Education, Training, Research, Practice and Organizational Change for Psychologists

of efficacy as they address the first four levels of the Layered Ecological Model of the Multicultural Guidelines. Guideline 10. Psychologists actively strive to take a strength-based approach when working with individuals, families, groups, communities, and organizations that seeks to build resilience and decrease trauma within the sociocultural context. 6 I. Introduction Since the initial version of the Guidelines on Multicultural Education, Training, Research, Practice, and Organizational Change (...) individuals and their respective roles (e.g., interactions between clinician and client; educator and student; researcher and research participant; consultant and consultee). These two bidirectional circles (Level 1) are layered with four surrounding circles (Levels 2–5) that represent successively expanding sources of influence. These are labeled on Figure 1 as: Bidirectional Model of Self-Definition and Relationships (Level 1) ; Community, School, and Family Context (Level 2); Institutional Impact

2002 American Psychological Association

122. Natural History of West Nile Virus Infection

PCR for WNV, physical examination, serial neurologic examinations, a baseline MRI scan, and four functional and cognitive assessments that have been validated in neurologic illness in adults: the Barthel Index (BI), the Modified Rankin Scale (MRS), the Glasgow Outcome Score (GOS) and the modified Mini-Mental Status Examination (3MS). The subset of study participants who develop motor weakness of an extremity (ies) will have electromyograms, nerve conduction studies and spinal MRI performed (...) Description Go to Brief Summary: This study will examine how West Nile virus (WNV) infection affects the body. Some people infected with WNV have no symptoms. In others, symptoms may vary from fever and headache to a polio-like syndrome with paralysis, to coma and brain changes like those of a stroke. Many patients recover with no lasting effects, while a few can have long-lasting neurological damage or may die. This study will collect clinical, laboratory, diagnostic, and radiographic information

2003 Clinical Trials

123. Chloroquine Alone or in Combination for Malaria in Children in Malawi

of severe malaria included one or more of the following: Hemoglobin ≤5 g/dL; prostration; respiratory distress; bleeding; recent seizures, coma or obtundation (Blantyre coma score < 5); inability to drink, or persistent vomiting. All cases were then adjudicated by a panel of investigators prior to analysis. Mean Hemoglobin at the Last Study Visit in Each Treatment Arm for the Age Group of Participants 3 Years of Age or Younger. [ Time Frame: 1 year ] Hemoglobin values were assessed from blood collected (...) Weight greater than or equal to 5kg. Positive malaria smear for P. falciparum mono-infection with parasite density 2,000-200,000/mm^3. Planning to remain in the study area for 1 year. Willingness to return for four-weekly routine visits, as well as unscheduled sick visits. Parental/guardian consent for each participant. Exclusion Criteria: Signs of severe malaria: One or more of the following: hemoglobin less than or equal to 5 g/dL prostration respiratory distress bleeding recent seizures, coma

2006 Clinical Trials

124. Loss of consciousness: when to perform computed tomography? (PubMed)

Loss of consciousness: when to perform computed tomography? To determine the diagnostic value of physical examination (including neurologic exam) for positive computed tomography scan findings in children with closed head injury, Glasgow Coma Scale score 13-15 in the emergency department, and loss of consciousness or amnesia.Prospective descriptive study.A large, tertiary, pediatric trauma center in San Diego County.Children ages 2-16 with an isolated closed head injury, history of loss (...) of consciousness or amnesia, and Glasgow Coma Scale 13-15 who were referred for pediatric trauma evaluation and received a head computed tomography as part of this evaluation.A standardized physical examination including skull/scalp exam, pupils, tympanic membrane, and brief neurologic exam was documented on each patient.Subjects age 2-16 being evaluated by the pediatric trauma team for closed head injury with loss of consciousness or amnesia and Glasgow Coma Scale 13-15 received a standardized physical exam

2004 Pediatric Critical Care Medicine

125. Thoracolumbar fracture in blunt trauma: is clinical exam enough for awake patients? (PubMed)

April 2002 to December 2003. During the study period, thoracolumbar radiography was performed on patients with signs or symptoms of TLFx, and also on patients with significant blunt trauma and any alteration in mentation, including drowsiness or apparent intoxication. All patients were classified as reliable if Glasgow coma score was >13 and the treating physician judged them capable of accurately reporting pain, and those who did not met both these conditions were deemed unreliable. Patients (...) Thoracolumbar fracture in blunt trauma: is clinical exam enough for awake patients? Physical examination is widely used to screen trauma patients for thoracolumbar fracture (TLFx). Retrospective data suggests that patients with altered sensorium may not manifest symptoms after TLFx. This study was designed to prospectively test the sensitivity of physical examination for detection of TLFx in patients with altered mentation.Prospective data collection in a large urban Level I trauma center from

2006 Journal of Trauma

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