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Insight and Judgement

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1. Insight and Judgement

Insight and Judgement Insight and Judgement Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse Cancer Administration 4 Insight and Judgement Insight (...) and Judgement Aka: Insight and Judgement , Insight Exam , Judgement Exam II. Exam: Judgement Judgment is an assessment of real life problem-solving skills Testing What should you do if you find a stamped (not canceled) and addressed envelope? III. Exam: Insight Insight is an understanding of their condition (including abnormal thoughts) Testing Tell me about your illness and if it is worse now? What medications are you taking? IV. References Zum, Swaminathan and Egan in Herbert (2014) EM:Rap 14(7): 11-13

2018 FP Notebook

2. The predictive validity of situational judgement tests (SJTs) in medical selection: a systematic review

The predictive validity of situational judgement tests (SJTs) in medical selection: a systematic review Print | PDF PROSPERO This information has been provided by the named contact for this review. CRD has accepted this information in good faith and registered the review in PROSPERO. The registrant confirms that the information supplied for this submission is accurate and complete. CRD bears no responsibility or liability for the content of this registration record, any associated files (...) animals in the meta-analysis by dividing the number of animals in the control group by the number of treatment groups served. Where applicable, Holm-Bonferroni correction for testing multiple subgroup analyses will be performed. If one or more subgroup analyses cannot be performed due to insufficient data, the p-value will be adjusted accordingly. ">Other Subgroup analysis or meta-regression are used to explore between-study heterogeneity and can provide insight into the relationship between study

2019 PROSPERO

3. Do structured risk assessments predict violent, any, and sexual offending better than unstructured judgement? Protocol for an umbrella review of systematic reviews

Do structured risk assessments predict violent, any, and sexual offending better than unstructured judgement? Protocol for an umbrella review of systematic reviews Print | PDF PROSPERO This information has been provided by the named contact for this review. CRD has accepted this information in good faith and registered the review in PROSPERO. The registrant confirms that the information supplied for this submission is accurate and complete. CRD bears no responsibility or liability (...) heterogeneity and can provide insight into the relationship between study characteristics (e.g. species, sex or drug class or dose) and effect size. They should be considered hypothesis-generating. Ideally, a threshold describing the number of studies per subgroup required for analysis should be specified. For further guidance please refer to the and to pre-clinical meta-analysis. Example: The following study characteristics will be examined as potential source of heterogeneity: species (stratified per

2019 PROSPERO

4. The judgement of biases included in the category "other bias" in Cochrane systematic reviews of interventions: a systematic survey. (PubMed)

The judgement of biases included in the category "other bias" in Cochrane systematic reviews of interventions: a systematic survey. Clinical decisions are made based on Cochrane reviews, but the implementation of results of evidence syntheses such as Cochrane reviews is problematic if the evidence is not prepared consistently. All systematic reviews should assess the risk of bias (RoB) in included studies, and in Cochrane reviews, this is done by using Cochrane RoB tool. However, the tool (...) is not necessarily applied according to the instructions. In this study, we aimed to determine the types of bias and their corresponding judgements noted in the 'other bias' domain of Cochrane RoB tool.We analyzed Cochrane reviews that included randomized controlled trials (RCTs) and extracted data regarding 'other bias' from the RoB table and accompanying support for the judgment. We categorized different types of other bias.We analyzed 768 Cochrane reviews that included 11,369 RCTs. There were 602 (78

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2019 BMC medical research methodology

5. 'Active'ating thoughts about affect: elicitation of physical activity judgements in insufficiently active women. (PubMed)

physical activity judgement themes, categorised within seven high-order themes, were derived through the use of the mental contrasting intervention. In addition to identifying several affective and instrumental outcomes and obstacles that have previously been recognised, participants in this study also highlighted contextualised responses that describe complicated relationships that exist between affective and instrumental judgements.This study provides fine-grained insight into cognitive processes (...) 'Active'ating thoughts about affect: elicitation of physical activity judgements in insufficiently active women. A growing body of evidence suggests that affective judgements are distinct from, and exert greater influence on, physical activity behaviours than instrumental judgements.As part of a randomised controlled trial, 110 insufficiently active, female, university students were randomised to (a) an affective mental contrasting condition, (b) an instrumental mental contrasting condition

2019 Psychology & health Controlled trial quality: uncertain

6. Inaccurate judgement of reach is associated with slow reaction time, poor balance, impaired executive function and predicts prospective falls in older people with cognitive impairment. (PubMed)

on foam compared to the minimal RJE tertile. Each 1% increase in RJE increased the risk of falls by 2% (RR 1.02 95%CI 1.01-1.03). This relationship withstood adjustment for other fall risk factors (sway on foam, Trail Making Test B and ACE-R).Inaccurate reach judgement predicts future falls and is associated with poorer global cognitive performance and executive function, increased concern about falling, slower reaction time and poorer balance. Our results offer insight into the disparity between (...) Inaccurate judgement of reach is associated with slow reaction time, poor balance, impaired executive function and predicts prospective falls in older people with cognitive impairment. Awareness of physical ability may impact fall risk during everyday tasks. Therefore, we investigated perceived reach (PR; estimation of furthest reach distance), maximal reach (MR) and reach judgement error (RJE), and their relationships with neuropsychological and physical performance, and falls in older people

2018 Experimental Gerontology

7. Intelligent judgements over health risks in a spatial agent-based model (PubMed)

Intelligent judgements over health risks in a spatial agent-based model Millions of people worldwide are exposed to deadly infectious diseases on a regular basis. Breaking news of the Zika outbreak for instance, made it to the main media titles internationally. Perceiving disease risks motivate people to adapt their behavior toward a safer and more protective lifestyle. Computational science is instrumental in exploring patterns of disease spread emerging from many individual decisions (...) and interactions among agents and their environment by means of agent-based models. Yet, current disease models rarely consider simulating dynamics in risk perception and its impact on the adaptive protective behavior. Social sciences offer insights into individual risk perception and corresponding protective actions, while machine learning provides algorithms and methods to capture these learning processes. This article presents an innovative approach to extend agent-based disease models by capturing

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2018 International journal of health geographics

8. General practitioners' judgement of chronic heart failure in the oldest old: Insights from the BELFRAIL study. (PubMed)

General practitioners' judgement of chronic heart failure in the oldest old: Insights from the BELFRAIL study. Conflicting evidence exists about the value of general practitioners' (GPs') diagnoses of chronic heart failure (CHF), especially in older persons. Therefore, the relationship between GPs' judgement of CHF and objective cardiac abnormalities and their respective prognostic value for 5-year mortality in patients aged 80 and older was studied.These analyses were embedded within (...) ). GPs' judgement predicted objective cardiac abnormalities inaccurately (sensitivity 45% (95% CI 38-53), specificity 79% (95% CI 75-83)). However, both objective cardiac abnormalities and GPs' diagnoses of CHF were good predictors of 5-year mortality (HR 2.1 (95% CI 1.6-2.7) vs 1.7 (95% CI 1.3-2.3), respectively). Furthermore, the presence of objective cardiac abnormalities was not significantly better than GPs' judgement in identifying patients at risk for mortality, although a trend for better

2015 International journal of cardiology

9. Evaluation of nurses' clinical judgement performance: systematic review of clinical judgement analysis studies

Evaluation of nurses' clinical judgement performance: systematic review of clinical judgement analysis studies Print | PDF PROSPERO This information has been provided by the named contact for this review. CRD has accepted this information in good faith and registered the review in PROSPERO. CRD bears no responsibility or liability for the content of this registration record, any associated files or external websites. Email salutation (e.g. "Dr Smith" or "Joanne") for correspondence (...) -Bonferroni correction for testing multiple subgroup analyses will be performed. If one or more subgroup analyses cannot be performed due to insufficient data, the p-value will be adjusted accordingly. ">Other Subgroup analysis or meta-regression are used to explore between-study heterogeneity and can provide insight into the relationship between study characteristics (e.g. species, sex or drug class or dose) and effect size. They should be considered hypothesis-generating. Ideally, a threshold describing

2018 PROSPERO

10. Pressure and judgement within a dichotomous landscape of infant feeding: a grounded theory study to explore why breastfeeding women do not access peer support provision. (PubMed)

Pressure and judgement within a dichotomous landscape of infant feeding: a grounded theory study to explore why breastfeeding women do not access peer support provision. Lack of support is reported as a key reason for early breastfeeding cessation. While breastfeeding peer support (BPS) is a recommended intervention to increase breastfeeding rates, a number of studies identify that engagement with BPS is problematic. Due to paucity of research in this area, this study explores why breastfeeding (...) women do not access BPS in South-West England. Utilising a constructionist grounded theory approach, 33 participants (women (n = 13), health professionals (n = 6) and peer supporters (n = 14)) participated in a semi-structured interview (n = 22) or focus group (n = 11). Analysis involved open coding, constant comparisons and focussed coding. One core category and three main themes explicating non-access were identified. The core category concerns women's experiences of pressure and judgement around

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2016 Maternal & child nutrition

11. Reliability of clinical judgements of insight in patients with psychoses. (PubMed)

Reliability of clinical judgements of insight in patients with psychoses. We evaluated the reliability of scaled and binary clinical judgements of insight. Twelve clinicians rated 30 DVD interview recordings of patients diagnosed with a psychotic disorder. Scaled ratings produced an ICC of 0.62. Reliability of categorical (binary) ratings was 0.37 (k). While ordinal ratings are more reliable than binary ratings, reliability across both methods is too low for important decision-making. Clinical (...) judgements of insight are impaired by a lack of standardised diagnostic criteria. Copyright © 2013 Elsevier Ireland Ltd. All rights reserved.

2013 Psychiatry research Controlled trial quality: uncertain

12. Eye-tracking in eating disorders research: new insights? #LEDC19

Eye-tracking in eating disorders research: new insights? #LEDC19 Eye-tracking in eating disorders research: new insights? #LEDC19 Search National Elf Service Search National Elf Service » » » » Eye-tracking in eating disorders research: new insights? #LEDC19 Mar 22 2019 Posted by One of the core symptoms of eating disorders common across the different diagnoses is distorted cognition surrounding eating and weight. This is suggested to cause differential patterns of attention towards eating (...) on different regions when making attractiveness/size judgements about others’ bodies, although a third did not. Social stimuli Two studies suggested a preference for viewing body stimuli over social stimuli (e.g. social interactions/faces) in anorexia nervosa. On the basis of included studies, evidence for individuals with anorexia nervosa looking less at the eye region when viewing faces is mixed; though a further study published since the review does support this (Harrison et al., 2019). A single study

2019 The Mental Elf

13. Insight and Judgement

Insight and Judgement Insight and Judgement Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse Cancer Administration 4 Insight and Judgement Insight (...) and Judgement Aka: Insight and Judgement , Insight Exam , Judgement Exam II. Exam: Judgement Judgment is an assessment of real life problem-solving skills Testing What should you do if you find a stamped (not canceled) and addressed envelope? III. Exam: Insight Insight is an understanding of their condition (including abnormal thoughts) Testing Tell me about your illness and if it is worse now? What medications are you taking? IV. References Zum, Swaminathan and Egan in Herbert (2014) EM:Rap 14(7): 11-13

2015 FP Notebook

14. Neuropsychiatric lupus: new mechanistic insights and future treatment directions. (PubMed)

Neuropsychiatric lupus: new mechanistic insights and future treatment directions. Patients with systemic lupus erythematosus (SLE) frequently show symptoms of central nervous system (CNS) involvement, termed neuropsychiatric SLE (NPSLE). The CNS manifestations of SLE are diverse and have a broad spectrum of severity and prognostic implications. Patients with NPSLE typically present with nonspecific symptoms, such as headache and cognitive impairment, but might also experience devastating (...) microglia, the blood-brain barrier and other neurovascular interfaces) are important facilitators of NPSLE. As yet, however, no unifying model has been found to underlie the pathogenesis of NPSLE, suggesting that this disease has multiple contributors and perhaps several distinct aetiologies. This heterogeneity presents a challenge for clinicians who have traditionally relied on empirical judgement in choosing treatment modalities for patients with NPSLE. Improved understanding of this manifestation

2019 Nature reviews. Rheumatology

15. An automated identification and analysis of ontological terms in gastrointestinal diseases and nutrition-related literature provides useful insights (PubMed)

An automated identification and analysis of ontological terms in gastrointestinal diseases and nutrition-related literature provides useful insights With an unprecedented growth in the biomedical literature, keeping up to date with the new developments presents an immense challenge. Publications are often studied in isolation of the established literature, with interpretation being subjective and often introducing human bias. With ontology-driven annotation of biomedical data gaining popularity (...) types of Inflammatory Bowel Diseases: Crohn's Disease and Ulcerative Colitis; and two other gastrointestinal (GI) diseases, namely, Coeliac Disease and Irritable Bowel Syndrome. Our analysis reveals unique clustering patterns as well as spatial and temporal trends inherent to the considered GI diseases in terms of literature that has been accumulated so far. Although automated interpretation cannot replace human judgement, the developed workflow shows promising results and can be a useful tool

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2018 PeerJ

16. Improving the biomedical research literature: insights from authors’ editors can help journal editors define and refine their core competencies (PubMed)

Improving the biomedical research literature: insights from authors’ editors can help journal editors define and refine their core competencies A team of stakeholders in biomedical publishing recently proposed a set of core competencies for journal editors, as a resource that can inform training programs for editors and ultimately improve the quality of the biomedical research literature. This initiative, still in its early stages, would benefit from additional sources of expert information (...) . Based on our experiences as authors' editors, we offer two suggestions on how to strengthen these competencies so that they better respond to the needs of readers and authors - the main users of and contributors to research journals. First, journal editors should be able to ensure that authors are given useful feedback on the language and writing in submitted manuscripts, beyond a (possibly incorrect) blanket judgement of whether the English is "acceptable" or not. Second, journal editors should

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2018 F1000Research

17. Neural basis of altered physical and social causality judgements in schizophrenia. (PubMed)

judgements than control subjects, and their judgements were less influenced by motion attributes (angle/time delay). In the patients group, fMRI revealed greater BOLD-responses, during both physical and social causality judgements (group×task interaction), in the left inferior frontal gyrus (L.IFG). Across conditions (main effect), L.IFG-interconnectivity with bilateral occipital cortex was reduced in the patient group. This study provides the first insight into the neural correlates of altered causal (...) Neural basis of altered physical and social causality judgements in schizophrenia. Patients with schizophrenia (SZ) often make aberrant cause and effect inferences in non-social and social situations. Likewise, patients may perceive cause-and-effect relationships abnormally as a result of an alteration in the physiology of perception. The neural basis for dysfunctions in causality judgements in the context of both physical motion and social motion is unknown. The current study used functional

2014 Schizophrenia Research

18. Clinical judgement by primary care physicians for the diagnosis of all-cause dementia or cognitive impairment in symptomatic people [Cochrane protocol]

Clinical judgement by primary care physicians for the diagnosis of all-cause dementia or cognitive impairment in symptomatic people [Cochrane protocol] Print | PDF PROSPERO This information has been provided by the named contact for this review. CRD has accepted this information in good faith and registered the review in PROSPERO. CRD bears no responsibility or liability for the content of this registration record, any associated files or external websites. Email salutation (e.g. "Dr Smith (...) by the number of treatment groups served. Where applicable, Holm-Bonferroni correction for testing multiple subgroup analyses will be performed. If one or more subgroup analyses cannot be performed due to insufficient data, the p-value will be adjusted accordingly. ">Other Subgroup analysis or meta-regression are used to explore between-study heterogeneity and can provide insight into the relationship between study characteristics (e.g. species, sex or drug class or dose) and effect size. They should

2017 PROSPERO

19. When procedures meet practice in community pharmacies: qualitative insights from pharmacists and pharmacy support staff. (PubMed)

When procedures meet practice in community pharmacies: qualitative insights from pharmacists and pharmacy support staff. Our aim was to explore how members of community pharmacy staff perceive and experience the role of procedures within the workplace in community pharmacies.Community pharmacies in England and Wales.24 community pharmacy staff including pharmacists and pharmacy support staff were interviewed regarding their view of procedures in community pharmacy. Transcripts were analysed (...) . Lack of staff, pressure to hit targets and poor communication also affected how able staff felt to follow procedures. The third theme 'procedural compliance versus using professional judgement' highlighted tensions between the standardisation of practice and the professional autonomy of pharmacists. Pharmacists feared being unsupported by their employer for working outside of procedures, even when acting for patient benefit. Some support staff believed that strictly following procedures would keep

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2016 BMJ open

20. Cognitive insight in first-episode schizophrenia: Further evidence for a role of the ventrolateral prefrontal cortex. (PubMed)

with a unique object/location, and later completed source memory judgements during fMRI scanning. Self-Reflectiveness, measured with the Beck Cognitive Insight Scale, was significantly and positively correlated to activation in bilateral VLPFC in FES, but not in controls, providing further evidence that the VLPFC supports Self-Reflectiveness in FES. Copyright © 2015 Elsevier B.V. All rights reserved. (...) Cognitive insight in first-episode schizophrenia: Further evidence for a role of the ventrolateral prefrontal cortex. In people with psychoses, Self-Reflectiveness may rely on the right ventrolateral prefrontal cortex (VLPFC). We used functional magnetic resonance imaging (fMRI) and a novel virtual reality paradigm to evaluate the role of the VLPFC for Self-Reflectiveness in 25 first-episode of schizophrenia (FES) participants and 24 controls. Participants first viewed 20 characters each paired

2015 Schizophrenia Research

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