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Perception Exam

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182. The Subacute Rehabilitation of Childhood Stroke, Clinical Guideline

to include: impairment (e.g. weakness, pain, cognition); activity limitations (difficulty walking, poor coordination, difficulty with communication); personal factors such as the child's preferences, emotional stability and motivation; and environmental factors such as the parents' preferences and behaviour, the child’s school's perceptions of the child's problems, where the child lives and their local supports. 13.2. Evidence summary A systematic review was conducted and identified no studies reporting

2017 Stroke Foundation - Australia

183. Diarrhoea in Adult Cancer Patients: ESMO Clinical Practice Guidelines

2019Figure 1. Algorithm for diagnostic exams of ChT-related diarrhoea. a In case of neutropaenic fever, management according to ESMO guidelines on management of febrile neutropaenia [11]. CBC, complete blood count; ChT, chemotherapy; CRP, C-reactive protein; CT, computed tomography; ESMO, European Society for Medical Oncology; PPI, proton pump inhibitor; STEC, Shiga toxin-producing Escherichia coli; US, ultrasound. Annals of Oncology Clinical Practice Guidelines Volume 29 | Supplement 4 | October 2018 (...) - plaints such as abdominal cramps, and does not take into account the patient’s perception about the severity of this symptom. As it is well known that there is low agreement between patients and physicians in reporting toxicities, with physicians underesti- mating the presence and severity of adverse events (AEs) [4, 5], it is important to collect measures of diarrhoea directly from the patients, as they provide information that can otherwise be missed [6]. In this regard, the implementation

2018 European Society for Medical Oncology

184. Right Here Right Now study: final report

– 11 – The ‘Right Here Right Now’ (RHRN) study was established to capture, in near to real time, people’s lived experiences and perceptions of rapid social and economic change. 1. Right Here Right Now arose from a growing call for more timely information on how changes are affecting people’s lives, to better support policy responses. 2. The first stage of RHRN was a pilot study which set out to establish a workable methodology for gathering and analysing data on the lived experiences of people (...) (GCPH), the MRC/CSO Social and Public Health Sciences Unit (SPHSU), the Institute of Design Innovation at The Glasgow School of Art (GSA), and NHS Health Scotland (HS). It was established to investigate whether it is possible to capture the everyday experiences and perceptions of the people of Glasgow and use these insights to inform policy and practice in close to ‘real time’. Near to real-time data would be useful in complementing routinely collected data from national surveys which is often

2016 Glasgow Centre for Population Health

185. Barrett's Esophagus

and should be reported separately in the endoscopy report. There are no data to suggest that a confirmatory endoscopic examination is of utility in 1 year after diagnosis, as long as a sufficient number (up to 8) of biopsies are obtained during the initial examination from the Barrett’s segment (15). Therefore, in situations where BE is suspected, we recommend acquiring 4 biopsies every 2 cm of segment length, or a total of at least 8 biopsies if the segment is <2 cm, at the initial exam. In patients

2016 American Gastroenterological Association Institute

187. Clinical Practice Guidelines for Sustained Neuromuscular Blockade in the Adult Critically Ill Patient

(in-service exam committee). Dr. Patterson disclosed family relationships with makers of healthcare products (he is an employee of the University of Nebraska Medical Center) and disclosed non-governmental research grant funding (Co-PI for a Surviving Sepsis in Resource Limited Environment Grant from European Society of Intensive Care Medicine and Hellman Foundation). Dr. Sands disclosed family relationships with makers of healthcare products, for-profit of healthcare services/products, and with providers

2016 Society of Critical Care Medicine

188. Reactive Attachment Disorder and Disinhibited Social Engagement Disorder

,”“Indiscriminate Friendliness,” “Indiscriminate Socially Disinhibited Reactive Attachment Disorder,” and “Disinhibited Social Engagement Disorder” yielded 187 results. The search was repeated in the Cochrane Library Database of Systematic Reviews, yielding 0 results (when the additional keywords were added and linked with the Boolean “OR,” the search yielded 2 results). Reviewers of the titles and abstracts of all articles exam- ined key quality domains, including descriptions of the study population

2016 American Academy of Child and Adolescent Psychiatry

189. Perinatal substance use: maternal

disorders may contribute to substance use or the effect of substance use in pregnancy and include anxiety, schizophrenia and personality disorders. 2 Perception of risk by the woman can be a predictor of continued use. This supports the importance of education about maternal and fetal effects. However some women with substance use disorders have difficulty discontinuing use during pregnancy. Management following early screening and referral can be of benefit. 6 1.1 Incidence Table 1. Incidence Aspect (...) 1.6 Hallucinogens exposure Hallucinogens change perception. They affect all senses and may cause hallucinations—making a person see, hear or feel something that is not there 12 . Table 14. Hallucinogens Aspect Potential outcomes Hallucinogens • Varies depending on drug • Miscarriage • Increased risk of birth defects 5 Queensland Clinical Guideline: Perinatal substance use: maternal Refer to online version, destroy printed copies after use Page 17 of 29 2 Antenatal screening Psychosocial, drug

2016 Queensland Health

190. Management of Concussion-mild Traumatic Brain Injury (mTBI)

" or "brain injury" that may inadvertently reinforce misattribution of symptoms or insecurities about recovery. The patient who is told he or she has "brain damage" based on vague symptoms or complaints and no clear indication of significant head trauma may develop a long-term perception of disability that may be difficult to reverse.[10] The terms “concussion” and “mTBI” will be used throughout this document as a convention. Also, patients should not be referred to as “mTBI patients” or “patients (...) criteria obtained during a history and physical exam (see Algorithms for definition). Symptoms associated with mTBI are identified while conducting the history of present illness. The signs and symptoms associated with mTBI are evaluated through physical examination and history and are treated in accordance with this guideline. This recommendation was not reviewed in the recent literature review; however, the strength of this recommendation is strong. The content of the 2009 mTBI CPG was reviewed

2016 VA/DoD Clinical Practice Guidelines

192. Management of Carpal Tunnel Syndrome

Pollicis Brevis Manual Muscle Testing ? 2-point discrimination ? Semmes-Weinstein Monofilament Test ? CTS-Relief Maneuver (CTS-RM) ? Pin Prick Sensory Deficit; thumb or index or middle finger ? ULNT Criterion C ? Tethered median nerve stress test ? Vibration perception – tuning fork ? Scratch collapse test ? Luthy sign ? Pinwheel Strength of Recommendation: Moderate Evidence Description: Evidence from two or more “Moderate” strength studies with consistent findings, or evidence from a single “High (...) Recommendations 33 Applying the Recommendations to Clinical Practice 34 Voting on the Recommendations 34 Statistical Methods 35 Peer Review 36 Public Commentary 37 The AAOS Guideline Approval Process 37 Revision Plans 37 Guideline Dissemination Plans 37 V. Overview of Articles by Recommendation* 39 VI. Full Guideline Recommendations 40 Physical Exam Guideline Recommendations 40 A. Observation 40 B. Physical Signs 40 C. Maneuvers 41 Study Quality Table of Physical Exam and History Interview Recommendations 43

2016 American Academy of Orthopaedic Surgeons

193. Medical Training to Achieve Competency in Lifestyle Counseling: An Essential Foundation for Prevention and Treatment of Cardiovascular Diseases and Other Chronic Medical Conditions: A Scientific Statement From the American Heart Association

, role-playing, and motivational interviewing. They suggested that a systems approach that includes both providers and patients in the training program would be a very strong and promising model for lifestyle medicine education. Curricula Evaluation by Medical Students Every year, graduating medical students are surveyed by the AAMC about their perception of the quality of their medical school program. Questions cover a wide range of topics. In the 2013 survey, when graduates were asked to rank from

2016 American Heart Association

197. The Impact of Implementation of a Clinically Integrated Problem-Based Neonatal Electronic Health Record on Documentation Metrics, Provider Satisfaction, and Hospital Reimbursement: A Quality Improvement Project (PubMed)

=.007; and monthly average case mix index scores increased by 7.7%, P=.009); (2) time study showed increased time to complete history and physical and progress notes and decreased time to complete discharge summary (history and physical exam: time allocation increased by 47%, P=.05; progress note: time allocation increased by 91%, P<.001; discharge summary: time allocation decreased by 41%, P=.03); (3) survey of all providers: overall there was positive provider perception of the new documentation (...) the obstetrical suite, delivery room, neonatal intensive care unit (NICU) nursing and respiratory therapy staff. It provided the sole source for hospital provider documentation in the form of a history and physical exam, daily progress notes, and discharge summary. Health maintenance information, follow-up appointments, and running contemporaneous updated hospital course information have selected shared entry and common viewing by the NICU team. The interventions were to (1) improve provider awareness

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2018 JMIR medical informatics

198. Efficacy of virtual reality to reduce chronic low back pain: Proof-of-concept of a non-pharmacological approach on pain, quality of life, neuropsychological and functional outcome. (PubMed)

' own body perception and its actual physical state. Since clinical evaluation of pain relies on patients' subjective reports, a body image disruption can be associated with an incorrect pain rating inducing incorrect treatment and a possible risk of drug abuse. Our aim was to reduce chronic low-back pain through a multimodal neurorehabilitative strategy using innovative technologies to help patients regain a correct body image.Twenty patients with chronic low-back pain were included. Before (...) and after treatment, patients underwent: a neurological exam; a neuro-psychological evaluation testing cognitive functions (memory, attention, executive functions) and personality traits, QoL and mood; pain ratings; sensorimotor functional abilities' testing. Patients underwent a 6 week-neurorehabilitative treatment (total 12 sessions) using virtual reality (VRRS system, Khymeia, Italy). Treatment consisted on teaching patients to execute correct movements with the painful body parts to regain a correct

2019 PLoS ONE

199. Recommendations on screening for cognitive impairment in older adults

by age are memory and perception, which in some cases may have an impact on more com- plex cognitive functions such as decision-making and language. 1 Cognitive impairment occurs in a continuum, starting with aging-related cognitive decline, transitioning to mild cognitive impairment and ending with dementia. Mild cognitive impair- ment is noticeable but does not substantially affect daily function, whereas dementia involves cognitive changes that are severe enough to affect daily function. 2,3 (...) on the effectiveness of treatment; 11 however, the US task force’s in- clusion criteria were modified by the Canadian Task Force on Preventive Health Care to exam- ine the effectiveness of treatment only in individ- uals with a diagnosis of mild cognitive impair- ment. Our assumptions were that, if clinicians are able to identify individuals with mild cognitive impairment early through screening and either slow down or stop its progression through effec- tive treatment, the incidence of cognitive impair- ment

2015 CPG Infobase

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