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Perception Exam

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101. Cerebral palsy

on growth may, however, be progressive. There may be additional disturbances of sensation, perception, cognition, communication, and behaviour; neurogenical bladder/bowel; GORD; sialorrhoea (excessive secretion of saliva); feeding and swallowing difficulties; and/or epilepsy. CP is also known as Little's disease. Little WJ. Deformities of the human frame. 1843. Clin Orthop Relat Res. 2007 Mar;456:15-9. Little, WJ. On the influence (...) of abnormal parturition, difficult labours, premature birth, and asphyxia neonatorum, on the mental and physical condition of the child, especially in relation to deformities. Clin Orthop Relat Res. 1966 May-Jun;46:7-22. History and exam presence of risk factors delay in motor development delay in speech development delay in cognitive/intellectual development retention of primitive reflexes lack of age-appropriate reflexes spasticity/clonus

2018 BMJ Best Practice

104. People change lives: evaluation of Sistema Scotland’s Big Noise programme

pupils preparing for exams and auditions, both for musical performance and theory. To promote community engagement Big Noise Raploch also hold ‘sharing sessions’ that families can attend. At present Big Noise Raploch is formalising a memorandum of understanding with Forth Valley College in order to support the progression of participants of school-leaving age into college courses, training and apprenticeships. The programme is also evolving to support participants in gaining work experience within (...) together. Participants emphasised the length of time they had been part of Big Noise and known the musician, the trust they have developed and the way in which they admired their musical and teaching skills as important in their perception of them as a role model: “Just a bond has been built up over the time [with Big Noise musician]. A sense of trust as well” “I feel like I can talk to anyone at Big Noise as they are all trustworthy and listen when you need someone to speak to” “I love the way she

2019 Glasgow Centre for Population Health

106. Barriers to accessing health care among transgender individuals

, or transphobia (4), and studies have shown that substance use may interfere with transgender individuals’ ability to seek medical care or adhere to medications (1, 8). Gender dissonance may also act as a barrier to accessing sex-specific procedures. For example, a US study reported that gynecological exams or procedures may remind transgender men that have not received gender-affirming surgery of the mismatch between their gender identity and sex assigned at birth (10). The intense emotional distress felt (...) assault (13), or direct refusal to provide services (1, 11, 24). In one study conducted in Nova Scotia, transgender individuals described receiving questions or procedures unrelated to their health care visit (5). For example, one transgender man reported that his physician asked how a man would have sex with him, and then received a breast and pelvic exam, neither of which was relevant to the care he was receiving (5). In another US study, one transgender woman reported that her provider assumed

2018 Ontario HIV Treatment Network

107. Online mental health counselling interventions

for mental health care in Canada: Results from the 2012 Canadian community health survey: Mental health. Health Reports. 2013;24(9):3–9. Chou T, Comer JS, Turvey CL, Karr A, Spargo G. Technological considerations for the delivery of real-time child telemental healthcare. Journal of Child and Adolescent Psychopharmacology. 2016;26(3):192–7. Jenkins-Guarnieri MA, Pruitt LD, Luxton DD, Johnson K. Patient perceptions of telemental health: Systematic review of direct comparisons to in-person psychotherapeutic (...) . Stress management using UMTS cellular phones: A controlled trial. Studies in Health Technology & Informatics. 2006;119:461–3. Riva G, Grassi A, Villani D, Gaggioli A, Preziosa A. Managing exam stress using UMTS phones: The advantage of portable audio/video support. Studies in health technology and informatics. 2007;125:406–8. Grassi A, Gaggioli A, Riva G. The green valley: The use of mobile narratives for reducing stress in commuters. CyberPsychology & Behavior. 2009;12(2):155–61. Yuen EK, Herbert JD

2018 Ontario HIV Treatment Network

108. Supporting people in social housing gain and maintain employment

initiatives that capture social housing tenants have had mixed effects. While the New Deal for Communities perform better in improving (perceptions of) the urban environment and/or prevalence of crime and victimisation than affecting personal outcomes such as employment 9 , the Working Neighbourhoods Pilot (WNP) reported positive employment effects. 10 We attribute this to the greater individualised support and work activation focus of the WNP, relating to the more community focused NDC. This would (...) exam set by the housing finance authority. The authors defined attaining economic security as moving out of the local area, entering higher education, moving into private rental or home ownership, or becoming disqualified for housing assistance as a result of significant improvement in earnings. Three outcome variables were measured: mean annual earnings, entering home ownership, and economic security at exit from the program. The treatment groups saw statistically significant improvements in all

2018 Sax Institute Evidence Check

109. The Patient Centred Medical Home: barriers and enablers to implementation

in the table below. They are organised by components required to transition to a PCMH identified in the literature. 8 THE PATIENT CENTRED MEDICAL HOME: BARRIERS AND ENABLERS TO IMPLEMENTATION | SAX INSTITUTE Table 1 – Barriers/challenges and enablers for the implementation of the PCMH Component of change and why it’s important Barriers/challenges Enablers Policy context: Can either provide support for or inhibit practices’ motivation to uptake PCMH. • Negative perceptions about factors such as regulation (...) with accessing the incentive funding and applying for recognition as a PCMH. Provision of specific services (such as mental health and substance abuse and lifestyle interventions): Creates capacity/ access and ensures that these issues are addressed. • Time • Resources • Lack of expertise • Clinicians’ perceptions of their roles in providing these services • Anticipated outcomes (especially of lifestyle interventions). • Clarifying roles and responsibilities of individual members of primary care teams

2018 Sax Institute Evidence Check

110. Prostate cancer screening

on Trip click on any of the questions/sections on the left-hand side of this page. But if you still have questions please contact us via Top results for prostate cancer screening 1. Prostate cancer screening 2017 2. African Americans' Perceptions of Prostate -Specific Antigen Prostate Cancer Screening . BACKGROUND: In 2012, the U.S. Preventive Services Task Force released a hotly debated recommendation against prostate -specific antigen testing for all men. The present (...) research examines African Americans' beliefs about their susceptibility to prostate cancer (PCa) and the effectiveness of prostate -specific antigen testing in the context of the controversy surrounding this recommendation. METHOD: This study (...) used a qualitative design to examine perceptions regarding susceptibility and screening . Data were collected at a community health center and three predominantly African American churches in North Carolina. Study participants were 46 African American men

2018 Trip Latest and Greatest

111. Professional Practice Guidelines for the Psychological Practice with Boys and Men

may function as a means to avoid further marginalization (Sánchez & Vilain, 2012). Clinicians may explore the importance and perceptions of masculinity in minority pop- ulations to obtain a better understanding of gender expression across various inter- secting identities. Toward that end, psy- chologists strive to understand their own assumptions of, and countertransference reactions toward, boys, men, and mascu- linity (Mahalik et al., 2012). Psychologists also can explore what being a man means (...) - dered behavior is punished through gender policing. Sexual minority and transgender and gender-nonconforming persons may be seen as transgressing traditional mas- culine roles and eschewing stereotypes of binary gender categories. For instance, transgender women may be perceived as men who are “pretending” or “dressing up,” while transgender men may be seen as “not real men” (Salamon, 2009). These harmful perceptions are validated through court systems that enshrine “trans panic” defenses for hate

2019 American Psychological Association

112. Developing a Value Framework for Genetic Diagnosis: Part I A Systematic Review of Outcomes Hierarchies and Measurement Approaches

adequately supported by the data. 23 Results in qualitative reviews are more often referred to as “findings”, acknowledging the importance of context and perspective in their generation, and the reporting of information from sources other than research studies. 24,25 This knowledge can fall into four overarching categories: 1) qualitative research on personal perceptions, beliefs, attitudes; 2) qualitative focus on general evidence, such as the organizational, political and social perspectives (...) , function, general health perceptions, and overall quality of life. The Wilson & Cleary model (Figure 3) also acknowledged the environmental influences and characteristics of each individual that can affect HRQL measures. A decade later, Valderas and Alonso 87 returned to Wilson & Cleary as part of an effort to develop a classification system for patient-reported outcome (PRO) 1 measures based on a conceptual model. Their quality and outcomes model (Figure 4) integrates the World Health Organization’s

2019 American College of Medical Genetics and Genomics

114. Paediatric Urology

TIP hypospadias repair. J Pediatr Urol, 2013. 9: 990. 224. Cambareri, G.M., et al. Hypospadias repair with onlay preputial graft: a 25-year experience with long-term follow-up. BJU Int, 2016. 118: 451. 225. Castagnetti, M., et al. Primary severe hypospadias: comparison of reoperation rates and parental perception of urinary symptoms and cosmetic outcomes among 4 repairs. J Urol, 2013. 189: 1508. 226. Kocvara, R., et al. Inlay-onlay flap urethroplasty for hypospadias and urethral stricture repair (...) study of an objective scoring system for evaluating cosmetic appearance in hypospadias patients. J Pediatr Urol, 2013. 9: 1006. 257. Weber, D.M., et al. The Penile Perception Score: an instrument enabling evaluation by surgeons and patient self-assessment after hypospadias repair. J Urol, 2013. 189: 189. 258. Haid, B., et al. Penile appearance after hypospadias correction from a parent’s point of view: Comparison of the hypospadias objective penile evaluation score and parents penile perception

2019 European Association of Urology

115. Diagnosis and Treatment of Non-Neurogenic Overactive Bladder (OAB) in Adults: an AUA/SUFU Guideline

for this process are a careful history, physical exam, and urinalysis. Clinical Principle 2. In some patients, additional procedures and measures may be necessary to validate an OAB diagnosis, exclude other disorders and fully inform the treatment plan. At the clinician’s discretion, a urine culture and/or post-void residual assessment may be performed and information from bladder diaries and/or symptom questionnaires may be obtained. Clinical Principle 3. Urodynamics, cystoscopy and diagnostic renal (...) Bladder AUA/SUFU Guideline Copyright © 2019 American Urological Association Education and Research, Inc.® 7 experience of the individual clinician faced with a particular patient. Guideline Statement 1. The clinician should engage in a diagnostic process to document symptoms and signs that characterize OAB and exclude other disorders that could be the cause of the patient ’s symptoms; the minimum requirements for this process are a careful history, physical exam and urinalysis. Clinical Principle

2019 American Urological Association

116. Incontinence after Prostate Treatment

Recommendation; Evidence Level: Grade C) 8. In patients with bothersome stress urinary incontinence after prostate treatment, despite conservative therapy, surgical treatment should be offered at one year post-prostate treatment. (Strong Recommendation; Evidence Level: Grade B) Evaluation of Incontinence after Prostate Treatment 9. Clinicians should evaluate patients with incontinence after prostate treatment with history, physical exam, and appropriate diagnostic modalities to categorize type and severity (...) of incontinence and degree of bother. (Clinical Principle) 10. Patients with urgency urinary incontinence or urgency predominant mixed urinary incontinence should be offered treatment options per the American Urological Association Overactive Bladder guideline. (Clinical Principle) 11. Prior to surgical intervention for stress urinary incontinence, stress urinary incontinence should be confirmed by history, physical exam, or ancillary testing. (Clinical Principle) 12. Patients with incontinence after prostate

2019 American Urological Association

118. Immediate postpartum long-acting reversible contraception for women at high risk for medical complications

(no restriction for use) for a particular health condition, these methods are less appropriate because of their high failure rates. The US MEC includes a list of 21 health con- ditionsthatposeanincreasedriskforadversehealthevents asaresultofpregnancyandencouragesLARCmethodsas an option for women with these conditions (Box 2). Exam- ples include peripartum cardiomyopathy, cystic ?brosis, systemiclupuserythematosus,andepilepsy.Werecommend that LARC be offered to women at highest risk for adverse health events (...) ?ts of LARC are well known in the family planning community, lack of awareness or misperceptions among MFM subspecialists and general obstetricians can impede immediate postpartum LARC placement. 50 Coun- seling high-risk women about postpartum contraceptive options may not be prioritized during management of a complicated pregnancy. 51 MFM subspecialists and refer- ringprovidersmaynotaddressLARCandotherpostpartum contraceptive methods because of lack of knowledge, lack of time, or the perception

2019 Society for Maternal-Fetal Medicine

119. Chronic Asthma

and preventing exacerbation and ongoing follow-up. TARGET POPULATION Adults and children >6 years old, with important considerations for preschool aged children. EXCLUSIONS Asthma in acute care settings; asthma-COPD overlap; detailed management for preschool ages. RECOMMENDATIONS HISTORY AND EXAM ? Patients with asthma present with a range of clinical findings, arising from a shared core of intermittent inflammation and bronchoconstriction (Table 1). ? It is important to determine the appropriate diagnosis (...) or allergic conjunctivitis among first-degree relatives. Possible exam findings Wheezing, tachypnea, decreased breath sound intensity, accessory muscle use, intercostal or supraclavicular in-drawing, and nasal flaring (mainly in children) in the absence of an apparent respiratory infection. Chronic Asthma | April 2018 Clinical Practice Guideline Page 2 of 23 Recommendations DIAGNOSIS PRACTICE POINT Any symptoms and signs of variable lower airway obstruction and response to therapy may suggest an asthma

2018 Toward Optimized Practice

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