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Perception Exam

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121. Guidance on the clinical management of anxiety disorders, specifically focusing on diagnosis and treatment strategies

. Moderate levels of anxiety make us alert and improve performance, and even high lev- els of anxiety will be appropriate when they are consistent with the demands of the situation. For example, moderate levels of anxiety before a sporting event, an exam or a job interview will increase alertness and performance, while high arousal in situations of real danger will enable people to focus on the threat and act quickly to escape or ward off the danger. The problem is that high anxiety can reduce a person’s

2018 Royal Australian and New Zealand College of Psychiatrists

122. Incontinence after Prostate Treatment: AUA/SUFU Guideline (2019)

For Medical Students Exams/LLL/Certifications Exam Prep Membership Research Research Funding AUA Funding Research Education & Events Online Research Education Courses Research Resources Biorepositories and Other Resources Research Publications Research Career Opportunities Advocacy Scholar & Fellowship Programs Comment Letters & Resources International International Opportunities Annual Meeting Membership Collaborations Academic Exchanges Giving Back Practice Resources Coding and Reimbursement Practice (...) 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

2019 Society of Urodynamics, Female Pelvic Medicine & Urogenital Reconstruction

123. Antipsychotics for the Prevention and Treatment of Delirium

: A Systematic Review. Mayo Clin Proc. 2018 Jan;93(1):68-82. doi: 10.1016/j.mayocp.2017.11.005. PMID: 29304923. 4. Devlin JW, Bhat S, Roberts RJ, et al. Current perceptions and practices surrounding the recognition and treatment of delirium in the intensive care unit: a survey of 250 critical care pharmacists from eight states. Ann Pharmacother. 2011 Oct;45(10):1217-29. doi: 10.1345/aph.1Q332. PMID: 21934036. 5. Neufeld KJ, Yue J, Robinson TN, et al. Antipsychotic Medication for Prevention and Treatment

2019 Effective Health Care Program (AHRQ)

124. Home-Based Cardiac Rehabilitation: Scientific Statement

therapies. However, the likelihood of success increases when counseling messages are tailored to an individual pa- tient’s goals and readiness to make speci?cchanges (78). The 6-stage Transtheoretical Stages of Change Model (79) canbeusedtoevaluateapatient’sstageofreadinessto change a lifestyle habit before being counseled to change aspeci?c behavior. For example, providing perception alteration or a critical analysis of the pros and cons of changing behavior may be required for the pre- contemplator (...) ;and HBCR, home- based cardiac rehabilitation. JACC VOL. -,NO. -,2019 Thomas et al. -,2019:-–- Home-Based Cardiac Rehabilitation 9simultaneous changes may be easier to adopt and sustain because they quickly yield perceptible bene?ts (80). Successful approaches to behavioral activation include the provider conveying understanding, acceptance, and interest in the patient as an individual; expressing empathy for unhealthy lifestyle practices; helping the patient understand and accept the need for change

2019 American College of Cardiology

128. Palliative Care for the Patient with Incurable Cancer or Advanced Disease: Part 2: Pain and Symptom Management

but may not be associated with hypoxemia, tachypnea, or orthopnea. It occurs in up to 80% of patients with advanced cancer. 1 Assessment Investigations and imaging should be guided by stage, prognosis, and whether results will change management. 1. Ask the patient to describe dyspnea severity using a 1–10 scale. 2. Identify underlying cause(s) and treat as appropriate. 2 3. History and physical exam lead to accurate diagnosis in two-thirds of cases. 3 4. Investigations: CBC/diff, electrolytes (...) A (2017)Guidelines & Protocols Advisory Committee Part 2: Pain and Symptom Management Fatigue and Weakness Effective Date: February 22, 2017 Key Recommendations • Except when a patient is dying, recognize that fatigue is a treatable symptom with a major impact on quality of life. Definition Fatigue is a subjective perception/experience related to disease, emotional state and/or treatment. Fatigue is a multidimensional symptom involving physical, emotional, social and spiritual well-being and affecting

2017 Clinical Practice Guidelines and Protocols in British Columbia

130. Later school start times for supporting the education, health and well-being of high school students

and secondary outcomes in the narrative summary. We also report results associated with differential effects, adverse or unforeseen effects, implementation details, and effects on the broader school community in the narrative summary when available. Primary outcomes Primary outcomes included the following. • Student academic outcomes, measured, for example, by locally relevant standardized test scores and course grades, midterm and final exam results, and graduation records. • Outcomes related to amount

2017 Campbell Collaboration

131. Summary of the development process and methodology for the investigation of a new breast symptom GP card

Breast cancer Breast AND (neoplasm OR cancer) Triple test Clinical exam* OR mammograph* OR mammogram OR ultrasound OR ultrasonography OR sonography OR MRI OR magnetic resonance imaging OR fine needle aspiration OR FNA OR core biopsy OR non-excisional biopsy OR triple test Diagnostic Diagnosis OR diagnostic Publications Systematic review OR meta-analysis OR guideline OR HTA Table 3 PubMed search 2 Subject Terms Breast cancer Breast AND (neoplasm OR cancer) Nipple discharge (Nipple OR breast (...) . The triple test is positive if any component is indeterminate, suspicious or malignant. Six other guidelines explicitly mention the use of the triple test/assessment for diagnosis of breast cancer. 1, 5-7, 10, 12 Another two guides imply using the triple test, describing the use of all components together. 8, 23 Most of the remaining guides/guidelines, while not explicitly mentioning ‘triple test/assessment’ do recommend each of the components of patient history and/or clinical exam, diagnostic imaging

2017 Cancer Australia

133. Effectiveness of Mandatory Food Handler Training: A Rapid Review

the perception that the program is not valued. ? A mandatory food handler program may enhance the stature of Peel Public Health. It would create stronger linkages to the food handler's. Social acceptability ? Will the target population find the intervention socially acceptable? Is it ethical? o Consider how the program would be perceived by the population. o Consider the language and tone of the key messages. o Consider any assumptions you might have made about the population. Are they supported (...) translated courses to deal with needs of population ? PHIs are educated but training for presentations is minimal ? We might consider allowing individuals to receive training from other training companies as long as they meet the curriculum requirements. ? The costs of the training materials have been covered and have been supplemented by individuals who sign up for the course ? This may require exams outside work hours/ offsite to accommodate businesses. ? Based on estimates, a mandatory program would

2018 Peel Health Library

134. Erectile Dysfunction

Erectile Dysfunction Erectile Dysfunction (ED) Guideline - American Urological Association advertisement Toggle navigation About Us About the AUA Membership AUA Governance Industry Relations Education AUAUniversity Education Products & Resources Normal Histology and Important Histo-anatomic Structures Urinary Bladder Prostate Kidney Renovascular Diseases Andrenal Gland Testis Paratesticular Tumors Penis Retroperitoneum Cytology Online Learning For Medical Students Exams/LLL/Certifications Exam (...) , and compassionate inquiry regarding sexual concerns is necessary. Given that many men are uncomfortable broaching the topic of sexual concerns with a physician, it is critical that the physician initiate the inquiry. 46, 47 When the man's presenting concern is ED, a comprehensive evaluation and targeted physical exam should be performed. Detailed assessment of sexual concerns may be difficult in a clinical setting when the presenting complaint is not ED; however, basic inquiry into sexual health should

2018 American Urological Association

135. Non-medical Prescription Stimulant Use among Post-secondary Students

and 2) understanding the scope and context of non-medical prescription stimulant use within the local community is essential before developing a prevention program. Objective The objective of the current summary is to describe the patterns, perceptions, motivations, risk factors and potential consequences associated with non-medical prescription stimulant use among post-secondary students. This review includes a literature review and the results from focus groups that CCSA conducted in Canadian post (...) approximately 476 students showed higher amphetamine levels during times of greater academic stress (e.g., midterm exams) compared to times of lower stress (e.g., the first week of classes), and this difference was particularly evident during the final exam period of the second semester (Burgard, Fuller, Becker, Ferrell, & Dinglasan-Panlilio, 2013). Likewise, another study found that stimulant concentrations in campus wastewater were higher during exam time (Moore, Burgard, Larson, & Fern, 2014). Patterns

2018 Canadian Centre on Substance Abuse

136. Erectile Dysfunction

the topic of sexual concerns with a physician, it is critical that the physician initiate the inquiry. 46, 47 When the man’s presenting concern is ED, a comprehensive evaluation and targeted physical exam should be performed. Detailed assessment of sexual American Urological Association (AUA) Erectile Dysfunction Copyright © 2018 American Urological Association Education and Research, Inc.® 9 concerns may be difficult in a clinical setting when the presenting complaint is not ED; however, basic inquiry (...) , the partner’s views on sexuality, and the partner’s personal health/sexual issues, are useful to support a man in the evaluation of ED and to select an appropriate management strategy. Physical exam. Vital signs including pulse and resting blood pressure should be assessed. Obesity is a key indicator of ED risk. 49 Consideration should be given to the assessment of waist circumference. 50 BMI is an alternative but has less specificity for central adiposity, which is a more robust indicator of underlying CVD

2018 American Urological Association

137. CRACKCast E186 – Substance Abuse

with the finding Think: Vitals – all of them! Head to toe exam, specifically: Mental status Skin Pupils Needle track marks See Table 140.1 in Rosens 9 th Edition Chapter 140 for: Physical Examination findings of substance abuse, the agents predominantly involved, and the proposed mechanism. Wisecracks [1] What is the CRAFFT to screen for substance abuse among adolescents? This is a huge problem! With massive amounts of morbidity and mortality. By the time adolescents become adults in the United States, almost (...) effects. A variety of adverse effects have been reported from cathinone derivatives, including tachycardia, hypertension, agitation, hyponatremia, hallucinations, paranoia, and suicide. Acute pharmacologic effects of alcohol and/or drug use in adolescents include changes in: Mood Perception Cognition Psychomotor performance. Substance intoxication may lead to: Blackouts Aggressive behavior Unplanned sexual behavior Other behaviors associated with poor judgement. Substance use and/or SUDs

2018 CandiEM

138. Ablative techniques for the treatment of localised prostate cancer

, urinary dysfunction and general health perception. Compared to whole-gland therapy, focal cryotherapy was associated with higher rates of urinary continence and statistically equivalent rates of recurrence-free survival at 60 months. A cost-effectiveness study found that cryotherapy was unlikely to be cost-effective compared with other PCa treatments. IRE (3 case series studies 3-5 ): Between 25 and 62 per cent of patients were positive for PCa at follow-up, although the authors noted that most had (...) cancer and at least a 10-year life expectancy. 11 Watchful waiting and active surveillance with regular PSA testing and digital rectal exams are also possible strategies, particularly for men older than 75 years and for those with significant comorbidities. 14 Hormone therapy may be used as a neoadjuvant therapy (a treatment given prior to the primary therapy) for up to six months before radiotherapy. This aims to shrink the tumour before treatment, particularly for men with medium- or high-risk

2018 COAG Health Council - Horizon Scanning Technology Briefs

139. British Association of Dermatologists? guidelines for the investigation and management of generalized pruritus in adults without an underlying dermatosis

, this may be much higher in the elderly (> 65 years), where the ?gure is likely to be 50% or higher. 16 The quality of perception of itch may be sex depen- dent. 17 The management of pruritus requires a detailed history and examination coupled with appropriate investigations, directed from the initial clinical assessment. A major aim of these guidelines is to evaluate screening investigations in generalized pruritus without cutaneous signs and their value in the absence of clinical evidence of systemic (...) Pruritus is a common symptom in patients with various hepa- tobiliary disorders, including cholestasis of pregnancy. 138–140 The skin in hepatic pruritus is often generally hyperpigmented and excoriated. 141 The hands and feet are often the worst- affected areas. 139 Pruritus in association with fatigue at presen- tation may be a marker for more aggressive disease, for exam- ple primary biliary cholangitis. 142 There is a poor correlation between pruritus and bile acid levels, suggesting that other

2018 British Association of Dermatologists

140. Hoarseness (Dysphonia)

of the need to search for an underlying etiology; identify patients who may benefit from treatment; discourage the perception of dysphonia as a trivial condition that does not warrant attention Risks, harms, costs : Potential anxiety related to diagnosis; time expended in diagnosis, documentation, and discussion Benefits-harm assessment : Preponderance of benefits over harm Value judgments : The group believes that this is a critical component to caring for patients with altered voice (...) is often recognized by perception of abnormal cry. Suspicion should prompt otolaryngology consultation. Premature infants and neonates are also at risk for iatrogenic injury to their vocal folds due to prolonged intubation. When infants do present with dysphonia, underlying etiologies should be considered—such as birth trauma, surgery (eg, patent ductus arteriosus correction) or intubation, and intracranial process (eg, Arnold-Chiari malformation or posterior fossa mass, congenital laryngeal anomaly

2018 American Academy of Otolaryngology - Head and Neck Surgery

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