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Worry-Prone Patient

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1. An explanatory randomised controlled trial testing the effects of targeting worry in patients with persistent persecutory delusions: the Worry Intervention Trial (WIT)

An explanatory randomised controlled trial testing the effects of targeting worry in patients with persistent persecutory delusions: the Worry Intervention Trial (WIT) An explanatory randomised controlled trial testing the effects of targeting worry in patients with persistent persecutory delusions: the Worry Intervention Trial (WIT) Journals Library An error occurred retrieving content to display, please try again. >> >> >> Page Not Found Page not found (404) Sorry - the page you requested

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2015 NIHR HTA programme

2. Worry-Prone Patient

Worry-Prone Patient Worry-Prone Patient 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 Worry-Prone Patient Worry-Prone Patient Aka (...) : Worry-Prone Patient , Excessive Worry , Meta-Worry From Related Chapters II. Pathophysiology Worry is a normal short-term response to uncertainty If Worry persists it becomes maladaptive, dysfunctional Provoked by sense that worry prevents serious events Also may be coping mechanism, blocking other emotions III. Symptoms: Presentations Presentation for worry itself is uncommon Patients will admit to worry if asked Patients usually present for other secondary concerns IV. Signs: Distorted assumptions

2018 FP Notebook

3. The Dunn Worry Questionnaire and the Paranoia Worries Questionnaire: new assessments of worry. (PubMed)

item pool concerning worry in the past month was evaluated in 250 non-clinical individuals and 50 patients with psychosis in a worry treatment trial. Exploratory factor analysis and item response theory (IRT) informed the selection of scale items. IRT analyses were repeated with the scales administered to 273 non-clinical individuals, 79 patients with psychosis and 93 patients with social anxiety disorder. Other clinical measures were administered to assess concurrent validity. Test-retest (...) reliability was assessed with 75 participants. Sensitivity to change was assessed with 43 patients with psychosis.A 10-item general worry scale (Dunn Worry Questionnaire; DWQ) and a five-item paranoia worry scale (Paranoia Worries Questionnaire; PWQ) were developed. All items were highly discriminative (DWQ a = 1.98-5.03; PWQ a = 4.10-10.7), indicating small increases in latent worry lead to a high probability of item endorsement. The DWQ was highly informative across a wide range of the worry

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2019 Psychological Medicine

4. Routine prone positioning in patients with severe ARDS: feasibility and impact on prognosis

Routine prone positioning in patients with severe ARDS: feasibility and impact on prognosis PEDSCCM.org Criteria abstracted from series in Review Posted: founded 1995 Questions or comments?

2016 PedsCCM Evidence-Based Journal Club

5. Technical evaluation of Hologic Affirm prone biopsy system

of Hologic Affirm prone biopsy system 30 It is recommended that the optional 3MP monitor be used in assessment, rather than the 2MP monitor that was evaluated. 4.11 Couch movement and compression Movements of the breast support table and patient couch are not disabled during compression and there is no compression force display. These features would not be acceptable for a full field mammography system used in screening. However, exposures cannot be made without disabling movement using a manual switch (...) Technical evaluation of Hologic Affirm prone biopsy system NHS Breast Screening Programme Equipment Report Technical evaluation of Hologic Affirm prone biopsy system March 2019 Technical evaluation of Hologic Affirm prone biopsy system 2 About Public Health England Public Health England exists to protect and improve the nation’s health and wellbeing, and reduce health inequalities. We do this through world-leading science, knowledge and intelligence, advocacy, partnerships and the delivery

2019 Public Health England

6. Breast screening: Hologic Affirm Prone Biopsy System

. Practical Evaluation of the Hologic Affirm Prone Biopsy System 22 5 Equipment reliability The equipment was very reliable throughout the evaluation period. There were only 2 faults: ? a switch issue when a woman dismounted the table towards one end, rather than in the centre. This was possibly a sensitive switch. An SOP was written, ensuring that the patient dismounted at the centre of the table ? the daily needle test was out of calibration and intervention was required. The local engineer attended (...) ) y (parallel to chest wall edge) 0.87 mm (0.85 to 0.88) 0.90 mm (0.88 to 0.93) Practical Evaluation of the Hologic Affirm Prone Biopsy System 40 0 5 10 15 20 25 30 0 5 10 15 20 25 30 35 40 45 50 Number of images per procedure Total Dose per procedure (mGy) Patient Tomo Stereo Tomo number of images Stereo number of images Appendix 2: Dose surveys A2.1 Comparing all 2D and tomosynthesis procedures Data in the graph of total dose per procedure includes all views taken for each patient. In some cases

2019 Public Health England

7. Blood and Clots Series: What are the complications of transfusion? What symptoms/signs should I worry about?

Blood and Clots Series: What are the complications of transfusion? What symptoms/signs should I worry about? Blood and Clots Series: What are the complications of transfusion? What symptoms/signs should I worry about? - CanadiEM Blood and Clots Series: What are the complications of transfusion? What symptoms/signs should I worry about? In , by Matthew Nicholson July 30, 2018 All the content from the Blood & Clots series can be found . CanMEDS Roles addressed: Medical Expert, Communicator (...) normalizing. Reticulocyte count is 45. There are no signs of bleeding clinically or on ultrasound examination of the abdomen. There is no laboratory evidence of hemolysis. You suspect the patient may be unable to produce adequate RBCs due to inflammation from her injuries and operation. To be safe you send investigations to check nutritional parameters and start folic acid empirically. The patient complains of fatigue and you decide a blood transfusion is indicated. The situation is no longer emergent

2018 CandiEM

8. Kieran Walsh: Clinical decision support—being worried is nothing to worry about

Kieran Walsh: Clinical decision support—being worried is nothing to worry about Kieran Walsh: Clinical decision support—being worried is nothing to worry about - The BMJ ---> Many years ago I worked with a doctor who would disappear for a few moments at important decision points in clinical care. Sometimes this was during ward rounds and sometimes on call. He was an excellent doctor—the momentary absences never made a difference to the care of patients. Still I used to wonder where he was going (...) that they are unsure, then there is a problem. The problem that users might have is that they are unwilling to show vulnerability in front of patients or colleagues—they are worried about looking foolish or uneducated. Some of them are worried about looking worried. Should they be? The traditional view is that doctors who have to continually look things up might be seen as less knowledgeable than those who don’t. A study in 2007 by Arkes suggested that physicians who did not use diagnostic decision aids were

2017 The BMJ Blog

9. California wildfires: I am simultaneously worried about my own health, my patients, and my children

California wildfires: I am simultaneously worried about my own health, my patients, and my children California wildfires: I am simultaneously worried about my own health, my patients, and my children - The BMJ ---> The urgency to find systemic solutions to tackle the root causes of poor air quality is clear I am convinced clinic room three is smokier than clinic room two. Although I have an N95 respirator mask in my bag, I don’t wear it because it feels a bit hypocritical to try to protect (...) myself if I cannot give a mask to the patient sitting in front of me. So I just hold my breath when I go into clinic room three. This is the first time I have ever felt simultaneously worried about my own health, the health of my patients, and the safety of my children—whose school has just closed because the air outside is too dangerous to breathe. This was the experience of one of the authors (EL), but illustrates what many healthcare professionals across California have been dealing

2018 The BMJ Blog

10. Patients With Antithyroid Antibodies Are Prone To Develop Destructive Thyroiditis by Nivolumab: A Prospective Study (PubMed)

Patients With Antithyroid Antibodies Are Prone To Develop Destructive Thyroiditis by Nivolumab: A Prospective Study Immune checkpoint inhibitors, including anti-programmed cell death-1 (PD-1) antibodies, have become promising treatments for a variety of advanced malignancies. However, these medicines can cause immune-related adverse events (irAEs), including endocrinopathies.This study examined the incidence of endocrine irAEs induced by nivolumab.Sixty-six patients treated with nivolumab (...) at Nagoya University Hospital were prospectively evaluated for pituitary hormones, thyroid function, antithyroid antibodies (Abs), and glucose levels every 6 weeks after the initiation of nivolumab for 24 weeks.Four out of 66 patients developed destructive thyroiditis, and three patients developed hypothyroidism requiring levothyroxine replacement. The prevalence of positive anti-thyroglobulin Abs (TgAbs) and/or anti-thyroid peroxidase Abs (TPOAbs) at baseline was significantly higher in the group

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2018 Journal of the Endocrine Society

11. Worry as an Uncertainty-Associated Emotion: Exploring the Role of Worry in Health Information Seeking. (PubMed)

Worry as an Uncertainty-Associated Emotion: Exploring the Role of Worry in Health Information Seeking. This study was carried out to understand how and why worry motivates health-related information seeking, and whether worry decreases after obtaining health-related information. It was proposed that worry influences health-related information-seeking behavior indirectly through cancer patients' desire for obtaining additional information. It was further expected that perceived knowledge about (...) cancer could be increased after 2 months of searching for health information over the Internet, which would subsequently affect levels of worry. Using panel data collected from 224 women diagnosed with breast cancer, worry was found to predict patients' health information seeking via the perceived need for additional information. The results further showed significant increases in patients' perceived knowledge about breast cancer and decreased levels of worry after the seeking of health information

2018 Health communication Controlled trial quality: uncertain

12. A prospective international observational prevalence study on prone positioning of ARDS patients: the APRONET (ARDS Prone Position Network) study. (PubMed)

A prospective international observational prevalence study on prone positioning of ARDS patients: the APRONET (ARDS Prone Position Network) study. While prone positioning (PP) has been shown to improve patient survival in moderate to severe acute respiratory distress syndrome (ARDS) patients, the rate of application of PP in clinical practice still appears low.This study aimed to determine the prevalence of use of PP in ARDS patients (primary endpoint), the physiological effects of PP (...) , and the reasons for not using it (secondary endpoints).The APRONET study was a prospective international 1-day prevalence study performed four times in April, July, and October 2016 and January 2017. On each study day, investigators in each ICU had to screen every patient. For patients with ARDS, use of PP, gas exchange, ventilator settings and plateau pressure (Pplat) were recorded before and at the end of the PP session. Complications of PP and reasons for not using PP were also documented. Values

2017 Intensive Care Medicine

13. A randomized comparison of the prone ventilation endotracheal tube versus the traditional endotracheal tube in adult patients undergoing prone position surgery (PubMed)

A randomized comparison of the prone ventilation endotracheal tube versus the traditional endotracheal tube in adult patients undergoing prone position surgery Endotracheal tube displacement or dislocation is a severe complication that can occur in patients who require prone position ventilation. We hypothesized the prone position tube (PPT) would reduce the incidence of displacement of an endotracheal tube in an adult prone operation compared to a traditional tube (TT). A total of 80 adult (...) patients undergoing neurosurgery or spine surgery were recruited. Sixty patients with prone position ventilation were randomly divided into the traditional routine endotracheal tube group (Group TT, n = 30) and the prone position ventilation endotracheal tube group (Group PPT, n = 30). The primary outcome measures were the incidence of the endotracheal tube displacement during surgery, and the secondary outcomes were symptoms of sore throat, dysphagia and dysphonia during follow-up in the post

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2017 Scientific reports

14. Non-Prone or Supine Positioning During Laparoscopic Surgery: Safety

evidence regarding the safety of non-prone or supine positioning during laparoscopic surgery? Key Message No literature was identified regarding the safety of operating room table positioning systems during laparoscopic surgery. Tags anesthesia, general, laparoscopy, operating tables, patient positioning, prone position, supine position, surgery, non prone, Anesthesia, patient position, supine Files Rapid Response Reference List Published : January 16, 2017 Follow us: © 2019 Canadian Agency for Drugs (...) Non-Prone or Supine Positioning During Laparoscopic Surgery: Safety Non-Prone or Supine Positioning During Laparoscopic Surgery: Safety | CADTH.ca Find the information you need Non-Prone or Supine Positioning During Laparoscopic Surgery: Safety Non-Prone or Supine Positioning During Laparoscopic Surgery: Safety Published on: January 16, 2017 Project Number: RA0883-000 Product Line: Research Type: Devices and Systems Report Type: Reference List Result type: Report Question What is the clinical

2017 Canadian Agency for Drugs and Technologies in Health - Rapid Review

15. James Conlon: Patients shouldn’t have to worry about accessing medication because of prescribing cuts

James Conlon: Patients shouldn’t have to worry about accessing medication because of prescribing cuts James Conlon: Patients shouldn’t have to worry about accessing medication because of prescribing cuts - The BMJ ---> NHS England recently held a on which items should be routinely prescribed in primary care. From this consultation, which closed last month, NHS England will produce national guidance to make prescribing more cost effective. One of the key proposals that has been mooted (...) is to consider the guidelines they are drawing up and how many people this proposal will affect—not just physically but mentally. Patients shouldn’t have to worry about being able to readily access medications and if we are able to afford them. James Conlon is a store manager in retail who has ulcerative colitis. He started the . Competing interests: None declared. Post navigation © BMJ Publishing Group Limited 2019. All rights reserved.

2017 The BMJ Blog

16. Medial prefrontal disengagement during self-focus in formerly depressed patients prone to rumination. (PubMed)

Medial prefrontal disengagement during self-focus in formerly depressed patients prone to rumination. Medial prefrontal cortex (MPFC) activity during self-referential processing has been associated with rumination and found aberrant in depression. We investigated whether this aberrant activity reflects a trait marker that persists in remitted patients.Twenty-five patients fully remitted from major depression for at least 6 months, and 29 matched healthy controls were scanned with fMRI while (...) ruminators are exhibiting an adaptive process to maintain remission or whether it represents a maladaptive process considering that high ruminators have an increased vulnerability for relapse.The association between increased anterior cortical midline activity during self-referential processing and rumination differentiated healthy controls from formerly depressed patients. Self-referential neural processing during remission from depression may depend on the cognitive tendencies to ruminate.Copyright ©

2019 Journal of Affective Disorders

17. Arthroscopic Treatment of Osteochondral Lesions of the Talus in a Suspended Position With the Patient in a Prone Position. (PubMed)

Arthroscopic Treatment of Osteochondral Lesions of the Talus in a Suspended Position With the Patient in a Prone Position. The purpose of this study was to evaluate the clinical results and the safety of arthroscopic microfracture with the ankle suspended on a shoulder-holding traction frame for simultaneous anterior and posterior ankle arthroscopy in the prone position.Between May 2010 and January 2016, 31 patients with posterior osteochondral lesions of the talus (OLTs) were treated (...) with arthroscopic microfracture in a suspended position with the patient prone. Ankle distraction was achieved by suspending the affected ankle on a shoulder-holding traction frame. The 100 mm visual analog scale (VAS) and the Foot Function Index (FFI) were checked preoperatively and at final follow-up. Postoperative complications related to the suspended position were analyzed. Lower leg intramuscular compartment pressure was checked after the surgery to determine if there was any risk of compartment

2019 Foot & Ankle International

18. Ability of mini fluid challenge to predict fluid responsiveness in obese patients undergoing surgery in the prone position. (PubMed)

Ability of mini fluid challenge to predict fluid responsiveness in obese patients undergoing surgery in the prone position. Pulse pressure variation (PPV) and stroke volume variation (SVV) can predict fluid responsiveness effectively. However, high body mass index (BMI) can restrict their use due to changes in respiratory system compliance (CS), intra-abdominal pressure, and stroke volume (SV) in the prone position. Therefore, we aimed to investigate the effectiveness of mini fluid challenge (...) in predicting fluid responsiveness in obese (BMI ≥30 kg/m2) patients in the prone position.A total of 33 patients undergoing neurosurgery were included. After standardized anesthesia induction, patients' PPV, SVV, stroke volume index (SVI) and CS values were recorded in the prone position (T1), after infusion of 100 ml crystalloid that named as mini- fluid challenge (MFC, T2) and after fluid loading was completed with additional 400 ml of crystalloid. Patients whose SVI increased more than 15% after

2019 Minerva anestesiologica

19. Effect of Prone Positioning on Intraocular Pressure in Patients With Acute Respiratory Distress Syndrome. (PubMed)

Effect of Prone Positioning on Intraocular Pressure in Patients With Acute Respiratory Distress Syndrome. To evaluate the effect of prolonged duration of prone position (with head laterally rotated) on intraocular pressure in acute respiratory distress syndrome patients.Prospective observational study.University hospital ICU.Twenty-five acute respiratory distress syndrome patients, age 60 years (51-67 yr), Sequential Organ Failure Assessment score 10 (10-12), PaO2/FIO2 ratio of 90 (65-120 (...) to prone positioning among acute respiratory distress syndrome patients. Intraocular pressure increases as early as 10 minutes after proning, with increasing trend during prone position, which persisted even at 30 minutes after the end of post prone session although with decreasing trend.

2019 Critical Care Medicine

20. Surgery for deep endometriosis without involvement of digestive or urinary tracts: do not worry the patients! (PubMed)

Surgery for deep endometriosis without involvement of digestive or urinary tracts: do not worry the patients! To report postoperative outcomes after surgery for deep endometriosis without involvement of the digestive or urinary tracts.Retrospective study using data prospectively recorded in the North-West Inter Regional Female Cohort for Patients with Endometriosis (CIRENDO) database.University tertiary referral center.One hundred thirty consecutive patients whose follow-up ranged from 1 to 6

2018 Fertility and Sterility

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