Contemporary Assessment and Diagnostic Practices

A postal questionnaire was sent to 195 senior British psychiatrists who were asked about their attitudes towards the DSM-III-R diagnosis of somatisation disorder (SD) and the ICD-10 diagnosis of multiple somatisation disorder. Of the 148 respondents, 98 (66%) had experience of liaison psychiatry, and these psychiatrists used the diagnosis significantly more often than those without liaison sessions. More than half the respondents perceived SD as both a personality disorder and a mental state disorder, although 27% thought that patients with SD had an undiagnosed physical disease. The marked discrepancy between British and North American psychiatrists in diagnostic practices was perceived to be a consequence of both the difference in health care systems and the interest shown in the disorder by North American psychiatrists, rather than a reflection of genuine differences in prevalence.

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Changing diagnostic practices: autism spectrum disorder

Advances in Psychiatric Treatment ◽

10.1192/apt.bp.112.010801 ◽

2014 ◽

Vol 20 (1) ◽

pp. 23-26 ◽

Cited By ~ 1

Author(s):

Marc Woodbury-Smith

Keyword(s):

Autism Spectrum Disorder ◽

Social Cognition ◽

Social Interaction ◽

Medical Practice ◽

Classification System ◽

Autism Spectrum ◽

Spectrum Disorder ◽

Psychiatric Nosology ◽

Diagnostic Practices

SummaryIn medical practice it is crucial that symptom descriptions are as precise and objective as possible, which psychiatry attempts to achieve through its psychopathological lexicon. The term ‘autism spectrum disorder’ has now entered psychiatric nosology, but the symptom definitions on which it is based are not robust, potentially making reliable and valid diagnoses a problem. This is further compounded by the spectral nature of the disorder and its lack of clear diagnostic boundaries. To overcome this, there is a need for a psychopathological lexicon of 'social cognition’ and a classification system that splits rather than lumps disorders with core difficulties in social interaction.

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The Diagnosis of Extrapulmonary Tuberculosis in Malawi

Tropical Doctor ◽

10.1177/004947550303300106 ◽

2003 ◽

Vol 33 (1) ◽

pp. 7-11 ◽

Cited By ~ 6

Author(s):

Anthony D Harries ◽

Nicola J Hargreaves ◽

John H Kwanjana ◽

Felix M Salaniponi

Keyword(s):

Extrapulmonary Tuberculosis ◽

Cross Sectional Study ◽

Sub Saharan Africa ◽

Smear Microscopy ◽

Cross Sectional ◽

Extra Pulmonary Tuberculosis ◽

Diagnostic Practices ◽

Hospital Resources ◽

Sub Saharan ◽

Made In

There is little information on a country-wide basis in sub-Saharan Africa about how the diagnosis of extra-pulmonary tuberculosis (EPTB) is made. A country-wide cross-sectional study was carried out in 40 non-private hospitals in Malawi which register and treat (TB) patients in order to assess diagnostic practices in adults registered with EPTB. All patients aged 15 years and above in hospital on treatment for EPTB were reviewed using TB registers, case note files and clinical assessment. There were 244 patients, 132 men and 112 women whose mean age was 36 years. In 138 (57%) patients, all appropriate procedures and investigations, commensurate with hospital resources, had been carried out. Of 171 EPTB patients with cough for 3 weeks or longer, 138 (81%) submitted sputum specimens for smear microscopy of acid-fast bacilli (AFB). A confirmed diagnosis of TB was made in 15 (6%) patients based on finding AFB or caseating granulomas in specimens. In 157 (64%) patients, the diagnosis of EPTB was considered to be correct. In 46 (19%) patients the diagnosis was considered to be TB, although different from the type of EPTB with which the patient was registered. In 39 (16%) patients an alternative non-TB diagnosis was made and in two (1%) patients it was not possible to make a decision. Diagnostic practices need to be improved, and ways of doing this are discussed.

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Review of diagnostic practices

Renal Failure ◽

10.1007/978-94-011-0047-2_14 ◽

1995 ◽

pp. 145-148

Author(s):

J. Gary Abuelo

Keyword(s):

Diagnostic Practices

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Teacher Insight on RTI Implementation at the Middle and High School Levels

Educational Leadership and Administration ◽

10.4018/978-1-5225-1624-8.ch055 ◽

2016 ◽

pp. 1170-1187

Author(s):

Pam L. Epler

Keyword(s):

High School ◽

School Counselors ◽

School Environment ◽

Administrative Support ◽

Lessons Learned ◽

School Level ◽

School Site ◽

Diagnostic Practices ◽

Rti Implementation ◽

Rti Model

The Response to Intervention (RTI) service delivery model has been incorporated at the elementary school level with success but is still lagging behind within the secondary school environment. This chapter demonstrates how two secondary schools, one a middle school and the other a high school, implemented the RTI model efficiently and effectively. The chapter shows that the RTI model can be successfully executed in different ways depending on a school's needs, funding, and personnel. The chapter provides details on the diagnostic practices, data collection methods, intervention strategies, administrative support, and professional development of each implemented model and includes insight from actual teachers and school counselors who participated in the implementations. A reflection on lessons learned from each school site is included.

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Teacher Insight on RTI Implementation at the Middle and High School Levels

Leadership and Personnel Management ◽

10.4018/978-1-4666-9624-2.ch050 ◽

2016 ◽

pp. 1127-1142

Author(s):

Pam L. Epler

Keyword(s):

High School ◽

School Counselors ◽

School Environment ◽

Administrative Support ◽

Lessons Learned ◽

School Level ◽

School Site ◽

Diagnostic Practices ◽

Rti Implementation ◽

Rti Model

The Response to Intervention (RTI) service delivery model has been incorporated at the elementary school level with success but is still lagging behind within the secondary school environment. This chapter demonstrates how two secondary schools, one a middle school and the other a high school, implemented the RTI model efficiently and effectively. The chapter shows that the RTI model can be successfully executed in different ways depending on a school's needs, funding, and personnel. The chapter provides details on the diagnostic practices, data collection methods, intervention strategies, administrative support, and professional development of each implemented model and includes insight from actual teachers and school counselors who participated in the implementations. A reflection on lessons learned from each school site is included.

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Teacher Insight on RTI Implementation at the Middle and High School Levels

Teacher Education ◽

10.4018/978-1-5225-0164-0.ch052 ◽

2016 ◽

pp. 1100-1117

Author(s):

Pam L. Epler

Keyword(s):

High School ◽

School Counselors ◽

School Environment ◽

Administrative Support ◽

Lessons Learned ◽

School Level ◽

School Site ◽

Diagnostic Practices ◽

Rti Implementation ◽

Rti Model

The Response to Intervention (RTI) service delivery model has been incorporated at the elementary school level with success but is still lagging behind within the secondary school environment. This chapter demonstrates how two secondary schools, one a middle school and the other a high school, implemented the RTI model efficiently and effectively. The chapter shows that the RTI model can be successfully executed in different ways depending on a school's needs, funding, and personnel. The chapter provides details on the diagnostic practices, data collection methods, intervention strategies, administrative support, and professional development of each implemented model and includes insight from actual teachers and school counselors who participated in the implementations. A reflection on lessons learned from each school site is included.

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Identifying, Analyzing, and Visualizing Diagnostic Paths for Patients with Nonspecific Abdominal Pain

Applied Clinical Informatics ◽

10.1055/s-0038-1676338 ◽

2018 ◽

Vol 09 (04) ◽

pp. 905-913 ◽

Cited By ~ 2

Author(s):

Goutham Rao ◽

Katherine Kirley ◽

Paul Epner ◽

Yiye Zhang ◽

Victoria Bauer ◽

...

Keyword(s):

Abdominal Pain ◽

Visual Analytics ◽

Process Mining ◽

Accurate Diagnosis ◽

Health Records ◽

Hospital System ◽

Diagnostic Practices ◽

Different Types ◽

Mining Methods ◽

Insight Into

Background Diagnosis is complex, uncertain, and error-prone. Symptoms such as nonspecific abdominal pain are especially challenging. A diagnostic path consists of diagnostic steps taken from initial presentation until a diagnosis is obtained or the evaluation ends for other reasons. Analysis of diagnostic paths can reveal patterns associated with more timely and accurate diagnosis. Visual analytics can be used to enhance both analysis and comprehension of diagnostic paths. Objective This article applies process-mining methods to extract and visualize diagnostic paths from electronic health records (EHRs). Methods Patient features, actions taken (i.e., tests, referrals, etc.), and diagnoses obtained for 501 adult patients (half female, half ≥50 years of age) presenting with abdominal pain were extracted from an EHR database to construct diagnostic paths from a hospital system in suburban Chicago, Illinois, United States. A stable diagnosis was defined as the same diagnosis recorded twice in a 12-month period; a working diagnosis was recorded only once. Three different types of path visualizations were obtained. Results A stable diagnosis was obtained in 63 (13%) patients after 12 months. In 271 (54%) patients, a working diagnosis was obtained. Mean path duration was 145.3 days (standard deviation, 195.1 days). These 63 patients received 75 stable diagnoses. Conclusion Structured EHR data can be used to construct diagnostic paths to gain insight into diagnostic practices for complaints such as abdominal pain.

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