First-trimester pregnancy scanning as a screening tool for high-risk and abnormal pregnancies in a district general hospital setting

2002 ◽  
Vol 22 (2) ◽  
pp. 159-165 ◽  
Author(s):  
Karen Drysdale ◽  
D. Ridley ◽  
Karry Walker ◽  
B. Higgins ◽  
Taraneh Dean
Keyword(s):  
High Risk ◽  
General Hospital ◽  
Screening Tool ◽  
Hospital Setting ◽  
District General Hospital ◽  
First Trimester ◽  
First Trimester Pregnancy ◽  
Trimester Pregnancy

scholarly journals A four-stage evaluation of the Paediatric Yorkhill Malnutrition Score in a tertiary paediatric hospital and a district general hospital

2010 ◽  
Vol 104 (5) ◽  
pp. 751-756 ◽  
Author(s):  
Konstantinos Gerasimidis ◽  
Orla Keane ◽  
Isobel Macleod ◽  
Diana M. Flynn ◽  
Charlotte M. Wright
Keyword(s):  
High Risk ◽  
General Hospital ◽  
Nursing Staff ◽  
Screening Tool ◽  
Nutritional Assessment ◽  
District General Hospital ◽  
Screening Tools ◽  
Lower Sensitivity ◽  
Tertiary Referral Hospital ◽  
Rater Reliability

Paediatric in-patients are at high risk of malnutrition but validated paediatric screening tools suitable for use by nursing staff are scarce. The present study aimed to assess the diagnostic accuracy of the new Paediatric Yorkhill Malnutrition Score (PYMS). During a pilot introduction in a tertiary referral hospital and a district general hospital, two research dietitians assessed the validity of the PYMS by comparing the nursing screening outcome with a full dietetic assessment, anthropometry and body composition measurements. An additional PYMS form was completed by the research dietitians to assess its inter-rater reliability with the nursing staff and for comparison with the Screening Tool for the Assessment of Malnutrition in Paediatrics (STAMP) and the Paediatric Subjective Global Nutritional Assessment (SGNA). Of the 247 children studied, the nurse-rated PYMS identified 59 % of those rated at high risk by full dietetic assessment. Of those rated at high risk by the nursing PYMS, 47 % were confirmed as high risk on full assessment. The PYMS showed moderate agreement with the full assessment (κ = 0·46) and inter-rater reliability (κ = 0·53) with the research dietitians. Children who screened as high risk for malnutrition had significantly lower lean mass index than those at moderate or low risk, but no difference in fat. When completed by the research dietitians, the PYMS showed similar sensitivity to the STAMP, but a higher positive predictive value. The SGNA had higher specificity than the PYMS but much lower sensitivity. The PYMS screening tool is an acceptable screening tool for identifying children at risk of malnutrition without producing unmanageable numbers of false-positive cases.

The distance between the embryo and yolk sac associated with inhibin A in the first-trimester pregnancy – which is the novelty?

2019 ◽  
Vol 1 (67) ◽  
pp. 13
Author(s):  
Carmen Elena Bucuri ◽  
Răzvan  Ciortea ◽  
Andrei Mihai Malutan ◽  
Cristian Iuhaș ◽  
Maria Rada ◽  
...  
Keyword(s):  
First Trimester ◽  
Yolk Sac ◽  
Inhibin A ◽  
First Trimester Pregnancy ◽  
Trimester Pregnancy

Prognostic value of repeated serum CA 125 measurements in first trimester pregnancy

2001 ◽  
Vol 97 (2) ◽  
pp. 168-173 ◽  
Author(s):  
Torsten Schmidt ◽  
Daniel T. Rein ◽  
Dolores Foth ◽  
Hans-Walter Eibach ◽  
Christian M. Kurbacher ◽  
...  
Keyword(s):  
Prognostic Value ◽  
First Trimester ◽  
Ca 125 ◽  
First Trimester Pregnancy ◽  
Trimester Pregnancy
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