scholarly journals DIAGNOSTIC AND COLLABORATION NEEDS REGARDING ASD BY COMMUNITY PAEDIATRICIANS IN SOUTHERN ALBERTA

2018 ◽  
Vol 23 (suppl_1) ◽  
pp. e35-e35
Author(s):  
Marian Coret ◽  
Meridith Yohemas ◽  
Roxanne Goldade ◽  
Ben Gibbard
Keyword(s):  
Online Survey ◽  
Screening Tool ◽  
Response Rate ◽  
Diagnostic Procedures ◽  
Autism Spectrum ◽  
Assessment Process ◽  
Diagnostic Tools ◽  
Quality Improvement Initiative ◽  
Diagnostic Practices ◽  
Southern Alberta

Abstract BACKGROUND Paediatricians play a central role in the screening and diagnosis for autism spectrum disorder (ASD). Current diagnostic procedures rely on a history, screening and diagnostic tools, and collaboration with developmental specialists. The assessment process may vary among paediatricians due to the variety of available screening and diagnostic tools and opportunities to collaborate. As part of a quality improvement initiative through Child Development Services at the Alberta Children’s Hospital, paediatricians were surveyed about their present ASD screening and diagnostic practice. OBJECTIVES To examine ASD screening and diagnostic practices among paediatricians for 4 to 6 year-old children in southern Alberta. DESIGN/METHODS Paediatricians were recruited from southern Alberta to complete an anonymous online survey. Data were analyzed using descriptive statistics. RESULTS The response rate was 40% (36/90). The majority of participants (86%) reported using an ASD screening tool, and (56%) reported experiencing one or more barriers related to screening tool use. All participants reported experiencing one or more barriers to ASD diagnosis. Despite these barriers, 69% of participants reported making an ASD diagnosis within the last 12 months, and 61% of paediatricians indicated feeling confident in their ability to diagnose ASD. Most participants (57%) indicated that they would prefer to make an ASD diagnosis themselves, rather than have this be undertaken by another clinician. CONCLUSION Paediatricians in southern Alberta report important barriers in screening and diagnostic practices related to ASD. Further discussion with community paediatricians is required related to addressing these barriers to develop care pathways for this population.

scholarly journals THE EMOTIONAL IMPACT OF THE ASRM GUIDELINES ON FERTILITY PATIENTS DURING THE COVID-19 PANDEMIC

2020 ◽  
Author(s):  
Jenna Turocy ◽  
Alex Robles ◽  
Daniel Hercz ◽  
Mary D’Alton ◽  
Eric J. Forman ◽  
...  
Keyword(s):  
New York ◽  
New York City ◽  
Outcome Measures ◽  
York City ◽  
Online Survey ◽  
Treatment Cycle ◽  
Response Rate ◽  
Diagnostic Procedures ◽  
Emotional Impact ◽  
Current Fertility

ABSTRACTObjectiveTo survey fertility patients’ agreement with ASRM recommendations during the COVID-19 pandemic and the emotional impact on them.DesignAn online survey was sent to current fertility patientsSettingNew York City academic fertility practice at the epicenter of the COVID-19 pandemicPatient(s)Fertility patients seen within the last yearIntervention(s)NoneMain Outcome Measures(s)Patient agreement with the ASRM recommendations during the COVID-19 pandemic and the emotional impact rated on a Likert scale.Result(s)A total of 518 patients completed the survey for a response rate of 17%. Fifty percent of respondents had a cycle canceled due to the COVID-19 pandemic. Of those who had a cycle cancelled, 85% of respondents found it to be moderately to extremely upsetting with 22% rating it to be equivalent to the loss of a child. There was no difference on the emotional impact based on the type of cycle cancelled. Fifty-five percent of patients agreed that diagnostic procedures such as hysterosalpingograms should be cancelled while 36% of patients agreed all fertility cycles should be cancelled. Patients were slightly more likely to agree with the ASRM guidelines if they have an upcoming cycle cancelled (p = 0.041). Of all respondents 82% would have preferred to have the option to start a treatment cycle in consultation with their doctor.Conclusion(s)Given the severity of the COVID-19 pandemic, the physical, financial and emotional impact of this unprecedented threat cannot be underestimated in our fertility patients.

scholarly journals Diagnostic Tools for Autism Spectrum Disorders by Sex: Analysis of Current Status and Future Lines

2021 ◽  
Author(s):  
Esperanza Navarro-Pardo ◽  
Fernanda López-Ramón ◽  
Yurena Alonso-Esteban ◽  
Francisco Alcantud-Marín
Keyword(s):  
Autism Spectrum Disorders ◽  
Protective Factor ◽  
Diagnostic Procedures ◽  
Autism Spectrum ◽  
Current Status ◽  
Diagnostic Tools ◽  
Second Line ◽  
Spectrum Disorders ◽  
Low Prevalence

Studies on the prevalence of Autism Spectrum Disorders show a gender disproportion. In the last years, there has been an increasing interest in the search for an explanation. There are two main lines of research; the first one looks for sex-related biological reasons that justifies the low prevalence of ASD in women (some protective factor related to hormones or immune system among others), and the second line of studies is related to the possible biases introduced in the diagnostic tools or procedures. In this article, a review of the latter line of research is made. Theoretical analysis following two objectives: a) Analysis of possible biases in diagnostic tools and b) Other non-biological explanations for gender differences in the prevalence of ASD. The literature analyzed provides contradictory results although it evidences the possible bias both in the construction of the diagnostic tools and in the assessment and determination of their standards. It is necessary to develop specific or complementary tools and diagnostic procedures differentiated by gender in order to control for this bias.

scholarly journals Interdisciplinary consensus on Russian-language terminology of anorectal sphincterometry and profilometry

2020 ◽  
Vol 92 (8) ◽  
pp. 128-135
Keyword(s):  
Clinical Practice ◽  
Online Survey ◽  
Response Rate ◽  
Diagnostic Procedures ◽  
Russian Language ◽  
Modified Delphi ◽  
Moderate Agreement ◽  
Level 1 ◽  
Low Rate

Aim to describe the results of a multidisciplinary discussion on the terminology of anorectal sphincterometry (AS) and profilometry (AP). We performed online survey with the use of public platform Google forms to harmonize Russian terms to be used to describe the results of AP and AS and their abbreviations. The invitation to participate in the survey was sent to the authors who use the results of AP and AS in clinical practice and perform the diagnostic procedures. The obtained answers were analyzed with the use of the aggregator and Statistica 10 (StatSoft Inc, USA) software. The level of consensus was analyzed with the use of modified Delphi criteria (C1 agreement of 90% of participants, C2 agreement of 75 to 90%, C3 less than 75%). Invitations sent 76, responses obtained 63 (response rate 82.9%). Consensus level 1 was reached for all the terms of AP and for 4out of 7 terms to describe the results of AS (3 out of 7 terms were of moderate agreement, C2). The need for the use of predefined abbreviations of terms for AS and AP was of a low rate of consensus (71.4%). The agreed terms of AS and AP should be used to prepare a conclusion for the diagnostic procedures and to publish scientific reports.

scholarly journals An Evaluation of the Performance of Five Burnout Screening Tools: A Multicentre Study in Anaesthesiology, Intensive Care, and Ancillary Staff

2021 ◽  
Vol 10 (21) ◽  
pp. 4836
Author(s):  
John Ong ◽  
Wan Yen Lim ◽  
Kinjal Doshi ◽  
Man Zhou ◽  
Ban Leong Sng ◽  
...  
Keyword(s):  
Intensive Care ◽  
Online Survey ◽  
Screening Tool ◽  
Positive Likelihood Ratio ◽  
Maslach Burnout Inventory ◽  
Screening Tools ◽  
Diagnostic Tools ◽  
Single Item ◽  
Wide Range ◽  
Ancillary Staff

Burnout is an important occupational hazard and early detection is paramount in preventing negative sequelae in physicians, patients, and healthcare systems. Several screening tools have been developed to replace lengthy diagnostic tools for large-scale screening, however, comprehensive head–to–head evaluation for performance and accuracy are lacking. The primary objective of this study was to compare the diagnostic performance of five burnout screening tools, including a novel rapid burnout screening tool (RBST). This was a cross-sectional study involving 493 hospital staff (anaesthesiology and intensive care doctors, nurses, and ancillary staff) at the COVID-19 frontline across four hospitals in Singapore between December 2020 and April 2021. The Maslach Burnout Inventory-Human Services Survey (MBI-HSS) was used as the reference standard. Five burnout screening tools, the single-item MBI measure of burnout (SI-MBI), dual-item MBI (DI-MBI), abbreviated MBI (aMBI), Single Item Burnout Question (SIBOQ), and the RBST, were administered via a 36-item online survey. Tools were administered simultaneously and responses were anonymised. Burnout prevalence was 19.9%. The RBST and the SI-MBI had the two highest accuracies (87.8% and 81.9% respectively) and AUROC scores (0.86, 95% CI: 0.83–0.89 and 0.86, 95% CI: 0.82–0.89 respectively). However, the accuracy of the RBST was significantly higher than the SI-MBI (p < 0.0001), and it had the highest positive likelihood ratio (+LR = 7.59, 95% CI 5.65–10.21). Brief screening tools detect burnout albeit with a wide range of accuracy. This can strain support services and resources. The RBST is a free screening tool that can detect burnout with a high degree of accuracy.

scholarly journals Impact of COVID-19 pandemic on Functional Urology Practice: A nation-wide survey from Turkey

2021 ◽  
Author(s):  
Ahmet Tahra ◽  
Murat Dinçer ◽  
Rahmi Onur
Keyword(s):  
Online Survey ◽  
Diagnostic Procedures ◽  
Daily Practice ◽  
Diagnostic Methods ◽  
Survey Method ◽  
Diagnostic Tools ◽  
Routine Practice ◽  
Prostate Hyperplasia ◽  
Surgical Interventions ◽  
Functional Urology

Objective The Coronavirus pandemic has affected urological practice worldwide. In this study, we aimed to evaluate functional urology practice including outpatient clinic visits, routine examinations, diagnostic procedures and surgical interventions with an online survey. Method We conducted an online survey to evaluate Turkish urologists’ functional urology practices before and during the pandemic. In this survey, we asked questions about the respondents’ place of work, being part of a dedicated pandemic center, involvement with the pandemic and an interest in functional urology. We also examined outpatient clinics, routine examinations, diagnostic methods, and surgical practice before and during the pandemic. Results A total of 152 urologists completed the survey. The majority of the participants, (79.6%) were in tertiary centers. Nearly one-third of respondents (32.2%) stated that more than 50% of their routine practice is related to functional urology. In brief, 80.9% of the participants declared a decrease in the number of outpatient visits for functional urology. 68.4% of the participants declared a decrease in uroflowmetry practice, and 81.3% of had a decrease in urodynamic studies performed. According to respondents, 92.1% stated a decrease in botulinum injections for the bladder, and 93.4% of the participants declared a decrease in anti-incontinence surgery. Eighty-five percent of the participants declared a decrease in prolapse surgery. One-hundred and twenty-eight participants (84.2%) declared a decrease in surgery for benign prostate hyperplasia (BPH). Only 28.9% of the participants responded that they diagnosed their neuro-urology patients as they did prior to the pandemic. Conclusions The daily practice of urology changed, and functional urology was one of the most affected field. The large backlog of functional urology patients is challenging and although conditions, diagnostic tools and surgeries were classed as “benign”, we will have to face the effects of patients’ Quality of life in the near future.

The Role of Psychology in Working With Children and Adolescents With Autism Spectrum Disorders

2008 ◽  
Vol 15 (2) ◽  
pp. 81-84
Author(s):  
C. Milani Smith
Keyword(s):  
Autism Spectrum Disorder ◽  
Interdisciplinary Team ◽  
Children With Autism ◽  
Autism Spectrum ◽  
Assessment Process ◽  
Diagnostic Tools ◽  
Children With Asd ◽  
Adolescents With Autism ◽  
Spectrum Disorders

Abstract Varied disciplines participate in both the evaluation and treatment of children with autism spectrum disorder. This article reviews the role of the psychologist on an interdisciplinary team. Specific components of the assessment process are summarized, and key diagnostic tools are presented. In addition, the psychologist’s role in the assessment of language, and how this is differentiated from the contributions of the SLP, is discussed. This article concludes with a discussion of the role of the psychologist in providing intervention for children with ASD.

Assessment and diagnosis of psychiatric disorder in adults with autism spectrum disorder

2015 ◽  
Vol 9 (5) ◽  
pp. 222-229 ◽  
Author(s):  
Lisa Underwood ◽  
Jane McCarthy ◽  
Eddie Chaplin ◽  
Marco O. Bertelli
Keyword(s):  
Autism Spectrum Disorder ◽  
Psychiatric Disorder ◽  
Mental Health Problems ◽  
Autism Spectrum ◽  
Spectrum Disorder ◽  
Assessment Process ◽  
Diagnostic Tools ◽  
Adults With Autism ◽  
Content Type ◽  
Adults With Asd

Purpose – Adults with autism spectrum disorder (ASD) present with a range of psychiatric disorders. However, making an accurate diagnosis is challenging. It is important to follow a robust and informed process in the assessment of psychopathology that is centred on the individual and their neurodevelopmental difficulties. The purpose of this paper is to provide clinicians with an evidence-based approach to the assessment process for adults with ASD presenting with a possible co-occurrent psychiatric disorder. Design/methodology/approach – A review of the recent literature was undertaken focusing on key papers that describe the assessment of mental health problems in adults with ASD. Findings – The presentation of psychiatric symptoms is influenced by the underlying developmental disorder and it is often quite different from the one of the general population. Thus, it is essential to undertake a comprehensive psychopathological assessment including a diagnostic assessment of ASD. There is a very small evidence base on the use of diagnostic tools in the assessment of adults with ASD. Originality/value – This is a practice review paper applying recent evidence from the literature.

THE ESTIMATION OF MATURITY LEVEL OF COGNITIVE UNIVERSAL LEARNING ACTIVITIES OF THE 7-9 GRADES’ STUDENTS AT THE MATHEMATICS LESSONS IN THE CONDITIONS OF TWO-SUBJECT MONITORING

2021 ◽  
pp. 7-18
Author(s):  
O. V. Berseneva ◽  
◽  
A. S. Gavrilyuk ◽  
Keyword(s):  
Diagnostic Procedures ◽  
Learning Activities ◽  
Assessment Process ◽  
Diagnostic Tools ◽  
Teaching Mathematics ◽  
Maturity Level ◽  
Personal Learning ◽  
The Subject ◽  
Subject Material ◽  
Formed Structure

The necessity to perform diagnostic procedures within the contemporary process of teaching mathematics is caused by the importance of timely obtaining of the information on the current maturity level of the subject, meta-subject, and personal learning outcomes of students. The task is to choose an assessment technique adequate in educational trends and scientifically grounded. The authors propose to solve the issue of estimation of cognitive universal activities of the 7-9 grades’ students at the mathematics lessons in the conditions of two-subject monitoring. The paper shows that cognitive universal learning activities are a dynamic and important newly formed structure of a person depending on the age peculiarities in the formation process and should be considered in the maturity level assessment. The authors propose and substantiate the structure and step-by-step composition of the cognitive universal learning activities, which allow demonstrating them in a diagnosable view. It made it possible to identify and characterize the maturity level and criteria of the considered learning activities, assessment stages and procedures, and diagnostic tools. The paper presents the author’s conceptual model to assess cognitive universal learning activities when teaching mathematics, which demonstrates the important characteristic of the assessment process – a nonlinear nature. The research resulted in the identification of a specific principle of the assessment of cognitive universal learning activities – a two-subject principle. The implementation of this principle makes it possible to use the subject material to determine the maturity level of both the subject and meta-subject learning results. The authors describe the diagnostic tools, present the diagnostics process chart, the system of assessing certain tasks and give an example of typical assignments on the Equations topic of Algebra course for 7th grade.

Developing an Effective Framework for the Augmentative and Alternative Communication Evaluation Process

2014 ◽  
Vol 23 (2) ◽  
pp. 91-98 ◽  
Author(s):  
Celeste R. Helling ◽  
Jamila Minga
Keyword(s):  
Augmentative And Alternative Communication ◽  
Evaluation Process ◽  
Assessment Process ◽  
Diagnostic Tools ◽  
Alternative Communication ◽  
Complex Communication Needs ◽  
Expressive Communication ◽  
Communication Evaluation ◽  
Communication Needs

A comprehensive augmentative and alternative communication (AAC) evaluation is critical to providing a viable means of expressive communication for nonverbal people with complex communication needs. Although a number of diagnostic tools are available to assist AAC practitioners with the assessment process, there is a need to tailor the evaluation process to the specific communication needs of the AAC user. The purpose of this paper is to provide a basis for developing an effective and clinically driven framework for approaching a user-tailored AAC evaluation process.

Knowledge, Perceptions and Practices on Modified Release Tablets among Prescribers: A Preliminary Study

2020 ◽  
Vol 01 (01) ◽  
pp. 05-14
Author(s):  
M.G.K.M. Fernando ◽  
K.I.J. Priyadarshi ◽  
L.G.T. Shanika ◽  
N.R. Samaranayake
Keyword(s):  
Online Survey ◽  
Product Information ◽  
Response Rate ◽  
Immediate Release ◽  
State Universities ◽  
Modified Release ◽  
Validated Questionnaire ◽  
Therapeutic Outcomes ◽  
Medical Faculties ◽  
Enteric Coated

Introduction: Modified release tablets (MRTs) are developed to achieve different therapeutic outcomes and are frequently prescribed. This study aims to evaluate the knowledge, perceptions and practices on using MRTs among a selected cohort of prescribers. Methods: A self administered online survey was conducted using a pre-validated questionnaire, prepared in-house to assess knowledge, perceptions and practices on using MRTs, among academics with an MBBS degree in medical faculties of State universities in Sri Lanka. Results: The response rate was 15.5% among 375 prescribers. Most were females (53.4%) and were 46-55 years (29.3%). Over 50% correctly expanded abbreviations related to MRTs. Most defined enteric coated (87.9%) and targeted release (77.6%) forms accurately. However, 87.0% mixed-up definitions of sustained release with controlled release. Most believed that inability to split tablets (70.7%) and high cost (70.7%), as disadvantages of MRTs. Nearly half did not identify the risk of dose dumping (53.5%) and inflexible dosing schedule (44.8%) as disadvantages. For frequency of administering MRTs, 86.2% referred the product information leaflet (PIL) while 29.0% depended on the frequency of the corresponding immediate release tablet. Most (79.3%) prescribed MRTs to increase patient compliance while 12.1% prescribed them to reduce cost. When problems regarding MRTs were encountered, most referred PILs (81.0%) and clarified with experts (75.9%). Conclusions: Although the response rate was low, a clear gap in knowledge, perceptions and practices on using MRTs were identified among prescribers who responded. Interventions are needed to improve the knowledge, perceptions, and practices on using MRTs among prescribers.

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