Medical Assessment of the Child With a Handicap

1980 ◽  
Vol 50 (5) ◽  
pp. 250-251
Author(s):  
Carol Coleman Gray ◽  
Patricia L. McDonald
Keyword(s):  
Medical Assessment

Doctors' handovers in an acute medical assessment unit: A hierarchical task analysis

2010 ◽  
Author(s):  
Michelle A. Raduma-Tomas ◽  
Rhona Flin ◽  
Steven Yule ◽  
Steven Close
Keyword(s):  
Task Analysis ◽  
Medical Assessment ◽  
Hierarchical Task Analysis ◽  
Assessment Unit

scholarly journals FOXP1 syndrome: a review of the literature and practice parameters for medical assessment and monitoring

2021 ◽  
Vol 13 (1) ◽  
Author(s):  
Reymundo Lozano ◽  
Catherine Gbekie ◽  
Paige M. Siper ◽  
Shubhika Srivastava ◽  
Jeffrey M. Saland ◽  
...  
Keyword(s):  
Neurodevelopmental Disorder ◽  
Autism Spectrum ◽  
Medical Assessment ◽  
Forkhead Box ◽  
Organ Systems ◽  
Practice Parameters ◽  
Assessment And Monitoring ◽  
Multidisciplinary Group ◽  
The Brain

AbstractFOXP1 syndrome is a neurodevelopmental disorder caused by mutations or deletions that disrupt the forkhead box protein 1 (FOXP1) gene, which encodes a transcription factor important for the early development of many organ systems, including the brain. Numerous clinical studies have elucidated the role of FOXP1 in neurodevelopment and have characterized a phenotype. FOXP1 syndrome is associated with intellectual disability, language deficits, autism spectrum disorder, hypotonia, and congenital anomalies, including mild dysmorphic features, and brain, cardiac, and urogenital abnormalities. Here, we present a review of human studies summarizing the clinical features of individuals with FOXP1 syndrome and enlist a multidisciplinary group of clinicians (pediatrics, genetics, psychiatry, neurology, cardiology, endocrinology, nephrology, and psychology) to provide recommendations for the assessment of FOXP1 syndrome.

Diminished autonomy and justice in liver transplantation – The price of scarcity?

2021 ◽  
pp. 147775092110162
Author(s):  
Philip Berry ◽  
Sreelakshmi Kotha
Keyword(s):  
Patient Autonomy ◽  
Patient Involvement ◽  
Organ Allocation ◽  
Self Determination ◽  
Wait List ◽  
Medical Assessment ◽  
Patient Factors ◽  
Future Directions ◽  
Allocation Criteria ◽  
Qualitative Nature

Patient autonomy and distributive justice are fundamental ethical principles that may be at risk in liver transplant units where decisions are dictated by the need to maximise the utility of scarce donor organs. The processes of patient selection, organ allocation and prioritisation on the wait list have evolved in a constrained environment, leading to high levels of complexity and low transparency. Regarding paternalism, opaque listing and allocation criteria, patient factors such as passivity, guilt, chronic illness and sub-clinical encephalopathy are cited as factors that may inhibit patient engagement. Regarding justice, established regional, gender and race based inequities are described. The paradox whereby hepatologists both advocate for individual patients and discharge their duty of stewardship to apportion organs according to larger utilitarian principles is explored. Competing subjective factors such as physicians’ perception of moral responsibility, the qualitative nature of expert medical assessment and institutional or personal loyalty to re-transplantation candidates are described. Realistic limits of self-determination and justice are discussed, and possible future directions in terms of patient involvement proposed.

Patient knowledge and experience of hyperbaric oxygen treatment

2021 ◽  
Vol 51 (1) ◽  
pp. 72-77
Author(s):  
Louise MacInnes ◽  
◽  
Carol Baines ◽  
Alexandra Bishop ◽  
Karen Ford ◽  
...  
Keyword(s):  
Hyperbaric Oxygen ◽  
Psychosocial Support ◽  
Interpretive Description ◽  
Hyperbaric Oxygen Treatment ◽  
Medical Assessment ◽  
Additional Information ◽  
Oxygen Treatment ◽  
Patient Preparation ◽  
Pre Treatment ◽  
A Minor

Introduction: This paper presents a quantitative and qualitative study exploring patients’ knowledge and experience of hyperbaric oxygen treatment (HBOT). Methods: Participants included 29 patients with appropriate indications who were undertaking HBOT at facilities in two different locations: Hobart, Australia, and Plymouth, United Kingdom. Participants completed surveys prior to commencing HBOT, after five sessions, and on completion of HBOT. Semi-structured one-to-one interviews were conducted with each individual on conclusion of their course. Data were analysed using descriptive statistics and interpretive description. Results: Prior to referral, 15/29 (52%) of participants knew HBOT was used to treat divers, and of these, 9/15 (60%) were familiar with its use for non-divers. Only one third sought additional information about the process between referral for HBOT and attending their medical assessment. Anxiety was a pre-treatment concern amongst participants. However, when re-measured after five sessions and upon completion of the HBOT course, anxiety was reduced. The interview data revealed themes based around the physical, emotional and social aspects of HBOT: (1) anxiety within self; (2) naivety to normalisation; (3) enjoyment being a ‘diver’; and (4) burdens of HBOT. Conclusions: Many patients experienced anxiety prior to commencing HBOT but, with support, quickly adjusted to treatment, transitioning from a state of naivety to normalisation in their experience of the hyperbaric chamber. They enjoyed feeling like a ‘diver’ and considered aspects of the burdens of treatment, such as finances or logistics, a minor inconvenience. These results highlight the need for psychosocial support during treatment by identifying gaps in patient preparation for HBOT.

Sexual history taking in primary care

2021 ◽  
Vol 32 (8) ◽  
pp. 308-311
Author(s):  
Sarah Kipps
Keyword(s):  
Primary Care ◽  
Sexual Health ◽  
Health Professional ◽  
Health Professionals ◽  
Sexual History ◽  
History Taking ◽  
Medical Assessment ◽  
Men And Women ◽  
Sexual History Taking ◽  
The Subject

Sexual history can be neglected in a routine nursing or medical assessment. Sarah Kipps gives tips to assist in making a sexual history taking session as comfortable as possible for both health professional and patient Practitioners in primary care are in a unique position to improve the sexual health of men and women. They can do this by introducing the topic of sexual health into their everyday consultations and thereby normalising the subject as part of routine health for the patient. There is evidence that health professionals find sexual history taking to be one of the more challenging aspects of a consultation. There are a number of different reasons for this: feeling not equipped to ask questions of such a sensitive nature; fear of opening a ‘can of worms’ which cannot be dealt with; and the general social embarrassment and difficulties experienced talking about sex in general. This article will give health professionals some tips and guides to assist in making a sexual history taking session as comfortable as possible for both health professional and patient.

Rothia dentocariosa causing intracranial mycotic aneurysm and ischaemic stroke

2021 ◽  
Vol 14 (3) ◽  
pp. e240349
Author(s):  
Eli Kisilevsky ◽  
Nataly Pesin ◽  
Daniel Mandell ◽  
Edward A Margolin
Keyword(s):  
Intracranial Aneurysms ◽  
Mycotic Aneurysm ◽  
Systemic Infection ◽  
Bacterial Endocarditis ◽  
Medical Assessment ◽  
Subacute Bacterial Endocarditis ◽  
Brain Aneurysm ◽  
High Incidence ◽  
Mycotic Aneurysms ◽  
Untreated Dental Caries

We describe a case of subacute bacterial endocarditis and mycotic brain aneurysm caused by Rothia dentocariosa due to untreated dental caries. R. dentocariosa is a rare cause of endocarditis that has a high incidence of aneurysmal and haemorrhagic complications. All patients with intracranial aneurysms who have signs of systemic infection should be considered to have mycotic aneurysms until proven otherwise. Dental habits should be included in regular medical assessment and dental care should be considered for patients presenting with infectious symptoms.

An Observational Study on Diagnoses of 3,233 Gulf Veterans (Op Granby 1990-91) who attended the Ministry of Defence’s Medical Assessment Programme 1993-2004

2005 ◽  
Vol 91 (2) ◽  
pp. 99-111 ◽  
Author(s):  
A. J. Bale ◽  
H. A. Lee
Keyword(s):  
Observational Study ◽  
Medical Condition ◽  
Gulf War ◽  
Skin Disorders ◽  
Medical Assessment ◽  
Gulf War Syndrome ◽  
Respiratory Disorders ◽  
Assessment Programme ◽  
Icd 10 ◽  
Medically Unexplained

SummaryBackgroundThis is the result of an observational study on 3,233 Gulf veterans who have attended our medical assessment programme. We wanted to determine as a result of in-depth interviews, full medical examination and appropriate investigations, whether there was any unique Gulf war related medical condition.MethodsOver a period of 10 years, 3,233 veterans have been assessed. All diagnoses have been made according to ICD-10 classifications. All psychiatric diagnoses have been confirmed by consultant psychiatrists.Findings75% of veterans were well. Of the 25% unwell, 83% of ill health was accounted for by a psychiatric disorder. 3% of veterans had organic conditions which could be linked to Gulf deployment. The most common of these were respiratory disorders, followed by digestive disorders, injuries and skin disorders. Only 11 of these cases could be linked to the use of medical countermeasures. A further, 51 cases (41 respiratory disorders, 6 infections, 2 skin disorders and 2 eye conditions) could be linked to environmental conditions.InterpretationAll veterans seen with health problems could be identified as per ICD-10 classification of disease. We did not find any medically unexplained conditions. We found no evidence of a unique ‘Gulf War Syndrome’.

scholarly journals The cardiac profile and electrocardiographic standard of at-height workers

2018 ◽  
Vol 64 (5) ◽  
pp. 448-453
Author(s):  
Tatiana Soares ◽  
Maria Claudia Irigoyen ◽  
Sílvia Goldmeier
Keyword(s):  
Control Program ◽  
Cross Sectional Study ◽  
Left Ventricular ◽  
Demographic Variables ◽  
Medical Assessment ◽  
Cross Sectional ◽  
Medical Control ◽  
Medicine Service ◽  
Electrocardiographic Changes ◽  
Electrocardiogram Ecg

SUMMARY BACKGROUND The Medical Control Program for Occupational Health establishes the required supplementary exams, according to the activity exercised by the worker and its inherent risks. The Regulatory Norm No. 35, recently deployed, stipulates that at-height workers must undergo electrocardiogram exams as an additional routine examination. OBJECTIVE To evaluate the electrocardiographic standard in at-height. METHODOLOGY A cross-sectional study, developed from May 2014 to January 2015 with male at-height workers. Anthropometric and clinical data were collected after the electrocardiogram (ECG). The workers included in the program were evaluated by an occupational medicine service of Serra Gaúcha, responsible for medical assessment and occupational tests. All workers were assessed by the researcher. RESULTS A total of 561 at-height workers participated in the study. The average age was 35.9 ± 12.2 years. A total of 176 (31%) presented electrocardiographic changes in the analysis of the resting ECG. Regarding the amendments in the resting ECG, 15.7% were attributed to changes in ventricular repolarization, 8% as blocks conductions, and 5.8% as left ventricular overload. Demographic variables were not associated with changes in the electrocardiographic tracing CONCLUSION This study demonstrated the electrocardiographic alterations and the profile of at-height workers. These findings can help determine prevention strategies and provide warnings of possible future harms to the health of these workers.

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