Tuberculosis Screening in Silica-Exposed Workers

2021 ◽  
pp. 003335492110415
Author(s):  
Nicholas K. Reul ◽  
Zachary Gray ◽  
Barbara Burchell Braid ◽  
Margaret A. Leland
Keyword(s):  
Health Care Providers ◽  
Screening Tool ◽  
Washington State ◽  
Care Providers ◽  
Medical Surveillance ◽  
Tuberculosis Screening ◽  
Safety And Health ◽  
Health Practitioners ◽  
Exposed Workers ◽  
Public Health Practitioners

Both the Occupational Safety and Health Administration and Washington State require safety and health protections for workers exposed to respirable crystalline silica, including tuberculosis (TB) screening as part of occupational medical surveillance. We describe the creation of a TB screening tool for silica-exposed workers receiving regulated medical surveillance examinations in Washington State. The tool provides relevant clinical recommendations to assist health care providers and public health practitioners who choose to use the tool when performing such examinations. A cross-disciplinary team at the Washington State Department of Labor and Industries created the TB screening tool to help health care providers identify silica-exposed workers who should receive a comprehensive evaluation for active TB disease and workers who should or must receive testing for latent TB infection. The Washington State Adult Tuberculosis Screening Tool for Workers Exposed to Respirable Crystalline Silica benefits occupational and respiratory clinicians and public health practitioners by aiding both the individual- and population-level delivery of occupational health and TB screening services to silica-exposed workers receiving required medical surveillance examinations.

scholarly journals COVID-19 Surveillance Data: A Primer for Epidemiology and Data Science

2021 ◽  
pp. e1-e6
Author(s):  
Daniel Tarantola ◽  
Nabarun Dasgupta
Keyword(s):  
Public Health ◽  
Health Care ◽  
Health Care Providers ◽  
Data Science ◽  
Primary Objective ◽  
Surveillance Data ◽  
Care Providers ◽  
Health Practitioners ◽  
Public Health Practitioners

Our primary objective is to improve COVID-19 metrics to enhance the quality of COVID-19 surveillance—an urgent need raised by several authors in professional and general media.1–5 We offer specific suggestions on how pandemic surveillance metrics can be better reported to improve the quality of analytical epidemiology. Health care providers and public health practitioners may find these criteria useful when conducting analyses, and students may be able to self-correct mistakes in written work. Data scientists may treat this as a primer for selecting and reporting metrics for dashboards. (Am J Public Health. Published online ahead of print January 21, 2021: e1–e6. https://doi.org/10.2105/AJPH.2020.306088 )

Innovative Approaches to Farm Safety and Health for Youth, Senior Farmers and Health Care Providers

1998 ◽  
Vol 5 (2) ◽  
pp. 99-106 ◽  
Author(s):  
Joleen TenHulzen Huneke ◽  
Susanna Von Essen ◽  
Robert D. Grisso
Keyword(s):  
Health Care ◽  
Health Care Providers ◽  
Care Providers ◽  
Farm Safety ◽  
Safety And Health ◽  
Innovative Approaches

Health care provider’s experiences, practices, and recommendations for interventions and screening of cystic fibrosis patients with disordered eating: A qualitative analysis

2019 ◽  
pp. 174239531988118
Author(s):  
Virginia Quick ◽  
Grace Chang
Keyword(s):  
Health Care ◽  
Cystic Fibrosis ◽  
Disordered Eating ◽  
Health Care Providers ◽  
Eating Behaviors ◽  
Screening Tool ◽  
Pancreatic Enzyme ◽  
National Standard ◽  
Care Providers ◽  
Disordered Eating Behaviors

Objectives To investigate health care providers’ perspectives on their experiences and practices with cystic fibrosis patients exhibiting disordered eating behaviors and their recommendations for interventions and screening of this population. Methods Experienced health care providers (N = 17) were recruited from the Cystic Fibrosis Foundation listserv to participate in a semi-structured interview via phone. Two trained qualitative researchers independently coded audio-recorded interview scripts. Major themes were generated from questions inquiring health care providers’ perspectives on their experiences and practices with cystic fibrosis patients exhibiting disordered eating behaviors and their recommendations for better interventions and screening of disordered eating. Results The most prominent disordered eating behaviors observed by health care providers in cystic fibrosis patients were misusing pancreatic enzyme medication (53%), food restriction behaviors (47%), binge eating (29%), and skipping meals (29%). Over half (53%) of health care providers reported not having policies or procedures for disordered eating of cystic fibrosis patients. All health care providers thought it would be beneficial to have a cystic fibrosis-specific disordered eating screening tool. Recommendations by health care providers included developing a national standard protocol for cystic fibrosis disordered eating and educational training for health care providers. Discussion Ongoing development of evidence-based guidelines for screening and treating disordered eating among cystic fibrosis patients is warranted including development of a cystic fibrosis-specific disordered eating screening tool.

Management of the actively dying patient

2015 ◽  
Author(s):  
Judith Lacey
Keyword(s):  
Health Care ◽  
Health Care Providers ◽  
Health Care Practitioner ◽  
Care Providers ◽  
Care Needs ◽  
Dying Patients ◽  
Health Practitioners ◽  
Whole Person ◽  
Social Concerns ◽  
Dying Patient

The period leading to death is characterized by increasing prevalence and intensity of physical, psychological, existential, and social concerns, and it is often a challenging time for patients, their families, and health-care providers. This chapter specifically addresses the most prevalent symptoms and concerns encountered when managing the actively dying patient. Symptoms affecting dying patients’ comfort, including pain, dyspnoea, delirium, terminal secretions, and refractory symptoms and suffering require different clinical management as death approaches. Other topics included are recognizing the dying phase; communication with and preparation of patient, family, and staff; anticipating dying-advanced care planning and approach to resuscitation; addressing psychosocial and existential concerns; and approach to difficult end-of-life scenarios. This chapter aims to provide the health-care practitioner with a good overview and approach to the whole-person care needs of the dying patient and their family and carers to enable health practitioners to feel comfortable in providing this important care with confidence.

scholarly journals Knowledge and Acceptance Towards Mammography as Breast Cancer Screening Tool Among Yogyakarta Women and Health Care Providers (Mammography Screening in Indonesia)

2019 ◽  
Author(s):  
Lina Choridah ◽  
Ajeng Viska Icanervilia ◽  
Marloes Josephia Maria de Wit ◽  
Antoinette D.I. van Asselt ◽  
Wahyu Tri Kurniawan ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Health Care ◽  
Cancer Screening ◽  
Breast Cancer Screening ◽  
Health Care Providers ◽  
Health Care Professionals ◽  
Screening Tool ◽  
Care Providers ◽  
The Government ◽  
Knowledge And Acceptance

AbstractAnnual mammography remains the gold standard of asymptomatic breast cancer screening for women starting at the age of 40. However, Indonesia has not designated mammography as its national screening program. To help policymakers decide whether mammography should be introduced into a national program, it is important to comprehensively understand the knowledge and acceptance of both consumers and providers. A total of 25 subjects including a range of women and health care professionals (HCPs) in Yogyakarta Province were recruited using purposive, maximum variation sampling and then interviewed in-depth. The interviews were recorded and all data were taken and transcribed from the audio recording, which were subsequently translated to English and analyzed thematically. Almost all of Yogyakarta women had heard about the term of mammography. However, only few of them have let themselves be screened, mainly because of their perceived lack of urgency to screen for asymptomatic breast cancer. Another important reason was the high cost of mammography. Meanwhile, several HCPs believed that breast cancer has not been a priority for the government and hence the government limited mammography screening’s access and excluded it from the national insurance coverage. Most women in Yogyakarta have a good understanding about breast cancer screening, but their acceptance of mammography as a breast cancer screening tool is significantly influenced by high cost, limited access, and lack of urgency.

Medicinal Cannabis

2016 ◽  
Vol 34 (1) ◽  
pp. 85-91 ◽  
Author(s):  
Beatriz H. Carlini ◽  
Sharon B. Garrett ◽  
Gregory T. Carter
Keyword(s):  
Health Care ◽  
Health Care Providers ◽  
Online Survey ◽  
Descriptive Analysis ◽  
Scientific Basis ◽  
Washington State ◽  
Comfort Level ◽  
Care Providers ◽  
Clinical Practices ◽  
Medicinal Cannabis

Introduction: Washington State allows marijuana use for medical (since 1998) and recreational (since 2012) purposes. The benefits of medicinal cannabis (MC) can be maximized if clinicians educate patients about dosing, routes of administration, side effects, and plant composition. However, little is known about clinicians’ knowledge and practices in Washington State. Methods: An anonymous online survey assessed providers’ MC knowledge, beliefs, clinical practices, and training needs. The survey was disseminated through health care providers’ professional organizations in Washington State. Descriptive analysis compared providers who had and had not authorized MC for patients. Survey results informed the approach and content of an online training on best clinical practices of MC. Results: Four hundred ninety-four health care providers responded to the survey. Approximately two-third were women, aged 30 to 60 years, and working in family or internal medicine. More than half of the respondents were legally allowed to write MC authorizations per Washington State law, and 27% of those had issued written MC authorizations. Overall, respondents reported low knowledge and comfort level related to recommending MC. Respondents rated MC knowledge as important and supported inclusion of MC training in medical/health provider curriculum. Most Washington State providers have not received education on scientific basis of MC or training on best clinical practices of MC. Clinicians who had issued MC authorizations were more likely to have received MC training than those who had not issued MC authorization. Discussion: The potential of MCs to benefit some patients is hindered by the lack of comfort of clinicians to recommend it. Training opportunities are badly needed to address these issues.

scholarly journals PedHITSS: A Screening Tool to Detect Childhood Abuse in Clinical Settings

2018 ◽  
Vol 50 (10) ◽  
pp. 763-769 ◽  
Author(s):  
Amer Shakil ◽  
Philip G. Day ◽  
Jessica Chu ◽  
Sarah B. Woods ◽  
Kate Bridges
Keyword(s):  
Health Care ◽  
Child Abuse ◽  
Sensitivity And Specificity ◽  
Health Care Providers ◽  
Concurrent Validity ◽  
Screening Tool ◽  
Screening Tools ◽  
Clinical Settings ◽  
Care Providers ◽  
Significant Difference

Background and Objectives: Though child abuse is prevalent and detrimental, health care providers fail to screen for abuse at sufficient rates to detect or preempt events. Current child abuse screening tools lack brevity and usefulness in clinical settings. To validate the Pediatric Hurt-Insult-Threaten-Scream-Sex (PedHITSS) screening tool, a 5-item questionnaire designed to detect and prompt provider investigation into child abuse in clinical settings, the PedHITSS was compared to the Conflict Tactics Scale: Parent-Child Version (CTSPC) screening measure. Methods: Participants included 422 pediatric patients (n=242 nonabused; n=180 abused subsample) recruited from an ambulatory care setting, a medical center at-risk referral clinic, or homeless shelter clinic. Parents were asked to complete a cross-sectional survey, including PedHITSS and CTSPC questionnaires. Concurrent validity of PedHITSS was tested with 242 participants identified as nonabused. Construct validity was assessed with 180 participants previously identified as victims of child abuse. Results: Concurrent validity between the CTSPC and PedHITSS was strong, rs=.70 (P<.01). Sensitivity and specificity for correctly identifying abuse victims (≤12 years) was optimal at a cutpoint of one or greater. There was no significant difference in sensitivity and specificity of HITSS and CTSPC in correctly identifying victims of child abuse. Conclusions: This study indicates that PedHITSS performs as well as CTSPC in identifying and differentiating victims and nonvictims of child abuse. PedHITSS allows health care providers to confidently screen and report suspected cases of child abuse and serves as a mechanism to confirm abuse status through validated means.

scholarly journals Evaluation of Training Gaps Among Public Health Practitioners in Washington State

2020 ◽  
Vol Publish Ahead of Print ◽  
Author(s):  
Solongo Sainkhuu ◽  
Joana Cunha-Cruz ◽  
Megan Rogers ◽  
Sarah Knerr ◽  
Betty Bekemeier
Keyword(s):  
Public Health ◽  
Washington State ◽  
Health Practitioners ◽  
Evaluation Of Training ◽  
Public Health Practitioners

scholarly journals Implementation of Mobile Audiometry During the COVID-19 Pandemic

2021 ◽  
pp. 019459982110515
Author(s):  
Alejandro Garcia ◽  
Divya A. Chari ◽  
Konstantina M. Stankovic ◽  
Daniel J. Lee ◽  
Elliott D. Kozin ◽  
...  
Keyword(s):  
Health Care ◽  
Emergency Department ◽  
Hearing Loss ◽  
Sensitivity And Specificity ◽  
Health Care Providers ◽  
Screening Tool ◽  
Care Providers ◽  
Air Conduction

During the COVID-19 pandemic, the utility of portable audiometry became more apparent as elective procedures were deferred in an effort to limit exposure to health care providers. Herein, we retrospectively evaluated mobile-based audiometry in the emergency department and outpatient otology and audiology clinics. Air conduction thresholds with mobile audiometry were within 5 dB in 66% of tests (95% CI, 62.8%-69.09%) and within 10 dB in 84% of tests (95% CI, 81.4%-86.2%) as compared with conventional audiometry. No significant differences were noted between mobile-based and conventional audiometry at any frequencies, except 8 kHz ( P < .05). The sensitivity and specificity for screening for hearing loss were 94.3% (95% CI, 91.9%-96.83%) and 92.3% (95% CI, 90.1%-94.4%), respectively. While automated threshold audiometry does not replace conventional audiometry, mobile audiometry is a promising screening tool when conventional audiometry is not available.

Management of Acute Alcohol Withdrawal in the Inpatient Setting

2001 ◽  
Vol 36 (5) ◽  
pp. 566-573
Author(s):  
Peggy Soule Odegard ◽  
Mikell Goe
Keyword(s):  
Health Care ◽  
Drug Therapy ◽  
Health Care Providers ◽  
Alcohol Withdrawal ◽  
Washington State ◽  
Inpatient Setting ◽  
Care Providers ◽  
Patient Centered ◽  
Drug Therapy Management ◽  
E Mail

Collaborative drug therapy management (CDTM) is a method for developing a patient-centered practice in which the pharmacist's activities are integrated with those of other health care providers. The goals of this continuing feature are to refine the concept of CDTM and provide patient-care applications from the authors' experience in Washington state. Questions or suggestions should be addressed to Timothy S. Fuller, FASHP, Fuller and Associates, 1948 Boyer Avenue East, Seattle, WA 98112-2924 (tel.206-860-8308). E-mail: [email protected]

Sign in / Sign up

Export Citation Format

Share Document