scholarly journals The fretful child with swollen appendage: Mitten the Insidious

2020 ◽  
Vol 4 (1) ◽  
pp. 31-33
Author(s):  
M.A. Shafiq ◽  
K. Anwar ◽  
Tan J.A.
Keyword(s):  
Early Detection ◽  
Young Children ◽  
Physical Examination ◽  
Effective Treatment ◽  
Medical Condition ◽  
Healthcare Providers ◽  
Good Outcome ◽  
Routine Physical Examination ◽  
Attention Failure ◽  
Timely Referral

Hair tourniquet syndrome is a rare medical condition involving a tightly constricting strand of hair or thread-like material strangulating a part of the bodily appendage, such as the fingers and toes, which prompts for urgent attention. Failure to recognize early and respond to worsening symptoms may lead to serious complications. Few cases have been reported as this condition affects primarily young children. Our aim for this topic is to increase awareness of hair tourniquet syndrome to healthcare providers. Proper exposure during routine physical examination for early detection, and timely referral for effective treatment. Here we report a case of hair tourniquet syndrome of the toe that was released surgically with a good outcome. Keywords: Hair tourniquet syndrome, bodily appendage, children.  

scholarly journals Is routine physical examination of psychiatric in-patients really necessary?

1996 ◽  
Vol 20 (4) ◽  
pp. 218-220 ◽  
Author(s):  
Ian Porter
Keyword(s):  
Mental Illness ◽  
Physical Examination ◽  
Case Studies ◽  
Medical Condition ◽  
Somatic Complaints ◽  
Psychiatric Unit ◽  
Physical Disorders ◽  
Intracranial Lesions ◽  
Routine Physical Examination ◽  
Psychiatric Conditions

Although there are some well recognised physical disorders such as intracranial lesions that can present with mental illness, many psychiatric conditions do not appear to be associated with underlying somatic complaints. However, a number of recent studies have shown that there are often high rates of concurrent medical conditions among acute psychiatric in-patients that were previously undiagnosed or unsuspected. The author illustrates this point by presenting two case studies in which a significant medical condition was only identified after physical examination on a psychiatric unit.

What Is a Routine Physical Examination?

1953 ◽  
Vol 53 (3) ◽  
pp. 320
Author(s):  
Arthur N. Jay
Keyword(s):  
Physical Examination ◽  
Routine Physical Examination

scholarly journals Utilizing two-tiered screening for early detection of autism spectrum disorder

Autism ◽  
2017 ◽  
Vol 22 (7) ◽  
pp. 881-890 ◽  
Author(s):  
Meena Khowaja ◽  
Diana L Robins ◽  
Lauren B Adamson
Keyword(s):  
Early Detection ◽  
Young Children ◽  
False Positive ◽  
Screening Tool ◽  
False Positive Rate ◽  
Autism Spectrum ◽  
Screening Methods ◽  
Positive Rate ◽  
Level 1 ◽  
Level 2

Despite advances in autism screening practices, challenges persist, including barriers to implementing universal screening in primary care and difficulty accessing services. The high false positive rate of Level 1 screening methods presents especially daunting difficulties because it increases the need for comprehensive autism evaluations. This study explored whether two-tiered screening—combining Level 1 (Modified Checklist for Autism in Toddlers, Revised with Follow-Up) and Level 2 (Screening Tool for Autism in Toddlers and Young Children) measures—improves the early detection of autism. This study examined a sample of 109 toddlers who screened positive on Level 1 screening and completed a Level 2 screening measure prior to a diagnostic evaluation. Results indicated that two-tiered screening reduced the false positive rate using published Screening Tool for Autism in Toddlers and Young Children cutoffs compared to Level 1 screening alone, although at a cost to sensitivity. However, alternative Screening Tool for Autism in Toddlers and Young Children scoring in the two-tiered screening improved both positive predictive value and sensitivity. Exploratory analyses were conducted, including comparison of autism symptoms and clinical profiles across screening subsamples. Recommendations regarding clinical implications of two-tiered screening and future areas of research are presented.

scholarly journals Evidence-based Clinical Practice Guidelines for the Periodic Eye Exam in Children Aged 0 to 5 Years in Canada

2019 ◽  
Vol 81 (4) ◽  
pp. 9-28
Author(s):  
Walter Delpero ◽  
Barbara Robinson ◽  
Rhona Lahey
Keyword(s):  
Clinical Practice ◽  
Early Detection ◽  
Practice Guidelines ◽  
School System ◽  
Healthcare Providers ◽  
Evidence Based ◽  
Vision Screening ◽  
Eye Care ◽  
Timely Fashion ◽  
Primary Healthcare Providers

Vision screening performed by primary healthcare providers during routine well-baby/child visits and scheduled vaccinations is an essential part of the detection of ocular disease. However, this early detection potential is limited and a full oculovisual assessment is also recommended prior to the child entering the school system. If amblyopia, strabismus or other eye pathology is detected or suspected that is beyond the scope of the eye care professional examining the patient, a referral to the appropriate specialist can be made, allowing treatment to be initiated in a timely fashion.

scholarly journals Barriers to the early detection and intervention of children with autism spectrum disorders: A literature review

2021 ◽  
Vol 11 (11) ◽  
pp. 72
Author(s):  
Fatema Ali Bivarchi ◽  
Vahe Kehyayan ◽  
Sadriya Mohd Al-Kohji
Keyword(s):  
Early Detection ◽  
Literature Review ◽  
Social Stigma ◽  
Data Extraction ◽  
Healthcare Providers ◽  
Autism Spectrum ◽  
Long Term Outcomes ◽  
Missed Opportunities ◽  
Early Intervention Services

Background and objective: Autism spectrum disorder (ASD) is a lifelong developmental disability that affects how individuals communicate and interact with others. A reliable diagnosis of ASD can be made within the first 24 months of a child’s life, but ASD is usually diagnosed late. Late diagnosis contributes to missed opportunities to provide early intervention services and improve long-term outcomes. The purpose of this project was to identify barriers to early detection and intervention of ASD faced by parents, other caregivers, and health care professionals.Methods: A literature review was conducted. CINAHL, Medline, and PsychINFO databases were used to search for relevant articles. Ten articles that met the inclusion criteria were selected and data from these articles were summarized in a data extraction table and themes were identified.Results: Five main barriers that prevent early diagnosis and intervention of children with ASD were identified. These barriers were lack of knowledge, social stigma, dismissal of parents’ first concerns by healthcare providers, barriers to ASD screening, and access to ASD services.Conclusions: The results of this literature review will inform the development of an educational guide for parents and other caregivers to promote their knowledge and awareness about ASD in children.

scholarly journals Reclassification of High-Risk Pregnancy for Maternal-Fetal Healthcare Providers

2020 ◽  
Vol 24 (2) ◽  
pp. 65-74
Author(s):  
Jong Yun Hwang
Keyword(s):  
Risk Factors ◽  
High Risk ◽  
Medical Condition ◽  
Adverse Pregnancy Outcome ◽  
Healthcare Providers ◽  
High Risk Pregnancy ◽  
Risk Pregnancy ◽  
Adverse Pregnancy ◽  
Complicated Pregnancy

High-risk pregnancy is the probability of adverse pregnancy outcome is increased over the general pregnant population. Some high-risk pregnancy is the result of a medical condition present before pregnancy. In other cases, a medical condition that develops during pregnancy causes a pregnancy to become high risk. The reason why high-risk pregnancy is important is detecting the risk factors for high risk pregnancy early and preventing the complicated pregnancy. Korean society of Obstetrics and Gynecology (KSOG) announced the classification of high-risk pregnancy including 95 risk factors: obstetrics risk factors, medical risk factors, physical risk factors and risk factors of current pregnancy. However, this announcement of high-risk pregnancy by KSOG was limited for maternal-fetal healthcare providers to apply their working and making policy. First this didn't include the conception of the complicated pregnancy and high-risk delivery. Second this did not separate the risk factors depend on before and during pregnancy. This review briefly evaluates the classification of high-risk pregnancy by KSOG and suggest the new classification including the complicated pregnancy and high-risk delivery for maternal-fetal healthcare providers.

Early Detection of Learning Problems: Questions, Cautions, and Guidelines

1973 ◽  
Vol 40 (1) ◽  
pp. 5-11 ◽  
Author(s):  
Barbara K. Keogh ◽  
Laurence D. Becker
Keyword(s):  
At Risk ◽  
Early Detection ◽  
Young Children ◽  
Early Identification ◽  
Research Literature ◽  
Learning Problems ◽  
Negative Effects ◽  
Short Term ◽  
Screening Techniques ◽  
Functional Aspects

Assumptions underlying programs of early identification of young children viewed as educationally “at risk” are reviewed in terms of the research literature relevant to questions of validity of identifying or screening techniques, implications of recognition for remediation, and possible compounding negative effects of early identification. Guidelines for development and implementation of programs of early detection are proposed. Recommendations include emphasis upon techniques which are short term and educationally oriented and which are based on functional aspects of children's behavior in classroom settings.

Vision Screening

2020 ◽  
Keyword(s):  
Primary Care ◽  
Early Detection ◽  
Physical Examination ◽  
Vision Loss ◽  
Light Reflection ◽  
Primary Care Visit ◽  
Vision Screening ◽  
Care Visit ◽  
Test Instrument ◽  
Key Points

Key Points Vision screening should be a routine part of every primary care visit, with physical examination from birth and formal acuity testing from 3 years on. Elements of the physical examination include inspection, red reflex evaluation, corneal light reflection, cover-uncover test. Instrument-based testing can begin at 1 year of age until chart-based acuity testing is possible from 3 years on. Amblyopia, which results in permanent vision loss, is preventable with early detection—before 5 years of age.

Medical and Economics Benefits of Tele-expertise in Dermatology: Case study in eight Health Centers in Mali.

2020 ◽  
Author(s):  
Cheick Oumar Bagayoko ◽  
Mahmoud Cissé ◽  
Joseph Aka ◽  
Adama Dicko ◽  
Abdrahamane Anne ◽  
...  
Keyword(s):  
Health Professionals ◽  
Medical Condition ◽  
Healthcare Providers ◽  
Cross Sectional Study ◽  
Economic Benefits ◽  
Expert Advice ◽  
Financial Benefit ◽  
African Countries ◽  
Cross Sectional ◽  
Specialized Care

Abstract Background: Mali, like many Sub-Saharan African countries, is experiencing an acute crisis with respect to the shortage of qualified health professionals. This crisis is even more acute when it comes to specialized medical fields such as dermatology. To address this shortage, a tele-dermatology project has been launched in Mali since 2015 in order to provide access to specialized care to the most remote populations.Objective: The aim of our study is to assess the medico-economic benefits of the pilot phase of this project.Methods: We conducted a retrospective cross-sectional study of all requests for expert advice sent to dermatology experts through the "Bogou" tele-expertise platform.The sample consisted of 52 patients at eight remote sites and ten health professionals, including 4 specialists.The economic study was done using a parameter of cost analysis and the professional evaluation of healthcare providers. It compared consultation and transportation fees (on-site and off-site), and used a questionnaire assessing items on a 5-level Lickert scale and open-ended questions to evaluate the satisfaction of health professionals. Data analysis was performed by SPSS v25.Results: During the period, 374 requests for tele-expertise were made for the benefit of 52 patients. 89.3% of requests were answered by specialists, with an average response time of 46 hours 59 minutes and extremes from 7 minutes to 415 hours 4 minutes. Eczema was the most common medical condition diagnosed. 98% of patients had never completed a dermatological consultation because of a lack of means to travel to the only specialized center in the country. Consequently, they were all very satisfied or satisfied with the tele-expertise service. The 52 participating patients in project have realized a great financial benefit. Together they saved an average of 5,824,500 XOF (9429 euros).All the health professionals surveyed also expressed satisfaction with the application. They confirmed that the project has enabled them to strengthen their skills in the management of dermatological pathologies.Conclusion: Based on the results of our study, we can say that tele-dermatology allows access to specialized care and a reduction in the costs of care for patients in remote areas.

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