Patient experiences of their clinical management by Extended Scope Physiotherapists following attendance at an Orthopaedic Clinical Assessment Service.

Author(s):  
Anne Coyle ◽  
Christine Carpenter

The Oxford Textbook of Attention Deficit Hyperactivity Disorder provides an authoritative, multidisciplinary text displaying the latest research developments in the diagnosis, assessment, and management of patients with ADHD. Organized into eight key sections, this textbook covers the aetiology, pathophysiology, epidemiology, clinical presentation, comorbidity, clinical assessment, and clinical management of ADHD. Individual chapters address key topics, such as the clinical assessment of ADHD in adults and different presentations of ADHD. They contain information on best practice, current diagnostic guidelines, including DSM-5 and ICD-11, and key up-to-date references for further reading.


2005 ◽  
Vol 15 (11) ◽  
pp. 467-475
Author(s):  
John Stirling

The aim of this case study is to discuss the clinical management of a non-heart beating organ donor. This case study will concentrate in particular on the clinical assessment of the potential donor patient undertaken by the donor transplant coordinator (DTC) and the donation process up to the time of transplantation. The author will also describe the differences between heart beating and non-heart beating donors and discuss how transplantation can benefit renal recipient patients.


2019 ◽  
Vol 8 (9) ◽  
pp. 1439 ◽  
Author(s):  
Mostafa Heidari ◽  
Farsad Noorizadeh ◽  
Kevin Wu ◽  
Takenori Inomata ◽  
Alireza Mashaghi

Dry eye disease (DED) is among the most common ocular disorders affecting tens of millions of individuals worldwide; however, the condition remains incompletely understood and treated. Valuable insights have emerged from multidisciplinary approaches, including immunometabolic analyses, microbiome analyses, and bioengineering. Furthermore, we have seen new developments in clinical assessment approaches and treatment strategies in the recent past. Here, we review the emerging frontiers in the pathobiology and clinical management of DED.


2021 ◽  
pp. 1-4
Author(s):  
Matthew Butler ◽  
Fraser Scott ◽  
Biba Stanton ◽  
Jonathan Rogers

Summary Psychiatrists often order investigations such as blood tests, neuroimaging and electroencephalograms for their patients. Rationales include ruling out ‘organic’ causes of psychiatric presentations, providing baseline parameters before starting psychotropic medications, and screening for general cardiometabolic health. Hospital protocols often recommend an extensive panel of blood tests on admission to a psychiatric ward. In this Against the Stream article, we argue that many of these investigations are at best useless and at worst harmful: the yield of positive findings that change clinical management is extremely low; special investigations are a poor substitute for a targeted history and examination; and incidental findings may cause anxiety and further unwarranted investigation. Cognitive and cultural reasons why over-investigation continues are discussed. We conclude by encouraging a more targeted approach guided by a thorough bedside clinical assessment.


2010 ◽  
pp. 3559-3570
Author(s):  
Michael Doherty ◽  
Peter C. Lanyon

Laboratory and imaging markers are an adjunct to competent clinical assessment and should not be used as a substitute. Tests should only be ordered if the results will alter diagnosis, prognosis, or clinical management. Synovial fluid examination—this is the key investigation to confirm the diagnosis of either acute crystal or septic arthritis. Fluid can usually be obtained by direct aspiration from any peripheral joint, or alternatively under ultrasound guidance. The identification of crystals requires compensated polarized light microscopy....


2009 ◽  
Vol 2009 ◽  
pp. 1-6 ◽  
Author(s):  
B. J. Young ◽  
H. Sueke ◽  
J. M. Wylie ◽  
S. B. Kaye

Measurement of Stereopsis forms an important part of the clinical assessment of patients with disorders of ocular motility. The introduction of a real depth distance stereoacuity test (FD2) was evaluated in clinical practice and to what extent the introduction affected clinical management. Seventy-three patients under evaluation before and following the introduction of the test were included. Combined thresholds were measured at near using the Frisby and TNO test and at distance using the FD2. Fifty healthy controls were included. Forty-five patients demonstrated Stereopsis using the FD2 and 23 of these had a change in their management based in part on their responses using the FD2. Patients with evidence of Stereopsis using the FD2 were significantly more likely to have change in their management than expected from the whole sample (). The introduction of a real depth distance stereoacuity test into clinical practice contributed to a change in management when used in conjunction with other tests. The usefulness of the FD2 is limited by its range at 6 m. Use at closer distances necessitates the calculation of binocular threshold from the combined and monocular threshold.


2009 ◽  
Vol 18 (2) ◽  
pp. 141-146 ◽  
Author(s):  
M R Robling ◽  
R M Pill ◽  
K Hood ◽  
C C Butler

2013 ◽  
Vol 13 (1) ◽  
Author(s):  
Lauren Matheson ◽  
Philip Asherson ◽  
Ian Chi Kei Wong ◽  
Paul Hodgkins ◽  
Juliana Setyawan ◽  
...  

1992 ◽  
Vol 23 (1) ◽  
pp. 6-8 ◽  
Author(s):  
Carol W. Lawrence

Speech-language evaluation reports from many institutions present age-equivalent scores as the evidence for speech-language deficits. Yet, the value and interpretation of this measurement criterion requires clinical scrutiny. This article reviews the concept and derivation of age-equivalent scores and presents arguments against their use in case management decisions.


1988 ◽  
Vol 19 (1) ◽  
pp. 5-16 ◽  
Author(s):  
Karen E. Pollock ◽  
Richard G. Schwartz

The relationship between syllabic structure and segmental development was examined longitudinally in a child with a severe phonological disorder. Six speech samples were collected over a 4-year period (3:5 to 7:3). Analyses revealed gradual increases in the complexity and diversity of the syllable structures produced, and positional preferences for sounds within these forms. With a strong preference for [d] and [n] at the beginning of syllables, other consonants appeared first at the end of syllables. Implications for clinical management of phonological disorders include the need to consider both structural position and structural complexity in assessing segmental skills and in choosing target words for intervention.


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