Mapping of Wound Infection Concepts

Wound infection is a serious health care complication. Standardized clinical terminologies could be leveraged to support the early identification of wound infection. The purpose of this study was to evaluate the representation of wound infection assessment and diagnosis concepts (N=26) in SNOMED CT and ICNP, using a synthesized procedural framework. A total of 13/26 (50%) assessment and diagnosis concepts had exact matches in SNOMED CT and 2/7 (29%) diagnosis concepts had exact matches in ICNP. This study demonstrated that the source concepts were moderately well represented in SNOMED CT and ICNP; however, further work is necessary to increase the representation of diagnostic infection types. The use of the framework facilitated a systematic, transparent, and repeatable mapping process, with opportunity to extend.

Development of a Pathway for Multidisciplinary Neurodevelopmental Assessment and Diagnosis in Children and Young People

There is a variable standard of access to quality neurodevelopmental assessment and diagnosis. People may have negative experiences, encountering lengthy waiting times, and inconsistent practices. Practitioners need guidance on standards and practices for assessment and diagnosis matched to new ways of working. In this paper, we present a new pathway and recommendations for multidisciplinary neurodevelopmental assessment and diagnosis for children and young people (<19 years), developed by the Scottish Government funded National Autism Implementation Team (NAIT). Our research used the Medical Research Council guidance for the development of complex interventions and included several iterative stages. Stage 1: n = 44 stakeholders attended an event on developing new practices for diagnosis and assessment. Stage 2: a literature synthesis was completed by the research team of clinical guidelines and diagnosis and assessment tools. Stage 3: an event with n = 127 stakeholders included discussion and debate of the data from stages 1 and 2. Recommendations and a draft pathway were written. Stage 4: successive drafts of recommendations and the pathway documentation were circulated among an advisory group, including multidisciplinary clinical experts and people with lived experience, until the final pathway was agreed upon. The finalised pathway includes guidance on terminology, assessment, diagnosis, triage, time standards and engagement of people with lived experience. The new pathway has been adopted by the Scottish Government. The pathway and associated documentation are freely available online for use by others.

Knowledge of Alzheimer's disease among healthcare providers and medical students in Sudan

Objective: The purpose of this study was to assess knowledge of Alzheimer's disease among medical students and healthcare providers in Sudan. Methods: In this cross-sectional study conducted in Sudan from July to De­cember 2020, we used Google forms to collect data from 212 medical students and healthcare provid­ers using Alzheimer's Disease Knowledge Scale (ADKS). ADKS is a widely used validated instrument that measures what people know about Alzheimer's disease using a 30-item true/false questionnaire across seven critical knowledge domains: risk factors, symptoms, assessment and diagnosis, disease trajectory, life impact, treatment, and management, and caregiving. Results: Our studied population consisted of doctors (n=106), medical students (n=23), Nursing staff (n=09), and other hospital staff (n=74). 76.9% were females. When rating their knowledge from 0-10, our participants' mean value was 5.3 ± 2.1. Regarding ADKS, the mean knowledge score (out of 30) is 20.6 ± 2.8. Regarding ADKS domains, the best average scores were treatment and management 86.8%, followed by life impact 78.3%, assessment, and diagnosis 72.4%, course 71.5%, symptoms 62.7%, caregiving 59.2%, and risk factors 59%. We did not detect any significant association between the average overall score, occupation, source of infor­mation, or having a relative with Alzheimer's disease. Conclusion: Specific knowledge deficits were observed in domains focusing on risk factors, symptoms, and caregiving for Alzheimer's disease.

Menstrual and bleeding disorders

This chapter covers disorders of the menstrual cycle and associated bleeding disorders. It starts with the definitions, assessment, and diagnosis of menorrhagia, its causes, and different medical and surgical treatments. It also covers the assessment and treatment of dysmenorrhoea, pre-menstrual syndrome (PMS), and inter-menstrual bleeding. Subsequently post-coital bleeding assessment and investigations are detailed, along with post-menopausal bleeding.