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Diagnostic overshadowing

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https://www.readbyqxmd.com/read/29358422/-i-did-try-and-point-out-about-his-dignity-a-qualitative-narrative-study-of-patients-and-carers-experiences-and-expectations-of-junior-doctors
#1
Camille E Kostov, Charlotte E Rees, Gerard J Gormley, Lynn V Monrouxe
OBJECTIVES: For many years, the voice of patients has been understood as a critical element for the improvement of care quality in healthcare settings. How well medical graduates are prepared for clinical practice is an important question, but one that has rarely been considered from patient and public perspectives. We aimed to fill this gap by exploring patients and carers' experiences and expectations of junior doctors. DESIGN: This comprises part of a wider study on UK medical graduates' preparedness for practice...
January 21, 2018: BMJ Open
https://www.readbyqxmd.com/read/29349928/problem-behaviours-and-psychotropic-medication-use-in-intellectual-disability-a-multinational-cross-sectional-survey
#2
B I Perry, H F Kwok, J Mendis, K Purandare, A Wijeratne, S Manjubhashini, M Dasari, F Esan, I Gunaratna, R A Naseem, S Hoare, V Chester, A Roy, J Devapriam, R Alexander, S E Cooray
BACKGROUND: Problem behaviours (PBs) are a common cause for clinician contact in people with disorders of intellectual development and may be a common cause for the prescription of psychotropic medication. We aimed to use a large, multinational sample to define the prevalence of PBs, the associations with psychotropic medication use, and to assess for any potential 'diagnostic overshadowing' by the label of PBs in a population of people with disorders of intellectual development. METHOD: A multinational, multi-setting, cross-sectional service evaluation and baseline audit was completed...
February 2018: Journal of Intellectual Disability Research: JIDR
https://www.readbyqxmd.com/read/29178565/adults-with-intellectual-disabilities-in-china-comorbid-psychiatric-disorder-and-its-association-with-health-service-utilisation
#3
P He, G Chen, Z Wang, C Guo, N Li, C Yun, X Zheng
BACKGROUND: Adults with intellectual disabilities (ID) often have multiple comorbidities. Psychiatric disorders in this population have been poorly studied in developing countries. We aimed to investigate the prevalence of psychiatric disorders in adults with ID and whether comorbid psychiatric disorders were associated with health service utilisation. METHODS: We obtained data from the Second National Sample Survey on Disability, conducted in 31 provinces of China and selected a subsample of 13 631 adults aged 18 years and above with ID...
November 26, 2017: Journal of Intellectual Disability Research: JIDR
https://www.readbyqxmd.com/read/29123269/case-report-oral-medicine-diagnostic-overshadowing
#4
S Basyuni, E Finnerty, R Akhtar, V Santhanam
No abstract text is available yet for this article.
November 10, 2017: British Dental Journal
https://www.readbyqxmd.com/read/28994388/-cancer-three-eras-of-personalized-medicine
#5
Bertrand Jordan
Since the completion of the first human DNA sequence, genomic approaches have penetrated into cancer research and therapy: first through expression profiling for diagnostic, prognostic and predictive purposes, then by sequencing of tumour DNA in order to define and apply targeted therapies. These overlapping changes occurred quite rapidly and are now overshadowed by immuno-oncology approaches that show much promise. There is however still much left to understand to make this more widely applicable, and the extreme cost of these therapies is a serious concern...
October 2017: Médecine Sciences: M/S
https://www.readbyqxmd.com/read/28967780/the-elephant-in-the-room-inconsistency-in-scene-viewing-and-representation
#6
Sara Spotorno, Benjamin W Tatler
We examined the extent to which semantic informativeness, consistency with expectations and perceptual salience contribute to object prioritization in scene viewing and representation. In scene viewing (Experiments 1-2), semantic guidance overshadowed perceptual guidance in determining fixation order, with the greatest prioritization for objects that were diagnostic of the scene's depicted event. Perceptual properties affected selection of consistent objects (regardless of their informativeness) but not of inconsistent objects...
October 2017: Journal of Experimental Psychology. Human Perception and Performance
https://www.readbyqxmd.com/read/28961351/intrathecal-therapeutics-device-design-access-methods-and-complication-mitigation
#7
REVIEW
Sean J Nagel, Chandan G Reddy, Leonardo A Frizon, Marshall T Holland, Andre G Machado, George T Gillies, Matthew A Howard
INTRODUCTION: The intrathecal space remains underutilized for diagnostic testing, invasive monitoring or as a pipeline for the delivery of neurological therapeutic agents and devices. The latter including drug infusions, implants for electrical modulation, and a means for maintaining the physiologic pressure column. The reasons for this are many but include unfamiliarity with the central nervous system and the historical risks that continue to overshadow the low complication rates in modern clinical series...
September 29, 2017: Neuromodulation: Journal of the International Neuromodulation Society
https://www.readbyqxmd.com/read/28872330/the-effects-of-verbal-descriptions-on-performance-in-lineups-and-showups
#8
Brent M Wilson, Travis M Seale-Carlisle, Laura Mickes
Verbally describing a face has been found to impair subsequent recognition of that face from a photo lineup, a phenomenon known as the verbal overshadowing effect (Schooler & Engstler-Schooler, 1990). Recently, a large direct replication study successfully reproduced that original finding (Alogna et al., 2014). However, in both the original study and the replication studies, memory was tested using only target-present lineups (i.e., lineups containing the previously seen target face), making it possible to compute the correct identification rate (correct ID rate; i...
September 4, 2017: Journal of Experimental Psychology. General
https://www.readbyqxmd.com/read/28862737/primary-bone-lymphoma-of-the-talus-a-challenging-diagnosis
#9
Ombretta Annibali, Gianluigi Fabbriciani, Mariantonietta Tafuri, Marco Massarotti, Pietro Sedati, Valeria Tomarchio, Sabattini Elena, Pileri Stefano, Carlo Selmi, Giuseppe Avvisati
PURPOSE: Diagnostic challenges are common in clinical practice and diagnostic or classification criteria for musculoskeletal conditions cannot overshadow clinical skills. METHODS: We present the case of a young man who complained of prolonged articular pain and mild swelling of the right ankle in the absence of other remarkable data. Apparently fulfilling the Budapest diagnostic criteria for complex regional pain syndrome, the patient was treated accordingly, but the pain increased over time...
August 28, 2017: Tumori
https://www.readbyqxmd.com/read/28862084/diagnostic-overshadowing-of-the-psychiatric-population-in-the-emergency-department-physiological-factors-identified-for-an-early-warning-system
#10
Michelle Geiss, Jill Chamberlain, Tamsyn Weaver, Carrie McCormick, Ashley Raufer, Lorna Scoggins, Lindsey Petersen, Shannon Davis, Deborah Edmonson
BACKGROUND: Many people with mental disorders in the United States remain either medically untreated or inadequately treated, which is often attributed to diagnostic overshadowing, a common occurrence across the nation in emergency departments. OBJECTIVE: The aim of this research is to create a tool that supports accurate assessment and distinguishing behavioral symptoms between psychiatric illness and coexisting medical conditions in the emergency department, thus leading to appropriate care and placement...
August 1, 2017: Journal of the American Psychiatric Nurses Association
https://www.readbyqxmd.com/read/28828046/modern-use-of-echocardiography-in-transcatheter-aortic-valve-replacement-an-up-date
#11
Cristina Caldararu, Serban Balanescu
Echocardiography is the cornerstone in the diagnosis of any valvular heart disease. The accurate diagnosis of aortic stenosis, the left ventricle function and the other heart valves evaluation are currently done by ultrasound alone. Prosthetic valve choice and dimensions prior to implantation can be done solely by proper use of echocardiography. The emergence of new methods to cure aortic stenosis such as trans-catheter aortic valve replacement (TAVR) emphasized the diagnostic value of cardiac ultrasound. The usefulness of echocardiography in TAVR can be divided in the baseline assessment (common to patients treated by conventional surgery), intra-procedural guidance of valve deployment and post-procedural follow-up...
December 2016: Mædica
https://www.readbyqxmd.com/read/28609146/chronic-pain-management-group-psychotherapy-for-psychiatric-inpatients-a-pilot-study
#12
Patricia J Osborne, Gladys Janice Jimenez-Torres, Yulia Landa, Jane Mahoney, Alok Madan
Individuals with serious mental illness (SMI) experience significant comorbid chronic pain (CP). Little is known about CP management in psychiatric inpatient settings. To address this gap in clinical practice, the authors developed CP management group psychotherapy for adult inpatients with SMI. In this report, the authors highlight (1) the theoretical underpinnings of and execution of the psychotherapy group, (2) the characteristics of participants in the pilot phase of the group, and (3) outcomes of group participants...
2017: Bulletin of the Menninger Clinic
https://www.readbyqxmd.com/read/28314546/liaison-psychiatry-professionals-views-of-general-hospital-care-for-patients-with-mental-illness-the-care-of-patients-with-mental-illness-in-the-general-hospital-setting
#13
J Noblett, A Caffrey, T Deb, A Khan, E Lagunes-Cordoba, O Gale-Grant, C Henderson
OBJECTIVE: Explore the experiences of liaison psychiatry professionals, to gain a greater understanding of the quality of care patients with mental illness receive in the general hospital setting; the factors that affect the quality of care; and their insights on interventions that could improve care. METHODS: A survey questionnaire and qualitative in depth interviews were used to collect data. Data collection took place at the Royal College of Psychiatrists Faculty of Liaison Psychiatry Annual conference...
April 2017: Journal of Psychosomatic Research
https://www.readbyqxmd.com/read/28274264/a-unique-pattern-of-cortical-connectivity-characterizes-patients-with-attention-deficit-disorders-a-large-electroencephalographic-coherence-study
#14
COMPARATIVE STUDY
Frank H Duffy, Aditi Shankardass, Gloria B McAnulty, Heidelise Als
BACKGROUND: Attentional disorders (ADD) feature decreased attention span, impulsivity, and over-activity interfering with successful lives. Childhood onset ADD frequently persists to adulthood. Etiology may be hereditary or disease associated. Prevalence is 5% but recognition may be 'overshadowed' by comorbidities (brain injury, mood disorder) thereby escaping formal recognition. Blinded diagnosis by MRI has failed. ADD may not itself manifest a single anatomical pattern of brain abnormality but may reflect multiple, unique responses to numerous and diverse etiologies...
March 9, 2017: BMC Medicine
https://www.readbyqxmd.com/read/28107153/human-trafficking-mental-illness-and-addiction-avoiding-diagnostic-overshadowing
#15
Hanni Stoklosa, Marti MacGibbon, Joseph Stoklosa
This article reviews an emergency department-based clinical vignette of a trafficked patient with co-occurring pregnancy-related, mental health, and substance use disorder issues. The authors, including a survivor of human trafficking, draw on their backgrounds in addiction care, human trafficking, emergency medicine, and psychiatry to review the literature on relevant general health and mental health consequences of trafficking and propose an approach to the clinical complexities this case presents. In their discussion, the authors explicate the deleterious role of implicit bias and diagnostic overshadowing in trafficked patients with co-occurring addiction and mental illness...
January 1, 2017: AMA Journal of Ethics
https://www.readbyqxmd.com/read/28000357/conceptualizing-and-treating-social-anxiety-in-autism-spectrum-disorder-a-focus-group-study-with-multidisciplinary-professionals
#16
Debbie Spain, Freya Rumball, Lucy O'Neill, Jacqueline Sin, Jonathan Prunty, Francesca Happé
BACKGROUND: Individuals who have autism spectrum disorders (ASD) commonly experience social anxiety (SA). Disentangling SA symptoms from core ASD characteristics is complex, partly due to diagnostic overshadowing and co-occurring alexithymia. Causal and maintaining mechanisms for SA in ASD are underexplored, but it is feasible that there is an ASD specificity to the clinical presentation, with implications for the development of targeted treatments. METHODS: Five focus groups were conducted with multidisciplinary professionals to investigate their perspectives about, and approaches to, working with individuals with ASD and SA...
December 21, 2016: Journal of Applied Research in Intellectual Disabilities: JARID
https://www.readbyqxmd.com/read/27910609/x-ray-thomson-scattering-measurements-from-hohlraum-driven-spheres-on-the-omega-laser
#17
A M Saunders, A Jenei, T Döppner, R W Falcone, D Kraus, A Kritcher, O L Landen, J Nilsen, D Swift
X-ray Thomson scattering (XRTS) is a powerful diagnostic for probing warm and hot dense matter. We present the design and results of the first XRTS experiments with hohlraum-driven CH2 targets on the OMEGA laser facility at the Laboratory for Laser Energetics in Rochester, NY. X-rays seen directly from the XRTS x-ray source overshadow the elastic scattering signal from the target capsule but can be controlled in future experiments. From the inelastic scattering signal, an average plasma temperature is inferred that is in reasonable agreement with the temperatures predicted by simulations...
November 2016: Review of Scientific Instruments
https://www.readbyqxmd.com/read/27901303/diagnostic-masking-and-overshadowing-in-intellectual-disability-how-structured-evaluation-helps
#18
Harshini Manohar, Karthick Subramanian, Preeti Kandasamy, Venkatalakshmi Penchilaiya, Anandbabu Arun
PROBLEM: Comorbid psychiatric diagnoses tend to be underdiagnosed in patients with intellectual disability. Diagnosing anxiety disorders in such patients can pose challenges, in particular with regard to obsessive and compulsive disorder (OCD). METHODS: We present the case of an adolescent diagnosed with intellectual disability with poor expressive language skills who presented with nonspecific mood and behavioral symptoms, not improving with routine clinical evaluations and treatment...
November 30, 2016: Journal of Child and Adolescent Psychiatric Nursing
https://www.readbyqxmd.com/read/27867441/the-role-of-computed-tomography-in-the-diagnostics-of-diaphragmatic-injury-after-blunt-thoraco-abdominal-trauma
#19
Agata Gmachowska, Ryszard Pacho, Agnieszka Anysz-Grodzicka, Leopold Bakoń, Maria Gorycka, Wawrzyniec Jakuczun, Waldemar Patkowski
BACKGROUND: Diaphragmatic injuries occur in 0.8-8% of patients with blunt trauma. The clinical diagnosis of diaphragmatic rupture is difficult and may be overshadowed by associated injuries. Diaphragmatic rupture does not resolve spontaneously and may cause life-threatening complications. The aim of this study was to present radiological findings in patients with diaphragmatic injury. MATERIAL/METHODS: The analysis of computed tomography examinations performed between 2007 and 2012 revealed 200 patients after blunt thoraco-abdominal trauma...
2016: Polish Journal of Radiology
https://www.readbyqxmd.com/read/27847557/thoracic-ultrasound-a-complementary-diagnostic-tool-in-cardiology
#20
REVIEW
Guglielmo M Trovato
Clinical assessment and workup of patients referred to cardiologists may need an extension to chest disease. This requires more in-depth examination of respiratory co-morbidities due to uncertainty or severity of the clinical presentation. The filter and integration of ecg and echocardiographic information, addressing to the clues of right ventricular impairment, pulmonary embolism and pulmonary hypertension, and other less frequent conditions, such as congenital, inherited and systemic disease, usually allow more timely diagnosis and therapeutic choice...
October 26, 2016: World Journal of Cardiology
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