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Diagnostic overshadowing

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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
#1
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
#2
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
#3
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
#4
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
#5
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
#6
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
#7
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
#8
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
https://www.readbyqxmd.com/read/27630587/performing-surgery-commonalities-with-performers-outside-medicine
#9
Roger L Kneebone
This paper argues for the inclusion of surgery within the canon of performance science. The world of medicine presents rich, complex but relatively under-researched sites of performance. Performative aspects of clinical practice are overshadowed by a focus on the processes and outcomes of medical care, such as diagnostic accuracy and the results of treatment. The primacy of this "clinical" viewpoint-framed by clinical professionals as the application of medical knowledge-hides resonances with performance in other domains...
2016: Frontiers in Psychology
https://www.readbyqxmd.com/read/27230306/-that-red-flag-on-your-file-misinterpreting-physical-symptoms-as-mental-illness
#10
Brenda Happell, Stephanie B Ewart, Julia Bocking, Chris Platania-Phung, Robert Stanton
AIMS AND OBJECTIVES: To ascertain the views and experiences of mental health consumers regarding the availability and quality of care and treatment received for their physical health needs. BACKGROUND: People diagnosed with mental illness have higher occurrence of physical health problems. Responsive health care services are crucial for prevention and management of physical health problems, and for reducing disparities in health between people diagnosed with mental illness and those who are not...
October 2016: Journal of Clinical Nursing
https://www.readbyqxmd.com/read/26777882/a-qualitative-analysis-of-the-effects-of-a-comorbid-disordered-gambling-diagnosis-with-schizophrenia
#11
Igor Yakovenko, Cameron M Clark, David C Hodgins, Vina M Goghari
Little research has examined the association between disordered gambling and psychosis. In addition, clinicians treating schizophrenia or schizoaffective disorders rarely screen for or treat comorbid gambling problems due to diagnostic overshadowing. Thus, the effects of disordered gambling on symptoms of schizophrenia and vice versa remain largely unexplored and unidentified in research and clinical practice. The goal of the present study was to explore qualitatively the reciprocal associations between schizophrenia/schizoaffective disorder and disordered gambling through content and functional analyses from the perspective of the affected individual...
March 2016: Schizophrenia Research
https://www.readbyqxmd.com/read/26677453/unilateral-neuropathic-arthropathy-of-the-shoulder-secondary-to-syringomyelia-diagnostic-challenges
#12
Partha Pratim Chakraborty, Saumik Datta, Sayantan Ray, Rana Bhattacharjee, Subhankar Chowdhury
Neuropathic arthropathy of the shoulder is a rare disorder characterized by joint degeneration, and is associated with loss of sensory innervation. Syringomyelia is a disease in which fluid-containing cavities (syrinxes) form within the spinal cord. Here, we report a case of neuropathic arthropathy of the shoulder secondary to syringomyelia in a 40-year-old woman. X-rays of the left shoulder revealed damage to bone and joint architecture. Blood tests indicated vitamin D deficiency and secondary hyperparathyroidism...
December 16, 2015: World Journal of Clinical Cases
https://www.readbyqxmd.com/read/26590616/management-of-mental-ill-health-in-people-with-autism-spectrum-disorder
#13
REVIEW
Kitty-Rose Foley, Julian Trollor
BACKGROUND: Adults with autism spectrum disorder (ASD) may require medical assessment and care, especially for mental health conditions. Although substantial knowledge and resources are available regarding the management of mental ill health in children with ASD, substantial gaps remain for adults with ASD. Diagnostic overshadowing, limitations of communication skills and the heterogeneous nature of this patient population can make practice in this area more challenging, and can contribute to poorer outcomes, including overprescribing of psychotropic medications...
2015: Australian Family Physician
https://www.readbyqxmd.com/read/26144809/-health-managers-and-the-notion-of-giving
#14
Dominique Bourgeon
Within medical care units, administrative and managerial functions are often overshadowed by the curative or diagnostic acts. In this context, health managers must give their availability in order to legitimize their action. Compared to the medical procedures, their gift of time often remains invisible, unseen and therefore unacknowledged.
December 2014: Soins; la Revue de Référence Infirmière
https://www.readbyqxmd.com/read/26136457/15-years-of-paraganglioma-pathology-of-pheochromocytoma-and-paraganglioma
#15
REVIEW
Arthur S Tischler, Ronald R deKrijger
Pathologists using their routine diagnostic tools can contribute both to the care of patients with pheochromocytoma/paraganglioma and to understanding the pathobiology of the tumors. They can document details of tissue organization and cytology that are accessible only by microscopy and can characterize admixtures of cell types that are morphologically distinct or show differential expression of immunohistochemical markers. Current roles and challenges for pathologists include differential diagnosis, identifying clues to the presence of hereditary disease, and effective communication of pathology information for clinical and research purposes...
August 2015: Endocrine-related Cancer
https://www.readbyqxmd.com/read/25976065/diagnostic-overshadowing-in-a-population-of-children-with-neurological-disabilities-a-cross-sectional-descriptive-study-on-acquired-adhd
#16
J G M Hendriksen, J C A W Peijnenborgh, A P Aldenkamp, J S H Vles
AIM: Diagnostic overshadowing refers to the underdiagnosis of comorbid conditions in children with known neurological diagnoses. To demonstrate diagnostic overshadowing we determined the prevalence of attention deficit-hyperactivity disorders (ADHD) in a cohort of children with a wide range of neurological disabilities. METHOD: The study cohort consisted of 685 children (mean age 10.3 years, SD: 3.1; 425 boys and 260 girls) who visited a tertiary outpatient multidisciplinary clinic for neurological learning disabilities...
September 2015: European Journal of Paediatric Neurology: EJPN
https://www.readbyqxmd.com/read/25811932/exploring-the-effects-of-the-narrative-embodied-in-the-hearing-aid-fitting-process-on-treatment-outcomes
#17
RANDOMIZED CONTROLLED TRIAL
Graham Naylor, Marie Öberg, Gunilla Wänström, Thomas Lunner
OBJECTIVES: There is strong evidence from other fields of health, and growing evidence in audiology, that characteristics of the process of intervention as perceived by the client (embodied narratives) can have significant effects on treatment outcomes, independent of the technical properties of the intervention itself. This phenomenon deserves examination because studies of technical interventions that fail to take account of it may reach erroneous conclusions and because clinical practice can put such effects to therapeutic use...
September 2015: Ear and Hearing
https://www.readbyqxmd.com/read/25630089/-health-managers-and-giving
#18
Dominique Bourgeon
Within medical care units, administrative and managerial functions are often overshadowed by the curative or diagnostic acts. In this context, health managers must give their availability in order to legitimize their action. Compared to the medical procedures, their gift of time often remains invisible, unseen and therefore unacknowledged.
December 2014: Soins; la Revue de Référence Infirmière
https://www.readbyqxmd.com/read/25565746/carcinoma-ex-pleomorphic-adenoma-diagnostic-dilemma-and-treatment-protocol
#19
R Keerthi, Rohan P Raut, N Vaibhav, Abhishek Ghosh
Carcinoma ex pleomorphic adenoma (CXPA) is a carcinoma arising from a primary or recurrent benign pleomorphic adenoma. It often poses a diagnostic challenge to clinicians and pathologists. The entity is difficult to diagnose preoperatively. Pathological assessment is the gold standard for making the diagnosis. Treatment for CXPA often involves an ablative surgical procedure, which may be followed by radiotherapy. We report a case of a 65-year-old lady with a history of recurrent swelling in the left preauricular region and a history of surgery 10 years back, in the same region...
July 2014: Indian Journal of Dentistry
https://www.readbyqxmd.com/read/25526833/not-to-be-overshadowed-or-overlooked-functional-impairments-associated-with-comorbid-anxiety-disorders-in-youth-with-asd
#20
Connor M Kerns, Philip C Kendall, Hana Zickgraf, Martin E Franklin, Judith Miller, John Herrington
This study's objective was to examine associations between comorbid anxiety disorders and difficulties commonly attributed to both anxiety and ASD (autism spectrum disorder) including self-injury, depressive symptoms, functional communication, social skill deficits and parent stress, in a well-characterized sample of youth with ASD. Fifty-nine verbally fluent participants (7-17 years; 93% Caucasian) diagnosed with ASD and their parents completed semistructured diagnostic interviews to confirm ASD diagnosis and assess for anxiety disorders...
January 2015: Behavior Therapy
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