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emergency screener

Lisa J White, Daryl B Greenfield
A growing percentage of low-income children in the United States come from Spanish-speaking homes and are dual language learners (DLLs). Recent research shows that bilingual children, compared to monolinguals, have enhanced executive functioning (EF), a set of foundational cognitive skills that predict higher social-emotional competence and academic achievement in preschool and beyond. Although this association has been found among children of different backgrounds, no study to date has assessed whether bilingual Latino preschoolers from low-income backgrounds have higher EF than their monolingual peers and their emerging bilingual peers, respectively...
October 23, 2016: Developmental Science
Nicole K Smith, Kelly Cleland, Brandon Wagner, James Trussell
OBJECTIVES: This study describes women's reasons for seeking ulipristal acetate (UPA) for emergency contraception (EC) through the only authorized online retailer for UPA EC in the US. STUDY DESIGN: Women aged 14 to 59 years, living in states that allow prescription medications to be shipped from out-of-state, accessed the KwikMed online pharmacy between January 2011 and December 2015. After completing a medical eligibility screener, women answered optional multiple-choice questions...
October 18, 2016: Contraception
Keith E Pearson, Virginia G Wadley, Leslie A McClure, James M Shikany, Fred W Unverzagt, Suzanne E Judd
Identifying factors that contribute to the preservation of cognitive function is imperative to maintaining quality of life in advanced years. Of modifiable risk factors, diet quality has emerged as a promising candidate to make an impact on cognition. The objective of this study was to evaluate associations between empirically derived dietary patterns and cognitive function. This study included 18 080 black and white participants aged 45 years and older from the REasons for Geographic And Racial Differences in Stroke (REGARDS) cohort...
2016: Journal of Nutritional Science
Wenfei Zhu, Virginia G Wadley, Virginia J Howard, Brent Hutto, Steven N Blair, Steven P Hooker
PURPOSE: Emerging evidence suggests physical activity (PA) is associated with cognitive function. To overcome limitations of self-report PA measures, this study investigated the association of accelerometer-measured PA with incident cognitive impairment and longitudinal cognition among older adults. METHODS: Participants were recruited from the cohort study, REasons for Geographic and Racial Differences in Stroke (REGARDS), in U.S. Accelerometers provided PA measures, including percent of total accelerometer wearing time spent in moderate-to-vigorous intensity PA (MVPA%), light-intensity PA and sedentary time, for 4-7 consecutive days at baseline...
August 30, 2016: Medicine and Science in Sports and Exercise
John D McLennan, Harriet L MacMillan
BACKGROUND: Family physicians and other primary care practitioners are encouraged or expected to screen for an expanding array of concerns and problems including intimate partner violence (IPV). While there is no debate about the deleterious impact of violence and other adverse psychosocial exposures on health status, the key question raised here is about the value of routine screening in primary care for such exposures. DISCUSSION: Several characteristics of IPV have led to consideration for routine IPV screening in primary care and during other healthcare encounters (e...
2016: BMC Family Practice
Fleur L Sutorius, Emiel O Hoogendijk, Bernard A H Prins, Hein P J van Hout
BACKGROUND: Many instruments have been developed to identify frail older adults in primary care. A direct comparison of the accuracy and prevalence of identification methods is rare and most studies ignore the stepped selection typically employed in routine care practice. Also it is unclear whether the various methods select persons with different characteristics. We aimed to estimate the accuracy of 10 single and stepped methods to identify frailty in older adults and to predict adverse health outcomes...
2016: BMC Family Practice
(no author information available yet)
The Joint Commission (TJC) issued a Sentinel Event Alert, noting that in too many instances healthcare providers are not recognizing signs of suicide risk in patients who present for care. While the agency calls on all frontline providers to screen for suicide risk, experts note the issue is of particular importance to EDs because this is one of the most likely places for patients at high risk for suicide to present. Beyond identifying risk, experts note emergency providers and staff must receive training to effectively manage patients at risk for suicide...
May 2016: ED Management: the Monthly Update on Emergency Department Management
Meredith O'Connor, Stefanie Rosema, Jon Quach, Amanda Kvalsvig, Sharon Goldfeld
AIM: A fifth of children enter school with special health care needs (SHCN) impacting on their physical, psychosocial or educational development, including many with emerging SHCN who often do not qualify for additional supports. This study aimed to compare the perceptions of parents and teachers on children's emerging SHCN, and explore correlates of conflicting reports. METHODS: The Longitudinal Study of Australian Children (LSAC) is a nationally representative study of Australian children, which includes the abbreviated Children with Special Health Care Needs Screener...
May 11, 2016: Journal of Paediatrics and Child Health
David Beiser, Milkie Vu, Robert Gibbons
OBJECTIVE: Computerized adaptive testing (CAT) provides improved precision and decreased test burden compared with traditional, fixed-length tests. Concerns have been raised regarding reliability of CAT-based measurements because the items administered vary both between and within individuals over time. The study measured test-retest reliability of the CAT Depression Inventory (CAT-DI) for assessment of depression in a screening setting where most scores fall in the normal range. METHODS: A random sample of adults (N=101) at an academic emergency department (ED) was screened twice with the CAT-DI during their visit...
September 1, 2016: Psychiatric Services: a Journal of the American Psychiatric Association
Ron Hoffman, John Hirdes, Gregory P Brown, Joel A Dubin, Howard Barbaree
Police agencies in Canada and elsewhere have received much criticism over how they respond to persons with serious mental disorders. The adequacy of training provided to police officers on mental health issues and in particular on recognizing indicators of serious mental disorders has been a major concern. This paper describes the process that led to the development of a new brief mental health screener (interRAI Brief Mental Health Screener, BMHS) designed to assist police officers to better identify persons with serious mental disorders...
July 2016: International Journal of Law and Psychiatry
Edwin D Boudreaux, Andrew Christopher Fischer, Brianna Lyn Haskins, Zubair Saeed Zafar, Guanling Chen, Sneha A Chinai
BACKGROUND: The administration of health screeners in a hospital setting has traditionally required (1) clinicians to ask questions and log answers, which can be time consuming and susceptible to error, or (2) patients to complete paper-and-pencil surveys, which require third-party entry of information into the electronic health record and can be vulnerable to error and misinterpretation. A highly promising method that avoids these limitations and bypasses third-party interpretation is direct entry via a computerized inventory...
2016: JMIR Human Factors
Ralph Hingson, Wenxing Zha, Bruce Simons-Morton, Aaron White
BACKGROUND: Alcohol-related blackouts are periods of amnesia that reflect the failure of the brain to record memories of what transpires while drinking. This paper examined the incidence, predictors, and behavioral correlates of blackouts among emerging adults and examined whether questions about blackouts could serve as better markers of risk for other alcohol related harms than questions about levels of consumption. METHODS: In 2012 to 2013, 1,463 (68%) of 2,140 respondents 1-year past high school reported having consumed alcohol...
April 2016: Alcoholism, Clinical and Experimental Research
Adam H Dyer, Robert Briggs, Shamis Nabeel, Desmond O'Neill, Sean P Kennelly
OBJECTIVES: A commonly cited reason for the infrequent detection of cognitive impairment in the Emergency Department (ED) is the lack of an appropriate screening tool. The Abbreviated Mental Test 4 (AMT4) is a brief instrument recommended for cognitive screening of older adults in the ED. However, its exact utility in the detection of altered mental status in the ED is yet to be fully determined. METHODS: The present study evaluated the ability of the AMT4 to identify impaired mental status in the ED, defined as positive scores on either the Confusion Assessment Method-ICU for delirium, the standardized Mini Mental State Examination as a general cognitive screener or the Eight-item Interview to Differentiate Aging and Dementia for dementia...
March 21, 2016: European Journal of Emergency Medicine: Official Journal of the European Society for Emergency Medicine
Edwin D Boudreaux, Michelle L Jaques, Kaitlyn M Brady, Adam Matson, Michael H Allen
This study evaluated the concurrent validity of a brief suicide risk screener for adults in the emergency department (ED). Two versions of the verbally administered Patient Safety Screener (2-item, 3-item) were compared to a reference standard, the Beck Scale for Suicide Ideation (BSSI). Analyses included measures of agreement (Kappa). Agreement between the Patient Safety Screener-2 and -3 and the BSSI (n = 951) was almost perfect for overall positive screening (K = 0.94-0.95) and past suicide attempts (K = 0...
February 24, 2016: Archives of Suicide Research: Official Journal of the International Academy for Suicide Research
Cielito C Reyes-Gibby, Karen O Anderson, Knox H Todd
OBJECTIVES: One of the most challenging areas of emergency medicine practice is the management and treatment of severe and persistent pain, including cancer-related pain. Emergency departments (EDs) in the United States frequently provide care for patients with cancer and an increasing concern is the potential for opioid misuse in this patient group. The authors determined the risk for opioid misuse among ED cancer patients with pain and assessed demographic and clinical factors associated with increased misuse risk...
February 2016: Academic Emergency Medicine: Official Journal of the Society for Academic Emergency Medicine
Adam H Dyer, Shamis Nabeel, Robert Briggs, Desmond O'Neill, Sean P Kennelly
PURPOSE OF THE STUDY: An informant history is critical in the complete cognitive assessments of older adults, but has never been formally assessed. STUDY DESIGN: A convenience sample of older adults aged ≥70 years were assessed using cognitive screeners for delirium (confusion assessment method-intensive care unit) and dementia (standardised Mini Mental State Examination and AD8) in a tertiary referral emergency department (ED). RESULTS: A total of 220/270 (81...
May 2016: Postgraduate Medical Journal
Renata F I Meuter, Philippe F Lacherez
OBJECTIVE: We aimed to assess the impact of task demands and individual characteristics on threat detection in baggage screeners. BACKGROUND: Airport security staff work under time constraints to ensure optimal threat detection. Understanding the impact of individual characteristics and task demands on performance is vital to ensure accurate threat detection. METHOD: We examined threat detection in baggage screeners as a function of event rate (i...
March 2016: Human Factors
Lorrene D Ritchie, Patricia Wakimoto, Gail Woodward-Lopez, Frances E Thompson, Catherine M Loria, Dawn K Wilson, Janice Kao, Patricia B Crawford, Karen L Webb
Multifaceted community interventions directed at improving food environments are emerging, but their impact on dietary change and obesity prevalence has not been adequately documented. The Healthy Communities Study (HCS) is seeking to identify characteristics and combinations of programs and policies that are associated with children's diets and obesity-related outcomes in various types of communities across the U.S. The purpose of this paper is to describe the methods used in 2013-2015 in the HCS to assess dietary intake, school nutrition environments, and other nutrition-related behaviors...
October 2015: American Journal of Preventive Medicine
Melody S Goodman, Richard T Griffey, Christopher R Carpenter, Melvin Blanchard, Kimberly A Kaphingst
BACKGROUND: Existing health literacy assessments developed for research purposes have constraints that limit their utility for clinical practice, including time requirements and administration protocols. The Brief Health Literacy Screen (BHLS) consists of 3 self-administered Single-Item Literacy Screener (SILS) questions and obviates these clinical barriers. We assessed whether the addition of SILS items or the BHLS to patient demographics readily available in ambulatory clinical settings reaching underserved patients improves the ability to identify limited health literacy...
September 2015: Journal of the American Board of Family Medicine: JABFM
Nancy Rumbaugh Whitesell, Michelle Sarche, Caitlin Trucksess
This study examined the feasibility of the Survey of Well-Being of Young Children (SWYC), a new screener for socioemotional and developmental problems and family risk in children birth to age 5 years, for use in American Indian and Alaska Native (AIAN) communities. A Community of Learning within the Tribal Early Childhood Research Center, composed of university researchers, tribal early childhood program staff and evaluators, and federal partners, utilized a community-based participatory research approach to guide this qualitative study...
September 2015: Infant Mental Health Journal
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