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Computerized screening

Dania Hirsch, Gloria Tsvetov, Yossi Manisterski, Nirit Aviran-Barak, Varda Nadler, Sandra Alboim, Vered Kopel
OBJECTIVE: To investigate the incidence of Cushing's syndrome (CS) in patients with significant hypercortisoluria and the performance of urinary free cortisol (UFC) screening. DESIGN: Retrospective file review. METHODS: The computerized database of a publicly funded health maintenance organization (HMO) in Israel was searched for all patients who underwent 24-hour UFC testing in 2005-2014 with a result of more than twice the upper limit of normal (ULN)...
October 13, 2016: European Journal of Endocrinology
Ging-Long Wang, Chih-Tao Cheng, An-Chen Feng, Sheng-Hui Hsu, Yi-Chen Hou, Chiu-Yuan Chiu
OBJECTIVE: Beginning in 2007, all newly diagnosed cancer patients at the Koo Foundation Sun Yat-Sen Cancer Center (KF-SYSCC) were screened for psychosocial distress. Our social workers, as part of the psychosocial care team (PCT), have engaged in proactive outreach with patients identified as distressed. The goal of the present study was to assess the prevalence of psychosocial distress and the extent of contact between the PCT and distressed patients. METHOD: Newly diagnosed patients who were treated at KF-SYSCC between 2007 and 2010 for cancer were eligible if there were at least 100 patients with the same type of cancer...
October 4, 2016: Palliative & Supportive Care
Annemarie de Vos, Jane-Murray Cramm, Jeroen D H van Wijngaarden, Ton J E M Bakker, Johan P Mackenbach, Anna P Nieboer
BACKGROUND: The Prevention and Reactivation Care Program (PReCaP) provides a novel approach targeting hospital-related functional decline among elderly patients. Despite the high expectations, the PReCaP was not effective in preventing functional decline (ADL and iADL) among older patients. Although elderly PReCaP patients demonstrated slightly better cognitive functioning (Mini Mental State Examination; 0.4 [95% confidence interval (CI) 0.2-0.6]), lower depression (Geriatric Depression Scale 15; -0...
September 29, 2016: International Journal of Health Planning and Management
Aimilia Gastounioti, Emily F Conant, Despina Kontos
BACKGROUND: The assessment of a woman's risk for developing breast cancer has become increasingly important for establishing personalized screening recommendations and forming preventive strategies. Studies have consistently shown a strong relationship between breast cancer risk and mammographic parenchymal patterns, typically assessed by percent mammographic density. This paper will review the advancing role of mammographic texture analysis as a potential novel approach to characterize the breast parenchymal tissue to augment conventional density assessment in breast cancer risk estimation...
2016: Breast Cancer Research: BCR
Silvio Scena, Roberto Steindler, Moira Ceci, Stefano Maria Zuccaro, Eli Carmeli
BACKGROUND: The ability to maintain static and dynamic balance is a prerequisite for safe walking and for obtaining functional mobility. For this reason, a reliable and valid means of screening for risk of falls is needed. The functional reach test (FRT) is used in many countries, yet it does not provide some kinematic parameters such as shoulder or pelvic girdles translation. The purpose was to analyze video records measuring of distance, velocity, time length, arm direction and girdles translation while doing FRT...
October 2016: Journal of Clinical Medicine Research
Jennifer K Plichta, Molly Griffin, Joseph Thakuria, Kevin S Hughes
The advent of next-generation sequencing, and its transition further into the clinic with the US Food and Drug Administration approval of a cystic fibrosis assay in 2013, have increased the speed and reduced the cost of DNA sequencing. Coupled with a historic ruling by the Supreme Court of the United States that human genes are not patentable, these events have caused a seismic shift in genetic testing in clinical medicine. More labs are offering genetic testing services; more multigene panels are available for gene testing; more genes and gene mutations are being identified; and more variants of uncertain significance, which may or may not be clinically actionable, have been found...
September 15, 2016: Oncology (Williston Park, NY)
R Landin-Romero, P J McKenna, A Romaguera, E Álvarez-Moya, S Sarró, C Aguirre, C Sarri, A Compte, C Bosque, R Salvador, E Pomarol-Clotet
BACKGROUND: A key finding underlying the continuum of psychosis concept is the presence of psychotic-like experiences (PLEs) in healthy subjects. However, it remains uncertain to what extent these experiences are related to the genetic risk for schizophrenia and how far they actually resemble attenuated forms of psychotic symptoms. METHODS: Forty-nine adults with no history of mental illness in first-degree relatives and 59 siblings of patients with schizophrenia were rated on the psychosis section of the Computerized Diagnostic Interview Schedule IV (C DIS-IV) and the Rust Inventory of Schizotypal Cognitions (RISC)...
September 12, 2016: Schizophrenia Research
Joshua Borus, Iman Parhami, Sharon Levy
Screening, Brief Intervention, and Referral to Treatment is a quick, effective technique with which to manage substance use in adolescents and young adults. Use of a validated measure for detecting substance use and abuse is significantly more effective than unvalidated tools or provider intuition. There are a variety of validated tools available to use in the adolescent/young adult population, and there are opportunities to increase the efficiency and scalability of screening by using computerized questionnaires...
October 2016: Child and Adolescent Psychiatric Clinics of North America
Yuval Barak-Corren, Victor M Castro, Solomon Javitt, Alison G Hoffnagle, Yael Dai, Roy H Perlis, Matthew K Nock, Jordan W Smoller, Ben Y Reis
OBJECTIVE: The purpose of this article was to determine whether longitudinal historical data, commonly available in electronic health record (EHR) systems, can be used to predict patients' future risk of suicidal behavior. METHOD: Bayesian models were developed using a retrospective cohort approach. EHR data from a large health care database spanning 15 years (1998-2012) of inpatient and outpatient visits were used to predict future documented suicidal behavior (i...
September 9, 2016: American Journal of Psychiatry
Christine M Khosropour, Julia C Dombrowksi, James P Hughes, Lisa E Manhart, Matthew R Golden
Enrolling large numbers of high-risk men who have sex with men (MSM) into human immunodeficiency virus (HIV) prevention studies is necessary for research with an HIV outcome, but the resources required for in-person recruitment can be prohibitive. New methods with which to efficiently recruit large samples of MSM are needed. At a sexually transmitted disease clinic in Seattle, Washington, in 2013-2014, we used an existing clinical computer-assisted self-interview that collects patients' medical and sexual history data to recruit, screen, and enroll MSM into an HIV behavioral risk study and compared enrollees with men who declined to enroll...
September 15, 2016: American Journal of Epidemiology
Nurgül Bozkurt, Belkıs Yurdasal, Ali İhsan Bozkurt, Özlem Yılmaz, Mahmut Tekin
BACKGROUND: Dental laboratory technician is one of the professions in which dust exposure is frequently experienced and therefore the health of workers has to be monitored. AIMS: In this study, changes in the pulmonary functions and of pneumoconiosis frequencies among dental technicians after five years were investigated by comparing the results of two screenings carried out in 2008 and 2013. STUDY DESIGN: Cohort study. METHODS: In 2008 and 2013, Provincial Health Directorate carried out two different health screenings covering all of the dental technicians working in dental laboratories in Denizli...
July 2016: Balkan Medical Journal
Shin Hye Kim, Byung Yoon Choi, Jaehong Park, Eun Young Jung, Soo-Hyun Cho, Kyo Hoon Park
BACKGROUND: Sensorineural hearing loss (SNHL) is a multifactorial disease that more frequently affects preterm newborns. Although a number of maternal conditions have been reported to be associated with preterm birth, little information is available concerning maternal risk factors for the development of SNHL. We aimed to identify maternal and placental risk factors associated with a "refer" result on the newborn hearing screening (NHS) test and subsequently confirmed SNHL in very preterm neonates...
August 9, 2016: Pediatrics and Neonatology
Candice A Myers, Jeffrey N Keller, H Raymond Allen, Robert M Brouillette, Heather Foil, Allison B Davis, Frank L Greenway, William D Johnson, Corby K Martin
Dementia is a chronic condition in the elderly and depression is often a concurrent symptom. As populations continue to age, accessible and useful tools to screen for cognitive function and its associated symptoms in elderly populations are needed. The aim of this study was to test the reliability and validity of a new internet-based assessment battery for screening mood and cognitive function in an elderly population. Specifically, the Helping Hand Technology (HHT) assessments for depression (HHT-D) and global cognitive function (HHT-G) were evaluated in a sample of 57 elderly participants (22 male, 35 female) aged 59-85 years...
October 18, 2016: Journal of Alzheimer's Disease: JAD
Wenqing Sun, Tzu-Liang Bill Tseng, Jianying Zhang, Wei Qian
BACKGROUND AND OBJECTIVE: A large number of labeled medical image data is usually a requirement to train a well-performed computer-aided detection (CAD) system. But the process of data labeling is time consuming, and potential ethical and logistical problems may also present complications. As a result, incorporating unlabeled data into CAD system can be a feasible way to combat these obstacles. METHODS: In this study we developed a three stage semi-supervised learning (SSL) scheme that combines a small amount of labeled data and larger amount of unlabeled data...
October 2016: Computer Methods and Programs in Biomedicine
Clare L Brown, Helen L Mulcaster, Katherine L Triffitt, Dean F Sittig, Joan S Ash, Katie Reygate, Andrew K Husband, David W Bates, Sarah P Slight
OBJECTIVE: To understand the different types and causes of prescribing errors associated with computerized provider order entry (CPOE) systems, and recommend improvements in these systems. MATERIALS AND METHODS: We conducted a systematic review of the literature published between January 2004 and June 2015 using three large databases: the Cumulative Index to Nursing and Allied Health Literature, Embase, and Medline. Studies that reported qualitative data about the types and causes of these errors were included...
August 30, 2016: Journal of the American Medical Informatics Association: JAMIA
Ikenna C Okereke, Maria F Bates, Matthew D Jankowich, Sharon I Rounds, Brian A Kimble, Janelle V Baptiste, Thomas T Ng, Linda L Nici
BACKGROUND: Lung cancer screening recommendations have been developed, but none has focused on veterans. We report the results of the lung cancer screening program at our Veterans Affairs Medical Center and compare them to historic results. METHODS: All veterans between 55 and 74 years who were current smokers or quit within the past 15 years and had at least a 30 pack year smoking history were invited to receive an annual low-dose chest computerized tomography (CT) scan beginning in December 2013...
August 24, 2016: Chest
Tanya P Bozhkova
BACKGROUND: Normal occlusal and articulation relations between the jaws ensure equal distribution of occlusal forces during mastication. A T-SCAN system allows these relations to be measured dynamically during the articulation cycle. AIM: To evaluate the T-SCAN III system in measuring and assessing the forces of occlusal contacts and their digital presentation. PATIENTS AND METHODS: Thirty students aged 19 - 22 years were examined. Of these only one matched the study criteria: - intact dentition; - without or with class I fillings in teeth 36 or 46; - Angle's class I jaw relation We used a computerized occlusal analysis system T-SCAN in the study...
April 2016: Folia Medica
Lauren Arundell, Elly Fletcher, Jo Salmon, Jenny Veitch, Trina Hinkley
BACKGROUND: Independent of physical activity levels, youth sedentary behaviors (SB) have negative health outcomes. SB prevalence estimates during discretionary periods of the day (e.g., after-school), inform the need for targeted period-specific interventions. This systematic review aimed to determine children's and adolescents' SB prevalence during the after-school period. METHODS: A computerized search was conducted in October 2015 (analysed November 2015). Inclusion criteria were: published in a peer-reviewed English journal; participants aged 5-18 years; measured overall after-school sedentary time (ST) objectively, and/or specific after-school SBs (e...
2016: International Journal of Behavioral Nutrition and Physical Activity
Nidhi Jain, Malvi Savani, Manyoo Agarwal, Dipen Kadaria
BACKGROUND: Hypoglycemia in a critical care setting is often multifactorial with iatrogenic insulin use, sulfonylurea (SU) use, sepsis, adrenal insufficiency and insulinoma among the common causes. Insulin autoimmune syndrome (IAS) is a rare cause of hypoglycemia characterized by the presence of insulin-binding autoantibodies to the sulfhydryl group-containing agents. We report a case of methimazole-induced IAS managed in the intensive care unit. CASE PRESENTATION: A 76-year-old woman with a history of primary hyperthyroidism was sent from a nursing home for unresponsiveness...
August 2016: Therapeutic Advances in Endocrinology and Metabolism
Isabelle Ingrand, Gautier Defossez, Jean-Pierre Richer, David Tougeron, Nicolas Palierne, Jean-Christophe Letard, Michel Beauchant, Pierre Ingrand
BACKGROUND: Colonoscopic screening is recommended for first-degree relatives of patients diagnosed with colorectal cancer (CRC) or colorectal adenomatous polyps (CAP) before the age of 60 years. This has the potential to reduce CRC-related morbidity and mortality, but uptake is currently inadequate. METHODS: The aim of the study was to compare the effectiveness of standard information versus a nurse-led tailored intervention designed to promote uptake of colonoscopy screening by siblings of CRC or CAP patients...
August 2016: Medicine (Baltimore)
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