External Review (external + review)

Distribution by Scientific Domains


Selected Abstracts


Programs-That-Work: CDC's Guide to Effective Programs That Reduce Health-Risk Behavior of Youth

JOURNAL OF SCHOOL HEALTH, Issue 3 2002
Janet Collins
ABSTRACT: In response to requests from educators for effective programs that reduce health-risk behavior among youth, the Centers for Disease Control and Prevention initiated "Programs-That-Work" (PTW) in 1992 to identify health education programs with credible evidence of effectiveness, CDC identified as PTW two programs to reduce tobacco use and eight programs to reduce sexual risk behaviors. Eligible programs undergo a two-step external review to examine quality of the research evidence and the extent to which the programs are practical for use by health educators. If CDC identifies a program as a PTW on the basis of external review, the program is packaged and made available for dissemination to education and youth agencies. Communities ultimately make the decision about adopting a program, and CDC does not require their use. Thousands of educators have sought information about PTW through the CDC web site, informational brochures, and training. (J Sch Health, 2002;72(3):93,99) [source]


Policy on Acute Toxic Ingestion or Dermal or Inhalation Exposure

JOURNAL OF THE AMERICAN ACADEMY OF NURSE PRACTITIONERS, Issue 7 2003
ANP-C FAANP, Mary Jo Goolsby EdD
ABSTRACT Many nurse practitioners (NPs) practice in emergency and urgent-care settings, and fir more practical remote settings. NPs in each of these settings should be familiar with the assessment, stabilization, and treatment of patients who seek treatment for suspected intentional or accidental poisoning. This month's Clinical practice guideline (CPG) column reviews the "Clinical Policy for the Initial Approach to Patients Presenting With Acute Toxic Ingestion or Dermal or Inhalation Exposure." SUMMARY The ACEP "Clinical Policy for the Initial Approach to Patients Presenting With Acute Toxic Ingestion or Dermal or Inhalation Exposure" includes several helpful resources. In addition to recommending specific clinical actions in response to patient variables, the document includes a table identifying the antidote for many of the most commonly ingested drugs. These include digoxin, iron, opioids, salicylates, acetaminophen, and tricyclic antidepressants. The table also includes both the adult and pediatric dose of each listed antidote. A quick reference is included. This form can be used to guide the history, physical examination, and subsequent actions for treating patients with acute toxic ingestion or dermal or inhalation exposure. Finally, there is a quality assurance form to guide chart reviews. Many of the attributes of a well-developed guideline are identified in the report. The authors clearly identify the situations for which the recommendations are intended as well as those in which they do not apply. For instance, the guidance is not intended for use when patients are unstable and stabilization is the primary focus. It is also not intended for cases of radiation, parenteral, or eye exposure or of food poisoning. The authors describe the process used to develop the recommendations and identify the strength of the evidence on which each recommendation is based. The role of provider judgment in application of the guidance is addressed. Prior to its dissemination, the CPG was subjected to external review by dinical experts. This ACEP policy has applicability for the growing number of NPs working in emergency and urgent cafe settings as well as for those who must provide front line emergency care in remote settings. It provides a framework for responding to acute toxic exposures and provides several useful resources to assist the clinician in responding to situations in which accidental or intentional poisoning is suspected. [source]


Demographic variables routinely collected at colposcopic examination do not predict who will default from conservative management of cervical intraepithelial neoplasia I

AUSTRALIAN AND NEW ZEALAND JOURNAL OF OBSTETRICS AND GYNAECOLOGY, Issue 1 2005
Julie A. QUINLIVAN
Abstract Objective:, As a result of the low incidence of progression from low grade epithelial abnormalities to cervical intraepithelial neoplasia (CIN) 3 or cervical cancer, a conservative approach to management is supported, especially in young women. Loss to follow-up is a recognised problem with a conservative approach however, with women defaulting known to experience higher rates of cancer. Aim:, To determine if any routinely collected demographic variables could predict which Australian women would subsequently default from care having initially elected to have conservative management of CIN 1 lesions. Methods:, Prospectively collected data was audited on 279 women with a colposcopically directed biopsy diagnosis of CIN 1, confirmed on external review, who were enroled by their own choice into a conservative management program and monitored until a definitive lesion outcome was determined. Women who defaulted from follow-up and were lost to care providers despite follow-up appointments and reminder letters were compared to women who completed follow-up with either lesion resolution or progression requiring treatment, to establish if there were any demographic variables to predict default from care. Results:, Fifty-two (18.5%) women subsequently defaulted from follow-up. There were no significant differences in age, parity, proportion of women who were pregnant at diagnosis, smoking status, immunosuppressed or had a ,human papillomavirus (HPV) effect' reported on Pap-smear or colposcopic examination. Conclusion:, We cannot easily identify a subgroup of women who are more likely to default from follow-up of CIN 1 using routinely collected demographic data. Default from follow-up is a major risk with conservative approaches and further research to reduce default rates are required. [source]


Prescribing non-psychopharmacological agents: A new potential role for psychologists in primary care settings and specialty clinics

JOURNAL OF CLINICAL PSYCHOLOGY, Issue 10 2006
Jay E. Earles
At least 10 years have passed since the Department of Defense Psychopharmacology Demonstration Project graduated its first class of psychologists. All graduates of that program were credentialed to prescribe and the program received promising external reviews and audits. The profession has since moved well beyond the initial question, "Can and should psychologists prescribe?" posed over two decades ago. A number of professional schools and training institutions have implemented postdoctoral psychopharmacology training programs and over 20 states are actively pursuing legislative agendas. Given recent initiatives to provide health psychology services within the primary care arena, the authors introduce a new role in the scope of psychology's prescribing activities. They propose that psychopharmacological agents are not the only medications psychologists should be trained to prescribe and psychopharmacology training should include course work and supervision related to treatment within a primary care patient setting in addition to a traditional psychiatric one. The authors provide the rationale for primary care clinical health psychology training as the appropriate mechanism for psychopharmacology education and practice. Public health needs and epidemiological data provide the rationale for health psychologists additionally prescribing non-psychopharmacological agents. © 2006 Wiley Periodicals, Inc. J Clin Psychol 62: 1213,1220, 2006. [source]


The destinies of the low- and middle-income country submissions

ACTA PSYCHIATRICA SCANDINAVICA, Issue 4 2007
J. Konradsen
Objective:, To measure the number of submissions to Acta Pyschiatrica Scandinavica from low- and middle-income countries (LIC/MIC) compared with submissions from high income countries (HIC), to compare the way through the peer review process for the three groups respectively, as well as how they do as published articles eventually. Method:, By help of the Acta Psychiatrica Scandinavica editorial office database all submissions of reviews of the literature, clinical overviews, original articles, brief communications, and case reports from 2002 through 2005 were analysed as to external/in-house review, acceptance/rejection, number of downloads from Blackwell-Synergy, and number of citations [Institute of Scientific Information (ISI)] in a comparison between HIC and LIC/MIC. Results:, About 14.6% of the total submissions in 2002/2003 came from LIC and MIC countries, 15.5% for the 2004/2005 period. In both periods, a larger portion of LIC/MIC manuscripts were reviewed exclusively in-house compared with HIC ones and among those papers reviewed by external experts a smaller proportion of the submissions from HIC countries were rejected than of those from LIC and MIC countries. From the first to the second period there is a significant increase of proportion of submitted LIC/MIC papers accepted for publication compared with HIC papers. Full text download and citation statistics did not differ significantly between HIC and LIC/MIC. Conclusion:, Low- and middle-income countries manuscripts do gradually better in the competition with HIC papers in Acta Psychiatrica Scandinavica. The major observation is that the total number of LIC/MIC submissions to the journal is still low. [source]