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Screening History (screening + history)
Selected AbstractsScreening history in those requiring fast track referral for proliferative diabetic retinopathy (PDR) in the ni diabetic retinopathy screening programmeACTA OPHTHALMOLOGICA, Issue 2009PM HART Purpose If PDR is detected at screening, an urgent referral to an ophthalmologist ensues. This outcome can be stressful for patients and for the ophthalmologists who may need to treat very quickly. Aim: To examine the screening history of those deemed to require an urgent referral, with a view to identifying missed cases of referable diabetic retinopathy in previous screening encounters; and risk factors for interval cases. Methods Fast tracked urgent referrals were identified from the NI DRSP database. Demographic factors and previous screening history were analysed. Results In 2006-7 18,887 attended for screening. 5.6% required referral to an eye clinic of which 0.3% were deemed urgent referrals (52 cases) 47 showed PDR; 5 had advanced NPDR in an only eye. 47% had Type 1 Diabetes; 52% had been diabetic for 20 years or more; 8% had been diabetic for 5 years or less. On feedback 98% were found to be appropriate referrals. At time of screening, 6 people had been lost to follow up from previous eye clinics. PDR was identified at the first screening event in the other 46 (88%). No cases were found where referral at a previous screening encounter would have been appropriate. Conclusion Especially during the early years, screening programmes are very likely to encounter sight threatening retinopathy not previously identified. Over time, the balance between referral early in the disease process, and late, will hopefully be achieved but until then clinics must be prepared to manage the unpredictable urgent referral. Commercial interest [source] Sexual health knowledge and risk behaviour in young people with first episode psychosisINTERNATIONAL JOURNAL OF MENTAL HEALTH NURSING, Issue 2 2005Heather Shield ABSTRACT:, The sexual health of clients has been poorly addressed by mental health service providers and sexually transmissible infection (STI) incidence rates are increasing among young people. A self-report questionnaire was used to gather information in order to describe and to conduct a cross-sectional analysis of sexual health knowledge, risk behaviour and STI screening history among young people who have experienced a first episode of psychosis, who present to community-based early psychosis programmes in south-eastern Sydney. STI knowledge was fair and sexual risk practice knowledge was poor regarding anal and oral sex. Women reported significantly more sexual partners than men. When those young people who had had unsafe sex attended for STI screens only, 5% received a complete screen. The survey result indicates a need for sexual health screening education to be conducted for clients. Against a background of escalating rates of HIV, STIs and high risk-taking behaviours among young people, it is essential that mental health staff are provided with the skills and education to address sexual health and harm minimization issues. [source] The prevalence and treatment needs of symptoms and signs of temporomandibular disorders among young adult malesJOURNAL OF ORAL REHABILITATION, Issue 9 2003N. J. Nassif Summary, A temporomandibular disorder (TMD) screening history and screening examination was performed on 523 young adult males. The screening forms were similar to those TMD forms developed and formulated under the auspices of the American College of Prosthodontists. In turn, the substance of the latter forms was initially derived from the recommendations of the President's TMD Conference of the American Dental Association, with 62 eminent researchers, educators and clinicians as participants. Each subject was given a TMD self-administered screening history form to complete, formatted in a check , the block format. It included all items considered to be classic TMD symptoms. The screening examination was performed extraorally and included (i) range of jaw movement, (ii) digital palpation of selected masticatory muscles and palpation over the pre-auricular temporomandibula joint (TMJ) area and (iii) digital palpation for TMJ sounds during jaw movement. The subjects were categorized into the following four categories: 0 = no symptoms/signs, 1 = insignificant moderate symptoms and/or signs, 2 = significant moderate symptoms and/or signs, and 3 = severe symptoms and/or signs. The overall results showed that 75% of the subjects had TMD symptoms and/or signs. There were 6·9% in category 1, 51·4% in category 2, and 16·7% in category 3. It was recommended that subjects in category 2 and 3 should have a comprehensive TMD evaluation, in order to further identify the recommended need for TMD Therapy. [source] Predictors of breast cancer-related distress following mammography screening in younger women on a family history breast screening programmePSYCHO-ONCOLOGY, Issue 12 2008K. Brain Abstract Objective: This longitudinal study investigated pre-screening factors that predicted breast cancer-specific distress among 1286 women who were undergoing annual mammography screening as part of a UK programme for younger women (i.e., under 50) with a family history of breast cancer. Methods: Women completed questionnaires one month prior to screening, and one and six months after receiving screening results. Factors measured were breast cancer worry, perceived risk, cognitive appraisals, coping, dispositional optimism, and background variables relating to screening history and family history. Results: Pre-screening cancer worry was the most important predictor of subsequent worry, explaining 56/61% and 54/57% of the variance at one and six months follow-up, respectively. Other salient pre-screening predictors included high perceived risk of breast cancer, appraisals of high relevance and threat associated with the family history, and low perceived ability to cope emotionally. Women who had previously been part of the screening programme and those with a relative who had recently died from breast cancer were also vulnerable to longer-term distress. A false positive screening result, pessimistic personality, and coping efforts relating to religion and substance use predicted outcomes of screening at one month follow-up, but were not predictive in the longer-term. Conclusion: Early intervention to ameliorate high levels of cancer-related distress and negative appraisals would benefit some women as they progress through the familial breast screening programme. Copyright © 2008 John Wiley & Sons, Ltd. [source] Influence of family history and preventive health behaviors on colorectal cancer screening in African AmericansCANCER, Issue 2 2008CRNP, Kathleen A. Griffith PhD Abstract BACKGROUND. African Americans (AAs) have low rates of colorectal cancer (CRC) screening. To the authors' knowledge, factors that influence their participation, especially individuals with a family history of CRC ("family history"), are not well understood. METHODS. A secondary analysis of the 2002 Maryland Cancer Survey data examined predictors of risk-appropriate, timely CRC screening ("screening") in AAs with a family history and in individuals without a family history. Predictors that were evaluated included age, sex, family history, mammogram or prostate-specific antigen (PSA) screening, body mass index, activity, fruit/vegetable consumption, alcohol, smoking, perceived risk of cancer, education, employment, insurance, access to a healthcare provider, and healthcare provider recommendation of fecal occult blood test (FOBT) and/or sigmoidoscopy/colonoscopy. RESULTS. In individuals without a family history of CRC (N = 492), recommendation for FOBT (odds ratio [OR] of 11.90; 95% confidence interval [95% CI], 6.84,20.71) and sigmoidoscopy/colonscopy (OR of 7.06; 95% CI, 4.11,12.14), moderate/vigorous activity (OR of 1.74; 95% CI, 1.06,2.28), and PSA screening history (OR of 2.68; 95% CI, 1.01,7.81) were found to be predictive of screening. In individuals with a family history (N = 88), recommendation for sigmoidoscopy/colonscopy (OR of 24.3; 95%, CI 5.30,111.34) and vigorous activity (OR of 5.21; 95% CI, 1.09,24.88) were found to be predictive of screening. However, family history did not predict screening when the analysis was controlled for age, education, and insurance. AAs who had a family history were less likely to screen compared with their white counterparts (N = 293) and compared with AAs who were at average risk for CRC (P < .05). CONCLUSIONS. Regardless of family history, healthcare provider recommendation and activity level were important predictors of screening. Lower screening rates were observed in AAs who had a family history compared with individuals who did not. The authors believe that, for AAs who have a family history, further examination of barriers and facilitators to CRC screening within the cultural context is warranted. Cancer 2008. © 2008 American Cancer Society. [source] Screening history in those requiring fast track referral for proliferative diabetic retinopathy (PDR) in the ni diabetic retinopathy screening programmeACTA OPHTHALMOLOGICA, Issue 2009PM HART Purpose If PDR is detected at screening, an urgent referral to an ophthalmologist ensues. This outcome can be stressful for patients and for the ophthalmologists who may need to treat very quickly. Aim: To examine the screening history of those deemed to require an urgent referral, with a view to identifying missed cases of referable diabetic retinopathy in previous screening encounters; and risk factors for interval cases. Methods Fast tracked urgent referrals were identified from the NI DRSP database. Demographic factors and previous screening history were analysed. Results In 2006-7 18,887 attended for screening. 5.6% required referral to an eye clinic of which 0.3% were deemed urgent referrals (52 cases) 47 showed PDR; 5 had advanced NPDR in an only eye. 47% had Type 1 Diabetes; 52% had been diabetic for 20 years or more; 8% had been diabetic for 5 years or less. On feedback 98% were found to be appropriate referrals. At time of screening, 6 people had been lost to follow up from previous eye clinics. PDR was identified at the first screening event in the other 46 (88%). No cases were found where referral at a previous screening encounter would have been appropriate. Conclusion Especially during the early years, screening programmes are very likely to encounter sight threatening retinopathy not previously identified. Over time, the balance between referral early in the disease process, and late, will hopefully be achieved but until then clinics must be prepared to manage the unpredictable urgent referral. Commercial interest [source] | ||||||||||