... E R Screeningfor Cognitive Impairment intheElderly MANEUVER EFFECTIVENESS LEVEL OF EVIDENCE RECOMMENDATION Screening with short mental status instruments The Mini Mental State examination ... of acetyl choline Tacrine (tetrahydroaminoacridine), has been approved for use inthe United States and is available in Canada Modest but definite improvements in cognitive performance have been ... 1990; 323: 445-448 Canadian Task Force on the Periodic Health Examination: The periodic health examination, 1991 update: Screeningfor cognitive impairment intheelderly Can Med Assoc J 1991; 144:...
... Discussion Main findings Among the participating GPs, definitions of health promotion interventions intheelderly widely varied The opinion regarding the effectiveness of health promotion intheelderly ... well as regarding the content of the programme Providing information over the internet for instance, may not reach a substantial proportion of the target group To increase the interest for health ... health promotion intheelderly H Incentives for GPs to provide health promotion intheelderly I Incentives for patients to accept health promotion intheelderly J Possible interventions to...
... development, intuitively, eradicating this infection would eliminate cancer risk before precancerous lesions develop Therefore, screeningfor H pylori and treating those with a positive finding is ... Gastric cancer mortality Following the downward trend seen in incidence, GC mortality has also declined over time globally The declining mortality has been attributed to the declining incidence as there ... trends in gastric cancer mortality and incidence for males 11 Figure 1-7 Declining trends in gastric cancer mortality and incidence for females 12 Figure 2-1 Carcinogenesis for Gastric Cancer...
... £12,186 The two changes combined produce a 15 per cent fall inthe baseline ICER, to £11,764 Other things remaining equal, the cost effectiveness of screening increases as the prevalence of cancerin ... definition Second, attending forscreening inevitably entails the incurring of time and travel costs on the part of those being invited These costs can be sizeable: in a trial of clinic-based screening ... of the contemporary tariff price for sigmoidoscopy estimated in general settings [53] Were the costs of investigation in lung cancerscreening to follow the same pattern, the ICER for screening...
... them including when to discontinue screening Studies on the role of MRI inscreening are required in order to incorporate this technology appropriately inthescreening process More information ... of a woman developing breast cancerin her forties is in 69, in her fifties in 38, and in her sixties in 27.10 Although the incidence rate of breast cancer has increased since the 1970s and 1980s, ... recommend for or against routine CBE alone to screen for breast cancerThe USPSTF also concluded that the evidence was insufficient to recommend for or against teaching or performing routine breast...
... effects of screeningfor skin cancer As experts inthe treatment and epidemiology of skin cancer, the guideline panel members were aware that some individuals are at increased risk for skin cancer ... systematic review of the evidence conducted by the Skin CancerScreening Guideline Panel) The guideline panel reviewed three evidence-based guidelines on screeningfor skin cancer (1-3), results ... evidence for or against skin cancerscreening of the general population at average risk of developing skin cancer Based on the limited evidence available at present, routine total body skin examination...
... Americans, screening should begin at age 45 years A family history of polyps need not invoke earlier onset of screening or other adjustment in screening, unless there is convincing evidence that the ... supporting the increased risk in these groups is given in Appendix A The current evidence supports a decision by clinicians in individual patients with an extreme smoking history or obesity to begin ... et al Colorectalcancer screening: clinical guidelines and rationale Gastroenterology 1997;112:594–642 Byers T, Levin B, Rothenberger D et al American Cancer Society guidelines forscreening and...
... advocate for getting evacuees the services they require They also need to keep evacuees informed about the progress being made in resolving their problems This process should continue even when the ... living The plan forthe administration of the SWiFT tool was to pair social workers with either a doctor or nurse Each of these pairings walked among the cots on the Astrodome floor looking for ... evacuation to the RAC The trauma resulting from the disaster, the process of evacuation, the disruption of regular care, and the stress of residing inthe shelter complex further increased their vulnerability...
... prognostic indicator in fulminant hepatitis in patients without encephalopathy upon admission [10,11] Inthe present study, we examined 11 proinflammatory genes in patients receiving therapy inthe ... GPIb-IX-V Therefore, upregulated VWF may represent unstable hemostasis and reflect damage to endothelial megakaryocytes expressing VWF Inthe signaling pathway, VWF interacts with integrins inthe ... functions inthe complement and coagulation cascades, linking downstream to the inflammatory process or to B cell receptor signaling NAMPT is another indicator for prognosis It is the rate-limiting...
... Nevertheless, these procedures could be often severely contra-indicated in endometrial cancer patient, since they require a general anesthesia, which is contra-indicated in endometrial cancer patients ... morbidities These results show how vaginal approach had a similar outcome in selected patients We compared the clinical outcome of the vaginal versus the abdominal hysterectomy in a population of elderly ... V) included medically compromised women undergoing vaginal hysterectomy forcancer A second group (group A) included patients who underwent abdominal surgery forcancer Group V considered patients...
... excision, including DCIS and invasive cancer All patients in this study underwent clinical and radiological examination, including mammography and ultrasound The radiological appearance of the lesion ... or invasive cancerin a case of ADH Competing interests The authors declare that they have no competing interests Authors' contributions BJC carried out the statistical analysis, participated in ... determined to be an independent predictive factor for breast cancer at surgical excision in patients with diagnosed ADH at CNB Consistent with our findings, Ko et al [18] observed an increase in...
... Discussion Radiotherapy is the main therapeutic modality inthe management of primary or recurrent vaginal cancer Brachytherapy remains integral part of definitive radiation therapy for these patients ... years) The recurrence was marginal (within cm of previous field) in patients and within the previous field in patients The sites of disease were proximal vagina patients, distal vagina patients ... findings and imaging were also taken for reference for defining the target volume The median number of needles used were 14 (range 7–18) The dose of interstitial brachytherapy was 18.75 Gy in...
... and femoral heads The non-target tissue was defined as thepatient' s volume covered by the CT scan minus the planning target volume (PTV) For all patients, GTV was outlined using the signal-tobackground ... D5%-D95% The conformality of the plans was measured with a Conformity Index, CI90% defined as the ratio between thepatient volume receiving at least 90% of the prescribed dose and the volume of the ... choline PET/CT for localizing occult relapse of prostate cancer after radical prostatectomy in 49 patients Focally increased 11C-choline uptake inthe prostatic fossa was observed in 70% of patients...
... ART to patients inthe cohort and assessing them for ART eligibility at the planning phase for introduction of ART in June 2004 Adult patients were considered eligible for ART based on the Gambian ... Nabiryo C, Coutinho A: Use of WHO clinical stage for assessing patient eligibility to antiretroviral therapy in a routine health service setting in Jinja, Uganda AIDS Research and Therapy 2008, ... sensitivity of WHO clinical staging in assessing patient s eligibility for ART [17,18], our data suggest that it is an important clinical assessment tool and we therefore advocate forthe development...
... validity by maintaining internal consistency The main objectives of thepatient interviews are to explore: patients' perceptions of the information they received and were asked to provide during treatment ... important by the healthcare team also influenced colorectalcancer patients desire for involvement in treatment decision making, and was considered as important as thecancer information they received ... shared decision making inthe setting of colorectal cancer; to identify and explore the enablers and barriers to the use of shared decision making inthe setting of colorectal cancer; and identify...
... administrative assistants) at Johns Hopkins, the staff at all of the participating clinical sites, all of the participating clinicians, the organizational leaders, and the patients, for making the ... participating inthe study During registration, patients were given a card that informed them their clinician was participating in a study to improve emotional health in African Americans, and they ... arrived at their next appointment If they agreed, a field research assistant met thepatient at the clinic prior to their next appointment The research assistant administered the brief screening questionnaire,...
... validity by maintaining internal consistency The main objectives of thepatient interviews are to explore: patients' perceptions of the information they received and were asked to provide during treatment ... important by the healthcare team also influenced colorectalcancer patients desire for involvement in treatment decision making, and was considered as important as thecancer information they received ... shared decision making inthe setting of colorectal cancer; to identify and explore the enablers and barriers to the use of shared decision making inthe setting of colorectal cancer; and identify...
... globin [18] Since globin does not survive inthe passage through the upper gastrointestinal tract, the FIT’s detection of globin is specific for occult bleeding from the large bowel Therefore, ... diagnosis of colon cancer [33] During colonoscopy screening, the stains can be sprayed using specially designed catheters through the instrument channel Then the effect of these stains on the subtle ... mortality [16] Inthe past 20 years, there are drastic progresses inthe development of new screening methods for colon cancer [17] Inthe next two sections, the conventional screening methods and...