summarize the patient apos s problem s discuss treatment options and arrive at shared decision regarding the treatment plan
Management of Substance Use Disorder s (SUD): VA/DoD Evidence Based Practice doc
... Substance Abuse Treatment [CSAT], 2005 E Summarize the Patient' s Problem (s) , Discuss Treatment Options, and Arrive at Shared Decision Regarding the Treatment Plan BACKGROUND Informed decision- making ... plan is not fully successful RECOMMENDATIONS Reassess response to treatment periodically and systematically, using standardized and valid selfreport instrument (s) and laboratory tests Indicators ... primary issues the patient has been working on during rehabilitation treatment and the specific methods the patient intends to use towards resolution of these issues • The patient' s personally...
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Chapter 052. Approach to the Patient with a Skin Disorder (Part 1) ppt
... be that the patient has a pruritic eczematous dermatitis with erosions caused by scratching Figure 52-1 Superficial spreading melanoma This is the most common type of melanoma Such lesions usually ... erosions overlying an area of erythema and scaling, he or she may incorrectly assume that the erosion is the primary lesion and the redness and scale are secondary, while the correct interpretation ... differential diagnosis (Table 52-4) For instance, the finding of scaling papules (present in patients with psoriasis or atopic dermatitis) places the patient in a different diagnostic category than...
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Chapter 052. Approach to the Patient with a Skin Disorder (Part 2) potx
... crust and are caused by scratching Atrophy: An acquired loss of substance In the skin, this may appear as a depression with intact epidermis (i.e., loss of dermal or subcutaneous tissue) or as sites ... rings Pruritus: A sensation that elicits the desire to scratch Pruritus is often the predominant symptom of inflammatory skin diseases (e.g., atopic dermatitis, allergic contact dermatitis); ... is also commonly associated with xerosis and aged skin Systemic conditions that can be associated with pruritus include chronic renal disease, cholestasis, pregnancy, malignancy, thyroid disease,...
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Chapter 052. Approach to the Patient with a Skin Disorder (Part 4) doc
... cutaneous small vessel vasculitis (Courtesy of Robert Swerlick, MD; with permission.)[newpage] APPROACH TO THE PATIENT: SKIN DISORDER In examining the skin it is usually advisable to assess the patient ... important that the patient be disrobed as completely as possible This will minimize chances of missing important individual skin lesions and make it possible to assess the distribution of the eruption ... distributed on elbows, knees, and scalp, the most likely possibility based solely on distribution is psoriasis or dermatitis herpetiformis (Figs 52-7 and 52-8, respectively) The primary lesion...
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Chapter 052. Approach to the Patient with a Skin Disorder (Part 5) pptx
... A–D The distribution of some common dermatologic diseases and lesions Figure 52-7 Psoriasis This papulosquamous skin disease is characterized by small and large erythematous papules and plaques ... is characterized by small and large erythematous papules and plaques with overlying adherent silvery scale Figure 52-8 ...
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Chapter 052. Approach to the Patient with a Skin Disorder (Part 6) pdf
... erythematous plaques with a target or iris morphology It usually represents a hypersensitivity reaction to drugs (e.g., sulfonylamides) or infections (e.g., HSV) (Courtesy of the Yale Resident 's Slide Collection; ... dermatitis In contrast, lesions with a generalized arrangement are common and suggest a systemic etiology Figure 52-9 Erythema multiforme This eruption is characterized by multiple erythematous ... sulfonylamides) or infections (e.g., HSV) (Courtesy of the Yale Resident 's Slide Collection; with permission.) Figure 52-10 ...
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Chapter 052. Approach to the Patient with a Skin Disorder (Part 7) ppt
... biopsy In the latter technique, a punch is pressed against the surface of the skin and rotated with downward pressure until it penetrates to the subcutaneous tissue The circular biopsy is then ... it is important to biopsy a lesion that is most likely to yield diagnostic findings This decision may require expertise in skin diseases and knowledge of superficial anatomic structures in selected ... forceps, and the bottom is cut with iris scissors Biopsy sites may or may not need suture closure, depending on size and location KOH Preparation A potassium hydroxide (KOH) preparation is performed...
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Chapter 052. Approach to the Patient with a Skin Disorder (Part 8) pptx
... distribution and striking depigmentation as a result of loss of melanocytes Patch Tests Patch testing is designed to document sensitivity to a specific antigen In this procedure, a battery of suspected ... hypersensitivity reactions (e.g., erythema, edema, or papulovesicles) This test is best performed by physicians with special expertise in patch testing and is often helpful in the evaluation of patients ... battery of suspected allergens is applied to the patient' s back under occlusive dressings and allowed to remain in contact with the skin for 48 h The dressings are removed, and the area is examined...
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Báo cáo y học: " European youth care sites serve different populations of adolescents with cannabis use disorder. Baseline and referral data from the INCANT trial" docx
... significantly less substance use than adolescents at the other sites Discussion and Conclusion INCANT is a transnational trial involving sites in Berlin, Brussels, Geneva, The Hague and Paris ... adolescent, we asked the local researcher who had done the baseline assessment and the therapist who had given the treatment, to classify the case as SD or EC on the basis of the algorithm There ... for these results if desired) The results from statistical analyses reported below are from the cross-site analyses As missing data were rare at baseline (typically less than 1% per item), they...
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Báo cáo y học: " INCANT: a transnational randomized trial of Multidimensional Family Therapy versus treatment as usual for adolescents with cannabis use disorder" pptx
... group design This study compares MDFT with treatment as usual (TAU) at and across sites in Brussels, Berlin, Paris, The Hague and Geneva Assessments are at baseline (immediately before randomization) ... representatives of other systems (school, work, friends, agencies) present Sessions can take place at the office, but also at the family 's home or any other convenient location Scheduling sessions ... history and service utilization, school functioning, peer relationships, and pastime activities Primary outcomes: cannabis use Cannabis use and other substance use disorders are assessed with the...
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Báo cáo y học: "Open Access Development of mental health first aid guidelines for Aboriginal and Torres Strait Islander people experiencing problems with substance use: a Delphi study" doc
... includes both diagnosable mental illnesses and substance use disorders, as well as symptoms of these disorders which not meet a clinical threshold, yet cause a person distress or disability The ... responded to the feedback survey (68%) Table shows responses to statements included in the survey Of particular interest were the responses to statements that were designed to assess the cultural ... both studies, the majority of the rejected statements came from the section on how to assist when the person is intoxicated Re-rated statements In the problem drinking study, 41 statements were...
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báo cáo khoa học: " Integrated programs for women with substance use issues and their children: a qualitative meta-synthesis of processes and outcomes" potx
... process of comparison, translation, and synthesis of original findings [23] The specific research questions guiding this meta-synthesis were: 1) What psychosocial processes occur in treatment that ... inclusion in the meta-synthesis They then met to discuss their individual assessments; when a discrepancy occurred, discussion continued until consensus was met In the end, 17 of the 45 documents ... authors met to discuss their findings part way through the analysis to discuss themes arising from the reciprocal translation Much of the discussion focused on comparing and contrasting the more...
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Báo cáo y học: "Excessive substance use in bipolar disorder is associated with impaired functioning rather than clinical characteristics, a descriptive study" pdf
... patients with neither SUD nor excessive substance use Thus, for the subsequent analyses, patients with SUD and patients with excessive use were aggregated in an “excessive substance use group“ Patients ... [94,95] The lack of association between psychosis and excessive use of these psychosis inducing substances found in the present study is somewhat surprising, but could be related to a high psychosis ... admissions was shorter in the excessive substance use group (p = 0.056) These analyses were repeated for only patients fulfilling SUD criteria versus the no use group (excessive use patients excluded),...
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báo cáo khoa học: "Co-existence of acute myeloid leukemia with multilineage dysplasia and Epstein-Barr virus-associated T-cell lymphoproliferative disorder in a patient with rheumatoid arthritis: a case report" docx
... hypercellularity, and increased blasts These blasts expressed MPO, whereas the population of lymphocytes was small and there was almost no staining for EBER in the BM The spleen tissue also showed diffuse infiltration ... progression [20,21] On the other hand, EBV-LPD has often been reported in immunodeficient individuals such as HIV patients, patients post-transplantation, or patients taking immunosuppressants [22] ... membranes of these joints showed mild synovial and lymphoid proliferation These findings were compatible with the pathological findings of RA joints Discussion To the best of our knowledge, this is the...
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báo cáo khoa học: "Transient psychosis due to painless thyroiditis in a patient with anxiety disorder: a case report" pdf
... course of Hashimoto s thyroiditis or Graves’ disease in remission The hyperthyroidism in this disease is usually mild and is often unnoticed At first, we thought that the delusions in our patient ... There is no specific psychiatric picture of the psychosis that is associated with thyrotoxicosis One study reported that 14 out of 18 patients with thyrotoxicosis had affective psychoses [8] Affective ... that occurred 10 years after the first visit Closed squares show serum thyroid stimulating hormone (TSH) levels and closed circles show serum free thyroxine (fT4) levels The arrow indicates the...
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Báo cáo y học: "Diagnostic use of infrared thermography in a patient with chronic pain following electrocution: a case report" doc
... Discussion Thermography is a clinical test that measures the changes in cutaneous temperature in response to the physiological state of an individual [2] As temperature from the body is The patient ... down-going plantar responses Tests of gait and coordination were normal The neurologist made the diagnosis of ‘dysesthetic neuropathic pain following electrical injury, possibly associated with ... relation to the bilateral median and tibial nerves The opinion was that the pain was associated with the electrocution but the pathophysiology remained elusive Table Temperature measurements in...
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Báo cáo y học: " Poly-substance use and antisocial personality traits at admission predict cumulative retention in a buprenorphine programme with mandatory work and high compliance profile" ppt
... Hansson and Olsson [25] The Swedish universities Scales of Personality (SSP) The Swedish universities Scales of Personality (SSP) is a revision of the Karolinska Scales of Personality (KSP) SSP ... hazards assumption is shown None of the tests indicated that the assumption was violated The tests SSP and SOC were dropped since there were no significant differences between completers and non-completers ... informing the other authorities and the patient After three months of suspension the patient may apply for a renewed treatment During the suspension period the Page of patient is seen on an outpatient...
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Báo cáo y học: "A cross-sectional study of patients with and without substance use disorders in Community Mental Health Centres" pdf
... score on substance use problems, the Alcohol Use Scale (AUS) and the Drug Use Scale (DUS) There were some discrepancies between these measures regarding which patients were scored as having a ... other substances or diagnosed with a substance use disorder These patients were defined as the SUD group Patients that received a low score, indicating no clinical problem, on the substance use ... the day of the survey, regardless of their length of treatment Statistics When comparing two groups the Student s t-test was used for continuous variables and the Pearson s chisquare test was...
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Báo cáo y học: " All-cause mortality among people with serious mental illness (SMI), substance use disorders, and depressive disorders in southeast London: a cohort study" ppsx
... unknown, and others” Statistical analysis Standardized mortality ratios (SMRs) were calculated by Stata for the three-year observation period, using the number of deaths observed in SLAM records in these ... increased risk of suicide mortality was found among the same groups, itself associated with increased consultation rates, antidepressant prescriptions, and residence in less deprived areas [9] Despite ... death [4,18-20] The analyses presented here were not intended to elucidate causal pathways, but rather to constitute the first stage in a series of investigations of these issues with future studies...
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báo cáo khoa học: " Substance use during pregnancy: time for policy to catch up with research" pps
... Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Mandates Posting of Dangers of Alcohol to Pregnant Women Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes ... abuse Yes Yes Yes Yes Mandates Neonatal testing For Drugs Yes Mandates Reporting as Child Abuse or Neglect Yes Mandates Postnatal Reporting Assessment or Services Mandates Priority Access to Treatment ... Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Mandates Prenatal Testing/ Screening for Substance Use Includes maternal substance abuse or infant substance exposure under the definition...
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Tìm thêm: xác định các nguyên tắc biên soạn khảo sát chương trình đào tạo của các đơn vị đào tạo tại nhật bản khảo sát chương trình đào tạo gắn với các giáo trình cụ thể tiến hành xây dựng chương trình đào tạo dành cho đối tượng không chuyên ngữ tại việt nam điều tra đối với đối tượng giảng viên và đối tượng quản lí điều tra với đối tượng sinh viên học tiếng nhật không chuyên ngữ1 khảo sát thực tế giảng dạy tiếng nhật không chuyên ngữ tại việt nam nội dung cụ thể cho từng kĩ năng ở từng cấp độ xác định mức độ đáp ứng về văn hoá và chuyên môn trong ct mở máy động cơ rôto dây quấn các đặc tính của động cơ điện không đồng bộ đặc tuyến hiệu suất h fi p2 đặc tuyến tốc độ rôto n fi p2 đặc tuyến dòng điện stato i1 fi p2 động cơ điện không đồng bộ một pha sự cần thiết phải đầu tư xây dựng nhà máy thông tin liên lạc và các dịch vụ từ bảng 3 1 ta thấy ngoài hai thành phần chủ yếu và chiếm tỷ lệ cao nhất là tinh bột và cacbonhydrat trong hạt gạo tẻ còn chứa đường cellulose hemicellulose chỉ tiêu chất lượng theo chất lượng phẩm chất sản phẩm khô từ gạo của bộ y tế năm 2008 chỉ tiêu chất lượng 9 tr 25