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Full-Text Articles in Medicine and Health Sciences

Evaluation Of The Hare-Pscan In A Non-Clinical Population, Cristal Elwood, Norman Poythress, Kevin Douglas Dec 2015

Evaluation Of The Hare-Pscan In A Non-Clinical Population, Cristal Elwood, Norman Poythress, Kevin Douglas

Norman Poythress

Using 100 university undergraduates as participants, this study examined the structural reliability and construct validity of Hare and Hervé's P-SCAN (Hare & Hervé, 1999) a 90-item measure that purports to serve as an “… early warning system” or “rough screening device” (p. 1) for identifying individuals with substantial psychopathic features. Internal consistency indices (e.g. Cronbach's α, mean inter-item correlations) for the three P-SCAN subscales (Interpersonal, Affective, Lifestyle) suggested excellent reliability. Statistically significant, though modest correlations (range 0.21–0.33) were obtained in 5 of 6 comparisons with the self-report Primary psychopathy and Secondary psychopathy scales developed by Levenson, Kiehl, and Fitzpatrick (1995) …


The Reliability And Diagnostic Validity Of Clinical Manifestations Of Catheter-Associated Urinary Tract Infection In Hospitalized Adults: A Pilot Study, Thomas Blodgett Apr 2015

The Reliability And Diagnostic Validity Of Clinical Manifestations Of Catheter-Associated Urinary Tract Infection In Hospitalized Adults: A Pilot Study, Thomas Blodgett

Thomas Blodgett

Catheter-associated urinary tract infection is a common clinical condition among hospitalized patients with numerous health and economic implications. With judicious use of indwelling urinary catheters, along with strict adherence to basic infection prevention measures, such as hand hygiene and aseptic technique during catheter insertion, these infections are most often preventable. However, these devices continue to be used inappropriately or unnecessarily, which has led the Center for Medicare and Medicaid Services (CMS), the Centers for Disease Control and Prevention (CDC), and numerous infectious disease professional societies to focus attention on how these infections can be diagnosed, prevented, and managed. Despite these …


Determining The Quality Of Assessment Items In Collaborations: Aspects To Discuss To Reach Agreement, Lambert Schuwirth, Jacob Pearce Aug 2014

Determining The Quality Of Assessment Items In Collaborations: Aspects To Discuss To Reach Agreement, Lambert Schuwirth, Jacob Pearce

Dr Jacob Pearce

No abstract provided.


I Don't Believe It, But I'D Better Do Something About It: Patient Experiences Of Online Heart Age Risk Calculators, Carissa Bonner, Jesse Jansen, Ben Newell, Les Irwig, Paul Glasziou, Jenny Doust, Haryana, Kirsten Mccaffery Jun 2014

I Don't Believe It, But I'D Better Do Something About It: Patient Experiences Of Online Heart Age Risk Calculators, Carissa Bonner, Jesse Jansen, Ben Newell, Les Irwig, Paul Glasziou, Jenny Doust, Haryana, Kirsten Mccaffery

Jenny Doust

Background: Health risk calculators are widely available on the Internet, including cardiovascular disease (CVD) risk calculators that estimate the probability of a heart attack, stroke, or death over a 5- or 10-year period. Some calculators convert this probability to "heart age", where a heart age older than current age indicates modifiable risk factors. These calculators may impact patient decision making about CVD risk management with or without clinician involvement, but little is known about how patients use them. Previous studies have not investigated patient understanding of heart age compared to 5-year percentage risk, or the best way to present heart …


General Practitioners' Use Of Different Cardiovascular Risk Assessment Strategies: A Qualitative Study, Carissa Bonner, Jesse Jansen, Shannon Mckinn, Les Irwig, J. Doust, Paul Glasziou, Andrew Hayen, Kirsten Mccaffery Jun 2014

General Practitioners' Use Of Different Cardiovascular Risk Assessment Strategies: A Qualitative Study, Carissa Bonner, Jesse Jansen, Shannon Mckinn, Les Irwig, J. Doust, Paul Glasziou, Andrew Hayen, Kirsten Mccaffery

Jenny Doust

Objectives: To identify factors that influence the extent to which general practitioners use absolute risk (AR) assessment in cardiovascular disease (CVD) risk assessment. Design, setting and participants: Semi-structured interviews with 25 currently practising GPs from eight Divisions of General Practice in New South Wales, Australia, between October 2011 and May 2012. Data were analysed using framework analysis. Results: The study identified five strategies that GPs use with patients in different situations, defined in terms of the extent to which AR was used and the reasons given for this: the AR-focused strategy, used when AR assessment was considered useful for the …


Developing Outcomes Assessments For Collaborative, Cross-Institutional Benchmarking : Progress Of The Australian Medical Assessment Collaboration, Daniel Edwards, David Wilkinson, Benedict Canny, Jacob Pearce, Hamish Coates Jan 2014

Developing Outcomes Assessments For Collaborative, Cross-Institutional Benchmarking : Progress Of The Australian Medical Assessment Collaboration, Daniel Edwards, David Wilkinson, Benedict Canny, Jacob Pearce, Hamish Coates

Dr Daniel Edwards

The Australian Medical Assessment Collaboration (AMAC) began in 2010. This article charts the development of the collaboration over its initial years. AMAC was instigated as a way of improving the quality of medical education through the recognition of the need for tools for comparison and evaluation of learning outcomes, acknowledgement of the need for high quality assessment, and to share expertise in these areas. In a climate of increasing regulation and accountability, this collaboration was formed as a means of increasing assessment practices by, with and for medical schools. This article provides an overview of the background issues stimulating the …


Research In School Health Education: A Needs Assessment, Lloyd Kolbe, Donald Iverson Jun 2012

Research In School Health Education: A Needs Assessment, Lloyd Kolbe, Donald Iverson

Don C. Iverson

No abstract provided.


An Assessment Of Student Health Needs: Implications For The Planning And Utilization Of College Health Services, Lloyd Kolbe, Donald Iverson Jun 2012

An Assessment Of Student Health Needs: Implications For The Planning And Utilization Of College Health Services, Lloyd Kolbe, Donald Iverson

Don C. Iverson

Since many students plan to utilize college health services, it is important that the services offered are adequate to meet the needs of the students.


Physician Assessment Of Patient Motivation: Influence On Disposition For Follow-Up Care, R Mcartor, Donald Iverson, D Benken, Valerie Gilchrist, L Dennis, R Broome Jun 2012

Physician Assessment Of Patient Motivation: Influence On Disposition For Follow-Up Care, R Mcartor, Donald Iverson, D Benken, Valerie Gilchrist, L Dennis, R Broome

Don C. Iverson

This study of 3,318 outpatient visits evaluated the influence of the physician-assessed level of patient motivation on the level of physician involvement in follow-up care. Data collected included patient demographics, health risk factors, physician-assessed level of patient motivation, and the disposition for follow-up care (return office visit or self-care). Physicians more frequently scheduled patients for a return office visit, regardless of assessed level of patient motivation, when they presented with a traditional biomedical problem. Patients with health promotion-disease prevention problems were more frequently relegated to self-care; patients physicians judged to be poorly motivated were four times as likely to be …


A Tool For Measuring Active Learning In The Classroom, Jenny Van Amburgh, John Devlin, Jennifer Kirwin, Donna Qualters Apr 2012

A Tool For Measuring Active Learning In The Classroom, Jenny Van Amburgh, John Devlin, Jennifer Kirwin, Donna Qualters

Jennifer L. Kirwin

Objectives. To develop a valid and reliable active-learning inventory tool for use in large classrooms and compare faculty perceptions of active-learning using the Active-Learning Inventory Tool.Methods. The Active-Learning Inventory Tool was developed using published literature and validated by national experts in educational research. Reliability was established by trained faculty members who used the Active-Learning Inventory Tool to observe 9 pharmacy lectures. Instructors were then interviewed to elicit perceptions regarding active learning and asked to share their perceptions.Results. Per lecture, 13 ( range: 4-34) episodes of active learning encompassing 3 ( range: 2-5) different types of active learning occurred over 2.2 …


Improving Risk Assessment With Suicidal Patients: A Preliminary Evaluation Of The Clinical Utility Of The Scale For Impact Of Suicidality - Management, Assessment And Planning Of Care (Sis-Map), Charles Nelson, Megan Johnston, Amresh Srivastava Dec 2009

Improving Risk Assessment With Suicidal Patients: A Preliminary Evaluation Of The Clinical Utility Of The Scale For Impact Of Suicidality - Management, Assessment And Planning Of Care (Sis-Map), Charles Nelson, Megan Johnston, Amresh Srivastava

Amresh Srivastava

Although a number of suicide risk assessment tools are available to clinicians, the high levels of suicide still evident in society suggest a clear need for new strategies in order to facilitate the prevention of suicidal behaviors. The present study examined the utilization of a new structured clinical interview called the Scale for Impact of Suicidality Management, Assessment and Planning of Care (SIS-MAP). SIS-MAP ratings were obtained from a group of incoming psychiatric patients over a 6-month period at Regional Mental Health Care, St. Thomas, Ontario. A canonical discriminant function analysis resulted in a total 74.0% of original grouped cases …